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help someone out there that she responds to questions. what s your best medical assessment of her comprehension level, i guess is the question. when we are assessing a sedated, critically injured patient with do so with very simple commands. we want to ask the patient to show us two fingers, to squeeze our hand, to lift up your thumb, to wiggle toes. all we re testing is receiving information, processing information, carrying out the command. it s not any deeper than that. i want to bring dr. gupta into the situation. you re a neurosurgeon yourself. when you hear this update, breathing on her own and able to ease the sedation some and her ability to respond to simple commands, but it is remarkable she can respond at all, what goes through your mind in terms of your own prognosis? she s improving. i think that s the biggest thing. breathing on your own is a significant development. she may still have the breathing tube in. ....
Through and through injury the idea it might enter somewhere and exit because the brain is, you know, you have a convexity to the brain here so that can happen, and there could be some bleeding in that area but that can be obviously taken care of during surgery. the concern is that area that was damaged, the brain is like a fluid medium almost and it can start to have swelling as a result of just being hit like that, the injury itself, and that swelling it s so important to monitor over the next few days really, and that involves simple things like having the patient wake up, wake them up and say, have them follow commands, hold up two fingers on one hand, the other hand, wiggle toes, things like that that gives an indication of what the higher brain function is but it s also monitoring blood pressure, checking for bleeding and things like that. so it s done in intensive care unit. she may still be with a breathing tube even but these things as she progresses and improves hopefully you ....