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The study, known as AWARE (AWAreness
during REsuscitation), involves the collaboration of 25 major medical
centers through Europe, Canada and the U.S. and will examine some
1,500 survivors of cardiac arrest. TIME spoke with Parnia about the
project's origins, its skeptics and the difference between the mind
and the brain.
What sort of methods will this
project use to try and verify people's claims of "near-death"
experience?
When your heart stops beating, there is no
blood getting to your brain. And so what happens is that within about
10 sec., brain activity ceases —as you would imagine. Yet
paradoxically, 10% or 20% of people who are then brought back to life
from that period, which may be a few minutes or over an hour, will
report having consciousness. So the key thing here is, Are these
real, or is it some sort of illusion? So the only way to tell is to
have pictures only visible from the ceiling and nowhere else, because
they claim they can see everything from the ceiling. So if we then
get a series of 200 or 300 people who all were clinically dead, and
yet they're able to come back and tell us what we were doing and were
able see those pictures, that confirms consciousness really was
continuing even though the brain wasn't functioning.
How
does this project relate to society's perception of death?
People
commonly perceive death as being a moment — you're either dead
or you're alive. And that's a social definition we have. But the
clinical definition we use is when the heart stops beating, the lungs
stop working, and as a consequence the brain itself stops working.
When doctors shine a light into someone's pupil, it's to demonstrate
that there is no reflex present. The eye reflex is mediated by the
brain stem, and that's the area that keeps us alive; if that doesn't
work, then that means that the brain itself isn't working. At that
point, I'll call a nurse into the room so I can certify that this
patient is dead. Fifty years ago, people couldn't survive after that.
How is technology challenging the perception that death is
a moment?
Nowadays, we have technology that's improved so
that we can bring people back to life. In fact, there are drugs being
developed right now — who knows if they'll ever make it to the
market — that may actually slow down the process of brain-cell
injury and death. Imagine you fast-forward to 10 years down the line;
and you've given a patient, whose heart has just stopped, this
amazing drug; and actually what it does is, it slows everything down
so that the things that would've happened over an hour, now happen
over two days. As medicine progresses, we will end up with lots and
lots of ethical questions.
But what is happening to the
individual at that time? What's really going on? Because there is a
lack of blood flow, the cells go into a kind of a frenzy to keep
themselves alive. And within about 5 min. or so they start to damage
or change. After an hour or so the damage is so great that even if we
restart the heart again and pump blood, the person can no longer be
viable, because the cells have just been changed too much. And then
the cells continue to change so that within a couple of days the body
actually decomposes. So it's not a moment; it's a process that
actually begins when the heart stops and culminates in the complete
loss of the body, the decompositions of all the cells. However,
ultimately what matters is, What's going on to a person's mind? What
happens to the human mind and consciousness during death? Does that
cease immediately as soon as the heart stops? Does it cease activity
within the first 2 sec., the first 2 min.? Because we know that cells
are continuously changing at that time. Does it stop after 10 min.,
after half an hour, after an hour? And at this point we don't
know.
What was your first interview like with someone who
had reported an out-of-body experience?
Eye-opening and
very humbling. Because what you see is that, first of all, they are
completely genuine people who are not looking for any kind of fame or
attention. In many cases they haven't even told anybody else about it
because they're afraid of what people will think of them. I have
about 500 or so cases of people that I've interviewed since I first
started out more than 10 years ago. It's the consistency of the
experiences, the reality of what they were describing. I managed to
speak to doctors and nurses who had been present who said these
patients had told them exactly what had happened, and they couldn't
explain it. I actually documented a few of those in my book What
Happens When We Die because I wanted people to get both angles —not
just the patients' side but also the doctors' side — and see
how it feels for the doctors to have a patient come back and tell
them what was going on. There was a cardiologist that I spoke with
who said he hasn't told anyone else about it because he has no
explanation for how this patient could have been able to describe in
detail what he had said and done. He was so freaked out by it that he
just decided not to think about it anymore.
Why do you
think there is such resistance to studies like yours?
Because
we're pushing through the boundaries of science, working against
assumptions and perceptions that have been fixed. A lot of people
hold this idea that, well, when you die, you die; that's it. Death is
a moment — you know you're either dead or alive. All these
things are not scientifically valid, but they're social perceptions.
If you look back at the end of the 19th century, physicists at that
time had been working with Newtonian laws of motion, and they really
felt they had all the answers to everything that was out there in the
universe. When we look at the world around us, Newtonian physics is
perfectly sufficient. It explains most things that we deal with. But
then it was discovered that actually when you look at motion at
really small levels — beyond the level of the atoms —
Newton's laws no longer apply. A new physics was needed, hence, we
eventually ended up with quantum physics. It caused a lot of
controversy — even Einstein himself didn't believe in it.
Now, if you look at the mind, consciousness, and the brain,
the assumption that the mind and brain are the same thing is fine for
most circumstances, because in 99% of circumstances we can't separate
the mind and brain; they work at the exactly the same time. But then
there are certain extreme examples, like when the brain shuts down,
that we see that this assumption may no longer seem to hold true. So
a new science is needed in the same way that we had to have a new
quantum physics. The CERN particle accelerator may take us back to
our roots. It may take us back to the first moments after the Big
Bang, the very beginning. With our study, for the first time, we have
the technology and the means to be able to investigate this. To see
what happens at the end for us. Does something continue?
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