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More than 12 years after a car accident left him in a vegetative state, a Canadian man has begun communicating with doctors who are monitoring his brain activity through Functional Magnetic Resonance Imaging (fMRI) scans.

The BBC reports that 39-year-old Scott Routley has been able to communicate to doctors that he is not in any pain, marking the first time an uncommunicative, severely brain-damaged patient has been able to give direct answers regarding their care and treatment.