Big Heel Fissure Follow-Up: Crack in the Skin

A patient returns for continued treatment for a large deep crack in the skin of the heel.
#toenails #dcfootdoctor #toenailfungus #takecareofyourfeet #callus #podiatry #corns #foot #sheabutter #washingtondc
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Kevin E. Jefferson, DPM
Metropolitan Podiatry Associates, PLLC
7603 Georgia Avenue NW, Suite 100
Washington, DC 20012
202-882-9682
E-mail: [e-mail]
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Instagram: / dcfootdoctor
Twitter: / dcfootdoctor
Facebook: / dcfootdoctor

[@PleasantlyConfused6816]

Some Dr.’s I feel like they are just putting on a show for you tube. Dr Jefferson sounds like he genuinely is as nice and caring as he is on screen. No gimmicks, no rude assistants. Just excellent patient care! 💕

[@mh-pc1lo]

I agree, he genuinely cares for his patients!

[@Mroberts818]

This is why I really like his videos. It's not just toenail clipping it's also wound care and solid sound follow up care.

[@tequilasmith5510]

I agree

[@melodywashington641]

I literally had to stop the video after she said she wasn’t wrapping her foot. Why are pt’s non-compliant and then wonder why they end up in these situations. Dr. Jefferson has told her 50-11 times to wrap her foot. She just doesn’t do it. I hope she takes heed to what he’s telling her. In Texas we are seeing an influx of diabetic amputees and the majority are due to non-compliance. I see it everyday as a home health nurse. Keep educating her doc and maybe she will eventually do what she needs to do. Great video and great bedside manners. You are a rare breed 👏🏼🙏🏼♥️😍

[@DCFootDoctor]

Thank you!

[@lorianncostello531]

melody washington i am a sonographer/ultrasound. We tell people “don’t eat” or come with a full bladder and they don’t. We tell them this to get them the best pictures, so they can be diagnosed, but they dont do it. So frustrating!

[@Givemeyourcookiesnow]

melody washington Happy Nurses Week!

[@Chicasueca79]

Non compliance is probably the biggest reason our country is so unhealthy. The general attitude is “you can’t tell me what to do” because it takes too much work. I’ve been in critical and emergency care for over 20 years and it’s never been this bad

[@appleiphone69]

A lot of elderly black woman suffer from dementia and other cognitive diseases. She might not be able to remember the treatment regimen.

[@momkatmax]

I do appreciate your manner with her, just calm and informative. I know it is frustrating when the older people are stubborn or forget instructions but you didn't let that in your voice at all ♡

[@Chicasueca79]

Dr DC, your channel is quickly becoming a new favorite, not just because of the interesting cases but because of your genuineness and gentleness in your care. Fantastic work

[@abbystevens5693]

Yeah, he sounds to me as genuinly caring,listening and reacting from his heart while using his knowledge. You must be a foctor with a bery very busy practice.If I didn t live in Europe I would have been very glad to become one of your patients ( got Vascular EDS in combo with arthrosis and damage from several Arthritis periods from teenage years.CVID,Hypermobile EDS (yep 2 types of EDS...bad luck I guess 😉) and Systemic Mastocytosis plus wheelchair user.) So in need of professionals to look after my feet and recently another bone broke on the outside of my left foot. I learn a lot from your channel and will take that with me in search for a good local doctor to get my feet routinely checked and cared for.

[@CMP6111]

What patience this doctor has when patients don’t follow instructions. Great doctor!

[@usapatriot4513]

If this lady doesn’t do what the Dr. says about keeping her wound covered until it heals she may not have a foot to worry about.

[@esthertxu_soy6077]

U S A Patriot b(vvvv

[@starr6850]

🤣🤣🤣🤣🤣🤣

[@hopefaithandlove6236]

Maybe that's what she wants🤷

[@valerieh.1624]

So true.

[@meganoffringa863]

I really enjoy these debridement videos… Your camera work is awesome! You’re nice and close up, it’s always in focus, and you rarely get your self or your hands or instruments in front of the area you’re working on, love that!

[@mysassy497]

Thank you for your kind care. Her foot looks so much better. I know you were probably a little annoyed with the patient for not taking proper care of her foot. But you were more than kind and patient. The videos are nice when they are longer and when you explain what you are doing as you go along.🦋🦋🦋

[@DCFootDoctor]

Thank you!

[@debrawhite8198]

Another excellent procedure, Dr. J! 👍🏻🦶🏻I really like how you are very direct with your patients...no BS...whether they want to hear it or not. I’m sometimes surprised how some people act like it’s no big deal even when faced with a possible major infection or amputation 🤕☠️😳

[@DCFootDoctor]

Thank you!

[@stephaniefinley7833]

I know your client says she's not feeling any pain, but mannnnnnnnnn my toes were curling during this clean up! 😂😂😂 Wow! Beautiful work Doctor. I didn't expect the fissure to Lok so healed up. Now let's hope she keeps it wrapped.

[@DCFootDoctor]

Thank you!

[@paulchamberlain4595]

I have been following this ladies treatment. It looked a lot better in the last video. The doctor has been doing an amazing job of treatment and advice. I feel that this lady is struggling to keep up the homework? Great channel doc I have watched them all.

[@DCFootDoctor]

Thank you!

[@abbystevens5693]

I feel she might be in denail for beginning dementia.That could be reason why she this time didn t follow "orders ☺".As she did do it last session...so maybe? Remember that there are also silent bleeding in the brain that can cause depending on the location, not a lot of symptoms if it was in a lucky area and only a small one. Bleeding in the brain is possible even in newborns, so it s not depending on age. It can mask as several problems even look as if the patient willingly didn t do as told....Especially seeing the episode before this one she did do as was asked and sure looks like she didn t just forgot once. Maybe a idea for her and her relatives to have looked after her brain and possible starting dementia or small silent bleeding.

[@msthang5366]

I guess no one heard him mention a back injury ? Or surgery?

[@msthang5366]

Abby Stevens denial

[@bunzer.of.wunzerton2235]

@@msthang5366 yes I am with you, I couldn't shave or tie my shoes for a year following surgery so give this lovely lady a break

[@theedeevynegoddess]

I was so happy to see US represented in a positive wonderful manner! I love your videos and the care you provide! That beard is HOT!!! No disrespect to the Mrs. I'm a cosmetologist and I see men cover their gray and I think its just beautiful! Keep up the excellent work! Back to binge watching! LOL!

[@DCFootDoctor]

Thank you!

[@theedeevynegoddess]

@@DCFootDoctor your very welcome!

[@nicolemango6694]

It amazes me how much better this looks with removing all of that skin build up. Keep us posted on her progress!

[@rd4454]

After watching this for the 3 rd time Shea butter is my best friend. Keeping my skin moist.

[@mezh1559]

Thank you for posting a follow up. It is interesting to watch wounds that need multiple treatments.

[@DCFootDoctor]

You're welcome!

[@MadebyaBEAutifulqueenBea]

Whoa, this is why I always listening to my Dr. If they say 'wrap that shit up' then damn it, I'm gonna wrap that shit up. I was sewing, like 2 or 3 videos ago but I've got to finish this series, here. Lol great video 💙🐝💙

[@SparrowStockwell]

I love how close the camera gets! Such a clear video!

[@heidiquayle5054]

I cannot believe she is not screaming in pain! When I have a small crack in my foot or heel it hurts to even put pressure on it.

[@1911Drew]

I wonder if the patient would eligible for home health care to come in daily to clean and dress the affected area. I don’t think she’ll get with the program, nor appreciate the seriousness of this wound, which could worsen - then she’ll really be screwed. Great video Doctor and thank you for putting it up.

[@cynthiabroyles4890]

I believe you're correct. She doesn't see this as anything more than a small cut on her arm that's scabbed over. If it heals up totally it'll be despite home care and because of the Drs care. It must be frustrating to have to dig the lint out a 2nd time.

[@e.starling141]

That seema so unnecessary though when this person is fully capable.of doing it herself. Seems like a waste of resources to send a worker to someones house who can fully take care of themselves. Shes just being lazy and doesnt want to do the work. Its really sad because its her own health shes risking.

[@4562deedee1]

@@e.starling141 I hope that for your sake you have someone who cares enough for you to get to a doctor when you are unable to care for yourself. It is not laziness you are seeing here. Resources are for all the living, not for those you feel are worthy to get them; that is what is wrong with the US.

[@priscillarobinson7740]

From start to finish Dr. Jefferson’s work fascinates me. He is very straightforward with his patients. When he sees the patient is not following instructions for aftercare he stresses the point as to why it should be done. If his instructions are followed this time, this wound should be healed.

[@DCFootDoctor]

Thank you!

[@armandovega4597]

I feel that this dr is doing an awesome job with an trying patient. It’s not an easy wound to heal but the dr is giving all the tips and information in order for it to heal but some people are just not able to do their part and expect the dr to do all the work for them. It doesn’t work that way, for what it’s worth great job and keep up the amazing job you do.

[@jodykidp5396]

Very mature and professional Dr, not a showman. I enjoy your attitude towards your patients and toward your profession.

[@ANJA6366]

Love your work doc you are a very thorough physician much love from Australia ❤️🇦🇺❤️🇦🇺❤️🇦🇺

[@DCFootDoctor]

Thank you!

[@msthang5366]

She’s had a back injury so it may not be so easy for her to take care of her feet with a terrible back.

[@pecantanshawtii]

Am I the only one that noticed he ACCIDENTALLY cut her foot at 11:55?! Great video! New subbie!

[@miyaomar1211]

He didn't accidentally cut her. He's scraping the wound and it started to bleed. Blood is good.

[@jujuandwamwams165]

Neveka Pinkney it’s looks like the tip of the blade went across her foot.

[@bobbibuttons8730]

Thank you ever so much. You really have a great manner with your patients. I also really like how you don’t sugar coat instructions.

[@DCFootDoctor]

Thank you!

[@erin021378]

You are a very good Doctor. Mental health, lack of education and age/diminished physical ability can lead to lack of healing. I’m taking my cues and starting foot care now while I’m healthy. I always appreciate patient docs who are respectful of all their patients! Bravo!

[@margieb9502]

You’re a very caring doctor, Dr. Jefferson. How you find patience, is beyond me. I would probably be upset, when a patient doesn’t do what their supposed to do. To help with the healing process. Love your videos! ❤️🙂❤️

[@DCFootDoctor]

Thank you!

[@margieb9502]

You’re welcome Dr. Jefferson. 🙂

[@kathyharrington1152]

Doctors give us instructions because they know better than we do to heal it.

[@helloimanonymous4now626]

Though I should mention I did not watch with the sound on, but based on issues I’ve had like this it look like the doctor is making the most out of every clip. I sighed with relief with the very first piece removed, knowing how hard it can be once it gets that bad. Super efficient!!! Great job doc! Also I’m very impressed that what looked like a slip of the scalpel at ~15:23 wasn’t edited out!

[@ginaprobert7960]

Looks so much better after cutting the edges! I keep returning to watch this.

[@joannecarino7314]

I love this guy. He sounds so pissed off when people don’t look after their feet lol

[@suzieq1218]

Blows my mind when people seek out treatment from a doctor, then don't bother to follow his instructions.

[@msthang5366]

Your bedside manner is astounding!!!

[@Auroragemz]

Amazing work as always. I like your commentary on the procedure as well as the questions to the patient. So caring and professional. Always liked your videos.

[@gina1433mhrj]

Dr. Kevin (Dc Foot Doctor), This man/or lady doesn't seem to care a lot about there own foot, or he/she would have taken your advice and tended to it properly. You care more than the patient. Wonderful job, you're so professional and kind.

[@jennilang721]

It's getting better. 👍👍👍 I think this is the same patient that I said I'd have stitched, due to the local. This vid is a great testament to the point of an ounce of prevention is worth a pound of cure...

[@kathytanksley9425]

Great job. Her wound looked so much better after you cleaned it up.

[@DCFootDoctor]

Thank you!

[@Mroberts818]

Good video, Dr., although it's lightly mild compared to your other videos, which I am in love with. I understand that this patient is in the home stretch of her healing process and I'm excited to have been able to see her progress from the start. I know it's not a bout gore but you do have the best "real deal" patient care that I've found and to me that is extremely authentic to anyone who thinks it's just shaving calluses and removing ingrown nails. Thanks Dr.....By the way, kudos in your progression of your commentary, camera work, and lighting

[@DCFootDoctor]

Thank you!

[@Mroberts818]

@@DCFootDoctor No, Thank You. I am in my second career and pre-med was the choice.

[@chiiitmeng]

This DR is incredible. He’s saving grandmas everywhere one foot at a time!

[@Ful-OGold]

I love how he just gets a flat head screw driver and starts scraping in there.

[@LovelyMsJ]

I generally do not get annoyed with patients because you never know their situation....But, you asked her why wasn’t’ her foot covered and her response was...”it dried up!”....So what!...Still keep it covered until you see the doctor again!...That’s what you do!....Sometimes, people just don’t learn until they see their situation become extremely worse, then they feel ...Oh now I’ll listen!!!...Wow!...Great job again Dr.!

[@DCFootDoctor]

Thank you!

[@laurie910]

I really wish she'd listen to what you tell her 😔 it must be so frustrating for you! I hope she heals well

[@cynthiatolman326]

I'm sure I've seen this one before. I couldn't figure out why she couldn't feel it wasn't healed, but the numbness from the back surgery explains it. I hope she takes care of it better and you're there to encourage her. Thank you for sharing

[@ChrissieP106]

U got a new subscriber! 🦶👣

[@elizaf.9040]

Until I watched these Dr Jefferson videos, I never knew how many parts of the body affect one's feet. Dr Jefferson is super.

[@julieyates1043]

Great job, Dr. So satisfying to see it after you've treated it.

[@DCFootDoctor]

Thank you!

[@e.starling141]

I hate to say that when i watched the original video i had a feeling this lady wasnt compliant with your instructions for care. Like when you asked her if she moisturizes and she said yes and you asked what kind of moisturizer and she initially wasnt answering. You asked her again and she said eventually said "what you gave me". But it was pretty obvious to me she didnt answer right away because she was most likely lying and was trying to think of a type of moisturizer she could have been using. So Im not that surprised she didnt follow your instructions at all. I worry her foot will get worse and she might lose it if she doesnt take netter care. Or more importantly if she stops coming to you. Sadly i think a good amount of your patients take your care for granted. They figure they dont have to do anything because youll take care of it for them.

[@virginiasullivan1040]

You turn the bad into the good. I wish people would do what you tell them. Though I admit I sometimes play doctor. Thank you for your good work.

[@emmajones7742]

Amazing how the wound has to be treated in this way, cut away till it's flat really. Very good.

[@ftwtexasstephens9629]

Good video. You do such a good job with your patients.Love your channel

[@barbaralockhart9282]

Your a wee gem look at how much you have done for this lady it's turned out really well xo 😘 😘

[@iaintnobody9694]

Can't believe how much thick skin grew in just one month

[@Tinacreolebabydoll]

Thanks Dr K your so sweet and caring ....

[@ms.dekatur7082]

Great job as ALWAYS!!!!!

[@lovealways1524]

Liked before I watch cause I know I'm gonna enjoy this !!!!

[@annecornine8469]

Looks so much better!! And clean!!

[@tammyheadley1252]

Enjoyed! Excellent job doc

[@maryshaver129]

You are a very patient man. Refreshing to see.

[@jennifermiller9130]

It would be nice if you would put the LINK for the next video that goes with this in the information below the video each time. Very hard to find otherwise. Thank you.

[@diannahamann4864]

I agree some people just don't want to do what's right. Just do what the Dr says.

[@johnballattorney]

Excellent video, doc. Makes me wish I’d done podiatry. Please keep posting.

[@DCFootDoctor]

Thank you!

[@katoz9237]

Amazing! It looks so much better.

[@tequilasmith5510]

Man we doctors for everything they all are very important. None is above the other

[@inked_up_mama9622]

Love this Dr. ❤️

[@DCFootDoctor]

Thank you!

[@simonelauren9881]

Camera work is awesome!!!

[@DCFootDoctor]

Thank you!

[@lorianncostello531]

Omg this is making me wince!! Cant imagine how painful that must be!

[@ChocolateSoulCity]

You made it look so much better. Wow. ✔✔✔

[@StephenKelly-ey6ne]

Well done Doctor and thank you.

[@DCFootDoctor]

Thank you!

[@jeancater1388]

Thanks for the follow-up.

[@DCFootDoctor]

You're welcome.

[@suzyq2042]

great job Doc!

[@DCFootDoctor]

Thank you!

[@nancymcbride7153]

Your videos are fantastic! So informative.

[@DCFootDoctor]

Thank you!

[@katiewaterrose]

I'm sorry but when your assistant was searching through the tools looking for your requested instrument all I could think was "that sounds like me every time I'm digging through the silverware drawer". Where is the dang spoon! Haha

[@blxgrl]

Hey doc is she a older lady? Gd job. I was super happy to see u cut tht thick skin. Yasss

[@DCFootDoctor]

Thank you. She's not that old.

[@sessyp77]

She's just stubborn!

[@abeshaleykune4262]

God bless you Sir...

[@blackbeauty5811]

The fissures are my fav!

[@Mark-TBH]

I get those heel fissures to and they hurt. Watch you remove the dead skin and debrided the wound was making my feet feel better even though I wasn't any where near you

[@rhiannadelerres7500]

Im sure its mostly where the mic was placed but if my mom heard your assistant she would have yelled, girl quit being so rough with stuff!!! Lol😂

[@isisantelo4440]

That was a great job.

[@suzelainesimilien17]

Idk why you’re not at 1 million subscribers or more!!!

[@NikkiHades]

Hi Dr Jefferson! Love your videos, just a side note, can you try and always put captions on, as I watch in bed of a night when my insomnia is playing up! Thank you 💕

[@DCFootDoctor]

Thank you!

[@sfoster7027]

Great video. Thanks!

[@DCFootDoctor]

You’re welcome!

[@jennifer-he9pi]

Dr. Jefferson, what could this patient be doing to help debride the calloused skin around her wound? I love your videos because you are so knowledgeable and are showing us real patient care. Thank you for making these videos!

[@DCFootDoctor]

Thank you!

[@kimberlee3243]

Beautiful technique. Some calendula ointment and dpd would work well. It’s too bad she doesn’t get how serious her foot health is. I’m glad she follows up with you

[@DCFootDoctor]

Thank you!

[@kitzykatz1030]

Oh, it's so nice to see you outside! Do you think your patient wasn't taking care of her foot because she couldn't reach it or she just didn't care?

[@iriscerda4455]

Good job Dr.👍

[@DCFootDoctor]

Thank you!

[@blackbeauty5811]

This is a good one

[@ChrissieP106]

That healed up nice.

[@Mephibosheth52]

You get interesting cases

[@purplemoon8637]

Very nice debridement!

[@blessed50]

GREAT JOB DETROIT MICHIGAN LOVES YOUR CHANNEL 💖💖💖💖💖💖💖

[@lindamclean8809]

Looks good

[@terryiggulden5182]

I have neuropathy so I have little to no feeling. I have my husband check my feet all the time. I lost one of my legs so I know what it's like to get through life without a leg. I lost it because I twisted my ankle after losing 3 toes due to an infection from a callus. Do what the Dr says woman!!!!!!!

[@AshBear2008]

Awesome video!

[@DCFootDoctor]

Thank you!

[@auntiem71]

I couldn’t watch this one. I hope her foot has healed.

[@amandaholliday863]

If you look close the foot started bleeding again when the tip of the tool he is using sliced into her skin. That is why it started bleeding.

[@valeriekatemolitas1704]

He accidentally cut it

[@Nonayabizness360]

I don’t understand where there children are. I know my daddy’s feet get bad and with his Alzheimer’s he needs to go to the doctor if my mother has a hard time getting him to mind her my little brother and I drive over there and help her. Thank you for sharing these videos so we can understand how important foot health is . I had no idea how important until my father started having problems and learning about them will help me keep a closer eye on my fathers feet. I hope this lady’s foot is better soon.

[@thuggoe]

nice camera work

[@heidiquayle5054]

Have you thought about using a styptic pen that stops bleeding? Manicurists use it if they clip the cuticle too closely

[@thomasbeltran5417]

Great job 👍🏾

[@DCFootDoctor]

Thank you!