Castro alive still? Really?

A Spanish surgeon who has just examined Cuban leader Fidel Castro said on Tuesday he is making a good recovery from intestinal surgery, does not have cancer, and could return to governing his country.

Wait a minute here.
I thought Cuban Doctors were like "the best in the world".
WTF do you need to fly in a Spanish Surgeon for?

"His physical activity is excellent, his intellectual activity intact, I'd say fantastic, he's recovering from his previous operation," Sabrido, head of surgery at Madrid's Gregorio Maranon public hospital, told a news conference after returning from Cuba.

His intellectual activity? I always just thought he was a malicious psychopathic bastard? So he is formulating thoughts properly too? I also didn't know that gastric surgery effects the brain? Hmmmm...