Amputation; Artificial limbs; Orthopedics; Surgery, Military
In a hospital where there were two amputation cases, one through the
lower fourth of the thigh, the other through the middle of the leg,
both agricultural labourers, a distinguished man of letters, actuated
by the best intentions, asked them what they counted on being able to
do after they had been fitted with artificial limbs. The first replied
that he hoped to return to agricultural work, the second that he would
never be able to do that but would look out for a "situation." Our
friend was much surprised to hear us say that he would be ill employed
in using his influence to obtain his desire for the second patient,
because a man with only one leg could work on the land with almost
no diminution of his ordinary capacity, even with the old-fashioned
kneeling peg leg.
As Jean Camus has well said in a recent article in the _Paris
Médical_, "We are beginning to pass beyond the phase when re-education
of the maimed was left to chance. It is felt now that the frivolous
efforts of benefactresses who, acting with the best intentions but
without reflections, are delighted to be able to transform into a
shorthand typist an honest farm labourer who had a strong attachment
to the soil and could quite well return to it, must be avoided. Such
feats are both culpable and absurd."
These fantastic ideas must be got rid of, and all our efforts must be
co-ordinated, the complexity of the conditions to be dealt with being
duly weighed.
Given a maimed man the first care should be to educate to the maximum
all the uninjured and remaining parts. It is too often forgotten that
among the parts remaining the brain plays a leading rôle, even the
chief rôle, not only because it is the organ of "good will" without
which all attempts at re-education are fruitless, but also because
good will being given the intelligent man will succeed better and
will be able to adapt himself to more delicate work. "Physiotherapy
cannot be prescribed," says J. Camus, "as quinine is prescribed. The
malarial patient who takes the latter medicine benefits whether he
wishes to or not. The wounded man who submits each morning to his
mechanotherapeutic treatment does not recover unless he wishes."
Public-domain text, read in full here on John Shaqi.
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