Those subjects not having deconstruction surgery have had their frontal lobotomy performed often times while sleeping, with the aid of a local anesthetic of course.  This procedure gives easier access for future upgrades to the minds eye and brain stem manipulation.  Speech is the only function lost in this procedure so the mouth is sewn shut and a "Vocalator Collar" is permantly affixed.  Although unsure of  which  subjects of the M.D.M.I  were successfully released back into society, it remains a common practice in some underground arenas to test the limits of deconstruction surgery and thresholds of pain on the future Dominatriarchs of rythm, percussion and vocalization.
MDMI