My spouse has finally regained consciousness after being in a coma

Three weeks ago, my husband tried to end his life by hanging. He struggles with bipolar disorder, intermittent explosive disorder, PTSD, and other conditions. I witnessed the entire event through our back porch camera and called emergency services; they managed to get him down after he had been without oxygen for about seven minutes. Over the next 17 days, his health spiraled downward until it reached a standstill. We were unsure if he had any brain activity left. He went into cardiac arrest while in the ambulance and aspirated on his first night of intubation, which led to pneumonia, rapid respiratory failure, multiple infections, and a partially collapsed lung. He was paralyzed and sedated, showing no movement or signs of recovery.

I eventually made a difficult choice after consulting with his doctors. I couldn’t bear to watch him waste away, especially since they repeatedly told me his lungs might never heal enough for us to even evaluate his brain function. I went home that night and just broke down.

Then I received a phone call: he was awake and nodding ‘yes’ when they asked if he wanted to see me. I rushed to the hospital as quickly as possible. I was in shock—he was conscious, still on a ventilator, but moving. He gave me a hug and was desperately trying to speak. By the following morning, X-rays showed he was healing rapidly. We are now at day 21; he is off oxygen and recognizes people, though he is suffering from delirium and has to relearn how to use his body because he is so weak he cannot even swallow.

His voice is barely a whisper, and he is overwhelmed with sadness. He doesn’t fully grasp what occurred and has fragmented memories; for instance, he asked about a Mother’s Day necklace from last year. However, he also has delusions about being on a spacecraft or the hospital being a jail.

I am caught between being overjoyed by this miracle and terrified that he may never fully be himself again. I have been so preoccupied with his needs that I don’t think I’ve processed the trauma of what happened, including the fact that I watched his attempt to leave us.

There is a very long recovery ahead. Part of me feels a heavy sense of guilt because I know his current state feels like a prison to him. That is why I had made the decision I did before he woke up—I knew a life where he couldn’t do the things he loves would be a nightmare for him. He was the most active, high-energy person I knew, and now he can barely grasp a cup. Yet, it is a miracle that he is still here; it clearly wasn’t his time. There is nothing I wouldn’t do for him. In sickness and in health, until death parts us—or almost does, then changes its mind.

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I am so sorry you are going through this nightmare. I truly hope you have a solid support system around you. This is going to be a very difficult path.

Please do not feel guilty! You are the one who saved him! You called for help and ensured he got medical care. He is only weak right now because he is at the very start of his journey back. You will see improvements every day. He is fighting to come back to you; he just requires time. You should definitely find a therapist to help you process everything. You are doing an incredible job, and I wish you the best!

I am deeply sorry for the pain you, your husband, and your family are experiencing. I cannot imagine being in your position. I hope you are surrounded by supportive friends and family. I am certain your husband is thankful to have you there, but please make sure you have someone to lean on for your own strength. Sending your family light, peace, and hope for healing.

I’m not sure of the exact nature of his injuries, but if he has that level of mobility and awareness, it suggests it wasn’t a catastrophic anoxic brain injury. I work as a neurosurgical ICU nurse. If a patient showed that much progress by day 21, I would be very hopeful for a significant recovery, or at least an excellent one with only minor setbacks, based on my years of experience in the unit.