I was recently in Manila to attend a family function. While there we had quite an interesting experience that began when my brother-in-law, a previously healthy 41-year-old white male of Croatian descent, came to breakfast one morning limping. As we sat in the hotel restaurant chatting over coffee and fresh mangoes, the rheumatologist in me could not resist asking to see his foot. He promptly complied, offering up his be-flip-flopped foot for me to examine.
As my sister put it, his foot...