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.