Limb Salvage vs. Amputation: When Is Saving the Limb Not the Best Outcome?
When should a limb be saved—and when might amputation provide a better quality of life?
On this episode of We’re Not Stumped, Mike Bolland talks with podiatric surgeon Dr. Danny Ghannoum about limb salvage, diabetic foot complications, Charcot neuroarthropathy, bone infections, and the difficult decisions that can lead to lower-limb amputation.
Dr. Ghannoum explains how diabetes, peripheral neuropathy, poor circulation, foot ulcers, and osteomyelitis can put a limb at risk. He also shares complex patient cases that illustrate an important point: saving a limb isn’t always the same as achieving the best outcome for the patient.
The conversation explores advances in limb salvage and reconstructive surgery, including bone fusion techniques, while emphasizing the importance of considering each patient’s lifestyle, goals, and quality of life when making treatment decisions.
Mike and Dr. Ghannoum also discuss patient advocacy and second opinions, with Dr. Ghannoum encouraging patients to take an active role as the “quarterback” of their healthcare team.
Topics include:
- Limb salvage vs. amputation
- Diabetes and amputation risk
- Peripheral neuropathy
- Charcot foot / Charcot neuroarthropathy
- Diabetic foot ulcers and infections
- Osteomyelitis
- Below-the-knee amputation
- Limb reconstruction and fusion
- Patient advocacy and second opinions
- Quality of life when making treatment decisions
We’re Not Stumped shares conversations about limb loss, limb difference, prosthetics, adaptive living, advocacy, and the people working to improve outcomes for the limb loss community.
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Are you thinking about starting your own podcast but not sure where to begin? So many people reach out asking how to get started. And while podcasting isn’t terribly difficult, those first few episodes can feel time-consuming and a bit overwhelming. Here’s an easier way to try it out: 👉 Come guest-host a solo episode of We’re Not Stumped and share your personal story. These are single-person episodes — no guests allowed — giving you the space to speak openly and authentically. Episodes are 10–15 minutes long, making this a simple, low-pressure introduction to podcasting. All you need to do is record on your own device (yes, your phone works great) and tell your story or share insights from your experience. I’ll handle the intro and outro, along with all final edits, to ensure the episode matches the tone and quality of the show.
In this inspiring episode of We’re Not Stumped, host Mike Bolland welcomes Belma Islamovic, a double above-elbow amputee, community advocate, and proud member of the Dallas Amputee Network. Mike and Belma first met at Empower Fest in Arizona, and today she shares her remarkable story of survival, resilience, and hope. Belma recounts: • Surviving a devastating explosion during the Bosnian War • Her long medical journey from Bosnia to Italy and ultimately to the United States • Adapting to life without prosthetics and mastering daily tasks using her feet • The emotional and mental health struggles she overcame through support and therapy • Her connection with the Dallas Amputee Network and the power of community Belma’s story is a powerful reminder of human strength, compassion, and the importance of support networks for amputees and trauma survivors.
Civil rights advocate Marc Fishman joins host Mike Bolland to shed light on a critical but overlooked issue: the routine denial of disability accommodations in America’s family courts. After a devastating car accident left him with long-term disabilities and communication challenges, Marc entered a 49-month legal battle—not just for his parental rights, but for his basic ADA protections. He details how New York courts repeatedly refused accommodations like real-time transcription, the federal ADA victories he secured, and how Tennessee v. Lane shaped his fight for access. Marc also reveals the retaliation he faced from judges and public officials and discusses his successful advocacy during COVID helping disabled tenants obtain rent grants. With recent legislative wins offering hope, Marc emphasizes the urgent need for accountability and reform to protect disabled parents nationwide.
