Memory problems after induced coma: I was placed... - ICUsteps

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Memory problems after induced coma

Grateful83 profile image
24 Replies

I was placed into an induced coma at Christmas after a sudden illness were my Liver and Kidneys started to fail. It literally did come out of the blue. I am fit and health 40 year old, with no health issues.

After 7 days I was doing well enough to start reducing the sedation.

When I was fully awake again I had no recollection of the 2 days prior to the coma. During this time I was making phone calls, and having conversations with family. I had a 2 hour ambulance journey to the specialist liver unit however i don’t remember any of this.

I have been told all of this is totally normal. None of the professionals have ever said anything to me to suggest that I might now have cognitive problems so I’ve not really asked any questions. All my questions have been around how long it’s going to take me to regain muscle strength and the constant fatigue. But i have noticed since December that I am forgetting so many things that I would not normally forget. I have never had any memory issues. my job is very data oriented and this is quality checked all the time so if I was to forgot certain information or input the wrong information i would be picked up on it by a data analyst and this very rarely happens. I am not yet back at work but this is worrying me now as I am noticeing certain things like forgetting words in sentences. I will be having a conversation and I won’t be able to remember the word I want to use to finish what I am saying, or another thing is I can be told something new to me that is new information for example the name of someone I’ve just met and then an hour later I’ll forgot their name, the same goes with seeing someone I’ve not seen in a long time and I’ll forgot where I know them from but I know I know them. Another thing is numbers, I went to call a number written on a letter I received today and it took me 3 attempts as I kept inputting the wrong numbers.

Has anyone else who’s had a similar amount of time on life support suffered with this? I don’t know if I should be saying something to my GP about it or not.

Another thing I am doing that I have never done before is wetting myself! This is because now when I need to go I can’t hold it in long enough to get to the toilet. Again this is something I’m petrified of happening when I’m back at work. I mean I know there’s things I can buy but I’ve only just turned 40 but am I just suppose to get on with now does it get any better? Should I be saying something?

Thank you to anyone who takes the time to reply back and give any advice x

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Grateful83 profile image
Grateful83
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24 Replies
Sepsur profile image
Sepsur

Some of the sedatives used on us to put us in an induced coma, cause retrograde AND anterograde amnesia.

It means I will have holes in my memory & I will struggle to problem solve in the future & present.

Grateful83 profile image
Grateful83 in reply toSepsur

Wow I never knew that thank you for sharing this information with me i wish there was more information given after that covered these things unfortunately the booklet I was given didn’t include this x

Twoblu profile image
Twoblu in reply toGrateful83

What booklet ?

Grateful83 profile image
Grateful83 in reply toTwoblu

Hello, im from the UK and upon my discharge I was given a booklet which was written for ICU patients which covered how we would be feeling with our recovery and what we might be struggling with. It also had a little information for the relatives of ICU patients too.

Slip-Digby profile image
Slip-Digby in reply toGrateful83

Only in England would someone spend a month in a coma in ICU, hooked up to all manner of machines and suffering from untold delusions and hallucinations - tracheostomized and central lined to buggery, to then be placed in a ward to recover and finally go home.

And be given a 'leaflet' ! :)

Grateful83 profile image
Grateful83 in reply toSlip-Digby

I know its ridiculous there's no aftercare what so ever - I couldn't even get our local community nurses to come and check in on me when I was home. Thank god for my husband and family! My ICU follow up was four months later aswell which I could of done with sooner and then that was it. x

Slip-Digby profile image
Slip-Digby in reply toGrateful83

Tell me aboot it!

When I came out of ICU after nearly dying I got the square-root of sod all support.

No follow up, no GP letter, no text asking if I was even alive hehe!

And when I reached out to my GP with awful memories of the hallucinations and delusions his reply was simply a condescending 'Of course the doctors were not trying to kill you, they are there to save your life not take it away'

Ignorant bstard thought I was actually questioning his colleagues instead of asking for some sort of mental health help.

He actually intimated that I should have been grateful to be saved and not criticising the medical staff for trying to bump me off and sell my organs to Chinese middlemen.

Numpty.

I could tell of some other horrific and deeply offensive things that same GP said to me on a home visit to my father whom I looked after with his terminal cancer. But I won't otherwise I'll get very, very angry.

Good luck with your recovery and sorry to bang on about mine on your thread :)

Lux95 profile image
Lux95

Memory loss and cognitive issues are both common side effects of ICU sedation. After two years, I still forget common words in conversation. At times I even type the wrong word, such as "hear" instead of "here" or "there" instead of "their". I used to pride myself in being accurate in writing and conversing - always saying and writing what I intended, and never confusing homophones in either case. It isn't always an issue, but enough to be annoying, and require proof reading, and being more guarded in conversations.

I wish I could tell you these will improve, but only time will tell. I've had to readjust my expectations for conversation, remembering tasks, and how I approach my work. It is annoying at times, but it is what it is. We survived, and that's the most important thing. The rest is just a minor burden to bear by comparison.

Sepsur profile image
Sepsur in reply toLux95

I still at times use ‘almost the right word’ - speaking & writing 8yrs on

Lux95 profile image
Lux95 in reply toSepsur

I've come to accept this as normal now and try not to let it bother me. No one is perfect after all. :-)

Grateful83 profile image
Grateful83 in reply toLux95

Thank you for sharing your story and you are very right we are the lucky ones who survived so we do have to remind ourselves of that.x

BigH63 profile image
BigH63

Hi. Wow this was like I was writing the post. Unfortunately this is exactly what I’ve been like and others are suffering from, since coming out of ICU with being intubated and having tracheotomy, pneumonia, kidney dialysis, for AKI etc etc. delirium was bad after one and a bit months in coma Jan-Feb 2023 and on ward then home. Learning how to talk, eat, move, personal hygiene, washing, doing things around the house making tea etc.

Cognitive issues:

I was a successful engineering manager, running a team of engineers and multimillion pound projects. Before going into ICU I was coming to the end of renovating my house, which ment I had and still have things to complete. I have had to wait until this year to make a start on those jobs, with fatigue and muscle lose and trying to exercise. But when it comes to measuring and cutting wood or other material ms or having things made it’s a nightmare. I measure then measure again and again and still sometimes I get wrong, I’ve been an engineer for 40 years so so frustrating. Also I have to use my phone as my Aide-mémoire for everything names appointments little things.

Conversations are hard like you mention, mid flow and I’m stumbling for the right words, or starting a conversation where I babble along until I remember.

You will have found that ICU are the top of their game in terms of keeping you alive and technical knowledge, you move to ward and they are just there to get you home, they really don’t know what’s happened to you, and your doctor has even less idea of what you have been through, and what you are now going through, and how to treat you appropriately unfortunately. You need to talk to specialist for each of your ICU related issues. You sound like you’re suffering from ICUAW, ICU PICS, etc look them up, it will explain a lot. Get as much help from your ICU rehabilitation team if you have one? and you’re psychiatrists if you have one You don’t mention delirium which dose affect a lot of your daily activities

I’ve now lost my train of thought so will stop. But ask questions here anytime if we can help we will

Good luck

Grateful83 profile image
Grateful83 in reply toBigH63

Hi BigH63,

Thank you for taking the time to share a little of your storey.

This forum has helped me alot. I did suffer with Delirium but didnt mention it as I didnt think it would be connected. My delirium was mainly around being held against my will which I can only describe as being trafficked.

I am definitely suffering with the ICUAW, and quite possibly the ICUPIPS by the look of it, at least i now know more than what i did a few days ago.

I can imagine how hard its been for you especially after being sedated for over a month and a half. You must have been on a high dependency unit for quite so time learning how to do everything again. Its frustrating me the length of time its taking and all these things that im now having to get use to. You can tell yourself "be thankful your are still alive" and yes of course we are all very thankful but it doesn't take away the fact you are always going to compare "how you use to be". Luckily I have physiotherapy for the muscle in the right buttock, but I have to learn to deal with the achy muscles in my thighs and knee joints. I do have nerve damage to my right big toe which is quite numb now, but at first would feel like i had a tie wrapped around it! So many strange things and they still cant even tell me what happened or why it happened which scares me alot.

Ive been discharged from the ICU team now, back to the care of my GP whos checking my bloods every three months. My Liver and Kidneys are both back fully working and are in great shape so its one of life's mystery's.

I wish you all the best in your recovery and hope that your house isnt too far off now from being finished.

Lux95 profile image
Lux95 in reply toGrateful83

Sedation for intubation seems to be the cause of delirium and severe nightmares, memory loss, and nerve damage, since so many of us experience it, regardless of why we were in the ICU. Of course weakness from muscle loss is going to happen when sedated for several days or weeks.

Fortunately, most does improve with time. Just as one example, I had double vision (damage to an optical nerve), and numbness in my right thigh from hip to below the knee. Both have recovered to about 95% or so. After two years, I still have some side effects with vision and some numbness from time to time above my knee, but both are just slight annoyances rather than hinderances. Physically, my stamina is around 80-90% of what it was when I was running and hiking previously. However, I'm in my late 50s, so age of course has a significant impact on recovery. I think there was a commenter here in their 30s that was back running within a year, so there are no absolute rules.

Be patient with recovery, and take time. It is great news that your liver and kidneys are in great shape! I know that is a huge relief!

And you are right, just being thankful to be alive doesn't diminish the impact of what we've been through. It is a life-changing event, regardless of any lasting physical reminders. I didn't mean to sound dismissive or pollyanna with my previous comment that "we are alive, and that's the most important thing." That's just what I tell myself when I can't see straight after a long day, can't remember what I walked into the room to get for the second time in 10 minutes, feel exhausted after a weekend of running errands and being out among people, and have to sleep 11-12 hours the next day to make up for it; or wakeup from a dream, confused as to whether it was real or not (I am guessing our minds take a bit of a hit dealing with the nightmares and delirium that seem more real than the ICU world we woke up to).

Hopefully our accounts here are encouraging at least to know you aren't alone; that these symptoms are common, and usually do improve with time. All that aside, there is no mistaking that our lives have changed. We adapt and move on in our own ways, over time. But without a doubt, we can't simply ignore the trauma and impact and "get back to normal" as if nothing ever happened. In a sense, being an ICU survivor has become part of us - not to dwell on in fear or regret, but it does shape how we approach life - perhaps a bit more slowly, and/or with a few limitations - but also hopefully with a bit more appreciation, especially for family that stood by us.

Grateful83 profile image
Grateful83 in reply toLux95

Hello Lux95 aww I shed a tear reading that everything you said I could relate to. I owe so much to my family and those few friends who went above and beyond- without them I would not be where I am now. I definitely have more appreciation for life and look at things so differently now. I've always been told from the beginning that Its going to take around 18 months for me to recover and I'm only in my 7th month- don't get me wrong there's already a massive difference from how I was, its like you said we are who we are now and it will always be apart of us and I think for our family aswell its important to remember that they have their own trauma too - my family where told I may not survive the night and then if I did and a Liver donor became available it would be a 50/50 chance I would survive the operation as I was so weak. I do believe I am living proof miracle's do happen as my Liver took a 360 turn and started to repair itself and after 3 days I was taken off the Super urgent transplant list. xx

downthemoor profile image
downthemoor

Nothing further to add apart from I was in ICU Dec 22 out of the blue like you ...not intubated or ventilated but unconscious for several days after seizure and CPR. No memory of 5 days before ICU or any of time in ICU. Short term memory shot ...talking to people exhausting as struggling to find words and concentrate ...and yes wee holding a problem which has come on more recently . Just knowing it's normal helps but it's also scary if this is as good as it gets.

Grateful83 profile image
Grateful83 in reply todownthemoor

All these out of the blue ICU admissions are scary -I have heard so many now to the point where i dont think of it as uncommon, and the health professionals they see it alot. Ive had people question me as if I was hiding something as they couldn't fathom that I started with a cold/flu like illness and ended up the way i did. Yes this forum is a good way of finding out if what you are experiencing is normal or not. When I first came home I was always on and off all the time and all night, my bladder was very weak however i have seen a change in that slightly im just not very good at getting there quick enough its like my brain only tells me i need the toilet when its abit too late x

Lucindar profile image
Lucindar

Hi!

This surprise admission to ITU is bonkers isn’t it! I was the same- fit and healthy 32 year old running 10k and doing Pilates… got what I thought was an awful cold and then I’m waking up in hospital after a 9 day induced coma!! Although I don’t seem to have the long term memory side effects, I have the same problem with not remembering the 2 days before hospital. My husband has filled in the blanks but he could be telling me anything cos it is just GONE. It’s so strange. The only the thing I’ve managed to get back is having to bum-shuffle down the stairs in order to get to the ambulance.

I would 100% have a chat to your GP about it if you’re worried. Hopefully you’ll get called back to hospital for a critical care follow up appointment and you could mention it then as well? My drama was in Feb and I’ve just had a follow up.

Good luck!!

Grateful83 profile image
Grateful83 in reply toLucindar

Hello,

It really is bonkers isnt it. But from what I can see now and the more I talk about it the more im hearing it isnt quite out of the blue for this to happen to people. To this day I dont even know why or what caused it, i was abit of a mystery to the consultants and i did have a critical care follow up in April and guess what? out of all the questions i had the cognitive stuff i forgot to ask about - how ironic lol

BigH63 profile image
BigH63

Hi Sorry just remembered what my train of thought was.

Yes I also don’t remember two days before I went into Hospital it’s a total blank although I am being told all I could say to my partner in those days and apparently in the ambulance talking to her saying I love you continuously. Total blank.

Approach your brain functions like your physical ones and train them like you would at the gym. I would look at web sites for people who have had strokes or head injuries for methods and techniques. If you learn and practice memory techniques, building up concentrating and focusing etc. you certainly can't do any harm. Get going with quick crosswords and sudoku or any other word and number things. As has already been said it take a long time for the battered and bruised nerves and blood vessels in the brain to recover, regrow etc. so it will be hard to know what will heal and recover and what you will have to find ways to work your way around. You are identifying and acknowledging the problems which is a painful and vital step.

Ditto with the peeing. You are going to be doing something consciously that has always been on automatic. If you have a drink you know that in 20 minutes or so you will need a pee, go and have one. If you are out and about and pass a public loo go and have a wee. Think about when you drink so that you minimise the likelihood of being 'caught out'. And practice strengthening the sphincter that holds back the pee - not sure how a man does this but someone will know.

BigH63 profile image
BigH63

Hi Grateful 83

Can I ask if you were in a coma and intubated at all.

Big H

Grateful83 profile image
Grateful83 in reply toBigH63

Hello,

Yes I was placed into induced coma and intubated, then put on dialysis x

ZanderB profile image
ZanderB

Much of what is written above is very familiar to me. The lack of support upon discharge was staggering (but it was during covid in late 2020). The physical recovery was hard enough but the psychological-cognitive recovery was in many ways much harder. It made the return to work extremely difficult - I simply could not process stuff (I have quite an academic/cerebral job) and the consequent loss of confidence was hard. I think I still suffer this but it's certainly a lot better for me now, almost 4 years on.

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