Seeking a faster and less invasive way to perform the procedure, Freeman adopted Amarro Fiamberti's transorbital lobotomy and began to perfect it, initially by using ice picks hammered into each frontal lobe through the back of each eye socket ("ice pick lobotomy"). Freeman was able to perform these very quickly, outside of an operating room, and without a surgeon. For his first transorbital lobotomies, Freeman used an actual icepick from his kitchen
Unfortunately, along with their madness, they lost their personalities. Freeman fell from institutional favor in the mid-1950s, when long-term studies began to reveal his technique’s failings and drugs like Thorazine came to market. In response he moved his practice west and began to operate on new kinds of patients: discontented housewives, for example, and unruly children. One was four years old.
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