By Dr. Sandipan Shringi
When a 33-year-old lies unconscious in front of you, it’s never a good sign. This 33-year-old, female patient was found unresponsive by her family. Despite trying medications for possible reversible causes, she did not wake up. She turned out to be an unfortunate case of catastrophic stroke. By the time I saw her, she had fixed, dilated pupils, no reflexes, and no movements. She was brought to the ICU to do more, only to realize there was nothing more available for her. She was already on a ventilator and the maximum doses of four pressors, which were barely able to keep her BP to 40 systolic. She eventually succumbed to her disease.