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.
Listen on Apple Podcasts
Watch on YouTube
Listen on Spotify
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.
Today, I’m honored to sit down once again with Brooke Brown — an “ink weaver of life, faith, and fiction,” an honors graduate of ASU’s Walter Cronkite School of Journalism, Ms. Wheelchair Arizona 2022, and founder of Brooke’s Butterfly Touch, a ministry that helps individuals discover the power and purpose of their own stories. Brooke is also the author of Rolling in Grace: Volume 1 — A Foundation of Faith and Imagination, now available in audio format. Having read it myself, I can promise you: it’s full of relatable, uplifting, and beautifully practical stories. Living with cerebral palsy and using an augmentative communication app, Brooke demonstrates that every voice — every single one — can inspire hope, healing, and opportunity. This is her second appearance on the show, so after watching, don’t forget to visit WereNotStumped.com to catch her first episode.
In this inspiring episode of We’re Not Stumped, host Mike Bolland sits down with Caitlin Conner, founder of Be More Adaptive, to explore how she’s building a global hub for disability resources designed to empower people with disabilities to live fulfilling, confident, and sustainable lives. Caitlin shares her powerful journey — from surviving a life-changing motorcycle accident while pregnant to becoming a Paralympic-level athlete, model, and outspoken disability advocate. She talks candidly about adapting to life as an amputee, the importance of self-advocacy, and how adaptive sports helped her rebuild her identity, purpose, and strength.
