+
Science

Man was awake and playing the saxophone throughout his entire 9-hour brain tumor surgery

Several times during the surgery, the patient played the theme song from "Love Story" by Francis Lai.

brain surgery saxophone

"Awake surgery" allows brain surgeons to see the functioning parts of the brain to avoid during surgery.

This article originally appeared on 10.17.22


Do you ever step back and marvel at the miraculous things human beings have figured out how to do?

Less than 200 years ago, no human being had ever played a saxophone, there was no such thing as anesthesia and if you had even a simple brain tumor, you were just out of luck.

Now, a team of doctors in Italy has successfully performed a highly complex, nine-hour brain surgery on a man while he was awake and while he played the saxophone. Not only that, but the patient reported feeling "tranquility" during the surgery and only spent a few days in the hospital after the surgery before being discharged.


According to CBS News, a 35-year-old male patient had a brain tumor removed at Paideia International Hospital in Rome, Italy, on October 10. The surgery was led by Dr. Christian Brogna, a neurosurgeon who specializes in complex cancer surgeries and "awake surgery," in which patients are not put under general anesthesia. According to the Mayo Clinic, certain brain surgeries actually require a patient to be awake and responsive during the procedure to lessen the risk of the surgery damaging areas of the brain that could affect vision, movement or speech.

Dr. Brogna told CBS News that this particular surgery was located in "a very, very complex area of the brain" and also pointed out that the patient is left-handed. "This makes things more complicated because the neural pathways of the brain are much more complicated," he said. Recent research shows that left-handed people differ in brain asymmetry from right-handed people and that the right and left hemispheres of the brain tend to be more connected in people who are left-handed.

The team of 10 who successfully completed the surgery was made up of neurosurgeons, anesthesiologists, neuropsychologists, neurophysiologists and engineers from around the world. Though other awake craniotomies that included a patient playing a musical instrument have been done before, the level of complexity and cutting-edge technologies used in this surgery made it a notable accomplishment.

Why the saxophone? The man had told the surgeons that retaining his musical abilities was of the utmost importance to him.

"Awake surgery makes it possible to map with extreme precision during surgery the neuronal networks that underlie the various brain functions such as playing, speaking, moving, remembering, counting," Brogna said in the hospital's news release. Playing music during the surgery gave the surgeons a visual of where those functions were in the patient's brain and helped them ensure they were keeping them intact.

Several times during the surgery, the patient played the theme song from "Love Story" by Francis Lai and the Italian national anthem on his saxophone. (You can watch him playing in the video below shared by Voice of America.)

"To play an instrument means that you can understand music, which is a high cognitive function," Brogna told CBS News. "It means you can interact with the instrument, you can coordinate both hands, you can exercise memory, you can count — because music is mathematics — you can test vision because the patient has to see the instrument, and you can test the way the patient interacts with the rest of the team," he said.

Such surgeries require intense preplanning and familiarity with the patient's normal functioning, and the team met with the patient six or seven times in the 10 days leading up to the surgery.

"When we operate on the brain, we are operating on the sense of self, so we need to make sure that we do not damage the patient as a person — their personality, the way they feel emotions, the way they get through life," Brogna told CBS News. "The patient will tell you what is important in his life and it is your job to protect his wishes."

As amazing as surgery like this is, Brogna reminds us that there's still so much we don't know about the way the brain works. Prodecures like this one help doctors learn in addition to helping patients.

"Each operation in awake surgery not only allows to obtain the maximum result in terms of removal of the pathology, but it is a real discovery," Brogna said in the hospital's news release. "Each time it offers us a window into the functioning of this fascinating, but still in many ways mysterious organ, which is the brain."

Joy

Sorry, Labradors. After 31 years, America has a new favorite dog.

The American Kennel Club has crowned a new favorite.

via Pixabay

A sad-looking Labrador Retriever

The sweet-faced, loveable Labrador Retriever is no longer America’s favorite dog breed. The breed best known for having a heart of gold has been replaced by the smaller, more urban-friendly French Bulldog.

According to the American Kennel Club, for the past 31 years, the Labrador Retriever was America’s favorite dog, but it was eclipsed in 2022 by the Frenchie. The rankings are based on nearly 716,500 dogs newly registered in 2022, of which about 1 in 7 were Frenchies. Around 108,000 French Bulldogs were recorded in the U.S. in 2022, surpassing Labrador Retrievers by over 21,000.

Keep ReadingShow less
via Google and Freepik

Google's new personal information removal submission page.

In the internet era, the idea of personal privacy is all but a myth. With a few keystrokes just about anyone can get your home address, phone number, email, age and the names of your family members. The fact that this information is readily available puts us all in the dangerous position of being the victim of fraud, stalking and violence.

What makes the situation even worse is that our information was put online without any of our consent.

The good news is that Google just made a big change that gives us all a little more control over our personal information. On April 27, the company announced it will allow anyone to request removals of their personal information from its Search feature.

“Open access to information is a key goal of Search, but so is empowering people with the tools they need to protect themselves and keep their sensitive, personally identifiable information private. That’s why we’re updating our policies to help people take more control of their online presence in Search,” Michelle Chang, Google’s Global Policy Lead for Search, announced on the company’s blog.

Keep ReadingShow less
Joy

An 8-year-old snuck his handwritten book onto a library shelf. Now it has a 56-person waiting list.

Dillon Helbig's 81-page graphic novel— written by "Dillon His Self"—captured the hearts of his local librarians and their patrons.

Dillon Helbig's 81-page graphic novel captured the hearts of his local librarians.

Writing a book is no easy task, even for adult professional writers. Many would-be authors dream of a day when their work can be found on library shelves, unsure if it will ever come.

But for 8-year-old Dillon Helbig, that day has already arrived—in truly unconventional fashion—thanks to his own determination to make it happen.

Dillon wrote his 81-page graphic novel, "The Adventures of Dillon Helbig's Crismis" (written by "Dillon His Self") in a hardcover journal with colored pencils over the course of a few days. He even put a label on the back of the book that reads "Made in Idho" [sic] and put an illustrated spine label on it as well. Then, without telling anyone, he brought it to his local library in Boise, Idaho, and slipped it in among the books in the children's section.

Keep ReadingShow less

Becca Moore and Raul Torres having margaritas.

Becca Moore is a popular TikToker with over 800,000 followers who's known for her funny, laid-back takes on dating. Like any influencer-type she was at the Coachella music and arts festival in Indio, California recently. While she was at Coachella, she was robbed of her phone, rental car keys and wallet.

“I went to Coachella this weekend and I thought this guy was kinda hitting on me but then he just robbed me,” Becca says at the beginning of her three-minute TikTok video with over 3 million views. After the festival, she was left with no ride, money, or means to get in contact with friends and family. She was stranded in the desert.

Becca’s friend’s hotel called her an Uber so she could get to a local store to buy a new phone. The driver she was incredibly lucky to be connected with was a lot more than a guy with a car in a time of need, he was a guardian angel named Raul Torres from Fresno, California, six hours north of Indio.

Keep ReadingShow less
Joy

44 years ago he became her protector after a terrible act. Today, they've been reunited in love.

Betsy and Irv are finally getting the happy ending they deserve. Together.

It’s pretty safe to say that everyone loves a good love story.

There’s a whole genre of music and movies dedicated to the idea of someone being swept off of their feet after circumstances tried to keep them from their true love. Romance novels could single handedly keep public libraries and bookstores afloat. Everyone loves "love" and the story of Betsy and Irv just takes the cake. Betsy Sailor attended Penn State University as a business major, which was almost unheard of in 1978 and Irv Pankey attended the university while playing football. The pair’s paths never crossed, until an unfortunate incident bonded the two forever.

Keep ReadingShow less
@SopheAlice/TikTok

Best way to travel, really.

As they say, “It’s not the destination, it’s the journey.”

This old adage was brought to life in a whole new way after two friends who thought they booked tickets to Budapest, Hungary, instead found themselves heading to Bucharest, Romania.

Just a minor 500-mile difference, but who’s counting?

TikToker @SophAlice posted a video of the pair realizing their mix-up, which went viral and set them off on an impromptu adventure based entirely on the comments they received.
Keep ReadingShow less