Keeping hope alive: Brain activity in vegetative state patients

Thirteen year-old Jahi McMath went into Oakland Children’s Hospital on December 9 for a tonsillectomy. Three days later she was declared brain-dead. Severe complications from the surgery resulted in cardiac arrest and the eventual tragic demise of Ms. McMath; and while neurologists and pediatricians at the hospital have declared Jahi brain-dead, her family refuses to accept the doctors’ diagnosis, fighting to keep her on life support.

This heartrending battle between hospital and family is sadly not a new one, and there is often little that can be done to compromise the two sides. However, neuroscientific research in recent years has made substantial developments in more empirically determining if there are still signs of consciousness in vegetative state patients, which can either bring hope to a desperate family, or provide stronger footing for doctors trying to do the more difficult but often more humane thing.

Is this a new tool to diagnose ADHD, or is it just another neuro-scam?

When I was in elementary school, there were two kids in my class who always got “special medicine” at lunchtime. I didn’t understand this at the time, as they never looked sick to me, so I couldn’t comprehend why they would need to take a pill. One day I got up the courage (as only an impertinent seven year-old can) to ask my friend why she needed to take medicine every day, but her answer just confused me even more. She said that without the pill she would get too energetic and be unable to concentrate in class. But this didn’t make sense, as I knew that I often got quite excited and would sometimes talk out of turn, but I certainly didn’t need to take any medicine for this!

Flash forward twelve years, and in college nearly all of my friends were regularly taking Adderall to help them study for exams, whether they were prescribed it or not.