I have to say that if I found myself in this position I'd probably just want something that allows me the largest freedom of movement. Then again I'm a guy so I don't have quite the same concerns about self appearance that a woman might. Very well written article though. #aimeemullins
Crutches haven't changed in the last 1000 years? Not so! For instance:
1. They did a split upright, allowing a centered horizontal handgrip to be placed between them. Old-old-school crutches just had you grip the shaft, and new-0ld-school crutches just made a handle stick out from the side of the single shaft.
2. They made them from lightweight materials instead of wood.
3. Rubber tips for traction.
4. Adjustable for both height and arm-length.
5. You have to buy them instead of just cutting them out of the closest tree. #freedomleg
Nice read, and specially good to hear an opinnion from someone with the experience.
Brazil is ages behind when it comes to giving very basic support to people with special needs.
I'm currently living in a city which is considered an unique role model only because the buses are equiped with wheelchair elevators... completely disregarding how unfitting the sidewalks are for wheelchairs.
And considering how politicians completely ignore the common people's interest, it's a thousand times harder to make them understand how important it is to invest in other stuff.
I'm not even going to talk about the public health system because it's simply ridiculous.
Also, I lol'd at "leave me alone, I'm with two prostitutes." #aimeemullins
I always wondered about short and long-term impact effects on the end of an amputated limb against the prosthetics, especially the Ossur ones. I remember watching old TV shows and movies of people running marathons and their limbs would bleed and ache, and collect a pool of blood inside the cup of the prosthetic, and I can only imagine the pain they were going through. #aimeemullins
The comments about high heels are curious. I'm a guy, and have no experience wearing them. But I'd always viewed them as (a) modifying height or (b) affecting/drawing attention to calves. I'm not sure how those drivers apply with you. What drives you to wear heels or heels of different heights? #aimeemullins
@AkkiRonin: I would imagine that it still lifts her buttocks, not to mention that high heels can help her feel more feminine. Sure looking like a cyborg is awesome, but sometimes one might just want to blend in to some degree. #aimeemullins
@Toastie: Doubt it affects the bum since that's due to the displacement of bones etc. Might though. Might be the more feminine. I'm asking out of curiosity not recrimination.
I do wear glasses which are basically a primitive eye lens prosthesis. I have one pair and they are pretty plain, but I chose them carefully for how they looked. So clearly yes there's a fashion component to any prosthesis.
Heels specifically got me curious is all. #aimeemullins
My mother works with veterans at a CA VA hospital. The veterans of the current conflict often get a number of different prosthesis, each for a different purpose much like you described. However, veterans who lost limbs during other conflicts do not get the same treatment and are mostly stuck with the "stick with rubber foot / hook" variety of prosthesis. This is apparently purely for political reasons: to make the current conflict less distasteful to the public. Considering our proximity to Veteran's Day, I thought it important to raise awareness of this unjustifiable inequality. #aimeemullins
@The Lab: As a disabled Vet from the current war, I applaud you for pointing this out. I will, however, take issue with the "this is apparently purely for political reasons" statement. Although it's a nice dig, it's for economic reasons.
Tell your mother thank you. And thanks to Aimee for a fantastic article. #aimeemullins
@bluzuner: Good to hear from you, thank you for your service and sacrifice.
I'd like to hear more about why you think this disparity in treatment is based in economics. It seems like a soldier who needs a prosthesis should have the same options, no matter which conflict he / she served in.
My statement that the treatment disparity is based on political considerations is not a dig at the current or former administration, how could it be when both republican and democratic administrations have allowed it to occur? I am just recounting the accepted opinion of the VA medical staff and, after hearing about the issue myself, my own opinion.
I just can't see how it is an economic choice to have one soldier with three or four sets of advanced prosthetic legs while another soldier gets only one basic set because he served in a different conflict.
Again, thanks and I'll pass along your remarks. #aimeemullins
I agree completely with you regarding the disparity between what Vets who served in previous wars have available to them versus those injured in the current conflict.
I'm not sure that the opinion of the VA medical staff counts for much in this instance. I don't mean that in a bad way (to be honest, my care at various VAs has been wonderful). But VAs come in way down the line. Prosthetic decisions are made at Walter Reed by Army doctors. After a year or more, you'll then get to a VA. By that time, you may nave 2 or 3 sets, but the VAs I've been to aren't equipped for making changes to them, and certainly aren't equipped to offer the services Walter Reed has for current patients to older Vets locally.
I'm not sure I should have said that economics were the reason for this. I should have said that bureaucracy is. To take the current prosthetic wing at Walter Reed, make it's services available at VAs nationwide, offer those services to those who fought in previous wars.....well, good luck with that. You and I might think that it's just wrong to offer it only to the current gen, but when it takes literally 2-and-a-half years to just get my retirement payments to me, to ask for them to go out of their way.....well, you get my point. When it comes to military health care, and VA health care, "speedy" and "easy" are words that simply don't mean anything.
I will say it's getting better. But the govt doesn't do anything real fast. Health care for vets is getting better. But other than those that were recently injured, health care isn't getting faster. I don't think I'm making real good sense here. But it simply isn't a political type of decision. It's a "govt bureaucracy" lack of decision. #aimeemullins
@bluzuner: Thanks for taking the time to spell it out. I've hit the level where I have no more first-hand information to contribute so I'm going to defer to your experience.
Oh, one last thing. The VA medical staff is under orders to respond to requests made by veterans of the current conflict in a more urgent fashion than requests made by veterans of other conflicts. I was assuming requests for prosthesis fell under that rubric but it makes sense that they were probably disbursed in the early stages of care at Walter Reed. Needless to say, not all of the staff follows this directive.
The slow bureaucracy is unfortunate and I've heard some staggering numbers about the ratio of mental health profestionals to soldiers. Given the large numbers of soldiers with PTSD and now diagnosable pre-PTSD, it is something to keep an eye on. I don't want to assume anything about your situation but soldiers often wait too long to seek help. Take care of yourself, your health is our legacy. #aimeemullins
What were your first prosthetic legs like, and did you ever draw on them like casts? I just always wondered about a kid's take on prosthetic limbs, with all that imagination surging through them and all #aimeemullins
I am a biomedical engineer, and have always thought of glasses as a prosthetic. Interestingly enough, the more common a prosthetic is, the less the general public is to apply that term (hearing aids, eye glasses, dental restorations).
Of course, as an engineer, I am aware of the market forces that cause the disjoint in perception of some prostheses against others. Glasses are so much more common that it makes sense for such a large industry to spring forth from their use, while limb prostheses are a somewhat more limited field.
There is something to note here, however: while better prostheses should absolutely be covered by insurance, even in the realm of glasses insurance coverage can be very limited (and usually under a rider or additional plan anyway). Even if style choices are available, most insurance coverage is limited to fairly basic style, materials, and features.
This could be an argument about the state of insurance coverage in the US in general. Quality of life is hardly considered, with most insurance giving people just what they need to stay alive. I think many people in medical professions agree, however, that proper improvements to quality of life can lead to lower medical costs in the long run. The "just getting by" attitude of medical funding lacks the long term vision that makes sense when considering procedures that will change lives for decades to come. #aimeemullins
I saw the post on medgadget last week. It looks like a neat idea, but you've got to strap yourself into this rig very tightly. Chafing anyone? It looks fine for walking around, and who likes crutches, anyway, right? Yet, if you have to go between periods of moving around and periods when you're seated or lying down, crutches may be easier. Crutches are also helpful for leverage as you're standing up, moving around while seated, or reaching for things. As much as I like the new-fangled, crutches meet the need, and are simple and cheap. I guess it's nice to have another option to crutches, regardless, though. #freedomleg
@Noobs-R-Us: Your thigh and the rest of your leg are supplied blood by the femoral artery which is deeply buried next to the bone. It takes an incredible amount of pressure to cut off circulation from this artery, much more than you could achieve with this wide cuff. #freedomleg
Looks like the strap would slowly and uncomfortably creep up towards your crotch. Whenever I try that on other people, it always ends poorly. #freedomleg
It definitely looks awkward and uncomfortable, but perhaps less so than a normal crutch and it certainly improves mobility. It is surprising that it has taken so long for anyone to come up with a simple hands-free redesign for the crutch - it's not like this involves space age materials or microprocessors or anything. #freedomleg
@weatherman: I think part of the reason is that crutches are very simple and extremely effective in their current state and there hasn't been much drive to make them better. For what they do, they are cheap and and get the job done. #freedomleg
@PurpleMonkeyDishwasher: certainly true, and they can be made from readily accessible materials so they're great for developing countries. But in places with advanced medical care, like Canada, it seems to me it's a long time coming to find something better. #freedomleg
11/11/09
11/11/09
11/10/09
1. They did a split upright, allowing a centered horizontal handgrip to be placed between them. Old-old-school crutches just had you grip the shaft, and new-0ld-school crutches just made a handle stick out from the side of the single shaft.
2. They made them from lightweight materials instead of wood.
3. Rubber tips for traction.
4. Adjustable for both height and arm-length.
5. You have to buy them instead of just cutting them out of the closest tree. #freedomleg
11/10/09
Brazil is ages behind when it comes to giving very basic support to people with special needs.
I'm currently living in a city which is considered an unique role model only because the buses are equiped with wheelchair elevators... completely disregarding how unfitting the sidewalks are for wheelchairs.
And considering how politicians completely ignore the common people's interest, it's a thousand times harder to make them understand how important it is to invest in other stuff.
I'm not even going to talk about the public health system because it's simply ridiculous.
Also, I lol'd at "leave me alone, I'm with two prostitutes." #aimeemullins
11/10/09
11/10/09
11/10/09
11/10/09
I do wear glasses which are basically a primitive eye lens prosthesis. I have one pair and they are pretty plain, but I chose them carefully for how they looked. So clearly yes there's a fashion component to any prosthesis.
Heels specifically got me curious is all. #aimeemullins
11/10/09
11/10/09
11/10/09
Tell your mother thank you. And thanks to Aimee for a fantastic article. #aimeemullins
11/10/09
I'd like to hear more about why you think this disparity in treatment is based in economics. It seems like a soldier who needs a prosthesis should have the same options, no matter which conflict he / she served in.
My statement that the treatment disparity is based on political considerations is not a dig at the current or former administration, how could it be when both republican and democratic administrations have allowed it to occur? I am just recounting the accepted opinion of the VA medical staff and, after hearing about the issue myself, my own opinion.
I just can't see how it is an economic choice to have one soldier with three or four sets of advanced prosthetic legs while another soldier gets only one basic set because he served in a different conflict.
Again, thanks and I'll pass along your remarks. #aimeemullins
11/10/09
I agree completely with you regarding the disparity between what Vets who served in previous wars have available to them versus those injured in the current conflict.
I'm not sure that the opinion of the VA medical staff counts for much in this instance. I don't mean that in a bad way (to be honest, my care at various VAs has been wonderful). But VAs come in way down the line. Prosthetic decisions are made at Walter Reed by Army doctors. After a year or more, you'll then get to a VA. By that time, you may nave 2 or 3 sets, but the VAs I've been to aren't equipped for making changes to them, and certainly aren't equipped to offer the services Walter Reed has for current patients to older Vets locally.
I'm not sure I should have said that economics were the reason for this. I should have said that bureaucracy is. To take the current prosthetic wing at Walter Reed, make it's services available at VAs nationwide, offer those services to those who fought in previous wars.....well, good luck with that. You and I might think that it's just wrong to offer it only to the current gen, but when it takes literally 2-and-a-half years to just get my retirement payments to me, to ask for them to go out of their way.....well, you get my point. When it comes to military health care, and VA health care, "speedy" and "easy" are words that simply don't mean anything.
I will say it's getting better. But the govt doesn't do anything real fast. Health care for vets is getting better. But other than those that were recently injured, health care isn't getting faster. I don't think I'm making real good sense here. But it simply isn't a political type of decision. It's a "govt bureaucracy" lack of decision. #aimeemullins
11/10/09
Oh, one last thing. The VA medical staff is under orders to respond to requests made by veterans of the current conflict in a more urgent fashion than requests made by veterans of other conflicts. I was assuming requests for prosthesis fell under that rubric but it makes sense that they were probably disbursed in the early stages of care at Walter Reed. Needless to say, not all of the staff follows this directive.
The slow bureaucracy is unfortunate and I've heard some staggering numbers about the ratio of mental health profestionals to soldiers. Given the large numbers of soldiers with PTSD and now diagnosable pre-PTSD, it is something to keep an eye on. I don't want to assume anything about your situation but soldiers often wait too long to seek help. Take care of yourself, your health is our legacy. #aimeemullins
11/10/09
11/10/09
Of course, as an engineer, I am aware of the market forces that cause the disjoint in perception of some prostheses against others. Glasses are so much more common that it makes sense for such a large industry to spring forth from their use, while limb prostheses are a somewhat more limited field.
There is something to note here, however: while better prostheses should absolutely be covered by insurance, even in the realm of glasses insurance coverage can be very limited (and usually under a rider or additional plan anyway). Even if style choices are available, most insurance coverage is limited to fairly basic style, materials, and features.
This could be an argument about the state of insurance coverage in the US in general. Quality of life is hardly considered, with most insurance giving people just what they need to stay alive. I think many people in medical professions agree, however, that proper improvements to quality of life can lead to lower medical costs in the long run. The "just getting by" attitude of medical funding lacks the long term vision that makes sense when considering procedures that will change lives for decades to come. #aimeemullins
11/10/09
11/10/09
Seriously though, this thing will cut off the circulation in your thigh no? Your foot will slowly die, rot and fall off.
11/10/09
11/10/09
11/10/09
11/10/09
11/10/09
11/10/09
11/10/09
11/10/09
11/10/09