I’m with Yo, a neuroscientist would be the best person to answer this. It might help to think about what unconsciousness is, though, and go for the opposite. When you’re unconscious, you can’t respond, act independently, you don’t perceive your surroundings, and you’re not actively thinking. So maybe consciousness is noticing what’s going on around you, processing it, responding to it and acting in a deliberate way.
Unhelpfully, I am going to agree with everyone else and look forward to what the neuroscientist has said. I remember reading “Reaching Down the Rabbit Hole: A Renowned Neurologist Explains the Mystery and Drama of Brain Disease”, and actually being really surprised that this is not super straightforward for a doctor to tell! There’s a number of tests they have to do to check.
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