Thickest Toe Jam Ever! Big Build-up Between The Toes and Fungal Toenails

#toejam #dcfootdoctor #toenailfungus #takecareofyourfeet #callus #podiatry #top10 #sheabutter #washingtondc #nailfungus #howto #myfeetarekillingme #feet #ingrowntoenail #doctors #best #dcdoctors #gout #beforeandafter #fungalnails #trending #podiatrist #youtubedoctors #telemedicine #telehealth #youtubedoctor #Health #Wellness #Lifestyle #medical #oddlysatisfying #asmr #medicalschool #dc #districtofcolumbia #footdoctor #2021
An older gentleman is brought to my office for the first time by his daughter. Due to his dementia, he has been resistant to foot care at home. He last visited a podiatrist 6 months ago, but has not had follow-up care due to the pandemic. Having been recommended to me by a senior care center, he presented with long, thick fungal toenails. The nail on the left big toe was on its way to becoming a ram's horn nail. Most shocking was the amount of dead skin build-up, toe jam, between the toes. During the treatment, I discuss with his daughter the challenges of being a caregiver. Near the end of the visit I giver her tips on caring for her father's feet at home.
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Kevin E. Jefferson, DPM
Metropolitan Podiatry Associates, PLLC
7603 Georgia Avenue NW, Suite 100
Washington, DC 20012
202-882-9682
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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.

[@ActWithUnderstanding]

We have to keep in mind that this guy is 90, which means his daughter is 70 taking care of him. Not easy when you are a senior yourself. Bless her heart. ❤

[@estherkritharakis9443]

Ok I get it. But coming sense tell you you are the care giver aren't you helping with the activities of daily living? Washing daily? Aren't you checking his feet on the daily basis?

[@user-zz1yj8dr5u]

毎日とは言いませんが足を洗い綺麗にする必要がありますね　私も今年７７歳のおばあさんです　病気の後遺症もあり　足の爪を切るのは大変です　でも少し伸びたら切る様に頑張ってますよ　左半身の麻痺と痛みがあるので右手だけは子供達に頼んでいます　7年目になりますが家事もしています　自分の出来る範囲でやっていきましょう

[@debbralehrman5957]

Have you ever dealt with someone with dementia. They don't always realise they need help and will get argumentative and very emotional. It take a lot out you as a caregiver. Sometimes you just have to pick your battles. 🤷🏼‍♀️

[@ArterialJames1990]

Which means it can easily be her NEXT Quick.. therefore THE WAY SHE'S demeaning him and the WEAK STOMACH which is cray bcz she claims to work at a hospital.. This is so uhhhh idk imagine u sitting there depending on someone u raised and sacrifice for sitting there just😢😢

[@TheSonjaxfactor]

Stop being so fuckin' judgemental!! Being a caregiver is not easy​. Especially when you are a seniorcitizenyourself. @estherkritharakis9443

[@ssmmydog1928]

Your choice to inform his caretakers rather than scold, to express an understanding of the difficulties that can be a part of giving care and to educate them in proper care has no doubt made this patient’s life easier. Your sensitive approach is perfect. Thank you.

[@southernsoul152]

Beautiful observation and I couldnt agree more! 🌻🌻

[@wandasanders4924]

He should have scolded her, she needed to be, what s crying SHAME.

[@amixeblu]

I loved that discussion so much. Stealthily asking if she's is actually taking care (obviously not) of those poor feet. Turns out it's mostly him. You always have to be careful with that! Thank you for the right approach. I love the way you handle people, and your patients!

[@elm57]

I agree.

[@germaineaguilar6762]

Sugar is sweet and easy to take

[@vernelleshaw7904]

Did anyone notice his feet dancing at the end? He was so relieved and grateful. My dad lived until he was 100, and we cared for him like we cared for ourselves. Not trying to judge his daughter bc i know caregiving is a difficult responsibility, but if you can't do it, then get someone else to do it or help you. This gentleman is a veteran, and there are services available for him. Get the help he needs and deserves. The transformation of his feet was exceptional.

[@vangelina09]

I think that’s the point. Care for others the way you care for yourself. Granted if your toes looking sketchy too…🤷🏽‍♀️😭

[@lexiaaforever437]

When she said “EVERYDAY” that’s what made me see she needs someone else to take care of him. It’s overwhelming for her to manage.

[@twodots9403]

💯

[@A.Krispy]

His daughter can’t take care of him it’s best she just come to this realization these are the simple facts.

[@ConcernedThasall]

📠📠📠📠📠📠

[@Dunksmcgee]

She seems trifling bc she initially bragged about working for a drs office. She don't take care of this man at all.

[@lor4986]

Dr. Jefferson you made him so comfortable, he did not have a reason to fuss. BRAVO

[@immortalfae13]

He started doing the "Happy Feet" at the end. So sweet!

[@Msnettej]

There was over 1300 people watching PLEASE give the Dr a 👍🏾we all know how wonderful he is

[@bumpasaurus487]

Already did after seeing one of his videos a few weeks ago, he’s great👍👍

[@0817sweetstacy]

I agree 💯 👍👍👍👍👍👍

[@B_Bodziak]

I can't believe how respectful the Doc was with the daughter-caregiver after she said, "I have to do that EVERY day?!?"

[@user-il1zc9bk7r]

How in heavens name do people walk with all that crappie between their toes

[@nancybinegar3002]

That looked like years of build up! Thank you for taking care of EVERTHING for this patient! You're the BEST!!

[@mommish2403]

Was that dead skin

[@glenalguire6960]

Absolutely , just lazy unhygienic , listen to her , lazy cow

[@a-bootiful-mind6648]

@@mommish2403 Yep a build up of manky dead skin, it must have smelled horrendous.

[@dfhh3319]

Your approach to the caregiver was subtle and brilliant. Much better choice than confrontational. You are always so caring with your clients. I don’t know why, but I like to watch these videos sometimes, and I like listening to the smooth jazz. Thanks for your instructions, I’ve learned much.

[@ammcd2012]

The way the caregiver said "everday!!!" In regards to his daily hygienic needs and foot powder was extremely telling. She is overwhelmed and needs to hire a home health care aid 😢

[@MrBikboi]

she need get another job, cause she no dam good mane

[@zuzuspetals9281]

Few caregivers are able to afford to hire home health care aides and it’s not free for most people.

[@antoinettejeff4796]

It’s obvious that he didn’t get any foot care. It’s teetering on neglect. Poor fella.

[@oddsbechill6074]

It was! She annoyed me. Even if he wouldn’t let her touch his feet she should have taken him in to get cared for. His feet should never be this bad. You can tell the dr was dropping hints that she needs to be doing more. But respectfully of course. He’s amazing.

[@bettybowman4012]

​@@antoinettejeff47965:31

[@LyJo5]

This doctor is the kindest, most understanding and informed doctor I've come across in forever. He didn't try to embarrass these people he just wanted to help them. Kudos to this guy for his caring and respectful nature 💜

[@Bob-507]

I agree with you 100% nice post LyJo5

[@garnetbarton3313]

If anyone has been a caregiver to a person with dementia it is a 24 hour a day job. My husband would sneak out of the house and try to steal farm machinery you name it. He never done this before. So I can understand how these things happen. I can imagine he wanted to help them and not humiliate them. God Bless you.

[@fshoaps]

Cute woman.

[@wyleejensen3646]

I like how she's acting like it's not noticeable doesn't she recieve a paycheck to take care of him wow

[@B_Bodziak]

​@@wyleejensen3646 Most likely she does. The amount is not enough, but he's her father. I can't believe she said she DIDN'T want to clean between his toes. Wow.

[@user-km3kw2lv9d]

I was my Mom's caregiver and she was always impeccable! People used to comment how beautifully dressed and groomed my Mom always was. I agree with another person's comment, negligence, down right elder abuse! AND I NOTICED AFTER YOU MANICURED AND CLEANED HIS FEET AND MOUSTURIZED THEM, HE WAS LOVING IT AND MOVING HIS FEET IN GRADITUDE AND THANK YOU TO YOU! LIKE OH THANK GOD! FINALLY!

[@Winni3D]

Thank you for taking the time to clean up the nails! As a licensed cosmetologist its a huge pet peeve of mine to see podiatrists just cut away then leave dead skin & sharp jagged nails. A lot of people who come to podiatriats are elderly or disabled & cant reach their own feet to clean them up. Jagged nails lead to catching on things & dead skin leads to more toenail issues including ingrowns. I think these doctors that dont clean up think they are creating repeat patients... but thats not the case. People return to those that actually care for them and do a good job!

[@marciabradshaw2020]

This was quite distressing , between the toes looked like they were beginning to rot I’m so glad he could be helped.

[@Nspyrd]

I know this is old, but I am touched by how well the doctor cared for his elderly patient, showing him dignity and great care as if it were his own loved one. Bless this man

[@leahketchum4078]

Right and I'm bedridden nobody messes with my feet unless I want them to which is very seldom they hurt when you mess with them in the doctor understands that and frankly most doctors don't

[@TopHatNat]

Happy foot dance @ 27:10

[@amandajones6481]

Dear Dr Jefferson, I used to be a nurse and I think you're the best foot doctor I've ever seen. You're so kind and empathetic towards your patients and their families. My mum got Alzheiimer's disease and she died in 2017, so I know what it's like to care for a parent with dementia, and I've also worked in Aged Care facilities here in Melbourne, Australia. And I know it's not easy, but I felt so sorry for this elderly man in your video. I couldn't believe the amount of toe jam he had between his toes, not to mention everything else that was wrong with his poor feet. His daughter clearly needs help in looking after him, as it's impossible for one person to look after a parent with dementia. My dad and I used to bath my mother everyday - until the Alzheiimer's progressed to the stage where she had to go into a nursing home - and it was easy for us as there were two of us to do it together. I would bath my mother and then my dad could lift her out but obviously this man's daughter can't bath her father on her own, especially as she sounds like she's quite elderly herself. Is her father eligible for care in his home? I hope he gets the care he needs. You did a brilliant job of treating him, his feet looked so good and so much younger after you had finished, and he even seemed to be happy about it. 😀 Thank you for sharing this video with us. Cheers from Amanda Jones in Melbourne, Australia 👍❤ ❤ ❤

[@B_Bodziak]

Someone his age would qualify for free in-home health aide for 4-8 hours/day.

[@RobBrock-su4cj]

It breaks my heart to see this man in this much discomfort. Please take care of the ones who took care of you. Good job Doctor. Everyone deserves some compassion.

[@TheLuckyeight8]

That quiet “Thank you, sir” and the repeated “He knows what he’s doing” tells it all. Daddy’s in there, he’s just wrapped up by the dementia. Caring for your parent(s) can be extremely challenging, because in their eyes, we’re always their babies! The relief he must have felt when his toes were made new. Stay strong, daughter, and thank you for caring for your Daddy. 🌺

[@antwan3163]

Give it a year or two. Dementia is a progressive disease so sooner than later he will lose himself completely. If he hasn't already. Like watching when my dog had cancer and just wasted away at 14 because she was too old to live through any surgery. And before anyone comments, my grandfather and uncle had dementia/alzheimers. And I can say 100% my grandfather was no longer there. Especially when the family decided to push him to get chemo at 81 for his stomach cancer. He suffered so badly and the chemo ended up shortening his life (big surprise there!). But I was honestly so glad to hear he passed. That had not been him since I was 11 (he died 2 years ago when I was 28) and he was diagnosed after a stroke. I lack empathy and rather take a more cynical but logical view. Or nihilist, I suppose. But I do not think I have ever cried or felt bad or been empathetic toward anyone except when I was rolling on some mdma, or toward animals. Anyway, it is a shame that families will push so hard to try to get someone to live just a few years longer by sacrificing their comfort. It is ALWAYS because people want to avoid grieving at any cost. So they will keep a loved ones body artificially working like a mindless tumor, just because they do not want to let go. It is selfish to make someone do that. My great grandmother died a few years back and was begging for at least 2 years before that to be brought to Oregon to be euthanized, but she did not have any chronic fatal diseases. She just didn't want to live without her husband and was done with this shithole people call life.

[@palominogal5592]

@@antwan3163 we KNOW. But gee whiz what a downer comment.

[@alissabee5923]

@@antwan3163Everyone progresses differently. They are always in there, however less and less able to escape and express. It’s a terrible disease for anyone to endure. You just gotta cherish the good days when they happen. And take the bad when they come. 🤷🏻‍♀️

[@jeremiahjohnson43]

​@@alissabee5923 I agree 100 percent. They are always there.

[@conniesandoval575]

​@@antwan3163 01

[@rachelnazarian9487]

So glad to see that there was no breakdown of the skin under all that gunk. You have a gift, Dr. Jefferson.

[@tbok75]

After an injury my grandad was declared brain dead. The Dr was demonstrating how they came to this diagnosis and the foot tickle test was one of them. Why I bring this up is the private joke my mom and i shared thru our tears. My grandad NEVER EVER let anyone see his feet. There was nothing wrong with them at all. I guess HE felt there was something wrong with them. You have a new sub. Your care and candor are a blessing. Plus I'm just kinda weird that I love this stuff anyways.

[@staciwright5465]

With each passing year I learn that I cannot assume anything and I don’t know these people. That said, here are my impressions - which don’t mean much. 1. This is 100 percent clear. This doctor should be recognized for his excellence in care. He did not demean or shame the caregiver. He gave clear instructions. He encouraged home health care. He suggested she get the most days of help possible. 2. She does not come across as a concerned caregiver and she appears to have lots of excuses. But if he’s 90, she’s 70. Some 70 year olds are still sprite. Other 70 year olds have dementia themselves and struggle to care for themselves let alone a 90 year old father. 3. My dad has dementia. I know what combative behavior in a dementia patient does and doesn’t look like. I also know each day is different. But this man was relaxed. He was making noises of being soothed and relief. He clearly loved how getting his feet done by the doctor felt. Since we don’t know the situation I am not comfortable blaming the daughter but but I think it’s far more likely that his care might be overwhelming to her. Perhaps whenever she tried she hurried through it, she wasn’t gentle enough, etc. Maybe because it was too much for her her technique suffered and his response was a result of that. 4. I cannot in good conscience blame her without knowing her and the situation but I can say that the amount of “toe jam” built up 100 percent indicated neglect of this poor man. It might merely be circumstantial. The daughter’s feet might look the same. Whatever the case, this man needs more personal assistance than he’s receiving. I hope arrangements can be made because at the end, he’s so clearly relieved. The man is rubbing the shea butter on and his nails and feet are clean and he’s moaning with satisfaction. It had to feel so good to him. 5. Without more information I don’t think we should attack the daughter, but I also hope people who can help them line up resources to get assistance with his care and potentially her care, too. 6. Again, kudos to the doctor who could not have been kinder, more thorough or more patient! ❤️

[@jsteele650]

When you took that chunk out between the pinkie toe, my face looked like shear terror....wow!!! 😲

[@Mysasser1]

Same!

[@MeganVictoriaKearns]

I watch these videos all the time, but that chunk of toe jam from the pinkie toe was SHOCKING! How long did it take to get that massive!?

[@denisephillips9269]

@@MeganVictoriaKearns prob the five years she has been taking care of him. Disgusting.

[@macmike5384]

I've had toe jam but never nothing like this thank God...

[@judywalker2849]

My goodness 😳

[@nylancollins4002]

Look how nice his feet looked afterwards. I took care of mother and father before they passed away. My dad had a stroke and was lying on his floor for three days before he was found. I remember bringing him home and had to take of him like a baby. I know he felt shameful that I had to do those things for him but I always assured him how much I loved him and I was returning the love and care he showed me as a child. I’m the baby of 11 children(6 girls and 5 boys) I had to learn how to shave him. What was shameful to me was that none of his sons cared enough to shave or bathe him. I wouldn’t change a thing, I’d do it again!

[@dudleygunter8770]

Thank goodness for your responsibility and caring for your dad. He needed you and you stepped up to do what needed to be done. Thanks to you! God Bless you.

[@mukeshsoni4125]

That made me emotional

[@Dunksmcgee]

Bless ur heart, you will be rewarded for your kindness.

[@nancyann2456]

I think you are the only foot doc that actually takes the time to make the nails look their absolute best instead of just cutting them off!!❤❤

[@melissagrosse1185]

Look how nice his feet look after your TLC!! He has been SEVERELY NEGLECTED!!

[@tammyreeves168]

This may sound silly but I cried like a baby over this poor gentleman’s feet. I’m so glad that you were tactful but straight forward with the daughter. Although it is very difficult to be a caregiver for an individual with dementia. Stay safe and God Bless

[@charissejohnson2068]

I did too.

[@madeleineparres9873]

It doesn't sound silly at all. My heart broke for this poor man, and his daughter - well, momma always said if you can't say something nice -. I would hope that maybe he can have a visiting nurse stop by at least once or twice a week. I spent 17 years care-giving for my parents, both who had Alzheimer's. It's a terribly difficult job, but when someone can't take care of themselves, you find a way to make it happen.

[@judithfarlow3326]

As a age care nurse it's very hard to look after a patient with dementia and it's heart breaking I used to cry but after a while it became second hand

[@leewitte4580]

I did, too!!

[@autumnsmom1117]

@@judithfarlow3326 Thanks for your honesty. Sunday down is a monster.

[@vonnieburt1163]

If she has a “thing” about feet, she should get him regular care from this doctor instead of neglecting foot care.

[@audreycooper9739]

Absolutely

[@lindatoten6452]

Her comment, he won't let her? I don't think she has really tried. Those feet are in horrible shape. Don't they know a care giver is responsible for his cleanliness and health? Who ever she is probably got an ugly look from the doctor. This is just insane!!

[@ImeldaFagin]

Wow, have any of you actually been a caretaker for an adult…for years? You only have so much energy and you have to pick your battles or you’ll wear out pretty quickly. This woman is not a young person. And you don’t know what her medical condition is.

[@SouthernArtist77]

She’s 90 years old and needs a caregiver herself, don’t judge if you haven’t been there, I’m a caregiver of a very sick husband and disabled myself, it is not easy. He has had a few diabetic sores and the doctors praised me fir what a great job I did helping him heal.

[@lindatoten6452]

Yall stop making excuses for her poor neglect. Caregivers must have a treatment plan to ensure good health and hygiene. You don't just sit there and watch t.v. or feed your face. You work! This woman didn't want to do it! The doctor said she has to, every day. I wonder how much she gets paid for such poor care?

[@vickicornelius9531]

Thank you for caring enough to clean his feet up. Wish all drs were so kindhearted! You are the best!

[@christinedotson9909]

Even with Dementia, he is such a gentleman. Thanking you for helping his feet. You can hear the way he hums and laughs that he feels so much better.

[@carlaperkins655]

Wow, I don’t know if daughter was listening, make sure they schedule regular appointments!

[@brittneysperspective8433]

THIS VIDEO NEEDS TO BE REQUIRED VIEWING FOR DOCTORS & NURSES! Your approach, and the way you assisted him while educating them was everything. I will always remember shortly after I was diagnosed with asthma. I had an asthma attack, was brought to ER in an ambulance with my mother. First the nurses were nasty to the ambulance driver for not informing them they were coming to their location. After o got situated, My mother stepped out of the room to go to the bathroom, and The nurse was so nasty to me, because I didn’t know how to use a nebulizer, and had to come there so late. I thought i was dying, and then was made to feel like i was in there way, and the stupid scum of the earth. I told my mother years later, and she was so angry that i didn’t tell her then.

[@kerrydwyer1879]

That's sad too.Ive had similar treatment read a bad head injury( fractured skull).. Ones can have the knowledge but their needs to empathy...All who have been through such things...take care...😊

[@kenpage1107]

Good to watch a genuine caring doctor. A lot of times the patient just gets their nails cut and they are pushed out the door no matter how dreadful their feet are. Thank you for doing the whole foot.

[@SleepyCatCottage]

You are a good man with a big heart and a great podiatrist. Your "bedside manner" is excellent and i praise you for not being judgemental. Your patients and their families are fortunate to have you caring for them.

[@rainoftranquility7735]

I remember my grandfather having dementia and Alzheimer's. We went through about 4 home health aides before we found 1 that he would accept. He ended loving that woman like she was family. He listened to her because she never got upset with him, but she was firm about the things he needed to do. To this day, her and my grandmother are still friends.

[@colleengarmon1734]

As a registered nurse I have never seen such uncared for feet. Thank you for cleaning him up and for caring for his skin as you did.

[@beneditaguimaraes2793]

😊😊😅😮😢🎉pĥon hj h⁹ 😂❤ 😊 19:51 19:51 😢😮😅

[@denisethomas2527]

The doctor tells the daughter to put foot powder every day and she says what if she is the one taking care of him she need to step up and do her job. I feel bad for the poor man he lets the doctor do his feet he would let her to if she would do it.

[@SmokytheBear6969]

She gets paid to care for him

[@shonabarrett5285]

​@@denisethomas2527ùùùuuyuùýý⅚ýyùú⁶4⅜plģģ

[@georgejetson3588]

​@@SmokytheBear6969 I wouldn't call it care.

[@B_Bodziak]

I really appreciate the Doc causally asking about the patient's other medical visits, ie "When did he last go to his primary care doc?". It seemed the doc was trying to see if the patient was being taken care of in other aspects.

[@stephonbrown7523]

Hearing him laugh at the end is the most wholesome thing I’ve witness today he got happy feet pure joy lol

[@cynthiadickerson7696]

To those who are complaining that the daughter is uncaring please consider this: the doctor stated that Daddy was 90 years old which means that if he had his daughter at 20 years old, she would be 70 years old herself. If she isn’t in the best of health herself, it would be a challenge to take care of his needs. Sometimes people need help. I can’t help but wonder if those who are scolding would have been willing to care for his feet if daughter couldn’t physically bend.

[@unicornmadness6286]

Wow, I actually didn't think of it like that. Thank you, because honestly I thought she had definitely neglected him but after this comment I'm understanding a lot more.

[@Ma5jay5dontxdoxthat]

​@unicornmadness6286 plus on top of that it's his daughter. He may not be putting up a fight because it's a doctor. It's his senior daughter who has ro take care of him. It takes a lot of humility to want to ask for that kind of help from their kid in any case. Caretaker fatigue is a real thing, and takes a toll on people half her again. If she's a senior as well, her health isn't the best to be taking care of another senior who needs a lot of help.

[@luenellarmstrong8247]

I am so glad that your patient didn't have any sores between his toes.

[@rebeccazuckman9059]

To me, it’s quite alarming that her voice jumped up when you said every day and she was like every day yeah I didn’t really like that but you’re such a positive doctor that you just redirect, loving it

[@taelynnichols2607]

Bless this doctor for being so kind and informative. I hate to say this, be rude or ANYTHING. HOWEVER, as a caregiver with 15+years experience (most clients I’ve worked with had some sort of cognitive impairment), I would be boiling mad or crying. 😡😢😭 This is neglect. Fungus is one thing. But this was straight up not cleaning or drying him off AT ALL! A slight wipe with a REGULAR RAG after being in a warm shower (or a simple foot soak) for a little bit would get rid of the toe jam. I am so surprised of all the comments excusing this. It’s inexcusable. WE NEED TO DO BETTER FOR OUR ELDERLY ONES. If this was a child, these comments would be totally different. I’m not saying his caregiver is evil, a bad person, deserves jail time, etc. But how this wasn’t caught sooner by a mandated reporter, I do not understand. I’m sure he’s been to other doctors, this did not happen overnight. The fact it wasn’t caught sooner, again, neglect. Facts, not judgment. His toes came relatively back to normal on the little ones. That doesn’t happen easily once feet are in bad shape. AND did you hear the patient put up a fight?! No. If you can’t do the job to par, heck even bare minimum, time to figure out another option. I hope a report was made and follow up happened.

[@frolie3207]

I have never seen toe jam this thick....like ever. 🥴😳

[@MeganVictoriaKearns]

It's almost unbelievable how much gunk there was!

[@Black0bsidian]

Yeah this was a TREAT!

[@frolie3207]

@@Black0bsidian ABSOLUTELY!!

[@RosettaStoned462]

@@Black0bsidian that was also neglect!!!

[@dragnfly138]

I have never seen toe jam!!! I am amazed and appalled.😧😲😉

[@candesgray8555]

This poor man! I teared up when he thanked the Doctor. What a blessing you are. You can hear your frustration but you're respectful and kind to his daughter. You educated her without belittling her.

[@itzmee_kisha4600]

I didn’t hear any frustration. His tone was patient and kind the whole time

[@susanbutton3348]

It's a woman not a man

[@mzbatonrougebeauty5267]

​@@susanbutton3348the patient was a man

[@BratEllen96]

Your empathy but directness and care for the situation while remaining judgement free is a breath of fresh air. She was so willing to learn and having someone treat you with respect even if you’ve made a mistake is all we can ask for in life.

[@aerotaken5357]

Dr. you not only did an amazing job on his feet, but you also subtlety asked about all other aspects of his home care & medical care. Thank you for what you do & how you do it! I'm in Southern Maryland BTW & take care of my 89 year old Dad, along with my daughter & 3 teenage granddaughters, & my husband who takes him to at least half of his Dr appointments. I take him to the podiatrist every 10-12 weeks to help keep his feet in good condition.

[@martywallace5848]

I don’t care what anyone says! This was straight up negligent! I cared for my mother and she fought me everyday putting lotion on, clipping her nails, cleaning her feet…..but damn it, it was done because she deserved the best care! My heart breaks for this man!😢

[@beatingallodds3357]

Totally agree.. it’s no way she takes good care of this poor man she is negligent in her care.. put him in a nursing home if you’re not going to do your job properly

[@hopeloggins9954]

100 percent agree !

[@Wyneajohnson20]

I agree, totally!!!

[@ambermcfalls2464]

That's right! You might have to keep talking your way through to do it but you do it. I feel so bad for him 😔

[@Ben-rj7xs]

I agree with you 100% this was nothing but neglect. This man's feet have not been cleaned or cared for in what looks to be years. I think the doctor was amazing, but he really needs to report this because this elderly man is not being cared for whatsoever.

[@judycroteau482]

You can tell that his feet feel so much better after being treated. He is wiggling his feet like a child does! Happy feet! 🦶🦶

[@deeppinktiger-nj1oz]

I love how he's teaching her.

[@breedube1332]

Hey doc you are a miracle worker I am diabetic and the pediatrist that I have had experience with 2of them in my area are night mares but when I saw the start of that video I was thinking for sure you would be recommending for him to have his feet amputated but dang you were so patient and gentle while explaining everything to his daughter/care taker so your a honest to goodness miracle worker and a angel and my hero no joke I wish there was someone like you in my area maybe I could get my feet healed up once and for all and get them to stop killing me every second of every day they are more likely to recommend amputation here then to take the time to exhaust all other options I bet they wouldn't be so gunho to hop right into the blade if it was their feet but anyhow thank you for restoring a little bit of faith in the medical field for this sore footed diabetic from Maine God bless you and please keep up the great work!

[@brigitegreen4961]

I don't care if they fuss and cuss I'm going to get thm finger nails and toenails. I had to do it for my Aunt because she didn't want anyone touching her hands or feet. But she got thm done.

[@thecraftycyborg9024]

My dad used to sit on the floor with my disabled brother on his lap and Dad would wrap around brother like an anaconda trying to kill its prey. It was the only way to trim hair nails. But damn it, it got done regularly!

[@cathyslaton9998]

Agree

[@NitrosMom074]

If he was combative with her, as my mom was with me, she could cause injury to fight him. However, she should bring him to the podiatrist as often as his insurance allows.

[@Earth2Flo-v6f]

He’s not jumping cause he’s so grateful that you, a stranger care about him.

[@patriciap9025]

He’s so happy with his clean healthy feet :) love the way he’s wiggling his feet.. happy feet 😊

[@gserenityjustme8121]

Oh my word! Tysm for taking care of him. What a relief it must've been. His lil foot tapping toward the end warmed my heart

[@gloriamurray8459]

I use to cut both my parents nails every two months, after every shower I would put lotion on their feet. They appreciated it so much. Your compassion shows by how you take care of your parents. Unfortunately there are very few who would even think of their discomforts and care enough to do something about it. Thank you for what you do.

[@rosesthorns99]

Dr. Jefferson is an artist! The gentleness he treated this gentleman with is lovely. He made such a huge difference in this man's comfort & life.

[@heathergomez5298]

Thank you for taking care of his neglected feet. Hope the daughter listens to your advice about keeping his feet clean. That condition condition is terrible.

[@donnadavidson3904]

I’d be ashamed of myself bringing my parent into the doctor like this! This is neglect on the part of the caregiver either family or outside agency, if I were the doctor I think a wellness check on whatever else is being neglected. This Dr is a saint! Hands down the most satisfying video on KZbin! Bless you Dr J! 👨🏾‍⚕️❤️

[@gamechanger7031]

Dr. Jefferson’s bedside manner is exemplary. I love to watch him care for the feet of the elderly. Surely his kindness, patience, and expertise is a gift from God. Thank you for sharing.

[@suzanneirving7257]

I don’t actually blame her as much as other people are because when I looked after my mom she was just like this. Every time we went to the doctor she was nice but when I tried to do things she wouldn’t cooperate. I would spend ages setting things up and she would end up firing anyone we got to help her. She wouldn’t even take showers near the end. Who knows what kind of relationship they had before. It’s very easy to sit back and criticize but it’s very hard to look after someone you are related to.

[@taylorwaylor8965]

Yes! My grandmother has moderate stage dementia and whenever my mom takes her to her doctor she would be nice and almost put on a front as if nothing is wrong.

[@carmenpautt171]

I don't blame her either. She said herself that he won't allow her to touch his feet or bathe him. One comment said they would do it while their parent is sleeping... Ummm not when they have dementia. That'll wind up being a very messed up situation, as someone without dementia just the thought of waking up to someone touching me is scary... I can only imagine how scary that would be for someone with dementia.

[@williamrichardson2633]

ABSOLUTELY Right!! Well stated Dear 👍🤗! Thank you.

[@Wingy164]

Not brush their teeth

[@Wingy164]

@@taylorwaylor8965 yes!! I understand so well. Mom acts like there is no pain or complaints... Then get her home, a different story. Grrrrrr

[@clarice999]

Doc, we need more docs like you. Thank you for taking such good care of your patients. 🙏🏼

[@mannisbellinger2]

Dr you did an extremely well job. Usually I dnt see other Dr.’s on here not do a thorough like u just did. They might clips the nail but they hardly ever pre soak the feet or even clean them up like u did. Salute to you my brother.

[@drekafine8831]

You can tell the difference between the people that REALLY take care of their loved ones versus the ones that don't. My grandfather is 96 years old with dementia. We take VERY GOOD CARE OF HIM ON A DAILY & REGULAR BASIS. We make sure he's clean because WEEEEE keep him clean EVERYDAY. Even if he has a "bad day" and doesn't really wanna get in the tub or shower, we still, at the very least, wash him up. When you walk in the house, you WILL NOT smell urine or any foul odors that you tend to smell when you know a person isn't being taken care of. And to be honest with you, it's not a burden AT ALL to take care of my grandfather. It's actually very rewarding and a privilege to look after him. Every bath I give him, every diaper I change, every sheet I change if he had an "accident" during the night, every shave of his face I give him, every meal I prepare for him, and every kiss he gives me to THANK ME for taking care of him is my pleasure to do those things. Mabey it's easier for me to feel this way because I'm a very empathetic person & can't stand to see the elderly, the disabled, and kids being mistreated. I don't really know, but I DO KNOW that I'm happy to oblige in helping my grandfather with all of his needs.

[@franceshaypenny8481]

God Bless you sweetheart. Folks who care for others are the greatest blessing, and not appreciated enough, Thank You.

[@dagobilly6043]

God bless you and your family. Thank God your grampa has you

[@drekafine8831]

@dagobilly6043 thank you very much.

[@laurieeyebee]

I wish I had someone like you!!

[@drekafine8831]

@@laurieeyebee thank you so much! I don't know the position you're currently in, but if you're ever in need of assistance throughout your life, I hope & pray you have someone just as PATIENT, loving, caring, and empathetic as I am.

[@michelehawkins7440]

Doc, you did an absolutely wonderful job on this elderly patient. Your kind, smooth and reassuring voice and attitude, puts you miles ahead of your group of medical professionals. Plus the fact that you have experienced first hand at being a caregiver and at such a young age. Thank you for what you do.

[@TakersMissy]

@michelehawkins7440 I agree 100%! 🙂

[@fshoaps]

Morgan Freeman of the pediatrist

[@beverlyjohnson9493]

This was one of the best clean-ups I've seen today. Reviewed nearly 20 videos to get insight into caring for my husband's feet. Great job doctor.

[@andreawilson81]

Great work Doc! I know you are so appreciated by this man!

[@kathleenswan3072]

I have to say he is behaving very well for a dementia patient. The ones i worked with did not like me to clean their feet at all.

[@mjbe]

Sounds like he's like your other patients when he's at home, and if they got bad enough to feel sensitive I can even sort of understand. He really took a shine to Dr Jefferson though. Did I hear him even cut in to say, "He knows what he's doing?" 🤣

[@elizabethwade9615]

I think he truly appreciated it. 🙏

[@Lark_Vivian]

she said he fights her when she tries to do his feet but I didn't see him once pull away from you...I think he enjoyed it..but maybe it was because you're a doctor and he was just happy to be out of the house.

[@barbaramelanson3912]

Could be because he was also a man. When she said, "Every day?", makes me wonder how her feet are. You take a shower/bath every day, do your feet too.

[@dextermorgan1]

Or maybe she's never actually touched his feet.

[@georgiabrown9458]

She's not doing it. She annoyed me.

[@Black0bsidian]

Yes I agree.

[@pamelalalaable]

@Lark - I think her incredulous ‘every day?’ said it all!

[@seriouscat5242]

That poor old guy. This doctor treated that caregiver with much respect and patience. I don't think she deserved it but he's very wise. Great work.

[@lesliea7394]

Great Dr. Very compassionate. Does the best work of any of the foot professionals on KZbin.

[@bjworm8078]

I worked for a Podiatrist for 15 years and loved my job. I saw a lot of cases like this but never this bad. Thank you for your utmost care that you gave these gentlemen. You were patient, kind, thorough, tender and professional. That his caregivers would let it get to this point is a very sad thing. Talking to them the way you did was a great way to address the issue. We need more Doctors like you. I went into Dialysis after the Foot Dr but I will always remember my time there as humbling.

[@barbaramcgregor6735]

What agreat job.

[@annbryant4388]

Your care of this gentleman's feet was amazing - the gentleness, caring, compassion & treating him with respect, was absolutely a pleasure to watch! On top of all that, being willing to share your personal experience as a caregiver to help his daughter deal with this difficult & horrible disease of dementia, was above & beyond the call of duty - not too many doctors would do that! I have so much respect for not only your skills as a doctor, your professionalism, 'bedside manner', but you as a human being above all! Keep on doing what you do best, helping the world one patient at a time, & don't ever change that wonderful caring attitude for each & every patient!!

[@celicarabina5593]

Gg

[@gloriacureton4145]

Well said

[@bigeroc9]

Yes ma'am you're kind words and gentle touch are second to no one!!

[@imhere1303]

Everyone always says he's gentle. I dunno but I always found him heavy handed.

[@markmerlo3539]

I hope someone called social services. His daughter clearly needs some help. Sometimes, you need to do things even if it's hard.

[@user-is9gx3xz2d]

OMG! Everyday?!!! Don’t ask me to do that?!!! Poor thing?!!! She acts like she doesn’t know that feet need to be washed. Are you kidding me! This is neglect. Period! And she keeps laughing. This man deserves his dignity!

[@jackieelizabethward8845]

I really enjoy Dr Jefferson's videos. In my opinion he enjoys caring for his patients and teaching them how to maintain their feed properly

[@Givulinovich]

I really love the way you directly address the care issue without sounding like a pedantic teacher. I bet he went home and marveled at his refreshed feet for days.

[@kathy2929]

Thank for your caring, no judgemental way of taking care of these folks!

[@heidimash5891]

I love the way he was tap dancing those feet, after you put that lotion on!! He felt so much better. ❤❤

[@johnhulse4124]

It must be traumatic at times to be confronted with such degrading lack of care. I know you're a Doctor, but also a human being. You have my admiration and best wishes.

[@leticiapaulinaolguinnavarr2243]

My daddy had Alzheimer and my mom and I took care of him for 5 years until he passed away. I bathed him 4 times a week, cut his nails, his hair, brushed and cleaned his mouth. My Mommy cooked and fed him. We NEVER NEVER would have let his feet get in that condition!! I was truly appalled by the sight of the poor man’s feet. We should always take care of our parents with love and patients.

[@Vb-fy4sv]

Well said !

[@loko7914]

Patience* ☺️

[@marieciaburri5415]

Agreed..i took care pf my dad for a year bfor he psdded..no way in hell would this happen

[@NitrosMom074]

Be thankful that your dad was cooperative. My mom was not. She would kick, bite, scratch and scream.

[@Wingy164]

It appears this was years of neglect.

[@utopiad4]

I've been a nurse for 27 years and she is so typical of people who don't take care of their family members.

[@angelapinex3405]

I'm not in healthcare, so speaking without your experience and from a different lens. It seems like she is a senior as well, probably with health problems of her own. They were battling the pandemic at that time and if I heard correctly, she informed his VA doctor and he/she didn't offer any help. If the medical community lumps her in with people who actually don't take care of their ill loved ones, we have a real problem.

[@English-Lass]

@@angelapinex3405 Totally correct.

[@staciwright5465]

I’m reluctant to blame her because we can’t see her and we don’t know her story. If he’s 90 she could be 70 or older. There were times when I thought she seemed mentally challenged or as if she was struggling herself. He obviously isn’t getting the care he needs but it might not be because she just doesn’t care. Someone else wrote that you need to care for those who once cared for you. But what if she honestly can’t? My grandma got dementia in her early 70s!

[@esomethingoranother3718]

I swear you are the best doctor I have ever seen. Seriously, Thank you! You never lose your cool, and stay very professional when telling the caretakers what they should be doing. As well as letting the patients know all the problems without making them feel embarrassed or self-conscious. And you treat all your patience equally from the homeless to the upper middle financial class. You do your job so thoroughly and perform miracles on feet that some other doctors might have given up on. You are truly amazing! It's too bad I'm not in the DC area or I would recommend everybody I know to you. -shout out from Chicago brother✌️

[@talapeanutbutter4250]

I love the respect and compassion you have for not only the patient but to the caregivers, too! You didn’t come off as higher than thou. So she listened to you. Had you confronted or embarrassed her, she’d ignore anything you said. Another great job, sir😇

[@janetwilliams-halsey3072]

❤

[@melissajackson6805]

Great bedside manners, Dr. But somebody should have been aware of the need to see a professional before it got that bad. Smh.

[@AZ-cq3us]

@@melissajackson6805I agree, but if the doctor alienates the caregivers, the patient’s life will not be improved.

[@michaelr.4878]

If the doctor was a professional, he'd be calling the authorities after this one. That woman isn't not doing a good job as a caregiver. She isn't even helping to wash the guy's feet.

[@TakersMissy]

AMEN to that!! 🙂👍❤️

[@broomrider2697]

That poor man. He must feel so much better. I'm so thankful that there are caring people like this foot doctor to help people.

[@Hummingbirds2023]

This man is being neglected, she can get help with bathing and keeping the house clean, cooking and changing beds washing clothing, all paid thru insurance. You Dr. Definitely have the gift to talk to people who do not care appropriately for their senior family members. Im glad you told her you need to see him back regularly. I dont have the patience to deal with people like that daughter, i believe what people do not what they say. You are a blessing for this senior man. Great job, 👌🙏

[@patriciapeoples5667]

Congratulations. Thank you, Dr. Kevin for the video and many more videos. It's very sad when a person toe nails get very bad. Some doctors do not care about their patience. That happens when a person becomes elderly in some cases. Yes, toe jam holds an odor. That comes from not taking baths and hygiene. Home care providers can contribute to the problems also by not taking care of their problems and not caring. Thank you again for helping this elderly person. Everyone is greatly appreciated. Love always, Patricia ❤🎉😊

[@patriciapeoples5667]

Great job! Thank you. The feet's look fine. Love always, Patricia ❤😊

[@MarthaReynolds]

God bless you, Dr. J., and bless this patient. My mother had dementia and wouldn’t let me near her feet.

[@carolynb8427]

My mom also had dementia and the only time I can cut her toenails or fingernails was when she was asleep taking a nap. Otherwise she would become angry and try to hit or bite me. She just didn’t understand & thought I was trying to cut her. Had to keep her fingernails short since she would eat with her hands sometimes or rub her eye & I didn’t want her nails to trap & transfer bacteria

[@utahnancy]

Toe Bro has another favorite of mine to watch. Same bedside manner. Love you both. 💕

[@terrymay2000]

You can hear in her reaction that she won't be caring for his feet every day. That is years of build up right there.

[@alandrieacoleman1779]

I heard that too. When she stated that "She's been his caregiver for 5yrs" I said that she's getting paid and isn't doing skin care at all. He needs a new caregiver with passion to love the dignity of who God created.

[@carollawson8239]

I was thinking the same thing, sad.

[@thecraftycyborg9024]

That’s exactly right. The way she said, “Every day?!” at one point made me cringe. Yes, moron, every freaking day. He can’t do it himself. If you can’t stand to do it, pay someone else to. Don’t just ignore growing problems.

[@janetsides901]

My thought as well. "Everyday!" don't you bathe everyday?? Wash your dads feet!

[@TheBrisnana]

No she ain't gonna take care of him. She hasn't done it for 5 yrs, she ain't gonna do it now. She ought to be ashamed.

[@vinhamoroll]

‘when you’re 90 you’re allowed to fuss’ ‘yeah , mhm’ he heard that loud and clear !! 🤣 fuss all you want dad , you earned it man !

[@latashabk3686]

You took good care of his feet. He had gotten whole new feet. His daughter should be ashamed of herself I’m sorry to say. She knew his feet smelled and he was in pain they are difficult but no way as a care provider you can tell me she cared for him properly. People come and drop their loved ones off with all kinds of bed sores and then complain when they got to us they are in that condition and often have to go to the hospital and come back. You can tell they be in there yelling at him. You have me ready to come to Washington. You took good care of him and gave her excellent advice on how to care for her father. She over there making all that noise. If she can’t get someone to do it. Her comments and noises made me so upset. She lives with him I’m sure she knows when a good time. When you do their feet and hands they love it. So what she is saying sounds 100% untrue! This doctor is Great!!!

[@FatGayandTired]

The smell must have been awful. Thank you for giving this man some dignity. I know care givers are terribly overworked but this is kind of excessive. Good on you for educating without scolding. Hopefully they will take your words to heart.

[@juliadams42]

He is her only"patient", thank God. If her own father isn't taken care of...

[@unicornmadness6286]

@@juliadams42 exactly, and the fact that most comments didn't mention that is eye opening. She had been neglecting him plain and simple.

[@Upstaged07]

@@unicornmadness6286 Absolutely! It's shameful that she let him get that bad. Just washing his feet could have prevented most of it. Toenails are one thing, but hygiene isn't that hard - even with a "resistant patient." She probably hadn't cleaned him in 6 months! I could never be that neglectful to one of my parents. I feel sorry for him if she allowed this to happen. She doesn't even sound shocked or remorseful.

[@aff77141]

​​@@Upstaged07 dementia and alzheimer's can make the sufferer become agitated, fighty, and flighty to outright violent to many things that to us would be innocuous and seem like it should be easy. I hope you don't have to learn how little you understand from experience.

[@AVTorres]

One thing I learned from lookin after my pops, you can't let them tell you what to do. You gotta do what you gotta do. Let them pout. You're lucky if you get a thank you. If you gotta be rough, get it done.

[@joycedavis9996]

if only my mom had pouted. she was 5 ft tall and weighed less than 100 lbs. one day she wanted me to leave her alone. i was trying to get her dressed for a dr’s appointment. she balled up her little bony fists, hit me w/a left and drew blood!

[@Ongelique]

@@joycedavis9996 im so sorry you went through that! it seems like you were just trying to help 😕

[@beverlymcclure1651]

Exactly, just like with kids, hygiene is not up for discussion

[@watchensee]

Yes but some dementia patients can get violent, it's not always so easy to care for them. :(

[@thedawg2023]

7:50 you can tell by her demeanor and how she said "EVERY DAY?!" that she's so overwhelmed. She needs to hire home care with Medicaid

[@nikkidodd2305]

Awesome job doctor! His feet went from looking 100 years old to 50 years old!!❤

[@kimberlywilliams9749]

Did you notice how he was kinda doing a happy dance with his feet? I think he gives your care, 2 thumbs up 👍🏿

[@jess_gorgess]

That’s the worst case I’ve seen since watching your videos. This is years of neglect. I’m glad you got him together Dr. J. I know he feels a lot better!

[@kennanole]

This is a learning moment for the daughter and the doctor is way too nice. I would give her a stern lecture about helping her Dad with his feet and all the necessary tasks that could put him at risk. She needs to pay attention to her sweet Dad’s health and hygiene.

[@randyjohnson9710]

Dr was great... full of compassion. The children of this man... shame on them. That was crimminal neglect of your parent.

[@melanie-y1969]

I have never in my life seen so much toe jam between a set of toes, that poor man.

[@noongourfain]

WOW! His feet looked great after that treatment!!!! I bet they felt one million times better too!!! Yes you were great with this man's daughter. I'm in her situation. My dad has dementia and is very sensitive to touch. I just touch his feet and he starts yelling. Being a caregiver to a parent is one of the hardest jobs. I think it's even harder than caring for a spouse, because it's a different relationship. It can even destroy your marriage and your health! His daughter needs all the help she can get no doubt!

[@charlottemcdaniel7033]

Dr., you are such a kind soul. You have a calming manner making your patients feel very comfortable. Educating as you work giving the caregiver all the tools needed to care for the elderly. The elderly can be a forgotten people. It's up to us to take care of them from their head down to their toes. The shame is not the shape this gentleman's feet are in, the shame is not getting them taken care of. You Sir do a tremendous job caring for your patients feet.❤

[@jo_b7405]

What a wonderful doctor you are. So obvious how much you care about your patients! His feet look so good! I’m sure he was very happy!