In his eyes I think he believes that he is doing good deeds. He might not know the damage he could've caused. But even though he was causing so much harm, people didn't see what he actually was doing. He actually cured some people! In his time he was treated like a hero.
His grandfather was one of the greatest surgeons ever. His grandfather removed the first brain tumor from a living patient. So Freeman thought he was born to be a medical hero. He worked all his life to find a way to cure mental diseases. And so he came up with the idea lobotomy.
What scared most people was that he did his surgeries so much that just for fun, he would do them left handed. Going around the country, surgery after surgery, would take a heavy toll on a human being. People thought that maybe he would soon develop insanity or some other mental disorder. In the last few years of his career, he went around the world and talked to his patients.
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