Actually it is not a trick. Brain damage can cause that. Given that he has been in a coma, brain damage seems to be a reasonable assumption.
I remember seeing footage of another guy, who had a similar problem. Every morning he greeted his wife as if he were a stranger. But always also made comments on how lovely she was - which he did not do about other women.
But he could learn during the day, and he would forget during the night. So each day he would learn the same thing again. And forget.
But music was his passion, which started long before he met his wife. And even though he had no way of formally recognizing the music, he could still play it. And still be passionately inspired by it.
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"The cleverest of all, in my opinion, is the man who calls himself a fool at least once a month. "
Fyodor Dostoevsky
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