So Many Issues: Long Fungal Toenails, Thick Hard Calluses, and an Ulcer

A diabetic patient comes in after a long absence with multiple foot problems.
So Many Issues: Long Fungal Toenails, Thick Hard Calluses, and an Ulcer
#toenails #dcfootdoctor #toenailfungus #takecareofyourfeet #callus #podiatry #corns #foot #sheabutter #washingtondc #longnails #kevinjefferson #toenails #tlc #fungalnails #podiatrist #footdoctor #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]
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Instagram: / dcfootdoctor
Twitter: / dcfootdoctor
Facebook: / dcfootdoctor

[@autumlief]

Even with her neuropathy, she has got to feel better. Love to see the compassion and judge-free care this physician gives his patients.

[@cynthiapiazza3168]

Dr. Jefferson, I hope when you go home, you have a hobby or an outlet to help keep your mind off of your work. It’s got to be very difficult seeing so many neglected feet, working on difficult cases and hearing all your patient’s health and personal problems. God bless you for what you do as it must be so taxing by the end of the day. This from just a voyeur thinking and praying for your health and well being. Thanks for letting us into your professional world.

[@jillhebert8741]

This doctor is so kind and patient i just love him! He really treats his patients with dignity and talks to them like a friend!!

[@withalohatara]

This is why I keep watching his channel 👍🏻🌟🌟🌟🌟🌟

[@ancientsgate]

Dr Jefferson goes the extra mile with and for his patients-- it's wonderful to see.

[@rickyferguson2362]

The way you speak to your patients is amazing . U can hear the love in your voice! God Bless you sir!!

[@auntie9077]

YES HE DOES!!! I like that "doppler" circulation to our lower extremities can really slow down....adding more problems!! Glad she came to see you and allowed this to be shared!!!

[@redwinedesigns7923]

Most people with feet like this were very hard workers in their youthful days! I’m happy to know that you can bring some relief to their feet issues❤️

[@bhrvt]

Being a Registered Vascular Tech for 32 years this woman's Doppler sounds like she needs to see a Vascular Surgeon for a bypass surgery pretty soon as all her signals that were heard were monophasic. You did a great job on her feet as usual

[@JaceHarnage]

I'm so happy she had her feet taken care of. She had to be in tremendous pain.

[@bebopsbaby1]

She sounds so detached, just barely answering questions. I have major depression and anxiety, t2 diabetic w/neuropathy. I went through this and occasionally still do,the detachment. My feet are no where near this state, but it hard sometimes because it hurts. She not only needs physical care,she needs emotional and mental care. Diabetes is hard to deal with daily.

[@beckytaylor8041]

bebopsbaby1 perfectly said! ❤️

[@ellendingler5685]

you have such a soothing and gentle way about you.

[@wendycarew5120]

You deserve a show! Your compassion and skill are outstanding! I’m addicted to your channel. 💃💗

[@TheDivaReport]

You’re one of the best doctors I love how you educate us as well as patients. You’re always nice & respectful.

[@firesign4297]

Depression 😪 and Mental Health😪 plays a major Role😪 God🙏 Bless You💛 Doctor🙏 100 Fold!🙏🙏🙏💛

[@McChrister]

WoW, what a gorgeous foot “makeover”! I really love that foot massage you do at the end of your treatments....I watch lots of Podiatrists videos but you stand out with the cream to make the feetsies shine!😂👍🏼 God Bless your beautiful soul Dr.🙏🏼❤️

[@genevievegordon2432]

Yes, he goes the extra mile. Very good doctor.

[@2byoung]

At first Dr Jefferson’s low key demeanor came across to me as uncaring, however, I realize that he is much more inquisitive than any primary care doctors. Obtaining this extra information helps the Dr treat the patient as a whole and not just the section below ankles. Would highly recommend the Dr!

[@michelleseveney9113]

I think I it’s so he doesn’t come across as being surprised or shocked at the situation. I feel like it puts the patient at ease.

[@judy-annewhite6154]

Dr. You are an angel to this poor woman. She also, from the look of things, needs to take an active role in her care, unless she isn't able to, due to living conditions and finances. In Canada, we don't have coverage for foot doctors, unless under coverages from where people work and unfortunately they are being dropped more and more. You were explaining so wonderfully for her and showing the way...... if only all people could have this heavenly foot care, especially as we age. I'm always amazed at your before and afters.....if our feet hurt, our whole body is "off", and this lucky lady is feeling pretty fine right now! Keep up your amazing work and kind but stern instructions as to patients following up with their foot care and further appointments if they are able! Our feet rock and we only get one set, look after them folks! 😵😨😷👍😆💙 Thanks Doctor for another great video

[@margaretrichardson6938]

Your service is MAGNIFICENT! She is BLESSED to have such a WONDERFUL Doctor! 🙏🙏🙏🙏🙏🙏🙏🙏🙏

[@celiaedwards93]

As a parent with a 28 year old daughter with type 1 IDDM, I know first hand than it doesn’t matter which type of Diabetes you have with education, different medical clinicians, & a strong support group Diabetes can easily become overwhelming and sometimes patients give up or refuse to take of their disease. It’s often easy for outsiders looking in to say what they will or won’t do. However, just imagine being told that you have a disease that can affect every system of your body. That same disease doesn’t allow for a day off. Oh and btw any damage done to a system or organ can’t be reversed. It’s enough to make a strong person weak!!!

[@RidingdaLightning]

I can't see how she was able to walk with her nails that long. She's lucky she didn't ripp a nail off.

[@roxcyn]

Neuropathy is the reason.

[@beeman4266]

@@roxcyn that's what amazes me.. like, do these people not realize they can't feel their feet as well as they used to? Which is usually.. diabetes? You'd think they'd realize hmm my feet are numb, I wonder why.

[@delananicodemus8259]

Thank God for this doctor. He genuinely cares about his patients. He touches, not because he has to, but because he cares. From the foot soaks to the application of Shea butter at the end of the visit, he’s 100% committed to his patients. Thank you.

[@katherinebishop5158]

This poor woman. She has multiple problems. Seems like when she was told she was a diabetic, she gave up. It’s good she finally came to you. You show concern without judgment.

[@laverdadverdadera1451]

He is an angel!

[@_SpreadingLove_]

@@laverdadverdadera1451 He is!

[@annkus3]

She has lovely legs tho, My legs are not as pretty as that legs are.

[@joeallen7867]

That means he's a true doctor that actually cares about his patients. Lord knows we need a lot more doctors that care and passion in their work.

[@joanleimkuehler655]

I think she was a diabetic long before she was diagnosed. Good thing she in on medication now.

[@SparrowStockwell]

She sounds sad, I think. I don’t know, but it seems that way. I like her soft voice. I’m sorry she has such a hard time taking care of her feet and her wound. It’s extra hard to take care of yourself when you’re depressed. I hope she is able to find the strength to do it. You were very kind to her, Doctor.

[@vickiibutch3546]

Depression is no joke, most do not and don't want to understand

[@cynthiastanley35]

Bless her heart. That lesion starting from a simple mosquito bite.

[@mocamilmason3384]

Every part of the body needs love, and you do it well when it comes to foot care. I've learned so much from you. Thank you!

[@pa2kasa]

She came to the right specialist. You did an awesome job, Dr. Jefferson.

[@blkmama2604]

Not only is this doctor very good at his profession, but he has such a good spirit. Obviously no one would ever let their feet get like that if they knew how to perform proper care. Some people may not be in a good mental or emotional state as well. This doctor helps them to restore health, and does it in a way that is informative/empowering for self-care, and does not attack their dignity.

[@sallieharris2731]

My heart hurts for her . She doesn't seem to have any idea of thee ramifications of her conditions . She needs a good Diabetic teacher , to explain to her , especially with high cholesterol and B/P . You did an excellent job on her feet!. 🙂

[@geofferypmeyers]

She’s going to lose her feet if she’s not careful 🥺

[@SuperRocketdog1]

Goodness!! I can't believe no one noticed her poor feet! The Doppler was proof of poor circulation, she could hear the difference. Dr. you are a saint your always so kind and not criticising your patients who have neglected their feet...bless you and your wonderful work.xx👏🏻👏🏻👏🏻😍💕❤️🇬🇧🇬🇧

[@meburde]

What a transformation! I sure hope she continues her care with Dr. D.C.

[@bevcd3625]

Love the way you have a holistic approach to treating your patients. 🙏✌️🇦🇺

[@Siuri420]

That poor woman

[@shanittathompson2039]

Damn! Her issues, got issues! I hope she continues to get good foot care! Nice work Doc! She needed some TLC.

[@claraporlaje6522]

Doctor Jefferson... I can see your compassion towards your patients. It's good watching you because I learnt a lot from you. Thanks a lot Doctor

[@2snowgirl520]

She really lucked out with those callouses, having no sores beneath them.

[@christyinthecarolinas]

You're the best foot doctor I've watched here on KZbin. The care and patience that you portray is so refreshing. Great job, Doc!

[@rachaelslayton1736]

She looks so young to have these issues.. Bless her heart❤💚💜💙💛

[@nijeldavis8587]

That my uncle

[@DCFootDoctor]

Hey Nephew! Thanks for the shout out!

[@sharronwolfe7711]

You have a wonderful uncle!

[@somewherehere424]

You should be very proud of him, it is so easy to see just how much he cares about his clients. I would recommend him to anyone living nearby, he's a very special man!

[@julesjules1565]

Poor lady, I hope she feels better soon. Thank you, Dr. Jefferson.

[@loriflynn78]

The doctor has a voice like Denzel Washington 😍

[@blxgrl]

Elfie Angora now thats a stetch. I love the doctors wrk but denzel? No no no!

[@donnawentz7102]

Everyone! We all need to learn by this and take care of our feet as well as making sure our family members have their feet looked at for any problems. If we can’t do our feet get help. My Mom came close to losing a leg due to diabetes, neuropathy etc.

[@annthompson3246]

You did amazing work on her feet, and your so gentle and soft spoken, 👍👍👍👍👍👍

[@maureenarmstrong1880]

Patient education is important. I admire how you treat the whole person as well as giving them hope for improvement. Good work Dr Jefferson.

[@denisephillips9269]

Maureen, do you work (or retired) in Ann Arbor, Mi?

[@donnadicks2842]

I feel so bad for her, you were so kind and gentle to her.

[@TakaEchols]

I'm really blown away at how you were so patient and thorough with all of her care from her feet to her wound treatment and supplies. People like you are a godsend!

[@pattisimmons67]

You are a wonderful caring man and an angel to your patients! You were so kind to this poor lady and so thoughtful in how you took the time to explin things to her. I hope she feels better now and I'll be praying for her that she doesn't lose hope and gives up. Sometimes people just get tired. Sometimes it seems like you have to fight to get through today. When it feels like everyday brings MORE challenges to overcome. Thank you for being there for themand just being who you are. Watched several of your videos of yours after you came through my feed on recommendations. SUBBED!

[@stephaniehall2552]

So glad she finally came in ,I hope she really listens to your warnings,she needs to be under professional care ,this is a situation that will not just go away ,this comes under quality if life ,Best Wishes for her

[@ellenlankford4813]

If she can’t drive I think a home healthcare nurse will come to her home several times a week to change her dressing.

[@brazilliandrumz-tarantino4659]

BASED ON THE SEVERITY OF HER FEET AND WHAT SHE SAYS, ADMITTING NUMBNESS, I HOPE SHE DOESN'T LOOS HER FOOT(FEET)

[@LadyEliza7]

As a former OR RN I appreciate how you educate your patients which is a vital part of healing and self care. I call you the “foot whisperer “. You do a wonderful job ⭐️

[@SparkleLuna77]

You are such a good doctor and man to help people like this.

[@lesliebilotta8450]

Oh wow!! The pain! She never complained, I bet! Poor thing! Beautiful job, doc! Beautiful!

[@verlacarpenter120]

She is in good caring hands, you alway seem to be able to explain how treat there problems in a caring way also...her feet sure looked much better on the road to recovery...

[@deborrahdutra5599]

Your so gentle and kind with your patients very educational

[@flodog75dog24]

She said she was just diagnosed few months ago but yet she was taking metformin a year ago. Poor women, she’s confused about what’s going on with her..

[@susieturner290]

Flodog75 Dog Some doctors prescribe metformin for pre-diabetes or insulin resistance. I did when I was practicing medicine.

[@sadie_lynn6792]

Chances are that she was most likely put on metformin as a "pre-diabetic". That's exactly how it happened with my mother she was pre-diabetic and put on metformin, then 1 year later she was diagnosed with full-on diabetes.

[@zeldatrash7308]

you can take metformin for other things! i was taking it to control my hormones, but unfortunately it made me feel terrible so i stopped taking it.

[@shawnafields4946]

There are other medical reasons for a women to take metformin. I am not diabetic and I take metformin.

[@tracyrandall7787]

You handled this VERY well. The woman was a little withdrawn when he first started talking with her. However, he kept her talking, and eventually, when she saw her feet and how he was doing such a great job treating her, she opened up. Great job Doc.

[@bumpasaurus487]

You and toe bro should have a tv show together. You guys are the best on youtube by far!👍👍 you both are very patient, thorough, knowledgeable, and incredibly good rapport with patients, always kind, helpful, and mindful of causing pain. It’s not easy to check all the boxes like you guys do, as many great doctors get cocky/arrogant and don’t have the ability to connect with their patients because of it.

[@vale501]

Dr. , You may have films on KZbin , but you can see that you clearly work for your patients! Thumbs up for you!

[@lindasharp9144]

Loved this gentle and thourough treatment of her feet.

[@iaintnobody9694]

Great to see a professional comp!ete the entire treatments of all afflictions. Other posters will out saying they don't want abridge too much that the patient gets sore.

[@nessarissell2914]

So glad this woman has come back to you after she found she was diabetic so that you could educate her on how important it is to take care of her feet/toes and any wounds! Great bedside care!

[@melodybales2038]

Thank you for all you do for these people! Foot care is underrated. My mom's an RN and she always says the first thing she does when she greets a patient is take a look at their feet, get them lotioned up or whatever they need. Videos like this inspire me to take better care of myself and others

[@Hawaiiankine95670]

You earned your pay on that procedure! You da man Doc!

[@sarahnicole3206]

Very interesting to hear the ultrasound and the blood flow. As always you’re an amazing doctor and so good to your patients.

[@wanttruth3876]

It's hard to believe that in this country, there are people walking around with this problem. It's not like we are in a 3rd world country where there's no access to Doctors. But then, in this "great" country, the "under privileged" cannot afford insurance to get healthcare.. It's so very sad.

[@littlemisseatscrispsforbre5353]

It's incredibly sad. If that happened here in my country someone is going to jail for neglect. We have a system where the unemployed or people earning a low wage, children and maternity is all paid for. That includes dental, glasses and for people with illnesses, foot and nail care. Most jobs with good wages offer full medical care as work packages or you can get your own. The district nurse goes out to check people who can't get out of the house. So like I said if someone who is ill registered with a doctor who has feet like this, someone is getting prosecuted.

[@stephennurse8106]

This is true of America. Thank God I live in Canada.

[@nursesheris8777]

Is there a follow up to this video? Would love to see how it healed up hopefully it did!!

[@vivmcnaul35]

this young lady got the platinum treatment. I hope her wound heals well.

[@blessed50]

HI AGAIN DOCTOR YOU ARE A CARING LOVING DOCTOR I LOVE THAT YOU HELPS PEOPLE AND TREAT THEM WITH LOVE NO OTHER DOCTORS I KNOW REALLY TAKE THE TIME OUT LIKE THAT THANKS AGAIN FOR SHARING DETROIT MICHIGAN LOVES YOUR CHANNEL 😍😍😍😍😍😍😍

[@jeffcarroll1990shock]

Either you really love capital lock or it's jammed on your computer

[@tyronmattox7730]

Thank you for being so respectful towards this woman. Your beside manner is impeccable.

[@colleenjudkins3008]

Thanks to you Dr I pay attention to my son's feet. He's disabled. I know how to take care of his feet. Thank you again!

[@sharicross547]

We forgive you, Doc! How can we hold it against you when you offer us such good videos? You are wonderful for these patients.

[@lilaudrey8]

So happy you helped this Poor Woman with her Poor Feet, and that Nasty Wound! Poor thing! You are an Excellent Doctor! So Kind, Understanding, and Helpful! I Pray this woman's feet get better, and that nasty wound heals perfectly!

[@superlativelyabnormalsuper505]

Your bedside manners speaks volumes, Doctor. If I may request politely, can you please put the captions on all your videos. Being DeafBlind, I learn from videos like yours. Doctor, thank you for your empathy. You are a rarity.

[@sheenahorn9205]

Ty for your kindness and skill

[@ruthballenger9215]

God bless you doctor for helping people with this serious issues omg, it looks terrible I can’t imagine the great relieve this person experience after this. Greetings from Germany!

[@lilypondlane]

A+++++ job! This lady is so fortunate that Dr. Jefferson took such good care of her feet and that open wound. I have a diabetic relative that lost his little toe and the side of his foot from an infected sore due to an ill-fitting shoe. The lady’s feet look so much better after her treatment. God bless Dr. Jefferson and the lady!

[@susanvanschuyver7900]

I hope she comes back.

[@majbrittcastrupjrgensen2874]

susan vanschuyver Unfortunately, sometimes they don’t come back. I have worked together with a pediatrician, we saw quite a few people that didn’t come back. I live in Denmark, where diabetics get footcare for free every 1-2 months, depending. If you are not able to get there by yourself, you can get a ‘’flex-cab’’ for free or very, very cheap, depending on your income.

[@2snowgirl520]

Majbritt castrup Jørgensen , that’s wonderful! One to two months is ideal. And the ride is so needed!

[@vickiibutch3546]

Because he is such a wonderful person , Genuine and Humble

[@kitzykatz1030]

If this lady lives on her own, she needs a visiting nurse. She should never have had to wait a year to have her nails trimmed. It probably caused those callouses. Thanks for showing how important feet are and taking good care of them. PS. I can't believe that right foot didn't get recorded!!!! Those long nails!!!!

[@rocknromance78]

If not a nurse a family member or friend.

[@jacibledsoe9647]

What types of fungi are usually found on the toenails? I love watching you use the blades to remove the calluses. You do it so gently.

[@claredyson9936]

I bet she felt like leaving the office dancing after that, her feet must have felt solo good!! Unless there is a reason not mentioned I do hope she takes more care of her feet, she doesn't seem very old.

[@sharronwolfe7711]

Having grown up in an area with a lot of impoverished people, I find that education is almost as important as having access to healthcare. So many people do not understand how preventive care is needed. Too many rely on physicians only after a problem presents and may be well advanced. I’ve seen this in rural as well as urban areas. We must somehow not only make health care accessible, but also educate people as to the value of primary care and self care at home. I appreciate your caring attitude as you work with patients, many of whom don’t seem to have an understanding of their needs. And I too am learning much about caring for my own diabetic feet watching you care for others. Thank you for your educational videos.

[@mandydavies7627]

I bet this lovely lady thought she was walking on air when she left you..

[@maggiegee8351]

I believe your the best foot doctor ive seen online! You give sound advice are meticulous in your job and are happy to stay behind the camera instead of infront ! Well done

[@tarajeff5617]

You are a blessing to my people. Never knew how important it really is to take care of your feet. Making an appointment with podiatrist immediately and I don't even have any real issues yet but I refuse to go get a pedicure with all those people.

[@lorrieoreck8798]

So thorough and gentle. Hope her feet get better.

[@colinlincoln3639]

My podiatrist here in Singapore managed to stop a callous from recurring on the sole of my right foot after my big right toe had been amputated in 2016. I'm diabetic. After about a year, the second toe started to 'claw' as it took over the duty of the big toe. A callous formed too. My podiatrist made mould imprints of my 2 soles n had shoe insoles made to those moulds. She then cut out a piece where the callous was. By doing that, my body weight was spread over the insoles but not on the callous. After debriding the callous a couple of times, it has not returned. 😊

[@julieericksen4688]

God Bless you for choosing Podiatry as your profession!!!

[@maureenu3047]

That was from a mosquito bite? Why doesn't the city do something about that mutant mosquito problem? All jokes aside I hope she listens to you and gets the medical help that she needs.

[@ncredbird3998]

As a nurse I feel for patients in this shape and understand often living situations play a part to their condition but I also get so upset when a patient doesn't do their part in taking care of their body and health as they are told. He nails should have never gotten this long and the wound should have been taken care of long before. She is obviously aware of her diabetic health and yet as I see many do, think they can go about life as always and they'll be OK. It's the mindset of it'll never happen to me and they end up losing limbs or ability to walk. It's heartbreaking and there should be someone put in place to make certain she gets to doctor visits and gets the medication and medical treatments she needs. I pray you got through to her at this visit and her condition improves. Admire your kindness and work no matter how frustrating times can get.

[@havensilver3039]

Doc you’re The Best.....you took your time, educated her the importance of her feet. Yes you could sense she wasn’t telling complete truth but again I think she was more embarrassed. But you made her feel sooo much better because you care about your patients. Many people don’t know that you’re supposed to put your moisturizers on while your skin is still wet after bathing and in between. I pray she listens to you and you can get her feet looking much healthier. She sounds like a very loving woman. Once she saw how much you cared, she felt more comfortable. Great Dr. Jefferson 🙌🏽🙌🏽🙌🏽🙏🏼💯

[@kristygregg6167]

I loved the caption between the left foot nail trimming and the calluses. It made my day. Thank you so much for sharing vids with us all and for educating us about footcare. I’ve learned so much!

[@roz1495]

Awesome job! I'm liking the use of water with the dremel!

[@priscillarobinson7740]

Rosalind Jimenez It makes a big difference as far comfort is concerned. My Podiatrist had the old type that had no water and caused it too heat up. After using the new one with water, let me tell you, what a difference. No more hot foot.

[@soytumujer22]

You should watch The Toe Bro

[@janeayers6628]

My gosh what a transformation for that dear lady. So pleased she came to you for care and excellent treatment, would love to see the follow up

[@speshul7525]

My mother was in a 16,000 dollars a month nursing home. After watching you , I repeatedly ask to have a podiatrist come check her feet. Didn't happen. I finally argue it out with state of Connecticut, brought her home, had her teeth look at and feet. Thank god for your channel. She got home, lived for 8 months in joy, before a massive stroke.

[@tarmach523]

Just a minute, 16K A MONTH for a nursing home? In Canada, it’s roughly 2000-2500 a month. What do they do at that nursing home? I’m going to say not very much since you took your mum back home. Our elders should be treated like kings and queens. It’s a shame we bring our loved ones to a nursing home expecting them to get the care they need and so deserve only to be let down. How do I know this? I am an RN working in long term care, and it’s not the best here in many of the homes. So sorry to hear, but glad she was happy in her final months with family 🤗

[@laurapeltier158]

I love that you can file skin and nails all in one Fell Swoop! Fantastique!

[@abbyd323]

Bless her heart. I hope she has someone to help her take care of her feet..

[@fuzzylop9164]

Thank heavens this woman came in to see you. I know a man who had a sore like that and lost his leg below the knee because of it. I know you will do all you can to see she gets wound care. 💕 I hope she understands better and get better follow up with her PCP.

[@denahmoore1507]

Compassionate care as always. 💕

[@TheAskesis1]

This is so sad. Thank you for helping her. Hope your office follows up on her😘

[@brigitegreen4961]

This is so heartbreaking to see the elderly not being taken care of by family members. I thnk God I was able to take care for my great grandmother, grandmother, and Aunt now my Mom. Thnk God they have Dr's tht care enough to help thm.

[@pumpkinpie897]

Thank God, you send people from your office with hope and evidence that they can improve, thanks Doc.