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In a nut shell? Howard was a brat. Lou was the evil stepmother. Howards father would do anything for his wife Lou, even though that included having a labotomy on his son.

The most interesting part was going through the old medical record notes. But it read like a child had written it (perhaps a side effect of a labotomy, but something they sort of skim over). It would have been more interesting if there was some interaction with what the effects of a labotomy actually are.