Toe Bro: But what's really interesting too, this nail right, you've had since
you were a young, young boy, yeah.
Somehow must have got damaged.
We don't know what's happened and you've just been dealing with it.
And finally, did you know about the removal option?
No.
And the moment you heard about that, you're like, please do so, right?
No, exactly.
Yeah, for sure.
And so this is why I actually do these videos cuz a lot of people
don't know what options we have for a damage thick can toenail.
It's not, it's not truly a fungal nail, it's a damage nail.
So we either are buffering it, trim.
Minutes.
A short, which you've been trying to maintain it or remove it forever.
So we're now, what do you think you were doing today?
So it's gonna be really interesting to see.
Patient: Fun doesn't stop.
This one I might turn away from,
Toe Bro: you'd watch that, but not the nail.
Patient: That is crazy.
So, but again, you
Toe Bro: did amazing watching that.
I would've definitely,
Patient: I
Toe Bro: would've fainted.
I would've
Patient: passed out.
How old is Neil now?
63
Toe Bro: there.
It's gone.
Zero years now.
Gone.
Patient: Yeah.
Oh,
so we're gonna
Toe Bro: disappoint you.
Oh,
Patient: I was slipping over.
So
that is all
Toe Bro: gone now.
What's gonna happen?
The body is gonna fill this up with all new tissue, right?
And self level itself to make it a.
Flat as a can.
So that little bump in the middle is the actual nail bed skin.
Yeah, it's the nail bed
Patient: itself.
Right.
So yeah, it's quite the, like the, the nail, um, compositions.
So normally it's dirty.
Like it's, it's, it's really hard to cut.
Really hard.
It
Toe Bro: is.
So a nail, a nail bed.
Should be flat.
Mm-hmm.
But when we have trauma to skin that grows abnormal, begets
injured, it changes shape.
And so the function of the structure of the nail falls
the function of the nail bed.
So if the nail bed is damaged, the nail itself will now follow
that and grow damage as well.
Gotcha.
So that's why the nail bed does not look normal.
Right.
It's raised, it's bumpy.
So this is the alcohol.
Oh, sorry.
Acid.
Patient: Oh, that's the, the, yeah.
Phenol.
Toe Bro: It stops the, uh, the nail from groin.
So what's really interesting that I find with damaged nails, you can see
the stick's not going that deep here.
No.
When we do it, normal nails, that whole white tip can go underneath.
So it's like that nail.
The nail gets damaged in a way.
That's really weird.
Yeah.
And so the nail bed is short underneath.
It's not long.
And so the nail grows
Patient: weird as well.
Mm-hmm.
Well, I'm happy
Toe Bro: we just did both at the same time.
Yeah, me too.
And so, like I said, you can see the bump now it's flat.
Yeah.
It looks really good.
Um, if we have stress from footwear shoes, more gdy attacks, yeah.
The gout can possibly release from the joint again and build up in the surface.
Yeah.
So I again, just, just get the blood work just to see.
Yeah, just to manage.
We talked about.
Causes for, for so long.
There we go.
Uh, shellfish, lobster, anything with shells?
Yeah.
Causes increased gout, uh, red meat, beer, hard liquor, tomatoes, all these
things increase your uric as levels.
Mm-hmm.
So it hits that certain level.
Then it literally starts to precipitate
Patient: in joints.
Toe Bro: And so what happened?
You still have gout sometimes in the joint itself, which I couldn't clear out.
Right.
But it actually leaked out into that surface, and then the body
kind of got inflamed because it fi, it thinks it's a foreign object.
Yeah.
And that's why I kept getting large and red and irritated.
Then it calms down back, but at least by cleaning as much of that bad tissue
out, it won't irritate you in the shoes.
Patient: I feel like
Toe Bro: a person just learning to use chopsticks for the first
time, the two hand method.
Let me dry this out.
We'll do one more
Patient: application.
Toe Bro: We will really want this to be a one n Done.
Patient: Shoot the nail there.
Toe Bro: How's it?
It's massive.
Patient: Yeah.
You
Toe Bro: really did awesome.
Today.
Patient: I'm really impressed.
So
Toe Bro: really trying to damage where the nail grows from.
So now comes back.
So this is a little bit of rubbing alcohol to neutralize that acid.
No more reaction.
We'll flush the wound out.
You got two areas to take care of.
So for the nail itself, you would just be covering the nail and the
nail bed with antibiotic cream.
Okay?
Same thing with the wound.
You can just put a little bit across
Patient: there.
Toe Bro: Tends to bleed the first couple days.
So how you want to dress it is with gauze.
Mm-hmm.
And wrap.
So you put on the cream gauze and a, a self-adhesive wrap that
I gave you in those little bags.
Great.
If you want to shower, you can shower.
The shower with the toe covered.
Then when the dressing after your shower dressing's wet, you take
the dressing off, put a new one on.
You can put it slightly compressive, a little snug just to reduce
the bleeding the first day.
Like I said, it's normal for it to bleed, so if you notice it's bleeding through
the dressing, take everything off.