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In the emergency
room |
Seven year
old Sara had a complete cardio-pulmonary arrest secondary to acute liver
failure as a result of fulminant monocleosis. Spontaneous normal
sinus rhythm was obtained only after administration of intra-cardiac
epinephrine. She was comatose (Glascow Coma score was 3) with fixed and dilated pupils. Within several days she
made a full recovery. 
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HERE)
I
interviewed Sara several months after her full recovery. I routinely videotape
many of my interviews to document the exact words and facial expressions. The
first interview is the most crucial one. After they tell the story several
times, memories are altered and cultural expectations begin to creep into the
stories.
The
interview is fascinating in that she tells us a tiny fragment of what was
clearly a powerful experience. She has no memory of collapsing at home, being
brought to our office, being airlifted to Children's Hospital and being in the
Intensive Care Unit.
However,
when her heart stopped beating, and the doctors had to stick a needle into it
and inject medications to restart it, she has the distinct memory of seeing her
(deceased) grandmother. She knew it was at the time of her cardiac arrest,
because she could her the nurses calling for the "crash cart".
"And
then I was back". When I asked her what she meant by this, she clenched
her fists and frowned with intensity and said "that's what I have been
trying to figure out".
Sara's
experience is a vivid demonstration of the return of expanded consciousness and
awareness, at the point of death. She has no memories at all, until her brain
STOPS working, and then she suddenly perceives some other reality, as well as
hearing what is going on around her, even though her brain cannot process
signals from her ears.
Sara and
her mother have graciously allowed me to use this early tape recording of her
memories of what happened when she almost died.
