Veridical near death experiences are those experiences where the things seen, heard, or undergone by a person reporting such an experience can be verified by external observers and physical evidence. One such experience was reported by Pim van Lommel in his well known article published in the medical journal, The Lancet (click on the link to read copy of this article Lommel 2001). Page 2041 of this article contained a brief summary of the story.
During a night shift an ambulance brings in a 44 year-old cyanotic, comatose man into the coronary care unit. He had been found about an hour before in a meadow by passers-by. After admission, he receives artificial respiration without intubation, while heart massage and defibrillation are also applied. When we want to intubate the patient, he turns out to have dentures in his mouth. I remove these upper dentures and put them onto the 'crash car'. Meanwhile, we continue extensive CPR. After about an hour and a half the patient has sufficient heart rhythm and blood pressure, but he is still ventilated and intubated, and he is still comatose. He is transferred to the intensive care unit to continue the necessary artificial respiration. Only after more than a week do I meet again with the patient, who is by now back on the cardiac ward. I distribute his medication. The moment he sees me he says: 'Oh, that nurse knows where my dentures are'. I am very surprised. Then he elucidates: 'Yes, you were there when I was brought into hospital and you took my dentures out of my mouth and put them onto that car, it had all these bottles on it and there was this sliding drawer underneath and there you put my teeth.' I was especially amazed because I remembered this happening while the man was in deep coma and in the process of CPR. When I asked further, it appeared the man had seen himself lying in bed, that he had perceived from above how nurses and doctors had been busy with CPR. He was also able to describe correctly and in detail the small room in which he had been resuscitated as well as the appearance of those present like myself. At the time that he observed the situation he had been very much afraid that we would stop CPR and that he would die. And it is true that we had been very negative about the patient's prognosis due to his very poor medical condition when admitted. The patient tells me that he desperately and unsuccessfully tried to make it clear to us that he was still alive and that we should continue CPR. He is deeply impressed by his experience and says he is no longer afraid of death. 4 weeks later he left hospital as a healthy man. (Lommel 2001)
The BBC once made a very popular documentary on near death experiences called "The Day I died". The experience of this man was presented on this program, and you can see the video of this experience at the end of the first and following into the second video fragment of this documentary.
An astonishing and very romanticized story! This is a story fuelling the hopes and beliefs of all who hope for a life after death! After all, how could this man have perceived all these things while "clinically dead"? It should be carefully noted here that Pim van Lommel was not in any way associated with these events. Pim van Lommel worked as a cardiologist in the Rijnstate Hospital in the city of Arnhem from 1977 to 2003. His knowledge of the "man with the dentures" story came from a very sound interview of the head nurse present during the resuscitation that was conducted during February 1994 by a co-worker of the Dutch NDE association (pages 10-11 in the autumn edition of Terugkeer). This was the source of this story as published by Pim van Lommel in the Lancet in 2001.
On the basis of the very brief story in The Lancet, I wrote an article for The Journal of Near Death Studies in 2004 explaining how it was possible for this man to have perceived all these things while apparently dead (Woerlee 2004). An even more extensive, and less technical explanation, of how this man was able to make such observations can be read in Chapter 12 of my book, The Unholy Legacy of Abraham. Unfortunately, the report of this incident in The Lancet was superficial and incomplete, and did not even mention the year during which this incident occurred. So my explanation was based upon my personal experience resuscitating cardiac arrest patients in the Netherlands during the 1990's. I had no other information as to the case (p19 in Autumn "Terugkeer").
For various reasons, some of the co-workers of the Dutch association for studying near death experiences - The Merkawah Foundation - published an extensive transcript of a new and exhaustive interview with the head nurse who was present at the resuscitation (see pages 12-20 in the autumn 2008 edition of Terugkeer). This transcript revealed some amazing new aspects related to near death experiences during resuscitation for cardiac arrest. The transcript in Terugkeer was a literal transcript of the interview conducted between Titus Rivas - a Dutch parapsychologist - and the head nurse of the resuscitation team - called TG in the transcript - who was present during the resuscitation of this unfortunate man. The editor of Terugkeer invited me to write an article explaining my vision of how the facts revealed in this transcript could be explained. I was happy to contribute an article on this subject, because to me this report contained a unique new observation revealing more about the genesis of out-of-body experiences, (see pages 4-7 in the winter 2008 edition of Terugkeer).
This website is an extended English reworking of the article published on pages 4-7 in the winter 2008 edition of Terugkeer. My first task was a piece by piece analysis of the transcript published in Terugkeer to establish a timeline of the events, observations, and perceptions. A good timeline often reveals relationships that otherwise may remain hidden, or even overwhelmed by the detail present in an extensive transcript. First, an analysis of the quality of the interview.
The next part is a summary of the events as observed and perceived by the nurse, TG, together with my remarks on these observations in italics.
During the course of the cardiac resuscitation, the man being resuscitated made several observations. These observations were reported at the time to TG. But the patient died one to two years after resuscitation in 1979, and the interview of TG was conducted in 2008, a period of 29 years later. However, the content of this interview differed in no way from that of the interview conducted in 1994, so I will assume the memory of TG is accurate as to what he remembers. Yet it should be noted, that the observations reported by the patient, are the memories of TG of what the patient told him at the time during 1979. They are unconfirmed by cross-examination of the patient concerned, simply because the man died one to two years after discharge from hospital during 1979.
This is indeed a report with notable elements, of which the most striking was the perception of pain due to cardiac massage during an out-of-body experience. This is an amazing, insightful, and unique element in this story never previously reported.
I will begin with the discovery of this man and the ambulance trip. As mentioned, the man was discovered apparently unconscious in a field next to the village of Ooij. Cell-phone, or mobile telephones simply did not exist during 1979, so the person discovering him had to knock at the door of a nearby house to use the telephone, or use a public telephone booth to call the ambulance. The ambulance then came from the nearby city of Nijmegen, and brought him to the Canisius-Wilhelmina Hospital there where he was resuscitated. How long would this have taken? Below is a clickable road map of the most likely route (click on the image to go to Google maps.)
The distance between the village of Ooij and the Canisius-Wilhelmina Hospital is about 12 km (a little more than 7 miles). The ambulance could not have travelled faster on these roads than 80-100 km/hr (50-60 mph). So you have time required to call the ambulance, time to get into the ambulance, time required to drive to the place where the man lay, time to walk-run from ambulance to the man, time to assess the situation. All in all, a total of about 15 minutes at least. This delay between discovery and ambulance resuscitation has several important implications.
he delay between discovery of the apparently unconscious man in the field, and the arrival of the ambulance has far-reaching implications. We do not know from the transcript whether the bystanders commenced cardiac resuscitation of the unconscious man. However, we do know from extensive medical experience, that for people with a normal body temperature, brain damage occurs after 4 minutes of cardiac arrest, and death after 12 minutes (see Meyer 2000). Failure to recognize, and failure to commence resuscitation are two of several reasons why cardiac arrests occurring outside hospitals have a very low success rate varying between 0-17% depending upon the type of heart rhythm causing the cardiac arrest (see excellent review by Grudzen 2006, and also Meyer 2000). So we know from medical fact and experience that he must have had some heart rhythm, otherwise he would have simply have died, or developed severe brain damage while waiting for the ambulance.
We know the body temperature of this man at the time of discovery and admission was lower than normal. After all, the ambulance personnel found him lying on the grass in a cold open field, ice-cold to the touch. It is well known that people with low body temperature can survive without any circulation for longer periods than those with normal body temperature. This is the well-known fact that cold meat decays more slowly than warm meat. Total circulatory arrest for 45 minutes is possible at temperatures of 12-14 degrees Celsius (Dobelle 1997, Casthely 1985, Ergin 1982). Increasing body temperature, decreases the time for safe cardiac arrest, so at 16 degrees Celsius safe cardiac arrest time is only 37 minutes (Ti 2003), and it is even less as the temperature rises.
This man would have been walking on this field appropriately clothed for the weather, and with a normal body temperature. So when he collapsed, his body temperature would have been normal. Clothing slows body cooling, which is why people wear warm clothing when the weather is cold. So if this man had no heart rhythm pumping blood around his body when he collapsed, he would have developed extensive brain damage and died before his body had a chance to cool. In other words, this man most likely collapsed due to a period of abnormal heart rhythm, but still a heart rhythm that pumped blood around his body. And his clothed body slowly cooled down as he lay there for an undetermined time before discovery (p13 in Autumn "Terugkeer" 2008).
Reports of severely hypothermic people show us that people are unconscious, and even appear dead at body temperatures below 28 degrees Celsius (normal body temperature is 37 degrees Celsius) (see excellent review in Edelstein 2007). Hypothermia explains why he was unconscious and why he was able to survive a prolonged period of abnormal heart rhythm. And a person with a low body temperature somewhere between 20-30 degrees Celsius may look as if dead, and may occasionally even be conscious (Mallet 2002):
In severe cases it would be common to find loss of consciousness, extreme bradycardia and slow respiration or apnoea, hypotension and impalpable peripheral pulses, along with cold oedematous skin, areflexia, and fixed dilated pupils, which in this situation are not an indication brain death. It must be emphasized, however, that the clinical picture in general does not correlate well with the degree of hypothermia, and there are many reports or situations at variance with this broad picture, and at least one instance of an elderly lady maintaining consciousness (albeit confused) at 24.3 degrees Celsius core temperature. (Mallet 2002)
In other words, the ambulance personnel found a seemingly dead, hypothermic man lying in a field. They found that his heart rhythm was ventricular fibrillation, which is a heart rhythm associated with the best chance of successful resuscitation (Grudzen 2006). The fact that he had measurable electrical activity of his heart was reason for them to continue CPR.
The heart pumps no blood during ventricular fibrillation. But this was clearly not the rhythm this man had before discovery, otherwise he would have developed severe brain damage, or even died. He must have had another heart rhythm before discovery which pumped enough blood around his body to keep him alive. Experience with severely hypothermic persons reveals that the ministrations of the rescuers paradoxically induces ventricular fibrillation (Moser 2005). This is the explanation for the survival and absence of brain damage in this man.
It is clear that the resuscitation of the ambulance personnel during the ride to the hospital in Nijmegen was effective, because this man recovered without any evident brain damage. Upon admission to the hospital he was hypothermic and appeared dead. But, because he was hypothermic, the resuscitation was continued. There is a well-known medical adage regarding hypothermic patients in emergency units:
You're not dead until you're warm and dead.
This explains why TG stated, and was even quite emphatic, that the man was definitely lifeless and dead during the period he observed him undergoing cardiopulmonary resuscitation.
This brings us to another aspect of this story. When cardiac arrest or ventricular fibrillation occur, no blood is pumped around the body - there is no blood circulation. If a normal heart rhythm does not return, or CPR is not administered, that person will rapidly die as a result of brain oxygen starvation. So what does one do with CPR? CPR is a technique involving vigorously pressing on the sternum of a person with a cardiac arrest or ventricular fibrillation 80-120 times per minute. CPR does not restore normal heart rhythm. CPR restores some pumping action of the heart, pumping oxygen enriched blood around the body, so sustaining the functioning of vital organs function of the heart, sustaining vitality and life until a medication and other treatments restore a normal heart rhythm. So a person without a heartbeat and respiration during a cardiac arrest is not necessarily dead - they are alive because artificial respiration ensures that oxygen enters the lungs, and cardiac massage ensures that oxygen is pumped to the vital organs and tissues of the body. But manual cardiac massage is relatively inefficient, being sufficient to restore partial consciousness in about 10-20% of people with cardiac arrest undergoing cardiac massage for cardiac arrest (Woerlee 2004, Chapter 12 in The Unholy Legacy of Abraham), although some people are fully awake during manual cardiac massage (Bihari 2008).

This man was placed under a Thumper which generates a pumping action of the heart which is more efficient than that possible with manual cardiac massage (Ward 1993). This is the explanation of why this man rapidly regained consciousness after being placed under the Thumper. As TG himself said in the transcript, the Thumper is so efficient that some people are awake during CPR, despite the fact that they do not have any heartbeat (p19 in Autumn "Terugkeer"). This observation is confirmed by experience with the Thumper in other countries where patients recover consciousness during CPR even though they have no heart rhythm (Lewinter 1989).
But people who are obviously and evidently conscious due to cardiac massage are exceptions. Most people suffering under the impact of a period of severe oxygen starvation remain superficially unconscious for a long time. Tissue oxygen starvation is also present during cardiac massage due to the fact that although their blood is packed with oxygen, there is too little blood is pumped through the body by cardiac massage to prevent oxygen shortage of the brain and other organs. The result is that most people experience the effects of oxygen starvation during cardiac massage administered for cardiac arrest or ventricular fibrillation.
We know from the interview with TG that this man had a blue color on admission, typically the color or severe oxygen starvation. So we know that this man was severely oxygen starved on admission. Severe oxygen starvation generates a fairly standard set of experiences and perceptions. For example, if the flow around the body stops such as during cardiac arrest or ventricular fibrillation, people are first blinded by lack of oxygen in their eyes before they lose consciousness a second or two later (Duane 1966, Rossen 1943). This explains why people say that they first "see black" before they become unconscious as a result of fainting. But even if people are blind because of lack of oxygen, the hearing is sustained, and people blinded by oxygen starvation, but not yet unconscious can still hear speech (pages 306 and 342 in Lier 1963). Moreover, serious lack of oxygen to the brain distorts interpretation of the position of limbs and body (Horak 1990, page 306 in Lier 1963). The result is that people with severe oxygen deficit do not know exactly where their limbs are, and not know exactly where their bodies are in space. Therefore it is common for people who have serious oxygen deficit departures to experience feelings of floating, to perceive the presence of other beings or non-existent people, as well as experience depersonalization (Firth 2004) and out-of-body experiences (Brugger 1999). Even stranger, serious oxygen deficit at a level just insufficient to induce loss of consciousness, also causes total paralysis of the body, which is why some severely oxygen starved, but still conscious people are unable to move or speak, even though they may try to do so (Rossen 1943). This is a manifestation of an oxygen starvation induced "locked-in syndrome" where a person is conscious, but the body fails to respond to the commands given by the brain - the person is trapped inside their body (Laureys 2005). And severe oxygen deficiency is one of known several causes of this syndrome (Cruz-Flores 2007).
These basic facts are confirmed with medical experience and scientific research on humans and animals for nearly 60 years. With this knowledge, the fascinating story of "the man with dentures" can be readily explained.
After the successful resuscitation, followed by a week in the intensive care unit, this man recalled the observations made during his resuscitation. He recognized TG immediately from his appearance and/or his unique voice when TG walked inside his room. TG was the man who had removed his dentures! TG was the man who knew where to find his dentures!
The report of "the man with the dentures" provides us with unique insights in the genesis of the out-of-body-experience. This fact alone makes it a valuable experience well worth studying. Moreover, this story also gives a clear message - not everyone is unconscious during resuscitation due to a cardiac arrest. But despite the wonderful elements in this story, all elements and observations are explained by the workings of the human body during cardiac arrest and resuscitation. Yet this story is not only a "mere" biological phenomenon, it is also a wonderful demonstration of how the human consciousness may be present during even the most harsh and unlikely conditions.
There is only one absolute certainty in life - each and every person now alive will eventually die. But is death of the body the end of all personal consciousness and being, or is death of the body a transition of some part of the body from this physical, or mortal life, to another life in another invisible realm or universe - a transition into a life after death? Read all about how the functioning of the human body generates all the manifestations of near death experiences in The Unholy Legacy of Abraham
Thanks are due to Mr. Titus Rivas who has performed a remarkable and solid interview of Mr TG so as to make the details of this remarkable account available to us all.
This page last modified 10 February 2009
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