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1. Science: One patient was documented to have a temperature of 58 degrees Fahrenheit; no heartbeat, respiration, or blood pressure; and a nonfunctioning brain stem and cerebral cortex. While in this condition, her head was drained of all blood! She encountered the deepest NDE of the study and was able to accurately perceive visual and auditory details from an "out-of-body" location. This case with its extensive medical documentation raises pivotal new questions about our scientific understanding of dying and the moment of death.
2. Medicine: The results of this study are combined with other published medical research to propose for the first time that the powerful psychodynamics within an NDE may actually determine the physical outcome of a cardiac arrest, and that NDE aftereffects may significantly promote long-term survival and healing.
3. Spirituality: The study uncovers surprising new associations between the NDE, prayer, religious beliefs and psychic experiences. Some of these findings directly challenge those of other widely-read NDE reports.
4. Theology: Carefully using the results of the study and extensive biblical reference, I conclude that the NDE is best understood as a spiritual experience of the soul separating from the dying physical body.
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First, I want to say that Michael Sabom's scientific technique in studying the NDE is much better than the "science" employed by other researchers. His original book "Recollections of Death" has absolutely no religous baggage inside. If you'd prefer to leave Christianity out, then I recommend you go find the older book in a library or at the auctions (it's out of print).
Being a Christian myself, I agree with the author on many points. For the most part, the idea that the NDE is not a true experience of the afterlife is a good one. After all, if the person is still alive they have never died.
The meaning of the spiritual aspects of the NDE are really up to each individual to decide. It doesn't mean that each individual will decide correctly, but the NDE does not have much effect in the battle between religions, except to prove the existance of the spirit realm. For that I recommend his first book. Chapter Ten of "Light & Death" discusses the spoiling of newer arguments against the spirtual nature of NDE.
There is an interesting chapter on prayer ("spiritual medicine at work").
The book will not appeal to the skeptic, but for those who are prepared to recognize the limits of science, it is an excellent read. I bought extra copies for my daughters, both registered nurses, hoping that Dr. Sabom's research and views will at least partially counterbalance the skeptical attitude of most doctors they come in contact with.
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