When patients visit the clinic, they come in so that someone competent and trusted can help them with their complaints. In that conversation, listening comprises the key step in establishing their trust in you, and builds up their perception of your competence as the attending surgeon. The reality is that even if there are proper indications to operate, patients still refuse surgery for a multitude of valid reasons. This patient with symptomatic flatfoot, midfoot arthritis, and toe deformities did not want surgery in any form. We explain the benefits and limitations of doing no operation, and the patient is extremely happy with customized shoes to pad the dorsum, insoles to improve arch support, silicone toe covers/spacers to address the forefoot, and regular clinic visits. #orthopaedics #footandankle #flatfoot #midfootarthritis #patienthappy #aotrauma #pieytobillo #bacolodfootdoctor #firstloveistrauma #elderly #radiology #hammertoe #trauma #couldbeworse #empathy #insole #customshoe #siliconetoecover (at Bacolod Foot and Ankle Clinic) https://www.instagram.com/p/BnJIeRJAyg7/?utm_source=ig_tumblr_share&igshid=1mwfrrbbskqf2
