Iceberg of the Foot: Removing Painful Pororkeratosis

#callus #dcfootdoctor #podiatry
A new patient comes in with a complaint of very painful calluses on the bottom of both feet. He describes past treatments and failures. In this video I trim the calluses and remove the central porokeratoses.
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Kevin E. Jefferson, DPM is a practicing podiatrist, foot surgeon, and wound care specialist licensed in Washington, DC, and Maryland. The content depicted on this channel consists of foot care provided to actual patients. All procedures shown should be performed by a licensed medical professional, and are not meant as a substitute for medical care or do-it-yourself instruction. This channel is for educational purposes only.

[@darniataylor7749]

"Walking on a toothache," now I've heard it all! Working in the healthcare field, I've seen a lot of patients with calluses and corns but *nothing* like his! I hope he continues to come back and get the care he needs. 💜

[@jackiep3302]

Good job

[@kimhohlmayer7018]

Just had two teeth pulled after three weeks of pain so I can identify with that novel description.

[@mariacarmengiles4167]

Bravo Dr . Foto!!!!

[@viviennejordan215]

Great Job Doc, Helping to Ease the pain of those rocks of hard skin. He Must be Able to Walk Much Easier Now. Thanks to Both of You, for Sharing.

[@lindasmith6457]

Mom look I L

[@fayebryan4237]

This Doctor is in a league of his own ! How skilled and compassionate he is with such a caring nature.

[@davidgraham7325]

Yeah he's the best 👌 I have ever seen

[@cathykrueger4899]

What he does is an art form.

[@k.a.nso6455]

I’m a RN and I swear I missed the area of my nursing calling. I was so fascinated by this procedure. And what a delightful and humble patient. “That’s just the iceberg” and “walking on a toothache!” Love it! Nice work Dr.!

[@annemarieplante8261]

Never too late to become a foot care nurse!

[@hexhex7220]

Highest rating as a doctor who shows so much empathy for their patients. You obviously take great pride in your work.

[@britnell110]

I wonder why he didn't numb it for the guy ?

[@tiwanajohnson8432]

I WAS THINKING ABOUT YOU JUST THE OTHER DAY. D.C. FOOT DOCTOR MISS YOUR UPLOADS. GLAD TO SEE YOU BACK.

[@cynthiastanley35]

What a nice man your patient is. I'm so glad that you were able to relieve him of as much pain as possible. I hope that he'll be back for regular maintenance. Good work Dr. Jefferson.😃 It's good to see you back.💖

[@cynthiahawkins2389]

I seem to remember awhile back you were working on someone with long term diabetes, who was unable to look after his own feet. And the home care worker said his feet were 'nasty'. In other words, she did not touch his feet and simply ignored the problems. I think a social service person finally intervened. (Hope they fired that stupid home care worker) And you also asked viewers not to judge the man, but instead try and understand what he had gone through: so that NOW at last his feet would be properly looked after. Yours is a kind, sympathetic approach. Compassion and professionalism. We salute you. Cheers from New Orleans.

[@deloresscarpellino7579]

Great technique. Very professional and caring!! Knows what he is doing!

[@吳孟哲-c7e]

😊

[@LizzieDripping67]

I’m a home care worker, they call me foot lady because no one has bad feet under me , I wash & cream them and get a podiatrist involved asap x

[@joegroves3767]

My heart went out to this gentleman! Years of hard work and he ends up with this going on! Dr. Jefferson did a great job!

[@KV-mz8ro]

I know he was having difficulty walking. The removal was so satisfying to watch and I’m sure a big relief for him! Good to see you back Dr.

[@desertBruja]

This patients pain tolerance is formidable!

[@dextermorgan1]

I truly feel for this man. He seems so sweet, and in so much pain. I hope this fixes his issues for a long while.

[@1MissEllyLove]

You are so wonderful to validate your patient's pain, talk them through the procedure of the why their condition has occurred and how you're approaching it, and gently offer them RELIEF! I love hearing you explain what you're doing and why, offering care, compassion, and comfort. Absolutely wonderful Doctor! A rare gem of a wonderful, caring person 💖

[@bebecatanzaro9362]

It is such a pleasure to see how easily you talk with your patients. They’re very comfortable because you’re compassionate and don’t give them crap about waiting too long.

[@sharonhutchins5784]

You’re so kind to your patients. I recently went to a podiatrist for the first time, and it was such a bad experience. He barely even looked at my feet, much less touched them. There’s nothing wrong with my feet other than a mysterious pain that occurs in my big toe and the one next to it and nowhere else. It feels like an electrical shock, there’s burning etc but it doesn’t occur anywhere else. At any rate, he didn’t x-Ray, just said to stand against the wall and stretch my foot tendons. I wish we had a foot dr here like you. I would RUN there!

[@robertabray-enhus3198]

Find someone else to diagnose that electric feeling!X-rays should have been a must first. I hope everything goes well for you

[@sharonhutchins5784]

@@robertabray-enhus3198 Thank you!! I thought he should have done x-rays too! I’m definitely going to another!

[@darniataylor7749]

Did you talk to your primary Dr.? I'm no expert but what you're describing sounds like neuropathy.

[@blxgrl]

I feel 4 u I've had the same issue 4 yrs only in my big toe on the left side. I'm in KC and been thinking abt taking a trip to DC just to see the doctor. If u find out what the issue is please let us know

[@sharonhutchins5784]

@@darniataylor7749 Yes, at great length and also a foot surgeon who did x-ray and said it’s not neuropathy. Because it’s very localized and neuropathy shows up also in hands, and the other foot. But this pain is only on the one foot and affects only the big toe and the one next to it.

[@lhayes5238]

Hi DC Foot Doctor! So glad to see an upload to YT as I have missed you and your patient’s foot issues. Always educational and very informative. Thank you DCFD & kind patient for allowing us into your treatment of your foot issues. Hope they are feeling much better after having them shaved down.

[@licksnkicks1166]

Dr. Jefferson you are a rare breed of doctor. One who really genuinely cares for their patients. You have a heart of gold! This patient was in excellent hands.

[@frankkarkoska8980]

Dr. Jefferson, you sure do a great job for your patients! I'm a retired RN way down in South Texas. And so happy I am!!! I like watching your methodical work on those hapless men and women. I'm thankful I don't have foot problems. Yet! 🗽🌻🌹🇺🇸🙂😃

[@missme2554]

This was a good one. I'm sitting here face all close to the phone😩😂😂

[@vickieowens8946]

Great job Doctor! Thank you for sharing your treatment on these painful calluses. As always, you chair-side manor is impeccable!

[@gypcmoon]

YAY!!!! You’re back!!!!!! I certainly feel for this gentleman. I had a melanoma removed from the bottom of my foot so I know how painful the removal procedure is. I’m glad to see his foot is all better. Great work as always Dr. Jefferson!!!! 😊😊😊

[@ms.p9525]

WOW! I felt his pain. I see my Podiatrist every 2 to 3 months. I am indebted to his work and his staff. I have walking shoes with insoles. I am absolutely blessed. Blessings Always Ms.P ❤️ 🙏🏿

[@missboss8759]

I said it once and I will say it again, you need your own tv show. You are a great Doctor, have the patience of Job and are absolutely hilarious without being condescending. Love you.

[@mamm7223]

So glad to see you back! We missed you. Great job on this poor patient; thanks for all the information, as I had never seen anything like that before. Hope he feels much better now.

[@aprilsmith4621]

Me too...it's been a long time since you posted

[@TheRealLucifer-Morningstar]

Me three

[@thuggoe]

Thanks for documenting this impressive condition. I appreciate you talking with the patient about their condition. Many times practitioners want to make small talk when patients are concerned about their condition. Great job removing huge corn delicately

[@meaneymouse1371]

Lol, that's an original "Feels like walking on a toothache." DrJ, gr8 work as usual. Love the interaction and concern.

[@aneshaberry5901]

You're back! And still doing a great job with your patients!

[@davinehill3448]

Idk why I find this so satisfying to watch!!

[@emmanuelbaez81]

I was just thinking the same! Lol! I’m like it doesn’t bother but I enjoy watching these type of videos lol

[@pamelafoster3620]

How could the supposed doctor he saw before you leave that corn in his foot? There was no excuse other than he/she did not know how to remove it or did not care. Thank goodness he came and saw you, a doctor who knows how to care for people and make them feel so much better. Thank you for being such an excellent podiatrist.

[@jmtimmons]

Wow! That was incredible! It thought the first corn was gnarly because the center was almost white, but that second one. Holy cow! You are amazing and so good with your patients. Thanks to your patient for allowing us to watch his procedure. You rock Dr. J!!!😁😁😁😁😁😁

[@judyhayes5808]

Those aren't corns !

[@jmtimmons]

​@@judyhayes5808 Hi Karen. Enjoy pointing out people's mistakes? Does it make you feel good? Smh.

[@eb6754]

Great to see you back Doc!!. I hope you have been well. That callus looked so nasty & painful! Looked great afterwards 👍

[@AnitaBetterScreenname]

Hi Dr Jefferson! Really missed you! So great to see you back! As I watched this video, something else really stood out to me.Your patients come in with painful problems that can cause them to miss work, stop being active, and messes up their daily lives. You validate what they are going through! You verify it's all real! Their families also hear that they have been suffering for real! Sometimes that can be a big boost in the healing process.

[@PurpleHaze929]

Glad to see you back. What a relief for this gentleman. How painful that must have been. Great job Dr. J Debbie 😊

[@lisal6996]

Long time no see Doc 😊 Glad to see this video pop up !

[@Kimberly-jz2ts]

Fantastic to see that you are back, and helping these poor clients

[@marileesaturley5924]

It’s so great to see you! I was beginning to worry...

[@stever2722]

I feel your pain brotha literally. I did the second half of a deployment with one in my foot and had to wait until we got back stateside for a podiatry consult. Good on you doc. You really helped that gentleman

[@hell0hkitty]

Thank you for your service

[@stever2722]

@@hell0hkitty 🥰🙏🏽💪🏽

[@emmyg]

Thank you for your service. My father was in Her Majesty’s Royal Transportation Corp from 1970-1993

[@medioreblatherskite]

Welcome back! Thank you for all your work and patience with those who come to you clinic

[@MsGG1958]

"Walking on a tooth ache" made it real!! Awesome job patient and Dr. JEFFERSON!! ❤❤

[@shanibmulkins]

I felt this man's pain. Your an amazing doctor!! I watch almost all of your videos and your not only helping but teaching your patients and us viewers so much! God bless you

[@JayTee95]

I know I've said this a couple times now, but I really appreciate how straightforward you are with your patients. You ask penetrating (haha, get it?) questions that get them to understand that this is a problem that needs to be managed better, especially if they have other conditions like diabetes. Btw, "walking on a toothache" was pretty creative, never heard that!

[@jennifershea7587]

I’ve missed your content. So glad you were able to help this poor fellow.

[@riorio982]

Your connection and caring you show to your patients is really notable. You're a really good doctor, Sir.

[@jeremymuther8656]

Great to see you back Doc 🙏🙏🙏

[@g.andrewsmalls9852]

Very educational and satisfying! This is exactly what the doctor ordered! Welcome back Doc! 🔥🙏🏿✊🏿👑

[@eleanorrodway263]

Wonderful to see you here again, your ‘bedside manner’ is the best ever. You ask poignant questions to really find out what’s going on so you can fix it and educate the patient-and us too! Really hope you post again soon, you are so missed. X

[@peterharris38]

What a fantastic job you did and what must be a huge relief from pain for the patient.

[@dorothydecesare1607]

This gentleman is a stoic, brave man who clearly has endured years of pain. It is like walking on a ball bearing with every step… Life can be pretty miserable when your feet hurt all the time. I hope his feet heal up well enough that he goes dancing! Dr. Jefferson, you are a kind, caring, and very capable foot doctor. I like how you handle that scalpel. No wasted movements. I would trust my tootsies to you for sure! 🕺🏿💃🏽🦶🥰

[@fannycraddock99]

So good to see you back Doctor. Thanks for helping that unfortunate gentleman to walk pain free.. Come back again real soon.

[@nolagirl7803]

So good to have you back Doc! You've been greatly missed.

[@bobbie9984]

I like the way you talk the patient thru the procedure. It’s so reassuring and helpful to the patient.

[@rhianevans7189]

I like your professionalism and care with clients. Much love and respect from across the pond in Uk x

[@toniaparker3543]

I'm so glad to see the DC Foot Dr. I miss his videos when I don't see any!

[@rochellefreed1287]

I wondered where you went! Glad to see you are back!

[@lindadoney2703]

Thank you for being as gentle as possible with this man.

[@EllBeeCUSoon]

WOW!!! Welcome back, Doctor!! Long time no see!!

[@robertinejones7278]

So happy that you are back. You are missed more than you could ever know.

[@debratownsend5495]

I JUST LOVE DR. J HE is an Awesome Excellent doctor that anyone would love to have ☺️ I sure wish that he was in Illinois 😀 because he'll definitely have a million patients with his awesome bedside manner , advice, and professional care.. 👍👍👍👍🤗🤗🤗🙏🙏🙏

[@doxcb4717]

This poor man must have been in so much pain . You are such a kind and skillful doctor . Everyone needs their doctor to care as much

[@kathyakamimi4989]

You are the nicest man; your patients are very lucky to have you because of your kindness and brilliant expertise.

[@DCFootDoctor]

Thank you

[@cheriebrittin7627]

This gentleman had great sayings to express his painful feet. Wishing him healing and no more pain. 🙏🏻

[@carriejones1433]

Great to see you back with your interesting cases!! You have been missed!!

[@simonetbaini7571]

You showed EVERYTHING from beginning to end and I thank you! Nice job!

[@francesreyes5722]

So happy to see you again Dr Jefferson!! Missed you mucho. Great job on the callus.

[@kealyphillips3946]

Wow! That had to be so painful. His feet looked so much better, and hopefully he is in less pain now. Always a pleasure watching your work and videos. Thank you to your patient and you for sharing with us! Great to see you back sir!

[@sharonnovotny9857]

I could listen and watch you work all day. You are amazing with your patients and a sweet treasure! 🥰

[@Bakersdozen41]

Omg. That was so cool!! I'm so glad you were able to help him! I assisted Treatment Nurses in a Nursing Homes. And I couldn't get in ‘THERE’ and debride the dead skin!! Most were diabetic foot ulcers. And I loved it. There's nothing like seeing new skin, after peeling away dead skin!!

[@Motherofthedead]

Bless this man. He took it like a trooper. The doctor reassured him the whole time and finally got that devil of a rock out of his foot. Ouch. He’s going to feel like dancing in a few days. Thank you doctor for sharing this man’s story.

[@lasharondavis650]

So great to see you back Dr. Jefferson. Good Job as usual☺️

[@suecoady8017]

Interesting! About calluses...on a past video you recommended ammonium lactate for callused skin. I get fissues on on one heel that are painful to walk on. I have tried several treatments, none lasting. Got the AL 12% from big box on line retailer. OMG. Overnight amazing results. Day three..like these feet belong to someone much younger than my 72 yrs. Thank goodness for you and The Toe Bro for my healthier, happy feet!¹

[@teresacline6672]

I'm so happy that I found and watched your video today. I've had one of these on my left foot in the center where his larger one was since I was 15 years old and I'm 52 years old now. My dad had them and always cut them out himself. So I've always shaved them down and removed the core myself regularly over the years. In the last 6 months I've developed one on the edge of my right foot where the first one you did on this gentleman is and its substantially more painful than the one in the center of my foot. I've also always worked in positions that required me to spend long hours walking and standing such as a certified nursing assistant and similar positions. After seeing your video I see that professional help may be more needed than I initially thought. I can't tell you how happy I am to finally know what has been going on with my feet for these many years. Bless that man's heart because I know how badly that pain is searing and sending horrifying responses throughout his body. I'm glad that you're able to help him. I hope he's doing well.

[@carrols.hawkins7770]

FINALLY! KZbin brought your channel back onto my feed. I have really missed seeing you and your work. 😊😊😊

[@sallygarlick4293]

He is so kind, compassionate as well as very smart. ❤

[@deniseatkins9407]

Glad to see you back was worried about you hope you are keeping well

[@kerrywilson405]

Hey Doc, welcome back! I have family in the vicinity of DC, and my sister sees someone else for her foot issues, but I’ve been recommending you. Always informative and personable!

[@kimberlystone3987]

So good to see you Dr…. You’ve been missed, I speak for many!!!!

[@steff_ohanesian]

Wow, that must have felt a million times better! Great job as always, Doctor, and thank you for how you care for people!

[@cartinaoverton5015]

YEAH, Dr. Jefferson is back. This looks very painful, I can definitely see why he couldn't walk. I'm sure his feet feel 100% better, and he has a sense of humor. Have a Blessed week Dr. J, and fam.🥼🩺

[@lauraking3555]

Dr. Jefferson, your love and tender care for all people tells me there is a special place in heaven for you! God bless you and your family.

[@jacquelynwilliams8171]

You're the best Podiatrist on youtube. Very compassionate and give exceptional care

[@susanbrown-gilmore8743]

You’re the best! Glad to see you back Dr Jefferson

[@deborahmorgan8026]

Welcome back! So glad when this popped up on my feed.

[@addienicoll2498]

Having one of these on my foot a few years back.. it was horrific! The doctor who cut my own out was nowhere near as kind, supportive & gentle as you! I was relieved for it coming out, but I wish he was so as lovely as you were!! ❤

[@Virus-xm7qc]

He’s an EXCELLENT SPECIALIST, and it’s so ODDLY SATISFYING seeing him work Lovingly and Compassionately on his Clients with So much Care!❤

[@sheridanpolanco3227]

LOVED watching the removal process. Also, I appreciated you talking to him through the process to distract him. This educated him along with us at the same time.

[@pattywilliams788]

Hey there, Dr. Jefferson! I’ve missed your videos. I really feel for your patient with those deep calluses and corns; I hope he feet are feeling better now and that he will come back to see you often. Thanks so much for sharing this video.

[@karinrandall855]

Oh I know that felt sooooo good afterwards. You do amazing work Doc!

[@sherryfalin899]

GREAT TO SEE YA BACK DR. 😎

[@leavesongrass]

I’m so glad that man found you! He really needed your help.

[@hestiaa9354]

When you have a toothache or one of those under your foot, the pain is unrelenting. You can’t get away from it. It’s like you hurt all over. The relief he must have felt when you got rid of those is beyond description.

[@sapphirejones7302]

My feet hurt as soon as I saw the patients feet, but felt amazing after watching the ending😂😂 That's how good you are🎉🎉 Thank you for sharing!

[@judiestes4875]

Watching you is like watching an artist. But man oh man, listening to this poor man groan, my toes tried to curl up into my heels!

[@jalandacurry4585]

Welcome Back, Dr. Jefferson!!! Sure have miss you posting videos. So happy to see you back!! Sending love from Portland, Oregon!!

[@michellebilodeau3882]

Walking on a toothpick....poor guy. You have such a kind way with your patients Doc. I know they really appreciate you.

[@sassygrammy1258]

There are many foot doctors on KZbin, and having had a need for a foot doctor for years, you would be my choice for a doctor. I wish I lived close enough to your office to have you as my doctor.

[@nancybusso6171]

So happy to see you back!! Missed you!! 🦶🏼

[@sunnybunny222]

that poor man.... He has so much strength....I love how you ask questions...

[@talapeanutbutter4250]

I’m always amazed at what our body can produce. I’m also amazed at God’s infinite power to create doctors like you. You make Everyone feel like their on your playing field. That’s why I watch you. You never demean anyone and always give respect. More doctors need to be like you😇

[@marilynbyrd1732]

Dr. J, I’m so glad to see you! I hope all is well with you and your family. You performed an excellent job.

[@sylviasanchez585]

Awesome job Doctor Jefferson. The patient is probably going to be sore but hopefully not in the same kind of pain. I'm glad your back with a new video. Can't wait to see more in the future.

[@iluvtigers37]

Welcome.Dr. Jefferson hope this patient feels much better. That definitely looked painful.