00:00Hello everyone, I'm Lavrentia Vagliona and today a surgeon came to see me for a consultation,
00:05can you imagine? That's how it happens sometimes when surgeons come to podologists. The thing is,
00:11he pinched his finger, it was really really bad, just very basic, he seems to have released the
00:16blood and some time has passed since then. Apparently quite a bit of time has passed
00:20considering you can already see the lunula and his complaint is that this nail keeps catching
00:26on things a lot and since he is a practicing surgeon of course, this is absolutely not
00:30acceptable for him at all. It's not safe, he could even tear his gloves and in general dirt accumulates
00:36there. He understands this but he can't do anything about it himself and he also fully realizes that
00:42what is needed here is not surgical intervention but simply proper careful cleanup. Overall, we
00:48spent our time well, had fun and enjoyed a good conversation on the topic. We discussed which
00:53cases require a surgeon's intervention and which do not and this particular case really doesn't
00:58require it because everything has long since healed and everything is fine here. It's just that
01:03there's a part of the nail plate that's not attached to the skin and of course it needs to be
01:07removed
01:08because there's a complete void there. And if it weren't for his wonderful habit of keeping that
01:14pocket clean and rinsed, who knows what could have started growing there. Fortunately, he's a responsible
01:21person. After all, he's a doctor and took this very seriously. So what are we doing? I carefully trimmed
01:29around the edge here with a drill making the nail thinner and now I'm using clippers to remove the
01:35remaining parts that are still attached. And now, like a door to Narnia, the little cover opens and we can
01:41see what's inside. I'm showing him this too because he was curious about what bare nail beds look like
01:47and usually in theory it just looks like it's not attached anymore so there's not really any strong
01:52sensitivity. And those brown spots you see are remnants of dried blood, a hematoma or simply a
02:01bruise to put it plainly. That happens when after a blow blood collects like this between the nail bed and
02:09the nail plate. Often people who go to the emergency room have it punctured with a syringe there. You can
02:17even do this yourself at home. But basically the point is to release the accumulated blood because it
02:24will be very painful and you'll have this feeling like your finger is about to burst, a pressing,
02:30stretching, unpleasant sensation. But if you take a sterile syringe and a needle which you can buy at the
02:37pharmacy and carefully pierce only the nail plate at an angle, you don't need to pierce the finger
02:43itself. Of course then everything will be great. The blood will just come out, you'll feel relief
02:49right away and in a week or two everything will gradually return to normal and you can do the
02:55cleaning in just a few days. Well, of course it all depends on how severe the injury was but generally
03:02this could have been done much earlier than when he came in. So, the person waited through the pause
03:07that he thought was necessary and nothing terrible happened here. As I said before, he did a great job.
03:14He rinsed, monitored and observed. He just didn't have the necessary tools to work so precisely and in
03:20such detail. Because in this situation it's very important to have sharp clippers that can carefully trim
03:27the nail without crushing or breaking it. And also a rotary tool like the one I have here, a carbide
03:36ball bit which can also very delicately with a steady hand and proper control perform this kind of cleaning.
03:45Because here I put a lot of effort into stabilizing my right hand and working only on the dry part,
03:51meaning only on the part of the nail plate that doesn't feel anything. If I accidentally touch the
04:00nail bed with this carbide ball where it's not protected, it will be extremely uncomfortable.
04:06I understand that in the video it looks like I'm just moving the bit back and forth but believe me
04:12these are very deliberate movements developed over years. So, and I'll finish up some small details with
04:19nippers. Sometimes I even use cuticle nippers. Here we're checking sensitivity to make sure nothing is
04:26catching and since we're satisfied with everything I take the drill now. In this case I chose the blue
04:31band because a lot of time has passed and he doesn't have increased sensitivity. I can calmly file down
04:39anything that's sticking out a little, any small parts of the dry nail, the nail bed and so on.
04:47This is necessary so that as the nail grows out everything will be comfortable for him. At the
04:52end of the video by the way I'll include a photo of how the finger looks now but just to
04:56let you know
04:56in advance I can say that it looks normal. Just like usual, you wouldn't even guess that anything
05:01happened here. Because I often get questions like will a nail like this really grow back, will everything
05:07be okay with it? Will it look nice? Yes it will with proper care and careful cleanup. And after this
05:15kind of cleanup I strongly recommend using oils. A lot of people kind of dismiss them. But oil really
05:24is important. It improves flexibility, moisturizes and helps nails grow faster. For one simple reason,
05:31when you apply oil you are actually giving yourself a massage. That is oil needs to be rubbed in and
05:37without even realizing it you're basically giving yourself a massage. But if the oil is also professional
05:43grade and has preventative benefits then that would be just wonderful. Here at the tip we still have a
05:50little bit of hematoma left which we won't clean up because the bed hasn't separated there meaning that
05:56part is still attached. So there's no point in touching it and basically the cleanup is pretty much
06:03done. Now it's just the tiniest details left. And the best part is that after these procedures when we
06:11apply the oil you'll be able to see actually you'll see it in just a moment even after the antiseptic
06:17the
06:18finger already looks much better. And if the client keeps moisturizing it regularly it will hardly be
06:25noticeable and it will grow out comfortably. So that's how everything grew back. Everything
06:30is in place. Everything is good. The finger looks great. The surgeon is back in action and working
06:35happily. Thank you all.
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