User blog comment:Sprinklemist/Sprink Talks About Stuff/@comment-1874924-20110702041147/@comment-1874924-20110704184222

Having hands that are deformed but still usable is probably more common in this situation anyway. He probably wouldn't use he feet to brush his teeth because his hands would probably be adequate for that, especially if you lengthen his arms, but there are still a lot of things he use his feet for, especially when reach is an issue.

By the by, the idea of Richard using his feet as auxilliary hands came for a 60 Minutes (if memory serves) segment that I saw many years ago about a completely armless/handless woman who used her feet as hands, and did so with remarkable agility. The segment mentioned that she washed her feet many times each day, because she used them for things like handling food.