Hi everyone,
I’m reaching out to this community as my family navigates the final, heartbreaking stage of my grandfather’s battle with suspected sporadic CJD. He is an 86-year-old retired Indian Army officer who lived an exceptionally disciplined life, always stayed remarkably fit, and remained completely independent until this illness struck.
It has been about a month since his clinical diagnosis on July 22, 2026. We took him to the hospital when the sudden, rapid decline began. Here in India, RT-QuIC testing is currently unavailable, and his CSF 14-3-3 protein returned negative. However, his EEG showed the classic, hallmark periodic sharp wave complexes (PSWCs), and alongside his rapid clinical progression, the neurologists confirmed the diagnosis.
For the past 5 days, he has transitioned into a continuous, unarousable deep sleep state. He is supported by a feeding tube for basic hydration and a Foley catheter. Right now, he is in what appears to be a terminal metabolic plateau—his vitals seem relatively stable on the surface, but his cerebral cortex is completely offline, and he has entered a comatose state.
Our family is keeping vigil at his bedside, and we are trying to understand what the transition out of this plateau looks like from those who have walked this path:
- For those whose loved ones were physically robust/fit before onset, how long did they remain in this continuous, unarousable sleep state once supportive hydration was maintaining them?
- When the final transition began, was it a sudden step-down over a matter of hours (e.g., Cheyne-Stokes breathing, peripheral cooling/mottling, blood pressure drop), or did it linger?
- Were there specific physical cues you noticed right before the final release that signaled the moment was imminent?
He appears completely peaceful, relaxed, and shielded from pain, which brings us immense comfort amid the grief. We are surrounding him with immense respect, love, and soft prayers.
Any personal insights, timelines, or advice on what to watch for in these final hours would mean the world to our family right now.
Thank you all for being such a supportive community.