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Emerging from a reverie, a seven-year-old friend once asked me whether music had been discovered or invented. My reply was the ever popular, "I'm not sure. . . . It depends." The same question can be asked about brain death. Is there an objective reality to be unearthed? Or is brain death a construct, used by consensus to designate a patient as being dead? In Brain Death, edited by E.F.M. Wijdicks, a group of respected authors argue that a clear clinical entity exists. In the end, their arguments are not persuasive. Moreover, references to the quest for organ procurement add
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