![]() ![]() Evidence includes the fact that he was placed in a tomb, wrapped in grave clothes, and the opening closed off with a stone (v 44) an act only performed on the absolutely dead. This included Jewish Pharisees, the most educated of the day (v 46). In addition, not only Mary and Martha reported that he was dead, but many others said the same to Christ after he arrived in Bethany (v 37). As determined by many at the scene, we know Lazarus is dead. Jesus waited to come to Bethany for over two days (v 6) and eventually four days (v 39), allowing this deathly state to progress to what was reported to Jesus as Lazarus’ death (v 21). This supports the severity and deathly nature of his illness. His illness was such that the sisters sent word to Jesus, considered “Lord” by Mary and Martha (v 3). Death in these states may occur by wasting and nutritional effects, but in such a chronic illness, the last pathway is often infection leading to sepsis. On the other hand, Lazarus may have suffered from a chronic disease such as cancer, coronary artery disease, heart failure, or other chronic illness responsible for the death. ![]() Brain stem hypoxia leads to less breath stimulus, reduced ventilation, and worsened hypoxia. ![]() This results in hypoxia of all tissues, of which the kidneys and liver are perhaps the most important in maintaining life. This results in shunting more blood to areas not in need and less blood to those in need. Blood flow is shunted by toxic factors that stop the regulation of blood vessel tone.Bacterial products in the bloodstream adversely affect lung gas exchange, leading to hypoxia or oxygen starvation, i.e., less oxygen in the bloodstream.The mechanisms of septic shock or sepsis are very complicated, but three major effects of overwhelming infection lead to septic shock and subsequent death. In addition, in death due to chronic illness such as cancer, it is a very common final pathway leading to death. Septic shock is the end result of overwhelming infection. ![]()
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