Oxley et al have published an article in the j neurointervent surg, 2021; 13:102-108 that describes the “first-in-human experience of a minimally invasive, fully implanted, wireless, ambulatory motor neuroprosthesis using an endovascular stent-electrode array to transmit electrocardicography signals from the motor cortex for multiple command control of digital devices in two patients with flaccid upper limb paralysis.” command control was initiated by thoughts, as pointed out in the previous blog post. I include reference to this article for readers interested in the details of the device and its use in these patients. the authors do not address how the thought processes interact with the synaptic networks of the motor cortex to generate electrocardicographic signals to activate the program. my next blog will reference an article that addresses that process with imagined speech. these two articles provide more support for dualist interaction between the immaterial cognitive mind and the material components of the brain’s synaptic networks. Understanding the process gives hope to paralyzed people to perform activities of daily living.