The long read: New research into the dying brain suggests the line between life and death may be less distinct than previously thought

New research into the dying brain suggests the line between life and death may be less distinct than previously thought

Patient One was 24 years old and pregnant with her third child when she was taken off life support. It was 2014. A couple of years earlier, she had been diagnosed with a disorder that caused an irregular heartbeat, and during her two previous pregnancies she had suffered seizures and faintings. Four weeks into her third pregnancy, she collapsed on the floor of her home. Her mother, who was with her, called 911. By the time an ambulance arrived, Patient One had been unconscious for more than 10 minutes. Paramedics found that her heart had stopped.

After being driven to a hospital where she couldn’t be treated, Patient One was taken to the emergency department at the University of Michigan. There, medical staff had to shock her chest three times with a defibrillator before they could restart her heart. She was placed on an external ventilator and pacemaker, and transferred to the neurointensive care unit, where doctors monitored her brain activity. She was unresponsive to external stimuli, and had a massive swelling in her brain. After she lay in a deep coma for three days, her family decided it was best to take her off life support. It was at that point – after her oxygen was turned off and nurses pulled the breathing tube from her throat – that Patient One became one of the most intriguing scientific subjects in recent history.

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In the moments after Patient One was taken off oxygen, there was a surge of activity in her dying brain. Areas that had been nearly silent while she was on life support suddenly thrummed with high-frequency electrical signals called gamma waves. In particular, the parts of the brain that scientists consider a “hot zone” for consciousness became dramatically alive. In one section, the signals remained detectable for more than six minutes. In another, they were 11 to 12 times higher than they had been before Patient One’s ventilator was removed.

“As she died, Patient One’s brain was functioning in a kind of hyperdrive,” Borjigin told me. For about two minutes after her oxygen was cut off, there was an intense synchronisation of her brain waves, a state associated with many cognitive functions, including heightened attention and memory. The synchronisation dampened for about 18 seconds, then intensified again for more than four minutes. It faded for a minute, then came back for a third time.

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  • AnneEnglish
    18•7 months ago

    I only have one child, because she tried to kill me.

    Going through the complications, the hospitalizations, the stress on my marriage, the fear and the sorrow and the anxiety… At the time it was all devastating. But then I held my healthy, beautiful daughter and I knew we had both survived it all. There was, of course, the natural biological rush of hormones and happy chemicals to ease labor and promote bonding. For me though, there was also a feeling of invincibility and adrenaline, like I had survived jumping off a cliff after a long tortuous hike to the top of a mountain. I don’t know how else to describe it.

    Sure it could have killed me, but it didn’t!

    Then factor in that for any woman, people will always ask when are you having another one? Peers at Mommy and Me, family members, old ladies at the grocery store, it’a a deeply personal decision and people treat it like chatting about the weather. Other Mom’s would tell me their birth stories and say but ‘it was all so worth the pain’ and I’d think, maybe I’m a wuss. Maybe I’m not as good of a mother as they are.

    Think, too, of all the other stupid shit humans do that might kill them. Have you ever smoked a cigarette? Do you drink? Cross the street without waiting for the traffic signal? Drive or ride in a car? And if so, what did you get out of it? You could have risked your life, or someone else’s, for nothing.

    These women are risking their lives, but they’ve survived this ordeal before. And in return, they bring a new life into the world!

    I still wouldn’t do it again, but I can’t blame any mother who does.