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Can an unconscious person be aware of his surroundings? Part 4 (Teacher: Michael)

A major challenge facing both physicians and general public is to change our attitudes toward individuals with severe brain damage who cannot communicate.

We should not assume that they do not have any awareness of what is going on. As suggested by British Medical Journal authors, we need to learn how to communicate with very disabled patients. One of major scientific challenges of this century is to understand how brain thinks.

When this is achieved, we may be able to measure "conscious" brain activity and start to build bridges to patients who cannot communicate.

Patrick Pullicino, MD, Ph.D., is Professor of Neurology and chairman of Department of Neurosciences of New Jersey Medical School at University of Medicine and Dentistry of New Jersey, USA.

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