TB: Okay, so nice and easy so if anything feels sensitive tell him to let me know.
(Patient doesn't speak English and brought his daughter to interpret for him. Their combined conversation is designated by "P".)
TB: You okay?
P: Yes.
TB: So like I said that black spot, is just old dried blood
From some old trauma, an old injury. Whether it was tight shoes or he banged the toe because the toenail was too long
and it'll grow out with time.
You okay?
P: Are you finished?
TB: No, not yet more more MORE! (laughter)
TB: He's okay, huh?
P: Yeah.
TB: Looks better?
P: Yeah.
TB: Okay what we're gonna do is I'm gonna file the nails.
TB: You okay, sir?
P: He's okay.
TB: He's okay?
TB: There we go. Look at that now!
P: Yeah, beautiful! Looks good!
TB: Look good?
P: Very good.
TB: So now you can be a foot model! (laughter)
Okay, let's just wet down this foot.
P: What do you think about this nail? Does it need more?
TB: No, so what happened underneath this tissue
that's the skin.
P: Hmm
TB: If you go any thinner, it's going to bleed.
So see the tip it's very soft.
P: And why is this black?
TB: Like I told you this is what happened when he banged his toe somehow or damaged it.
P: Okay.
TB: That blood spot is not gonna go away until the nail grows out.
P: Until the nail grows out.
TB: So has a nail grows out.
this will move out with it. So we still got a lot of time for that to grow out.
TB: Okay? So that's why any thinner, it's gonna cause it to the bleed.
P: Yeah, the bleeding would make more problems,
TB: More problems.
P: Yeah because he is taking the blood thinner.