A puzzlement to me as well. Back tracking to find a context shed no light.
Had several occasions in my life expressing the need to firmly implant a boot up some miscreants backside but...this.
Is there perhaps a bootmaker involved as well in some sort of removal?
A weeks delay in treatment must be mighty uncomfortable.
Considering the current national insanity might only be well and truly solved by the remaining sane people applying shoe leather in suitable localities it might be a good time to invest in combined G-I/Podiatry clinics. And, as Covenantor pointed out, if these clinics were located in strip malls where there is a shoe repair expert it might be an unbeatable combination.
Fully 50% of all locations nationally would likely wind up in D.C.