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Expat Krishna Prasad Rao tells doctors his life story while undergoing extremely rare surgery
In the rarest of cases, doctors heard a patient tell his life story during a complex awake craniotomy or awake brain surgery for up to four hours.
The operating theatre at Musaffah Lifecare Hospital has witnessed more thrills, emotions and joy than any Bollywood pot.
“I was born in a village near Kathmandu, an ordinary place, and I come from a very humble family. Thinking of my childhood, I always think of the face of my grandfather, who took me to many places…”
This is how the life story of Krishna Prasad Rao, an Abu Dhabi expat from Nepal, unfolded in the operating room. Doctors and nurses listened to Rao as they removed a tumor from his brain, and the 38-year-old enthusiastically shared his lifelong success story. Finally, he thanked the UAE for realizing his dream and offering an ordinary man from a backward village in Kathmandu the opportunity to become the manager of a fast food chain in Abu Dhabi.
The unique “storytelling” was performed as part of an awake craniotomy after the diagnosis of large lesions in the left motor cortex and Broca’s area (the part of the brain responsible for speech and motor skills). Because the tumor was located in a functional area of ​​the brain, doctors recommended an awake craniotomy.
The medical team wanted to keep communicating with Rao throughout the process, closely watching his brain function and suggesting some tasks for him. Rao chose to tell a story, a task that also made the process a unique experience for the team.
Awake craniotomy is rare, according to Dr. Veera Ravi Kumar, a neurosurgeon at LLH Hospital in Mussafah.
“Surgery on speech and motor areas of the brain is challenging. In this case, because the tumor is located in such a critical area, removing it under general anesthesia could lead to permanent neurological deficits such as hemiplegia (one side paralysis) and aphasia (difficulty in language). So we decided to perform awake brain surgery under neuromonitoring and brain mapping to remove the tumor,” Dr Kumar told Khaleej Times.
“Krishna Prasad’s life story is very inspiring and it was a first experience for me to hear such a story during the surgery. He shared his life experiences and how the UAE contributed to his dream. It was heartening .Hearing how the struggle leads to happiness makes our day.”
“Start with a headache”
Rao, who has lived in the UAE for 12 years, first noticed in May that he could not speak fluently. When his speech became difficult, accompanied by headaches and seizures, Rao decided to seek medical attention.
He visited Dr. Kumar and his investigation revealed a large lesion. The surgery was performed at Lifecare Hospital. It is led by Dr. Kumar from LLH Hospital and V Ratnakar, another neurosurgeon from Lifecare Hospital. Anesthesiologist Dr. Bhavesh Kumar leads the anesthesia team.
“I remember getting on the operating table. I was a little scared, but once the surgery started, I felt comfortable. It was like I didn’t know the surgery was going on. I’m so excited to share my life story. You listened carefully. My story Similar to other foreigners from humble backgrounds.
“I come from a small village and used to walk 3km to go to school. I wanted to earn more money and improve my lifestyle. Coming to the UAE was a turning point in my life. A man from a backward village became a manager today.”
“This country has fulfilled many of my dreams and inspired me to dream further. The opportunity to reminisce about my life journey in the operating room was unexpected. The doctors and nurses asked me a few questions which allowed me to dive into the details and get involved ,” Rao recalled.
brain map completed
Since patient cooperation is a prerequisite for such cutting-edge surgery, the medical team evaluated Rao as a good candidate for the operation.
The doctor reassured Rao that he would not feel any pain from the blockage of the scalp and the anesthesia, which reassured him. They explained to him how the surgery would allow them to test his brain function. With the support of the anaesthetist, Rao remained calm and anxiety-free during the procedure.
With brain mapping, important areas of the brain can be identified and monitored during surgery.
“When we stimulate an area and there is the slightest change in the patient’s speech or cognition, we can identify it and avoid areas that impair the patient’s neurological function,” Dr. Ratnakar said.
During the procedure, doctors mapped the brain stimulation and changed the surgical path after noticing speech or movement disturbances. They removed the tumor and successfully completed the operation. They protect key fibers of the brain that pass through this area and prevent damage.
Rao recovered well from surgery and his speech improved immediately.
“I feel so happy. I can speak better. My family comes to see me every day. They are happy to see that I am doing well. I am looking forward to a full recovery and returning to work,” Rao said, adding Said he was grateful to the doctors who gave him the confidence to undergo such a difficult operation.
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