This is approaching Star Trek levels of medicine. Congratulations to the team who discovered and pull this off, and of course my heart goes out to the family and their child. Drowning is very serious and very scary. Edit: somewhat unrelated since this girl fell into an unattended pool, but it's important to know the signs of drowning, which are not what you see in movies: http://www.cbsnews.com/news/how-to-spot-signs…
Scientists Reverse Brain Damage in Drowned Toddler?
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Re: Scientists Reverse Brain Damage in Drowned Toddler?
#52I swear to God, from the three videos I've seen, the drowning kid was always black. Was that luck, or was that an actor?
Does it matter in any way? Is it even a fact worth observing?
Re: Scientists Reverse Brain Damage in Drowned Toddler?
#53I was worried this would be a case of neural plasticity, where the brain just rewires itself around the damage (which is a thing, and it's super cool). But then I read this part: > An MRI scan a month after the 40th HBOT session showed almost complete reversal of the brain damage initially recorded. Researchers believe the oxygen therapy, coupled with Eden having the developing brain of a child, had activated genes t…
I'm going to tell you that I have never been more glad to read Hacker News first thing in the morning.
I am sleeping in my mother's ICU room @ UIUC after she's suffered a subarachnoid hemorrhage causing substantial brain damage. This is coming with me to the ICU team huddle this morning.
Side note: if you're in neurological field or specialize in neurogenesis, please get in touch with me
Re: Scientists Reverse Brain Damage in Drowned Toddler?
#54This is amazing. Does anyone think the cold temperature of the water (5C) had anything to do with the feasibility of recovery? I don't necessarily have a reason to think it would be beneficial or not, just a thought that crossed my mind. I don't think it was mentioned in the article.
Cold water lengthens the survival time by two mechanisms. It triggers the mammalian diving reflex, which halts breathing and conserves oxygen by slowing the heart rate and moving blood to vital parts of the body. This response is stronger in children than adults.(14) An opposing “cold shock response” may predominate, which leads to a faster heart rate with potential fatal rhythm disturbances(15). This response also causes immediate aspiration and swallowing of water, which quickly cools the heart and carotid arteries leading to “selective brain cooling”.(4) A reduction of brain temperature by 10° C decreases energy consumption by 50% and doubles the duration of time the brain can survive without oxygen.(16) This “therapeutic” hypothermia is accelerated by surface cooling in children and small adults with higher surface-area to body mass ratios and less subcutaneous fat. Panic by the victim (breath holding and vigorous attempts at escape) and protective gear worn in cold water work against these principles and may prevent therapeutic hypothermia.
http://www.sitezed.com/an-analytical-look-at-survivable-subm...
Re: Scientists Reverse Brain Damage in Drowned Toddler?
#55Well, this event happens enough that it might be worth studying the benefit of oxygen therapy, but I'd be very careful about the conclusions you draw from this. Maybe the oxygen had a substantial positive effect, or maybe the child would've recovered on her own. We really don't know, since there are other reports of children who have good neurological outcome despite terrible prognosis [1] [2]. I'm suspicious because…
> However, don't forget that when a baby is left unsupervised and is submerged in a pool for 15 minutes, it's called neglect. Whoa there, slow down. Kids are quick. One moment, your three kids are happily watching Finding Dory on the tv, while you're making dinner. The next, only two are: the third has quietly wandered off. Unless you know the particulars, be very careful about tossing around words like 'neglect'.
However, I have a 2 and a 3 year-old. And I would consider it my fault if they wandered into a freezing pool.
Re: Scientists Reverse Brain Damage in Drowned Toddler?
#56How is nationality relevant?
Re: Scientists Reverse Brain Damage in Drowned Toddler?
#57Earlier quoted context omitted.
Not to dampen your enthusiasm too much, but please note that infants are exceptionally good at producing new neurons compared to adults; their brain aren't fully developed after all.
Yes. Also I imagine it's easy to "bulldoze and start over" when there are fewer life-worn paths to start with. Even if adults could regenerate large numbers of neurons like we do skin cells, those new neurons would have no idea how the old ones were connected.
Re: Scientists Reverse Brain Damage in Drowned Toddler?
#58I was worried this would be a case of neural plasticity, where the brain just rewires itself around the damage (which is a thing, and it's super cool). But then I read this part: > An MRI scan a month after the 40th HBOT session showed almost complete reversal of the brain damage initially recorded. Researchers believe the oxygen therapy, coupled with Eden having the developing brain of a child, had activated genes t…
don't forget the '...having developing brain of a child...' part, which might also be significant factor in the recovery process.
Re: Scientists Reverse Brain Damage in Drowned Toddler?
#59Earlier quoted context omitted.
Does it matter in any way? Is it even a fact worth observing?
Yes, it does. Lifeguards will tell you it's part of their training. It may be non-PC, but the statistics say that when you're watching the water, African-American children are more likely to drown. I don't know if it's specifically African American children, or black children (of any origin) in general. I've heard it's socioeconomic - potentially less likely to be able to swim, but I'm not sure honestly. If you're wa…
Theorises that segregation meant many POC never learnt to swim and then their fear of drowning (along with socioeconomic factors, of course) has lead them to keeping their children away from swimming lessons.
Re: Scientists Reverse Brain Damage in Drowned Toddler?
#60What frustrates me is that in the United States, most insurance companies won't pay for hyperbaric oxygen treatment for traumatic brain injuries. My son, 26, was injured in a car accident last November. I would love to be able to get Oxygen therapy for him, but cannot.
On the other hand, if your health insurance is through one system and your disability insurance through another, you have everyone optimizing for their personal local minimums rather than the global minimum.