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

Photo by National Cancer Institute on Unsplash

"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."

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Gen Z is anything but lazy — they’re smart, strategic and eager to launch their careers

Here’s how to help them find their path amid a swiftly changing career landscape.

Photo by Eliott Reyna on Unsplash

Gen Z is navigating a career landscape unlike any other.

True

Every adult generation has its version of a “kids these days” lament, labeling the up-and-coming generation as less resilient or hardworking compared to their own youth. But Gen Z—currently middle school age through young adulthood—is challenging that notion with their career readiness.

Take Abigail Sanders, an 18-year-old college graduate. Thanks to a dual enrollment program with her online school, she actually earned her bachelor’s degree before her high school diploma. Now she’s in medical school at Bastyr University in Washington state, on track to become a doctor by age 22.

a family of 6 at a graduation with two graduates All four of the Sanders kids have utilized Connections Academy to prepare for their futures.

Abigail’s twin sister, Chloe, also did dual enrollment in high school to earn her associate’s in business and is on an early college graduation path to become a vet tech.

Maeson Frymire dreams of becoming a paramedic. He got his EMT certification in high school and fought fires in New Mexico after graduation. Now he’s working towards becoming an advanced certified EMT and has carved his career path towards flight paramedicine.

Sidny Szybnski spends her summers helping run her family’s log cabin resort on Priest Lake in Idaho. She's taken business and finance courses in high school and hopes to be the third generation to run the resort after attending college.

log cabin resort on edge of forest After college, Sidny Szybnski hopes to run her family's resort in Priest Lake, Idaho.

Each of these learners has attended Connections Academy , tuition-free online public schools available in 29 states across the U.S., to not only get ready for college but to dive straight into college coursework and get a head start on career training as well. These students are prime examples of how Gen Zers are navigating the career prep landscape, finding their passions, figuring out their paths and making sure they’re prepared for an ever-changing job market.

Lorna Bryant, the Head of Career Education for Connections Academy’s online school program, says that Gen Z has access to a vast array of career-prep tools that previous generations didn’t have, largely thanks to the internet.

“Twenty to 30 years ago, young people largely relied on what adults told them about careers and how to get there,” Bryant tells Upworthy. “Today, teens have a lot more agency. With technology and social media, they have access to so much information about jobs, employers and training. With a tap on their phones, they can hear directly from people who are in the jobs they may be interested in. Corporate websites and social media accounts outline an organization’s mission, vision and values—which are especially important for Gen Z.”

Research shows over 75% of high schoolers want to focus on skills that will prepare them for in-demand jobs. However, not all teens know what the options are or where to find them. Having your future wide open can be overwhelming, and young people might be afraid of making a wrong choice that will impact their whole lives.

Bryant emphasizes that optimism and enthusiasm from parents can help a lot, in addition to communicating that nothing's carved in stone—kids can change paths if they find themselves on one that isn’t a good fit.

Dr. Bryant and student video meeting Dr. Bryant meeting with a student

“I think the most important thing to communicate to teens is that they have more options than ever to pursue a career,” she says. “A two- or four-year college continues to be an incredibly valuable and popular route, but the pathways to a rewarding career have changed so much in the past decade. Today, career planning conversations include options like taking college credit while still in high school or earning a career credential or certificate before high school graduation. There are other options like the ‘ships’—internships, mentorships, apprenticeships—that can connect teens to college, careers, and employers who may offer on-the-job training or even pay for employees to go to college.”

Parents can also help kids develop “durable skills”—sometimes called “soft” or “human” skills—such as communication, leadership, collaboration, empathy and grit. Bryant says durable skills are incredibly valuable because they are attractive to employers and colleges and transfer across industries and jobs. A worldwide Pearson survey found that those skills are some of the most sought after by employers.

“The good news is that teens are likely to be already developing these skills,” says Bryant. Volunteering, having a part-time job, joining or captaining a team sport can build durable skills in a way that can also be highlighted on college and job applications.

Young people are navigating a fast-changing world, and the qualities, skills and tools they need to succeed may not always be familiar to their parents and grandparents. But Gen Z is showing that when they have a good grasp of the options and opportunities, they’re ready to embark on their career paths, wherever they may lead.

Learn more about Connections Academy here and Connections’ new college and career prep initiative here .

Woman shares 5 questions to ask potential employers and people are taking notes

"Being in both senior leadership and directly involved in candidate recruitment, these questions are fire. 10/10 recommend."

KyyahAbdul/TikTok

TikTok creator gives people 5 questions to ask potential employers.

You know the end of the interview where they ask, "Do you have any questions for us?" It's a dreaded question for a lot of people. Even though you know it's coming, the question still catches you off guard and you wind up asking something possibly irrelevant or nothing at all. Then the whole ride home, approximately fifteen questions pop into your head.

But don't you fret, because TikTok creator Kyyah Abdul has a list of five questions to keep tucked in your brain's pocket to close out an interview. And folks in the comments are applauding the creator's ability to figure out if the company is a fit for you and clarify any concerns the interviewer may have. Her advice was so genius that even a person who is involved in candidate recruitment chimed in saying, "Being in both senior leadership and directly involved in candidate recruitment, these questions are fire. 10/10 recommend."

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