Removal of Unusual Small Calluses: What is This?

#calluses #dcfootdoctor #callusremoval #satisfying #takecareofyourfeet #callus #podiatry #top10 #sheabutter #washingtondc #nailfungus #howto #myfeetarekillingme #feet #ingrowntoenail #doctors #best #footcallus #tlc #DrKevinJefferson #whatisthis #satisfying
A diabetic patient makes his first visit to my office with multiple, painful, small calluses on both feet. The removal of these mini calluses is the first step in treating his feet. He had no treatment prior to this visit.
Keywords:
Punctate Porokeratoses - small, hard, sometimes painful lesions in the soles and palms.
Enucleation - removal of a central, hard portion of porokeratosis, small calluses.
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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]
Got foot problems? To schedule a live video chat with Dr. Jefferson click www.tinyurl.com/dcfootdoctorvideochat
Office website is www.tinyurl.com/metropodiatry
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Channel art by Jeff Fraser, LinkedIn @mrjeff_creative

[@maryjaneressler9459]

I wish I lived in your area, I would definitely come to your office. You treat each patient so thoroughly and nicely. We need more doctors like you!

[@auntiem71]

Mary Jane Ressler ... if I lived near his office I would be a new patient . Excellent bedside manner.

[@ImaCynomingirl]

I just really find your videos so interesting! Always something different and interesting. And your bedside manner is just so cool! You would make any patient so comfortable. This patient must have been feeling like he was walking on tiny Little Rock Salt Crystal's! Ouch!!! Bet he feels better now! He will appreciate diabetic shoes. I get them once a year and they make a big difference in my life! I also try not to wear any one pair of shoes over and over. That helps a lot as well! Have a lovely night!!

[@SuperAllears]

Me too.......

[@maxineluchey3819]

Why do we need the little commands from out side irrateting, you and patient is good.

[@leticiacachoavalos1105]

@@auntiem71 - ёёё

[@AyeJaeBaby88]

This was amazing and your patient seems like SUCH a sweet man. I hope we get an update on him in the future. Amazing job as always Dr. In case your patient reads this: many blessings sir.

[@brianaroberts6342]

AyeJae Baby very well put and strongly agreed! ❤️

[@lorettalouvros207]

Yes!!

[@tmon4819]

He seems so respectful and nice, hope he gets better...Great job doc....

[@denisebohnke4266]

Dr. Jefferson, you are an artist with the scalpel! Loved it when you said to him that he “was now in the fold.” Lovely gentleman. Take care everyone! 🤗🤗🤗

[@evanvorous]

I love how you tell your patients that they are in the Family. Makes a person feel good and that they matter. 🙂❤️

[@SueMade]

I want to be in the family! #seriously ❤

[@ambiava123]

This is strangely so satisfying. Especially the core removals🤗

[@hestiaa9354]

Thank you for telling him to leave the medical treatment to the professionals. Since watching your channel, I’ve become much more aware of the problems that can occur when you don’t take care of your feet. I’m not even diabetic, but I check my feet on a regular basis.

[@Pureimagination200]

I take better care of my feet than hands.

[@Toniarosewp79]

Dr. Jefferson, you are the foot whisperer. You go above & beyond in every video that I have watched. The feet come out looking amazing when you are done with them.

[@pamwilkinson4302]

“What you’re going to do is stop doing that!” Lol! If I could get patients to listen...

[@carmenmonoxide7459]

Yo, when did this turn into Dr. Pimple Popper? *kidding* A cluster of calluses and every core removed. Never seen anything like that.

[@annakrackerjaxxx5656]

This warmed my heart. He was so grateful for everything. So sweet and kind. Dr you made his day! I love how you make your patients feel comfortable and not embarrassed about their issue. It’s such kindness that gets me right in the heart. Thank you.

[@christinenewell4587]

I am 72, type 2 diabetes, recovering from a stroke April 2019, doing very well, counting my blessings EVERY DAY. My feet have become my (sort of) pride and joy☺️!! I am lucky enough to be able manage a bath 3-4 times a week and I think that's the best way to manage your feet. A GENTLE well soaped pumice stone and a good foot scrub.... My feet are totally smooth and I have been used in a foot demo in a diabetic class:). I use FLEXITOL cream, it's expensive but if you are careful it can last a good amount of time. After watching your videos I now use Shea Butter on the top of my feet . I have no neuropathy.... so far. Annual checks with NHS Podiatrist is such a boon. I hope this gentleman does ok with his feet now, he said he use the bath tub and that good..... I hope he gets the Flexitol for Feet. Keep up your amazingly GOOD WORK and I wish you blessings in all your endeavours.

[@carmenalexander7452]

I love when you give the massages after you finish the foot area you do it with so much care

[@RPEACHES54]

Each video you post I learn something new. As a diabetic of 20+ years, you’ve inspired me to really take the time to moisturize on a daily basis. I’m going to work on giving up my flip flops and open sandals this summer. I’ve been blessed so far to have no problems with my feet and I want to keep it that way. Thanks for all you do Dr. Jefferson.

[@PopsieLouisiana59]

Gold Bond Diabetics lotion. Good stuff with a little urea in it.

[@21depalma]

Again Dr. Kevin, a fabulous job for your patient. I love how personable you are with them. I hope this mans feet with your skill and his commitment on coming in on a regular basis, will lead to feet that no longer hurt and a lot less chance of infection.

[@iride454]

I love how you treat your patients like friends. I wish I was closer to dc. If I was even an hour away instead of 3 I would definitely be coming to your office.

[@elmyra.jackson]

Wow, this is so fascinating! I'm so sorry for this man's pain but so grateful for this education!!

[@siobhanair2659]

When he walks he is going to feel so much better, great work 🥰

[@Tinacreolebabydoll]

Dr. Voice is so calming I'm diabetic but I've never had problems thank God

[@cardinalrobbins9453]

You are so incredibly kind to your patients, it's inspirational. It's a reminder for all of us to be kinder to each other. I always appreciate how you never talk down to people. Your technique is always impeccable and amazing to watch. I learn something new with every video.

[@betty_5335]

He has one of the cleanest pair of feet that I have seen in your video's in a long time. Great job.

[@siggy5074]

TLC should’ve put this Doctor on the show “ my feet are killing me “ 😭😭😭

[@michellerutter-davis3719]

What a difference you made for this gentleman

[@ChristopherYeeMon]

If the nurse wasn’t working there she’d be one of those binging the channel like us. I love how much interest she shows

[@darbla1961]

You’re so nice to your patients! I like a doctor with great bedside manners. Thanks for sharing 👍😁🇨🇦

[@tobythomas3413]

That poor man! Just one of those is painful, I can’t imagine having that many. So glad you took care of them. I’m sure he’s much relieved.

[@cheriebrittin7627]

Great interesting case, glad this gentleman is in the family now! Wishing him well.

[@dollcina]

So glad he will be coming in regularly for your expert help!

[@jazzbariman]

As a diabetic for over 25 years, I thought I knew all that could go wrong with my feet. I do check my feet every night and wash them ever day. I do not wear the same pair of shoes two days in a row. I find that helps me keep my feet working, despite not having any feeling in either foot. Like many of the people who have posted here, I wish I lived in your area. My podiatrist retired three years ago and I am having trouble finding a new one. Usually, one will wait, on average, about a year for an appointment as a new patient to see a podiatrist in the area I live. I am not big on making appointments with anyone a year in advance. Thank you for the great video. Your bedside manner and the way you educate your patients is terrific. I truly do wish I could get into see you as a patient. Thank you for the lesson today in diabetic feet.

[@gforceforever]

The things I learn from this channel are worth more than my time and cable bill! I enjoy seeing this hunk of a doctor treating feet (and their attending humans)!

[@agoddessadiva]

His feet should feel much better after receiving good advice along with a little tlc.👣❤

[@leewitte4580]

You are so kind and calming to this patient! I truly hope that he follows through with your instructions and gets the shoes and uses the cream and comes back to see you regularly! That looks so very painful, but you have given him the start of a treatment plan which will make him feel so much better!!

[@georgettewood8894]

You give your patient continued respect which no doubt is sorely needed.

[@RickLockerman]

I am by no means criticizing the patient for trying to manage these at home. A lot of us diabetics are our own worst enemy when it comes to trying to treat our feet ourselves at home. We know it’s bad to do it, but we think we can fix it ourselves. It’s videos like this that helps inform us about the dangers. I started watching your videos to learn what to do and definitely what not to do. I’ve mentioned in a previous comment on another video that I’m a type 2, and I don’t want to do anything to risk my feet and ankles at all. Thanks again so much.

[@126bigrob]

(Doc) what do you do for pain? (Patient). I just stay still and quiet until it stops! Lol, now that’s funny.

[@DCFootDoctor]

It's crazy, but when it comes to pain, a lot of people suffer in silence.

[@AnitaBetterScreenname]

Yep, I was surprised by that! No ice, no acetaminophen, just staying still. Wow!

[@maryannanderson1744]

@@DCFootDoctor they sure do

[@SuperAllears]

I think it is sad.........I feel sorry for him.

[@sandraaustin1282]

It actually made me want to cry when he said that is how he copes. It is sad that people have to put up with that much pain.

[@francisjohnson665]

Great video. I never realized feet problems were so Interesting, or varied . That Shea Butter is amazing. I went out and bought me some .

[@alsedarussell42]

Hello Dr. Jefferson it is always a pleasure to watch your vlogs , it is always informative on various conditions that occurs on the feet , God bless you 💕

[@mbaratucci13]

You have a wonderful relationship with your patients. Those spots almost look like corns. I like learning from your videos. God Bless.

[@HeartOfHippie]

I thought they look like seed warts

[@brianaroberts6342]

Happy Birthday Doctor! 🥳 And as always, AMAZING work!!! 🙌🏾❤️

[@rosafair5117]

I love that you educate during the procedure. I'm a nurse and I love educating my patients.

[@Lovingmeandmine899]

I would have scraped them down and left them alone then slathered my feet with an ointment❤️ I wouldn't want bleeding spots/scabs all over. He's in the right hands😁. You do amazing work 💙 It's something how when we are in pain we get still and quiet 😔 I know the feeling ❤️💜. I pray that he can continue in Horticulture.

[@melissaskibola282]

So interesting !!! It is fascinating to learn about all this stuff ! Loving the vid so far

[@awilliams1889]

Another great video. I hope I am as effective and knowledgeable to my patients (when I complete nursing school in May) like you are with yours. I live how you interact with them about their health as well as doing your job all at the same time. We need more professionals like you in all areas. Thanks again for sharing.

[@sharonbeckett721]

Never seen these before, must be painful but oh so great to watch you remove the nucleus. Are they similar to seed corns? Great video.

[@mjbe]

I would totally think I had a splinter or something at first. Good thing he figured out he had a problem before he hurt himself!

[@dianetucker2711]

I’ve never seen anything like this before either❣️

[@i2ndsight]

I have been praying for this hard working man ever since this video first came out. We are hungry for an update on his condition.

[@audreyabdo7719]

OMG! I don’t have this but need you in Connecticut as you are a wonderful doctor and I am type 2 diabetic with equinuos contracture in right foot and some neuropathy and no loss of feeling. Punctate porokeratosis is a skin condition associated with either classic porokeratosis or linear porokeratosis types of porokeratosis, and is characterized by multiple, minute, and discrete punctate, hyperkeratotic, seed-like skin lesions surrounded by a thin, raised margin on the palms and soles.

[@Givulinovich]

Calluses with cores. Are these actually corns? Watching you lift out those cores. That sure looks like almost microscopic surgery. Your patience with harvesting his crop of cores is really impressive. 💕

[@ChristiannaCarrell]

Your ability to educate your patients and their families brings joy to my heart, we need so much more of this in healthcare all the way around

[@natlouise4733]

You never cease to amaze me with your videos Dr Jefferson. This one in particular was quite interesting as I've not seen anything like this before. Was very educational as all your videos are. Thank you for uploading this video. You really are such a wonderful doctor 😊

[@charolettehoward4691]

just love how soft spoken you are and so kind. thanks for caring and keep blessing the ones you see9

[@larryellis9573]

All I can say is we need a Million of you in our World! So thorough kind and compassionate! You’re the Best!!

[@marissak.e.rollens3355]

You’re station is very educational! I love learning as I watch.

[@lilaudrey8]

Poor man! My heart breaks for him! So happy you are helping him!

[@alexm.7295]

Omg I just wanted to reach through the screen and pick at those 😅 watching you extract the center of those was so satisfying!

[@lorilewis4998]

Both the doctors and the patients are so very polite & respectful to each other on these videos

[@MissNaturalMystery]

“What you’re gonna do is STOP DOING THAT!” 😂👍🏽

[@jamiewolf1516]

Wow, I definitely thought this was going to be disgusting but it is FASCINATING. What a good doctor!!

[@swizzy302]

I clicked so fast I dropped my phone in the sink 🤦🏾‍♂️

[@helenmeacham8503]

You have very steady hands Dr Jefferson

[@eleanorclark245]

Dr always shows compassion

[@karissam.7030]

WHAT A BLESSING FOR HIM TO JOIN YOUR FOLD/FAMILY!!! THANK YOU DOC For ALL YOU DO & SERVICE YOU GIVE!!! MANY BLESSINGS TO YOU & YOUR FAMILY!!!🙏🏼❤🙏🏼

[@writegirl2937]

Wow....those are some interesting lesions. They remind me of miniature corns because of their hard cores that were causing this gentleman so much pain. Great job, as usual, Dr. Kevin!

[@steinzeithippiekiki5351]

Doesn't it look a little bit like the surface of the moon? 🎑

[@lvanctz]

Dooooooc! Good stuff here. Satisfaction was a 10/10. Glad you were able to help him though.

[@lizabuddenhagen9906]

Satisfying to watch and I'm sure a great relief to the patient. Great job, as always, Doctor. You have such a calming presence.

[@carlajamison311]

Dr Jefferson you did it again. Healing patients with treatment and knowledge about their condition. Thank you. God bless

[@shuga1313]

Laugh all you want , but Dr. Jefferson's videos are the best bedtime tales ever !!! Binge watch worthy no doubt 👀👀👀

[@wildnette]

I love the way you treat your patients. Other doctors could learn a few things from you.

[@itsjustmeMaryAnn]

Had no idea sweat glands could dry up like that.

[@maryannanderson1744]

Me either

[@ancientsgate]

If the "sweat glands have stopped working" that's actually autonomic neuropathy, right? It's a common long term diabetic complication that affects the various parts of the "automatic" nervous system, different from peripheral neuropathy, the common problem that causes the foot and lower leg pain and numbness diabetics often struggle with. The two kinds of neuropathies can run alongside one another, for sure.

[@ewanmc1110]

U can say that again!

[@monicaeastman302]

ancientsgate thank you! I was just going to ask about that. I’m not diabetic but I have peripheral neuropathy.

[@mingtoiisaac4623]

The "autonomic" nervous system is part of the peripheral nervous system. Regulates involuntary body functions like heartbeat, breathing, digestion.

[@fizzypop1249]

The student is a lucky lady. Learning from the best 🤩

[@hellypod]

I've said it before, but you Doctor are a gentleman, your attitude to your patients is commendable

[@sharronwolfe7711]

This is an amazing video! I had never heard of punctate porokeratosis before. Poor guy - lucky he found you! Thank you for another very educational video!

[@annaharies4450]

What you’re going to do is stop doing it 😆😆😆

[@AnitaBetterScreenname]

That was great!

[@aviewisaview]

Hey Ms.Anna.

[@mississippiqueen2u]

Your patient is a trooper! He knows you are trying to help. He hung in there when a lot if people would have tapped out. Hopefully he stays in the fold and stop self treating.

[@janetswalley7708]

These patients need the education you provide about their feet . So many diabetics lack the proper foot care . Diabetes is a horrible disease that ravages the body in so many ways. Lack of circulation to the extremities can be very dangerous if not monitored .My first husband died of non compliance . Refused to monitor his blood sugar . A loved one can only do so much .

[@Sweetpea1030]

Everybody has their own technique, but no everybody is as good as this doctor. No love the interaction with his assistant. He seems to be a natural-born teacher and speaks to her and his patients with humility and dignity.

[@celestemarks60]

Never seen calluses on the skin like that wow. Had to be so hurtful on the bone like that

[@jeanhills2074]

do not have feet problems, but am learning so much about diabetes and its effects. u have a pleasant chair side manner, while dispensing info. appreciate you. may your blessings continue to multiply as u touch others.

[@tessakrumpeltree9563]

I can’t hear audio well so I rely on captions which are sometimes hilarious: “diabetic shoes with insults.” “This cows is just for the pressure”[?]. “Sweat glasses.” “So thinking the soul patient the screaming bed.” And #1: “there Punk techniques.” Double the entertainment.

[@cheriebrittin7627]

Very nice gentleman, I hope he feels much better. You’re so kind and caring, great teacher too!

[@gloriahohman2790]

Goodness that was very interesting, how unusual to have these form in a pattern like that. We all tend to take our bodies for granted especially the feet. Thank God there are doctors like you to help us. I couldn't function without healthy normal feet.

[@tessakrumpeltree9563]

I’m really old now -not sure how that happened-and I’ve encountered some good doctors and some good people, but so rarely both in the same skin. Seems to me you are ethically obligated to let us clone you, DC Doc.🤓

[@sandramcnight407]

Dr. I took care of my sisters feet she had a few of those healed good I just had to keep a close eye on them. Yes she had about 5 on one foot. Dr. I gave her my kidney a few years ago she is very I'll with covid on life support will be an induced coma for 16 days.

[@judewheeler5368]

That was quite interesting and educational . I love the kindness you show your patients. Thank you! 👣💪❤

[@toniricketti9143]

He fortunate to have you. Again, you’re a personal and helpful and care for your clients. It’s good to know the length you have with him and you truly will never be forgotten by him.

[@rubypeary2372]

I have those on the inside of both feet. My doctor said don't worry about it but they bother. I will ask her about the cream you are using. Maybe she will prescribe me some. Thank you for educating me and others about foot care.

[@DCFootDoctor]

Urea cream, 20% or 40%

[@rubypeary2372]

Thank you so much

[@annettemarado3668]

I’ve leaned a lot from your channel. You are so kind to your patients. Nice man.

[@francesgeiske9069]

After watching you and Toe Bro, and other foot care specialists on KZbin, I am jealous!! I am 70 years old and am having health issues and I am not able to get to my feet and told my Dr. and he had me go to the Podiatrist. I thought well this was just great, I got an appointment which was a month away, for 12:30. Showed up for my appointment 15 minutes early and the gal asked me if I thought I was going to get in early for my appointment? I wasn’t sure how to answer that so I said nothing. Well, my appointment time came and went , but by 1:10 I was called. Got in the room and the little gal asked me the same questions I filled out on the New patient paperwork , then told me the Nurse would be in shortly, well another 10 minutes go by and the Nurse comes in and asked me my name and what was I there for? Told her I could not tend to my feet properly, need my toenails cuts and had calluses that needed to be cut off. She came over and looked at my feet and said that they did not look that bad, but no problem I’ll just cut your nails, and with that she went and got clippers and started to cut my nails and cut one of my toes instead and said OH, that not to bad, a bandage will work to stop the bleeding 🩸. She did not even do the other foot. Then the Dr comes in and said OH, I see the nurse cut your nails, nothing about the cut on my toe. He then looked at my feet to see if my calluses were worth cutting. He said that they were not that bad, but he would trim them a little, which is what he did, a little, exactly two little cuts on both feet. Said to see him in a month and with that he was gone, the first little gal came back in and said I was done and to stop at the desk to make an appointment in a month. I came into the waiting room and there was about 35 patients waiting to see the Dr. His office hour were 12pm to 7pm Weds only. And there were 3 patients before me. I DID NOT MAKE A RETURN APPOINTMENT!! There was no talking to me, only cut 4nails on my left foot, and cut me, did give put a little bandage on my toe, no lotion on my feet. I ended up finding a Spa in my area and going there. BOY, WHAT A DIFFERENCE! Felt like a Princess 👸!! I guess cutting toenails and calluses were just beneath the Dr and his Staff!! You people do SUCH a WONDERFUL SERVICE for so many who can not help themselves! Thank You

[@elizabethcurcio9044]

Excellent job dr. I hv watch ur videos . U r always so gracious to ur patients . U talk to them to reassure them & make them comfortable, so they relax & trust u . U r very good at what u do & hv a great bedside manner .

[@bushbeachlifestyle6721]

Nicest doc & patient ever! Thanks for another interesting video x

[@trishhoffman929]

I am always amazed by your exceptional medical and people skills. We are lucky to have you. You are my #1 hands down. Thank you!

[@margaretchalmers3836]

D.C footDoctor is my favourite his attitude is fabulous 1st thing he treats each patient exactly the same .I would love for him to look after my feet but he is in DC.& I am in Glasgow Scotland Stay safe .keep up the good work x

[@jamiemanning9780]

I love this doctor! He is so thorough and gentle

[@katecolborne8295]

Poor sole. It looke like he has been walking on a bed of nails. Is he walking around on gravel in bare feet. Those have got to constantly hurt. Hope he has relief from your work. Your thumbs and index fingers have to hurt by the end of the day. Love your patients, you and your videos. Cheers from Sydenham, On. CANADA

[@catnipbarbie]

Awwww ❤️...that was amazing. God bless you Sir. 🙏

[@stephensmith6572]

This is an awesome doctor, very knowledgeable and displays exceptional care for his patients.

[@michaellamothe40]

I am learning so much about taking care of my feet while I tackle my diabetes. Ordered urea cream today.

[@nolagirl7803]

Your willingness to teach and educate has inspired me to go to the next level in my career field and become a clinical educator in Sleep Medicine😊💜

[@ANJA6366]

Doc you are a dogone saint mate!!!!!! Just love watching your work much love from Australia 🇦🇺❤️🇦🇺❤️🇦🇺❤️🇦🇺🇦🇺❤️🇦🇺❤️🇦🇺

[@christinemenzer9105]

People are very lucky that your a kind and gentle Dr. Ty for the videos