Health
‘Approaching the Light’: Peter Fenwick and Stories of Near-Death Experiences
I didn’t fully understand the limits of my body until this past June, when I fell down my fire escape and floated outside myself in a near-death experience, much like the ones Peter Fenwick — a psychiatrist who researched end-of-life phenomena — documented over the course of his career. (Dr. Fenwick died on Nov. 22 at 89.)
I was at my own housewarming party, standing on the fire escape with two friends, when I fell, tumbling around 12 feet and hitting my head. I lost consciousness for several minutes.
As my friends tell it, the paramedics arrived quickly, detached the screen from a window on the second floor and hauled me downstairs in a stretcher. As they loaded me into the ambulance, I rose above myself and watched the fanfare: the concerned neighbors stepping into the street; the pale pink of sunset; my own body, small and far away in the stretcher as my roommate held my palm and my friend held my ankle. Their touch snapped me back into consciousness. I immediately felt pain and begged for water.
It wasn’t the first time I’d had what felt like an out-of-body experience. When I was a teenager, I became fascinated by astral projection — intentional out-of-body travel — and began to put it into practice at night. One evening, I hurtled toward the ceiling and watched myself sleep. A line tugged out from my sternum to my belly button. It resembled an umbilical cord: silver and long as a rope.
I had a similar sensation after my fall, albeit without the cord. The doctors diagnosed a severe concussion, and I spent the next three weeks recovering in my new home. At first, I struggled to derive meaning from my sudden proximity to death. Then I thought about fragility — and the thousands of minute ways humans evade death every day without knowing it — and my experience concretized into a newfound appreciation of our bodies’ capacity for self-preservation and a diminished fear of death.
I was reminded of my near-death experience when I learned that The New York Times, where I work, would be publishing Dr. Fenwick’s obituary.
His 1995 book, “The Truth in the Light,” which he wrote with his wife, Elizabeth, included anecdotes from more than 300 people who recounted having near-death experiences — which he categorized with labels like “out of the body,” “approaching the light,” “meeting relatives” and “the life review.” Below are some of the stories he collected.
Meeting Relatives
In 1987, Dawn Gillott was in a hospital in England with microplasma pneumonia and undergoing emergency surgery in the intensive therapy unit when she suddenly felt herself floating above her body and through a tunnel, where she came upon an open field.
There was a bench seat on the right where my Grampi sat (he had been dead seven years). I sat next to him. He asked me how I was and the family. I said I was happy and content and all my family were fine.
He said he was worried about my son; my son needed his mother. I told Grampi I didn’t want to go back, I wanted to stay with him. But Grampi insisted I go back for my children’s sake. I then asked if he would come for me when my time came. He started to answer, “Yes, I will be back in four —” then my whole body seemed to jump. I look around and saw I was back in the I.T.U.
Approaching the Light
Avon Pailthorpe was driving on a dark, rainy day in 1986 when her car aquaplaned and she went into a spin. She then felt herself shooting, head first, into a tunnel.
As the tunnel began to lighten, there were presences. They were not people and I didn’t see anything but I was aware of their minds. They were debating whether I should go back. This is what made me so safe; I knew that I had absolutely no responsibility to make any decision. This is an almost unknown situation for me, and it was wonderfully liberating. I also knew I could not influence what decision they made, but that whatever it should be it would be right.
The Life Review
Allan Pring was given anesthesia while undergoing minor surgery in 1979 and quickly lost consciousness.
I experienced the review of my life which extended from early childhood and included many occurrences that I had completely forgotten. My life passed before me in a momentary flash but it was entire, even my thoughts were included. Some of the contents caused me to be ashamed but there were one or two I had forgotten about of which I felt quite pleased. All in all, I knew that I could have lived a much better life but it could have been a lot worse.
Amisha Padnani contributed research.
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Health
Men may need to work twice as hard as women to prevent potentially deadly disease
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Men may need to exert double the amount of effort as women to fend off heart disease.
That’s according to new research from China that found men need twice as much exercise as women to lower their risk.
The study, published in the journal Nature Cardiovascular Research, analyzed data from more than 85,000 participants in the U.K. Biobank to pinpoint gender differences regarding physical activity and the incidence of coronary heart disease (also known as coronary artery disease).
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Data was pulled from wearable accelerometers, like smartwatches, for a defined period to measure the amount of moderate to vigorous physical activity.
The participants, who did not have coronary heart disease at the start of the study, were monitored for nearly eight years to determine how many developed heart disease and how many died from it.
Men need double the amount of exercise as women to prevent coronary heart disease, research suggests. (iStock)
The average age for the incidence study was about 61 years and 57.3% were women. The mortality study had an average age of about 66 and 30% were women.
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After adjusting for other heart disease risk factors, like BMI (body mass index) and smoking, the researchers found a “notable” difference between men and women.
Specifically, they discovered that women experienced lower risk levels with half the minutes of activity as men.

The association between coronary heart disease risk and physical activity was consistent for both onset of disease and mortality. (iStock)
In terms of developing heart disease, an extra 30 minutes of exercise per week was linked to a 2.9% lower risk in females and a 1.9% lower risk in men.
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Meeting the standard 150 minutes per week of recommended exercise lowered the women’s incidence risk by 22%, while men’s risk was lowered by 17%.
A further extended workout regimen of 300 minutes, or five hours, per week reduced the risk by 21% for females and only 11% for men.
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For about a 30% reduction in coronary heart disease incidence risk, women need about 250 minutes of exercise per week, while men need about 530 minutes, according to the researchers.

For about a 30% reduction in coronary heart disease incidence risk, women need about 250 minutes of exercise per week, while men need about 530 minutes. (iStock)
When it comes to mortality from heart disease, sticking to 150 minutes of exercise per week reduced women’s risk by a whopping 70%, and only lowered men’s risk by 19%.
To reduce coronary heart disease mortality by 30%, women need about 51 minutes of exercise per week and men need about 85 minutes.
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The researchers commented in the study that these findings “underscore the value of sex-specific tailored coronary heart disease prevention strategies using wearable devices, which may help bridge the ‘gender gap’ by motivating females to engage in physical activity.”
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Fox News senior medical analyst Dr. Marc Siegel spoke about the study on “America’s Newsroom” on Tuesday.
“I can tell you, having been married for almost 30 years, that women are better than men. There’s no question about it,” he said. “Physiologically, spiritually, women are superior.”

To reduce coronary heart disease mortality by 30%, women need about 51 minutes of exercise per week and men need about 85 minutes. (iStock)
Siegel noted that men have higher levels of testosterone, which is “bad for cholesterol,” and tend to build up fat “in the wrong places” in the gut, leading to inflammation.
“We smoke more, we drink more, we don’t exercise as much,” Siegel said about men in general. “All of that puts us at risk for heart disease.”
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According to the doctor, women “start to catch up” with increased risk after menopause, although it “takes a long time.”
“With all these risks, [men] need the exercise way more than women do to make up for it,” Siegel added.
Health
Inside the Poisonous Smoke Killing Wildfire Fighters at Young Ages
Across the country, wildfire fighters work for weeks at a time in poisonous smoke.
The government says they are protected.
We tested the air at one fire to find out why they are still dying.
Across the country, wildfire fighters work for weeks at a time in poisonous smoke.
The government says they are protected.
We tested the air at one fire to find out why they are still dying.
It’s July and the Green fire is tearing through Northern California. An elite federal firefighting crew called the La Grande Hotshots has been sent to help. The 24-person crew has been working for days on the front lines, where invisible toxins hide in the thick haze.
More than 1,000 firefighters are on the fire. Several crews, including the La Grande Hotshots, are trying to contain the flames by building a trench of bare earth that will stretch from a road to a river bank. They’re doing this at night, in hopes that the cooler air will tamp down the smoke.
The crew knows that they’re risking their health.
One longtime member died last year after being diagnosed at 40 with brain cancer. A former crew leader is being treated for both leukemia and lymphoma diagnosed in his 40s. Another colleague was recently told that he has the lungs of a lifelong chainsmoker.
Wildfire fighters nationwide are getting sick and dying at young ages, The New York Times has reported. The federal government acknowledges that the job is linked to lung disease, heart damage and more than a dozen kinds of cancer.
But the U.S. Forest Service, which employs thousands of firefighters, has for decades ignored recommendations from its own scientists to monitor the conditions at the fire line and limit shifts when the air becomes unsafe.
To find out how harmful the air gets on an average-size wildfire, Times reporters brought sensors to the Green fire this summer. We tracked levels of some of the most lethal particles in the air, called PM2.5, which are so tiny that they can enter the bloodstream and cause lasting damage.
Readings above 225.5 micrograms per cubic meter are considered hazardous. On the fire line, levels regularly exceeded 500.
The fire began on July 1 after a lightning storm passed over the Shasta-Trinity National Forest.
By July 16, much of the area was shrouded in smoke.
Around 6 p.m., the La Grande Hotshots started their shift and set off toward the fire line.
Capt. Nick Schramm, a crew leader, assumed the air was reasonably safe. He has done this work for nearly two decades, and like most firefighters, he often has coughing fits after long shifts. But he believes that exposure to hazardous air is unavoidable.
“That’s just the harsh truth,” he said later.
As climate change makes fire seasons worse, several states have tried to shield outdoor workers from wildfire smoke, which can contain poisons like arsenic, benzene and lead. California now requires employers to monitor air quality during fires, and to provide breaks and masks when the air turns unhealthy.
But these rules don’t apply on the wildfires themselves, because state agencies and private companies successfully argued that those constraints would get in the way of fighting fires.
Until recently, federal firefighters weren’t even allowed to wear masks on the job. Masks are now provided, but they are still banned during the most arduous work, closest to the fire. The Forest Service says face coverings could cause heatstroke, though wildland firefighters in other countries regularly use masks without this problem.
As crews descended the ridge toward the fire line, the levels of toxic particles nearly doubled.
Firefighters say that during their shifts they worry more about immediate dangers — falling trees, burns, sharp tools — than about smoke exposure. As the La Grande crew hiked down the steep terrain, Lily Barnes, a squad leader, concentrated on keeping her footing.
Back home in the off-season, she sometimes wonders what the smoke is doing to her body, she said in an interview. “Maybe I’ll realize one day I shouldn’t have been doing this work.”
The handbook issued to Forest Service crews has 10 words of guidance for smoke exposure on the fire line: “If needed, rotate resources in and out of smoky areas.” The agency declined to comment for this story, but in the past has told The Times that while exposure cannot be completely eliminated, rotating crews helps limit risk.
In practice, according to interviews with hundreds of firefighters, workers feel as though they are sent into smoke and then forgotten. Over months of reporting, Times journalists never saw a boss pull a crew back because of exposure.
Even experienced supervisors can’t tell exactly how unhealthy the air is just by looking.
Chuy Elguezabal, the La Grande superintendent, says he pulls his crews out of smoke when it becomes impossible for them to work — when they cannot see or breathe, or they are overcome by headaches and coughing fits.
On the Green fire, he said, the smoke seemed like more of an inconvenience, like the 105-degree daytime heat or the poison oak that had given many of the firefighters weeping sores.
Since the 1990s, Forest Service researchers have suggested giving crews wearable air sensors, but the agency hasn’t done it. Other dangerous workplaces, like coal mines, have long been required to monitor airborne hazards.
On the Green fire, The Times used a device that weighs as much as a deck of cards and costs about $200.
Last year, firefighters wore the same devices during a small federal research project to measure their exposure. For hours, those readings stayed at 1,000 — as high as the monitors go — according to Zach Kiehl, a consultant who worked on the project.
Mr. Kiehl said that ideally, crews would be issued monitors to know when to put on masks or pull back from a smoky area. “You can pay now and prevent future cases, or pay out later when a person is losing a husband or a father,” he said.
The firefighters believe that the decision to work at night has paid off: The smoke occasionally got thick, but didn’t seem bad compared with other fires they have worked. They think the exposure was fleeting.
In fact, the monitors show, the air was never safe.
Methodology
To measure particulate concentrations at the Green fire, The Times followed U.S. Forest Service crews and carried two Atmotube PRO sensors. These portable, inexpensive monitors are the same as those the Forest Service has tested in the field.
We consulted with Dr. Aishah Shittu, an environmental health scientist, and Dr. Jim McQuaid, an atmospheric scientist, both from the University of Leeds. They are co-authors of a study showing that Atmotube Pro sensors demonstrated good performance for measuring fine particulate matter concentrations despite being a fraction of the size of reference-grade models. We also developed our approach in consultation with experts from the Interior Department and the Forest Service.
On the Green fire, the sensors recorded minute-by-minute averages of airborne particles that are 2.5 micrometers in diameter or smaller. The Times then matched these readings with timestamps and locations from a satellite-enabled GPS watch.
Generally, the harm associated with PM2.5 levels is calculated based on a 24-hour average. Here, for near-real-time monitoring on the fire line, we followed the guidance of Drs. Shittu and McQuaid by first averaging the readings from the two sensors and then calculating a 15-minute rolling average.
Using those figures, we categorized the health risks of PM2.5 exposure according to standards set by the U.S. Environmental Protection Agency. We used standards meant for the public because there are no federal occupational standards for wildfire smoke exposure.
After averaging, our data had a correlation coefficient of 0.98 and a mean coefficient of variation between the two sensors of 7.5 percent. The E.P.A. recommends that PM2.5 air measurements have a correlation coefficient of at least 0.7 and a mean coefficient of variation less than 30 percent. Our correlation and variance measures gave us confidence that the sensors were largely in agreement.
The 3-D base map in this article uses Google’s Photorealistic 3D Tiles, which draw from the following sources to create the tiles: Google; Airbus; Landsat / Copernicus; Data SIO, NOAA, U.S. Navy, NGA, GEBCO; IBCAO.
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