Recently NPR, the Washington Post, and several other news outlets featured a fascinating story about Dagmar Turner, a violinist in the Isle of Wight Symphony Orchestra, who serenaded some doctors at King’s College Hospital in London while they removed her brain tumor. This was not just a grateful patient attempting to entertain her surgical team, however. She had been instructed to play the violin during the operation so that surgeons could ensure that she retained the fine-motor skills in her left hand. After all, it is the left hand that holds down the strings to produce different notes.
Reportedly, Turner’s playlist included Gershwin and Mahler. (It was not clear whether members of the team made any requests.)
But before any surgeon lifted a scalpel or she lifted her bow, the team studied her brain painstakingly for two hours so they knew which nooks and crannies she relied upon to make music. NPR reporter Merrit Kennedy explained that “doctors are now able to map the patient’s brain activity in great detail before the surgery using an imaging technique called functional MRI.” So this was no generic model of the human brain they were consulting; this was a personalized brain mapping.
Apparently this type of craniotomy, during which the patient is awake in order to provide crucial feedback, has been performed for decades. According to Brad Mahon, a cognitive neuroscientist at Carnegie Mellon University, an accountant was once asked to solve a math problem during surgery to make sure those areas were left intact. Usually, however, the patient’s participation is simply answering questions to check language function.
The surgery was deemed successful, as 90% of the tumor was removed, and the fine motor skills in Ms. Turner’s hand were not compromised in any way.
Amazingly enough, Dagmar Turner was not the first musician to play during her own brain surgery. In 2016 a music teacher was given his saxophone under similar circumstances, and in 2018 a professional flutist in Houston played through her surgery and a man in South Africa strummed a guitar during his.
All of this brought to my mind many questions: Could these four musicians perform as a quartet while their respective surgical teams were also working? And how they would manage someone who plays a stand-up bass? Or a pipe organ?