Big thing.
I bet these nails probably haven't been cut, especially this big one,
maybe two years, two or three years.
The big ones this.
Yeah.
One or three years.
Yeah.
I'm very happy.
Nothing more serious has happened.
Okay.
We just have long nails now.
Like we were saying.
I'm gonna start t trimming the nails.
When we have all the skin circulation problems with blood
flow, it starves the toenails.
They don't get that proper nutrition and they become damaged.
And the mo, the main response is for them to grow thickened,
crumbly, not that same healthy nail.
And it's unbelievable how.
Nails need just as much good blood flow as anything else in the body.
Um, the baby toes nails are pretty normal.
It's just the big toes that really became very much damaged.
So we're gonna take, we're gonna trim these nails little by little,
starting with the baby one.
So doing the baby ones first.
Again, nothing should hurt today.
The good and bad thing about thick toenails or damaged toenails is
they don't grow the normal speed.
They grow much slower.
Well, what we have to be very careful for when we have poor circulation,
the skin is very fragile, right?
If we have a crack or break, we can get an infection.
Very easy.
Are you living with someone?
Are you on your own?
Okay.
So it's very important because of the the state of her circulation.
, we're always looking at her feet, you know, once a day if you're
able to, but if not, couple times, two, three times a week.
Just looking in the top and bottom, is there any wounds?
Is there any cuts?
She doesn't truly have any bad callous or corn, which is great.
She always needs to be wearing something on her feet at home.
Never barefoot.
Yeah.
Okay.
Do you also treat the callous talk or?
We do.
If we have very heavy callous corns, we take that down as well.
In her case, this is just dry skin.
We have to be very careful that we're not using any things sharp or rough,
cuz it can definitely cut her skin.
Very easily.
I have a nail salon next door where we do routine manicures, pedicures, but in
her case, this is considered high risk foot care because again, one little
injury can cause a lot of problems.
So it was very good.
Have you, have you ever seen a foot specialist before?
Yes.
No, no.
I'm your first.
Oh, you always remember your first
That is good.
So that's the thing.
Luckily, you know, we do this every day, so I'm not worried of.
Trimming the nail short.
This is gonna, we're gonna try to make this last as long as possible, but you
can see the nail is completely brittle.
It just comes apart in pieces very easily.
As I, as I can't crack that one.
The secrets to take a little bit at a time.
Let's flesh.
So it can be flesh, but sometimes it's actually dead skin
that's building up underneath.
You are good.
So we're gonna go little by little because you're right.
I don't want to cut anything that that might be fleshy.
That's why again, the secret, nice and slow.
So we can see this is that abnormal kind of gross skin.
We go little by little.
Nothing should hurt.
Okay?
So if anything's a little sensitive, you just have to tell me.
It's thick, isn't it?
It's tough.
Like you a tough nail for a tough woman.
That's how it works.
So we're getting all this thick stuff down.
Is this the nail that hurts you more or is it the other one?
And does it hurt when you're in shoes?
Shoes?
Just sometimes when I touch.
Just when on the top right?
Mm-hmm.
. Is it more when you push here?
Yes.
And that's because it's putting too much pressure on the nail
bed, the stuff underneath.
The secret to this is really the buffing and filing that we're gonna do afterwards.
First, I'm trimming what wants to come off, and then I'm
gonna file it down very thin.
That's the secret.
You learning how to do this so you can do this next?
No, I, I don't wanna do the risk . No, you leave all the fun for me.
You okay over here?
You're okay?
Yes.
You're, you're, you're watching the, the big nail tower.
It's falling down little by little.
I think that's also clean that she applies.
She applied the stuff for sure.
It's a lot of stuff.
And this puts pressure on the skin underneath, and that's what, again, could
be really causing the discomfort and pain.
When you put pressure on it.
The first appointment is the toughest because it's, you know,
the nails in the worst shape.
Every appointment after this should be getting better and better.
Getting it lower and lower.
We're gonna start, like I said, with first three months and see how much grows back.
It'll be very little, but then we can kind of have a good judge.
Nothing's hurting.
Very good.
I tell everyone, I cut my toenails like I cut my hair, , we're going short today.
We're gonna get all this stuff off.
Look at that before I started applying the cream.
Also, applying cream to your skin is very important, so that is good.
No, no, the toenails.
What about the toenails?
You're applying cream to the toenails?
Yes.
She, uh, I think that's the toe that got infected.
Mm-hmm.
and, uh, like discharge something . Okay, so you had something for it?
Yeah.
So we had to go to the emergency and they gave her some cream.
Okay.
To her.
At this stage for now, as long as there's no new injury, I don't
think we need to apply anything.
Everything is relatively healed, but I do see that there were signs of a lot
of dry blood underneath this toenail.
So it might have been bruised, it might have been injured, irritated.
You're still okay?
Yes.
Very good.
And you don't be shy with me if anything feels a little sensitive, you can tell me.
Okay.
But you can see how much we've taken off on the side.
So we're taking the, the, anything that's lifted off and then we are
gonna be really buffing it down.
To really make it flat.
So this is all the nail bed dead skin underneath.
What's crazy, the nail looks thick, but it's only this thick.
This is all dead skin underneath.
Uh, this is the, the, the dangerous part where we have to figure out
is it all dead or is it alive?
And I have a feeling that we can trim a lot of this toenail off today.
We're gonna see how much wants to come off.
Very good.
Look at all.
It's all coming off, and we're gonna then buff down all this dead skin on top.
You okay over here?
Yeah.
Yes.
So we're getting all this stuff off.
Look at that.
Okay.
So much, much better.
But you really bruised the toenail underneath, so when the nail gets too
thick, there's so much pressure that we can actually get bruising, bleeding
underneath, and maybe that's what caused that initial pain infection.
But right now everything's calm.
So look at all that dead skin coming off.
We're gonna leave all that fun for next time, so we're gonna
smooth this out in a second.
Okay?
This one all good.
Again, if anything gets sore, you let me know.
Doing okay.
Yes.
So this is all bruised skin from the nail, putting too much pressure on the nail bed.
So everything's looking fine.
No open wounds, no open sore, anything like that.
I'm just gonna clean out the corn a little bit more.
So this is the actual skin, the nail bit that's been bruised really well.
A lot of pressure.
So we're, what we're very lucky about is a lot of people with very, very
poor circulation, they actually get an open wound or sore underneath an ulcer
under, even underneath the toenail.
But that hasn't happened.
Little bit of cold water, still finishing up the last little bit.
So again, with the circulation, we just want to be very conservative,
not go too crazy the first time, but that's looking pretty good.
Now, are you guys putting on any lotion or cream on the feet or legs?
Yes, she does.
Very good.
It's very, very, very important to keep everything moisturized.
So look at that nail now.
How's that look?
So the nail's only up to here.
The rest is the nail bed that's been bruised, just
dead skin in a couple months.
This might be loose.
It might come off.
We can clean it up next time.
For now.
I don't want to take too much off.
That's a better starting point.
Let me just take one quick little look again.
We're gonna see just the difference of the circulation of the skin.
We have to be very careful with swelling, right?
Blistering.
Um, but thank God there's no wound.
Anything like that.
Look at the foot already looks so much better.
Yeah, but we're not.
All the fun's not done.
We got one more lake.