Her leg in the dumpster

From a few years ago,
my move back to Seattle

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Prepping for the move is a lot of work, and it’s sad to be packing memories, or giving them to charity, or sometimes, unavoidably, tossing memories into the dumpster.

Here’s an exception, though — a memory I’m delighted to put out with the rubbish. If Stephanie was here, she’d want to watch and applaud, and toast it with a glass of champagne. I’ve just carried Stephanie’s prosthetic leg to the dumpster, and snapped a picture of it, because maybe, wherever she is, Steph definitely has internet access.

It was 2015. Her left leg was infected, and the doctors had tried antibiotics, then stronger meds, but the infection had started eating the bone. The experts said that if she didn’t have the leg chopped off, the infection would kill her, so she signed up for the surgery.

The doctors were very reassuring, though, telling Steph that she’d soon be happily walking around on a nifty new prosthetic leg.

After the surgery, she waited impatiently for months, because they can’t start the process of measuring and fitting you for a fake leg until the swelling subsides in the stump that’s left over — and yes, actually, ‘stump’ is the medically-approved term. 

Eventually, Stephanie was referred for measurement at Hanger Clinics, the nation’s leading chain of prosthetics-makers. We were so optimistic.

Her appointment was first thing in the morning, and we didn’t understand how stupid that was until Googling it, perhaps a year later:

Your legs tend to expand as the day goes on. Grab a tape measure and check: whatever the circumference of your leg first thing in the morning, it’ll be a quarter-inch bigger by mid-day. That’s because blood tends to pool in your lower extremities as you sit and walk, and guess what? It’s more pronounced if you have kidney problems or you’re overweight — and Steph had kidney problems and was overweight.

We didn’t know anything about this, of course. We weren’t experts on hos legs tend to swell, but you’d think people in the business of making prosthetics would know.

Hanger Clinics didn’t know, or didn’t care.

When the prosthetic was delivered, Stephanie walked on it, in physical therapy sessions at Hanger, and in practice sessions at home. I accompanied her down the hall and back hundreds of times, and up and down the steps in front of our not-wheelchair-accessible apartment.

And it hurt. She couldn’t practice-walk for long, because wearing the leg was painful at first, and extremely painful after half an hour or so. When she complained to Hanger, they took the fake leg into the back room, (said they’d) disassembled and tweaked something inside, and she tried it on again, but she couldn’t feel the difference. Or she’d feel the difference, but it would only be uncomfortable in a slightly different way. 

She continued trying to walk on this misfit prosthetic, sometimes to the point that it made her stump bleed. She wanted to have Hanger re-measure and re-build it, but they refused. She wanted to raise holy hell about it, sue them if they wouldn’t fix it, but she didn’t want me raising hell on her behalf — she wanted to be the hellraiser herself.

She was having other health issues at the same time, though, and also she was in the midst a long-running feud with the administrators at her dialysis center (a story I haven’t told yet, but for today suffice to say, they were bastards).

Eventually Stephanie settled into her wheelchair, and stopped trying to walk on the fake leg that didn’t fit. The prosthetic gathered dust, and demanding repairs or replacement from Hanger Clinics was filed under “When everything else settles down.” Of course, everything else never settled down, and she died, never having walked again.

Hanger completely and absolutely screwed her on that leg. But it was very profitable for them. When she signed the receipt for it — insurance paid 100%, but still, you couldn’t miss the bottom line — it cost over $15,000.

♦ ♦ ♦

If you’re reading this, Steph, here’s an update: The bullshit involving your fake leg continues to this day. I don’t want the damned thing, but I thought it might fit someone, somewhere. Well, guess what?

It’s illegal to sell or give away prosthetics. Why? My guess is, so no-one who needs a fake limb has a lower-priced option than spending $15,000 at Hanger Clinics.

Let me explain: Everything about the prosthetic is mass-produced. It’s plastic or rubber over a metal frame, but it’s not sculpted by hand or anything. And the prosthetic never directly touches the wearer’s stump; there’s padding and special socks between rubber and skin. Wipe the fake leg with alcohol, and it’s sanitized. It could be a life-changer for anyone who’s had a below-the-knee left-leg amputation — but that’s forbidden by law.

There are several charities that claim to recycle used prosthetics — Hope to Walk, Limbs for Life Foundation, Standing with Hope… Their PR says they’ll accept donated prosthetics, disassemble them to retrieve the complainants inside, and build artificial limbs for the injured in the third world. Near as I can ascertain, those charities are bullshit, too — I reached out to all the above, and got no response. Reached out a second time to all three, and again got no response.

For a few minutes this morning, I fantasized about taking this leg back to the local Hanger office and chucking it through their plate glass window. But there’s probably a serial-number inside that would lead right back to Stephanie & me.

And so today, all the bullshit ends. Stephanie’s completely useless, $15,000, blood-gouging prosthetic leg is now in the dumpster of our apartment building. Can’t afford champagne, Steph, but I’m toasting the end of it with a Cherry Coke.

2/27/2022
Republished 5/9/2025

itsdougholland.com
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2 responses to “Her leg in the dumpster”

  1. Zeke Krahlin Avatar

    “Inferior health care for the inferior poor.” The American Way…a close cousin of the Nazi Way.

  2. Doug Holland Avatar

    Some folks can’t see a doctor at all — no money, no talent for jumping through charity hoops. Almost everyone else sees a doctor who might be competent, might not, for ten-minute appointments and hopes insurance pays. The very rich pick their doctors, pay their doctors, and tell their doctors what time the appointment will be. We know nothing of that health care system, except that it’s able to keep a fat Big Mac eater like Trump healthy into his 80s.

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