Madam L, a 75-year-old Chinese female, was admitted for amputation of her toe due to underlying osteomyelitis and subsequently required community step down care for management of her wound. Underlying fixed ideas and perceptions were the reasons behind her poorly controlled asteatotic eczema with recurrent cellulitis. Due to the recurrent infections and decreased function, her husband who was also her caregiver requested for her to be institutionalised. The family physician (FP) is well-placed to provide patient education and correct misperceptions in our patients. We can also collaborate with our specialist colleagues to manage common conditions such as asteatotic eczema, which can result in high morbidity. The multi-disciplinary team is also essential in ensuring that all concerns from different stakeholders are addressed adequately for patients to be discharged and remain well in the community.