Original subtitles

♪♪

WHEN THE WORLD STOPS, MEDICINE KEEPS GOING.

IN THE HEART OF COVID LAND, THIS IS MY SETUP.

PEOPLE CAN'T QUARANTINE THE PAIN.

I WALK ON BROKEN GLASS, LIKE A RED-HOT KNIFE

ACROSS THE BOTTOM OF MY FOOT.

IN ISOLATION, PEOPLE CAN STILL REMAIN IN PAIN,

AND IT COULD GET WORSE.

Woman: ALL MY LIFE, I'VE HAD PEOPLE LAUGH AT ME, POINTING AT ME.

Woman #2: THEY ASK ME WHAT IT IS.

I DON'T KNOW WHAT TO SAY. [ SNIFFLES ]

THEY NEED HELP.

Man: IT'S REALLY GROWING ALMOST LIKE IT'S A VIRUS.

Woman #3: I HAVEN'T LEFT MY HOUSE IN A WHILE.

I'M READY FOR IT TO BE OVER WITH ALREADY.

BUT THROUGH TELEMEDICINE...

HI, SAVANNAH.

HEY. HOW ARE YOU DOING?

HEY, GUYS. HOW YOU DOING, DOCTOR?

...WE ARE ABLE TO REACH OUT AND TOUCH OUR PATIENTS.

LET US GET REARRANGED. [ LAUGHS ]

I KNOW THIS LOOKS KINKY, BUT...

I'M SO THANKFUL FOR YOU SHARING YOUR STORY.

IT REALLY MEANS A LOT TO ME THAT YOU'RE WILLING TO...

[Voice breaking] THAT YOU'RE WILLING TO HELP ME.

♪♪

OKAY.

ALL RIGHT, GOOD MORNING. TODAY,

I AM GONNA BE STARTING MY TELEMEDICINE CONFERENCE CALLS,

MAKING SURE PEOPLE STILL HAVE ACCESS TO HEALTHCARE.

I HAVE A FEW PATIENTS THAT WOULD LIKE TO DISCUSS THEIR ILLNESSES.

GETTING THEM TO THE RIGHT DIRECTION OF BEING BETTER.

Dr. Ebonie: SO MY FIRST PATIENT, HER NAME IS CORTNEY,

AND I DEFINITELY NEED TO TALK TO HER.

BUT FIRST, I WANT TO LOOK AT HER VIDEO

JUST TO GET TO KNOW HER A LITTLE BIT BETTER.

MY NAME IS CORTNEY COX. I'M 33 YEARS OLD.

I WAS BORN WITH ONE SIDE OF MY BODY

BIGGER THAN THE OTHER AND LONGER THAN THE OTHER.

SO THE PAIN IS MOSTLY ON THE LEFT SIDE OF MY ANKLE

AND THE RIGHT SIDE OF MY ANKLE. I CAN'T WALK AROUND

FOR MORE THAN TWO MINUTES IN THE GROCERY STORE.

I CAN'T WALK MY DOGS.

I BELIEVE THAT IF I DON'T HAVE SURGERY IN THE NEXT FIVE YEARS,

THAT I WILL NOT BE ABLE TO WALK, THAT I WILL BE IN A WHEELCHAIR.

THE ANKLE HURT HER MORE SO THAN THE TOES.

LET ME GO AHEAD AND GET HER ONLINE

SO WE CAN TALK ABOUT EVERYTHING.

HELLO.

HI. HI, CORTNEY. NICE TO MEET YOU.

NICE TO MEET YOU, AS WELL.

ARE YOU GUYS STILL IN QUARANTINE OR...

OH, YEAH. OH, YEAH, DEFINITELY.

I KNOW IN YOUR VIDEO YOU SAID THAT IT WAS

MOSTLY YOUR ANKLE JOINT THAT WAS HURTING YOU.

DO YOUR TOES HURT AT ALL? SO THE BIG TOE IN THE MIDDLE,

LIKE, THE THIRD TOE, IS ACTUALLY ALMOST COMPLETELY NUMB.

REALLY? OKAY. YEAH.

SO GROWING UP, LIKE, FRIENDS USED TO, LIKE, SHOVE,

LIKE, TOOTHPICKS AND STUFF INTO IT

JUST BECAUSE I COULDN'T... OH.

BECAUSE YOU COULDN'T FEEL IT. THEY'RE LIKE, "YOU FEEL THAT?"

SO THEY'RE LIKE, "YEAH, LET'S PLAY AROUND WITH THIS."

WOW. OH, MY GOODNESS.

THIS IS WHERE IT GETS A LITTLE TRICKY

BECAUSE I'M GONNA NEED TO SEE YOUR FOOT AND KIND OF GET

A BETTER... NO, I SHAVE DIDN'T THIS MORNING

WHEN I GOT IN THE SHOWER. OH, DANG IT.

[ BOTH LAUGH ]

WELL, HERE WE GO.

WHAT I WANT YOU TO DO IS JUST TILT THE COMPUTER SCREEN DOWN

AND YOU KIND OF, LIKE, SCOOCH AROUND.

YOU'RE GONNA HAVE TO DO SOME KIND OF, LIKE, ACROBATS

TO HELP ME SEE.

ALL RIGHT. I'll FIGURE THIS OUT.

ALL RIGHT. SO...

♪♪

ALL RIGHT, SO...

♪♪

I HAVE NEVER SEEN A FOOT LIKE CORTNEY'S BEFORE.

IT'S VERY SHOCKING.

OKAY, CAN YOU SHOW ME THE BOTTOM OF YOUR FOOT?

I MEAN, I CAN PUT MY FOOT UP ON THE TABLE

AND PUT IT RIGHT IN FRONT OF THE CAMERA IF THAT HELPS.

I WAS A CHEERLEADER AT ONE POINT,

YOU KNOW, BEFORE... YOU'RE FLEXIBLE, THEN.

OKAY. HOW'S THAT?

THAT'S PERFECT.

OKAY, THERE'S ANOTHER BUMP THAT'S, LIKE, DOWN MORE.

USE YOUR CHEERLEADER FLEXIBILITY

AND REACH A LITTLE BIT FURTHER.

GIRL, I WAS A CHEERLEADER, LIKE, 20 YEARS AGO.

THERE WE GO. RIGHT THERE. WHAT DOES THAT FEEL LIKE?

THAT FEELS SOFTER. THAT FEELS SOFTER.

OKAY, GOOD EXAM THERE. OKAY.

CAN YOU POINT TO WHERE IT HURTS, LIKE, ON THE BALL OF THE FOOT?

SO THIS IS WHERE THE EXTRA, LIKE, FATTY TISSUE IS.

SO THAT'S WHERE IT HURTS TO PUT PRESSURE.

AND THEN THIS IS THE SPOT WHEN I PUT PRESSURE ON IT,

IT SENDS SHOOTING PAIN UP MY FOOT.

RIGHT. OKAY.

SO IN LOOKING AT YOUR PAST X-RAYS,

IT LOOKS LIKE YOU HAVE EXTRA BONY GROWTH AROUND THAT JOINT

BECAUSE IT'S JUST SO OVERGROWN.

CAN YOU BEND IT UP AND DOWN LIKE THAT?

I CAN WIGGLE THIS GUY.

AND THE LITTLE ONE.

THIS GUY'S THE ONLY ONE I CAN REALLY MOVE.

CORTNEY, CUTE TOENAIL-POLISH COLOR.

I LIKE THAT COLOR. [ LAUGHS ]

MY BOYFRIEND DID IT FOR ME

BECAUSE I CAN'T REALLY PAINT MY OWN TOENAILS.

AW.

YOU CAN GO AHEAD, AND YOU PUT IT DOWN.

OH, HI, PUPPY. [ LAUGHS ]

WHAT DID YOU WANT ME TO DO?

OH, MY GOSH. I LOVE DOGS.

THAT'S JOEY, AND THEN THIS IS ABBY COMING,

JOEY AND ABBY. OH, MY GOSH.

[ LAUGHS ]

THEY'RE SO CUTE.

YOU CAN PUT THE CAMERA DOWN, AND YOU CAN SIT.

YOU CAN REST NOW. OKAY. ALL RIGHT.

SO, CORTNEY, YOU HAVE A CONDITION

CALLED HEMIHYPERTROPHY.

IT'S A GENETIC MUTATION, AND WE DON'T KNOW WHY IT HAPPENS.

AND BECAUSE OF THAT, YOUR FOOT DID NOT DEVELOP NORMALLY.

SO YOU HAVE ARTHRITIC TOE JOINTS.

SO WE HAVE TO FIGURE OUT A WAY... HOW WE CAN,

FIRST OF ALL, DEBULK YOUR FOOT, WHICH BASICALLY MEANS

TO TAKE AWAY ALL OF THE EXCESS SOFT TISSUE

THAT'S NOT NECESSARY TO BE THERE.

THE OTHER ASPECT IS, THE SITUATION WHERE YOUR TOES

ARE NOT PART OF YOUR WEIGHT-BEARING SURFACE

AS IT IS RIGHT NOW, IT'S ACTUALLY A SOURCE OF PAIN.

WHAT I CAN THINK OF RIGHT NOW IMMEDIATELY THAT CAN HELP

IS AMPUTATION OF THOSE TWO DEFORMED TOES.

IF THE GOAL IS FOR YOU TO BE NOT IN PAIN,

THIS IS THE BEST OPTION FOR YOU.

AND THAT OPTION IS AMPUTATION.

I THINK IT'S A VIABLE ONE.

I REALLY JUST WANT TO HAVE A BETTER QUALITY OF LIFE.

AND THEN THE OLDER I GET, THE MORE PAINFUL IT IS,

AND IT GETS LARGER AND LARGER,

I FEEL LIKE. YOU KNOW, I DON'T WANT

TO BE IN A WHEELCHAIR BY THE TIME I'M 40.

IT MAKES ME FEEL LIKE I DON'T WANT TO HAVE KIDS

BECAUSE I DON'T SEE HOW I CAN TAKE CARE OF THEM,

THAT I'M GONNA HOLD MY BOYFRIEND BACK

BECAUSE HE WANTS TO HAVE KIDS SOMEDAY.

SO IT'S JUST... IT'S A CONSTANT STRUGGLE EMOTIONALLY.

IT REALLY IS. ABSOLUTELY.

I CAN UNDERSTAND THAT, FOR SURE.

SO WE DEFINITELY NEED TO GET RECENT X-RAYS

AND ALSO AN MRI IN ORDER TO MOVE FORWARD

WITH ANY TYPE OF SURGICAL PLANNING.

BASICALLY, I WANT TO SEE YOU AGAIN,

BUT NEXT TIME, HOPEFULLY IN PERSON

ONCE EVERYTHING LIFTS WITH THE QUARANTINE.

SO WE'VE GOT TO GET YOU WALKING YOUR DOGS,

HAVING BABIES, AND GOING ON VACATION.

[ LAUGHS ] THANK YOU.

NO ONE'S FOOT SHOULD BE THE DETERMINING FACTOR

OF WHETHER OR NOT THEY CAN START A FAMILY.

THANK YOU. I APPRECIATE YOUR HELP

NO WORRIES. ABSOLUTELY HAPPY TO HELP.

ALL RIGHT. YOU TAKE CARE. ALL RIGHT. YOU, TOO.

LET US GET REARRANGED. [ LAUGHS ]

I KNOW THIS LOOKS KINKY, BUT...

WHATEVER WORKS HERE IN TELEMEDICINE

STAYS IN TELEMEDICINE.

WOW. THIS KIND OF STUFF, YOU SEE ONLY IN A TEXTBOOK.

IT CAN FEEL, LIKE, A HAMMER HITTING ME

IN MY FOOT, LIKE SOMEBODY TASED ME.

I JUST BASICALLY ROCKY BALBOA THROUGH IT.

Dr. Sarah: THEY'RE COLLAPSED. THEY'RE DEFORMED.

THERE'S NO EASY ANSWER FOR THIS.

♪♪

♪♪

Dr. Brad: MY FIRST PATIENT IS GLENN STEVENS.

I HAVE AN APPOINTMENT WITH HIM COMING UP.

I WANT TO TAKE A LOOK AT HIS FEET, EXAMINE THEM,

AND SEE WHAT'S GOING ON.

BUT FIRST, I WANT TO TAKE A LOOK AT THESE VIDEOS HE SENT ME.

MY NAME IS GLENN STEVENS. I'M 56 YEARS OLD.

I LIVE IN EASLEY, SOUTH CAROLINA.

Sharon: HI. MY NAME IS SHARON STEVENS.

I'M GLENN'S WIFE.

HIS FEET, I'M DESCRIBING THEM

AS MAYBE A CLAW, LIKE A LOBSTER CLAW.

AND I LOVE YOU SO MUCH.

YOU KNOW I WOULDN'T MAKE FUN OF IT.

WHEN WE GO TO RED LOBSTER,

HE SAYS, "MY FEET ARE ON THE DOORS."

WHOA.

THIS IS A SUPER-RARE CONDITION.

I'VE BEEN TO DOCTORS ABOUT MY FEET HURTING.

BUT NO DOCTOR'S EVER GIVEN ME A DIAGNOSIS

ON WHY MY FEET'S LIKE THAT.

IF MY FEET WERE FIXED, I'D FEEL GREAT, 'CAUSE

I WOULD FEEL AS YOUNG PHYSICALLY AS I DO INSIDE,

YOU KNOW, IN MY HEART. YEAH.

WOW, MAN. MY HEART REALLY GOES OUT FOR GLENN.

THAT MUST HAVE BEEN TRYING THROUGHOUT HIS LIFE.

GLENN HAS ECTRODACTYLY.

IT KIND OF MAKES THE FEET LOOK LIKE A LOBSTER CLAW.

YOU KNOW, IT'S A CONDITION THAT YOU WERE BORN WITH.

YOU KNOW, WHAT HAPPENS IS, THOSE BONES FORM IN A DIFFERENT WAY.

THERE'S A LOT THAT I WANT TO, YOU KNOW, FIND OUT FROM GLENN

AND REALLY DIVE INTO,

YOU KNOW, HOW ECTRODACTYLY HAS MADE HIM FEEL

AND THE PAIN THAT HE IS CURRENTLY IN.

SO LET'S GET GLENN UP HERE.

HEY, GLENN.

HOW WE DOING? - GOOD. HOW ARE YOU?

I'M WELL, THANK YOU.

GLENN, I JUST STARTED CHECKING OUT SOME OF THE PHOTOS

AND VIDEOS THAT YOU SENT OVER.

WHEN YOU WERE YOUNGER,

DID ANYONE TALK TO YOU ABOUT GETTING SURGERY ON THOSE FEET?

NOT ME PERSONALLY. OKAY.

NOW, I HAD THAT TOE TAKEN OFF WHEN I WAS YOUNG

BECAUSE IT BOTHERED ME REAL BAD.

NO ONE FROM YOUR FAMILY HAS HAD THIS?

NO, SIR. WOW. ALL RIGHT, GLENN.

SO THE NEXT THING THAT I'D REALLY LIKE TO DO

IS REALLY TRY TO EXAMINE YOUR FEET.

BUT MY TRUSTED ASSISTANT OVER THERE IN SOUTH CAROLINA

IS GONNA BE HELPING ME OUT, RIGHT?

YEP. ALL RIGHT.

YOU READY?

READY.

AND THEN IF YOU COULD JUST KIND OF PUT YOUR FOOT

UP INTO THE CAMERA.

ALL RIGHT.

WOW.

OKAY, NOW, IF YOU COULD JUST MOVE THEM AROUND...

OKAY?

GLENN, DOES THAT HURT, BUDDY?

NO, THAT THERE DON'T, NO.

OKAY.

PROBABLY FEELS GOOD, RIGHT?

YES. YOU CAN KEEP UP WITH THAT.

GET A LITTLE MASSAGE THERE.

THAT DOESN'T HURT ANYBODY.

NOW, RIGHT THERE WHERE SHE'S AT NOW,

IF MY FOOT WAS IN PAIN, THAT WOULD HURT.

OH, THE ANKLE. OKAY.

YOU KNOW, A LOT OF TIMES, IN THAT AREA,

YOU CAN DEVELOP, LIKE, A PINCHED NERVE IN THERE.

IT'S CALLED TARSAL TUNNEL SYNDROME.

IT'S KIND OF LIKE THE SAME THING WE GET

IN THE WRIST, LIKE CARPAL TUNNEL.

SO THAT COULD BE THAT.

AND IT'S REALLY JUST THE WAY THAT YOU'RE CHANGING,

THE WAY YOU'RE WALKING.

THE OTHER FOOT LOOKS WORSE TO ME,

AND IT GIVES HIM THE MOST PROBLEMS.

LET'S TAKE A LOOK AT THE LEFT FOOT, ALSO.

LET US GET REARRANGED. [ LAUGHS ]

I KNOW THIS LOOKS KINKY, BUT...

[ LAUGHS ]

THAT'LL WORK. THAT WORKS.

YEAH, YOU KNOW, THAT ONE DOES LOOK A LITTLE MORE EXTREME.

YEAH, LIKE... YEAH. NO DOUBT.

A LOT OF HIS PAIN IS IN THIS ANKLE.

AND WHEN HE'S IN PAIN, THIS TENDS TO BE REAL...

VERY, VERY RED AND SWELLED.

I HAVE TO HELP HIM GET OUT OF THE TRUCK

SOMETIMES WHEN HE GETS HOME FROM WORK.

THAT'S HOW MUCH PAIN HE'S IN.

RIGHT. NOW, SEE, THAT HURTS

LIKE CRAZY RIGHT THERE.

THAT HURTS. RIGHT.

WELL, LET'S NOT TORTURE THE GUY ANY MORE HERE.

[ LAUGHS ] I'M ENJOYING THIS.

GLENN, WHAT I'D LIKE TO SEE NOW, IF IT'S OKAY WITH YOU,

SOMEHOW IF WE CAN JUST MANEUVER THE COMPUTER,

AND THEN WE'LL HAVE YOU WALK AROUND A LITTLE BIT.

I JUST WANT TO SEE HOW YOU'RE, YOU KNOW,

GOING ABOUT YOUR DAILY DAY.

WHAT WE WANT TO DO IS, YEP,

PICK UP THE LAPTOP, PUT IT DOWN.

OKAY, THAT'S ACTUALLY PERFECT.

ALL RIGHT. I CAN SEE IT VERY CLEARLY.

IF WE COULD MAYBE JUST GET A QUICK SHOT THERE OF THE TOES

MOVING A LITTLE BIT MORE, WOULD BE...

I CAN CLEARLY SEE IT NOW. A LOT BETTER.

OKAY, EXCELLENT. GOOD JOB.

DOES IT HURT EVERY STEP YOU TAKE,

OR IS IT MORE WHEN YOU'RE ON IT

FOR AN EXTENDED PERIOD OF TIME?

MORE WHEN I'M ON... AN EXTENDED PERIOD OF TIME.

IT KIND PROGRESSIVELY GETS WORSE AS THE DAY GOES ON.

Dr. Brad: I REALLY WANTED TO SEE HIM WALK AROUND,

AND WITH ECTRODACTYLY, THAT CAN BE A CHALLENGE.

AND WHEN HE WAS WALKING, I MEAN, I CAN ONLY IMAGINE

WHAT THAT MUST FEEL LIKE EVERY SINGLE DAY.

Donald: EVERY DOCTOR I'VE SEEN HAS NO IDEA HOW I'M WALKING.

HE'S WALKING AS IF THERE BASICALLY IS NO FOOT.

IT'S JUST SLAPPING THE SIDE.

OH, MY GOODNESS.

♪♪

♪♪

Dr. Brad: NOW, COULD YOU JUST WALK TOWARDS THE COMPUTER?

THERE YOU GO.

GLENN HAS ECTRODACTYLY.

IT KIND OF MAKES THE FEET LOOK LIKE A LOBSTER CLAW.

I REALLY WANTED TO SEE HIM WALK AROUND, AND WITH ECTRODACTYLY,

THAT CAN BE A CHALLENGE.

THANK YOU FOR WALKING AROUND.

I KNOW THAT WAS PAINFUL AND DIFFICULT.

ALL RIGHT. GLENN AND SHARON.

SHARON, THANK YOU SO MUCH FOR BEING MY ASSISTANT.

SO, LOOK, MAN, WHEN YOU'RE OVERCOMPENSATING

WITH SOMETHING LIKE THIS,

EVERY STEP YOU TAKE IS GONNA BE UNEVEN.

AND WHEN THAT HAPPENS, YOUR HIP

IS GONNA BE OFF ON THE OTHER SIDE.

YOUR KNEE IS GONNA BE PAINFUL.

EVERYTHING IS TRYING TO COMPENSATE FOR THIS ONE ISSUE,

AND THAT'S CAUSING YOU UNCONTROLLABLE PAIN.

THAT WAS THE REASON I WROTE IN TO Y'ALL ABOUT HIS FEET,

BECAUSE I GET SO FRUSTRATED MYSELF

THAT I CAN'T HELP HIM MORE.

SO THERE IS A SURGERY THAT CAN HELP YOU.

IT'S CALLED A SYNDACTYLIZATION PROCEDURE.

SO A SYNDACTYLIZATION PROCEDURE

IS BASICALLY AN INCISION ALONG THE SPLIT AREA.

AND WHEN THIS AREA IS SPLIT, WE'RE GOING TO THEN

SUTURE IT BACK TOGETHER, AND THEN IT'S GONNA

GIVE THE APPEARANCE OF A NORMAL-LOOKING FOOT.

YOU'RE GONNA BE IN SHOES BETTER.

IT'S GONNA BE CAUSING EVERY STEP TO BE LESS PAINFUL.

AND I THINK YOU'LL BE A LOT MORE HAPPY.

IT'S NOT USUALLY DONE IN ADULTS.

IT'S USUALLY DONE IN KIDS, BUT IT CAN BE DONE.

I THINK SURGERY OR, YOU KNOW,

ANYTHING THAT WOULD BENEFIT GLENN'S FEET AND HIS PAIN LEVEL

WOULD ABSOLUTELY BE BETTER FOR HIS QUALITY OF LIFE.

WE MISS OUT ON A LOT.

ABSOLUTELY.

THE NEXT STEP... WE'RE GONNA SEE YOU IN MY OFFICE.

WHAT WE'RE GONNA DO IS, WE'RE GONNA GET SOME X-RAYS,

SOME MRIs, AND WE'RE REALLY GONNA MAKE SURE

THAT WE GET THE EXACT SURGICAL PLAN THAT YOU NEED.

- THANK YOU. - SO I'M REALLY APPRECIATIVE

OF HAVING YOU ON HERE AND TALKING TO YOU.

YOU BOTH ARE AWESOME PEOPLE. SO THANK YOU.

AND IT'S A PLEASURE TO MEET YOU BOTH.

AND I CAN'T WAIT TO SEE YOU.

OKAY. BYE, GUYS.

BYE. TAKE CARE, BRAD. YEAH.

♪♪

ALL RIGHT, GOOD MORNING. IT'S ANOTHER DAY OF TELEHEALTH.

I HAVE MY COFFEE READY,

LEGGINGS ON FOR MY PILATES SESSION LATER.

I'M DR. SARAH HALLER.

I'VE BEEN FRIENDS WITH BRAD FOR A LONG TIME.

AND WE ASSIST EACH OTHER IN SURGICAL CASES

FROM TIME TO TIME.

SEE, LIKE, THIS GUY?

[ SIGHS ] HIGH FIVE.

MY FIRST PATIENT FOR THE DAY IS DONALD BRISSET.

I'M VERY, VERY INTERESTED TO CHECK OUT HIS CASE FILE.

LET'S CHECK IT OUT TOGETHER.

DONALD BRISSET. NEW ORLEANS, LOUISIANA.

I'M 40 YEARS OLD.

I WOULD DESCRIBE MY FEET... VERY FLAT

WITH A GOLF BALL ON TOP

BECAUSE THAT'S PRETTY MUCH WHERE MY ANKLE IS.

WOW.

WHEN I WAS BORN, MY FEET WERE TURNED IN.

AT 6 MONTHS OLD, I HAD TO GET SURGERY AT CHILDREN'S HOSPITAL.

AND THEY NEVER THOUGHT I'D WALK.

LITERALLY I'VE DRIVEN TO DOCTORS, MADE APPOINTMENTS.

THEY'D JUST TURN ME AWAY AND SAY THERE'S NOTHING THEY CAN DO.

"HAVE A NICE DAY."

I WOULD LOVE TO NOT HAVE PAIN AND KNOW WHAT IT IS

JUST TO WAKE UP WITH REGULAR FEET IN THE MORNING.

I WOULD LOVE FOR ANY TYPE OF CHANGE.

WOW, WHAT A POWERFUL STORY.

YOU CAN IMAGINE THE PAIN AND SUFFERING THAT THE MAN

IS GOING THROUGH.

IT'S SO SEVERE, I'M AMAZED THAT HE'S WALKING.

SO LET'S DIVE INTO OUR APPOINTMENT WITH DONALD.

HEY, THERE.

HI, DR. SARAH. IT'S NICE TO MEET YOU.

NICE TO MEET YOU, TOO. THANKS FOR ALL YOU'RE DOING.

SO FOR THE TIME BEING, WHAT HAVE YOU BEEN DOING?

IT'S QUARANTINE.

YOU'RE HANGING OUT AT HOME, I IMAGINE.

KIDS' HOMEWORK. MUCH PROPS TO THOSE TEACHERS OUT THERE

THAT TEACH. RIGHT?

I HAVE TWO BOYS, AND THEY DON'T STOP.

OH, MY GOSH. ALL RIGHT.

SO LET'S SEE THESE FEET. WHAT ARE WE LOOKING AT?

ALL RIGHT. OH, BOY.

I'M GONNA TAKE THESE OFF.

AND I DON'T KNOW IF YOU CAN GET IN THERE

PRETTY GOOD ON THAT.

LET'S SEE THE OTHER SIDE.

LET'S GET THAT.

WOW.

THAT'S A LOT OF SCARRING, YEAH.

DONALD HAS A MULTITUDE OF ISSUES.

AND IT'S NOT JUST ONE FOOT. IT'S BOTH FEET.

THEY'RE COLLAPSED. THEY'RE DEFORMED.

HE HAS THE HEEL BONE KICKING OUT TO THE SIDE,

AND HIS TOES ARE STARTING TO CURL.

THERE'S NO EASY ANSWER FOR THIS.

♪♪

LOOK AT THAT ANKLE OF YOURS.

YEAH, THAT DEFINITELY SHOOTS OFF WAY TO THE SIDE.

DONALD HAS A MULTITUDE OF ISSUES.

AND IT'S NOT JUST ONE FOOT. IT'S BOTH FEET.

THIS PART HERE IS ACTUALLY MY ANKLE.

SO YOU'VE JUST BEEN KIND OF WALKING AROUND WITH THAT

FOR 40-PLUS YEARS.

THE PAIN HAS TO BE EXCRUCIATING.

IT CAN FEEL, LIKE, A HAMMER HITTING ME IN MY FOOT.

IT CAN FEEL LIKE SOMEBODY TASED ME.

AND I JUST BASICALLY ROCKY BALBOA

THROUGH IT, YOU KNOW?

SO LET'S SEE YOU WALK, DONALD.

YOU GOT IT, DOC. BUT NO SECOND-LINING.

I CAN'T DO THAT ON TILE FLOOR HERE.

TILE IS BAD, TILE IS BAD. I GET THAT.

LET'S PUT YOUR COMPUTER ONTO THE GROUND.

YOU MIGHT GET A DOG IN THE SHOT, BUT IT'S OKAY.

THAT'S EVEN BETTER. OH, WOW.

LET ME KNOW IF YOU CAN SEE.

DEFINITELY CAN SEE. YOU'RE DOING AWESOME.

WHAT'S CRAZY IN DONALD'S CASE IS, WATCHING HIM START WALKING,

HE'S BASICALLY WALKING ON THE SHINBONE.

IF THIS WAS YOUR LEG AND THIS IS YOUR FOOT,

HE'S LITERALLY DISARTICULATING AT THE LEVEL OF THE ANKLE,

WHICH HAS TO BE NOT ONLY PAINFUL,

BUT, I MEAN, HIS JOINT HAS TO BE COMPLETELY ERODED.

GEEZ. THOSE TOES,

I MEAN, YOU CAN SEE THEM AS THEY TRY AND GRIP THE...

OH, MY GOODNESS. LET'S BRING YOU BACK UP.

I MEAN, IT SEEMS TO ME LIKE WHAT YOU HAVE GOING ON

IS AN OVERCORRECTED CLUBFOOT,

MEANING YOUR FOOT WAS TURNED IN

AND THEY CASTED YOU SO FAR OUT,

THIS INSIDE PART OF YOUR ANKLE NOW TOUCHES THE GROUND,

WHICH IS OBVIOUSLY NOT NORMAL.

SO A POTENTIAL SURGICAL OPTION

FOR YOU WOULD BE SOMETHING CALLED AN EXTERNAL FIXATOR,

WHICH IS BASICALLY, LIKE, A CONTRAPTION

THAT GOES ON THE OUTSIDE OF YOUR FOOT AND ANKLE

AND ACTUALLY GOES ALL THE WAY INSIDE TO THE BONE.

SO IT ALLOWS US TO CORRECT THE ANGULAR DEFORMITY

THAT YOU DO HAVE AND BRING THAT ARCH BACK UP.

THE HARD PART IS, IS YOU'RE TALKING ABOUT A LONG,

LONG RECOVERY

OVER A MULTITUDE OF MONTHS.

I THINK THE NEXT STEP

WOULD REALLY BE GETTING YOU IN THE OFFICE

AND KIND OF GO MAKE A SURGICAL PLAN FROM THERE.

WHAT DO YOU THINK ABOUT THAT?

I THINK MY FOOT'S IN YOUR HANDS.

SOUNDS AMAZING.

SO I REALLY, REALLY WANT

TO SCHEDULE THIS THING IN THE OFFICE.

WE'LL GET YOU, YOU KNOW, UP AND RUNNING AS FAST AS WE CAN.

THAT SOUNDS GREAT. I APPRECIATE EVERYTHING YOU'RE DOING, SARAH.

NO, THANK YOU. OR DOC SARAH. SORRY.

I DON'T MEAN TO CALL YOU JUST BY YOUR FIRST NAME.

IT SEEMS LIKE WE'VE GOTTEN TO KNOW EACH OTHER,

LIKE WE'RE FRIENDS NOW, OVER THIS.

I LOVE IT. I MEET YOU ONCE, AND WE'RE BESTIES.

IT'S TERRIFIC. ALL RIGHT. WE'LL TALK TO YOU SOON, OKAY?

ALL RIGHT. THANKS FOR EVERYTHING YOU'RE DOING, SARAH.

ABSOLUTELY. THANK YOU.

IT'S AN EXTREME CASE UNDOUBTABLY.

PROBABLY ONE OF THE WORST I'VE EVER SEEN.

THIS IS NOT A STANDARD SURGERY THAT YOU DO EVERY SINGLE DAY.

THIS IS SOMETHING THAT WOULD TAKE IMMENSE PLANNING.

BUT I'M COMMITTED.

I WANT TO GET THIS MAN BACK ON HIS FEET

AND LET HIM, YOU KNOW, RUN AROUND WITH HIS KIDS

AND GET HIM BACK UP AND RUNNING INTO THAT SECOND LINE FOR SURE.

I WANT TO SEE HIM.

CORTNEY'S AN AMAZING YOUNG WOMAN,

AND I WANT TO GET HER INTO SURGERY.

I WANT CORTNEY TO BE ABLE TO WALK HER DOGS MORE.

AND ALSO, I WANT HER TO BE ABLE TO PLAN A FAMILY

SO SHE CAN ONE DAY CHASE AFTER HER TODDLERS.

YOU KNOW, GLENN HAS A CONDITION THAT IS SO RARE.

I DO THINK WE HAVE A SURGICAL OPTION

TO GET THOSE DIGITS TOGETHER.

YOU KNOW, WHAT I WANT TO DO IS SEE HIM IN MY OFFICE

ONCE QUARANTINE ENDS, EVERYBODY'S SAFE.

I'M REALLY LOOKING FORWARD TO MEETING THEM BOTH

AND SEEING HOW I CAN HELP.

PEOPLE WANT TO KNOW WHAT I'M WEARING

ON MY FEET OR ON MY PANTS.

SO BASICALLY, I'M WEARING SOME SWEATS. [ LAUGHS ]

AND I'M NOT ACTUALLY WEARING ANY SHOES.

SO I KNEW TODAY WAS GOING TO BE CRAZY.

I KNEW I NEEDED TO BE COMFORTABLE.

I'M DEFINITELY STILL ROCKING MY JAMMIES FROM BED,

HAVE MY KILLER BOOTS ON.

THEY'RE FILLED WITH FEATHERS.

IT'S BASICALLY LIKE I'M WALKING ON PILLOWS.

I'M GONNA GO RELAX RIGHT NOW.

THE DAY IS OVER. SEE YOU GUYS LATER.