Also, I don't think it's that far-fetched. He's been struggling with it, evidenced by forgetting he's picked up his pension, writing things on his hands, crashing his truck, etc. He's been struggling to hold it together, struggling to keep it hidden and retain some semblance of his old self. His last shred of identity is his skill as a magician, but when he messes up the trick at the party, it hits him so hard he breaks. I think at that point, he gives up or is too heart-broken to continue fighting and that's why he goes downhill so rapidly.
I knew an old guy with early-stage dementia, diabetes, cancer, partial blindness, and he was the sprightliest, healthiest old guy you'd ever met. Then one day he fell over and broke his hip - within two days, he had no idea who anybody was, and a couple of days later he was dead. It seems to me you can 'rage, rage against the dying of the light' all you want, but a shock to the system can bring it all crashing down. For Clarence, that shock was the guillotine trick, and from that moment, he was finished.
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