fbpx

Clinician Spotlight: Patrick Kelley of Oakland O&P

The main draw of this industry is being able to get somebody up and walking again after they’ve had some sort of traumatic experience in their life.  Whether it be lower limb loss due to trauma or a disease, an ability is taken away from them. I like the sense of giving that back to patients.

 

Patrick, on the right, in front of Oakland O&P.

In 2002, I was fresh out of the military off of active duty Marine Corps and looking for a career that would be interesting and challenging. After making some phone calls, I ended up shadowing an orthotics and prosthetics company. From there, I started learning the industry from the fabrication side while working in the lab.  Eventually I ended up going to Northwestern, first for orthotics and then for prosthetics. Ultimately, I decided prosthetics was the way to go.

The main draw of this industry is being able to get somebody up and walking again after they’ve had some sort of traumatic experience in their life.  Whether it be lower limb loss due to trauma or a disease, an ability is taken away from them. I like the sense of giving that back to patients. Oakland Orthopedic Appliances is opening a new office location, which will allow for more patients to be reached.  We are aiming to target patient populations as needed, and up north is an underserved area.

Once patients are in the office, a lot of initial encounters really serve to lay groundwork for an ongoing relationship in addition to the assessment of the current clinical situation.  It’s worthwhile to get to know the patient, what their goals are for the future, how they see themselves as a prosthetic user. Really understanding how realistic the patient’s goals are and managing expectations while doing everything possible to get them there is so important.  In the prosthetics industry, your patients aren’t one time patients–you’re building a pretty intimate and long-lasting relationship together. That relationship is crucial in order to properly advocate for the patient’s needs. There’s a lot of conversations that need to be had in order to figure out what patient and practitioner feel would result in the optimal outcome, from choosing socket type to selecting the suspension and components.  

For the patients I’ve fit with LIM’s Infinite Sockets, I’ve been very happy with the outcomes.  I’ve had a great experience working with LIM from the beginning, and was a huge fan of the Infinite TF from the get-go.  Then there’s the transtibial socket which went through a redesign, and it has been vastly improved. It’s more aesthetically pleasing and less bulky; I have a few patients now on the new design who really love it.  The Infinite Socket is a great option to provide in our area and makes us stand out as providing a niche service. I can stand by the product. In general, technology in the prosthetics industry has advanced so much.  There’s new devices coming out every month to do different things or do to optimize current functions. The socket technologies and new materials being explored have incredible potential. LIM has been a part of that growth and is doing innovative design work.  

Premier Partner Q&A: Anthony Tufano of Mutual Orthopedics

Anthony Tufano, CP, is the president of Mutual Orthopedics.  He strives to achieve an optimal outcome for every individual patient by combining new technologies with the traditions that have made his long-standing practice a success.

 

Infinite Socket, Mutual Orthopedics
Mutual Orthopedics CP Anthony Tufano with Infinite Socket TF patient

What brought you into the Orthotics and Prosthetics industry?

My practice is third generation.  First was my great-uncle in 1957, then my father, and now myself.  What is now Mutual Orthopedics was officially founded by my father in 1978, and I took over in 2002.  It is one of the oldest companies in the Long Island area. Some of our patients have been with us for forty years.  We have expanded to two offices, one in Brooklyn and one in Long Island, with a sizable prosthetics and orthotics laboratory at the Long Island location.

 

How have you seen the industry change over the course of your career in prosthetics?

The uptake in technology alone has changed the way we practice.  Today, we have access to a whole slew of technology that we did not have previously. We as prosthetists can make people much more comfortable than we could years ago. A while ago, everyone had a standard prosthesis.  That was the challenge back then. It was a lot easier to run the business before, but the technology wasn’t there. Currently, the struggles of operating a practice are related to the changing environment of health care, rather than technological limitations.  Prosthetists are now better able to understand patient needs and fulfill many more of their dreams due to those advancements. As a prosthetist, you want to make your patients more comfortable than they were when they came in. You want them to be able to do things they haven’t been able to do before and to maximize the potential that they have.  The best thing for me to see is a patient coming back after they’ve gotten their prosthesis with parts worn out because they’ve been using it so much.

 

Mutual Orthopedics, Infinite Socket TT-S
Mutual Orthopedics CP Anthony Tufano with Infinite Socket TT-S patient

Can you describe the working relationship you’ve had with LIM Innovations?

I have a long-standing patient who has been with Mutual Orthopedics since the 80s.  About three years ago, he came to me wanting to be fit with the Infinite Socket. After meeting with Geoff, a representative from LIM, we set the process in motion and got the patient fitted. The Infinite Socket is fun to fit, and getting it just right for the patient is a great experience.  Once the fit is flawless, it’s a slam dunk. The appeal of working with LIM is they evolve with you and listen to the input of the prosthetist. It is a collaborative process. Like any product, it has the occasional pitfall now and then, but LIM works efficiently with the clinician to find the optimal resolution.

What would you say are the benefits of the Infinite Socket versus a conventional socket?

In my opinion, the beauty of the Infinite Socket is the adjustability.  It allows for the socket to evolve on a continuous basis along with the patient’s residual limb.  I can get patients to the next level of comfort by tweaking and adjusting to accommodate fluctuations in volume.  The comfort of sitting that the Infinite Socket provides is a huge factor for patients as well. The flexible struts are a draw as well; having something that isn’t rigid when a patient is ambulating on it is a big deal. The Infinite Socket permits a dynamic fitting as opposed to a static one. I love the product.

 

Two Years on the Infinite Socket TT

Most don’t recall the date that they received their latest socket. But when the socket you receive changes your life drastically, it becomes a date easy to remember. On May 20, 2016, Jim Demas received his Infinite Socket™ TT and his life changed. With Jim’s permission we are sharing the letter he wrote to commemorate his socket anniversary.


 

“It is impossible to count the number of times I have thanked all of you for the enormous improvements afforded me by this remarkable prosthetic technology you developed.  Furthermore, you are wonderful people whom I truly like and I dearly value.

The Infinite Socket™ TT has allowed me to live my life again.  Whether business or pleasure is involved, I live so much more like I did before my BKA in April 2015.  Case in point, in just this last month alone I was able to pursue more of my hobby of motorsports photography as I returned to shoot the Long Beach Grand Prix. Two weeks ago I shot the Ferrari Challenge at Laguna Seca and spent yesterday at Laguna shooting another event.  All these events require huge amounts of walking and standing under challenging conditions to shoot from the desired vantage points.

As I was traversing the track yesterday and proceeding up a very steep hill to the turn called the Corkscrew, I thought about our 2nd anniversary coming up and how I would not be able to do this without LIM Innovations® and my Infinite Socket™ TT. Three years ago, when I tried doing this with a conventional socket, I had incredible bruising of my leg which landed me in a wheelchair and unable to walk for three weeks! The difference I have experienced with the TT is profound and real. Even though I recognize that there are still very distinct moments where I really must stop myself and not take things for granted, I think about just how incredibly lucky I am to have crossed paths with all of you at LIM and the Infinite Socket™ TT.

Your hard work and dedication have made my improvement possible.  LIM Innovations® and the Infinite Socket™ TT are among the best decisions I have made in my life.

Mere words seem so inadequate at times in life… but from the bottom of my heart on this 2nd anniversary… Thank You for giving me my life back!”

– Jim Demas

Independence in the Infinite Socket™ TT

In May 2016, Sol Bernal was in a devastating car accident. As her doctors tried to prepare her father for the possibility that she would not survive, he remained undeterred in his belief that she would pull through. Eventually, her father was faced with an incomprehensible decision, either agree to the amputation of his daughter’s leg below the knee or risk her experiencing a stroke. He chose to allow the surgeons to amputate. Sol survived both the accident and the amputation but would spend the next four months recovering in the hospital.

After her initial recovery, Sol was fitted with a standard carbon fiber rigid suction socket. As her weight continued to fluctuate, she struggled to obtain a comfortable fit within her prosthesis. She quickly became frustrated as her activities became increasingly dependent upon whether her socket would be comfortable on a given day. She felt as if her recovery was being impacted by her socket discomfort.

Sol’s surgeon introduced her to the Infinite Socket™ during a postoperative visit. Eager to move beyond the limitations caused by volume fluctuations, she met with the prosthetic team at 121 Care San Francisco. After learning about the adjustable Infinite Socket™, she knew she found the solution she was seeking.

Soon after she was fit with an Infinite Socket™ TT,  she noticed a difference in comfort. “This socket has changed my life. I go to physical therapy and I am now spending time on a treadmill, learning to properly shift my weight, and climbing stairs.”

Sol continues to work through physical therapy to regain her strength and to master her prosthesis. She plans on going back to work as a pharmacy technician and is eager to return to school to pursue a degree in social work. In the coming months, she plans to resume living independently and driving. Ultimately, she wants to give back to the limb loss/ limb difference community.

Although she still recovering and adjusting to her new normal, Sol is becoming increasingly independent thanks to the adjustable Infinite Socket™ TT.  “Words cannot describe the tremendous gratitude I have for Dr. Laura Pak and the amazing team at 121 Care for introducing me to LIM Innovations®. My life is so much better now!”

From Physical Therapist To Patient

In the summer of 2009, Dr. Scott Love donated his time and expertise to help injured servicemen and women returning from the military conflicts. A trained physical therapist, he was eager to help the injured regain their strength and mobility after sustaining injuries in battle. Working in San Antonio, Texas, he quickly put his skills to use by helping young amputee soldiers.  Little did he know that these interactions would impact the rest of his life.

Dr. Love contracted an Acinetobacter bacteria from a soldier who had served in Iraq. The Acinetobacter bacteria, a quick moving flesh-eating bacteria, quickly landed Dr. Love in a coma in the hospital. He woke up 10 days later to the grim news that the bacteria had settled in the metal from his knee replacement.

After fifteen (15) surgeries to salvage the limb, an above-knee amputation became his best option. Upon discharge from the hospital, he was provided with the name of a prosthetist, and he began the process of being fitted for and learning to master a prosthesis.  He was provided with a hard shell socket and a low energy foot, neither of which suited his body and lifestyle.

Dr. Love remembers falling 4-5 times per day due to the ill-fitting and uncomfortable socket. Eventually, he abandoned his prosthesis altogether and fell into a depression. Frustrated with his lack of mobility and out of a desire to escape the world, he medicated himself to sleep throughout the day.

His depression spiraled for a year until he was thrown a lifeline by his previous college advisor who offered him an online teaching position at St. Augustine College. During a visit to his new employer, he was introduced to a new Prosthetist who believed that a better and more appropriate device could be built. Dr. Love was fitted with a subischial vacuum socket with Genium knee and a high energy return foot. He says,  “I Instantly started walking without pain. Instantly started walking semi-normally. I broke down and cried.”

Caption: Ininite Socket™ TF

With his mobility restored, Dr. Love eventually accepted a full-time faculty position at St. Augustine College. He moved to Florida and his life was progressing but he still continued to struggle with socket fit. He did not know that other options existed until he was shown a photo of the LIM Innovations® Infinite Socket™ TF.  Immediately he knew that the Infinite TF would address many of his frustrations.

“I finally got a LIM and it totally rearranged my whole life.  I saved an hour and a half to two hours a day donning and doffing because my other socket was so difficult to wrangle. I get up in the morning. I shower, I put on my LIM leg and keep it on until 9, 10, 11, 12 at night. Before I had to take my leg off from work when I came home from work because it was uncomfortable.”

“The LIM lets me keep up with my active lifestyle. The LIM socket is one of the best things that ever happened to me. I tell every new amputee to get a LIM. They would never want to go anywhere else.”

 

Merlin’s Vader Leg

In 2003, Merlin received news that shook his world. “You have cancer.” Hearing those three little words changed his life forever. The cancer began in his right foot and traveled to his back. With his body attacked by the disease, he was forced to make life and death decisions. “I had my leg removed below my right knee, then almost all my bones were replaced in my back with a titanium circular construct.”

The recovery was difficult. With his world turned upside down by the diagnosis of cancer and the subsequent amputation, he felt hopeless. “I knew pain and despair so shocking that I cried out many times for God to let me die. But when you are alone in the hospital again, looking for a missing itching limb, God introduced me to Mr. Ung from Lim Innovations®.” He credits this interaction as a turning point in his recovery. “A new meaning replaced the old despair and fear. Once again I could reach tomorrow one step at a time.”

Upon release from the hospital, Merlin received prosthetic care from a local facility. He found the standard socket uncomfortable and difficult to manage. “I was in pain with every step I took.” The rigid socket forced his sensitive limb to conform to an unyielding mold, causing both discomfort and frustration. “The terrible squeezing on my leg from the multiple socks I had to wear in order to keep the leg in place” added further obstacles to his recovery.

After struggling with a conventional socket, Merlin received an adjustable Infinite Socket™ TT by LIM Innovations®. The Infinite Socket™ has transformed Merlin’s amputee experience. “My leg that I was given by LIM is beautiful. NO LONGER AM I IN PAIN WHEN I WALK. I have air bladders that I can adjust at a moments notice.”

Merlin is enjoying life unLIMited with his adjustable Infinite Socket™ TT. In addition to the comfort that comes from being able to adjust his socket for volume fluctuations, he is thrilled with the look of his new socket. “It looks so cool that I call it my Darth Vader Leg. I know that every child who needs a replacement would love a “VADER” leg.”

“I want to thank the entire team for all their Kindness, for returning to me tenderness, compassion, and dignity.”

Mind over matter

Growing up in a family of boxers and Musicians, Adhiambo Mitchell was brought up with discipline of mind and body at the forefront of everything he did and loved. When he had finished high school, he rode with a bike gang called ‘The Kryptonites’ and had applied for the Air Force. Everything he loved and had dreamed of was falling into place, when at 3am on April 5, 2008 coming off the freeway ramp, the brakes of his 2004 Nissan Maxima locked, causing his car to flip and slam into a guardrail, continuously flipping over.


When I came to, I tried to maneuver my legs to exit the car, and that’s when I realized the extent of my injuries. Everything felt like jelly and ham, and I couldn’t call my mom because i was bleeding so much. One leg was severed during the collision, with my other leg in seriously bad condition. Long Island emergency fire department happened to be on the same road and saved my life. To this day, I’ve never had the chance to thank them.

As everything around me became a reality, my discipline came to my aid, and I quickly came to terms with the fact that I was going to be an amputee. At the hospital, they amputated my other leg above the knee.

Friends and Family started distancing themselves from me, and I began to realize that I was going to have a long journey ahead of me. I knew nothing about amputees; I saw some videos of amputees riding bikes, and it gave me a sign of hope. It let me know that if they could do it, then I can definitely could to.

Eager to be fitted with prosthetic legs, I was desperate to get back to my regular activities, and wanted to go fishing, rock-climbing and learn how to swim. It is a clip on the movie, Rocky 3, when Rocky loses to Clubber, Apollo Creed helps get Rocky’s confidence back by telling him “there is no tomorrow” meaning always do the most towards your goal  in that day because tomorrow isn’t promised.


IMG_0891


I kept reminding myself that “you can’t go back, you can only go forward. I’ve gotta move on with it.” At first, I didn’t get PT, I learned to walk by myself, I wanted to be self-reliant. I walked everywhere: to the car, to the park, upstairs, but my socket was causing unfathomable pain. One day a friend Pierre Lucian drove over 200 miles to come and help me walk better. That day we had gone to the mall and almost three hours in, I had looked into my sockets thinking i was emptying sweat but it was blood. I noticed the sockets were creating an open wound that could never heal properly due their abrasive nature. I never want to feel that pain ever again. See, the pain can really put you off the task at hand,. The knee needs to be strong, the socket needs to be comfortable, the foot needs to be supportive, but everyone forgets about the socket; the interface, the connection with the human body.

You need to find the right socket to walk properly, and if insurance would cover it, I would request two or three sockets at once. Everyone understands that every amputee is different, so why can’t prosthetic sockets be like a mall where you can buy different brands of the same product to ensure you know what works for yourself? Why isn’t prosthetics like that? It’s good to have variety, With my leg constantly fluctuating, no socket would work for me for long periods of time, and it got to the point where I gave up on prosthetics altogether, contemplating my wheelchair instead.

Then one day I was scrolling through Facebook and saw the Infinite Socket. I told my prosthetist Ryan Murphy, from NEOPS Manhattan, that this is what I needed to become more active like how I used to be. You need to take control of your destiny and get what you want, and Ryan supported me through that decision until I was fit.


I love how they tighten and loosen with ease. I’m walking with greater comfort than I ever believed I would following my accident. The only complaint, is that every five blocks or so, I need to take off the sockets to clean out the sweat, but the ease of doing that with the adjustable brim doesn’t make this an issue.


I wish there was a way that I could give air to my limb through a liner. Most important for me though is that, I’M ACTIVE AGAIN! I’m more independent, and I can carry on my life. I can drop my kids off at school. I have dreams with my prosthetics now, I can see the light at the end of the tunnel.

I have a walking objective, which will prove my most challenging yet. I want to walk to the top of the stairs at Fort Greene Park located in Brooklyn. There’s a lot of rocks and hills before I get to the stairs, which will test my walking stability, so that is the ultimate goal.

The other thing I want to do, is make a difference for other amputees. I started the NYU amputee support group in 2008, and go to the ACA conference every year. I also did the NYC marathon in 2009. I want to be part of a network that will encourage others to achieve great things. My determined nature has even spurred me on to take my Masters. One day I found myself surrounded by a lot of my family who have Master’s degrees. I looked around and thought to myself “if these fools can do it, so can I.” I’m taking  Biomedical Engineering, as I want to create more devices that will assist other people like me. Math is killing me at the moment; you need to keep a lot of notes, but by 2021 I’ll be used to it. I will master it, just like I’m doing walking in my prosthesis.

My mission is to make positive changes for myself, my family then all over the world. I will elevate all my skills and knowledge through learning in all aspects of my life with purpose and determination. I will ensure that the journey I’m taking will reflect to others to build and make this world a better place. To solely be the example for my kids and others to look and see a positive role model. I am guided by my own set of morals and principles that I have developed through relationships with my parents, family, friends, peers, and others I look up to and respect and admire. I will keep searching for knowledge and contemplation.


Screen Shot 2016-07-01 at 12.48.26 PM

Lindsay's Learning Curve

Living an extremely active life: running, biking, yoga,  you would never have imagined the story behind Lindsay. From struggling to concentrate in class, Lindsay set out to pursue an active life. During the challenges she faced, she realized that that her teachers may have jeopardized her learning. Upon moving comfortably in her Infinite TT’s she now wants to set out to help people in her own way. 


As a kid I loved being outdoors, in nature, and exploring. Growing up in a small rural town in Iowa I spent a lot of time outside building forts, running through the trees, making up games from objects found in nature, and riding my bike with my sister and neighborhood friends. The love of nature made sitting in a classroom difficult. I looked forward to any opportunity to be outside, running around, or biking. In 6th grade I began running cross-country after quickly realizing I didn’t have the coordination for basketball or volleyball. At my first cross-country practice I showed up and ran in basketball shoes. Even today, I remember how bad my legs hurt and how I thought I would never run again. I stuck out cross-country and of course, got a pair of running shoes. Over time, running became easier; I realized I wasn’t going to die running and before I knew it, running became a passion. I loved the sense of being outside in nature with the breeze on my face and the sun on my skin. I was a dedicated runner who would even run in the winters, in the snow. I would throw on my favorite green running tights, a pair of shorts, a turtle neck, sweatshirt, a beanie, and when icy, my track cleats. Running didn’t really require anything but myself to do and I liked that. It was simple. In addition to running I enjoyed riding my bike. From the age of 12, I had participated in RAGBRAI, a 600-mile week long bike ride that goes across Iowa annually. It was fulfilling to be outdoors running and cycling.

From a young age I knew I wanted to explore the world beyond the small town I grew up in. After graduating a semester early from high school, I moved to Des Moines, IA, where I experienced living on my own. I worked at the Olive Garden waitressing and bartending. While learning some of the responsibilities of becoming an adult the desire to be outdoors was still strong. I addition to my often long hours at work I always made time to run & cycle. As a young adult my life revolved around work and exercise, and unfortunately, I didn’t value sleep.

On April 25, 2001, I was on my way to meet a friend, after finishing my work shift around 10pm. As I traveled north on the interstate I remember feeling tired and sleepy. I began opening the window to feel the cool evening air on my face. I also turned up the music louder in hopes the music would energize me. Before I knew it, I had missed my exit off the freeway. In Iowa, where the exits are several miles apart, I had to go up to the next exit (almost 10 miles out of my way) to turn around. I remember taking the next exit, coming across the freeway, and the next thing I remember, I woke up confused wondering where I was. I thought to myself, “Where am I and how did I get here?” I had fallen asleep behind the wheel of my car and never made it back onto the freeway. My car went off the side of the road into a creek bed. I was unaware of the extent of damage my body had endured, as I wasn’t in any pain. As days passed I felt my energy levels dissipating. I even noticed the dire state my legs were in. My car was out of visibility of the freeway traffic. I called out for help, but no one could hear me. Little did I know my family had reported me missing and photographs of me were on both local and national news. Five days later I was found trapped in my car that was partially submerged in water. At that point I was exhausted and cold. On the fifth day I was beginning to wonder if I’d ever be found. I was transported by helicopter to the University of Iowa Hospital and Clinics – where they said they would be amputating both my legs below the knee. My family was in shock, but I had come to terms with the possibility of amputation while in the wreckage.


lindsey


It was a little over two months, post-amputation before the possibility of prosthesis arose. I remember the eagerness to run on the first day in my new legs rushing through my body. On my Dad’s birthday, July 18, 2001, came my opportunity to walk. I quickly felt exhausted trying to piece together my new task. Relearning to walk was much more strenuous & painful than I had originally thought. My plans to run on the first day in my new legs didn’t unfold how I had anticipated. To this day, it’s still interesting to me, how my residuum is soft to the touch yet as soon as you bear end weight, the pain is atrocious. On my first day in my new legs, I left with the image of how proud my parents were. I will never forget that moment. I also left knowing the only way to get better at walking was to walk; one foot in front of the other. And that I did!

Due to my high profile case, I only completed two weeks of therapy, as I was scheduled to feature on Good Morning America and the John Walsh show in New York. Traveling as a new amputee was tiring. It required diligence to rest and elevate my legs when needed, as the muscle groups I was using were previously neglected. It took a year before I was walking effortlessly; walking without thinking about it. That was when the shrinking took its toll. I ended up spending weeks wearing a 36-ply- sock. I had no idea how my legs would change as I began walking more or what to expect in the first year post-amputation. No one had told me 36-ply socks is WAY TOO MANY!

Upon being refitted with a new prosthesis, I was given the opportunity to try a pair of running blade. I was reignited with my love for running. Since becoming an amputee, I’ve had many opportunities to run, cycle, and do physical activity outdoors. One of the biggest challenges has been the need for socket changes and maintaining a well-fitting prosthesis. I dreamed of the day when I would have multiple prosthesis, to capture my wide array of fluctuation. That’s when I questioned, “Why aren’t there any adjustable sockets being made?” It shocked me that in the 21st Century, adjustable sockets were nowhere to be seen.

I was then introduced to LIM Innovations, who asked if I’d be interested in trying their below-the- knee prototype. This was an exciting opportunity for me. It was like a dream come true. I felt like the years of socket issues and residual limb pain were worth the wait.

It can take some time to get the ideal fit with the Infinite TT’s, however it’s worth it down the road when you know you have the capacity to make subtle changes. These days, my limbs require less maintenance and I don’t always fiddle with the setup. It is very reassuring knowing that I can make changes to this socket as my limb changes. The sturdiness of the socket is impressive and represents the shape of a conventional socket, but when you adjust the Infinite TT via air bladders and/or BOA, it’s like having different sockets.

Now, I’m back to consistently walking 6-10 miles a day, feeling great and not in pain, which is such a treat! For many years I took it for granted my ability to walk comfortably in addition to running and cycling. It feels great to be active again! I am excited to be able to comfortably move in and out of side-plank in my yoga classes. Completing this can be difficult and requires a well-fitting socket in order to be able to put that much pressure through the socket. The best thing is, the Infinite TT’s can cope with this pressure. It’s an exhilarating feeling to feel like I can move freely; without unnecessary limitations.

Going forward, I really want to work with more amputees in yoga practice. There is still the perception that you need to be skinny, fit and flexible, to practice yoga. I was once one of those individuals, but it’s not at all the case. After studying yoga, I have a deeper understanding of its roots and true meaning. Yoga is, can, and should be accessible to everybody no matter your shape, size, race, religion, or socio-economic status. I was re-inspired to delve deeper into learning to work with a broader population of people after the organization Accessible Yoga started last year. I want to utilize my life experiences to be a part of the change in perception of yoga. The practice is truly for everyone!

The Adventure Team Challenge

Our blog this week comes from LIMLegend Robert Spotswood, who participated in his Infinite Socket TF, and had the luxury of being able to adjust his socket to accommodate each challenge. Read his views on the challenges he faced on the course, and the comradery his team showed throughout this unique event.


It’s an extraordinary feeling when you accomplish something that seemed previously unachievable. And, it is even more satisfying to have done so based on the collaborative efforts of a team of people. Teamwork is defined as ‘the combined action of a group of people, especially when effective and efficient.’ I experienced the truest manifestation of the power of teamwork during the Adventure team Challenge in Colorado hosted by World T.E.A.M. Sports. During this race teams of 5 individuals (one wheelchair participant, an amputee, and three able-bodied) participate in a three day adventure race that involves mountain biking, hiking, rafting, and climbing. Each team has to accomplish orienteering tasks along the way as a team and do so in the shortest amount of time possible. The only way to accomplish all of these challenges in the most efficient and expedient way is to value each other’s differences and physical abilities to bring out the absolute best in each other. You set-up towing systems for your para-athlete and amputee to better enable them to climb mountains on their bikes, you collaborate on decisions about what direction to take for the next checkpoint, you paddle in perfect unison to maximize speed on the water, you rely on the strength of another to carry a team member over the finish line, ultimately leveraging each other’s strengths to achieve what would otherwise be impossible alone.

29938698566_41882ddfe2_z (1)

I was nervous about this event after the prologue which determined the seeding for the competition because I nearly passed out from exhaustion. This was the first day I had met my teammates and we were still getting to know each other and how to best work together. That didn’t take long! After our 16 mile paddle down the Colorado river we embarked on a 12 mile mtn. biking race where it clicked that only by working together, knowing each other’s strengths/weaknesses, designating roles and encouraging each other that we could cross the finish line together. As an amputee, I couldn’t do this alone, our para-athlete couldn’t do this alone, only by working together were we able to do what previously felt impossible.

I traveled to CO with two teams from LIM that were also competing, which I was thrilled about because I was coming on board with the company a few weeks after the race. To me this was the ultimate team building event, it was an opportunity to watch how the LIM teams worked together and how I could best work with them going forward. I had a feeling they would do well (and they did!) but I underestimated how dedicated, committed and respectful they were of each other throughout the challenges. Each member knew how to bring out the best in another. It was inspiring to witness and it strengthened my connection to them all.

I had done this race about 5 years ago when I was wearing a traditional suction socket made by Hanger. Almost immediately, I knew it was going to be a struggle to perform well because my leg literally kept falling off during the bike ride and the hiking portion due to an overall poor fit. I ended up taking my leg off and using crutches for most of the event which was very physically challenging and resulted in a poor performance by our team. They could only carry me on their shoulders for so long. This year I was wearing the Infinite Socket LIM had provided me and the differences were night and day.


My leg stayed on during the entirety of the mountain biking and hiking portions and I was able to adjust the fit of my socket throughout the event, on the go, which enabled me to perform significantly better than my previous experience.


It’s truly reinvigorating when you realize you are capable of doing great things not only through the help of others but through improved technology. I’m looking forward to helping those with disabilities come to the realization that they too can achieve what previously seemed impossible.

IMG_4360

A New Direction in the TT

Thirty-five years ago I survived a tragic accident that sent my life in a new direction. I was 19 and took my first motorcycle ride with my boyfriend. We were broadsided by a car and catapulted over 30 feet into a ditch.  My boyfriend was killed instantly; my head slammed into the windshield of the car which likely slowed my flight to the ditch and spared my life. I sustained many injuries, and my leg was essentially severed.


Back then prosthetics weren’t what they are today so rather than amputate my leg was salvaged. In that instant I went from dancing for 15 years, captain of my high school golf team, and running every day to disabled, disfigured, and struggling. I had numerous complications and surgeries, and a long recovery to get back to just painful walking. It was clear my future with my leg was going to be one of increasing pain, immobility, and disability. I’d had over 30 limb salvage surgeries before my amputation last year.

I have an amazing Prosthetist who built me a great new leg and taught me how to walk again. It was a lot harder than I expected. It takes a lot of concentration to walk properly after using crutches and a walker for many years. A Prosthetic can only do so much, the rest is up to us and the choices we make each day toward our recovery and physical goals. My Prosthetist also introduced me to many inspirational amputees and organizations: Dare2tri, Chicago Blade Runners, Judd Goldman Adaptive Sailing. He built me a running blade that allowed me to run last year for the first time in over 34 years, which feels like a miracle.

I’m fortunate to be part of the LIM team in the Midwest, and was fit with a TT in May. It’s been incredibly exciting to be part of the development and evolution of the TT; not only in the materials used but in how we at LIM work together and respond to challenges and problems we’ve had in its development.


I have a carbon fiber foot, and the first thing that struck me when I tried my TT is a sensation similar to the dynamic energy response. It’s flexy when I walk!


I experience significant volume change throughout the day, and my TT accommodates it easily with a twist of my BOA. It’s become instinctual, so my prosthetic now feels even more a part of me; it has an intimate fit. The adjustability has also been helpful with perspiration, where rather than having to stop to dry out the perspiration from my liner so that my liner and leg don’t slip I just tighten it.  I’m able to walk much farther before stopping.

I’ve experienced a challenge recently in my residual limb and it’s proven a real testament to the importance of the adjustability of the TT. I learned 4 weeks ago I fractured the ertl bridge in my residuum where my distal tibia connects my bone bridge. I am very active, and Dr. Ertl suspects microfractures developed over past months which culminated in a fracture.  

B695D571-7D14-4CB6-8292-23E9FEB3621F

With my Infinite TT I completed my first 5k last Sunday, despite having a broken leg! Though I walked rather than ran it was especially meaningful as my sister Caryn walked with me. Caryn is a touchstone as she reminds me how much we need each other to move forward through challenges. Caryn was there for me when I returned to college using crutches after my accident many years ago. She made sure so many practical aspects of life were taken care of. I’d hoped to run but walked due to injury, but it’s still a reminder that I’m doing so much better today with my prosthetic leg than I would be doing with the leg I had amputated a year ago. I don’t know where I’d be now without the support and encouragement of my friends and family.

Years ago I remember my Mom asking me if I wished the accident had never happened? I remember telling my Mom that I’d rather be who I am today than who I’d have been had it not happened. As Viktor Frankl wrote, “What is to give light must endure burning”. I have had many bright lights in my life since my accident. With the leg we saved I was able to walk, and have 4 wonderful pregnancies that resulted in 4 beautiful healthy children. I now have 4 wonderful grandchildren too :). They motivate me each day to be and do the best I can. I’ve been given an opportunity to appreciate life, health, and relationships in ways I wouldn’t have otherwise. I am the luckiest unlucky person I know.

Solvitur Ambulando

The Leg of the Law

Angel Castro takes his job very seriously. In order to serve his community best, he needs the right equipment in order to protect and serve. In the Infinite TT, Angel can run up hills, maximise his energy return through the dynamic socket and give his all while on the beat.


“Without my dynamic Infinite TT socket it would have been impossible to do what I wanted to do, and as well as I wanted to do it, following my accident. The TT has given me my fear factor back and the force would just not be the same without me.

Thanks to LIM I can now say I’m back with a bang, and for the bad guys well whatcha gonna do when I come for you?”

Freedom in the Infinite TT

Tess Deddo came to LIM Innovations without looking for an alternative to her current prosthesis. Content with what she already had, Tess was originally only interested in viewing the socket that was in the early stages of allowing patients the freedom to manipulate the socket to their residuum. Little did she know that in May 2016, she would become the second person to ever become fitted with the Infinite TT.

The freedom she has experienced since being fit with the Infinite TT has been unparalleled. From riding her bike for the first time in years to walking for hours on end during term time at her school in Marin County, CA, Tess can now control the comfort of her socket.



The Infinite TT is a custom-molded, modular, and dynamic socket system. The combination of a modular frame and advanced pressure distribution system enables clinicians and patients to adjust the socket. Pressure distribution and biomechanics are designed in response to activity demands, pressure areas, and shape change.

Check out the features of the Infinite Socket TT here

Breaking Down the Infinite TT

The Infinite Socket TT is a custom-molded, modular, and dynamic socket system. The combination of a modular frame and advanced pressure distribution system enables clinicians and patients to adjust the socket. Pressure distribution and biomechanics are designed in response to activity demands, pressure areas, and shape change.

With so many features, the Infinite Socket TT is like no other below-the-knee prosthesis. Watch the makeup from the designer’s behind this revolutionary socket, and hear first hand from the amputees that helped shape the design.



Check out the features of the Infinite Socket TT here

The Infinite TT Setting Sail

Chris has been testing the durability of the revolutionary below-the-knee socket the Infinite TT while at sea. His feedback has been the catalyst of many Infinite TT features that has helped him set sail to places we can only dream of. Read his journey below.


I met the folks at LIM five months ago in San Francisco. A photo of me riding my bike to a sailboat race found its way to the office and they asked me to come in and chat. I had been in conventional sockets for the past 11 years and they always worked well, but I always wanted a little bit more from the fit. Since the first day I entered LIM I was made to feel like family, and since then I have been involved with testing and refining the new TT socket.

I work as a sailing instructor most of the time in the Bay Area. I put a lot of stress on my legs, so we thought I could provide some valuable feedback about how the socket handles the extreme conditions on the bay, on a bike and elsewhere. A month of testing close to home brought lots of observations and the real test was yet to come.

Over the last 4 months, I have been living aboard a sailboat, touring the east coast. My job involves bringing the boat to various sailing associations and programs to show off the history of the sport and engaging youth sailors in the wider context of sailing. I am on my feet a lot and the environment is more than a little extreme for a prosthesis. I have put over 8000 salty nautical miles on my Infinite TT and it is more than holding up; it’s performing better than any conventional socket I’ve used before.

With careful help from LIM, we’ve seen how the socket performs and reacts to stress and the result is a rigorously tested product that is comfortable, strong and durable. Between daily fluctuations in volume, changes in activity level, even crossing the threshold between land and sea, my socket holds up and has taken me places in comfort and style.

You can follow Chris’s progress on his blog

13244782_883519441773985_5319520955542409018_n

Angel back on the Job

Angel has been testing the Infinite TT with us for six months now, enjoying the trials and tribulations of being the face of the revolutionary below-the-knee socket. His feedback has been the catalyst of many Infinite TT features that has helped him get back on the job. Read his journey below.


I’ve been a below knee amputee since April 2014. l never received any help nor information on how to continue my life as an amputee. My wife and I were totally clueless on what to do or expect from here on! We just had one another, and trying to stay away from depression and discouragement was extremely difficult for us, having to learn to walk again and face challenges that we had never imagined we would have to endure together in our lives.

But thanks to LIM, and their great team I can be myself again! There’s no words that would summarize everything in my heart and the gratitude I feel! As an amputee all I want to do is to give back and help those that find themselves in the same situation that I was in.bk-angel-web-hero

LIM continues to out-do themselves with this brand new, fascinating socket, the Infinite TT. We’ve been testing together since they took me on as a test pilot. It was the most incredible experience, trying to perfect it with LIM, and now I have the ability to walk, run and do just about anything that I set out to do! During the process, what really impressed me was their attention to what my feedback was. Every aspect of the Infinite TT is designed in response to my own personal activity demands, pressure areas, and limb shape change.

This socket is packed full of features designed to accommodate the test pilot’s needs. With the help of the dynamic socket system, I have control over pressure distribution and tension control. The shock absorbing frame offers multiple points of adjustability and is designed to flex and mimic the way I walk. The LIM Air Bladder System allows me to generate or alleviate pressure as I see necessary. The first few times the system failed, but their ability to resolve issues through trial and error never ceases to amaze me to this day. The Infinite TT is also height adjustable at the front patellar-tendon allowing me to walk in comfort, while still maintaining a proper amount of support while liberating the knee to flex.


The Infinite TT is the first custom-molded, modular, and dynamic prosthetic socket, offering adjustability at each component. The combination of advanced materials and adjustable systems empowers clinicians and users to adjust the prosthesis in response to volume and shape change of the residual limb.


At ACA my wife and I met so many incredible people with a desire to accomplish what I set out to do a year ago. I felt like I was giving other amputees the same opportunity that I got with this socket that I call ‘Life.’ I wouldn’t call it a product nor a prosthesis because it’s given me more than just the chance to walk again. I can do much more than that! Now I can share that with new amputees and inspire them to never give up! LIM has given me an incredible opportunity with this amazing leg. It feels very close to having my own leg back, and being able to see the look on people’s faces when they see my mobility, energy, and how strong I’m able to perform in it, the feeling is often overwhelming.

To Infinite(y) & Beyond

The initial fitting of LIM Innovations’ patient adjustable socket, the Infinite Socket™ at Pace Rehabilitation has yielded a positive outcome for the UK’s 1st amputee adopter.


pace rehab


Following a successful trial of the adjustable socket system, transfemoral amputee Rob Ball has become the first person in the United Kingdom to purchase the system.

Rob explained the challenges that he would experience with his existing socket, “For years I’ve used rigid carbon fibre sockets, which were a perfect fit for about 2 hours in the middle of the day, but couldn’t be adjusted for the changing volume of my residual limb throughout the day.” He added, “To manage this I would have to find somewhere to take off the leg and add ‘socks’.  However, this more realistically meant avoiding walking as much as I’d have liked.”

So when Rob had the chance to try a user-a  djustable socket system at Pace, he was very keen to see if it was a benefit for him.

Following a two week home trial, during which a small adjustment was required to the socket in clinic, Rob was able to feedback his experiences to the team.

Rob said, “I found that with the Infinite Socket it can be loosened to fit perfectly first thing in the morning.  Then, as my residual limb loses volume throughout the day, I can just tighten the ratchet strap a couple of clicks and it’s a perfect fit again.”

A delighted Rob added, “The Infinite Socket has given me a new sense of freedom.  I don’t think about volume changes any more.  I just click the ratchet and carry on walking!”

Jamie Gillespie, Rob’s prosthetist at Pace, commented, “We are very happy with the outcome achieved for Rob and are evaluating how effective this could be for others.”

More details about the system can be read here.

LiM-Innovations-VGK

LIM Innovations® head to IoT Nexus

With medical technologies looking to drive transformational change to business models supporting the healthcare industry, LIM Innovations® has been asked to participate on a panel at IoT Nexus. The event will take place on 10-11 February in San Francisco with key players from Logitech, IBM and Oracle all present.

CEO Andrew Pedtke and #LIMLegend Ranjit Steiner will feature on a panel with representatives from ‘Sengled’, ‘Grabit Inc’, and ‘ReelDx’ in a session that focuses on cases that are inspiring end-users, who are using IoT, to drive business innovation.

The Internet of Things (IoT) is the network of physical objects, devices, vehicles, etc, which are embedded with electronics, software, sensors, and network connectivity that enables these objects to collect and exchange data.

IoT is helping companies to connect, transform, and reimagine how they do business. Across every industry vertical, IoT is driving operational efficiencies and creating new opportunities for developing products and delivering services, in an event that we are proud to be a part of.

Irene Blum's Prosthetic Journey

 Here at LIM Innovations we pride ourselves on the feedback from users. With such a diverse group of users, we invite you to join one of our amputees  for an in-depth look at their story and how our Infinite Socket has affected their lives. Irene Blum’s prosthetic journey focuses on how she overcame her battle against cancer successfully to make huge strides in becoming the healthy and active amputee she is today. Irene’s story is truly inspiring.


Before I got sick, I was a busy young adult. I was a 20-year-old single mom and full-time college student. I’d run after my son at a playground in the afternoon and pull all-nighters to finish essays due the next morning. I was healthy, active, and able to keep up with my son and schoolwork. Toward the end of 2013 through early 2014, I started feeling fatigued and had very bad pain below my right knee. I couldn’t keep up anymore, I didn’t want to get out of bed. The pain would be so excruciating that it would wake me up in the middle of the night and I would have crying fits because nothing would relieve me from that. After many doctor appointments and tests, they had an explanation for everything I was going through. It was a lesion eating away at my tibia bone. In May 2014, I was diagnosed with a pediatric bone cancer called Ewing’s Sarcoma.Irene Blum's Prosthetic Journey

My protocol involved a year of chemotherapy and limb-salvage surgery that involved removing half of my femur, my knee, and half of my tibia and replacing that with metal, plastic, and cadaver bone. I felt so lucky that surgical techniques have improved so much that amputation for bone cancer was no longer necessary and they’d be able to save my leg! Well, I was wrong. After surgery, my leg was completely numb and limp. I couldn’t move my foot or toes. I became extremely depressed because I thought I would never be able to function normally again because I had a dead leg that I couldn’t control and that always buckled beneath me.

A few weeks after my limb-salvage surgery, chemotherapy started again. The type of chemo I was on wiped out my immune system completely so any little infection I caught would be life-threatening. A few months after my initial surgery, I noticed my incision re-opened on my knee and it began leaking pus and the skin was necrotic. The doctors thought it was a superficial skin infection so I was treated for that. My leg was still leaking pus but I was told it would stop because of the antibiotics. I guess my body just couldn’t fight it though because almost a week after being released from the hospital for my skin infection, I started developing very intense pain deep in my knee. It was literally the worst pain of my entire life. Worse than labor, worse than child-birth, worse than an accident that resulted in 2nd and 3rd degree burns all over my torso and leg, and worse than the cancer eating away my bone.

I could not get out of bed, I was dripping in sweat, I could not move because any little movement would result in screams and cries. I was on heavy duty pain medications that weren’t working when a home visiting nurse came to my house to check on me. She looked mortified. My pants were wet from leakage from my leg, I had a 105F temperature, my heart rate was 180, and my blood pressure was 70/40. She called 911 and when the EMTs tried to move me, I screamed bloody murder because of the pain. They injected me with some more heavy duty pain medicine that did not help at all. They said they could have sedated a horse with the amount of pain medication I was on. THAT is how much pain I was in.

They rushed me to my local hospital where it was determined that I had gone into septic shock. I was then sent to the cancer hospital where I would be treated. I overheard the doctors tell the paramedics that they didn’t believe I could keep my leg.

In December 2014, my leg was amputated above the knee. And honestly, thanks to my prosthetist Leah Brickner and LIM Innovations, I have so much more quality of life now than when I had my limb-salvage surgery. Initially, I had a traditional socket which I absolutely hated. My stump size was always changing so I would have to compensate with socks or not being able to sit all the way in the socket. It was heavy, clunky, and awkward. Leah decided LIM Innovations’ Infinite Socket would be perfect for me and it was. It allows for fluctuation of the stump because of its open design. I can easily adjust my socket strap. As my body changes, I don’t need to compensate with socks because I can just make it a little tighter when I need to. I don’t need to wait around for new sockets to be fabricated because my prosthetist and I can make quick and easy changes to the socket I have.Irene Blum's Prosthetic Journey

Another personal advantage of the Infinite Socket is that because the struts are far apart, the heterotrophic ossification that formed on my femur sits in between my two front struts and it isn’t irritated at all. Also, I was born with club foot and have issues with my remaining ankle. I had a small procedure done on it and heavily relied on my “good leg,” or my prosthetic leg.

Since I have only been in remission from cancer for 4 months, I am still in the beginning stages of being a healthy and active amputee, but every single day I make huge strides. So far I have been able to walk again, walk up my flight of stairs to get into my apartment, drive, hit softballs in a batting cage, dance salsa, catch a bridal bouquet, play pranks on my friends, show off my “robot leg” to sick children in the hospital, walk around the mall with my girlfriends, and go on vacation. One day I want to run in a childhood cancer fundraising race. Because of how awesome my leg is, I am sure I will be able to. Most importantly though, I am chasing after my son at playgrounds in the afternoon and am pulling all-nighters to finish essays due the next morning again. Leah Brickner and LIM Innovations helped me take my life back.

Finding LIM Innovations

Everyone I’ve met at LIM Innovations exudes inspiration, innovation and determination. It’s a truly momentous thing when people like that come together to improve the lives of other people. To witness a modern day virtue of a humanitarian effort with the driving force of today’s rapidly changing world of technology and opportunity is nothing short of grand.

I found LIM while I was a student lost in the mire of being alone in my dreams. I pushed myself out into an Orthotics and Prosthetics conference in the Bay Area to illuminate my path. At this conference I would hold in my hands the Infinite Socket, which would illuminate everything.

As a son of a below-knee amputee and volunteer of Shriner’s Hospital for Children, I know the issues that come with a new lower limb prosthetic socket. I know and feel a fraction the frustration my Father had when he was waiting ever so long for a conventional socket. My Father is a man who leapt straight back into a several story building of work in a wheelchair mere months after his amputation. Every commute was done with one leg, among many other imaginable hardships. When it finally came time to visit the Prosthetist to try on his new socket, we were both frothing at the mouth in excitement. The moment he donned his prosthesis, his expression was priceless. He was the happiest he could be and I was stricken with a wash of relief. Although, sadly the day he was waiting for left him leaving the clinic without a socket, due to a problem with the fit. He was told to come back in another week, after already waiting several weeks.

When I held the Infinite Socket, I imagined a world where my Father’s first interaction with his new leg was unfettered from the inconvenience of a static old idea. An old idea where a person’s body stays the same shape at all times. An old idea that doesn’t flow with the ever changing beauty of the human anatomy. In my hand I was holding a compliment to such a beauty. The sleek black interface issued a simple design that fits nicely into the aesthetics of a computerized knee. Finally, a socket that matches the current innovations of prosthetic technology.

I would soon become very familiar with the Infinite Socket’s framework after meeting up with LIM’s gracious founders who let me, a lost unknown student come in and have a look around. That look around turned into a job where I worked with the production team on the front lines preparing sleek and strong carbon-fiber struts, plump and comfortable ischial seats, and distal cups that would make any residual limb feel right at home.

LIM Innovations represents a part of the human effort to make the world a better place.

 


Here at LIM Innovations we pride ourselves on the diversity of our team. We have a fantastic group of engineers, designers, machinists, clinicians, and amputees with relevant experience in the field. With such a diverse group working behind the scenes, we invite you to join one of our staff members each week for an in-depth look at what they bring to table. It is our goal to provide our loyal readers a behind-the-scenes look at LIM Innovations. Scott Jurgens, Production Technician, picks up the pen this week to discuss his experience on the production line.