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Prosthetics Designer

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When Rick Kraft sits down with a client for the first time, he knows what they're feeling. He's been there.

"I'm an amputee myself," says Kraft. He entered the profession after he losing his right leg at age 16 and befriending the prosthetics designer who helped him adjust.

"It's not unusual for people who are amputees to get into this field, but there's more and more who don't have disabilities getting into it," says Kraft.

Kraft got his start almost 20 years ago, and now he owns a company that specializes in helping people get used to life with an artificial limb. He works predominately with elderly people who have lost limbs as a result of complications from diabetes or other problems. He also works with small children born with congenital defects and those who lose their limbs in car accidents.

"It's dealing with people, helping people. I can identify with what they are going though -- and make a pretty good living," says Kraft.

Elaine Uellendahl is also a certified prosthetics designer. She came to prosthetics because of an interest in medicine. Her college instructor recommended she volunteer at a nearby hospital. When she started working with a scuba diver who lost both his legs when his tank exploded, she was drawn in.

"Every case is interesting," says Uellendahl, a private practitioner who is also the clinical instructor and director of Northwestern University's prosthetics and orthotics program. "It's not that uncommon to have people who have been drunk and then fall asleep and lose their limbs to frostbite."

One of the big challenges to the job is keeping up with technology. The introduction of computers into the field and the evolution of plastics have greatly altered what can be done, in terms of creating the limbs themselves and creating more precise means of fitting sockets into the joints.

Since Uellendahl qualified in 1995, advances in the field have been enormous. "All the components available now are so much better," she says. "When I started, there were only three feet to choose from. Now there are 25 to 30."

Other advances include cosmetic improvements to the limbs to more accurately reflect natural skin tones -- a feature particularly important for female patients whose legs are frequently bare throughout the year.

Another challenge is working with the different personalities of the clients. "So much of what we do is subjective," says Jack Uellendahl, Elaine's husband who's also a designer. "Even though something looks comfortable, if the patient isn't happy with it, then you're not done."

Discomfort can also be a result of psychological issues. The client could be still grieving for the lost limb, so the designer has to be willing to listen with empathy.

There's also a creative side to the business; no two people are alike and no two joints are alike.

"There is a certain amount of craftsmanship involved," Kraft says. "You need to have a feeling for what you're doing.

"But it's a great field, very rewarding. You're getting people back into the workforce. It's very uplifting work."

For Jack Uellendahl, there was no greater example of that than the day he fitted a young man with two new arms. "His wife had given birth to their first child, and to be able to pick up that baby -- that was particularly important to him."

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