CHARCOAL Foot and Other Amazing Pathology!

by John Steinberg, DPM PRESENT Editor Assistant Professor, Department of Plastic Surgery Georgetown University School of Medicine

I know your email box get's bombarded with a large volume of mail each day. Much of that mail is junk, much of it mundane, and much of it just plain work you would like to avoid. I hope you enjoy this particular RI email as I have taken a light hearted approach today as a break from the usual. I will let the pictures do the talking:

 

 

 

 

Well, this just speaks for itself! I received this consult from a primary care physician just this week. Not only does the patient have an amazing new pathology of 'CHARCOAL Foot', but I am given only 3 visits with which to fix it…

I think this photo should serve to re-assure each foot and ankle specialist that they know what they are doing. We seem to often doubt ourselves, but this photo should help to dissipate some of that.  

 

This patient presents with only thickened nails.  However, this was not your typical onychomycosis case, this was an overlapping onychoPSYCHOSIS.  The patient wrote up a 4 page description of the nail problem, complete with details on the type of 'powder' found under the nails to hands and feet.  Wow!

Go ahead, PUSH that Security Intercom button, make my day. From the looks of that intercom speaker, you might just need an ENT consult after the helpful security person answers your call. This photo was taken at a hotel which was hosting a recent CME event.

 

It's important to have the right perspective on things and to realize that we shouldn't always take life so seriously.  I hope these photos help to remind you of that!

Keep writing in with your thoughts and comments and visit eTalk on PRESENT Podiatry and start or get in on the discussion....we'll see you next week. Best wishes!

John Steinberg, DPM
PRESENT Editor
Assistant Professor,
Department of Plastic Surgery
Georgetown University School of Medicine
[email protected]

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