you're a hundred years old oh my gosh
you're good okay let's lift this foot
out you guys okay so you have this poor
nail see if we can you just get a
focused on here for a second there we go
oh my gosh so how long has it been
hurting you how long you know Buffy but
one month one month yeah yes but it's
been much longer both feet heels very
very very very long yeah okay the nail
like I said has grown into the skin
there's a big infection it's big smell
no good we're gonna do two things one
because it's so painful we're gonna give
you a little needle to freeze your toll
yeah that way when I trim the nail no
pain think okay you're welcome it was
your suggestion you're good the next
thing we're gonna do afterwards I'm
gonna prescribe you an antibiotic okay
okay bill okay to prevent the infection
I'm also gonna write a cream to see if
we can get some of this infection down
there's a lot of tissue and dry blood
underneath okay yeah so we're gonna cut
the nails yeah
both feet and then we're gonna also
freeze this tote yeah it sounds good
yeah you just gotta relax we'll do the
freezing first that we will let it the
freezing sink in while we trim all the
other nails I'm gonna have to give you a
little pinch on either side of the toll
yeah it's not too bad a little pinching
a sting toggles numb very very fast I'm
gonna set everything up when it's time
to do the freezing okay I'm gonna count
to three
one two three and you're gonna feel a
little pinch here yeah on three I want
you to push your heel like this into the
chair if you feel pain yeah okay yeah if
you don't feel pain you don't have to
move but I can tell you're a tough guy
so nothing for you so once this toes
time you won't have any more pain
poor little toe next time sir don't be
scared to tell your family when you have
pain okay because he wasn't you if you
said he wouldn't complain about it no he
wouldn't want to come to and he went to
the family doctor she's had to go to see
okay you said no you're too tough
oh great great great great grandson
we're just grandson my kids are drinking
oh my gosh your great-grandchildren sir
yeah that's amazing that's amazing so
he's a tough guy yeah sure no problem
I can't walk yeah I know you came up
look up so here you're still walking
yeah you're so tough you're still
walking yeah what's up I don't know oh
okay so I'm just starting up the
injection so a little prick I'm gonna be
nice I'm gonna give you something that's
gonna last around ten hours so there's
gonna be no pain for the next little bit
yeah okay so then you can chase those
little great-grandchildren around yeah
and if their body can give them a good
walk with a cane you come in line for
you that toes a bad shape
so I'm just gonna wait down to a little
bit of an alcohol pad and this toes
going to be completely none that way
when I trim it no Paige thank you you're
welcome so I'm just gonna wipe down the
toe okay so here we go just waiting down
the toe so on three a little pinch you
can push your foot down like this if you
feel pain okay sir so push it down if
it's paining too much okay okay so here
we go on three one two three
I know strive try to stay still sir I
know I know I know you okay you okay sir
okay I know that pinch was strong but
you're okay now
yeah your nail then you okay yeah any
pain right now
yeah it's okay okay no pain right now no
[Music]
Hey Oh No
okay so to make this toll completely
numb we're gonna do one more little
pinprick okay okay here we go on three
one two three
I know sorry sir sorry I know you're
okay now
yeah there's a pink on down okay for you
see 100 years old and needles never get
easier do they
okay
you survived there you go so now it's
freezing
okay yeah okay what we're gonna do we're
gonna take a few pictures of the toe
first Tony was very painful before right
okay so let's see we're just gonna trim
this nail nice and slow
any pain yeah okay
pain no no pain
oh poor you
so this is complete flesh you see this
yeah it was a girl on the right in can
you see that sir you see how open that
is sir
yeah yeah the nail was going right in so
we're gonna trim this nail all the way
back for you
and there's a lot of pus here as well in
this pocket okay
so I'm just gonna trim the nail really
short
okay man you're a tough guy to be
walking around like this okay so you can
see that you know I know it's not the
prettiest to see the problem okay that's
what we're gonna do you see how there's
that growth of tissue that is abnormal
tissue we call it hyper granulation
tissue the nail was growing into the
skin creating a cut so there's a wound
the body was sending more tissue into
that area to cover it but because the
nail was stuck in a skin the tissue had
nowhere to go so it start to grow bigger
we're gonna have to trim that tissue off
the reason for that if you leave it it's
gonna be a permanent lump if I can trim
it now it'll be flat so when it heals
it'll be flatter okay so I'm gonna trim
that I'm gonna dress it it's gonna bleed
that's normal I'm gonna put an
antibiotic cream some gauze and then
we're gonna wrap up the tote
let me just get everything prepared I'm
gonna wrap the toll first okay we make
that wound and then once it's covered
then I can trim the rest of the toenails
we don't want to have an open wound and
then there's all this dust flying into
it you okay sir yeah you didn't feel
anything did you feel anything okay
that's no fun it's too easy so what
we're gonna do forget the cream ready
because this thing is going to bleed
that's normal I'm gonna give you some
bandages and some wraps so you can
continue to dress it basically every day
you're going to be putting on a cream so
God and a wrap okay it's gonna start ill
stop okay but it's gonna take a maybe a
day or two okay okay
yeah so we're gonna put on the cream put
on the gauze and wrap this baby up
so I'm gonna put on a little bit more
just to really try to soak up the blood
so if this bleeds through all you have
to do is just change the dressing okay
and I'm gonna give you all this stuff to
change that dressing so I'm putting on a
little bit thicker than normal
that didn't hurt sir no no I didn't hurt
when we cut that right okay that is one
big toe look at that okay so that was a
hard part now we're just gonna trim the
rest of the nails thank you
someone I hopefully you're the good
grandson you're gonna dress it black
you're gonna be dressing this toenail
twice a day every day yes that total
over here with that cream okay with some
gauze and some wrap
every day for probably around two weeks
until it fully fully heals we're gonna
book a follow-up appointment and in a
week and a half o to see how to see how
it's doing
so you gotta be careful with all these
toenails
you got some dry you okay yeah that down
hurt yeah nothing so I'm just cutting
this big toenail sure
the other second toenail on that foot is
also into the skin but it's not as bad
as this one
so we're just gonna give it a light file
okay yeah
you can soak the foot before you guys
try to touch his toenails but thick and
nails like this are always gonna be hard
and and not easy to cut well we took
care of the bad one okay yeah okay so
let's put this one over here we're gonna
raise this foot up is your knee okay
like that sir yeah it's good okay okay
yeah okay okay we're gonna have some fun
with this one same thing we're just
gonna trim the nail back if it hurts
punch them so I know yeah you give them
a good hit then I'll know it's bothering
you
so in the future sir if no one's able to
cut your toenails and they're starting
to get long you cannot let them go this
long okay yes no I know you got to a
point where his ways too way too hard to
cut
oh okay yeah yeah
okay just trying to trim this really
short for you that way you don't have to
worry about these nails for a while does
that sound good yeah
or we could just cut off the toes it
doesn't think you want to cut up the
toes public this is a little pain which
one that's the one I'm cutting or this
one that I'm touching hey maybe this one
yeah okay almost done
yeah like this one here hey okay if it's
really bad
yeah we'll freeze this one as well okay
yeah okay let's do this big one since
we'll leave that second one for last
okay whoa you should have saved that one
for you yeah okay
little by little yeah this one's not
really hurting you is it yeah no I'm
okay
the big toe is okay right yeah I know
that toes completely off
I know that ii was really bugging you
because souls okay yep
so this toenail is pretty much a dead
it's growing straight up okay
so we're just gonna keep going okay sir
yeah
if it gets ready why am i cutting that
that's the nail it's completely growing
straight up like like a skyscraper so
I'm gonna actually have to file this one
down here so this is the last one we're
gonna go nice and easy with okay this
one we'll see it's not as bad as the
other one okay so what we're gonna do
we're gonna freeze this till - okay yeah
so let me stop the camera I'm gonna
you