I was friend's with a kid in grade school. His arms were all messed up and really had no use of his hands. No idea on how he wiped his butt. He had to grasp a pencil with both hands to write. He made do somehow.
He took no crap off anyone. Have a kid tease him, he would twist his body and backhand them with that limp hand!
Turned into a very good business man. Have not seen him in years, but we are friends on Facebook. Had a very cute sister, too!