One Flew Over the Cuckoo's Nest

Question from Chapter 19

What happens to Sefelt at the beginning of the chapter? Why does this happen and why does Sefelt insist on doing what he does?

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Sefelt, an epileptic, has a seizure during lunch because he refuses to take his medication. Sefelt has been giving his medication to Frederickson. McMurphy asks Frederickson why Sefelt refuses to take his medicine, Dilantin, and he answers that Dilantin makes one’s gums rot. The choice is between having his gums rot or having seizures. One of the boys removes two of Sefelt’s teeth as Scanlon mentions, “damned if you do and damned if you don’t.”