Affluent Savvy
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As humans lay dying, new research suggests that one crucial sense is still functioning: The brain still registers the last sounds a person will ever hear, even if the body has become unresponsive. A study released in June suggests that hearing is one of the last senses to disappear during death.
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Learn More »Our final words to loved ones may not fall on deaf ears. As humans lay dying, new research suggests that one crucial sense is still functioning: The brain still registers the last sounds a person will ever hear, even if the body has become unresponsive. A study released in June suggests that hearing is one of the last senses to disappear during death. Scientists found that the brains of "actively dying" patients in palliative care (some unresponsive, some still responsive) still registered activity in response to sounds. The patterns of activity were similar to those seen in a sample of healthy controls, suggesting that people still hear as they die. Importantly there's a difference between hearing something and understanding it. But, what we do know from this work, is that dying loved ones may hear something if we speak to them, explains Lawrence Ward, the study's senior author and a professor at the University of British Columbia. "It is possible that some of their cognitive processes are still functioning even though they can't respond overtly," Ward tells Inverse. "What we don't know is whether they understand and are comforted by those words."
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Learn More »The first is called P3a — which happens between 200 and 300 milliseconds after a tone change — and the second is called P3b — which happens about 300 milliseconds after a tone change. The MMN is thought to represent a non-conscious response (as is P3a), whereas the P3b response has been thought to represent an "index of working memory updating," that study reports. "I would say it is possible — but certainly not proven — that at least some patients, some of the time, can comprehend what loved ones are saying to them."
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Learn More »"So I would say it is possible — but certainly not proven — that at least some patients, some of the time, can comprehend what loved ones are saying to them, or even what is being said around them when they are unresponsive," Ward says. Abstract: This study attempts to answer the question: “Is hearing the last to go?” We present evidence of hearing among unresponsive actively dying hospice patients. Individual ERP (MMN, P3a, and P3b) responses to deviations in auditory patterns are reported for conscious young, healthy control participants, as well as for hospice patients, both when the latter were conscious, and again when they became unresponsive to their environment. Whereas the MMN (and perhaps too the P3a) is considered an automatic response to auditory irregularities, the P3b is associated with conscious detection of oddball targets. All control participants, and most responsive hospice patients, evidenced a “local” effect (either a MMN, a P3a, or both) and some a “global” effect (P3b) to deviations in tone, or deviations in auditory pattern. Importantly, most unresponsive patients showed evidence of MMN responses to tone changes, and some showed a P3a or P3b response to either tone or pattern changes. Thus, their auditory systems were responding similarly to those of young, healthy controls just hours from end of life. Hearing may indeed be one of the last senses to lose function as humans die.
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