A coma is a state of prolonged unconsciousness, which can be caused by one of many, many things. Many people believe that even if a person is in a coma, s/he can still hear you if you speak to him/her.
"Hey there, Grandma. I hope you wake up from that dreadful coma soon. I miss your cooking--"
"I'm going to spray some whipped cream up your asshole, and THERE'S NOTHING YOU CAN DO ABOUT IT! Haw haw haw!"
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