PHOENIX, AZ — The family of a Phoenix woman who “died” for 27 minutes, then asked for a pen and notepad after she was resuscitated to write down what she saw in the afterlife, is sharing her story on social media. “It’s real,” Tina Hines wrote, then pointed upward to heaven, her niece, Madie Johnson, wrote on Instagram.

Hines collapsed without warning in February 2018 as she and her husband, Brian, were heading out for a hike. Johnson honored her aunt’s faith last month by getting a tattoo replicating the scrawled note on her forearm and shared pictures of it on Instagram.

“Her story is too real not to share and has given me a stronger confidence in a faith that so often goes unseen It has given me a tangibleness to an eternal hope that is not too far away,” Johnson wrote in the Instagram post, adding: “The way you boldly love Jesus and others has changed the way I hope to live and love.”

In interviews after her February 2018 “death,” Tina Hines described seeing Jesus, back lit by a bright yellow glow, standing before a set of black gates. “It was so real, the colors were so vibrant,” she told AZFamily.

Before she collapsed and went into cardiac arrest, Tina Hines had been in perfect health, worked out regularly and ate healthy meals, her husband told AZFamily last year.

“Her eyes didn’t close, and they were rolled back in her head,” Brian Hines told the news outlet. “She was purple and not making any noise or breathing.”

He was able to resuscitate his wife before paramedics arrived, but she coded three times at the scene and two times en route to the hospital, a Phoenix firefighter/paramedic told AZFamily last year, noting, “I’ve never shocked anyone five times.”

Another paramedic reported being “a witness to a miracle.”

Hines is doing well today, with both a defibrillator and pacemaker, AZFamily said.

Medical Science May — Or May Not — Explain It

Tattoo artist Suede Silver shared the story on Facebook, writing that the tattoo was a “special” opportunity and encouraging his followers to read the story behind it. Several people shared their own near-death experiences and visions after a loved one had died.

A study on the phenomenon published in 2013 in the journal Proceedings of the National Academy of Sciences said the vivid experiences of near-death survivors may be explained by a surge in brain activity that is higher than during a waking, conscious state just before death.

“A lot of people thought that the brain after clinical death was inactive or hypoactive, with less activity than the waking state, and we show that is definitely not the state,” the University of Michigan’s Jimo Borjigin, the lead author of the study, told BBC. “If anything, it is much more active during the dying process than even the waking state.”

For the study, the researchers monitored nine rats as they were dying, noting a sharp increase in high-frequency brain waves in the 30-second period after their hearts stopped beating.

Borjigin said it’s possible humans experience the same elevated level of brain activity and consciousness, leading to the near-death visions.

“This can give us a framework to begin to explain these. The fact they see light perhaps indicates the visual cortex in the brain is highly activated — and we have evidence to suggest this might be the case, because we have seen increased gamma in area of the brain that is right on top of the visual cortex,” she said.

“We have seen increased coupling between the lower-frequency waves and the gamma that has been shown to be a feature of visual awareness and visual sensation.”

James Braitwaite of Great Britain’s University of Birmingham told BBC the phenomenon may be the brain’s “last hurrah.”

“This is a very neat demonstration of an idea that’s been around for a long time: that under certain unfamiliar and confusing circumstances — like near-death — the brain becomes overstimulated and hyperexcited,” he said.

“Like ‘fire raging through the brain,’ activity can surge through brain areas involved in conscious experience, furnishing all resultant perceptions with realer-than-real feelings and emotions,” he said, adding there’s still much to be learned about the topic.

“One limitation is that we do not know when, in time, the near-death experience really occurs. Perhaps it was before patients had anaesthesia, or at some safe point during an operation long before cardiac arrest,” Braitwaite said.

“However, for those instances where experiences may occur around the time of cardiac arrest — or beyond it — these new findings provide further meat to the bones of the idea that the brain drives these fascinating and striking experiences.”

Another U.K. researcher, Chris Chambers of Cardiff University, said the study findings “open the door to further studies in humans,” but added a cautionary note about drawing conclusions about human near-death experiences.

“It is one thing to measure brain activity in rats during cardiac arrest, and quite another to relate that to human experience,” Chambers told BBC.

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