Not that I was opposed to supernatural beliefs. As a doctor who saw incredible physical and emotional suffering on a regular basis, the last thing I would have wanted to do was to deny anyone the comfort and hope that faith provided. In fact, I would have loved to have enjoyed some of it myself.
The older I got, however, the less likely that seemed. Like an ocean wearing away a beach, over the years my scientific worldview gently but steadily undermined my ability to believe in something larger. Science seemed to be providing a steady onslaught of evidence that pushed our significance in the universe ever closer to zero. Belief would have been nice. But science is not concerned with what would be nice. It’s concerned with what is.
I’m a kinetic learner, which is just to say that I learn by doing. If I can’t feel something or touch it myself, it’s hard for me to take interest in it. That desire to reach out and touch whatever I’m trying to understand was, along with the desire to be like my father, what drew me to neurosurgery. As abstract and mysterious as the human brain is, it’s also incredibly concrete. As a medical student at Duke, I relished looking into a microscope and actually seeing the delicately elongated neuronal cells that spark the synaptic connections that give rise to consciousness. I loved the combination of abstract knowledge and total physicality that brain surgery presented. To access the brain, one must pull away the layers of skin and tissue covering the skull and apply a high-speed pneumatic device called a Midas Rex drill. It’s a very sophisticated piece of equipment, costing thousands of dollars. Yet when you get down to it, it’s also just . . . a drill.
Likewise, surgically repairing the brain, while an extraordinarily complex undertaking, is actually no different than fixing any other highly delicate, electrically charged machine. That, I knew full well, is what the brain really is: a machine that produces the phenomenon of consciousness. Sure, scientists hadn’t discovered exactly how the neurons of the brain managed to do this, but it was only a matter of time before they would. This was proven every day in the operating room. A patient comes in with headaches and diminished consciousness. You obtain an MRI (magnetic resonance image) of her brain and discover a tumor. You place the patient under general anesthesia, remove the tumor, and a few hours later she’s waking up to the world again. No more headaches. No more trouble with consciousness. Seemingly pretty simple.
I adored that simplicity—the absolute honesty and cleanness of science. I respected that it left no room for fantasy or for sloppy thinking. If a fact could be established as tangible and trustworthy, it was accepted. If not, then it was rejected.
This approach left very little room for the soul and the spirit, for the continuing existence of a personality after the brain that supported it stopped functioning. It left even less room for those words I’d heard in church again and again: “life everlasting.”
Which is why I counted on my family—on Holley and our boys and my three sisters and, of course, my mom and dad—so much. In a very real sense, I’d never have been able to practice my profession—to perform, day in and day out, the actions I performed, and to see the things I saw—without the bedrock support of love and understanding they provided.
And that was why Phyllis (after consulting our sister Betsy on the phone) decided that night to make a promise to me on behalf of our whole family. As she sat there with my limp, nearly lifeless hand in hers, she told me that no matter what happened from then on, someone would always be right there, holding my hand.
“We are not letting you go, Eben,” she said. “You need an anchor to keep you here, in this world, where we need you. And we’ll provide it.”
Little did she know just how important that anchor was going to prove in the days to come.
7.
The Spinning Melody and the Gateway
Something had appeared in the darkness.
Turning slowly, it radiated fine filaments of white-gold light, and as it did so the darkness around me began to splinter and break apart.
Then I heard a new sound: a living sound, like the richest, most complex, most beautiful piece of music you’ve ever heard. Growing in volume as a pure white light descended, it obliterated the monotonous mechanical pounding that, seemingly for eons, had been my only company up until then.
The light got closer and closer, spinning around and around and generating those filaments of pure white light that I now saw were tinged, here and there, with hints of gold.
Then, at the very center of the light, something else appeared. I focused my awareness, hard, trying to figure out what it was.
An opening. I was no longer looking at the slowly spinning light at all, but through it.
The moment I understood this, I began to move up. Fast. There was a whooshing sound, and in a flash I went through the opening and found myself in a completely new world. The strangest, most beautiful world I’d ever seen.
Brilliant, vibrant, ecstatic, stunning . . . I could heap on one adjective after another to describe what this world looked and felt like, but they’d all fall short. I felt like I was being born. Not reborn, or born again. Just . . . born.
Below me there was countryside. It was green, lush, and earthlike. It was earth . . . but at the same time it wasn’t. It was like when your parents take you back to a place where you spent some years as a very young child. You don’t know the place. Or at least you think you don’t. But as you look around, something pulls at you, and you realize that a part of yourself—a part way, deep down—does remember the place after all, and is rejoicing at being back there again.
I was flying, passing over trees and fields, streams and waterfalls, and here and there, people. There were children, too, laughing and playing. The people sang and danced around in circles, and sometimes I’d see a dog, running and jumping among them, as full of joy as the people were. They wore simple yet beautiful clothes, and it seemed to me that the colors of these clothes had the same kind of living warmth as the trees and the flowers that bloomed and blossomed in the countryside around them.
A beautiful, incredible dream world . . .
Except it wasn’t a dream. Though I didn’t know where I was or even what I was, I was absolutely sure of one thing: this place I’d suddenly found myself in was completely real.
The word real expresses something abstract, and it’s frustratingly ineffective at conveying what I’m trying to describe. Imagine being a kid and going to a movie on a summer day. Maybe the movie was good, and you were entertained as you sat through it. But then the show ended, and you filed out of the theater and back into the deep, vibrant, welcoming warmth of the summer afternoon. And as the air and the sunlight hit you, you wondered why on earth you’d wasted this gorgeous day sitting in a dark theater.
Multiply that feeling a thousand times, and you still won’t be anywhere close to what it felt like where I was.
I don’t know how long, exactly, I flew along. (Time in this place was different from the simple linear time we experience on earth and is as hopelessly difficult to describe as every other aspect of it.) But at some point, I realized that I wasn’t alone up there.
Someone was next to me: a beautiful girl with high cheekbones and deep blue eyes. She was wearing the same kind of peasant-like clothes that the people in the village down below wore. Golden-brown tresses framed her lovely face. We were riding along together on an intricately patterned surface, alive with indescribable and vivid colors—the wing of a butterfly. In fact, millions of butterflies were all around us—vast fluttering waves of them, dipping down into the greenery and coming back up around us again. It wasn’t any single, discrete butterfly that appeared, but all of them together, as if they were a river of life and color, moving through the air. We flew in lazy looped formations past blossoming flowers and buds on trees that opened as we flew near.
The girl’s outfit was simple, but its colors—powder blue, indigo, and pastel orange-peach—had the same overwhelming, super-vivid aliveness that everything else in the surroundings had. She looked a
t me with a look that, if you saw it for a few moments, would make your whole life up to that point worth living, no matter what had happened in it so far. It was not a romantic look. It was not a look of friendship. It was a look that was somehow beyond all these . . . beyond all the different types of love we have down here on earth. It was something higher, holding all those other kinds of love within itself while at the same time being more genuine and pure than all of them.
Without using any words, she spoke to me. The message went through me like a wind, and I instantly understood that it was true. I knew so in the same way that I knew that the world around us was real—was not some fantasy, passing and insubstantial.
The message had three parts, and if I had to translate them into earthly language, I’d say they ran something like this:
“You are loved and cherished, dearly, forever.”
“You have nothing to fear.”
“There is nothing you can do wrong.”
The message flooded me with a vast and crazy sensation of relief. It was like being handed the rules to a game I’d been playing all my life without ever fully understanding it.
“We will show you many things here,” the girl said—again, without actually using these words but by driving their conceptual essence directly into me. “But eventually, you will go back.”
To this, I had only one question.
Back where?
Remember who’s talking to you right now. I’m not a soft-headed sentimentalist. I know what death looks like. I know what it feels like to have a living person, whom you spoke to and joked with in better days, become a lifeless object on an operating table after you’ve struggled for hours to keep the machine of their body working. I know what suffering looks like, and the answerless grief on the faces of loved ones who have lost someone they never dreamed they could lose. I know my biology, and while I’m not a physicist, I’m no slouch at that, either. I know the difference between fantasy and reality, and I know that the experience I’m struggling to give you the vaguest, most completely unsatisfactory picture of, was the single most real experience of my life.
In fact, the only competition for it in the reality department was what came next.
8.
Israel
By eight the next morning, Holley was back in my room. She spelled Phyllis, taking her place in the chair by the head of my bed and squeezing my still unresponsive hand in hers. Around 11 A.M., Michael Sullivan arrived, and everyone formed a circle around me, with Betsy holding my hand so that I was included, too. Michael led a prayer. They were just finishing when one of the doctors specializing in infectious diseases came in with a fresh report from downstairs. Despite their adjusting my antibiotics overnight, my white blood cell count was still rising. The bacteria were continuing, unimpeded, with the task of eating my brain.
Fast running out of options, the doctors once more went over the details of my activities in the past few days with Holley. Then they stretched their questions to cover the past few weeks. Was there anything—anything—in the details of what I’d been doing that could help them make sense of my condition?
“Well,” said Holley, “he did take a work trip to Israel a few months ago.”
Dr. Brennan looked up from his notepad.
E. coli bacterial cells can swap DNA not only with other E. coli, but with other gram-negative bacterial organisms as well. This has enormous implications in our time of global travel, antibiotic bombardment, and fast-mutating new strains of bacterial illnesses. If some E. coli bacteria find themselves in a harsh biological environment with some other primitive organisms that are better suited than they are, the E. coli can potentially pick up some DNA from those better-suited bacteria and incorporate it.
In 1996, doctors discovered a new bacterial strain harboring DNA for a gene coding for Klebsiella pneumoniae carbapenemase, or KPC, an enzyme that conferred antibiotic resistance on its host bacterium. It was found in the stomach of a patient who died in a North Carolina hospital. The strain immediately got the attention of doctors all over the world when it was discovered that KPC could potentially render a bacteria that absorbed it resistant not just to some current antibiotics, but to all of them.
If a toxic, antibiotic-proof strain of bacteria (one whose nontoxic cousin is ubiquitous in our bodies) got loose in the general population, it would have a field day with the human race. There are no new antibiotics in the ten-year pharmaceutical development pipeline that could come to the rescue.
Just a few months earlier, Dr. Brennan knew, a patient had checked into a hospital with a powerful bacterial infection and was given a range of powerful antibiotics in an effort to control his Klebsiella pneumoniae infection. But the man’s condition continued to worsen. Tests revealed that he was still suffering from Klebsiella pneumoniae and that the antibiotics hadn’t done their work. Further tests revealed that the bacteria living in the man’s large intestine had acquired the KPC gene by direct plasmid transfer from his resistant Klebsiella pneumoniae infection. In other words, his body had provided the laboratory for the creation of a species of bacteria that, if it got into the general population, might rival the Black Death, a plague that killed off half of Europe in the fourteenth century.
The hospital where all this occurred was the Sourasky Medical Center in Tel Aviv, Israel, and it had occurred just a few months previously. As a matter of fact it happened at about the time that I’d been there, as part of my work coordinating a global research initiative in focused ultrasound brain surgery. I’d arrived in Jerusalem at 3:15 A.M. and after finding my hotel had decided on a whim to walk to the old city. I ended up taking a lone predawn tour of the Via Dolorosa and visiting the alleged site of the Last Supper. The trip had been strangely moving, and once back in the States I’d often brought it up with Holley. But at the time I’d known nothing of the patient at the Sourasky Medical Center, or the bacteria he contracted that picked up the KPC gene. Bacteria that, it developed, was itself a strain of E. coli.
Could I have somehow picked up an antibiotic-proof KPC-harboring bacteria while I was over in Israel? It was unlikely. But it was a possible explanation for the apparent resistance of my infection, and my doctors went to work to determine if that was indeed the bacteria that was attacking my brain. My case was about to become, for the first of many reasons, a part of medical history.
9.
The Core
Meanwhile, I was in a place of clouds.
Big, puffy, pink-white ones that showed up sharply against the deep blue-black sky.
Higher than the clouds—immeasurably higher—flocks of transparent orbs, shimmering beings arced across the sky, leaving long, streamer-like lines behind them.
Birds? Angels? These words registered when I was writing down my recollections. But neither of these words do justice to the beings themselves, which were quite simply different from anything I have known on this planet. They were more advanced. Higher.
A sound, huge and booming like a glorious chant, came down from above, and I wondered if the winged beings were producing it. Again thinking about it later, it occurred to me that the joy of these creatures, as they soared along, was such that they had to make this noise—that if the joy didn’t come out of them this way then they would simply not otherwise be able to contain it. The sound was palpable and almost material, like a rain that you can feel on your skin but that doesn’t get you wet.
Seeing and hearing were not separate in this place where I now was. I could hear the visual beauty of the silvery bodies of those scintillating beings above, and I could see the surging, joyful perfection of what they sang. It seemed that you could not look at or listen to anything in this world without becoming a part of it—without joining with it in some mysterious way. Again, from my present perspective, I would suggest that you couldn’t look at anything in that world at all, for the word at itself implies a separation that did not exist there. Everything was distinct, yet everything was also a part of everything else, like the rich a
nd intermingled designs on a Persian carpet . . . or a butterfly’s wing.
A warm wind blew through, like the kind that spring up on the most perfect summer days, tossing the leaves of the trees and flowing past like heavenly water. A divine breeze. It changed everything, shifting the world around me into an even higher octave, a higher vibration.
Although I still had little language function, at least as we think of it on earth, I began wordlessly putting questions to this wind—and to the divine being that I sensed at work behind or within it.
Where is this place?
Who am I?
Why am I here?
Each time I silently posed one of these questions, the answer came instantly in an explosion of light, color, love, and beauty that blew through me like a crashing wave. What was important about these bursts was that they didn’t simply silence my questions by overwhelming them. They answered them, but in a way that bypassed language. Thoughts entered me directly. But it wasn’t thought like we experience on earth. It wasn’t vague, immaterial, or abstract. These thoughts were solid and immediate—hotter than fire and wetter than water—and as I received them I was able to instantly and effortlessly understand concepts that would have taken me years to fully grasp in my earthly life.
I continued moving forward and found myself entering an immense void, completely dark, infinite in size, yet also infinitely comforting. Pitch black as it was, it was also brimming over with light: a light that seemed to come from a brilliant orb that I now sensed near me. An orb that was living and almost solid, as the songs of the angel beings had been.
Proof of Heaven Page 4