Yep, you read that right. That's what I've been doing this past 2 weeks - removing toenails. Sounds pretty gruesome, I know, and actually it is pretty gruesome to watch. Doing it is not too bad though. And it has to be done. Ever had an ingrown nail? They hurt; they get infected; they make life miserable. It's really pretty easy to fix. And I have now learned how to do it!
Podiatry is a pretty important thing for a family doc to know. Foot problems are so common! All diabetic patients reach a point when they need regular foot exams to trim nails and callouses and check for neuropathy. Athletes and regular people who work out have heel pain, pain in the ball of the foot, capsulitis. The foot is an amazing appendage - it bears all of our weight, allows us to walk, run, jump and gives stability and balance. So you can imagine how much of a beating the foot takes and how prone to injury it is! I've learned to recognize and treat plantar fasciitis, bunions, joint capsulitis, warts, ulcers, corns and callouses, fungal infections, arthritis, and lots of other conditions. I can inject steroids and anesthetics in the right spot to provide relief, take off all or part of a toenail without pain, and suggest exercises and inserts to relieve pressure on different parts of the foot. It has been a very practical two weeks.
September also included a trip to Colorado for our annual first and second year resident team building activity. Once again, the scenery and weather were spectacular. The aspens were just beginning to turn colors to yellow and orange. The air was fresh and cool. I enjoyed walking around Dillon Lake (reservoir actually) and up to Continental Falls. As one of the trip organizers, I had a bit more responsibility for all of the logistics. But even with that, I had time to enjoy the time away.
Well, all for now. My eyes are starting to close of their own accord. Miss you all!
