End of life experience that was reassuring

Dr. Christopher Kerr, Chief Medical Officer and Chief Executive Officer for Hospice & Palliative Care Buffalo, writes of dying patients having dreams of renewing friendships with deceased friends and relatives:

"Frank had been admitted to the Hospice Inpatient Unit with severe congestive heart failure. At 95, he was still completely aware of his surroundings and loved a good conversation. He had collected encyclopedic bits of baseball lore the way others do treasured objects and could talk the game like no one else. Yet, despite his recall and engagement, when Frank closed his eyes to rest, his room became crowded with dead relatives. One of them was Uncle Harry who had been dead for 46 years and who 'wouldn’t shut up'. This was a recurring phenomenon I now knew better than to mistake for the manifestation of a broken mind.

"Like for so many of our dying patients, time was now inconsequential and what was before was now in the present while realities, whether current or past, living or dead, merged. His body was shutting down, but his mind had not lost its foothold in consciousness. In truth, he had a foot in two worlds, only one of which we shared.

"Over time, Frank’s inner-world experiences returned him to what he treasured most in life, his wife’s love. The more he dreamt of her, the more he felt her presence and the more peaceful he became. He finally requested that we discontinue treatment. His decision to decline care was medically appropriate. As is so often the case, patients recognize medical futility before their physician and, in a sense, release the doctor from an obligation that can no longer be honored. Frank wanted to join 'Ruthie in heaven'. 

"We helped him reach comfort for this much-awaited reunion, and he died with the beauty and grace he had lived and created. As his organs failed, his senses, perceptions and awareness did not. In fact, they were telling Frank that his soul was in fact very much alive. In contrast to the notion of 'raging against the dying of the light', Frank, like most of our patients, was fighting towards not against. The 'towards’ he was drawn to was within his end of life vision providing a renewed consciousness warmed in familiar love. This was where he was now experiencing 'life', beyond his physical boundaries."

Christopher Kerr, “Experiences of the Dying: Evidence of Survival of Human Consciousness,” an essay written for the 2021 Bigelow Institute for Consciousness Studies in response to the question: “What is the best evidence for survival of consciousness after bodily death?” Dr. Kerr, MD, PhD, is the Chief Medical Officer and Chief Executive Officer for Hospice & Palliative Care Buffalo.