NATICK - With a surgeon's precision and a sculptor's craft,
Ingrid Frank helps her clients walk again.
Some roll into her Natick home office in
wheelchairs and walk out on the prosthetic legs she has fashioned for them.
Thanks to Frank's skill, one customer danced
through her wedding on five-inch heels with an artificial foot inside.
Another client spends his weekends golfing,
whacking long drives by twisting on an artificial leg she customized.
From her basement office, Frank provides
veterans of three wars with prosthetic legs to replace those lost in combat.
The 48-year-old Mom owns and runs Ingrid
Frank Prosthetics, Inc., which supplies artificial limbs, braces, and prosthetic
breasts so her customers can enjoy their lives as fully as possible.
Often, Frank's ability to customize and fit
an artificial limb restores an elderly customer's ability to move about their
apartment, walk to the market or go to church.
"Right now there's an elderly man who
can't get past the three steps to his apartment until I fit him for an
artificial leg," she said.
Frank said some patients are discharged from
hospitals after surgical amputations before being fitted for a prosthetic limb
which they need to care for themselves.
"Some leave the hospital sitting in
wheelchairs," she said.
While many of her clients are elderly and
struggling to adjust to life after amputation, Frank said her work constantly
reminds her of the human capacity to fight the good fight.
"How could it be depressing if someone
comes to you needing help and you're able to give it to them?" she said.
One of the female pioneers in her field,
Frank acknowledges she ended up specializing in prosthetics and orthotics, or
braces, as a result of a series of "lucky flukes" that influenced her
career choice.
"I've always loved art and medicine and
people," she said from her basement office at 110 Bacon St.
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Born in Pennsylvania, she initially attended
Boston University expecting to major in pre-med or biology but temporarily lost
her direction as a sophomore.
After studying her strengths and interests, a
friendly counselor asked whether she'd be interested in being the first woman to
earn a Bachelors of Science in prosthetics/orthotics at New York
University. Frank was the first woman accepted in NYU's nine-member,
four-year program, a dramatic increase from the two men the year before.
In recent years, the mechanics of
constructing artificial limbs has evolved dramatically in technical sophistication
and comfort.
"Before, it was more like
shoemaking. They had carved wood sockets," she said. "Now,
it's more like architecture." Graduating with an M.S. degree in the
mid-1970s and also earning her federal certification in 1976, Frank has been one
of the few women making artificial limbs over the last 25 years.
Presently, the majority of her patients - as
many as 85 percent - are seniors who've lost a leg due to circulatory
problems, generally from diabetes.
Frank described her clients as
"predominantly geriatrics over 65 years old" who need to replace
missing limbs.
She said she doesn't make or fit prosthetic
arms because of the mechanical complexity.
But she does fit and customize prosthetic breasts from
silicone gel that slip into special bras for women who've had mastectomies.
And Frank also makes special pressurized
sleeves for women whose arms swell after lymph nodes are removed during surgery.
In addition, Frank makes braces and supports
for clients suffering from multiple sclerosis, cerebral palsy and spina bifida.
Most clients come to her through referrals
from physicians, therapists, or insurance companies.
After learning a potential client needs her
services, Frank often visits them at their homes for a preliminary interview
to address their needs.
"Most are very depressed and feel
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hopeless. Typically, when I arrive they've been through an emotional
wringer. I've got to be a sort of a counselor and psychiatrist," she
said.
For Frank, the key to a persons' ability to
adjust to wearing a prosthetic leg is often based on their feelings about
amputees before losing a limb.
However, she feels that the public has
become more accepting of individuals using prosthetic limbs.
Frank said, "I think there's less
prejudice now than their ever was. People aren't really looking at other
people symmetrically anymore."
Yet, she pointed out that among people
with prosthetic limbs, there's less of a tendency to disguise them for purely
cosmetic purposes.
And some amputees who use the most expensive
or sophisticated prosthetics, such as a $14,000 artificial leg, wear them
publicly and proudly as "a status symbol."
Frank said being an amputee has lost much of
its social stigma, pointing out that celebrities such a disc jockey Dick Clarke
and the fiancée of Paul McCartney of the Beatles wear artificial limbs.
Since federal law prohibits reuse of any
parts of prosthetic limbs, Frank forwards all components or models returned to
her to an organization that distributes them among the needy in impoverished
Third World countries.
Frank said "getting used to moving about
with help from an artificial limb takes a period of adjustment, up to six months."
But after more than two decades helping
amputees get back on their feet, she's tough-minded enough to say "If
people are going to feel sorry for themselves, it's not going to do anybody any
good."
Patients whose knee remains after surgery "are in
pretty good shape," as they still have a natural limb joint of enormous
complexity, but she also caters to those who have lost this critical joint in an
amputation.
"It's like learning to ride a bicycle,"
she said.
But when a patient has lost a leg above the
knee, Frank explained that training them to walk often requires a rather arduous
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discipline of teaching them to shift their weight so the artificial limb will
"walk" properly in step with them.
"It's not a picnic. It involves
hard work. When they go home I have them practice standing at their sink
and making the necessary movements," she said.
Contrary to popular opinion, Frank said young
children who've lost their limbs often make the best adjustments to using
prosthetic limbs because of their youthful fitness and adaptability.
Yet, she often refers younger clients to the
Shriners Institute or Children's Hospital because "it's best for them to be
around other young kids."
Preparing leg and back braces represents
another aspect of Frank's work.
She said braces are "corrective and
supportive" devices used "predominantly to restore the function of an
injured limb or muscle group."
Frank does most of her customizing in a
basement workshop where she uses a $14,000, six-foot tall machine to help her
buff and grind the varied components of clients' prosthetic limbs.
She explained that custom-fitting a
prosthetic limb so it will not irritate the remaining stump often involves
making a plaster cast that shows particularly sensitive areas or nerve endings.
Frank said the technical aspect of the work
satisfies her artistic side because it involves the manual skills and imaginative
vision that initially attracted her to art.
But, there's also satisfaction of a more
lasting type.
"It makes me happy," Frank
said. "Every day I watch people who came here in wheelchairs walk out
on their own."
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