• I have a dream that one day this world will rise up and live out the true meaning of its creed: We hold these truths to be self evident, that all humans and humansto-be are created equal. I have a dream that the children of this world will one day live in a world where they will not be judged by the color of their skin, their age, their gender, their sexual orientation, their abilities, their religious beliefs, their heritage ... but by the content of their character. • -- Free after Martin Luther King, Jr. http://www.amputeecoalition.org/communicator/vol2no3pg4.html The process termed "osseoperception" refers to the adjustment of the mind to an osseointegrated prosthesis. The implication is that bone-integrated prosthetic fixtures "communicate" with the mind, via numerous neural pathways, to promote near-normal function of the prosthetic limb and improved psychological acceptance. Beethoven, who held a pencil between his teeth and touched the pencil to the piano keys to help him "hear" the music, illustrates a primitive form of this concept. Similarly, patients can perceive their environment through their osseointegrated prosthetic device. A self-reported incident even describes a patient sensing, through his artificial leg, what type of subfloor was beneath a carpet. I have a dream that one day this world will rise up and live out the true meaning of its creed: We hold these truths to be self evident, that all humans and humans-to-be are created equal. • “How did parents endure the shock [of the birth of a thalidomide baby]? The few who made it through without enormous collateral damage to their lives had to summon up the same enormous reserves of courage and devotion that are necessary to all parents of children with special needs and disabilities; then, perhaps, they needed still more courage, because of the special, peculiar horror that the sight of their children produced in even the most compassionate. Society does not reward such courage…because those parents’ experience represents our own worst nightmare, ever since we first imagined becoming parents ourselves. The impact upon the brothers and sisters of the newborn was no less horrific. This was the defining ordeal of their family life – leaving aside for now the crushing burden on their financial resources from now on”. Stephens T and Brynner R (2001) Dark Remedy; the impact of thalidomide; Perseus Publishing, Cambridge Massachusetts, USA page 65/66 Self esteem ratings following severe Spinal Cord Injury (SCI) Gerhart KA, Koziol-McLain J, Lowenstein SR, Whiteneck GG. (1994) Quality of Life Following Spinal Cord Injury; Knowledge and Attitudes of Emergency Care providers, Annals of Emergency Medicine, vol. 23, 807-812 No disabled Providers Self-rating No disabled Providers SCI survivors Imagining self with SCI Comparison group % Agreeing with the statement I feel that I am a person of worth 98 55 95 I feel that I have a number of good qualities 98 81 98 I take a positive attitude 96 57 91 I am satisfied with myself on the whole 95 39 72 I am inclined to feel that I am a failure 5 27 9 I feel that I do not have much to be proud of 6 33 12 I feel useless at times 50 91 73 At times I feel I am no good at all 26 83 39 • In recent years the militant disability movement has • developed a whole new confident and strident identity no more pathetic cripples pleading in soppy charity ads, but a strong demand for equal rights in the tradition of the battles for black, women's and gay rights. After women's pride, black pride and gay pride,proud-to-bedisabled seems to make sense too. But each of these four campaigns is different. Each group's identity, cohesiveness and claim to victimhood is based on markedly different circumstance. Disability campaigners have over-identified with other civil rights issues, talking as if they were a race or a gender. Polly Toynbee Friday August 24, 2001 The Guardian http://www.guardian.co.uk/comment/story/0,36 04,541665,00.html Majid Ezzati et al Selected major risk factors and global and regional burden of disease , Lancet. 2002 Nov 2;360(9343):1347-60 Fig.1 Majid Ezzati et al Selected major risk factors and global and regional burden of disease , Lancet. 2002 Nov 2;360(9343):1347-60 Fig.2 • Dr. Gregor Wolbring • International Centre for Bioethics, Culture and Disability www.bioethicsanddisability.org • Executive member of the Canadian Commission for UNESCO • Biochemist, Faculty of Medicine U of Calgary research on thalidomide • Bioethicist positions at U of Calgary and U of Alberta (Edmonton) • gwolbrin@ucalgary.ca