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Lwema described his work with terminally ill patients and their pre-death experiences.Patients often fear the physical side of death, such as from suffocation from too much fluid accumulating in their body, yet this can be controlled via drugs such as morphine, he noted.

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"The results showed 14 patients shed a final tear at the time of death, and a further 13 within the last 10 hours of life.

"In 21 of the 27 cases, the dying person was unconscious at the time of the last tear.

Lichter thought of chemically analyzing some of the last tears, because emotional tears have a different chemical composition from those produced by irritation.