This episode uses George Orwell's Animal Farm as an allegory to examine how healthcare systems can prioritize profit, rules, and convenience over equitable wound care. Dr. G explains how delays, denial of vascular studies, and systemic bias lead to unnecessary amputations and worse outcomes for underserved patients.

He outlines practical wound-care commandments—vascular evaluation, offloading, infection control, prevention, and persistence—and urges clinicians and patients to choose limb salvage over quick amputation. The episode emphasizes endurance, patient advocacy, and treating every limb as if it belonged to someone you love.