What the heck?

He's getting a lobotomy?  That seems to have come out of nowhere.  No wonder he never uses his name - I think he's forgotten who he is!  He is probably becoming invisible to himself first and then the rest of the world - crazy stuff going on here!  Almost halfway through the book now - Dr. Pressman told us that the literal middle of the book is wehre something big usually happens - this should be good!