Raul is from Puerto Rico and, although he has lived in the United States for awhile, the English language is still difficult for him. I have elected to carry his case "as is," without editing, so you can gain a sense of how someone from another country might struggle with word usage. You will also notice as you read Raul's case, that his Roman Catholic upbringing plays heavily into the imagery he experienced during his episode and in how he interpretswhat happened to him. That imagery was both positive/negative, heavenly/hellish, and includes a broad expanse of events and outcomes that had yet to happen, that indeed really did occur- and- as revealed to him. I thank Raul for having the courage to share his near-death experience, an experience that still puzzles and sometimes troubles him. In sharing, what ofttimes happens, is that we find meaning and peace and a great relief from the burden of secrecy.