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Opinion | What Happens When the Brain Goes Quiet but the Heart Continues Beating? (Published 2022)
An I.C.U. doctor offers a better understanding of brain death.
"By now, they likely know what has happened, but we need to say the words. That there are two ways to die, because your heart stops or because your brain stops working, and that the testing that we have performed means that their loved one is legally dead. And then, as they try to get their mind around the fact that this person they love still has a heartbeat on the monitor but has died, they ask about what comes next."
"A colleague told me that when he does a cardiac catheterization on such a patient, to see if the heart is viable for donation, he knows the patient is gone and yet he still gives numbing medicine before he nicks the skin. I have seen our nurses talk to patients still, even though they have died, even though they are no longer present to hear the words."
"Her death certificate will mention only that first date, when we declared her brain-dead, because that is the day she died. There is no second death, as much as it might feel that way, despite what the headlines suggest. That second date, the punctuation mark at the end of the story, is the moment when loss turns to hope, when a stranger gets a second chance at life."
So basically a person can die while the body is still otherwise functioning.