Awake Brain Surgery –
Awake Neurosurgery.
Personal reflection by Dr. Raphael Machado on performing Awake Brain Surgery within Brazil's Public Health System (SUS).
“We specialize, complete a fellowship, undertake another advanced subspecialization, and move far away—spending long months and years apart from our friends and families to refine our expertise. We learn, develop, and perfect innovative surgical techniques to return more capable.
The patient achieved an excellent outcome: >90% tumor resection without any neurological deficits.
Delivering this level of surgical result within Brazil's public healthcare system, completely free of charge, is simply incredible—it is beyond words. Even with the known technological and material limitations, being able to overcome those hurdles through dedication, passion, and human-centered care brings immeasurable personal and professional fulfillment.”