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Video tags
Subtitles
Russian
00:00:00
[Music]00:00:21
[Music]00:00:47
wow00:00:50
how long have you had this issue now00:00:52
wait hold on this big toe00:00:54
uh00:00:57
about a year and a half about a year and00:00:59
a half but it but it didn't accelerate00:01:01
it00:01:02
it did not accelerate until i put that00:01:04
uh00:01:06
that um fungus uh00:01:11
uh a treatment from um uh00:01:14
safeway safely okay maybe much smaller00:01:17
than that okay now how difficult is it for you to00:01:20
wear shoes with this00:01:25
um it can be difficult at times okay00:01:29
is it painful at all no okay00:01:33
so what have you been doing for it for00:01:34
over the past year00:01:36
well i started taking the treatment i00:01:38
mean i've stopped using that treatment i00:01:39
haven't done anything with it00:01:41
well i've been afraid to try to do00:01:43
anything with it gotcha00:01:46
i'm going to trim all of these nails00:01:47
here all right00:01:52
and send them to the lab00:01:56
because what's going to help us to00:01:59
figure out what to do about it00:02:01
is to know exactly what's causing00:02:06
and there are many species of fungus00:02:10
molds and yeast that cause this problem00:02:13
so we want to make sure well let me tell00:02:15
you something00:02:16
when i go for my walk mm-hmm i don't00:02:18
wear socks00:02:19
it's going to be a problem um because00:02:22
it's more comfortable for me00:02:24
okay so that could be a fact00:02:32
how often do you watch it once a day00:02:35
once a day00:02:36
yeah and how much walking do you do00:02:39
between three and five blocks okay00:02:43
not that long00:02:46
no more than 20 minutes now you were00:02:48
telling me earlier about00:02:52
this uh circulation issue that you've00:02:53
been having yeah you can see how my leg00:02:55
is forward00:02:57
yeah so what's being done about that00:02:59
right now00:03:00
well um00:03:03
i um00:03:07
i gotta get my um resources together so00:03:10
i can pay for it00:03:14
because i already paid for the uh00:03:17
initial diagnosis got you00:03:26
so other so what you had a test done00:03:28
already yeah they uh00:03:33
oh the young girl did00:03:38
she had some type of00:03:41
sensor that she put on my legs00:03:47
took photographs and all that stuff and00:03:50
that's when they came back and told me00:03:51
about the circulation problem00:03:53
how long ago was that done oh that's00:03:55
over a year man00:03:56
was it done locally probably in this00:03:58
hospital foreign00:04:05
that section is open uh00:04:08
tuesday and thursdays i think okay00:04:10
because i'm going to want to get a copy00:04:12
of that report00:04:14
okay okay so you can see it's00:04:18
what else needs to be done are you doing00:04:22
any compression wearing any00:04:24
special socks or anything um she gave me00:04:27
a pair00:04:28
mm-hmm but i i haven't uh i haven't worn00:04:30
them in a while00:04:31
okay well they're gonna they would be00:04:33
difficult to wear with your00:04:35
toenails in this yeah uh predicament but00:04:39
after today that's00:04:40
gonna be much better for you okay00:04:44
now00:04:47
i'm gonna take this down00:04:50
very slowly because i don't want it to00:04:53
cause any discomfort00:04:57
i thought they used some type of laser00:04:58
or something like that you know what00:05:00
laser yeah is to deal with00:05:05
fungal infections it laser doesn't00:05:07
remove the nail at all00:05:08
well it doesn't no sir00:05:12
all right so this is coming down00:05:18
take a bit by bit00:05:27
let me know if it's uncomfortable okay00:05:50
so00:06:04
now00:06:23
now this is what we call a ram's horn00:06:27
nail00:06:29
what kind of meal ram's horn oh yeah00:06:33
it looks like a horn of around yeah that00:06:36
curls and everything yep00:06:39
now this is one of the largest ones i've00:06:41
seen in a while00:06:46
because when the nail can't be cut at00:06:48
home00:06:50
it's still going to grow and just grows00:06:53
thicker and thicker and thicker00:06:56
and longer00:07:00
well i'm just wondering how can it grow00:07:04
when the fungus is under it00:07:08
and pushes and dislocated well00:07:12
the fungus is going to keep pushing up00:07:14
on it00:07:17
nails are like hair they're actually00:07:20
mostly made00:07:21
of the same material nails and hair very00:07:23
similar right00:07:26
so as long as there's00:07:31
blood flowing through your foot nails00:07:34
are going to continue to grow00:07:36
now when there's circular circulation00:07:38
issues like you have00:07:42
nails can grow thicker as well00:07:47
so when you have a combination of00:07:51
circulation issues and fungus and you00:07:55
said this started out as from an injury00:07:56
am i correct on that no um00:08:00
just from you know i play a lot of00:08:02
softball00:08:04
so i guess from wearing my socks in00:08:09
um00:08:24
it's coming down slowly but surely00:08:30
i don't want to be too aggressive00:08:35
i'm getting a little sensitive right00:08:37
there okay00:09:04
have you ever been to a podiatrist for00:09:06
this issue no this first time first time00:09:08
okay00:09:17
still working it down but sometimes she00:09:20
she looked after me better than i think00:09:21
myself00:09:22
hmm well you know women are always uh00:09:25
they don't hesitate to go to doctors not00:09:27
at all it's the men that are00:09:30
reducting their time00:09:39
here women are trained at an early age00:09:43
to go to the doctor00:10:01
big piece right there00:10:07
pretty big boy right there00:10:31
is that fungus down there that's all00:10:32
fungus00:10:34
uh overgrowth of skin00:10:38
and nail00:10:44
now00:10:49
we're making some headway here00:10:58
remember the name of that stuff you got00:11:00
at the store to put on the nail00:11:02
no but i have it at the house i didn't00:11:04
call you back and give it to you okay00:11:06
was it a liquid or cream or liquid00:11:08
liquid00:11:11
that's something you picked out on your00:11:12
own i was recommending i picked it up00:11:20
yeah we see that from time to time where00:11:22
people00:11:24
try things and00:11:28
not a lot of success especially stuff00:11:29
they get over the counter yeah00:11:31
because it it acted like more like it00:11:33
was a food supply for the father00:11:38
so now the thing is when treating these00:11:40
issues and when you try to treat them00:11:43
topically that is00:11:44
something that you put directly on the00:11:45
nail yeah00:11:48
most topicals don't penetrate00:11:51
nail even a regular nail they don't00:11:54
penetrate the nail very well00:11:56
in order to get down to the nail bed all00:11:59
right the nail bed00:12:01
is where is the skin underneath the nail00:12:04
the hard part00:12:10
and so if you don't get down to the nail00:12:12
bed you're not really getting down to00:12:13
the infection00:12:17
now if you do this and there's some type00:12:19
of medication i have to take with00:12:21
something yeah when one of the things we're going00:12:24
to00:12:26
do to make that decision is00:12:29
based on what the lab says about this00:12:33
uh study they're going to do once we00:12:35
know what00:12:39
uh organism or organism sometimes it's00:12:41
more than one00:12:43
we know the best way to go about it00:12:49
there we go00:12:55
it's coming00:13:01
you see that's the this is the worst00:13:03
tour you see it's one of the worst ones00:13:04
i've seen in a while00:13:09
we don't let's put it this way we don't00:13:10
get a lot of these00:13:15
it's a good thing we were able to put00:13:18
you in the whirlpool first00:13:20
there's probably no way it would00:13:24
we could do this comfortably was that00:13:26
any without soaking it first00:13:28
was that a uh antibiotic you're having00:13:30
it00:13:31
that was uh better done antiseptic00:13:39
we put it in the whirlpool00:13:45
okay it's coming coming along00:14:00
man00:14:06
all right now that's coming up00:14:30
now what's the brown stuff right here00:14:32
that's part of the fungal infection00:14:35
some species of fungus and uh at the00:14:38
very toe00:14:39
here yeah yep some of them have a00:14:44
like like a melon and they they leave a00:14:56
color00:15:04
i hope you don't mind me asking these00:15:06
questions no no no00:15:08
please ask away00:15:14
guys if you don't know you won't get it00:15:17
fixed00:15:18
you got to know everything about what's00:15:20
going on00:15:23
make sure00:15:27
i know everything that's going on to00:15:28
make sure00:15:32
that we get it fixed and two that it00:15:33
doesn't come back00:15:41
so i'm getting down close to the nail00:15:44
bed now00:15:47
thank you brother maybe use the word00:15:52
hello00:16:06
yeah more than what we need today my man00:16:11
but better too much than not enough00:16:26
how much more you got i'm i got to get00:16:29
down to the nail bed00:16:30
are you not doing it here no not all the00:16:34
way00:16:36
is that what the pain gonna come in well00:16:38
maybe not i mean00:16:39
most times when there's discomfort in00:16:43
dealing with this it's actually moving00:16:44
the nail plate the hard part00:16:48
you got most of that off now so00:16:55
amen i shouldn't say00:16:59
doc do you deal with uh00:17:04
poor blood circulation all the time00:17:06
every day00:17:07
and we have a vascular team that comes00:17:09
once a week00:17:10
to do our vascular studies oh so00:17:14
not you then well it's me i have a hand00:17:17
up or two00:17:18
i can do some limited studies but the00:17:21
vascular team we have comes in00:17:22
they bring all all their equipment00:17:26
computerized and everything00:17:30
so we get a better handle of what's00:17:31
going on with the uh circulation00:17:40
because with the preliminary i think i00:17:42
had to00:17:45
what did they call it about 600 what's00:17:47
that the test00:17:48
yeah i i think that's what i had to do00:17:55
but for the complete operation00:17:59
i think you see it about six thousand00:18:06
well i can oh i can do uh00:18:09
part of it and that would be00:18:13
like 3 500 or something like that00:18:17
you don't have medicare or anything like00:18:19
that um00:18:23
i uh no i mean i do have00:18:26
i do have what is the general uh00:18:32
is it medicare for medicaid medicare is00:18:36
federal medicaid is state00:18:39
okay i have the federal one that they00:18:40
take out the taxes00:18:43
is it active yeah how come you're not00:18:46
using that00:18:48
oh because it doesn't hold on man it00:18:51
doesn't cover everything00:18:52
it covers 80 well it doesn't cover that00:18:56
i mean huh it does and that's what the00:18:59
girl told me that00:19:00
you know that they didn't cover do you00:19:01
have maybe you have just part a you have00:19:03
a and b or00:19:04
no i got that oh that's what it is00:19:07
yeah part a is for hospitalization part00:19:10
b is for outpatient but if you don't have part d00:19:13
that's why00:19:15
and that's the part you got to pay paint00:19:17
on don't you well both of them you do00:19:19
that's one00:19:20
yeah i mean but even if you retire you00:19:21
still gotta yeah yeah yeah00:19:26
yeah medicare ain't free00:19:33
you're not down to bed yeah pretty much00:19:42
this is called a correct way you're00:19:44
pushing the skin like this i'm just00:19:46
scraping some more of this this loose00:19:48
skin off this dead skin00:20:00
we can actually see the full nail bed00:20:01
here now00:20:18
flatter well our feet can come become00:20:22
flatter as we age become flatter with increased00:20:26
body weight it can become flatter00:20:29
as the soft tissue structures00:20:33
that support the arch of the foot00:20:37
become more relaxed they don't hold up00:20:39
the arch as much as they used to you00:20:41
know i am i am overweight man because00:20:45
when i was playing football i weighed on00:20:49
210 and then only about 27500:20:54
270.00:20:58
there we go now this one the second tone00:21:01
yeah00:21:02
it's got just looks like it's got uh00:21:04
dried blood underneath it remember00:21:05
hitting this tail on anything00:21:08
uh known as00:21:11
none of this when i'm bumping into00:21:13
furniture and stuff00:21:17
it's basically like a big bruise under00:21:19
there00:21:20
it'll grow out with the nail as the nail00:21:21
continues to grow so now00:21:23
how often should i come to you man right00:21:26
now you need to come about every two00:21:27
months00:21:28
every two months why is that so we can00:21:31
keep track of what's going on and keep00:21:32
this from coming back the way it was00:21:35
we need to get it to a point to where00:21:36
it's taking care of itself well you're00:21:38
taking care of it at home00:21:39
well how's it going she's going about00:21:42
every two months00:21:44
she can schedule me when she comes so00:21:46
yeah00:21:52
all right cooking with guys right now00:21:55
oh and when i was looking at the uh00:21:57
monitor out there i saw that you uh00:22:00
sell uh anti-fungus spray for the shoe00:22:10
[Music]00:22:16
when you're dealing with fungal infections when we when we're treating00:22:19
fungal infections00:22:20
yeah it's not enough just to treat the00:22:22
skin and nails you also have to take00:22:23
care of the shoes00:22:24
here otherwise it is reinfecting00:22:27
[Music]00:22:38
yourself00:22:40
[Music]00:22:49
now i do have a high blood pressure00:22:53
and i lifted the medications i was00:22:55
taking yeah00:22:56
um00:23:00
at one point uh i had a nosebleed00:23:04
i mean some time ago and uh00:23:08
someone directed me to the hospital00:23:12
and they uh gave me a00:23:17
blood pressure medication to bring my00:23:19
pressure down00:23:21
and after that uh i went to uh00:23:24
a doctor to put me on permit oil00:23:28
to kind of watch i put my regular00:23:30
medication00:23:32
so i take three meds a day00:23:35
okay for the blood pressure00:23:39
[Music]00:23:43
and now my blood pressure is like00:23:46
it averaged around between00:23:50
132 and 140 over00:23:54
80 years it's not too bad00:23:58
but you know what man my blood00:24:01
my heart rate is kind of low sometimes00:24:05
uh sometimes it's in the 50s00:24:10
sometimes you get like and then when00:24:13
they do it again sometimes you get in00:24:14
the 60s00:24:19
did they tell you why that is no well00:24:22
she said the sick is not too bad you know cause00:24:24
i'm i'm 74 now00:24:30
so00:24:34
oh i don't know00:24:40
but at one time my precious i mean my00:24:43
heart rate was low00:24:44
because uh i was on the wrong medication00:24:48
okay so they take me off and then00:24:51
it then became more stable00:25:00
[Music]00:25:10
you all right okay yeah00:25:19
i'm very impressed with you man thank00:25:21
you sir00:25:30
[Music]00:25:40
man00:25:41
[Music]00:25:52
yeah my fault is 94. okay back you know00:25:56
he's a former tuskegee airman00:25:58
okay yeah00:26:02
is he here locally yes i like to meet00:26:05
him one day00:26:06
and we live together okay so how big00:26:09
before this one broke how big did it get00:26:12
wasn't that big it was just beginning00:26:13
just beginning okay yeah00:26:19
am i gonna say that i would sleep in the00:26:21
[ __ ]00:26:23
right here hit the fit the floor wow you00:26:26
fell out of bed00:26:27
no i was i still have to recline okay00:26:31
um got up00:26:37
i must have made so much noise because00:26:39
it broke my father00:26:44
i got up00:26:48
and at the moment i didn't00:26:53
i didn't think too much of it because i00:26:55
didn't feel any pain or anything00:26:57
and later on i looked down and the toe00:27:01
was00:27:02
uh this large00:27:30
now i had trouble with that a little00:27:34
toe as far as clipping because it was00:27:38
it's hard to get here it was hard to get00:27:39
to hard to reach00:28:08
you know i've been thinking about this00:28:09
all night last night00:28:11
and i was trying not to get too excited00:28:14
or too nervous00:28:15
okay00:28:19
i'll tell you one thing man seeing how00:28:22
you work and talking to you00:28:23
all that anxiety anxiety is gone oh00:28:26
thank you brother00:28:27
man you know like i said i'm really00:28:29
impressed00:28:34
so you so you know what's going to00:28:35
happen what's happening all the way home00:28:37
i'm going to be talking about you00:28:41
i think they get tired00:28:48
[Music]00:28:56
more dry blood here00:28:57
[Music]00:29:38
my00:29:43
[Music]00:29:56
[Music]00:30:02
[Music]00:30:13
be sure that they with the disinfectant00:30:16
they air out00:30:17
because again a lot of people meet with00:30:19
frustration00:30:20
when dealing with this issue is because00:30:22
they're wearing the same shoes day in00:30:23
and day out so all they're doing is00:30:24
they're infecting themselves00:30:25
right yeah like that makes sense00:30:28
so i'm putting on some shea butter here00:30:30
for you what kind of book00:30:32
shea butter s h e00:30:35
this is good for moisturizing00:30:39
so you have the dry skin issue because00:30:41
of the circulatory issue that you have00:30:50
yeah can i get that off over the counter00:30:52
or you can00:30:53
we sell some here well you do yeah00:30:56
this is actually uh my own mix over00:30:59
there00:31:02
i don't know make sure you put that on00:31:03
oh every day everything00:31:06
i'm sorry yeah that's all right man00:31:10
all right so looking better here now00:31:13
we're moving in the right direction so00:31:15
should i put that on in the mornings or00:31:17
uh whether it's better for you put it on00:31:18
in the morning that's fine just once a00:31:20
day as you know00:31:21
yeah okay yeah okay00:31:24
now we're looking like something man all00:31:27
right so remember all these things we00:31:28
talked about00:31:30
yeah we'll talk again in a couple of00:31:31
weeks00:31:33
we'll see you every couple of months00:31:34
until we get this straight00:31:36
okay all right and then we'll go from00:31:37
there all right all right any questions00:31:40
no i can't think of anything all right00:31:43
how are we doing00:31:44
well i'm very pleased to tell you that00:31:46
thank you buddy00:31:47
very pleased all right we'll see you00:31:50
[Music]00:31:58
soon00:32:02
[Music]00:32:08
this is dr kevin jefferson the dc foot00:32:10
doctor thank you for watching this video00:32:12
like it with a big thumbs up to see very00:32:14
interesting cases and my approaching00:32:16
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most importantly take care of your feetDescription:
Super Ram's Horn Toenail: Super Challenging This patient is treated for super thick, overgrown, and challenging fungal Ram's Horn toenails. Ram’s horn nails are thick and curvy, like horns or claws. Ram's horn nails can develop at any age depending on the underlying cause. It can be especially problematic for young adults and older adults. Subscribe to my channel: https://www.youtube.com/dcfootdoctor/ Kevin E. Jefferson, DPM contact me at [email protected] To schedule a live, private telemedicine consultation with me, click on https://dcfootdoctor.square.site to book an appointment and to pay the fee. Health insurance is accepted for this service for residents of Washington DC, Maryland, and Virginia. Medicare recipients may use their insurance from all states during the COVID-19 crisis. Office website is www.metropodiatry.net Follow me on Instagram: https://www.facebook.com/unsupportedbrowser Twitter: https://twitter.com/dcfootdoctor Facebook: https://www.facebook.com/unsupportedbrowser Kevin E. Jefferson, DPM is a practicing podiatrist, foot surgeon and board certified wound care specialist licensed in Washington, DC and Maryland. The content depicted on this channel consists of foot care provided to actual patients. All procedures shown should be performed by a licensed medical professional, and are not meant as a substitute for medical care or do-it-yourself instruction.
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Why does my computer freeze when loading a "Super Ram's Horn Toenail: Super Challenging" video?
The browser/computer should not freeze completely! If this happens, please report it with a link to the video. Sometimes videos cannot be downloaded directly in a suitable format, so we have added the ability to convert the file to the desired format. In some cases, this process may actively use computer resources.
How can I download "Super Ram's Horn Toenail: Super Challenging" video to my phone?
You can download a video to your smartphone using the website or the PWA application UDL Lite. It is also possible to send a download link via QR code using the UDL Helper extension.
How can I download an audio track (music) to MP3 "Super Ram's Horn Toenail: Super Challenging"?
The most convenient way is to use the UDL Client program, which supports converting video to MP3 format. In some cases, MP3 can also be downloaded through the UDL Helper extension.
How can I save a frame from a video "Super Ram's Horn Toenail: Super Challenging"?
This feature is available in the UDL Helper extension. Make sure that "Show the video snapshot button" is checked in the settings. A camera icon should appear in the lower right corner of the player to the left of the "Settings" icon. When you click on it, the current frame from the video will be saved to your computer in JPEG format.
What's the price of all this stuff?
It costs nothing. Our services are absolutely free for all users. There are no PRO subscriptions, no restrictions on the number or maximum length of downloaded videos.