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Henry H. Kessler, M.D.
JAMA. 1952;148(6):436-438. doi:10.1001/jama.1952.02930060018005.
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Proper management of the amputee patient demands more of the physician than surgery alone. The physician's responsibility includes supervision of a complete and integrated rehabilitation program embracing psychological preparation, adequate surgery, after-care of the stump and preprosthetic training, and provision of the prosthesis and training in its use. Only through this type of three dimensional care can the amputee be provided with the physical and psychological equipment he requires for adjustment to his social and vocational environment.

It should never be forgotten that the amputee patient has a psychological problem which, if allowed to go unrecognized and untreated, may become more disabling to the patient than the amputation itself. The emotion experienced at the loss of a limb has been very well compared to the grief one feels at the death of a loved one. A part of one's body has been permanently lost. The bewilderment and desolation common among


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