Tehran University of Medical Sciences Frontiers in Emergency Medicine 2717-3593 3 4 2019 08 17 e47 e47 Utsav Mani Department of Emergency Medicine, Bharati Hospital, Maharashtra, India Danish Ansari Department of Emergency Medicine, Bharati Hospital, Maharashtra, India Firdaus Bhot Department of Emergency Medicine, Bharati Hospital, Maharashtra, India Elizabeth Sada Department of Emergency Medicine, Bharati Hospital, Maharashtra, India Rajesh Ursekar Department of Emergency Medicine, Bharati Hospital, Maharashtra, India 2019 08 11 2019 08 13 A 62-year-old male came to emergency department (ED) with a complaint of “separation of foot” during sleep at night. He noticed he lost his foot while getting up from bed to go to toilet at midnight. Upon arrival in ED, his blood pressure was 218/96 mmHg and random blood sugar 556mg/dl. The patient had large ketone bodies in urine. He was a known case of diabetes and hypertension for many years. He was on homeopathic medications for his diabetes, hypertension and diabetic foot. He refused any form of invasive treatment and hospitalization. The patient was adamant on not getting admitted and wanted to continue his homeopathic medications as before. He only wanted his leg stump covered with a dressing after which he was discharged. https://fem.tums.ac.ir/index.php/fem/article/view/245 https://fem.tums.ac.ir/index.php/fem/article/download/245/206