I was asked to fill out information in the waiting room. One of the questions asked was my reasons for coming. I stated that my foot was swollen & that I had a small, slightly painful callous on the bottom of my foot.. I never stated that I wanted my toenails trimmed/. The first thing the doctor did was clip my toe nails. I assumed that this was part of the exam, so I didn't say anything. The doctor never mentioned either issue that I had written down. So, I mentioned my shoes as I thought they might have been the cause of the swelling. He said they were fine. I told him that I had broken my foot 5 years ago and perhaps the swelling was caused by arthritis. He said that was very possible and again began discussing shoes as I had told him I was unhappy with the ones I was wearing. Through all this he NEVER examined my left foot. He never even asked me where I had broken it. Again, I brought up the swelling. I said that it was painful when my shoes were tied. His reply was that I could loosen the ties. DAH! I am not a moron. I wanted to know why it was swollen. He was getting ready to end the appointment, when I mentioned the small callous on the bottom of my foot. He would not have taken care of it otherwise. He obviously had not read what I had written. When I got home both my big toes became painful. He had cut the nails too short & had even broken a little of the skin on the right one. I had to use Neosporin on them for several days.