Our patient Joe has been with us for over 10 years. He came to our Dallas, TX, center, where he was first introduced to his prosthetist Rob. It’s been a great relationship, and Joe is glad to make the 90-minute drive when he needs to be seen, though sometimes he’s able to send in his myoelectric finger device and use his old device  but we’re getting ahead of ourselves.

Joe was a firefighter in his town of Lindale, TX, and was burned in the line of duty. “We were on a fire and the house fell in on top of us. I was severely burned. And so I'm a bilateral hand amputee. I still have parts of my hands, but I don’t have any fingers left. I can pinch with my residual thumb and my palm on my left hand.”

“After my injury, my wife and I, we were totally lost. We had no idea where to go. While we were in the hospital, a representative from Arm Dynamics came by and spoke with my doctor, asked if they thought I would be okay with them talking to me. My doctor said yes, they thought I might be interested, and so they gave me some information and said, when you’re ready, there are options for you. Give us a holler. After a few months, once I was discharged, we got in contact with Rob, and we went from there. The first thing they fit me with were silicone sleeves [Rob and one of the sleeves are pictured below]. Those were to help with my skin, help with scarring and desensitizing. I wore those at night or when I was just watching TV  they also helped protect my sensitive skin.”

Arm Dynamics Prosthetist and Burn patient

“At the same time, Rob and I were working on my actual, functional prosthesis. I was fit with iDigits, just on one side, though [seen in the image at the top of this article]. This is the prosthesis that allowed me more independence and dignity to start working I began teaching for Texas A&M, Texas Engineering Extension Service. I'm what's called an adjunct instructor, so I travel around one of the larger regions in Texas, teaching fire-related, incident command and fire service classes  just last week, I was in Dallas teaching a bunch of police officers. So the prosthesis allows me to do what I need to do, set up my PowerPoints, use the clicker, write and take notes when I need to.

“The device also helps me feel more comfortable and confident. When we’re going out to dinner, I’d rather wear the prosthesis. I’ve noticed that, even when I’m clearly capable of doing the thing I’m doing, people will offer help when I’m not wearing the prosthesis. But if I’m wearing it, the response is less an offer of help and more, ‘Hey, that’s cool.’ People want to know how it works. I live in a small community, so a lot of people know me. It doesn’t bother me when people are curious, though. My wife has been way, way supportive. I mean, I wouldn't be where I am today if it wasn't for her. She pushed me to not be self-conscious of my injuries and to move forward.”

Once Joe had a good idea of how to use his iDigits, he was fit with two activity-specific devices. The terminal devices are created by a company called TAD and allow Joe to do all his own yardwork. "I push mow my yard, I use the weed-eater, the hedge trimmer. I garden, so I use the prostheses to hold my gardening tools, shovels. I can work on furniture.” When we spoke with Joe he was on his way out to West Texas to do some work on his parents’ house, which is now his. “My wife and I, we like to get away for some rest and relaxation, but there’s still work to be done out there.” In addition to those devices, he also has a custom-built device. Rob, his prosthetist, told us: “It’s a custom-made carbon cuff that wraps around an electric grinder and attaches directly to a TAD Palmer N-Abler quick disconnect unit [seen below]. We made this by taking an impression of the grinder and custom making the carbon wrap. It was a fun project!”

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Joe shoveling dirt with his activity-specific prosthesis

Joe is actually on his second iDigits hand now. “Rob says I use my hand more than most people, so I’ve been pretty hard on it. With my new device, getting the battery pack out to charge was way different and more difficult than with the old device, so one of the Arm Dynamics technicians was able to help me with that. On the first iDigits, the power button was large enough for me to use with my residual thumb on my left hand, but on this version, the button is much smaller, so I find that frustrating. And while I do find my new one faster and it's definitely helpful with certain tasks, I will say I wish it was more durable. But the nice thing about being on my second iDigits I can use my old one when I have to ship in my new one for repairs.”

What advice does Joe have for people at the beginning of their prosthetic journey? “Get set up with someone that you trust and that you know well. I have a great relationship with Rob. Rob is really good. The silicone, too that has been an enormous help to me. When I'm teaching new firefighters, I'll wear the prosthetic for eight hours or more. Since my injury, I don't have a lot of fatty tissue on my hands, and the silicone provides some additional cushioning and comfort in those bony areas. And having that in-house therapy, someone teaching you how to use your devices, makes a big difference.”

We’re so glad that Joe followed up on that hospital visit to become one of our patients. Being able to provide him with personalized care that has allowed him to have functional devices for his work and home life has been a pleasure. So much joy comes from seeing our patients use their devices and the photos they show us of how it helps them out.

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Joe: "This is my grandson just realizing my hand is different. He was amazed."

If this kind of personalized care interests you, or you think it could benefit someone you know, please contact us. Each of our prosthetists and occupational therapists are upper limb specialists, and your goals are their goals. 

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