Friday, February 28, 2014

Trust Me, I'm a Doctor!


So for today, we are going to talk about lobotomies, I’m sure pretty much everyone has heard about lobotomies, and even some of you might be able to tell someone what a lobotomy is. For those of you who don’t, a lobotomy is a surgical disconnection of the prefrontal cortex to the brain, when the doctors performed this surgery, they’d damage the prefrontal cortex or cut of its connections from the rest of the brain. First a little history on lobotomies, they were first officially introduced into the world by Antonio Egas Moniz in 1935, at that time they were called leucotomy. The process of performing lobotomies was created with good intentions, doctors noticed that when laboratory primates had damage done to their prefrontal cortex, they became tamer without having impaired coordination or sensations. So doctors thought, if it worked on a monkey, it should work on a human. So they started off by preforming these lobotomies on people with severe psychological disorders, people who at the time didn’t have much in the way of treatment for what was wrong with them.  Then as the process of doing a lobotomy grew more notice and doctors/physicians started doing it more often, lobotomies started being used for other, less severe disorders, like depression and by the late 1940’s and early 1950’s about 40,000 surgeries were performed. One doctor who gained much recognition in performing these procedures was Walter Freeman, who created the transorbital lobotomy. For a lobotomy to work, holes would have to be drilled into a patients scalp in an operating room by trained neurosurgeons, but Freeman felt that these types of surgeries couldn’t be performed on the people who needed them most, people in state mental hospitals, where there were no operating rooms, surgeons or anesthesia. So he came up with a new method were, instead of drilling holes in the scalp, they would approach the frontal lobe through the eyes. So the new “transorbital” lobotomy was born, where the surgeons would take a thing surgical instrument and place it under the eyelid and against the top of the eye socket, and then with a mallet they would drive the instrument into the brain to severe the connections (its all much more technical than this).  Common consequences of this surgery were, apathy, a loss of the ability to plan and take initiative, memory disorders, distractibility, and a loss of emotional expressions. They also lost their social inhibitions and ignored the rules of polite civilized conduct. So tell me what you think, do you think the idea of lobotomies was a good thing? Why not?

 P.S I saw a video once about this hospital where lobotomies where performed, and one lady talked about her experience getting one, and how after the surgery happened she forgot, I believe half her life.
 
(A little video on Walter Freeman, a well known "Lobotomist")

2 comments:

  1. This is just a painful procedure for anyone to go through, when I was reading your description about the procedure of a lobotomy blog and saw the video I was repulsed. I cannot believe that some people had the idea that this procedure was ethical and that Freeman continued to do more. I found it offensive when I found out that this icepick procedure was not even done in a hospital, it was done in his office. If it were me I would like to have all the medical equipment near me in case something would happen.

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  2. Finally! Something I find absolutely fascinating! I don't know of any cases like this down here, which is unfortunate (not that I WANT someone to have had a lobotomy, but I think it would be interesting if someone down here would've) but up North...man...it's crazy. I think it's interesting that after over 2k lobotomies only one patient died. It makes me question if he did something different or got cocky in some manner and got sloppy...or what? What was different about this case that ultimately drove Dr. Freeman into retirement? And the fact that Dr. Freeman preformed the procedure without a word really says something about his character. He was detached from his patients, but needed them to make a living...perhaps he needed a lobotomy himself.

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