I spent a large portion of my afternoon yesterday helping two people navigate end of life issues. June, a 93 year old woman presented with her daughter from a local rehabilitation center with an ischemic limb. Although June had been complaining about left foot pain for days, her rehab was for a right hip fracture. Therefore, the focus of care was on the hip fracture. Her referral to our wound center was made by her cardiologist who recognized the signs of critical limb ischemia.