Toe Bro: [laughs] Patient: [laughs]
TB: It grosses you out.
P: Yeah. TB: So, we trim the one foot
and, again, just so everyone knows when they're watching -
you don't know when this happened,
when the color started to change.
You don't remember-- P: No. When I fell--
Patient's Daughter: But when did that happen? TB: Yes. P: I don't remember.
TB: Yes, and that's why it's very normal for one day the person to look at their own foot,
(and think) "what happened to my toenail?"
D: Ahh. P: Yeah, yeah, yeah. TB: Because you had trauma--
P: Yeah. TB: --that caused blood inside the nail-- P: Yes, yes.
TB: --and now it's dried.
So, for now, we have two options. Number one - what we're going to do today is the conservative treatment.
We cut the nails; we file the nail-- P: Yeah, yeah, yeah.
TB: --treating it, cutting the most of this color. P: Of that color.
TB: But if not - if we keep it - we don't cut; when the new nail comes in, this will
grow out. P: It'll come out. [laughs] TB: Yes.
D: Yeah. TB: The second method
is by removing the nail permanently. D: The nail completely, yeah. TB: Yes.
And this is because the nail is very thick,
and will never change. P, D: Yeah. TB: And so, today, the problem with the color-- with time, this will grow out normally.
D: Yes. TB: The problem is really in the shape of the nail.
P: Of the nail, yes. D: Yes.
TB: Because when it's too thick - tricker like this - it's more pressure in the shoes.
D: Wow, okay.
TB: And putting more pressure like this, so, by maintaining the nail thinner,
it'll be less pressure and - I hope - it won't cause any more in the future. D: Okay, okay.
But it will always be like this.
TB: Yes, ingrown, thick. D: Okay.
TB: But it was very good, like you said, it was a good story - the surgeon-- D: Yeah.
TB: --said kind of the name, but you don't remember if he said "ram's horn" or thick-- or--
D: I don't think he-- I-- I-- I thought he said "horn" or "ham" or som-- I forget
and I didn't want to ask him. TB: But you-- you went right to YouTube or you just googled it and it said--
D: I googled that, I think I did maybe "horn" or whatever, I forget and I think your-- your--
TB: [laughs] D: One of the few-- or one-- I don't know if it was the first one or whatever and there you're cutting and--
TB: Oh wow. And here we are! D: It was meant to be!
TB: Yeah, that's amazing. [laughs] P, D: [laughs]
TB: That's amazing.
D: And the fact that you speak Spanish is great. [laughs] TB: Of course, for the lady over here.
D: That's right. TB: So, let's cut the pinky toenail and then--
P: Oh, cut very "short, please."
TB: Very "short"? I'll cut it to here.
D: Yeah. [laughs] TB: [laughs] P: No. [laughs] That one I'll feel.
TB: Yes. [laughs]
Yes, just the nail.
D: But that's good, it's not something serious or serious-- TB: No, no. D: Yeah.
TB: This happens a lot due to circulation.
When the circulation is bad, the nail changes, D: Yeah.
TB: Chemotherapy-- D: Yeah.
TB: --changes the nail. D: Yeah. TB: There's a lot of things that can change the nail.
D: Yeah, yeah.
P: With all that they gave me,
it's the [inaudible].
D: Yeah, [inaudible]
because my mom was diagnosed in March of 2003 so it's been 18 years.
TB: Wow. D: Yeah, she went through a number of bouts of-- and lost her hair and all that.
TB: Oh... D: Yeah, but she's fine now.
TB: But look at that - you have more hair than me now.
D: That's right. [laughs] TB: [laughs]
P: I don't care for those sorts of things, those are dumb-- vanities of the human race.
I just wanted get out of there.
I wouldn't have my children to--
D: Yeah. And granddaughters.
P: And granddaughters as well, that's true. TB: Wow.
P: Yeah.
TB: And are you okay now?
D: Yeah, yeah. P: Oh, yeah.
TB: That's good. P: Luckily.
D: [inaudible] replacements hurt still-- still hurts her. [laughs]
TB: [inaudible] are very difficult through surgery to replace; a lot of pain, very difficult.
D: Yeah. P: Yeah, I reckon it wouldn't hurt.
D: Yeah, well, you were in more pain before. P: Yeah, yeah. D: Before you were in much more pain and it's--
P: Not so much.
D: Just a little.
TB: So, I will firstly cut off what I can, and then it will be through filing - that's a very important part--
D: Okay. TB: --because then I can make the nail softer, thinner--
D: Right.
TB: --shorter.
All of the nails are like this.
D: Oh yeah, yeah.
TB: Very curved.
P: I've never been one to paint my toenails.
D: Yeah, no.
TB: Wow, so you can start on that today.
D: [laughs] P: No. [laughs]
"No way, José" [laughs] or however they say it.
TB: [laughs] P: No, no.
TB: Now to the main star.
So, we will cut it little by little.
P: Yeah, yeah, yeah.
Do what you have do, it's no problem.
Oh no, it looks like [inaudible]
D: Yeah, it looks like--
Wow.
P: I know, it's amazing.
TB: Yeah, the body is amazing - the way it changes. P: Changes, yeah, yeah, yeah. D: Yeah.
P: After everything I've went through by being in chemotherapy,
I feel like this treatment is a luxury. [laughs] TB: [laughs]
Yeah.
D: The girls from the nail salons - I don't know if they would have been able to--
TB: No. D: --cut through that, you know? P: I think not.
TB: It's too difficult.
P: This is for a professional. D: Yeah, [inaudible] P: No, no, no.
No, you have to trust--
D: Yeah, that's why I didn't want to even tackle it, I thought, "I'm not gonna do that, who knows what could happen," like, God, no way.
TB: Yeah, the nail is very--
how do you say this? Like, "crumbly." P: Very hard, isn't it? D: Ohh.
It's, like, "crumbly."
P: Yeah, yeah, falling apart, no? D: Yeah. P: In English, it's like falling apart.
Disintegrating. D: Yeah, yeah. TB: Yes.
P: Disintegrating. TB: Disintegrating--
oh, you're teaching me new words, very good. D: [laughs] P: Of course, of course.
TB: Teacher.
P: No, no. TB: Teacher. P: Lecturer--
TB: [laughs] D: [laughs] P: It's much-- [laughs]
D: Oh, so that's what's happening - the nails-- why is that?
Oof. TB: No, it's all the dead
skin, dry blood under the nail. D: Oooh, I see, okay.
Because one of the videos I saw on YouTube--
I don't know if I saw yours first or-- she was-- I don't think she was a chiropodist or podiatrist, she was just a nail person.
TB: Hm-mhm. D: And--
and when the nail was curved like that,
what she did - I think she got an instrument to kind of dig out all the,
you know, the stuff that was curled in there
and I don't know if she had a-- she said she could have applied some type of acid or whatever;
I don't know if to straighten out the-- I forget because this was now a while that I saw it
and,
yeah, something to do.
But you can't straighten it, right?
TB: No, at this stage-- D: No, no. TB: --it's permanent - the change of the nail.
P: [inaudible]
TB: Well, firstly we will cut
and then file it flat. D: File. P: Yeah, yeah, yeah.
TB: So, my file has water--
P: Okay, no problem. D: Wow.
TB: --so it doesn't cause any heat, it's very easy on you, it won't cause any friction.
P: Oh, yeah, yeah.
TB: And tonight - paint.
D: Oh yeah. [laughs] P: No, no, no, no worries. D: "Paint." [laughs]
TB: The painting of your nails. D, P: [laughs]
D: Your bunion is inflamed, right?
P: Yeah. D: Because your shoes are too tight.
P: It's my father's heritage. D: Yeah.
TB: Yeah?
P: My father used to have bunions. [laughs]
D: But at least your feet don't hurt-- P: Oh no.
D: --because some people - their bunions hurt. P: No, no.
TB: The two main
most common reasons for bunions: genetics and tight shoes.
D: Oh, yeah. P: Oh, yeah.
D: Because my mother's sister-- P: Yeah.
TB: As well? D: --she went on to treat them.
P: Yeah, her aunt. TB: Ah, okay.
D: I think so. P: Yeah, I think so, yeah.
D: They removed the bunion. P: Yeah, yeah.
Oh, yeah because she didn't like the look.
D: Okay, yeah. P, TB: [laughs]
D: You can't wear nice shoes--[inaudible] P: I know.
TB: Look how the nails are.
P: Yeah, yeah, yeah. D: Nice, nice, nice.
TB: They're much thinner. P: But is it always going to be dark?
D: No, that's gonna take-- [inaudible] TB: Yeah, it will take a long time to grow again.
P: Oh, don't worry then.
I'll die before it grows out. TB: [laughs] P: [laughs] D: It will take a while.
But who knows? We don't know how long--
P: Yeah, I don't know.
TB: As you can see - the blood is coming off on one of the nail's layers,
not on the full nail. D: Ah.
TB: It's like a "bruise."
D: Oh, look at that.
Oh, so you're taking away, like, the dry blood?
TB: Yeah, the thickness of the nail.
D: Oh, wow!
TB: When we have a thick nail, sometimes just think of it like there's different layers.
D: Oh, I see! TB: And so we have bruising in one of the layers.
D: Oh.
Look at that. Okay, so, it's not-- now, when it grows, it's not going to-- will it keep growing dark
now that we've-- TB: No. D: --cleaned it up?
TB: No, now the blood is gone.
D: Oh. TB: But if there's trauma again--
P: Oh... D: Yes.
P: Let's hope not.
TB: Yes, let's hope not. So that's why it's very important that we replace the shoes.
P: That's true. D: Uh-huh, yeah, no, we'll definitely go with that.
P: I use those shoes a lot. [inaudible]
D: Yeah, well, no--
TB: Yes, but the shoes-- tennis shoes are better, more spacious.
P: Oh, yes, exactly.
D: So it was New Balance that you said have the
wide-- TB: Extra-- extra wide. D: Okay, [inaudible], okay.
P: [inaudible]
D: I think that New Balance has their own store.
TB: They do. D: They do, yeah, okay, yeah.
So we'll just go find where to wear-- P: Yeah.
D: And now the stores are slowly opening now so we can kinda-- P: Oh yeah. D: You know?
TB: Very well.
P: Ohh. TB: Yes, I don't have smaller one to take off this side but it doesn't matter.
P: It doesn't matter. TB: When the new nail comes in--
D: Yeah. TB: --the pink, this part will grow out. P: Yeah.
D: Okay, very good. Look at that. TB: Okay? P: It's perfect, it really is.
TB: See-- thank you. This part of the nail--
D: Yes. TB: --is the flesh,
so I cannot take off more.
D: Of course. P: Yes, yes, yes. No, it's no--
TB: But this is the nail now - flatter.
D: Oh, wow. P: [inaudible]
D: So then this one too-- TB: We will take care of it too, we will file it down.
But much better.
D: Oh, excellent. [laughs]
P: After going through all that chemotherapy, all the crap I went through in Salamanca-- [laughs] D: Yeah.
P: They're-- I'll tell you something - if one day I need to recommend them to someone;
at least during those days, I don't know how it is now-- D: Yeah,
they were good doctors. P: --they were--
TB: Very good, very good. P: --amazing.
TB: That's very important. P: As human beings--
TB: Yeah.
P: And no rushing, no rudeness.
TB: Yes, I like hearing that, that's very good.