Patient: Here's the thing - I don't even care to be honest with you--
Toe Bro: No, no, I--
P. [laughs]
TB: I don't mind doing it, see, you're doing it all on your own, so, let me see, let's see how you pulled that nail.
P: Oh my God, okay, so, I know this is taped so I’m gonna watch my language, so--
TB: [laughs]
P: Oh my God, I don't know but-- TB: Does it hurt?
P: It has a bit of resistance here. TB: That's okay, it's a little bit stuck on.
P: Okay-- TB: It's already lifted like crazy so you just gotta keep pulling.
P: So, lifting it? Keep lifting?
TB: And-- and pull forward,
there you go.
P: Oh my God, I can't believe this,
it's stuck in the end there, look; but it has a little bit of--
TB: A little resistance? So, just lift it a little bit more just to pull it off the resistance.
P: Right here? TB: Yeah.
P: And I’ll pull forward?
TB: Yeah.
P: Oh my God, I can't believe I'm doing this,
this is nuts. TB: [laughs]
P: Okay, push and keep-- TB: Yeah, yeah.
P: I don't know, it doesn't-- it doesn't have any type of--
TB: There it is, it's going.
P: Oh my God. TB: It's going.
P: [winces]
I don't know where it's stuck, to be honest.
TB: It's just stuck in the corner, right in the corner.
P: Right here? TB: Yeah, so you just got to give it a little pull.
P: Okay, so,
lift and push, right? TB: Yeah, lift and pull.
P: Oh man, I can't believe this. TB: But it doesn't really hurt, really-- right?
P: I don't feel any pain yet but I don't know where I’m gonna get--
if I'm gonna feel the pain here or--
TB: There you go, keep pulling it that way.
Awesome, it's--
P: I can't-- I don't know-- TB: The other way to do it is you can pull-- yeah, pull the nail just completely this way out.
P: Kinda lift it up, like-- TB: Lift it and, yeah, and keep pulling it that way, yeah.
P: I want to see from that side maybe even,
this is a little bit of gross but, at the same time, it's, like, a little scary to be honest with you cause I can't remember ever losing a nail, right?
TB: Well, there's a first for everything - I just lost my first nail in a long time-- ever.
P: Yours?
TB: Yeah, mine, I just lost my toenail.
P: Oh no, what happened?
TB: Again, I got stepped on, it got damaged.
P: Oh, that's all it takes? TB: Yes.
P: Okay, so, I mean, funny, I’m--
TB: You're not really feeling too much, right?
P: Oh man, this is-- TB: So, it's just stuck on that one corner so you just keep doing exactly what you're doing.
P: [winces]
I think I feel a little bit of it over here on this corner right here.
TB: And that's normal, so you just kinda gonna have to give it one good pull.
P: I don't want to bleed or anything.
TB: It might bleed a little bit but it's just cause it's stuck on that one piece but it looks like the whole back corner
is just completely coming off.
P: Oh, this is crazy. See if I can pull it off this way.
Oh man,
it's stuck in there pretty good, huh?
TB: Just in that one corner.
P: Oh man,
I can't get it out of here,
I can't get it out.
TB: [laughs] P: [laughs]
TB: Okay, we'll jump in the chair, we'll do it. [laughs] You did pretty good on your own, you did pretty good.
There's two ways to do this--
P: Keep lifting and see if it kinda just--
TB: Yep, and then, again, wherever it's attached, you just have to pull it off
because they'll bleed maybe a little bit but it's attached on that last piece of skin.
P: Okay.
TB: If it's too sensitive then I just trim whatever is detached and we leave that one little corner that's attached and, as the new nail comes in, it will push off.
P: To be honest with you, it feels like it doesn't feel like it's-- it has a little bit of resistance but I don't really feel pain but I don't know what to expect.
TB: So, let me explain to everyone what happened:
you came in - it was crazy - we--
we had this nail that was dark, discolored--
P: Black, yeah.
TB: Yeah, we trimmed the back and, suddenly, all this puss came out.
P: [inaudible], correct.
TB: Yes, and I’ve never seen anything like that, there was no visible signs of infection and in all this puss came out, it was an old infection that you had before.
P. Probably, yes.
TB: So,
now that pus or fluid underneath has lifted this old nail and we actually can see underneath-- sorry, tell me if anything hurt - this is the new nail down here.
P: Okay.
TB: That's already the new nail that's-- that's coming in.
You see that down here?
P: Actually, let me see that.
Oh yeah-- oh yeah. TB: That's new nail.
P: Oh wow, eh?
TB: So, it's been hiding underneath
so let me see what's attached, what's not.
Does it hurt in the back here?
P: No, no, no.
TB: So you were babying it a little bit.
P: Yeah, cause I don't know--
it has a bit of-- yeah, that's ow, wow, ah! [laughs] [winces]
Oh wow, that does hurt, eh, it has--
TB: You okay? P: I think it's stuck on pretty good there at the end there, eh? [winces]
TB: Do you have a stick?
P, TB: [laughs]
P: What? Do you want me to bite on? TB: Here we go, you just-- you just hold on.
P: [winces] Ow!
Oh, man...
TB: [laughs]
P: Holy...
TB: There's all the tools we need - just my hand. So, just-- it was just attached on that corner.
I was trying to get you to do it on your own but
you're too much of a nice guy. P: I think I prefer you-- I prefer you doing it cause I think--
TB: This-- this-- that was a professional way, just with your bare fingers.
So, you can see it was just attached at one corner, so, see this part here?
P. That's a new nail TB: That's the new nail coming in.
P: Oh wow, huh?
TB: See how it already looks really pink and healthy?
P: Yes.
TB: See how that dark line I told you? With certain ethnicities, we get this darken lines in the nail.
P: Yeah, cause I'm Indian descent, okay?
TB: Yeah, same with Asians, Africans, you already have a little bit darkness here and it's already gonna be there but the nail looks much healthier.
P: For sure, yeah.
TB: And there's that old stuff. So, what happened - we cut it back to release all the puss and now the whole nail has come off.
You can see that side how curved
and damaged and thickened. P: Yes.
TB: So we're gonna get a brand new nail.
P: So, now this thing here-- what do I do know? I mean-- TB: Nothing,
nothing.
There's a little blood, I'll put a little bit of iodine on it.
P: Okay. TB: But pretty much this-- after today, you don't have to do anything, you let it be.
P: So I can-- TB: Nothing. P: I can put lotion, cream, anything on it.
TB: Yep.
P: Really? TB: Yep.
P: So, I guess I go into the-- because sometimes I go to the spa, I mean, [inaudible] the people hearing this on the video cam but I go to the spa to get my feet messaged, right?
TB: Yep.
P: And I’ve soaked my feet in there because I’m working in the construction field and I want to take care of my feet.
TB: That's fine.
P: I can't do that anymore now? TB: No, you can.
P: Really? TB: This is all closed,
it's all closed.
P: So I don't have to wear anything--
TB: No. P: --covering the surface?
TB: No.
P: So I don't have to put-- TB: Does this hurt?
It's more sensitive but-- P: Yeah, [inaudible].
TB: But it doesn't hurt, there's no open sore or anything like that.
We just put a little bit of a band-aid and the medicine for today and that little
one spot where it was attached will dry up and you're okay, it's completely closed, you won't have to do anything after this.
P: Oh man, that's crazy, huh?
That's what happens so the new nail was-- TB: That's what happened.
P: The new nail was already pushing out and-- TB: Yep,
yep.
P: Wow, see there, your body works miracles, you know? Your body's a very, very young,
you know, obviously intuitive, intelligent design machine so it kinda-- that's why maybe where the pus came out, it pushed it out.
TB: Yep.
So, it usually takes-- we say one year for a new nail to go from bottom to top but you're a young guy so probably six to eight months you'll have this full nail.
P: Okay.
TB: A nail doesn't grow a nice one straight piece like this, it kind of grows like a wave so see how there's, like, a bump and it rolls down?
P: Okay. TB: It'll just kind of roll its way forward.
P: Oh, okay.
TB: Yeah, but there's your nail.
P: Do I do anything in the future? Do I do anything to kind of, you know, make sure the process is, like--
TB: No, you can use a little bit of lotion
just to keep the nail bed moist.
P: So it sticks-- if it doesn't-- okay, so it sticks, it has that moisture to it, okay.
TB: That's it.
P: So, can I-- like, natural-- I usually use natural type of--
TB: I’m gonna throw out your nail.
P: I'm gonna keep this one. [laughs] TB: You wanna keep this one? [laughs] I knew-- I had a feeling,
that's why I didn't throw it away yet.
P: [laughs] Cause I'll tell you something - I’m gonna put this-- I want to say put it on a wall but I'll put it somewhere where I'd put it-- probably in a shoebox or something, I'm like--
TB: [laughs]
P: I’m wanna say, "man, I remember this" so I’m gonna have to take care of my feet much better but,
I mean, listen, I had this nail forever, eh? I mean, this is the first time I’m-- I lost a nail
so this is-- this is obviously-- you know what?
I wouldn't say scary but it's also very interesting
experience because I’ve never had this before. I’ve seen it before--
TB: Yeah.
P: I’ve seen one guy one time, though, you pulled it off and I'm like, "man, that must have hurt" but, you know, so, you know, I'd be like, "oh, wow--
TB: So this is just iodine.
P: --here I am and now here's my nail."
TB: That's it.
But you already have a new nail so
you didn't lose one, you just kind of gave one up for a moment so it's already coming up.
P: So, I were to left this on here, you know, if I were to actually left this on, it would have just automatically pushed it off by--
TB: Exactly.
P: Oh, okay but it'd probably be good idea for me to come and take it off to--
TB: Exactly, because what happens if it's hanging on that one piece and it gets caught on something?
P: And it probably would even deform more-- probably deform the nail more from growing properly--
TB: It just slows it down, it's good to leave it all open. So, that's all we have to do we put a band-aid and, after
tonight, you take off the band-aid, you don't have to do anything else, you'll be fine.
P: Oh, that's-- TB: That's it. P: That's crazy.
Dr. Tomines, I mean--
TB: Just Jonathan, no doctor. P: Jonathan, you're a great guy, I-- Jonathan, you're a good guy and I feel, like I said, you know what you're doing here and I’m very, very happy that I [inaudible.
This is, like, two things, you know, you trimmed it--
TB: Yep.
P: It was much better when you trimmed it but then I went home and I’m like, "hey, this-- this thing is loose" and that's why I’m back here and then,
sure enough, the thing fell off, right? The nail fell off, so...
TB: There you go.
P: That was fast.
TB: [laughs] P: Thank you so much. [laughs] TB: You're welcome, that was fun. [laughs]
P: Oh man, this is good, man, so--