It was very important. He had been waiting,  for quite a while, to have a knee surgery and that was the letter of the famous surgery-bank checks. When a person is waiting for a long time, they get a bank check and with that bank check  they can have that surgery in the private sector.
Era muito importante. Ele estava já há algum tempo à espera de fazer uma operação ao joelho, e aquilo era a carta dos famosos cheques-cirurgia. Quando a pessoa está muito tempo à espera, recebe um cheque,