From what I understand and saw on TV, there's no pain and he would be able to even converse w/the doctors while the surgery was in progress. Surgery certainly has come a long way, hasn't it? When I had my brain surgery in the Dark Ages (1951 LOL), they drilled a hole in the base of my skull and bled me, much like medieval times, w/the hope that pressure on my brain would be relieved. Instead, it paralyzed the left side of my body. (I've since recovered, thankfully.) Ted Kennedy made the brave and right decision to have this surgery. Who knows how long it may have extended his life. I know what you mean, though. It's scary to think that the doctors are in there, gettin' busy w/my brain, while I'm wide awake!
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