What Lies Beneath: Callus with an Ulcer

#callus #dcfootdoctor #footulcer #takecareofyourfeet #callus #podiatry #top10 #sheabutter #washingtondc #nailfungus #howto #myfeetarekillingme #feet #ingrowntoenail #doctors #best #dcdoctors #gout #beforeandafter #fungalnails #trending #podiatrist #youtubedoctors #telemedicine #telehealth
A patient in his late 50s comes in with a foot problem of 4 weeks duration. He has a history of uncontrolled diabetes and toe amputations. Due to the COVID-19 crisis, he hesitated on seeking treatment. He thought that he could handle this issue as well as his slightly out of control diabetes. He presented with a hard and thick callus on his foot with drainage towards the toes. Debridement of the callus showed an underlying ulcer. He was further treated with antibiotic ointment and bandaging. A prescription was written for oral antibiotics as well. He will follow up in one week. It is important that during the COVID-19 crisis that people with urgent and emergency problems still seek immediate professional care.
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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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Office website is www.metropodiatry.net
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[@Tedwardlover]

“I should have been here earlier than that.” “Yeah, you should have been here four weeks ago at least!” 😂love the candor of this doctor!!!

[@jenniecharles8133]

Lol made me laugh

[@lindaspradlin1436]

Poor man. Doctor, you’re the perfect balance of firm but gentle care. God bless you and your work!

[@deeess2722]

I do like it when, in response to the patient saying his blood sugar is, “okay,” you make him say what he means. Thanks for being amazing, doc!

[@bonnys3015]

My mom lost all the toes on her right foot because she was in denial about her illness. Now its my responsibility to monitor her feet for sores, calluses and the like. I'm very aware of the importance of this and I really like receiving education about foot care. Thank you forvyour willingness to educate the masses.

[@rebeccalohnes4016]

He's lucky to have you for his doctor. You really care about your patients.

[@janetdeluna1432]

Oh my God and what world are you in

[@Retired_911]

How many times have I "thought" my sugar was good only to be shocked when I checked it. Keep at them Dr. J!

[@1057shelley]

Dr. Jefferson, My diabetic friend had been battling an ulcer on her right big toe for months. Her podiatrist just whittled on it every few weeks and we did twice daily dressing changes. It developed gangrene and smelled so bad. When he wouldn’t return our calls we took her to ER where she was admitted and her toe was amputate down to the first big joint by a wonderful podiatrist. She was sent home with IV Antibiotics and I’m still doing daily dressings every day. Slowly healing. Thank you for the wonderful work you do.

[@brandtwakefield9865]

I was in a similar situation 13 years ago. I was trying to keep a toe ulcer clean but it got infected and had to be removed. Ulcers are no joke.

[@mikelamothesr.8998]

He is one lucky soul to have crossed paths with you doctor. You made a molehill out of a mountain. I had something similar and it took just over a year to completely heal. Mike

[@genevievedarrett3163]

I am tearing up watching this .Why do people don't understand they have to take care of themselves.You lost your toes and that should have made you WANT TO SEE DR DC... Lord watch over this man .Lead his mind to the right place to keep his feet in check .We don't want him to loose more digits .Amen Thank you for always being there for your patients..

[@vegasrenie]

It’s only since watching this channel and Toe Bro that I’ve learned that callouses can be so dangerous. I had always thought they were just thick ugly skin that sometimes you would get removed during a pedicure or just to use a pumice stone in the shower if you remembered. This is been a real eye-opener! I am 68 years old, not diabetic, but after watching these channels, I’ve become a fanatic about caring for my feet.

[@genevievedarrett3163]

I have to ,and my boyfriend is a diabetic so I keep a close eye on his feet ..All from watching DR DC ..he is a Awsome Dr.

[@ajarfullofjoy]

These channels are so educational! I love them to! Because I'd this channel, toebro and dr.nailnipper learned how to take care of my 90yo grandmother's feet as well as my own. Whenever i see her, i take care of her toes that she gets ingrowns with and check for calluses. I'm so thankful for these channels.

[@Administrator_O-5]

Ópopo{{

[@christinenolan1418]

Same here. I’ve learned so much from watching Dr Jefferson and am diligent at taking care of my own feet as well.

[@JaneDoe-ze5xe]

vegasrenie me too, me too

[@julesw9468]

Dr. Jefferson... I am sincerely glad this patient has Y O U has his podiatrist because you really speak to patients bluntly, but it’s always honest and sincere. I feel like this patient unfortunately, does not care as much as he should about himself 😢 specially after he mentioned, that he hasn’t been to his primary doctor in 6 months. 😢😢 I am a medical assistant! And if this guy was on of my patients I’d be calling him saying you cannot have a refill on your meds till you come in for a check in! I pray he loves himself more. He deserves it more than anything. Bless you doctor for helping him !

[@MaryFaulds]

This is the comment I wanted to find ❤️

[@bobbibuttons8730]

I get shudders every time I see neglected wounds on diabetics. I lost an aunt and more recently a much loved cousin who started with toes, then forefoot, foot, bus then aka till he died with overwhelming sepsis. What a waste in his 50s. I used to be so angry with them and also frustrated as I warned them till I was blue in the face what would happen. I even used to show them the goriest photos in my textbooks of diabetic complications to no avail. This man was very lucky!

[@dealenay]

You are a great doctor. So patient with the elderly!

[@szqsk8]

That callus was epic! Great job on making that wound look a lot batter. Would love a follow up on this patient.

[@ambiava123]

I was squinching and enjoying the removal of that loathsome callus. Poor guy. He must have felt like he was walking on a big rock all the time. Great work, Doc🤗

[@diannahamann4864]

Dr. Jefferson love your firmness and your gentleness also. I pray he heals he's in good hands now. Thank you for what you do, may God continue to bless you.

[@caroldaniel9806]

Another very informative video! I learn so much from you Dr Jefferson. The best part is how you instruct your patients on what they need to be doing. You don’t let them slide 👍🏼

[@cyndyritter]

I appreciate your mad skills ! I am diabetic, and I watch my feet like crazy.

[@priscillarobinson7740]

cyndy ritter I do too!!!!

[@nuttinbedder2do70]

Great job keep it up.

[@billtribble3873]

at 73 i look at mine every night. i never go barefoot.a1c is now where i want it yet. occasional back pain keeps me from walk ing as much as i want. pain seems to make sugar higher too.

[@a.jackson5892]

You are an amazing Doctor, and just a overall great caring human being. Blessings doc!

[@maryrhudy9250]

THANK YOU!!!!! I am thankful that you reminded folks that this is no time to be neglecting our general health.

[@aneshaberry5901]

That was a huge callus! Praying he's feeling some much needed relief now! ❤️

[@natalieryker4326]

Soooo thankful he couldn’t feel that procedure. Thank you for bringing the COVID avoidance up! As a community and hospice nurse I’m seeing patients avoid asking for help OR finding it difficult for a doctor to see them.

[@michelletilton4086]

As a type 1 diabetic, I thank you for putting out these videos on diabetic feet. It has helped me explain to my family how important foot care is.

[@cheryleluzack4023]

Wow! I thought it would look way worse! Glad it wasn’t a bad wound for the patient. Well done, you! Excellent!

[@baker8213]

I like that your firm with the patient and don’t let him walk away without learning from the experience! You did a great job as usual doctor!

[@pattisimmons67]

Fear is a terrible thing. It's making people make irrational choices. I will pray for this man that he comes through this and most important, he LISTENS to your instructions! God Bless Dr. Jefferson

[@bradgav26]

Once again a great video. In my opinion you are the best Podiatrist on KZbin.

[@bettytarver3337]

You,sir, are the bomb! I love the way you ask questions and your caring demeanor. Thank you for all you do for your patients.

[@hestiaa9354]

He is extremely fortunate that it wasn’t as bad as it was. If he follows the doctor’s recommendations, he can get it under control. He also needs to see his Primary Care Physician ASAP to get his blood sugar numbers under control. Six months without a doctor’s visit for a diabetic is way too long.

[@ancientsgate]

I agree. 3 months would be better, with a repeat A1c test done at that time. And even more often than that if someone's diabetes is way out of whack and the doctor is still trying to find meds that will help.

[@gaynormainwaring1853]

That’s the problem with the medical care in the USA. This would never have happened in a European country.

[@jody7522]

Bless his heart, it looks so painful! I hope he heals quickly. You are such a kind and caring doctor❤️

[@amythomas1124]

My primary just said I didn’t have to come back for six months, because my A1C has been pretty stable. 5.5 and 5.6 the last two visits. 🥰

[@ancientsgate]

Those are good A1c levels. Things can change quickly, though, so make sure you do home testing of your glucose levels at least a couple of times a day (at various times), keeping a good written record of the results, and don't wait if you see the numbers start to change-- make an appt much sooner than 6 months if it seems like things are going south. Normally an A1c every 3 months is a good idea for anyone actually diagnosed with diabetes.

[@knuffelbeer193]

@@ancientsgate you absolutely do not need to check your blood sugar a couple times a day every day with a A1C that good. Check it once a week before breakfast. Once that number goes up, do a 4 times a day check for a day and call your doctor with the results. Be mindful about it, but not obsessed.

[@kellyhurley8094]

2 days ago, I noticed a pea-sized callous starting in the middle of my foot. I took care of it right away.

[@janisfaloon9971]

Thank you Dr. I am a diabetic and although luckily my feet are great, boy after watching your brilliant videos I am really careful with my feet. Wish you were my podiatrist. You are very skilled and a gentleman.

[@Pianopraiser]

Dr. God bless your hands of healing. You are always so nice to the patients and you talk on their level. We need you!!!!

[@ByHerHand]

I love watching your videos. Even after years of watching podiatry vids on YT, I still learn new things all the time. ❤️

[@sallieharris2731]

What an amazing debridement ! So thorough . Good luck to this gentleman.

[@mirellaferris9464]

As usual Doc, you did a wonderful job with the debridement of this gentleman's callus/ulcer. Always love the way you address your patients in a kind and caring manner, whilst still emphasising the importance of proper medical care that each individual should adopt for improvement of their situation. I'm a 54 year old Australian woman, who has been educated and enlightened about the importance of maintaining healthy feet through your videos. Thank you so much.

[@megganmcclincey1971]

Thanks to you, I’ve learned that callouses and corns can be dangerous, although I do not have high blood pressure, diabetes, or obesity. Still, it’s just important to take care of the feet! Thank you!

[@kaley4788]

😫 looks so painful!

[@munirahbakar4123]

If he actually felt pain, it wouldn't have gotten so bad. Sometimes a little pain could be a good thing.

[@nuttinbedder2do70]

I would guess the patient doesn't feel his feet. He has neuropathy most likely that is why he is missing his great toe/hallux and that lack of feeling is what allows him to keep walking on that callous.

[@bellecabello3762]

Many people with diabetes have neuropathy - nerve damage that makes their feet numb. I can’t feel my feet at all.

[@kathybechtol5889]

Thank you very much for taking care of this patient, Dr. Jefferson. This could have been so much worse.

[@denisebohnke4266]

OMG!!! He is so lucky it wasn’t worse. Take care everyone! 🤗🤗🤗

[@21ashleywright28]

I’m a wound care nurse and I just lobe how you got down to that ulcer 😍 I see this every day

[@afewfigs]

It is so good to see your concern for this patient. He's already missing toes, I imagine from diabetes.

[@mchlrae7]

Haven’t seen a vid like this in a while. Excellent work as always! I’ve seen other podiatrist vids on YT. You are the best. Very thorough and meticulous work.

[@chmisa9365]

Love your gentle but firm bedside manner. I’m sure your patients really appreciate it!

[@taffitabing]

This Dr. is very smart, he asks his patients lots of questions and gives the best advice. I do not like anyone touching my feet but I defiantly let this Dr. Thank you for the great videos!

[@Chaz_OC]

I love how you hold your patients accountable...I don't get why these people don't take care of themselves...Thank God for Doc Jefferson or DC would have a bunch fewer feet or even people.

[@BroAshley]

I love how transparent you are with your patients when it comes to their health. We need more doctors like you!

[@margaretrichardson6938]

Your patients are soooooo BLESSED to have such an AMAZING and CARING doctor! Thank you for an EXCELLENT JOB, DOCTOR JEFFERSON!!

[@misspapo3444]

I hope we can get an update up this man. I hope the ulcer heals up

[@bradtownsend9401]

You are an artist with that scalpel. What an improvement! If he follows doctor’s orders, it should heal nicely.

[@nunyubidnez4887]

I love the fact that you explain things so thoroughly. It's good for the patient, but it's also good for the viewer so we know what could happen to us, if we're not careful. TY for these videos.

[@kittymervine6115]

THANK YOU! I know my mother has her feet looked after, but since the virus, I haven't been able to see her in her retirement facility. I hope they are taking good care of EVERYTHING, and Bless you for taking care of this man.

[@jazzy5389]

Diabetes is no joke and nothing to slack on.

[@janisfaloon2702]

Since starting to watch your channel I make doubly sure about the care of my feet and visit my podiatrist twice a year. Thank you doctor for highlighting the problems which can occur with diabetes. Your patients are so lucky to have a kind and caring practitioner like yourself. You never judge which is the reason why your patients come to you no matter how bad their feet are.

[@Pdibbles1254]

Dr.J you are so amazing and caring professional,with this pandemic some people are so afraid to speak medical assistance when needed, great job on your patient,keep safe and thank.🥰

[@martisprawls5164]

Oh my goodness! How painful 😣. Thank goodness he knew to finally come to the best doctor around to get proper care. You rock Dr. Jefferson!

[@carmenoconnor2842]

Sir, You are one heck of a Doctor...God Bless You for your kindness, empathy, caring and your expertise...You have the best bedside manners, and you give your patients hope... always...Thank You for how well you treat everyone that come to you in need of help... Be Blest...

[@lilaudrey8]

Oh My Goodness! I Pray this man takes care of his foot!

[@casundravenable138]

Sometimes you must want to yell at your patients. Like this poor man. ‘You’ve already lost your toe! PLEASE let me help you help yourself. I can’t do it by myself!’

[@JennyBaty1]

I think it's a perfect example of health care disparity.

[@debbiechaudhary8654]

It’s sad that people let themselves get this bad!

[@sensiblegolda]

Wow!!

[@mariagraziamariagrazia7006]

@@JennyBaty1 io

[@FernandoJose-uj5sq]

@@JennyBaty1 000

[@Summerrain5082]

I like that you gently give him a scolding. It’s nice when doctors genuinely care.

[@cornbreadcabbage2354]

Woah! That was intense but awesome!!

[@abattle3137]

Why do I keep coming back? Lol I watch the videos peeping through my fingers. Awesome Podiatrist!

[@RickLockerman]

Excellent care as always. You have the perfect combination of a wonderful bedside manner and coaching with the right amount of seriousness without chastising your patients or making them feel bad.

[@lorrainethepain]

Wow, Doc...All that and he didn't feel a thing... As usual, awesome use of your tools, and you advised him without judging him. I hope he heals well. Please do followup videos...

[@cindyjones5990]

I love how you ask questions to figure out what else could be going on with your patients.

[@antonellaa9240]

That poor man's feet. I hope after your procedure he is able to feel more comfortable. Thank you for taking such good care of him. ❤

[@LyyliMacDonald]

It’s so nice how you put your patients at ease. I sense you’re a very caring person. These treatments must make a huge difference in people’s quality of life.

[@laurawilliams5363]

You are so good at explaining to your patients what is happening and how to care for their feet. Your calm voice and professional manner is wonderful. I worked in the med field for 49 yrs before having to retire and many a doctor could lean important lessons from you on bedside manner!

[@TheOfficialKayy]

I knew as soon as I saw the thumbnail it was going to be good!!

[@denisebrown580]

You are such a blessing from God to your patients. You provide 'total' care. You gather medical history and you encourage them to be responsible for their health. You are God sent! I have concluded that we as black people suffer with medical conditions more than other races because of the way we are treated by health care professionals. when money is not the issue we are reluctant seekers of care because our care is not valued. Be continually blessed!

[@vonw65]

You are truly a blessing to so many people. Your care that you have for everyone is definitely being seen through you. You have taught us so much about our feet and toes. I am always recommending your channel.

[@cassie1102961]

Dr. Jefferson keeps it 💯! You should of been in here four weeks ago. Great job!

[@cornbreadcabbage2354]

I can't believe that didn't hurt him! Can't wait for an update...

[@jhawph]

I know right!? It was hurting me just watching it! Poor guy!!! Hopefully it breaks quickly.

[@feliciafelicia6965]

I'm pretty sure he has diabetic related nerve damage and lost all feeling in his feet.

[@queen_of_4]

It kinda hurt me too lol!

[@birgitrehse2133]

If he is suffering of polyneuropathia, then the nerves don't transfer pain impulses anymore.

[@ancientsgate]

He obviously has severe peripheral neuropathy. His pain-receptor nerves just don't work anymore, which is why it's so dangerous not to do self-examination of the feet at least daily.

[@kealydoll6763]

I felt so bad for this patient.....this virus has affected all of us in so many ways. I'm glad he was able to see you to get back on the right track.

[@jacquelinegros403]

Dr. Jefferson I have learned so much from you on how to take care of my feet. I am a type 2 diabetic with beautiful feet. I thought that I would never have a foot problem but now I see how easily that could change. Your videos have taught me what to look for and how important it is to check my feet every day. Thank you.

[@kellyfoster8903]

I pray that his foot heals as quickly as possible. You are such a great doctor to tell them they need to come in sooner when problems occur. Thank you for being a great doctor.

[@writegirl2937]

Dr. Kevin. Shout out to Alexis! I appreciate her, as well. She asks you great questions and I hope she plans to follow in your footsteps to be a great Podiatrist like yourself. The community needs it!🙏🏾🌹

[@leoniewarwick5835]

love this man. no messing around straight to dead skin removal. what a great job. x

[@TheCat92067]

Love the way you tell it like it is. Sometimes patients need to hear it. Really hear it. I hope he takes your advice and goes to his primary doctor.

[@catheriner5187]

You are so fearless debriding that ulcer. My heart was in my mouth. You really cleaned it up so well.

[@gayeyount7948]

My heart hurts for this poor gentleman. I'm so thankful he has you Dr Jefferson to take care of him. You are a blessing

[@SassyRed]

You was on top of this one,good job Dr.

[@mombythec]

You are such an attentive doctor, prayers for this man!! I have early diabetes and my doctor doesn't want to see me at all! My A1C and sugars have gone up fast and all she did was have the nurse call me 🙄

[@EllBeeCUSoon]

Good evening, Dr. Jefferson. I’m glad to watch another episode of great education.

[@sweetlove835]

You're informative and care about each of your patients. Appreciate your bed side manner so many dr's lack this!!

[@elizabethmckessick154]

So I've just started watching your videos and you, sir, are the most amazing doctor. You actually care about your patients and care what happens to them. Wish there was more doctors out there X Thank you for being a good doctor x

[@anasuyam9675]

My mum is diabetic so I'm always making sure to check her feet (she does have routine appointments to get them checked, but every little helps!)... Thank you so much for posting these videos! Having watched you and the Toe Bro so many of us have learnt so much and are taking extra precautions with our family's feet! Lots of love from the UK x

[@nolagirl7803]

Another patient leaving better than the came in. Great Job, Dr. Jefferson👍🏽

[@jennifertwigg-garnsey2113]

I see you take care of your patients and truly care about their health. I just wish the ones with diabetes knows how not taking care of their feet can be an upcoming amputation 😔

[@kenrhos]

Doc, your patients are so lucky to have you. Much respect to you sir.

[@sherribaker1546]

I am pre-diabetic and watch my feet like a hawk being that my father had both of his feet amputated 2 years before his death in 1991 on Christmas morning. He was also a smoker.

[@soozilasarge1495]

Just going through your videos Doctor. You are just awesome. I love how you are so kind to your patients. How fortunate they are to have you as their doctor. Blessings!

[@ImaCynomingirl]

Dr. Jefferson, you are just such a great practitioner and an amazing educator. I look forward to each of your videos and rush to watch them the minute they pop up! You have such interesting patients that truly need your help. And the way you teach your staff and therefore your viewers brings me back to this channel time and time again. Mostly I love the care, kindness and compassion you give to the suffering patients that come to see you, frightened to the core , even if they try to hide that fear. You direct them on the care they need, not to wait to come in, but you don't beat them up up over the times they haven't held to the schedule, you just remind them how important it is to see you and their primary. Anyway , just me again, letting you know that I adore, as many clearly do, your work, your bedside manner, your spirit, your staff and your patients, who are so kind to be filmed and allow us to take part in their experience's. Have a lovely weekend-Cyndie

[@cynthiatolman326]

Many people don't feel very good about themselves to begin with and not taking care of their physical problems is a symptom. All a caring Dr can do is emphasize they care and encourage the patient to become a partner with them in that care. This Dr is the best at this of any Dr I've ever seen. Period.

[@MZMEEZY1]

I always find myself mentally coding out these procedures. Interesting to see it actually done, and not just on paper.

[@pamelaneibuhr6959]

Nice job doc.

[@jeansmith9884]

I wonder how many of the homeless in dc are dealing with this same issue. Breaks my heart for the folks that can’t afford treatment. This was the best/worst one I’ve seen. I love your patients. ❤️

[@geraldine1437]

Diabetes is no joke!!! You did a superb job in removing the rough skin surrounding his wound. Great!!

[@sassygrammy1258]

I continue to be impressed with how you extract information from patients regarding other medical issues and the good info that you give them. I hope the patients appreciate your concern and take your advice.