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    Eye contact is such an intimate thing. When you look at me, I realize how close that makes us. Only a meter of distance separates me from you, an… Read More
    Eye contact is such an intimate thing. When you look at me, I realize how close that makes us. Only a meter of distance separates me from you, and yet we share much more than just the shared space. When I look into your eyes, I can see everything that you are. But now, when you look up at me as I slide the shaft of my pick across your sclera, I realize that this is the sensation I had been looking for. This is the kind of eye contact I had been craving. Less than a millimeter of bone separates me from you. When I tap this hammer, I will touch everything that you are. You'll never feel intimacy like this ever again. In a few more taps, I can make sure of that. Read Less
Very little preparation is needed for the operation.

A patient who comes to the clinic after breakfast can, if all goes well, expect to leave by the following afternoon. The operation can be done under general anesthetic, but electro-shock is preferred because of its familiarity to the psychiatrist. The procedure is performed during the stage of post-convulsive coma. Electrodes are applied and the first shock is given, lasting about 40 seconds. When the patient shows signs of returning consciousness, a second convulsion is administered. In general, three successive convulsions are necessary, however a single one may be sufficient for older patients. Meanwhile, in a sturdy young person four or even six convulsions may be administered without danger.

Once the convulsions have subsided, a nurse holds a towel over the nose and mouth of the patient. The operator lifts the upper eyelid and gently inserts the leucotome into the orbital cavity, aiming it parallel with the nasal bridge. He drives the point through the orbital plate, and at a depth of 5 cm swings the handle far in the lateral direction. He then returns the instrument to a slightly oblique position, still parallel with the bony ridge of the nose, and drives it two centimeters further. Steadying the patient’s head, he then moves the handle of the instrument about 20 degrees medially and 30 degrees laterally. In this latter position he strongly elevates the handle of the instrument, often fracturing the orbital plate in the process. He then returns the instrument to the parasagittal plane. It should be noted that the instrument, upon removal, appears completely clean. There should be no damage visible to the patient following the procedure.

At this point, the personality, individuality, and cognitive faculties of the patient will have been completely severed from the rest of the brain, transforming them once again into a productive member of society.

Pressure / March 2015