Trimming really thick nails on patient with Cerebral Palsy
this is Richard you can wave Richard wanted to be in the video all right he wanted to say hi and
um Richards got cerebral palsy so he's been in the chair since forever right yeah
and um he's got one foot with nails that look like this and
one foot where the nails look normal so yeah um
your what
I didn't hear what you said sorry you're not um
you're not moving
um
so sometimes you tilt your chair back like this where I can put your foot on
my knee and do it and sometimes I have to sit on the floor right
and sometimes this foot just involuntarily Wiggles and I get a moving Target
that's what we do like oh yeah going outside yeah yeah it looks
like you've been out quite a bit you already have your sandal tan going
do you Richard is an artist and has had his work displayed do you have any coming up any shows
he did oh when just recent yeah okay how did it go did you sell stuff yeah
all of them all of it three of them right wonderful congratulations
so it was a like a group show yeah um
more than just more than just you yeah yeah
well you had one that had not been made into Prince yet and I was waiting until you made prints
out of that one to buy it and your your agent said I forget what her name was she said that
that would be coming out sometime maybe this year because it was beaut it was something that just
touched me not that your others aren't gorgeous because they are can you see what I'm doing okay
did that just teach you
that one did
Richard like that
all right let's do your easy foot now
can we get that one up no
right there it's okay I'm sure she's used to it yeah there's a reason I don't dress
nice anymore to come to work I have a lot of patience in chairs
I don't know if you're gonna be able to see any of this but a little bit
his toes don't straighten yeah
yeah
foreign
um
ask her oops she
ARS cease yeah all right one one lady
see yeah we'll talk about that after the camera goes off
but yes she was actually here earlier today
so what do his toenails grow like that on the one foot um he has fungal infection in those nails
and while it's not super common to have all the nails on one foot and none on the other
ones involved I have seen it before if you look at the bottoms of his feet and I'll show you in
a second the skin is really dry and scaly but that is most likely like a low grade
you see that that's more like a low-grade chronic athlete's foot and so somebody who
has that over a long period of time that's the same fungus that will go into the nails
so it would be worth treating with some athlete's foot cream okay a couple times a day
for a few months and I can put that in the orders if you'd like yes please okay
and then the other thing would be to spray inside spray the sandals
um do you want if you're not wearing socks do you want lotion yeah um so I can prescribe a
powder that comes in a spray form okay and you can spray the shoes you could even just
use that to spray the feet and in between the toes as well okay and then me I don't know
that's all
yeah oh you want me to do it and that's all