Pam Reynolds Lowery (1956 – May 22, 2010), from Atlanta, Georgia, was an American singer-songwriter. In 1991, at the age of 35, she stated that she had a near-death experience (NDE) during a brain operation performed by Robert F. Spetzler at the Barrow Neurological Institute in Phoenix, Arizona. Reynolds was under close medical monitoring during the entire operation. During part of the operation she had no brain-wave activity and no blood flowing in her brain, which rendered her clinically dead. She claimed to have made several observations during the procedure which later medical personnel reported to be accurate. Within the field of near-death studies and among those who believe in life after death, the case has been cited as well-documented and significant with many proponents considering it to be evidence of the survival of consciousness after death. However, an anesthesiologist who examined the case offered anesthesia awareness as a more prosaic and conventional explanation for such claims. Reynolds died from heart failure at the age of 53 on May 22, 2010 at Emory University Hospital in Atlanta, Georgia. Diagnosis and operation Pam Reynolds reported to her physician that she was experiencing symptoms of dizziness, loss of speech and difficulty in moving parts of her body. Her physician referred her to a neurologist and a CAT scan later revealed that Reynolds had a large aneurysm in her brain, close to the brain stem. Because of the difficult position of the aneurysm, Reynolds was predicted to have no chance of surviving surgery for its removal. As a last resort, Robert F. Spetzler, a neurosurgeon of the Barrow Neurological Institute in Phoenix, Arizona, decided that a rarely performed procedure, known as hypothermic cardiac arrest, could improve Reynolds's chances of surviving surgical removal of the aneurysm. During this procedure, also known as a standstill operation, Reynolds's body temperature was lowered to 50 °F (10 °C), her breathing and heartbeat stopped, and the blood drained from her head. Her eyes were closed with tape and small ear plugs with speakers were placed in her ears. These speakers emitted audible clicks which were used to check the function of the brain stem to ensure that she had a flat EEG—indicating a non-responsive brain—before the operation proceeded. The operation was a success and Reynolds recovered completely. The total surgery lasted about seven hours with a few complications along the way. Claimed NDE Reynolds reported that during the