No, that's not the only thing you can conclude. You have many possibilities to choose from ─ Woerlee's explanation
As already noted, Woerlee doesn't provide an explanation that is deduced from any fact or that even accounts for the facts of the cases of Pam Reynolds, Dr. Rudy's patient or the AWARE study patient.
Reynolds' experience and perceptions are quite different from those of people who experience anesthetic awareness. Anesthetic awareness is almost invariably terrifying to patients, and people who experience anesthetic awareness are not confused about it; they don't claim that they popped out of the top of their heads and watched their surgeries from above, or claim having other experiences such as Reynolds describes.
Woerlee's assertion that Reynolds experienced anesthetic awareness is merely an accusation that Dr. Spetzler and all of the other many other personnel involved in her surgery and hospital stay acted unethically in covering up an instance of anesthetic awareness and that they have perpetrated a decades-long conspiracy of fabrications, rather than documenting and investigating the reason for this alleged failure of anesthesia as mandated by the
American Society of Anesthesiologists requires. To fabricate falsehoods rather than documenting and investigating an actual case of anesthetic awareness makes it likely that other patients will be subjected to such horror, especially in this case since it is almost certain that Reynolds was not tolerant to narcotics. Woerlee's illogical accusation is unethical.
Woerlee's baseless claim that Reynolds' experienced anesthetic awareness is made more unethical because it does not account for the facts anyway, namely the fact that Reynolds accurately described the surgical saw and tray of interchangeable blades (
inter alia), which Dr. Spetzler confirmed were not unwrapped and exposed until he was ready to use them, well after she was anesthetized and
her eyes taped closed, and the fact that she was able to repeat the comments of the other surgeon working on her thigh veins
As Chris Carter explains, anesthetic awareness does not plausibly account for Reynolds' ability to repeat these comments. Her ears were occluded with molded speakers, packed with gauze and sealed with tape, with 60-decibel white noise piped into one ear and rapid 100-decibel clicks (11.3 per second) in the other, which alternated ears every 3 minutes:
In 2007--in response to skeptical objections that Reynolds may have simply overheard the surgeon’s remarks--Sabom added more detail to his account:
Steven Cordova, Neuroscience Manager at the Barrow Neurological Institute, who was the intraoperative technologist responsible for inserting small molded speakers into Spetzler’s patients in the early 1990s when Reynolds’ surgery was performed, told me that after these speakers were molded into each external auditory canal, they were further affixed with “mounds of tape and gauze to seal securely the ear piece into the ear canal.” This “tape and gauze” would “cover the whole ear pinnae” making it extremely unlikely that Reynolds could have physically overheard operating room conversation one hour and twenty minutes after anesthesia had been induced. (Sabom, 2007, 259)
Ordinary conversation is at around 60 decibels, and the 100-decibel clicks were 10,000 times more intense than that; the decibel scale is a logarithmic scale based on multiples of 10, so a sound at 70 decibels is 10 times more intense than a sound at 60 decibels. Perceived loudness depends on both intensity and frequency, so loudness is partly, but not completely, a function of intensity alone. In her testimony Reynolds neither mentioned hearing loud clicks nor struggling to hear through them.
Anesthetic awareness obviously doesn't account for the facts of the case of Dr. Rudy's patient who had not had a heart beat or blood pressure for some 20 minutes, and who, even if for some reason his eyes had not been taped closed, couldn't have observed the things he reported from his position on the operating table anyway. E.g., Dr. Amado-Cattaneo affirms that the table with the computer monitor on which the string of Post-it notes hung was above and behind the patient's head.
Anesthetic awareness does not account for the report by the AWARE study patient, who was not anesthetized and whose last shockable heart beat was 2-3 minutes prior to the automated instruction of the AED machine.
The reports of Reynolds, Dr. Rudy's patient and the AWARE study patient were not inaccurate. It's their accuracy that requires an explanation--the only plausible explanation is that they actually didn't have the experiences and perceptions that they reported and that were confirmed by multiple medical personnel.
Talk me step by step through a brain making a 'free' decision in those terms.
I didn't make any claim about "a brain making a 'free' decision". Try responding to what I did say.