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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In this episode of We’re Not Stumped, Mike Bolland sits down with Meegan Winters, CEO and founder of AbleVu, the innovative accessibility search platform making the world easier to navigate for everyone. Meegan shares her inspiring journey—from special education teacher to tech entrepreneur—and how her friendship with Jessica, a power wheelchair user, sparked her mission to improve accessibility for all. Mike and Meegan explore AbleVu’s evolution from virtual tours to a “TripAdvisor for accessibility,” the business model that empowers contributors, and why accessible information benefits both consumers and businesses. Along the way, Meegan opens up about leaving a stable career, overcoming the challenges of building a startup, and the fulfillment that comes from creating real-world impact. Discover how technology and empathy intersect to make the world more inclusive.
Podcast host Mike Bolland is looking to connect with individuals willing to share their experiences with prosthetists and prosthetic care. If you’ve ever faced challenges with a prosthetist, received a prosthetic that didn’t meet your needs, or discovered a provider who went above and beyond, your story can make a difference. On his show, We’re Not Stumped, Mike engages in open, honest conversations about life with limb loss, prosthetics, and advocacy. His mission is to give a voice to the limb loss community, spotlight real experiences — both the good and the bad — and work toward improving the system for everyone. Mike invites you to be part of this important dialogue, knowing that your insights could help others navigate their own prosthetic journeys with greater confidence and support. 📩 Interested in being a guest? Visit: https://werenotstumped.com/were-not-stumped-limb-loss-podcast-guest-guide/
In this heartfelt and uplifting episode of We’re Not Stumped, host Mike Bolland welcomes Katie Thomas for a conversation filled with honesty, humor, and hard-earned wisdom. Born without her right arm below the elbow, Katie began receiving care at Shriners Hospital in Tampa at age 3 and experimented with various prosthetics throughout her childhood. Over time, she discovered that prosthetics were a helpful tool—but not essential for her to live a full, capable life. Now a devoted parent, Katie opens up about raising her son, who has Witteveen Colk syndrome, a rare genetic disorder. She shares her journey through early intervention services, advocating for genetic testing, and ensuring her child receives the support he needs. Her advice to parents? Trust your instincts, push for answers, and never hesitate to speak up for your child.
