Feet of a Smoker: Severe Effects of Smoking on the Feet, Fungal Toenails and Poor Circulation
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- Опубліковано 1 жов 2024
- #toenails #dcfootdoctor #toenailfungus #takecareofyourfeet #callus #podiatry #top10 #sheabutter #washingtondc #nailfungus #howto #myfeetarekillingme #feet #ingrowntoenail #doctors #best #dcdoctors #gout #beforeandafter #fungalnails #trending #podiatrist #youtubedoctors #smoking
A patient in his early 60s returns to my office after 3 1/2 years. Many years of heavy smoking have led to a stroke and poor circulation in both legs that required bypass surgery. He now has an ulcer on his big toe and on the bottom of his foot. Part 1 of this case shows the severe effects of smoking on the feet, in particular the toenails.
Smoking can have devastating effects on the feet, especially for patients with underlying conditions such as heart disease and diabetes. Nicotine in cigarettes is a stimulant that raises blood pressure and is a vasoconstrictor resulting in small veins and arteries. This is why some smokers notice coldness, tingling, or a change of color in their hands and feet. This restriction in blood flow makes it hard for the heart to pump blood through the constricted arteries. The skin and nails of the feet may also change. Often the nails may become thick and brittle, and the skin on the feet can become dry, flaky, and fragile. Some patients may notice sores or injuries in their feet causing the feet to be slow to heal and in worst cases may lead to amputations.
Kevin E. Jefferson, DPM
Metropolitan Podiatry Associates, PLLC
7603 Georgia Avenue NW, Suite 100
Washington, DC 20012
202-882-9682
E-mail: dcfootdoctor202@gmail.com
Got foot problems? To schedule a live video podiatry appointment with Dr. Jefferson click www.tinyurl.com/dcfootdoctorvideochat
Office website is www.tinyurl.com/metropodiatry
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Channel art by Jeff Fraser, LinkedIn @mrjeff_creative
Smoking can have devastating effects on the feet, especially for patients with underlying conditions such as heart disease and diabetes. Nicotine in cigarettes is a stimulant that raises blood pressure and is a vasoconstrictor resulting in small veins and arteries. This is why some smokers notice coldness, tingling, or a change of color in their hands and feet. This restriction in blood flow makes it hard for the heart to pump blood through the constricted arteries. The skin and nails of the feet may also change. Often the nails may become thick and brittle, and the skin on the feet can become dry, flaky, and fragile. Some patients may notice sores or injuries in their feet causing the feet to be slow to heal and in worst cases may lead to amputations.
DC Foot Doctor Thank you doctor. I will be on a mission to stop smoking after seeing this. I pray I can do this❤️
Corinne Purucker you can do this. I’m sending you thoughts of strength. Every hour every day without a cigarette is every moment that you are winning and will be free from this.
It's sad that some people just want listen to their Doctors until it's to late!!! Cigarettes I hate them!! I cannot stand the smell of them !!! People please please listen to your Doctor God place them here for a reason!!
@Thee Empress Alkebulan sending prayers, I hope you can stop. I have never smoked so I can’t identify what you are going through. May you be healed.God bless you. 🥰
@@wingsfan99994u you can do it. And don't give up if you fail, it took me 3 tries to quit. 2 packs a day for 30 years, haven't had a cigarette since Sept 29 1998. Sending prayers your way. PS think of all the money you'll save.
This makes me want to NEVER smoke another cigarette!
You have the strength to quit!
Preach!
Please don't. It isn't worth it on ANY level.
Wow, wow and wow!!! LOL,,,sorry didn't mean to laugh at the salon part, but the way doc said "that's the last place you need to be", Tickled me...
The way doc said it was funny lol!
And wow and wow...
I pray I never come to a point in life where I stop taking care of myself
Stephanie Martin those feet look like the result of years of neglect more than smokong
At 56, I found myself developing aches and pains that caused me to begin skipping showers, throwing a hair band over my hair instead of holding my arms around my head for an hour to fix it, wearing the same thing twice (hanging it up to air) so I wouldn't have to haul so much laundry for washing. My standards decreased a lot until I looked around and said wow, younger me had higher standards. I am fighting to make myself get back to that. Even my eyebrows got shaggy. That is why we may look and smell older than our time.
Sometimes, age and illness make it all but impossible to take care without outside help. This doctor seems very kindly and respectful of this patient.
My younger brother was a life long smoker. I spoke with him about a recent Dr.’s visit, and he shared his big toe was dead. He had it amputated. Shortly thereafter he passed. For all your loved ones express the need to stop smoking.
Dr Jefferson there is a special place in Heaven for you... just your bedside manners alone are impeccable. God Bless You and your staff and family my brother 😍😍
Amen such a compassoniate Doctor!!!!
Stop the flatter. It's his J O B. And he do it expertly. That's all that is.
Off to a good start. 👍👍. I do believe he was fibbing about how much he smokes.😉😉
Agreed. It's like going to the dentist for a cleaning and telling them before they look in your mouth, "Yeah, I floss every day." The truth will out.
I smoked 2 1/2 packs a day when I quit 9 years ago. Didn’t start out that heavy a smoker but gradually built up to it. Am so glad that I quit-now if I can just get my husband to quit wed be okay. My Mother’s feet looked like the patients in this video although she had a callus and a whole nest of corns(to quote the Doctor who treated her). When she came down to live with us, she always wore shoes when I was around her. Did not realize how bad her toenails were until she went into the hospital.
No me gustó el trabajo hecho!!¡ lo encontré mal hecho!!! Un trabajo de flojos!!!
I'm sorry to have to say it this way but this patient is very much like my ex (now 75) in that he is so addicted to cigarettes that he's willing to suffer and die for it, I gave up smoking over 30 years ago (I'm now 62) after having a scary succession of asthma attacks over one summer that scared me enough to quit and it turned out to be a good thing.
so true ,I have a sister in SC just had a new knee ,didnt smoke for 7 days .Been smoking since 16 now she 63 . As soon as she came home picked up a Cig..I told her if she could stop for 7 days she can stop .her answer to me was " I am addicted and I can't do with out them " .I told her she has to .she has COPD ,diabetes, high blood .Your putting you life in jeapordy..Just have to pray ..Amen
I forgot to add that with my ex husband it wasn't just cigarettes he was badly addicted to, he's also a severe alcohol, even a stroke couldn't break him of these 2 nasty addictions, he's still alive but I had a dream about him dying a couple days ago, these types of dreams that I occasionally have always come true within a few months or so, years ago I had a death dream about my mother (she died within a few months), soon after that I had a death dream about my beloved cat Bebe's who was 20 years old in human years (she had a stroke within 1 week) so when I have a death dream I believe it unquestionably.
Wow I’m trying to stop myself. I’m 58 and I smoke about 4-5 cigs a day .is that just as bad m- dragamot? Wish me luck
Some ppl will never stop smoking !! It's so sad that they allow something do deadly to destroy the bodies!! Doctors can only tell you the choice is the persons!!!
You made the best of a bad situation. I love that you do a semi pedicure on your patients that really goes a long way. With your patients there is a marked & visible difference between before & after. Great job as always!
My father told me many years ago his biggest mistakes in life were smoking & getting married.
Ya father real stupid. Put a period and move on.
He will be extremely fortunate if he doesn’t lose that toe. He’s got to get his smoking down to zero.
That he doesn't lose his leg!
I am SO glad I have never smoked, and glad this patient is getting such good care for his poor feet. You're a star, Dr J :)
You are a very caring person Dr.. I wish everyone had empathy like you!
If his feet look like this just imagine what cigarettes have done to his organs! So glad I never had the urge to smoke.
It's probably why he had a stroke
Teresa Lucero Ion know what kind of cigarettes he was smoking but I know crack makes your feet crack. His feet are on the verge of amputation. He needs to sue that nursing home
Me too thank God. Whoa...
Doctor - We have often seen you take samples that are sent to a lab for analysis. Would it be possible to video document that process, then show and discuss the results of a specimen test?
I think it would give an added dimension to the fine work and care you provide to your patients.
Thank you.
Oh wow! That would be so interesting and such great information too! Great job Dr.
This ain't no medical lab. That's private info anyway. Ain't nobody got time for all det
Had a doctor friend tell me that no matter how many cigarettes a patient reports smoking per day, he increases that number by at least 1/2 - maybe more, depending. He says smokers who aren’t actively trying to quit tend to be a little dishonest about their habit.
Deaths in my family from smoking:
Grandfather, small cell lung cancer. Age at death; 60.
Grandmother, emphysema. Age at diagnosis, 70. Death at 77. Meaning it took 7 years for her to s-l-o-w-l-y asphyxiate to death.
Eldest sister, small cell lung cancer. Died @ age 37.
“I was coherent, they didn’t like that” 😂
Wishing the best for this man and his feet.
This gentleman’s toenails are extremely long. I’m sure I’ve asked this question before, how does one wear shoes? I hope and pray he continues his care under your direction. I need to show my father these videos. I wish he would stop smoking. He has issues now he’s not addressing. We shall see. 😒
Really difficult situation with your father, biggest issue seems to be that most people don't believe it will happen to them! My father was smoker and alcoholic, died at 51 after heart attack. My younger sister started smoking at 12 despite her asthma, stopped once in mid twenties but our mother and friends apparently kept her socially smoking. She developed lung cancer at 41, died aged 42. Eldest of 6 was 17, youngest turned 4 the week before she died in 2014. Beginning of 2015 my 59 year old aunt died, 8 years after developing COAD. Lung cancer joined and she died within weeks. My mum got to 70, much denial with her, refused to check asthma changes, had seizure ... brain metastasis from lung cancer. Died 5 days later. Prior to them and among non smoking family, i'm on of 32 grandchildren on mothers side, no on else has ever had cancer, then or since. It can and does happen to people!
Just to add ii am 51, my brother 52, neither of us ever smoked and are both in very good health and will both keep that up i am sure.
Sherry Petrie, your dad is lucky to have you care so much about him. I hope he will listen to you!
This one was hard to watch but I had to watch to see what miracle you would perform. I hope you are able to keep us posted on the patient’s progress. You’re the best doc!
Dr. Jefferson has more kindness, empathy, and wisdom in his "little toe" than every physician combined I have ever seen in my lifetime. What a blessing he is to his patients.
I doubt a nail salon would even service anyone with a toenail condition like that. At least I would hope not.
Have you seen The Meticulous Manicurist channel? Not sure if she would take him but she’s the only one I can think of that might attempt it. Check her out!
They'll take 'em long as he pay
3:17 in Germany and I am first to watch this 😀 thanks to corona ☹️ (I really have trouble with sleeping these days)
I pray that you get some rest🙂💤🛌🏾
@trosan2 here Hello from California. :) Check out Miracle Forest, Cozy Rain, ASMR Rooms, and New Bliss. All great ASMR videos that will help put you to sleep. Lots of atmospheric channels as well with real beaches, rivers, etc.
Hope he follows up on his treatment..Thanks for sharing your videos.
The lack of self care & the lack of care while in a facility are both sad & concerning. Hopefully now that the patient is back on track with his appointments he will be able to get his feet healthier.
He doesn't care
God bless the medical professionals that specialize in the "less pretty" and overlooked areas of the body. Proper foot care is so important. We also have to be careful about what we put in our bodies. Good to know that there's a foot doctor 20 minutes from me that knows what he's doing! 👍🏿
Wow..those feet were in desperate need of attention. Glad he had the wisdom to get help.
I wish people will realize the harm that smoking does to the human body.
Sharon Varner They know. They just can’t stop. It becomes such a part of their lives. They literally can’t imagine how they would live without it. My father smoked for over 50 years when he died from bladder cancer caused by smoking.
Can you smoke on Earth anymore?
ever drink hard alcohol? beer? smoke pot? any type of opioid pain pills? eat sugar? caffeine? everything is bad in used in large amounts, shouldn't stigmatize someone just because their choice of self destruction is different than yours.
Sharon, back on the day, we did not know how dangerous smoking was
After learning the dangers of smoking we tried to quit but we were addicted to them. Give him a break he did quit smoking
Trust me, they know. (35 year smoker, quit in 2011)
I really hope the patient takes to heart to quit smoking. My Mom was a brittle Type 1 diabetic. I was with my Mom in her hospital room after she had had a below the knee amputation on her right leg. Her endocrinologist told her that her smoking was was why the amputation was done. Unfortunately this info didn’t faze her and she kept smoking until she died at age 60 on 12/1999. It was so hard for me to hear her doctor tell her this. He was a kind and very caring doctor. Patient, thank you for sharing your treatment. Dr. Jefferson, you are a tremendous care giver. During the current virus, everyone take care and be kind to each other! 🙏🏻
Denise Bohnke - I know exactly how you feel. My dad was a smoker most of his life. He eventually quit smoking but it was ‘too little too late’. He was diagnosed with lung cancer at 52 yrs old. He also worked all his adult life in construction so he had the added contaminant of asbestos to the mix - a deadly combination. When he was diagnosed he was already considered ‘terminal’. He died at age 55. That was over 30 years ago. I’m 62 now so I can fully appreciate how cheated he must have felt. Dying at 55.... or 60. So unfair! We all we’re cheated of many many years.
My thoughts are with you Denise.
This person didn't take care of his feet despite the fact that he is a smoker.
Love it when you use the currette. Gets that good good.
The Dr is 100% correct when he said, "the salon us the last place you should be." With this patient's issues he should be turned away from the salon.
I think this gentleman's middle name is non-compliant. I'm sure when he had his leg bypass the doctors explained to him the importance of not smoking any longer, timely follow ups with doctors, and wound prevention etc. Waits a year at least to see a podiatrist after leaving nursing home. Doesn't take care to cut his nails or find someone to cut his nails. Knows he has a wound on his foot with poor circulation, on a blood thinner, and still waits a month to see a doctor for it. I don't know if this guy could be any more non-compliant. I do sincerely hope that he does follow up with you doctor and glad he did go to see you. Better late than never. Excellent job doctor! ; )
Yeah, when he said rehab said he was non-compliant, I don't think he believed them but I sure did.
My man Dr J, I don't know how you treat these people without getting depressed. Seems like our elders are forgotten these days.
James you are so right. They worry if they complain people will put them away, or yell at them, so they keep it a secret.
James W. Smith true!
I was thinking the same thing! When he said those that didn't have family members coming to visit them, they just left them sitting without changing or taking care of them. 😢 My thoughts are always, "how would I want to be treated?" I hope I have a doctor like this! He's so good to his patients!!
Many old people were jerks and their family members don't want to be bothered with them. I have an aunt with 4 kids, 9 grandchildren and no one goes to see her. She was a mean woman. Now she's in her 70s with deteriorating health 🤷♂️
Our" oh please "our" CONCEPT so mis represented -if society really had that mentality the world would CHANGE
I really liked the view when you get really up close, that way I can see what is really going on 👍👍
I believe in my heart if this man wants healing and change, he'll do what's best for himself. If he doesn't want healing and change, he'll keep doing what he's been doing🤷🏽♀️
It amazes me that a person is prepared to put up with this mess, rather than try to stop smoking. I stopped about 30 years ago, after a bad chest infection. I’m so glad I did. A lot of folk think that medics are talking rubbish when they say how much damage smoking can do to the human body. Keep burying your head in the sand, smokers!
I quit smoking 19 years ago when I found out I was pregnant with my oldest. I thank God for that decision every day.
I still can't understand how people can walk around and let their feet go. I hope this patient appreciates Dr Jeffersons efforts and the seriousness of poor circulation to the feet. Thank you Dr Jefferson for educating us on foot care!
Wow!! Doc the person toe nails look like snails another great informative video..
Once again doctor you have shown yourself as a great physician and a wonderful person. You take time to educate your patients while treating them at the same time so that the patient is able to participate in their own health care. Beginning as a firefighter/emt, then to nursing, and finishing as an instructor I would have been honored to work with you.
I am glad that you put that smoking "can" cause .....
These are extreme cases. Not the "standard" of smoking.
As a nurse I regularly see elderly people who smoke.
And in 26 years I have never seen anything like this.
I hope this patient will begin to see the benefits of quitting smoking.
Wow, how sad to have let his feet go so long. Why when he was in the hospital or nursing home they did not take care of his feet?
I was wondering the same thing.
Don’t point your finger. When a patient is in the hospital, family members are responsible for their loved ones’ nails. Nurses are instructed NOT to cut toenails. Ever. And because of changes in insurance, podiatrists don’t get paid to come in to facilities.
@@Simbabe54 because he was there for the stroke their concern was to get him walking. most acute care facilities are under staffed so they only have time to do the bare minimum. but they should have notified his dr. about the condition of his feet. A wound care nnurse probably tried to keep it at bay but he has been home for a year without any attention to the sore on foot.
Especially if they have circulation or diabetes probs, regular staff are discouraged doing foot care. Patients like this need to see a podiatrist for management.
Right. That's what I was thinking. When my momma was in the nursing home they wouldnt trim her toes. I took in a small pedicure kit and they told me that I couldnt trim her toenails (I've taken care of her toes since I was 14) I looked at her nurse and said "watch me!" She had the cutest toes of the nursing home. Ain't no one telling me I cant take care of my momma!!
I’m so glad I managed to stop smoking about 12 years ago now. I just suddenly woke up and said that’s it. I never thought I’d be able to quit as I genuinely liked smoking. Stupidly I didn’t have my first cig till I was 22 and that was me hooked. I escaped very fortunately as I didn’t develop COPD like my hubby nor did I develop PVD. If I’d smoked another 5 years I wouldn’t have been so lucky.
It’s not an easy thing to do as you are dealing with both physical and mental withdrawal and unless you have smoked it’s very hard to understand why folks can’t just quit knowing how dangerous it is. I was a nurse practitioner and it sure as hell didn’t stop me.
When will you have part 2 of this video? And have the patient stop smoking? I hope that he does thanks for the video
This is difficult to watch. I am guessing he has had a very hard work life, too.
Carla Perkins...Yeah and probably too many things working his last nerve. Smoking is just helping him to destress (even though it's killing him 😣).
😂😂😂😂
I think I know quite a few relatives who have feet that look like this.
Omg I would just love to live in DC and come and visit him -- he’s so professional-- I don’t believe Detroit has any one like this
Smoking really takes a toll on the body
.....and your profile pic is taking a toll on mine. Your are fine fine!😊
Diabetes is much worse.
Shout out to the lefties like Dr. Jefferson who are in the comments. I’m a leftie too!
Again I love the care you take and I also love that you’re honest and open with the clients. You tell them they need to do better because they do. Someone needs to tell them before they loose toes. Great job
Oh my. First!! You're the best!! 💕
Sometimes I feel like smokers hate themselves. Inhaling poison everyday.
MsPachec... ::: I can't assume for other people, but I do. It keeps people away and an excuse to go outside.
So I smoke and I can say I do not hate myself. For me there are several factors. I DO hate the smell, price, addiction factors (I've beat some major sht), the health factors (I work in nursing so I do see first hand effects). I do think about what I am doing to my body, my family. Not every cig, but alot. I am honest and I do try to be honest about my smoking. I dont like smoking around non smokers. I feel like I'm being offensive? I can honestly tell you this is one of the HARDEST things I have EVER quit. I'm 37. I quit both pregnancies. While watching the test sticks, I smoked my last cig. I don't know why I went back. Several reasons I guess. I do want to quit. I cant tell or explain why it's so hard. I feel almost juvenile trying to explain it.
Kindness is King in your life I see. Great work Always THANK YOU 🙏🏽🖖🏾👌🏾👊🏾
The best decision the gentlemen made was to leave that nursing home and to come see you, hopefully listening to you he will drop the smoking. I wish you well Doc, remember your masks😷
God hover over him and bring him health delivered through
the hands of your servant.🌸
There are so many things to say. Dr. Jefferson said it best, “The nail salon is the LAST place you need to be.”🤔😳🥺Sorry sir but you haven’t been to a nail salon in years🤷🏽♀️. #nojudgement #observationonly
Doctor eso es una enfermedad,o también puede ser descuido,o cochinesa.o son personas de calle y no se ponen zapatos....Gracias por haber personas como usted que hagan este trabajo,DIOS le bendiga....
Thank goodness your patient came in when he did. With wounds like his, time is of the essence. I hope that he truly listens to what you're telling him and gets his health under control. Sometimes, it's easier said than done until there's trauma or someone to step in and put things in terms that he better understands/believes.
I have had so many patients that have had vascular surgery and later amputations from smoking related PVD and venous stasis ulcers. They still smoke though 🤷🏽♀️
i’m left handed too!!!
Wow. That patient is the same age as me. I’m a non-smoker. My feet look like they always have - little change from when I was young. The health & condition of this patient is just sad.
Thanks for covering with the gauze..This one was hard to watch even though you've cared for worse off in your series. Glad you chose this profession, you are needed.
Just thinking about his feet in shoes is painful.
Wanna joke about Corona virus?
You won't get it.
Stay safe, everybody!
What has caused the striation on the big toe of the left foot? I find your work fascinating especially as I have to care for my 85 year old Mother’s feet. Which are in excellent condition thank goodness 🙂
Whoo! I've never been this early for one of your videos and as always I am not disappointed.
You're absolutely amazing and I love watching your videos. I'm a CNA and for me feet are a big deal. It drives me nuts when I see podiatrist just clip the nails and send people on. I love the fact that you clean up everybody's feet before you're done. I wish you're down here in Texas I'd take all my patience to you. Keep up the amazing work
Where oh where do you find a doctor like this with such thorough care and compassion? He stands alone. Lord, download Your favor on him and bless him.
Thankfully, I never started smoking and don't plan on starting.
Another miracle Doctor! His feet look so much better! I hope that wound heals okay too.
I had two parents who smoked, took cancer (mom) and severe COPD (dad) for either of them to quit.
Please stop before you are forced to stop please.
I really appreciate your bedside manner/professionalism. I’ve worked in a shoe store one problem I see diabetic patients with is the wrong socks and shoes. I love and appreciate what you do
My mom and dad are both early to mid-70s and have been smokers (not heavy at all) their entire lives. They still sometimes smoke, but it's far and few between. Their feet have always been well groomed. No thick nails, no fungus, good circulation. Pretty feet, actually. Nothing like this. So I think neglect plays a *huge* part in this as well.
I'm so happy you added using the currette to your cleaning. Just awesome!
I didn't know that you were left handed 🙂 just thought you were very ambidextrous, 😁💛
Me too! I'm a lefty. I guess he has to be ambidextrous his profession.
Outstanding Video Dr J....👍 Thank you very much for sharing a valuable message to the Smoking community🙌
I so admire your bedside manner,,,,,,
Estimado Dr. Jefferson , gracias por compartir estos vídeos son de ayuda para que cuidemos nuestros pies. Pero no me puedo imaginar porque la gente llega a este punto de casi o perder el pie por no ir donde el Dr. admiro su dedicación a su profesión y paciencia . Bendiciones y mucha salud a usted y sus empleados . Que tengan un hermoso y bendecido día desde Illinois .
I keep telling everyone that smoking is not good for blood flow to the feet/legs. You certainly deal with some severe cases. And you are certainly the best doctor to handle theses cases. Awesome again.
👍👍🏻👍🏼👍🏽👍🏾👍🏿
I enjoy how thorough you are. You also teach. I have learned a lot of good information from you. My husband feet are different from mine. He and I are different races. Not important accept the coloration being different i didn't know what was healthy or not. Thank you for your exquisite professional care.
Smokers always attempt to justify their smoking. It’s almost never a big deal to them. Frustrating.
I don't enjoy it, but it's a slow suicide for me. I'm good with that. I believe many people feel that way. They just won't admit it. Take care!
I'm so happy that I quit smoking. It'll b 16 yrs in November. I wish this fella a lot of luck, especially now, in this period of our lives.
Take care of urself doctor, u and the family.
Dec. gyrrl ::: Congratulations on your anniversary! It's been 36 years for me. I don't plan to stop either.
Ex-smokers are pretty hard on people who still smoke. I hope you're not one of them. PEACE
I had never thought of podiatry as being such hard physical work. You must have really sore hands by the end of the day. It’s a wonder you don’t have calluses on your hands. Or maybe you do. Well done Dr Jefferson.
Nail salon? He may have driven by one, but he has not been going to a salon. His nails haven't been cut since he left the nursing facility.
You, sir, are a miracle worker. Thank you for your compassion, your respect for your patient, and for sharing this care with us. I have learned so much from you!
“I wanna see you THIS Wednesday to see my vascular squad...” YES!!! 👊🇨🇦🦶
My Feet 🦶🏽 Are Healthy & Pretty, But This Frightened 😱 My Eyes 👀 Not to Smoke 💨 No More. 😏
This is a super professional caring, no-nonsense foot doctor who gets right down to work to help his patients without passing judgment. He doesn’t ask a lot of personal questions of his patients but does seek to find out medical issues related to what’s going on with his patient’s feet. In addition, he cleans up the dead skin and other debris on the feet and ends with a wonderful foot massage. If I lived in WDC I’d be seeing him all the time.
Great job! And way to look out for the patient. That little toenail was amazing. I’ve never seen any that long. My little toenails are almost nonexistent. (Of course I keep them cut because they grow a little weird.)
I hope when he gets home his family will soak his feet and take a brush with soap
Clean them good.
😥😥😥 so sad...
The man is a diabetic for crying out loud and has circulation problems. I have never seen any ones feet look like this because they smoked. This dude just does not take care of his feet on any level. Fact
Dr . Jefferson you are an angel with clippers ,your good humour and kindness are wonderful
Omg ,I have been trying to get my husband to stop smoking. He's a diabetic and very stubborn.
What a disaster, Doc! I guess they didn’t bother checking his feet in the nursing home either? Or is this “normal” for toenails to grow like this after one year? Surreal....But very fascinating to watch😱☺️Praying for a good outcome on this gentleman’s nails and feet.🙏🏼🍀 Wonderful work again Sir...God Bless you as well🙏🏼♥️👣
Your so amazing with your folks 🥰 i want to do this ... can you please lmk how to??
Oh wow Dr. Jefferson you have your work cut out with this one. I'm so glad that I'm not a smoker. Hopefully he keeps his appointments with you and take better care of himself. Wonderful job again Doc !! God bless you and the work that you do!!
I have smoked for 35 years and let me tell you..... My feet are completely normal.
Horrible looking feet! I'm sure this is in part from neglect also!
If I ever need work on my feet guess where I’m coming? I’m only an hour away from you.
Sir: You are called to your profession...a true ministry is what we are witnessing on your channel. Thank you to you and your patients for sharing!
When feasible, would you consider creating a video on your education and career journey? Thanks!
I've been smoking since I was 13 I'm 53 my feet do not look like that
Why do you send ALL the nails to the lab?
The lab requests as much specimen as possible. Sometimes test have to be repeated due to lab error, contamination, or an inconclusive result.
GOOD LAWD😫! LOOK AT THESE DIREWOLF CLAWS. I hope that he continues to see you on a regular basis, Doc. People like him really do need your help 🤗.
Pamela Jo ::: LMAO Direwolf claws!
Which one, Ghost, Summer, Shaggy Dog, etc. Kidding. Too funny!