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Date Posted: 22:40:22 08/05/99 Thu
Author: Melissa NC
Author Host/IP: host-216-76-176-21.gso.bellsouth.net / 216.76.176.21
Subject: I FOUND IT!
In reply to: Melissa NC 's message, "Re: What is it?" on 20:18:04 08/05/99 Thu

The white discoloration is a fungus...it's called white superficial onychomycosis WSO for short page 116 Nailpro Sept issue. My client gets to see some gross pictures next Weds. Ha! I feel so vindicated?!

> It's not dry and flaky, it's moist and peeling so
> probably not athelete's foot and it has never moved or
> changed ever. She wears tennis shoes and socks or
> sandals. She's in her late sixties but plays tennis
> once or twice a week. The only toe lifted from bed is
> a big toe that she damaged years ago, but that doesn't
> mean it can't get something under it which is also why
> I wanted her to go to doc. She's been a client for 2
> or 3 yrs? Pedi's for 1-2 yrs? About every 10-12 weeks
> ( don't suggest seeing her more often I just don't
> think I can! ) I was probably mostly grossed out when
> I voiced earlier because I had to just see her again
> and was so disappointed she didn't go to the doctor
> like she said she would. I'll keep politely but
> insistently pushing her to go, I am concerned mostly
> with the white discoloration on the surface of her
> nails.
>
> Thanks for the info. Where can I get a good photograph
> of athelete's foot?
>
> > Altheles foot can look like dry flaking skin. It is
> > usually between the toes and the skin looks to be
> > shedding (like a snakes) in small patchy sections.
> > Althletes foot is a yeast, which is of course a type
> > of fungus. It is extremely contagious. So for her
> > sake (and yours!) I would send here to the Dr now.
> > Eplain to her that left untreated the condition could
> > spread, and that if it affects her toenails (which
> > could be the white spot you mention) it will be much
> > harder (and lengthier and costly) to cure. Since you
> > don't mention her toenail being lifted up from the
> bed
> > (yet), it doesn't sound too bad (yet), and it could
> be
> > a systemic problem she has had for years, and her Dr
> > just might say it's OK. BUT, it sound to me, from
> the
> > condition of gnarly toes as if she is using you as a
> > replacement for visits to a podiatrist.
> >
> > Good podiatric care is important when dealing with
> the
> > elderly, because if her feet hurt to much to get out
> > and about, then she will start getting up and out
> less
> > and less often, weakening her stamina and mobility,
> > which then leads to decreased lung function and
> ending
> > up bedridden.... all because of something as simple
> as
> > feet! Did you know that hip fractures are the number
> 1
> > precursor to elderly death? Not because of the
> fractur
> > itself, but because of complcations that set it after
> > beeing bedridden to heal. This bedrest is like the
> > "kiss of death" for the elderly, because many can
> just
> > never bounce back.
> >
> > Explain to your client that she is taking a huge risk
> > with her health by not tending to her feet properly!
> > Her Dr can probably have her cleared up enough to
> > release her for another pedi without even missing
> one.
> > Tell her you know that she can probably just go
> > around the corner and find another salon willing to
> > work on her, but that you care about her enough as a
> > person to risk loosing her business over this.
> >
> > Since you just saw her, you might want to call her or
> > send her a note explaining the situation, and that in
> > order to assure you that your pedicures will help her
> > and not hurt here, she needs a doctors note stating
> > that she can receive pedicure services.

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