When he was 4 his mother found him in the kitchen with a knife. He was summoning the nerve to slice off his own fingers. This wasn’t because he was crazy but because he was all too sane and understood correctly that the dysfunctional appendages dangling from his misshapen left hand were the source of his physical agony. He wanted relief… She stopped but also heeded him, and the very next day she scheduled the operation that she had known he might need. There was no avoiding it anymore. The surgeon cut near the wrist, amputating everything below, and soon the boy returned home to figure out the rest of his life.

He declined to dwell on the cause of his defect: amniotic band syndrome, by which fibrous strands of the amniotic sac wrap around a portion of the developing fetus, strangling development. He focused instead on his response…He did…