TB: Nine years huh?
Patient: Yeah,
TB: Well this guy, this sucker's going (laughter)
(music)
In the Mavis area. He goes, I went to the one
Queensway and
Hurontario and so what's it called? He says Cooksville and he says there's a very young guy there.
So I said yeah, yeah, a young guy. He goes, yeah, he did my foot too. So that's where I got this the idea from to go. So...
TB: There you go!
P: Yeah, it was from him.
TB: Oh my gosh! Look what a small world that is!
P: Small world!
Other person with the patient: Yeah!
TB: Wow, and he's doing well?
P: Yeah. Yeah, he actually he hurt his in the summer he fell off uh
you know we're doing concrete walls.
TB: Yeah.
P: And he slipped and he kicked the wall.
TB: Yeah.
P: So I guess he went and he told me about the acid thing. He said he only put acid on and that was it.
And I'm like oh really, so...
TB: Look at that! It's so crazy! (laughter)
P: I didn't go back because I don't wanna do the whole like the guys did the scissors last time you know just,
traumatizing.
TB: No, no. So what we're gonna do is gonna put on a tourniquet, so there's very little to no blood.
Again the most important thing is if you feel pressure or pain you let me know you shouldn't feel anything sharp or painful.
That's so funny.
P: Yeah.
TB: Small world.
TB: Mr. Deeds! (laughter)
P: The only problem is now everytime I see this movie I'm going to be reminded...
TB: Ohhhh (laughter) Should we change it then?
P: It's okay, it will be a good reminder.
Other person in room: You should have picked not something you like.
TB: What about one of the shows she likes so you can say, "I'm never watching that show with you, Honey, sorry, I can't do it." (laughter)
TB: Well I feel like I...
The nail was really tight,
but I feel like I put it on a little bit too snug for you.
Because sometimes actually if you put it too tight, it's no good. It cuts off too much circulation. So just enough where there's
little to no bleeding but if you put it too snug,
that's no good either.
O: Why are we watching this? (movie?
TB: Because the crazy thing, most people who were really nervous.
P: Yeah
TB" Once they realize that you're not gonna feel anything
It's just like watching a movie.
P: Yeah
O: I can't even look. Like I just look at you because...
P: It's almost like, like a car accident. You just, for some reason you have to look at it. (laughs)
TB: Nine years, uh?
P: Yeah.
TB: Well this guy's, this sucker's going. (laughter)
O: It's gonna be gone!
TB: It's gone!
So I'm gonna do a little check first, okay?
Anything sharp here ?
P: No.
TB: Anything painful here?
P: No.
TB: How about here, anything Painful here.
P: No.
TB: No, okay.
Yeah the inside, how about here. Anything sharp?
P: No.
TB: Have you anything painful?
P: No.
TB: Here?
P: No.
TB: Okay, you're good. So...
(speaking about the movie) O: Watch this guy here.
TB: So instead of trimming the nail we're gonna keep it all intact so it looks cooler that way. When we pull it out, you get the full effect
Just a little bit of pressure you feel?
P: Yeah.
TB: But no pain?
P: No pain.
It's going to be a relief because nine years of like I hated going to the beach,
I hated going to pools. I'd cover it up.
O: Yeah.
TB: No more, man.
P: No more.
O: We would put duct tape around it. (laughter)
TB: No, you're good.
So what we're gonna do... oh, you can feel that second toe. You're okay with the toenail touching your toe?
P: It's good.
TB: Okay.
There we go. You want to look?
P: It's off?
TB: Yeah!
P: It's off!
O: It's done? Holy smokes!
TB: That's the toenail. Look at it underneath.
P: Holy smokes!
TB: Yeah, so what we (laughter)
P: It looks like something you would see like from an alien.
TB: So what we're doing now is making sure there's nothing left behind.
There's a lot of damaged tissue that we'll remove as well.
This will close shut and then this will be...
That's all that's there and it will actually look like a false nail. It'll look actually much better, flatter and uh,
people won't even look twice.
O: Oh, don't look! (laughs)
TB: You looked?
P: Yeah I did.
O: Yeah?
P: We were watching, what show were we watching yesterday?
O: Um oh, I forget what it's called now, but it's that show where they do like, they remove like skin.
P: Oh, yeah, it's the weight loss
TB: Yeah.
O: From people who have like excess skin because they've lost a ton weight,
TB: Yeah.
O: And they would just like snip all of the skin off.
TB: Yeah, that's crazy!
P: See, I'm having my own little version.
O: You are. You're having a moment.
TB: You're having a toe tuck! (laughter)
P: It needs to be relaxing.
O: That's a good way to remember it
TB: So if you look it's amazing what happens to a damaged toe. This is all very sealed this is
O: Maybe you should..
P: It looks a little funny!
TB: It looks a little funny, but what will happen this will close up flat and that's it.
So there's no nail left behind.
We're just gonna apply that acid and that's it.
Okay?
P: Yes. It's funny because you want to cringe because you think it's gonna hurt but it doesn't; it's just...
TB: It doesn't hurt, no.
P: It's weird to think that that's..
TB: So this is the a shish kabob toe.
P: Oh, nice.
TB: So if you like barbecue maybe not...
O: I can't watch a thing he is doing right now.
P: No?
O: No. Ooh!
P: This looks...
O: And you can't feel a thing?
P: Nothing that's probably the weirdest part. You just you kind of, I don't know it's hard to explain.
I can feel pressure without...
O: Yeah, yeah.
TB: It's like someone touching you.
P & O: Yeah
P: Yeah, just like gentle touches, but it's then I look and...
O: Ah eee.
TB: There you go,
O: But it's gone!
TB: You had your toe tuck!
P: That's crazy.
O: You won't have to see it ever again.
P: No, I miss it already.
O: Ooohh!
TB: Well, you can always save it.
P: Never mind! (laughter)
O: I'll throw it away, if he does!
P: You know I could put in a jar.
TB: Put in some glass you know...
P: People would come over...
TB: It's a paperweight!
TB: That's it, so this is the acid that's actually killing and stopping the nail from ever going back again.
P: Wow.
TB: No pain?
P: No pain.
TB: (talking about the movie) He's so good though. Oh my gosh. So we're just gonna make sure we apply a little bit more than normal just because
When we have this damaged toenail,
P: Yeah.
TB: The nail bed itself is different than a normal nail.
P: Yeah.
O: It might grow like in a weird place.
TB: Exactly so that's why I'm really being aggressive just to make sure not even one little spike rolls back
If there's ever an issue you come here, and I fix it.
P: Perfect.
TB: But no. This is why we're just gonna be a little aggressive.
Make sure there's no little spike. That's gonna just grow back anywhere.
TB: Weird, uh?
P: Yeah.
TB: But you're doing really well you're making through all this no problem.
TB: One last time and that's it.
So this chemical is very strong. It's called phenyl, and we're basically creating a chemical burn.
So the wound is gonna be very moist during the first week.
P: Okay.
TB: The cream isn't gonna help.
It's gonna keep it moist
But we need it just to make sure we don't get any sort of infection.
O: Okay.
TB: After the second week after the first week
I'm gonna give you in a bottle of iodine or betadine, brown solution.
O: Yeah.
TB: And this is gonna help dry the area out.
O: Yeah.
TB: That way we can get a scab to form and that's gonna make everything feel much better.
O: Okay.
TB: That's it.
So I'm just gonna neutralize the acid using
rubbing alcohol.
We clean out the inside making sure
everything's
neutralized.
Dry the toe and we dress it. So I guess you're doing the dressing, yeah?
O: I don't know. (laughter)
TB: Well I'm delegating you, there you go!
O: Oh, shoot! I don't know!
TB: It's like, you've gotta do it if you're here. You have to help out.
O: Okay.
TB: So, all you gotta do...
O: Then I guess I should look now! (laughs)
TB: All right, there's it covered up so all you gotta do is you put this cream on the nail bed, okay? Just like that.
O: About that much?
TB: Yeah, this much is fine
Just make sure any soft tissue is covered
The first couple days is the toughest so that's where we put you know three or four pieces of gauze on
top and we wrap it for you once or twice around
just to give you a little bit more padding and to soak up any blood. If it's a if it bleeds.
After usually the three four day mark when it's time to go back to work or wear different shoes,
you can just put on the liquid the cream and a band-aid a big band-aid. But because we're removing a whole toenail, in your case, sometimes
adding the gauze is just gonna be a little bit better for you. Just it gives you a little bit more padding.
It's normal for this to bleed. If it bleeds through the band-aid, you take off the bandage, and you just apply a new one.
Okay?
So for you, not you, you because you're the one dressing it.
Just two or three or four pieces of gauze.
O: Yeah.
TB: Once, twice around just enought to hold the gauze up, okay?
O: Okay.
TB: and then we see each other in a week. Just to make sure everything...
O: The cream is the one that he got from...
TB: Yes.So I'll show you once more, we'll put the nail up against the toe so you can see.
O: Holy!
P: That's it.
TB: That's it. Bye bye.
P: Jeez.
TB: So no more. You don't have to suffer with that anymore. You were tough to be dealing with that for that long.
So you are good. Now you and your buddy are matching.
P: Yes. Don't tell anyone!
(voiceover) What's up my toes, it's Jonathan a.k.a. the Toe Bro and hopefully you guys made it to the end of the video.
So I just recently saw this patient for his one week follow-up
and as you can see the nail bed has actually started to fill up with new,
healthy, red granulation tissue.
What will happen is that red tissue will dry up, turn into a scab, and once the scab falls off
we'll have healthy clean pink healthy skin underneath.
So he experienced pain for around 24 hours whereas it was more of a
pulsating, throbbing sensation just for a day and then after that he said he really hadn't had any complaints.
So he's walking around, back at work,
Wearing construction boots and he's really not having any problems, so he's he's had a great recovery so far. So the goal,
instead of using that fucidin antibiotic cream for the week,
he's going to be using something called
betadine or iodine for the next week week and a half until the area scabs over. Once this area has capped over,
we come back in, probably in a month, to remove the scab and we'll have the nice finished product underneath.
So hopefully I'll put a nice video to see the final product, but I hope you guys like the video.
Again, I can't believe we're gonna be hopefully hitting a hundred thousand toes within this week!
Unbelievable that we did it all with in under a year, so I hope we keep up the momentum!
Thank you guys so much for all the love and support. You guys are amazing!
I wouldn't be anywhere without you guys. So keep watching, keep them toes healthy, keep them toes safe, cut them toenails right, and
we'll see you at the next video. Toe Bro, out.