Patient: I wanted to ask you a personal question.
TB: A personal question?
P: Yes, if you don't mind.
TB: I don't mind.
P: How do you shave your head?
TB laughs
(music)
TB: So if anything hurts you let me know but nothing should really bother you, okay?
P: No problem.
TB: Okay, so you just relax.
How often do you normally come in, every six or eight weeks?
P: No, I uh...
TB: Or do you call whenever you feel the need?
P: No, I think that since the last time I was here was six weeks.
I don't know exactly how long.
TB: Does it feel much better after we take down the hard skin?
P: Hard skin, when it's pain I come.
TB: When it hurts, you come.
P: Yeah, yeah, yeah.
TB: How important are your feet to you? Pretty important, right?
P: Yes! They are very important.
TB: And you feel much better afterwards, don't you?
P: Yes.
TB: No, but I really appreciate you coming. You come in in wheel trans, right?
P: Wheel trans.
TB: You don't drive, you don't have a way but you find your way just to get your feet done.
P: Yes.
TB: That's very good of you, sir. I really appreciate that.
Because now you've been coming to see me for a couple years now.
P: A couple of years....why?
TB: You. You've been seeing me for a couple of years now.
P: Yes a couple of years.
TB: And so this is your first time in a new office.
P: Yeah, the first time in here.
TB: And what do you think about the office itself?
P: The office is okay.
TB: This is okay? (laughs)
P: Yes.
TB: Just okay, right?
P: Just okay. Okay.
In that one you have two spaces?
TB: I did.
P: And here you have one only?
TB: No, I have three rooms I have three rooms in this place. Well, you've got a good memory, sir.
TB: So just removing a little bit of nail that was in the skin, cleaning everything down the side and
then will file the nails thin, okay?
There we go.
And then after we'll put some cream on, okay?
P: Okay.
TB: Do you put cream on your own feet?
P: Yes.
TB: What kind of cream?
P: Secura.
TB: Oh, okay, that's a good one. How often do you put it on?
P: Twice a week.
TB: Twice a week?
If maybe you could do it one more time (a week), it would be pretty helpful just because your skin is very, very dry.
P: Yesterday
it you were opened for more time, I would have come.
TB: Yeah, unfortunately I wasn't open for too long. It was Easter Monday, so I only did a half day.
Only did a half day.
P: What about the guy that is coming in?
TB: No more. Just me.
P: Just you?
TB: Just me. So now I'm the only foot specialist here now.
P: Oh no.
TB: So now you're stuck looking at me all the time.
P: No Problem.
TB: That's okay?
P: That's okay.
P: In the lobby, it is okay to sit down? (to wait there)
TB: No. So the best thing is you sit back here,
you relax, I have coffee,
I have snacks, drinks, and then when it's time for wheel transit to come pick you up...what time are they coming?
P: 12:45
TB: Yeah.
P: 2:45
TB: 2:45? So when it's time for you to return, you will go down.
P: I will go down.
TB: You ok in the chair, sir
P: Yeah, I'm okay.
TB: Okay. So what we're gonna do now is
we're going to do the hard...
P: The big one?
TB: Yes, that's the big one. So do the big one first and then we're gonna do the smaller one after.
P: So you are working here full time here now everyday?
TB: Full time. Monday to Saturday I'm here.
P: Monday to Saturday.
TB: Before I was coming in
maybe
every other Monday, or I was working at nursing homes on Monday, but now I'm always at the office.
So again we're gonna remove as much dead skin as we can. If anything's too sore you let me know.
P: Okay, I'll do that.
TB: What are you wearing on your feet at home?
P: I wear a soft shoe, a slipper.
TB: Okay, but you so that's what you wear at home?
P: Yes.
TB: Again, the more cushioning the better.
Luckily, it's not too deep today. It's not too bad.
P: But I feel pain.
TB: You feel pain, ah?
P: Yes and for the last two days I've been feeling too much pain.
TB: All in this one spot? You're feeling pain in this one spot?
P: Same spot, yes.
TB: How long after I remove this does it feel better for? How long does it normally last?
P: One month.
TB: And then it comes back.
P: Yes.
TB: So what we're doing is taking off all the
hard skin on top and then I dig out this little core like a little baby corn you have.
P: Yes, it's what makes the pain.
TB: I know that's what makes the pain.
TB: Nothing's hurting now?
P: No, it's not hurting.
TB: Okay.
TB: No pain?
P: No pain.
TB: Very good.
TB: So let me feel how everything is, see if we got as much as we could.
P: Yes, please.
TB: Yeah, it's pretty soft.
P: Yes.
TB: Okay, one done.
TB: So if anything sore on this one you let me know.
P: Okay.
TB: Does this one bother you at all not really?
P: Oh no. This one is not bothering me too much.
TB: No
because this one doesn't really have any...
P: Corn.
TB: No, no corn.
P: Why does this come on every month?
TB: It's the way you're walking.
So the amount of
pressure you're putting on that one spot.
That's why if your shoes are
losing their cushioning, you have to replace it. You have to always be wearing something that has a lot of thickness and
soft material to absorb as much shock as you can. Again, you walk with the cane.
So it changes, you're putting more pressure on one foot versus the other.
So that's why if you fix the footwear,
it should really slow down
how fast this comes back.
The more moisturizer you have the softer your skin is and it won't build up this hard pressure, okay?
That's why moisturizing is very important.
So instead of doing twice a week, if you can do three times four times four times even better.
P: Okay, I'll do that.
TB: Okay.
So this one that has barely anything.
Okay, so what we're gonna do, we're gonna put some lotion on the feet now, okay?
P: Okay.
TB: Okay. So let me just file the nails quickly, okay?
You, okay, sir?
P: Yes.
TB: Let me clean this up.
P: I want to ask you a personal question.
TB: A personal question?
P: Yes If you don't mind.
TB: I don't mind.
P: How do you shave your head?
TB: How do I shave my head? Why? Do you want to start shaving your head too? (laughs)
P: Do you do it yourself?
TB: I do it myself.
P: So what do you use?
TB: Razor, normal razor. It's not hard to shave your own head.
P: Oh.
TB: Not hard at all.
TB: Okay, sir.
So, you have very dry skin.
So I'm using the foot foam this foot foam that's made for dry, rough skin. It does two things: number one,
it builds a protective layer.
P: What is it's name (what is it called)?
TB: This is Allpresan Foot Foam and what it does it builds a protective layer
over your own skin, so it keeps the body's own moisture inside.
Like Vaseline, but it's not greasy. The second thing it does it has
P: Do they have this in the store?
TB: Not any normal stores only in health clinics.
So the second thing this thing has it has fat
cells very similar to skin cells to help rebuild the skin. So this is why it's very, very...
you can relax the foot. I'll hold it.
Very good, and it's safe to put in between the toes because it's not greasy. It doesn't trap moisture.
That's why it's very, very important that you use your even your own cream more often.
This is higher quality stuff.
So,
look at that!
Like a new foot. You can relax this foot, sir. This one's all done. Look at that, brand-new!
One more foot than we're all done, okay?
P: Can I see the name, please?
TB: Here, take a look.