RAM’S HORN TOENAIL AND THE 100 YEAR OLD MAN

RAM’S HORN TOENAIL AND THE 100 YEAR OLD MAN


This poor Nail you’re a Hundred Years old oh My gosh you’re Good okay let’s Lift This foot out you guys okay so you Have This Poor nail See if we can You Just get a focused on here for a Second There we Go oh my gosh so how long Has It Been hurting you How long you know Buffy But One Month One Month Yeah yes but it’s Been Much longer both Feet Heels Very Very Very Very long Yeah okay the nail like i Said has Grown? Into the Skin There’s a Big Infection It’s big smell no good we’re gonna do two Things One Because it’s so painful We’re gonna give you a Little Needle to freeze youR toll yeah that Way When i trim the nail no pain think okay you’re welcome It was your Suggestion you’re Good the next Thing we’re gonna do afterwards i’m gonna prescribe you an Antibiotic okay okay Bill okay to prevent the infection i’m also gonna write a cream to see if we Can Get some of This Infection Down there’s a Lot of tissue and Dry Blood Underneath Okay yeah so we’re gonna cut the Nails yeah both Feet and then we’re gonna also Freeze this tote Yeah It sounds good yeah you Just gotta relax We’ll do the freezing first that we Will let It the freezing Sink in while we trim all the other Nails I’m gonna have to give You a Little Pinch on? Either Side Of The toll yeah it’s not too Bad a little pinching a Sting Toggles Numb Very Very fast I’m gonna set Everything Up When it’s time to do the freezing okay i’m gonna count to three one Two three And you’re gonna Feel a Little Pinch Here Yeah on three i want you to push your Heel like this into the chair if you Feel pain? Yeah okay yeah if you don’t feel pain You don’t have to move but i can tell you’re a Tough guy so Nothing for You so once This Toes time you won’t have any more pain Poor little toe Next time Sir don’t Be scared to tell your Family when you have pain okay? Because he wasn’t you if you Said he wouldn’t complain about it no he wouldn’t want to come to and he went to the family doctor She’s had to go to see Okay you Said no you’re too Tough oh Great Great Great Great Grandson we’re Just Grandson My Kids are Drinking oh my gosh Your Great-Grandchildren sir Yeah That’s Amazing That’s Amazing So he’s a Tough guy yeah sure no problem I can’t walk yeah i know you came up look Up so Here you’re still walking yeah you’re so tough you’re still Walking yeah What’s up i don’t know oh? Okay so i’m Just starting Up the injection So a little prick i’m gonna be nice i’m gonna give You something That’s gonna last Around Ten Hours so there’s gonna be no pain for the next little bit yeah okay so then You can chase those Little Great-Grandchildren Around Yeah And if Their Body can Give them a Good Walk with a cane you come in line for You That toes a Bad Shape So i’m Just gonna wait down to a little bit of an Alcohol Pad And This toes going to be completely none that Way When i trim it no paige Thank you you’re welcome so i’m Just gonna Wipe down the toe Okay so here we Go Just waiting down the toe So on three a Little Pinch You can Push Your foot Down like This if you feel pain okay sir so push it down if it’s paining. Too much okay okay So here we go on three One Two three i Know strive Try to stay Still sir i know i know i know you okay you okay sir okay I know that Pinch Was strong But you’re okay now yeah your nail then you okay yeah any pain Right Now yeah it’s okay okay No pain Right now no Hey oh no okay So to make This toll completely Numb we’re gonna do one more little pinprick okay Okay here we go on three one two three? I know sorry Sir sorry i Know you’re okay now yeah There’s a Pink on Down okay for you See 100 Years old and Needles Never Get easier do they okay You Survived there you go so now it’s freezing Okay yeah okay what we’re gonna do we’re gonna take a Few pictures of the toe first Tony Was Very Painful before right okay so let’s see we’re Just gonna trim This nail nice and slow Any pain Yeah okay pain no no pain oh Poor you so this is complete flesh you see this yeah it Was a Girl on the right in can You see that sir You See how open that is sir yeah yeah the nail was going right in so we’re gonna trim This nail all the Way back for you and There’s a Lot of Pus Here as well in this pocket okay So i’m Just gonna trim the nail really Short Okay Man You’re a Tough guy to be walking Around like This okay so you can see That you Know i know it’s not the prettiest to see The problem okay That’s What we’re gonna do you see how there’s That Growth of tissue that is Abnormal tissue we Call it Hyper Granulation tissue the nail was growing into the skin creating a Cut So there’s a Wound the body Was sending more tissue Into that area to cover it but because the nail was stuck in a Skin The tissue had nowhere to? Go so It start to grow Bigger We’re gonna have to trim that tissue off? The Reason for that if you leave It it’s gonna be a permanent Lump If i can trim it Now it’ll be Flat so When It Heals it’ll be flatter okay So i’m gonna trim that I’m gonna dress it it’s gonna bleed That’s normal I’m gonna put an antibiotic cream Some gauze and then we’re gonna wrap Up the tote Let me Just Get everything Prepared I’m gonna wrap the toll first okay we make that Wound and Then Once it’s covered Then i can trim the rest of The Toenails we don’t want To have an open Wound and Then There’s all This Dust Flying into it? you okay sir yeah You Didn’t Feel anything did you Feel anything okay That’s no fun it’s too easy so what we’re gonna do Forget The Cream Ready Because This Thing is going to bleed That’s normal I’m gonna give you some Bandages and Some Wraps so you can continue to dress It Basically Every day you’re going to be putting on a cream so god and a wrap okay It’S gonna start ill Stop okay but it’S gonna take a Maybe a day or two okay okay Yeah so we’re gonna put on the cream Put on the gauze and wrap this baby up So i’m gonna put on a little Bit more Just. To really Try. To soak Up the blood so if this Bleeds Through All you have to do is Just change the dressing? okay and I’m gonna give You all this stuff To change that Dressing So i’m putting on a little Bit Thicker Than Normal That Didn’t Hurt sir No, no i didn’t hurt When we cut that right okay That Is one big toe look at That okay So that Was a Hard Part Now we’re Just gonna trim the rest of the Nails thank you someone i hopefully You’re the Good Grandson you’re gonna dress it Black You’re gonna be dressing This Toenail twice a day Every day Yes that total over Here with that cream okay? With some gauze and some wrap Every day for Probably Around Two Weeks Until it fully Fully Heals we’re gonna book a follow-Up appointment And In a Week and a Half o to see how to see how it’s doing So you gotta be careful with all these Toenails you Got some Dry you okay yeah That down hurt yeah nothing So i’m Just cutting this Big Toenail sure The Other Second Toenail on that Foot Is also into the skin but it’s not as Bad As This one So we’re Just gonna give It a light file okay yeah You Can Soak the foot before you Guys Try to touch His toenails but thick and Nails like This are always gonna be Hard and and Not easy to cut Well We took care of The Bad One okay yeah okay so let’s put This one over here we’re gonna raise this foot up Is your knee okay like that sir yeah? It’s good okay okay yeah okay okay We’re gonna have some fun with This one same Thing we’re Just gonna trim the nail back? If it hurts Punch them so i know yeah you give them a Good hit then i’ll know it’s bothering you so in the future sir If no, One’s Able to cut Your Toenails and They’re starting to get long you cannot Let them Go this long okay Yes no i know you got to a point where his ways. Too way. Too hard to cut Oh okay yeah yeah? Okay Just trying to trim this Really Short for you that Way you don’t. Have to worry about these Nails for a While Does That Sound Good Yeah Or we could Just Cut off the toes It doesn’t think you want to cut up the toes public This Is a Little Pain Which One That’s the one i’m cutting or this one that I’M Touching hey maybe This one yeah okay almost done? yeah Like This One Here hey okay if it’s really Bad Yeah we’ll freeze this one as well okay yeah okay let’s do this Big one since we’ll leave That Second One for last okay? Whoa you should Have Saved That one for you? Yeah okay Little By Little Yeah This One’s not Really hurting you is It yeah no I’m okay The Big toe is okay right yeah i know that toes completely off I know that ii was really Bugging you Because souls okay yep so this Toenail Is pretty Much a Dead it’s growing straight up okay So we’re Just gonna Keep Going okay sir yeah If It gets Ready Why am i cutting That That’s the nail it’s completely growing straight Up like like a Skyscraper So i’m gonna Actually have to file this One down here? So this is the last one we’re gonna go nice and easy with okay This One we’ll see it’s not as Bad as the other one Okay so what we’re gonna do we’re gonna Freeze this till – okay yeah so let me stop the camera i’m gonna you

How to Remove Infection from an Ingrown Toenail | Remove Infection Toenail

How to Remove Infection from an Ingrown Toenail | Remove Infection Toenail


Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail Remove Infection Toenail

Before & After Did It Heal??? INFECTED INGROWN TOENAIL REMOVAL FOLLOW-UP

Before & After Did It Heal??? INFECTED INGROWN TOENAIL REMOVAL FOLLOW-UP


TB: Yeesh! I don’t know how this one’s gonna heal! (music) TB: What’s up my toes? It’s Jonathan a.k.a. the Toe Bro and I’m back with another update video. So this is a video that I did a few weeks ago and I know a lot of you are really curious to see how it turned out so if you haven’t (seen it) check out the link below to see the original video. It’s about an ingrown toenail removal I did and I had to remove a lot of skin during the procedure that had grown because of this longstanding chronic ingrown toenail. So if you look at these pictures here, this is the patient’s initial appointment at the office. So you could see really thick, deformed toe with a lot of swelling and soft tissue buildup on the sides of both nails. And this is because this toenail has been ingrown for many, many years and it kept getting infected, it kept having this growth of tissue with the body trying to heal itself because of the injury. But because the nail was stuck in the skin, it couldn’t. So this is what has allowed the toe to get bigger, bigger, and bigger. What we’re gonna do is we’re gonna go through the follow-up appointments. So what usually happens after a procedure, a patient will come in one week after the procedure and if there’s no other complications they’ll come one month after. So in the first appointment after the surgery, you can see right here, this is how the toe looked after one week . So it was very moist. You can see a lot of red. This is the new, healthy granulation tissue that’s coming and forming over the wound. This is healthy tissue. That’s why it’s nice and red because it has a good blood supply and the body’s goal is to fill that wound with this red tissue and start the process of forming new skin over this area. So I took a little clip when he first came in for his one-week appointment, having a little chit chat, taking a look at the toe. The patient wasn’t having any pain. No signs of infection so to me, this is a matter of just to continue to dress the toe until the toe has healed. TB: I’m just going to change angles, okay? Patient: Okay, no problem TB: Because it’s good to see what it looks like after one week. But the pain right now, not too much pain? P: No, I don’t feel any pain. TB: No pain. P: No. TB: So it is closing up. (the wound) You can relax your foot . You can relax, relax, relax. It’s okay Yeah, so you can see it’s not as big on the top now right? It doesn’t stick out as much? P: Yeah. TB: So that’s what we want. So overall, it’s pretty good. Yeah, it looks pretty good. (voiceover) Luckily the patient followed the instructions, was dressing the toe well, and we didn’t have any post-op complication. So we didn’t really need to see each other again until the six week mark after his initial surgery. At this appointment, we normally see a lot of dead skin or a scab built up over the healed areas and usually I’d like to file it down, scrape it off, if it’s ready to come off, the dead skin to see how everything’s looking underneath. So here’s a nice next clip of our final appointment of me cleaning up the toe and that way we can get a good look um to see how the toe has healed. Good thing to note, patient is not experiencing any pain any discomfort. He wears actually safety shoes to work and he didn’t have any problem during this whole experience. So it was a really smooth procedure for him and I was really happy with outcomes. We’ll take a look. P: In the morning, TB: Yeah. P: I put the bandage because it was in uh, safety shoes and so it’s okay. TB: How was the month? Very hard for the healing? P: It was okay. It wasn’t that bad. TB: How much pain did you have in the beginning? P: There was a little bit of pain but it wasn’t that bad. TB: The toe is looking a lot better, huh? P: Yeah. TB: It doesn’t look as big either. So let me raise you up so we get a closer look. So I’m going to put the foot down just like this. P: No problem. TB: No pain. P: No. I put on that liquid you gave me and then I put the bandage on like that’s how I keep it. TB: And you found that the liquid helped to keep it dry right? P: Yes. TB: So the toe’s not is it big as it used to be. P: Oh yeah! TB: No more redness. No more pain. P: No. TB: Very good So what we’re gonna do I’m just gonna clean up that scab. P: Uh-huh. TB: That’s on there, P: Okay. TB: And then that’s pretty much it. We’re we’re pretty much all good. P: That’s good. TB: Well it looks good. We’re just getting some different angles, okay? P: Okay no problem. TB: So now there’s no pain in your shoe? P: No. TB: But you’re a tough guy, huh? P: Yes! (laughter) TB: So we’re just gonna file that nail down, okay? P: Okay no problem. TB: If you feel any heat, you let me know, but really you’re just gonna feel some cold water. P: Okay. TB: So I’m just gonna remove some of the scab that’s in there, okay? P: Okay no problem. TB: So you just relax your foot, okay? P: Okay. TB: No pain? P: No. I can hear the sound and feel a little bit of water. TB: Okay. TB: Would your mom say she’s happy? P: Yeah! TB: She’s probably happier than you! P: Oh yeah! (laughs) TB: You don’t care anymore. You’re good. P: Yeah, I’m all right now. But the only thing I was wondering is like I had the safety shoes on… TB: Yeah. P: And that toe was really big. How come like there wasn’t pain? TB: You didn’t have a lot of pain, huh? P: No. TB: It’s weird. Everyone’s pain tolerance, they’re very different and for you guys.. P: Especially like it was important to have safety shoes with the metal part on top. My toe was touching that like yeah I don’t know. It was it like at that meet but so like I don’t know. But then I remember like you know 20 years ago when I came to Canada I had the pain and uh that time I didn’t do this. TB: You didn’t do the procedure, right? P: No. I think the guy suggested that I go there and they’re going to pull the nail or something and I was like, “Come on, man; you must be joking!” TB: Well look, we didn’t have to do that. P: Yeah, I know. TB: We got to save the nail. So no pain. So you see here that lump? P: Uh huh. TB: That’s still from the healing from that infection that there was before, the growth of skin. P: Okay. TB: That’s going to go down with time. That whole side that we trimmed, P: Uh huh. TB: It’s completely healed smooth. P: Uh huh. TB: It doesn’t have a big lump. P: Okay that’s good. TB: There’s no new nail growing in; that’s gonna be the exact width of your nail. P: That’s good. TB: That’s it. P: Thank you so much! TB : Okay, no more pain, right? P: No. TB: Okay, so we’re just gonna take some last final pictures because you’re a real foot model now, man. (laughter) Who knew you were going to come to Canada and become a foot model? P: Exactly! (laughs) TB: Okay, all done. (voiceover) So we made it to the end. Here we go. We can see the nice healing process from the initial appointment, one week after, and six weeks after the procedure. So this patient actually had great healing, very fast for the amount of injury we had. Toe’s looking awesome. As you can see that amount of tissue that was very lumpy and large and deformed is nice and smooth. No more deformed, wider toe. So everything healed really nice and smooth. When you look at the six-week photo, you can see the skin is very smooth on either end and the edge of the nail on the right hand side, that is where the nail is going to stop. It’s never going to grow further down the side and there’s not going to be any skin that’s growing on top of the nail to try to also trap the nail and making it become ingrown. So as you can see, the toe has shrunk considerably in size, everything’s nice and smooth, the nail is narrower, but as a line starts to grow out it’ll be nice and straight. He trims the nail right across and he never has to worry about an ingrown toenail again. Hope you guys like this update. I’ve been waiting to post this one for a while. I’ve been doing two videos a week, and it’s been working well. So I hope you guys are enjoying more content. Again, I’m getting near to the end of the month where I’m receiving my instrument so for all the orders that you guys have put in I really appreciate it. Thank you so much. I couldn’t do it without you guys so here we are to a brand new 2018 and Toe Bro, out.

HUGE, INFECTED INGROWN TOENAIL + GRANULOMA REMOVAL


And, Action! today we’re here with Dr. Martin
we’re helping him out he’s had a little injury so we’re
gonna go ahead and proceed with another partial nail avulsion I’d like for you guys
come close we have an ingrown nail also known as a paronychia he has developed this pyogenic granuloma once again it’s a hyper-granulation piece of
tissue as a result of the ingrown nail the body actually creates that alone and
and I can rest assure that there is a very large piece of nail in
there and we’re gonna go ahead and we’re going to take this amount of the nail
out to make sure that this does not occur again it is very important these are very uncomfortable
what we’re gonna do first is we’ll just kind of lift everything up just check on
the patient is everything okay if feel any discomfort just please let us
know I’ll take our English anvil there’s other
podiatrists that will use other techniques there’s a couple of different
techniques just to get all the way back there but we have to be very, very
careful with the nail root go underneath the pyogenic granuloma this is a very large nail so basically
what we’ve done is this piece of nail as everyone can see this is
all the way back all the way back underneath the the proximal nail fold I’m gonna go ahead and check to make
sure four-by-four and the english anvil
again please sorry about that, sir we cannot leave any pieces behind if we’d leave any pieces behind
that’s not gonna be a good thing so now we’re gonna go to
the second part of the procedure as everyone can tell we have
this flap of skin of red tissue which is the pyogenic granuloma we can use this we can use a blade and I’m just going to show you guys here it’s kind of attached we’re not going to take a whole lot we’ll start from here
these pyogenic granulomas are very vascular and as everyone will see
there’s gonna be a quite a significant amount of blood here okay we’re gonna go
ahead and cut some more out and cut this out we’re not cutting the
healthy skin we’re only cutting away [the granuloma] just dry this up a little bit here so I just want everyone to see here this has been a clearly a relatively complex
ingrown nail this is part of the root of the pyogenic granuloma we’re
not gonna go ahead and remove that we’ve removed the entire ingrown nail which was actually just embedded into this nail fold and this is
actually silver nitrate silver nitrate is used to chemically cauterize which
means to stop the bleeding and we’ll go ahead and just kind of place that in
there I like to put a little bit of pressure there it turns white because
it is a reaction and again the purpose of the silver nitrate is to actually stop the bleeding these granulomas will bleed and
bleed and continue to bleed there’s still a little bit of bleeding here on
the side and again with time all this discoloration will disappear leave that there for
about five seconds and that should do it super it is extremely important especially for
diabetic patients for patients with vascular disease or patients from all
walks of life these ingrown toenails need to be
treated properly to make sure that there are no long-term complications he’s going to be very happy and so are we if you guys have any questions always
feel free to reach out to us at www.jawspodiatry.com thanks for watching

Extreme Infected Ingrown Toenail Removed Permanently in 20 Minutes!

Extreme Infected Ingrown Toenail Removed Permanently in 20 Minutes!


(Patient’s sister is using the video camera.)
TB: Video on. Patient: OMG TB: I can’t believe this but you’re actually gonna watch? P; Yeah, yes. TB: If you feel light headed, if you don’t feel good, you let me know we tilt you back, but you’re a big guy. I’m not gonna be able to catch you, okay? So what I’m doing first, I’m gonna wipe down the toe. We’ll wipe this one down too. I’m gonna actually change the position of feet. As you can see, because you’re a big guy, I can’t get my chair any higher, so we’re gonna put it just like this. Let’s see and you got long legs. Oh, okay. P:Yeah. TB: Right here. So you’ve had the freezing before. It’s gonna be a little bit different. I use a very thin needle on the count of three, when you feel the pinch and sting, just push your foot down like that if you feel pain, okay? We do one foot then we do the next foot. P: Are you going to do both feet? TB: Both yes, this is gonna last around 10 hours. P: Oh! S: I told you! TB: Now you can be happy, okay? P: Yeah TB: So you sit back if you feel too much discomfort just push your heel into the chair. We’re gonna do the easier side first so on the count of three, a little pinch one, two, three pinch there. P: Oh? TB: Oh what? P: That’s freaking amazing? TB: Mon Dieu (my God)? P: Yeah okay so Well where I went, TB: Yes. P: It hurts so bad. TB: And how’s this? P: That, I don’t feel anything, almost. TB: Almost. There’s gonna be a little sting down here any pain? P: No. TB: No pain, uh? P: No. TB: It’s probably just pressure now? P: Yeah. TB: Very good. Okay, so you just relax you’re doing okay? P: Yeah. TB: So what we’re doing we’re filling up this side you’re doing amazing it’s not so bad, huh? P: No. Not very bad. TB: Okay So, this toe is pretty infected as well. So it might need a little bit more freezing, but if we do need to do a second freezing I go into an area that’s already numb so you don’t feel the pinch. P: Okay. TB: One more side, okay? P: Yeah. TB; So here we go on three one, two, three. (patient inhales) TB: This is the harder side so just breathe. You okay? It’s gonna go down pretty good, so just relax. Just relax Vincent. You’re okay. (Other person laughs while patient takes deep breaths.) TB: Very good Sister: This works! TB: Are you okay? (Patient is moaning) TB: So you should be going down any pain right now? P: No, not now. TB: Just pressure now, right? P: Yeah. TB: Okay P: It’s okay. Can you hold my hand? TB: I got a hold on to your big toe for dear life. P: Yeah, TB: Any pain? P: No. TB: Yeah, it was just that one little second, huh? P: More like three but yeah one was a second, I guess. TB: Okay. You okay? P: Yeah, I’m good, now. TB: (speaking in French) My mother was born in Montreal. Yes. I spoke french all my life. But I only speak a little French. But now I speak Spanish and I forgot all the French words! TB: So that’s why it’s tough now! S: (?) P: They were replaced in the brain. TB: I know. (in French) My grandfather was born in Paris and that’s why they’re always about the Parisian French those guys S: Yeah TB: But yeah my mom born and raised and grew up in Montreal P: Did my toe get thicker? Yeah? TB: Yes, so that’s all the fluid that we put in there. So, tell the camera how was that, bad? P: No. TB: Just the one side really? P: Just the hard side. TB: Okay, yeah, P: It was hard on the one side and not on the other. The shot goes straight in, you don’t feel really nothing and you just you feel the sting but it doesn’t hurt, but the hard side, TB: Yes and the reason for that is there’s no tissue. There’s no meat, right? It’s just bone. P: Sorry. TB: That’s okay, so one more side then we’re done. P: Yeah. TB: Okay, so you just relax. So another pinch on three. Here we go. Easy side first one, two, three. Very good. How’s this side? P: That one hurt. Oh! TB: Just breathe. You okay? You’re doing well, I know it’s not easy. A little bit different than the hospital though? P: Oh God, yeah, it’s like ten times less painful than the hospital. TB: So now this sting should go down more, just pressure. Is that what you feel? P: I still feel a little bit of pain right now. TB: It’s just like a sting? P: Yeah. TB: Okay, that’s okay. That’s normal. You got a big toe man! I need a bigger needle! P: No, please! Don’t! TB: You okay? P: Yeah. TB: Okay. So one more side, okay? P: Yes. TB: So here we go on three one, two, three. P: Ah! TB: Vincent, the bigger they are the harder they fall. That’s what they say. P: Yeah, ah! TB: Just breathe, just breathe. It’s gonna go numb pretty quick. You okay? P: Yeah. No, it’s fine not as bad. TB: It’s fine? It’s just that topside, huh? P: Yes. TB: Okay. Any pain right now? P: No. TB: All done. So what’s gonna happen, I’m gonna go get a tray. I set everything up. Okay. So I’m putting on the tourniquets as you know. You’ve seen this in all the videos. P: Yeah. TB: This is to push out the blood so there’s very little to no bleeding. P: So Work like the thing at the end. TB: OMG! You’ve memorized my videos! P: Yeah. TB: Yes. P: The only thing I was always wondering is that is it is it sharp or… TB: No, those are hemostats and it’s just helping to clamp the the elastic band and to grip onto the nail. P: Okay, fantastic. TB: There you go so P: Yeah! No blood! It looks so strange! TB: For now. It’s normal for that little piece that we discussed to bleed when we trim it. P: Yeah, because you said that blood vessel was in skin. TB: Yes. How’s the video doing, okay? S: Yes. TB: Oh wow we get a good view today. P: It’s white! S: I’m trying my best P: It’s not red anymore. TB: Okay, so we’re gonna do a little test Anything sharp here? P: No. TB: Anything sharp here? P: No. TB: Nothing? P: Nothing. TB: How about here? Anything sharp. P: Nope. TB: Okay, Vincent, you’re in good shape. TB: (in French) If you speak slowly in French, you can speak French to me. P: We will try and practice our English at the same time. TB: Anything sharp here? P: Nothing. I’m surprised and quite happy about it.. TB: Okay, that’s good. So this nail is extremely deep on this side, very tight, very wide. S: Oh my gosh, that’s awesome! P: It is! TB: That’s awesome!? P: I’m so far away and she (?) TB: So you’re jealous aren’t you? You want to see, yeah? S: Yes, I am! TB: So how’s it to see in real life? Both: Awesome! TB: I’m excited too. This is fun. This is what I do, right? S: Yeah, I was so excited when I make the appointment for my brother. TB: That’s so nice (in French) You are very nice. You’re taking care of your brother, little brother. S: Yeah, I’ve been trying P: You see that the nail is broken at the top? TB: Yeah. I’m gonna trim that one off. P: Okay. TB: So as you can see that area with all the hyper granulation tissue, P: Yeah. TB: It is bleeding even with the tourniquet so that means there’s a lot of a lot of nail damage and skin damage there. So, when I see a little bit of blood, I don’t get too worried because we do have the tourniquet. Once that tissue is removed, there’ll be no more blood vessels and it will stop bleeding on its own because we did cut off the circulation. S: It won’t that affect the effectiveness of the TB: Oh, you’re good. So I make sure everything’s dry and clear. S: Oh my! P: That’s was inside? TB: Yes, it’s true. Yeah, you’ve been saving it. P: OMG! That’s amazing! TB: Look at that. That’s so big! You definitely have to keep the nail. P: Oh yeah! TB: So like we discussed, I am trimming a little bit more of the nail on this side to try to promote normal nail growth. P: Yeah. TB: Okay? S: I’m sorry but you have no more battery in your camera. TB: OMG! I have another battery in my in my bag, so let me get it. S: Okay, good. TB: So it looks like there’s a deep piece there. P: I’m getting a (?) so I can see that. TB: So it looks like there’s a lot of something just left behind down here. So I’m just making sure everything is removed and what we’ll do when the battery dies, we’ll call Maya in to get my bag, okay, and then… This tourniquet can stay on for 20 minutes. P: Okay. TB: I’m done way before that as you know in my videos. P: Yeah. S: It’s okay for now. TB: And we can always switch to the phone too. So this is the bad tissue right here. So this has to be trimmed out. See how deep the space is? P: Yeah. TB: No pain? P: No, no pain, just me moving because I’m very excited! (laughter) S: I can’t film. Stop moving, please. P: I’m trying! TB: So, how much blood is there now? P: Nothing. TB: So like I said just have to get that tissue out P: Yeah. TB: And it’ll be much better. So I’m just gonna make sure there’s nothing left behind. P: So that it’s not the first time that you saw an ingrown nail? TB: No, not the first time. So making sure sometimes the nail gets stuck in this pocket but there’s nothing there’s a little bit more. P: Yes that was thing I was afraid from because you know I tried to work it by myself and she did and TB: Look at that, more tissue inside P: Oh. TB: Very deep. I’m really taking time with this one because I just want to make sure I use the nail file and I go down the side see how it goes straight down? P: Yeah. TB: That means that nothing else is sticking out. That’s good, so this is dead skin. So I dry this area, we apply that acid, and that’s it and just like that. P: Fantastic. TB: We’re gonna dry it out one last time before I put the acid in. P: Yeah, because if there is too much blood, the acid won’t work. TB: Oh my gosh you guys are becoming pros now. P: Yeah, I think I want to do that next. (laughter) TB: How’s the camera doing? Okay? S: Yes. TB: So this is the shish kebabbed toe. it’s like we’re in Saint Hubert with rotisserie chicken. So this will close up it’ll push it in and it will fill up with space so it’s not empty anymore. So we do this three or four times and that’s pretty much all we need look how deep how far wide it goes. P: Yeah. S: It’s impressive. TB: Yeah, it’s really bad, but I’ve learned that sometimes you have to take a little bit more of the nail than normal or else it can come back. So you see how the nail looks more like a rectangle now? Normal? P & S: Yes. TB: I’m hoping that it just keeps growing straight because now there will be no more of this weird piece. S: Okay. TB: Because the nail bed a nail usually goes from the bottom up straight. So I’m hoping we can direct this nail into a better position. So that’s just a little bit of tissue so there’s a lot of dead skin in there. No pain? P: No pain. Like I said, I’m too excited. My leg is so tense! TB: Try your best to relax the foot to relax the foot. It’s okay. P: It’s amazing. TB: So I’m making sure we really pound it out. So then what happens afterwards I spray this area with rubbing alcohol to kind of neutralize the acid. No more reaction, then we dress the toe and that’s it. P: So ten hours is the freezing? TB: Around 10 hours depending on how your body works sometimes people a little bit faster six to eight some even go longer. S: Oh my gosh. P: Well, I’m big so I don’t know S: I hope you’re not like me because I process it fast. P: Very fast? S: Yes. P: Is it because of your blood? S: I don’t think so. TB: Do you see how much infection and soft tissue there was? P: Yeah. TB: This nail is very loose. S: Yeah it was because it wasn’t attached to the skin. TB: No. So what can happen is the nail might fall off because once the infection is gone it will dry up and fall off, but because we haven’t put any acid in the middle it will still grow back. So what you’re gonna do twice a day every day is you’re gonna put on this cream. P: Okay. TB: You’re gonna put a couple pieces of gauze P: Okay. TB: Two or three pieces, and then you’re gonna wrap it once or twice around. P: But if I go to work I need to put less of those. TB: Put less, or you switch with just this and a band-aid. P: Okay. TB: And I’m gonna give you the band-aids, I’m gonna give you the gauze, I’m gonna give you the wrap. P: But the cream is the thing I need to get? TB: Yeah, I’m actually gonna give you the cream. P: Okay, the only thing that you need to get your Yes So because you got the big toe, I’m using the big gauze. Okay that one’s done. Big toe for a big boy, okay, so we can turn the camera off. We’ll get Maya to come in. P: Well, that went well at first. It was amazing. It was everything that I was expecting from your videos to you in person you took the time you accept to see us in one meeting. Normally I think it’s two from what I heard so S: We were living far away, so that was very awesome. P: We were living far away so that was really nice of you you took the time to explain to us still and it went great, good (?). TB: How is the pain, the needle? Everyone scared of them. P: The needle is fine. Seriously guys the needle, the numbing part that can sting. It’s the hard part that he will explain to you anyway and five seconds maximum you will cut the pain and afterwards it’s clean, it’s freeze up. No pain, there’s no scare. TB: No, there you go and you’re brave. P: Yeah, I know! (laughter) TB: You made it, man. Again Sis how was that? Because I know you like the gore. How was it to see it in person? S: It was awesome, It was impressive, it was nice, I like it every part of it and you were so professional so dedicated so it was amazing. TB: Thank you so much. So I really appreciate you guys from come to coming to see me. It is a long long way, so this is awesome. We’ll keep in touch and we’re gonna do a really nice follow-up video like I said we take a picture every single day for two to three months, so we can see really quick fast slideshow. P: Both feet? TB: Both feet. Why not and we could do a split screen one on each side? That’d be pretty cool. Okay? P: Perfect. TB: OMG! You’re not scared of a little pain. So this is always the cool part so we clamp on and we roll the hemostat toward the middle of the nail to pull everything out. You see the hard skin there how it all gets rolled in? P: Oh. But the thing there is TB: This is the this is the root the white white part. P: The root, yeah. TB: And this is all the hard skin that’s stuck on the side. S: That toe wasn’t infected but It was big. TB: Yeah, so you can see the width of the tool is the piece of the nail I pull but you can see S: Oh, I like it so much. I do! TB: So you were watching, ah! So this is all hard skin and this is from all the pressure from the nail against the skin it builds a callus. How are my toes doing? This is The Toe Bro. I am still alive, still here, and back. I had a long two week time away from home. No telephone, oh my god, who says telephone? No cell phone. No computer. No internet access and I was completely off the grid, so I’m back and ready to get back to work. So thank you guys for sticking around. Hoped you liked this video. This was really an amazing experience for me. I’ve never had a patient travel this far just to see me. So this brother and sister live in Quebec, which is around 7 hours away. They found my videos on YouTube. They were really happy or interested with the service I provided and they called the office, they booked the appointment and came all the way down just to have this procedure done, so it was such an honor. It was a pleasure. We had a great time uh and the most important thing is Vincent is very happy with the procedure, so he’s been doing his photos. He’s been doing his homework taking a photo every single day and we’re gonna get to actually see the healing process from start to finish, so I’m really excited for that follow-up video. I really appreciate your patience. I really hope that you guys stick around, continue to enjoy this video, and I’m really gonna try to put out some really educational videos in the future on actual practical tips on how you can better improve your foot health so again, to all my tools out there, have a great night. Have a great day. Thank you for the love and support. Toe Bro, out.

EXTREME INFECTED INGROWN TOENAIL REMOVAL OF DEFORMED TOENAIL SURGERY

EXTREME INFECTED INGROWN TOENAIL REMOVAL OF DEFORMED TOENAIL SURGERY


Mother of patient: You finished all of your school here? TB: Yeah. Only one school in Canada for this program; The Michener Health Institute in Toronto. It’s the same school my dad went to 30 years ago. M: Is that (right)? Oh. TB: Yeah, so I want you to sit back. I’m just gonna wipe down the toe to clean it up. So I’m gonna give you one side a pinch then we do that other. Like I said, on the count of three if you feel something that’s tight or a little bit uncomfortable and you want to move your foot don’t; just push your heel straight like. P: Like that? TB: Yes. P: Okay. TB: Okay. So on three little pinch. It’s a very small thin needle. So here we go one, two, three, very good. You okay? P: Uh huh. Ahh! TB: What? Bad or not that bad? P: Not bad. TB: Well for you because you’re a tough guy. How about now; any pain? P: No. TB: Very good. The whole toe has become much enlarged, even on the whole downside here. But we’re not gonna be touching that.
We’re just gonna be removing this top portion, okay? Any pain? P: No. TB: Okay. One more side, okay? P: Okay. TB: That wasn’t bad, right? P: No. TB: Okay, here we go on three another pinch one, two, three. This side is a little bit harder. You okay, Igor? P: Uh hum. M: (speaking Serbian) TB: I know; it’s a little tough this side. P: I think it’s bone. TB: It’s a tight fit. How about now? P: It’s okay. TB: No more pain? Just pressure? P: Yeah. TB: This side is much tighter because there’s not as much room. Like you said, it’s right beside the bone. TB: Any pain right now? P: No. TB: Okay, very good. You feeling okay? M: You’re just okay? P: Uh hum. TB: Okay. All done. Okay, so what we’re putting on is just a tourniquet, okay? It’s a rubber band… P: Okay. TB: And this rubber band is gonna push out any of the bad blood or blood that’s just sitting in a toe. P: Oh. I see. TB: The reason for that, the acid that we’re using to stop the nail from growing, it needs to work in an area where there’s no blood. If there’s too much blood, it will dilute the acid and then it won’t kill the nail. P: So basically like you you’re burning this. TB: Burning the nail. P: Okay. TB: Yeah, with a chemical. P: So how does this chemical not enter the blood. TB: So we’re just applying it to a certain area… P: Oh, I see. TB: In a controlled environment. TB: So we’re just cleaning up the toe. M & TB: (?) in Spanish, yeah and in other languages yeah, it’s amazing, M: Yeah (?) that’s the Latin name. TB: It is? (?) P: You’re Spanish? TB: No, but I can speak a little Spanish. P: Oh, okay. M: Nice. TB: So we’re gonna do a little check of the area. P: Okay. TB: Anything sharp here? P: No TB: Here? P: No. TB: How about here? Anything sharp? P: No. No. TB: Nothing? P: Nothing. TB: Pressure? Not even pressure? P: No pressure. TB: Okay. We numbed you very good. P: Yeah, you did. TB: And how about this side; anything sharp here? P: No. TB: Anything sharp here? P: No. I just feel like someone’s scratching something. TB: But no pain? P: No. M: Nice. TB: Anything sharp here? P: No. TB: Okay. So we’re gonna trim the bad nail out. Any pain? P: No. I’m just feeling it’s numb. TB: Okay. We’re removing the ingrown now. P: Okay. Good. TB: You see that? That’s one. M: See how it is growing inside? That’s (what’s making the pain). TB: Big! P: Why this happening? Like so many people complaining like they have this (ingrown nail). TB: There are many reasons. Sometimes it’s the way the nails just they grow, sometimes it’s genetic, sometimes it’s because of pointy or narrow shoes that push the skin over the nail, or sometimes it’s the way we cut our nail. Sometimes we cut it bad and it changes the way the nail grows. P: I have a friend with three brothers. TB: Yeah. P: All three of them have a problem like that. TB: So to me, that sounds like they were born with it the way the nail grows. P: Probably. TB: Some people are just born with very curved nail. M: Si (yes). TB: So just making sure there’s nothing left behind. TB: Okay. TB: But you didn’t feel anything, uh? P: No. TB: The other thing is sometimes trauma, dropping something on the toe, can really change the way the toenail grows as well. P: Seriously? Wow! TB: Yeah, and once that happens, it grows like that forever. P: Could it be like even if you hit the toe like somewhere? TB: Yep. P: Wow! TB: You didn’t say you’re taking any blood thinners; are you? P: Huh? TB: You’re not taking any blood thinners are you? P: No, no. TB: No, uh? There’s a lot of bleeding. A lot of bleeding. Okay. So nothing wrong with that. M: Why lots of bleeding? TB: Why? Just because of all the bad tissue, I think. M: Uh hum. TB: So what we’re gonna do, I’m just gonna put on that elastic band a little bit tighter. That’s all it means, okay? P: Okay. TB: Because what’s gonna happen, when we cut that tissue, that’s where it’s gonna bleed a lot. That’s normal but I just removed the ingrown nail and it’s bleeding a little bit too much; more than it should. P: It’s because of that blood that’s in that? TB: I think it’s just a bad, all that bad tissue. P: Yeah, probably. TB: Yeah, like we discussed the hyper granulation tissue. P: Yeah, yeah. TB: Okay. Let’s see how it’s doing now. So what’s gonna happen, normally we’re going to use the acid first… P: Okay. TB: And then we’ll trim that bad part of the skin last. P: Okay. No problem. TB: See how it’s doing now. Because I don’t want to trim that bad skin first, because it’s going to bleed too much, and then the acid won’t work properly. P: Okay. TB: So first, we’re going to do that acid, stop those two sides from growing, then we can trim the all bad skin. Okay? P: No problem. The most important thing is that’ I don’t feel the pain so that’s it. TB: And you’re not feeling any pain now are you? P: No. M: That’s acid. You burn with acid? TB: Yes. M: Kiselina? TB: That acid is phenol. M: Yeah, yeah, I know. TB: And no pain? P: No. TB: So we’re doing okay? P: Yes. No, I was looking that that’s why I like it happened (it hurt). TB: Yeah, that’s the only reason why you felt that way. P: Yeah. TB: Now it’s not really bleeding so that’s good. And then afterwards, when we’re done, I’ll give you all the instructions how to dress this toe okay? P: Okay. P: How long do I need to put a bandage on? TB: For a week, P: Oh, for a week? TB: And then we come back, we take a look how its healing… P: Ah ha. TB: Then I give you a new set of instructions depending on how it looks. P: Okay. TB: Big. Didn’t you see, you saw that, Mom, right? M: These things make infection? TB: Yes. M: That grows inside you skin or not. TB: Yes. Knowing the kind of Serbian mom you are, I’m sure you would have gotten in there, you said it yourself, you would have jumped right in there! P: But you know this pedicure I went to, she also got a piece, but she probably didn’t get everything. TB: Yes and plus, it’s very hard, especially if it’s painful. If it’s bleeding, you can’t see properly, and again if the nail is very wide, it’s very hard to get to the very end of the nail. P: Yeah, you know like when she was cutting that like. there wasn’t so much bleeding. She just cut a piece and pull it out but see, obviously there were some more. TB: So as you can see, Mom, no bleeding, huh? How does that look? It looks good because I removed the bad skin. M: Bad skin. Yeah, of course. P: So is there going to be a bump? TB: Is there gonna be a bump? P: Yeah? TB: Not as big of a bump. P: Okay, that’s good. But at least it won’t be red, so it’s okay. TB: Yes. P: That’s good, and there’s not gonna be that bad tissue? TB: No. P: Good. M: You know my pedicure also cut around my nails, so like you know. (?) TB: So this one… TB: We’re gonna remove as much of this bad skin TB: So, see that bump? M: I know. P: So tomorrow, probably , I don’t need to walk as much as I was supposed to? TB: No, you’re gonna take it easy tomorrow. P: Okay. M: Maybe Sunday also. (Patient and mom have a conversation) TB: So when it heals, it will be smooth. M: Yeah. (patient and mom have a conversation) TB: So, you can see, this…gone. TB: Big, uh? M: That’s really big. TB: Yeah. M: That’s after it will grow up new skin, everything? TB: Smooth. TB: So, this thing is going to bleed; that’s normal. Okay? M: Yeah? TB: Yeah, because remember that tissue, is all just blood vessels. So normally I get people to leave this on for 24 hours before they change it. We’re gonna change it a little bit sooner so the back so the bandages don’t get stuck to the side of the toe, okay? P: Uh-huh TB: You’re still on your antibiotic, right? P: Yes. TB: Okay. How many more days do you have? P: I am not really sure how much I have. Maybe a few more days. TB: Yeah, I gave you just for seven days. P: Yes. TB: So should be almost there (finished). P: I had one today like three, three-thirty like I’m gonna have one tonight. P: 9: 30. So when do you want me to change this bandage? TB: Tomorrow morning. P: Tomorrow morning. TB: Yeah, so when I take off this tourniquet, When I get some, some… M: At my house, I don’t have this bandage. TB: I’m gonna give you this; don’t worry, Mom. O: Okay. TB: I’m gonna give you everything, Okay? O: Okay. TB: So that’s why you don’t have to worry about it today. O: Maybe he will come in for checking? TB: He’s gonna come in one week. P: Okay. M: Next Friday. P: So maybe next Friday, uh? TB: Yeah. TB: Okay. TB: That’s one big toe! TB: All finished! P: Okay, good. M: Thank you!