she is, if i may speak frankly, somewhat of a medical oddity. due to impaired dexterity, her life activities and career potentialities will be reduced. it could be worse. bring her back to me if there ever is pain. meanwhile, she will have to learn to live with them. remember the words of the painter paul gauguin, dear lady. "the ugly may be beautiful, the pretty never." i don't suppose that means very much to you. i'm afraid i can't help you. ah, the thumb. the thumb the thumb the thumb the thumb the thumb the thumb. one of evolution's most ingenious inventions; a built-in tool sensitive to texture, contour and temperature: an alchemical lever; the secret key to technology; the link between the mind and art; a humanizing device. the marmoset and the lemur are thumbless; none of the new world monkeys has opposable thumbs; the spider monkey's thumbs are absent or reduced to a tiny tubercle; the thumbs of the potto are set at an angle of one hundred eighty degrees to the other digits. and so you are demanding at last the privileges of thumb that nature has perversely denied you? ah, yes. very well, my dear. here is what we can do.