Removal of Painful Foot Callus and Corns for Diabetic Patient 15 Years of Suffering
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Removal of Painful Foot Callus and Corns for Diabetic Patient 15 Years of Suffering

September 2, 2019

TB: Yeah, it’s no fun for you always having the hard skin. P: I know. TB: But you know what? I think it’s not as bad as it was before. P: Oh, yeah? TB: Because you’re wearing a better flip-flop at least. What are you gonna do in the wintertime? TB: You just gonna put like a big sock over the Crock (shoe)? P: Yeah. TB: A plastic bag? P: What I do is I wear socks during the wintertime. TB: With the Crocs? P: With the Crocs, yeah. TB: Socks with Crocs? P: Yeah! TB: That’s a fashion faux pas! Okay, I’m gonna put this foot down so I can get nice and close to this one. Okay, so you just relax. Yeah socks with Crocs, huh? P: Yeah. TB: So you never ever really wear shoes? P: Not anymore now not when this got bad like this. All these sneakers, I wear them. Running shoes. TB: You do? P: Yeah. TB: Do you wear any sort of foot support, or gel insole like an orthotic or… P: You know the one that you know you would you’re you know what that is sandals you mean? TB: No, in just a running shoe or any sort of shoe? Do you have any sort of foot support or orthotic? P: No, TB: Why not? P: I don’t know. TB: So these kind of corns and calluses are caused by pressure, the way you’re walking. If we make you a good orthotic, it can help slow down… P: What is it? TB: An insole, a custom orthotic where we take a mold of your foot. P: Yeah, is that the one that you go and when you go into the stores they step on or something and they it decides which one you got it? TB: Yes, that’s not custom-made; that’s a customized. So what I would make for you is a custom-made insole or orthotic. So I take a scan of your foot a 3D scan and we make a shell based on the size and height of your arch so it’s gonna give you a lot more support. P: Oh, you know I had that when I went to the first first chiropodist. TB: Yes. Yeah, and it was too hard? P: He made it to made me one, but it didn’t help so much. TB: It was too hard, right? P: Yeah. TB: Okay, so the thing is, what I learned through my dad, is it has to be a little bit flexible; it can’t be rock hard and it has to be comfortable. So all we need is a shoe that has a removable cushion and we can put an orthotic in that shoe. P: So you can put it in any shoe that you wear? TB: As long as the shoe has a removable cushion. P: Oh. TB: If it’s a closed toe shoe, I can make different types of orthotics, if you don’t have a removal removable cushion. But you really should be wearing something with all this hard skin that you have growing. P: That’s what I have is a Sketcher running shoes. TB: Yeah. P: And that it helps because it has a cushion. TB: And it’s soft. So the only thing that it’s missing is support because it does have cushioning but it doesn’t have support. You have a very flexible foot so when you’re standing, it’s collapsing a little bit too much and it’s putting pressure in other areas of your foot that it shouldn’t be. P: And that’s what will (cause the corn)? TB: Yes. P: And how much does this cost? TB: A custom orthotic is five hundred dollars. It takes two to four weeks to be made so normally we take a deposit for half the amount the day we do the scan. When the orthotic comes in, you pay the remaining amount, and if you have insurance, we give you all the paperwork, my prescription, to submit to them. P: Well I’ll talk to my husband’s insurance and see when I can be available to because I think they pay half. TB: It all depends on the plan. Some pay the full cost, some pay for two pairs, some pay for half, it all depends on your plan. P: Yeah. Yeah, I think they paid for half, and that was about four or five years ago. TB: Oh, okay. So you find out whenever you want, it’s here. But what I would suggest is because it’s winter time coming up you’re gonna have to be wearing a closed toe shoe, P: Yeah, yeah, yeah. TB: We make you that one even if it is for the Sketcher shoe, at least is better than nothing. Okay? P: Okay, I’ll call them and I’ll see how much they will carry of that cost. TB: Are you wearing that same Croc at home? P: Yeah, yeah, yeah. The only thing is for the closed Crocs that I have, TB: Yeah. P: I’m getting more calluses on toes, the tip of the toes because, you know, it pushes through the edge of the… TB: Yeah, and all your toes are now really curled and clawed. TB: Are you doing okay? P: What’s that? TB: Are you doing okay? P: So far. TB: Any pain? P: What’s that? TB: Any pain? P: No, no, no. TB: That’s no fun. P: Oh at night? TB: No, with me doing this. P: Oh no, no, no. There is nothing. TB: That’s no fun. P: Yeah. TB: It’s too easy for you. P: Which is good! TB: You just sit there look pretty, uh? You just relax! P: And then you do all the work, ay? TB: That’s why we’re here. Do do any filing of the the hard skin? P: Sometimes. TB: What kind of file do you use? P: I got it at Walmart, the one that has a blade in it, but I do it after after I take a shower. This skin is soft. TB: Tita, you gotta be careful with that. P: Yeah, I’m careful of that, I don’t do too much. Especially the middle portion because mostly I cannot do the middle portion. because it won’t come off. It’s this side the toe side and this (?) TB: So I have a better file. P: Okay. TB: And you might want to think about. It’s very safe; it doesn’t cut into the skin. P: I’d like to look at that. TB: I’m gonna put the foot just like this, okay? You okay? P: Especially this part this toe. TB: You okay? P: Sorry? TB: So how often do you file this down? P: How often? TB: Yeah. P: Once a week probably. TB: Okay. If you were to do this twice a week, it would make a big difference. P: Oh, yeah? TB: Yeah. P: Okay. TB: And by having more support the foot won’t roll so much over on the side, and that will slow down how fast this comes back as well. P: Okay. TB: What kind of lotion or cream are using? P: I stopped using it for about three weeks now because I can’t get a chance to go to the store look for it. It’s it’s the creamy one? The one that they say you use for your foot while you are sleeping. TB: While you’re sleeping? P: Oh it’s the Dr. Scholls. TB: Okay So afterwards, I’m gonna put on a very very nice cream. It’s not even a cream, it’s a foam and it’s a new technology that seems to be working very well. P: Can you buy it at the stores? TB: No, only from health care professionals. So this is something that I’ve been doing a lot of research on and I found a really really nice product. P: So I buy it from you? TB: Yes, so what it does it’s non greasy and it’s a foam so it actually puts the ingredients into the foot, and it doesn’t sit on the surface. That’s the problem with cream and lotion it just sits on the surface. So there’s a lot of technology in this cream. What happens it builds a barrier so it allows the moisture from the skin to stay there. P: That’s good. TB: So this is something we’ll put on afterwards and that’s really gonna help, okay? You got a little bit on this side. You’re getting the works today, oh my gosh! P: Well, when was the last I was here? More than a month or two months, I think. TB: A little bit more than two months, but I’m telling you compared to before, it’s a lot better. P: What’s that? TB: It’s a lot better than before. P: Oh, yeah? TB: Before used to be really heavy. Heavy, heavy, heavy. P: Heavy? TB: Yeah. P: It looks good. Your efforts are helping a lot. TB: And you and you because if you keep filing, you put this cream or lotion, it’s gonna slow, you get so orthotic, it’s gonna just slow down so it won’t be as much. P: Okay. TB: That’s the whole goal P: That’s what I like in you. You tell me good things to do. The other people where I go then just keep on doing that and not telling me anything. TB: I like seeing you,Tita, but I don’t want to see you no more. I want you to be good, so you don’t have to see me. I’ll see you at the Filipino parties instead!
You’re making me some nice dinuguan. P: Dinuguan, I love dinuguan! TB: Me too! With hot rice. P: I know. Have you tried this sauce? TB: Seafood City? Okay Seafood City I’ve never been to but something sweet though. I’ve never had the food I was in there recently and P: Their dinuguan is very good. TB: Do they make it liquidy, or is it more more meat? P: I think it’s for meat. TB: Because you know some are really liquidy, right? P: Yeah, yeah. I know. TB: Okay. P: This, this, um this toe, front toe, Jonathan. TB: Yeah. P: Sometimes it hurts and there’s… TB: This one? P: Yeah. TB: Because at the tip of the toe, right? P: Yeah. TB: , Yes, and that’s because it’s a little bit clawed, and it’s putting too much pressure on the tip of the toe. That’s why there’s a lot of hard skin. It’s pressing into the ground. Okay. We’ll put the foot up. You okay, Tita? P: Oooh. TB: Oooh? (laughs) You never fall asleep when you’re here, uh? P: Uh. TB: One side done. P: Okay. TB: I’m gonna put on a new blade. Your skin’s so tough it dulled the blade. Look at that. P: Okay. TB: You’re rock hard. Okay, you okay? P: Yeah. TB: I’m not hurting you? P: No. Don’t worry. When I get hurt, I’ll shout! TB: You give me a kick! You throw something at me. You’re diabetic? Or borderline? P: I’m what do you call that? TB: Borderline. P: Borderline. TB: It means you’re at the Filipino level. Did you hear about Seafood City? P: No. TB: it’s opening up or I think it’s open in Heartland. P: It’s open and there are a lot of people going there… TB: Of course. P: And before you get in, you have to line up. TB: Yeah, yeah. P: And they said prices are not that great. TB: They’re expensive. P: Yeah It’s just like you remembered that Krispy Kreme, that one time? When people could not get in the store? TB: That was crazy. Yeah, people waiting all night. P: It seems that it’s like that with this Seafood City. People are all so eager to see what it is. Or what it’s like They said some people go in just to take pictures. TB: So wait, it’s like a grocery store though, right? P: Yeah. TB: With a restaurant in the back? P: Apparently there is supposed to be but it’s not open yet they haven’t started serving yet so they go to Something Street. That’s why Something Sweet gets so full every time. TB: Yeah Something Sweet is nice. P: Yeah, I know. TB: They got halo halo in there. P: Yeah, but so expensive, ay? More than five dollars. TB: See but I never really ate Filipino food only a Filipino parties. P: Have you tried (?) TB: What’s that? I only know what things look like. P: it’s the one with peanuts. TB: No. P: Peanut and oxtail, no? TB: No, never. P; Oh. TB: Because you know my mom’s German. P: Oh. Yeah, and your dad doesn’t cook? TB: No he was busy working. P: Oh. TB: But my mom can make a good chicken adobo. P: Oh that’s good, chicken adobo, yeah. Well one of these days I’ll invite you to the party at home where you can taste all the different kinds of Filipino food. TB: Lumpia, pancit, sinigang, how do you say it? P: What’s that? With that the P: Roux with the sauce with the TB: Beef it’s beef usually. P: Beef sinigang. It’s water-based. There’s like sabaw which is broth. TB: So Tita, we had a little red spot in the middle of this corn. P: Oh, yeah? TB: Yeah, it means there was too much pressure. P: Yeah, because I could hardly walk with that. TB: This side? P: Yeah. TB: We’re going to make it as thin as we can, okay? P: The very first time I went for my my foot… TB: Yeah. P:The guy, the chiropodist dug so deep into it. TB: It hurt? P: Maybe about half an inch, because of the corn. TB: Well, I’ll tell you now there’s a lot of hard skin, but it’s not deep deep deep. P: Um humm. TB: Today I gave you a little pinprick. Did you feel anything? P: No. TB: Okay, so afterwards, I’m going to put a little bit of an ointment and band aid to be safe. Very very small little pinprick, okay? P: Okay. TB: Because I’m trying to get everything out. P: Thank you. TB: You’re welcome. It’s honestly not as deep as it used to be. No pain here? P: Yeah. TB: So do you mostly eat Filipino food at home? P: Yeah, oh well mother we’re staying with my son. He has this cookbook you know it’s all American or Canadian recipes. TB: How often do you go to States again? P: What’s that? TB: How often do you go to the States? P: I don’t go there right now. Before we go there six months for me and six months for my inlaws my daughter in-law But now they lessen it to three months each of us and that happen in a year. TB: You split it up now. P: Um-hmm. TB: But your kids are doing well down there aren’t they? P: What’s that? TB: They’re doing very well down there. P: Well my my daughter is a doctor at the clinic. TB: Wow. P: She doesn’t want to come back because she wants to come back here with your retires, but right now she said I’m not gonna make the same money as I’m making here because the government you know the doctors here are so regulated by the government. TB: Yeah, yeah P: And she said I will be able to recoup what I spent get school my studies here. TB: Did she study here or down there in the States? P: What’s that? TB: Did she study in the States or in Canada? P: She studied in the States. She took her BA her Bachelor of Arts here and then she went to the because we had a green card then so she was able to you know get the tuition fee of the immigrants. TB: Mmm. P: Not, not a student, so it’s not as much just you know. Well I’m too happy with my kids because at least she’s a doctor, and then the next one is a teacher. TB: Yeah, that’s good. P: And the last one is a paralegal so. (Video was recut here) TB: No you’re living the typical Grandparent in retirement you gotta take care of the kids. P: Take care of kids. TB: You gotta take care of the kid’s kids. P: And you get scolded if you spoil them too much you get scolded. TB: Oh, you’re a bad Lola. P: I know “Don’t do this! Don’t do that!” Like my my eldest granddaughter here in Canada, TB: Yeah. P: She’s allergic to nuts eggs and all these kind of things right, but her mom is also dieting her and top of that and you know sometimes the kid wants to eat donuts almost everyday she didn’t want it maybe just every week once every week. TB: And what are you doing? P: My husband sneaks them! (laughter) He sneaks in what they want. And sometimes I get mad at him and I said, you know if the kid is already allergic and she gets diabetic then that is so bad. TB: Oh my gosh! P: When I’m not here and he goes to the store, TB: Yeah. P: He buys all kinds of sweets for the kids. When I look at today in the TB: Fridge P: No the closet (pantry) there are all kinds of treats in there. TB: Tita, you really scraped the tip of your toes, uh? P: I know. TB: I gotta give you a better file so I have a file that’s safe especially for diabetics. Normal files and razors, they cut the skin. This is a special file that has little bumps and the top of the bumps are flat So they pull just dead skin. They don’t pull the normal healthy skin. P: Oh, that’s good. TB: You know what’s the name of it? Angel Feet. P: Angel Feet. TB: You know why I’m giving it to you cuz you’re an angel so you gotta have the angel feet. P: Oh, thank you. TB: I’m gonna show you afterwards how the file works. It’s safer for you because you know what, you get one little cut you don’t feel it too much, you’re in big trouble. P: Yeah, yeah yeah, because I tried to hurt my toe before or my skin before and you know it’s really really bad. TB: I’m making it rain. Look at all of this. P: Yeah. TB: These ones I’ll file because they’re not too much. This is a hard one you okay? P: Yeah. TB: Yeah, they’re not as deep as they used to be. I remember I used to be here a long time digging but today we’re taking our time. P: That’s that’s those are the calluses that I really can easily pick on when I’m lying down or when I’m sitting home so that’s why I picked them. TB: You’re a picker. P: Yeah. P: I cut them with the sometimes with a what do you call this nipper? TB: Yeah. TB: So this is the stuff that with a bitter file you can maintain and it’s not gonna bother you. P: Yeah, that’s good. TB: Okay, I’m just gonna dig out this corn and then we’re all finished, okay? TB: No pain? P: Yeah. TB: Poor you. You got a lot of calluses, a lot of them. P: I know that it’s really aggravating my condition too. Because I told you I was diagnosed Parkinson. TB: Yeah. P: And sometimes I walk slow because of this feet it will hurt if I hurt you know. TB: Okay. So this is the foam? P: Okay. TB: You don’t need very much. I’ll show you. P: When is the best time to do this? TB: Morning and night. P: When you wake up and before you go to sleep? TB: Yep. TB: I’ll put some on this foot. P: So it’s on the foot not on the toes themselves? TB: You can put the toes this one you actually can go on the toes because it doesn’t leave it moist. That’s the nice thing about this one. Normal cream and lotion you should not be putting in between the toes. P: Because it’s oily, right? TB: Yes, this one’s non greasy. There. P: Okay, that’s good. TB: This one you can’t find in the stores. P: Okay, thank you Jonathan. TB: You’re welcome. Okay. Let me put you down. You don’t jump off, Tita, you’re a wild one!

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  1. Kamusta kuya! I’m half philo too!?I’ve seen a few of your videos and last night decided to watch from the beginning… very entertaining! Sinigung is my favorite dish! I’m like you and only know the dishes by look unless they are the ones I like…

  2. I got custom orthotics years ago in the military and it changed my entire life! Exercise, walking, everything was easier to do. Most insurance pays for them and it's so worth it!

  3. You make me wish I had a toe or foot issue and I would travel to Canada just to come to you. If all specialists/doctors were as amazing as you, healthcare would be a lot different for a lot of different people. I love your channel and watching all of these videos, fascinating!

  4. Love your vids. Just a small video tip. The switch that activates the use of " auto focus" or " manual focus. When t your hand gets closer to the camera the focus moves there causing picture point to be on you hand. The the callus is out of focus. This switch is on the left side of the lens. Use in auto when moving the camera position, then put in manual so the camera will stay in focus on the callus, not your moving hands causing focus issues. This procedure will need to be performed each time you move the camera. With practice no one will notice. Thanks for reading my tip. Randy

  5. You are awesome with this sweet lady. Nice personal conversation and very educational. I'm learning a lot from this too. I do my husbands feet sometimes. Thank you for sharing with this Texas gal. 🏥

  6. Here in the States we get a pair of shoes and three pairs of custom inserts for about $450. In my case my Medicare and State of Michigan retirement pay the whole cost but usually people have to pay for it themselves unless they have diabetic neuropathy in the feet (which I have), in that case insurance usually pays 80% for one pair of shoes and three custom inserts per year unless you are on an old, grandfathered employment/retirement insurance plan from the 70's or 80's, in that case the plan probably pays the whole cost.

  7. Finally! I have nearly the exact same issue with my feet, I pay a ridiculous amount every month and not once has my doctor suggested custom orthotics. I paid quite a bit of money for standard issued ones (6 pairs that I use in every footwear I have) and still I have the same issue although not as severe. Now I will try custom ones, can't believe it has never been suggested all these years

  8. Greetings from Germany! I love watching your videos with my husband and my cat while lying in bed at night. It's kind of a ritual before we fall asleep. Your work and your voice is so relaxing 😀

  9. Are you Filipino? You're the sweetest doctor ever. I loved it when you used "tita" so much respect. I love dinuguan haha😂

  10. Jonathan "you dont jump off tita, youre a wild one!" Hahahaha… but honestly though, what a gr8 rapport with your patients… I really commend you!!! Awesome vid

  11. Hi 🤗 i look at all Videos , and what , your mother ist german , so 👍
    Auch wenn ich nur die Hälfte verstehe , super interessant , thanks

  12. Just have to laugh at your response to your Tita when she told you it was a peanut dish!!! You seemed so bummed you'd never had it. LOL Take it from a Tita, all Filipino food is da best.

  13. I have always wanted to try Balut, just once. I am fully aware what it is lol, but I am always up for trying new food!

  14. I LOVE lumpias♥😋. You're a good person. So few of your generation is kind to their elders. Of course, you're kind to everyone. Genuinely.

  15. I might try Crocs. I have custom orthotics but they're not comfortable in my shoes. And they were very expensive.

  16. How can i get the file Angel Foot? I get calluses on the tip of 8 toes and sides of my big toes. What is price for foam also? I live in the USA.

  17. ahh now i want some pork adobo its soo good eh, never had the dinaguan tho but id try it, as for balut nah im good lol

  18. hehe gotta love islanders my family is Hawaiian but 2 of my siblings are half filipino and when they come to my parents house my nephews know they can eat whatever they want cuz what happens at grandmas house stays in grandmas house haha

  19. What a smashing lady. She can come liverpool in the UK anytime and meet my Philippine friends and I.

  20. We used to have wonderful Philippino food brought to the hospital where I worked. When you mentioned Lumpia and Panzit , I think of Thelma , our monitor tech ! They may great food ! 💕

  21. Oh cool I have troubles in the the same spots, the ball and the edges, but I could never do this without some type of liquid and better yet the callous softener they similar use at salons. I felt that I did a good job but maybe a little moisture prior would have been way better results and less damaging to maybe the foam will make up .
    Also I ppl without high foot arches end up with those same foot pressures and build up on the ball.

  22. You are so caring and gentle. I had a nasty one surgically removed. The lignocaine was so painful. The darn thing grew back within a month😱.

  23. 500 dollar for these soles? That is very expensive. Recently I have been with my daughter to a podotherapist and they examined her feet on different ways and made custom soles for 220 euro but I don 't need to pay that, Insurances pays 200 euro and I have to pay 20 euro! ( Netherlands)

  24. My daddy had bad callouses on his feet that he always wanted me to work on. Instead of a file or razor blade I bought an Omope electric file. It was expensive but worked perfectly.

  25. Where location doctor ,i have corn too painful ,what cream i hav to buy,,can i hav adress if ur location in anaheim tq

  26. I don't understand, how can you keep using the same shoes that are hurting and creating a callous. Only if you are really poor and has no option

  27. oh you're talking about Dinuguan. I remember my mom. Her Dinuguan was the best and famous in my province. Not meat but all were internal organs of pork. Not easy to clean those parts of pork.

  28. The only time I don't wear my crocs is while at work. I have planter fasciitis and heel spurs. They are the only shoes I can wear that doesn't cause me pain.

  29. Toe bro you outdo all others if watched them they don't come close to you your work is excellent love you

  30. My son in law is Filipino, he makes a awesome Chicken Adobe. I make it as well, but it’s not as good as his. LoL

  31. Lo único que enfoca bien la cámara, son los guantes del que está trabajado los pies de la señora, muy mal vídeo. Y mucho hablan.

  32. I just found out that you have a Filipino blood. lmao. Love your videos! Sending love here from the Philippines. 🇵🇭

  33. 500!?! For a peice of foam the shape of my foot? Even if it's made of frickin ostrich leather, 500 bucks is ridiculous. Anything that is labeled "medical" has a outrageous and unrealistic price. Not worth what it's made of.

  34. Hello Dr…question???
    I have this issues with my right feet, is only the right feet the left one is normal. Dryness, dead skin and hate the way my heel looks all dry and brownish . I tried all sort of creams, remedies and lotions and nada. What you recommend??
    Thank you Doc and btw loveeee ur channel

  35. You are awesome i learn alot from your videos my husband is diabetic his nails are damaged but takes care of them how can i order your tools for him.

  36. Seriously, do you really have to be told that a flip flop or croc is support enough for your feet? Bad shoes equal bad feet it's simple mathematics.

  37. Why don’t you use your electric motor to remove the callus. I use a bolfrees(dutch) so you can go much deeper to remove the callus.

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