<prompt> Translate the following text to EnglishAlifanya hivyo kwa uhakika, akitumia kiwiko cha mkono wake mgonjwa kujitegemeza kwenye kizingiti, kisha akanyanyua ngumi zake zote mbili.  <response>: He did so with surety, using the elbow of his bad arm to steady himself at the threshold, then raising both fists in a stretch. 