Report: Amputations without anesthesia in NKorea - Yahoo! News A 24-year-old defector from northeastern Hamkyong province told Amnesty that a doctor amputated his left leg from the calf down without anesthesia after his ankle was crushed by a moving train when he fell from one of the cars. "Five medical assistants held my arms and legs down to keep me from moving. I was in so much pain that I screamed and eventually fainted from pain," said the man, identified only by his family name, Hwang. "I woke up one week later in a hospital bed."