"Hey, doc," our new patient said as I walked into the room, grinning at me without teeth. He only wears his teeth to eat peanuts, he explained, but today he had opted for a ham sandwich, so he left the teeth at home. Here in the clinic straight from his logging job, he wore steel-toed boots and layers of heavy clothing, hands covered in dirt. Clarifying that I was a medical student, I asked him if he had any medical concerns. "Oh, not really, just the usual stuff, nothin' too bad," he said.