Advise on Client's fungal Infection

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olabecee

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Hi,

Just need advise on what to do really. A man came in to me yesterday and booked and paid for a pedicure treatment for his wife for tomorrow. I was just wondering if I should treat this client as the husband mentioned she's got a fungal infection on her little toe. I haven't seen it myself but she's got an appointment with me tomorrow afternoon. Please can someone help me on this?
Also the husband wants to know if I can help with his split nails if he has a manicure. I would have recommended gel overlay if it was a woman but he's a man so can anyone give their advise please?

Thanks
 
As for fungus, it really depends on your country's regulations and your insurances... and if you feel confident. I am allowed to it, and when in such situation, first thing I say is - I can do it, but go to the doctors, because fungus is easily spread on other nails (which can easily be in case you mentioned, only client doesn't know yet). Also, fungus can spread on surrounding skin, especially inbetween toes, and to untrained eye it may seem just as dead skin.

Also, people forget that fungus can live in laundry and jump onto other in their house. Advise to not share slippers or socks with anyone, and if possible, not to wear same shoes every day and spray them with some disinfectant.

I mean, it's not all that yuckie, but fungus can change the shape of the nail, especially if there's any ingrown toenails, etc. and make it harder for you.

If you decide to do it, you can shorten the nail, but carefully, because fungus 'eats' the nail and makes it very easy breakable. You can also thin it on the top a little with your nail file, if it's gone thick.

But be firm and serious - fungus must be taken seriously.

Watch how you soak - don't use whirlpool bath (or how is it called...) or if you do, you must disinfect it triple thoroughly. And in the soak water - put some disinfectant (for skin, not one used for implements).

Throw away any files you use and clean and disinfect everything.

When it comes to applying lotions at the end, maybe I'm wrong, but I'm not confident massaging, I feel like I would spread all that fungus around :eek:

And if you do chose to deal with it, don't let them see you're uncomfortable, or even that you feel disgusted... rather don't do it, they will feel bad.

hth
 
This is my personal opinion....I would not treat somebody with fungal infections. I had a lady come to me a while ago with one, and I told her why I would not be able to do the treatment and explained a few things (like Cro-mari mentioned) and advised her she should go to the doctors. She did, it cleared up completely and now she comes to me. I dont know if this would be the right thing to do, but when I trained at college, we were told strictly that we were not to treat people with fungal infections as its very contagious. Hth xx
 
About your other question. yes you can overlay the mans nails if the split isn't caused by a fungus either? this is very rare but i have seen a man with a big crack in his nails, he'd been to the doctor and was told he had an uncurable fungal infection in that nail (very rare though), Chances are the split will grow out, but tell him that it will probably return when the overlay is removed, so his in for the long term... ( he could be lucky that it won't come back though, but...)

About the pedicure, I wouldn't do it, but follow the guides above if you choose to:hug:
 
Who diagnosed this 'fungal infection'? The GP or the husband?
If anybody apart from the GP did the diagnosis,how an you be absolutly sure of what it is ?
It would not be responsible of us as professional nail technicians to perform any treatment.(IMO)
I personally would not touch anybody with a possible infectious contraindication, it would be a 'get to your docs, and come back when it's cleared' from me ( in a nice way of course :lol:)
:hug:
 
I had a client in tonight for a pedi and when going though consultation she mentioned a fungal infection on her big toe. She is heavily preggers and cant take any meds for it so i did a quick file and polish. Then gave her the file and the polish to take. I used gloves and scrubbed everything.
 
I had a client in this morning for a facial and deluxe pedicure. Facial was fine but when we began talking about the pedicure she said oh yeah i have a fungal infection on my nails, which i'm taking medication for and a verucca on my foot, but its ok because it has bazooka on it.

At least you've been warned, lol. I have also been taught not to do nails with infections as its so contagious unless you wear gloves and throw away anything used.
 
If you chose not to perform pedicures on anyone with fungal infections, you'd lose about 25-30% of the population right there. And of those people, some will NEVER be able to clear the infection up, particularly the elderly. If everyone refused to perform services on these people, how awful would they feel? I personally like to make people feel better about themselves and not like a leper. Fungus is literally EVERYWHERE...all over our bodies and all over many surfaces. The only way to get an infection, is if you have an open body cavity, i.e: lifted/damaged toenail/fingernail or an open wound/cut or sore. A lot of you may not even know someone has a fungal infection, therefore are already performing services on them. I had a client once who had a VERY slightly yellow toenail after wearing a dark polish with no basecoat. There was a bit of white, which just looked like dryness from no basecoat/acetone removal. She decided to ask her derm about it, turned out to be a fungal infection. Never in my life would I have thought that was fungus.

I have never refused a client with a simple fungal infection. I only refuse if someone has an open wound, which WILL heal, unlike many fungal infections. And I never wear gloves. I have not (to this day) ever had a fungal infection on myself. But I don't perform services without gloves if I, myself, have an open wound.

I obviously thoroughly clean everything with a fungicidal disinfectant and I keep pedicure files/toe seperators for each specific client (disinfected, then put away). I recommend tea tree oil to everyone who is suspect. (I believe it works better than those harsh meds doctors put you on).

Someone who knows the actual facts can tell me if I'm wrong, but otherwise, it's working for me. I've never had a client come in with a fungal infection that didn't already have one when they first came to me. (so obviously me performing the service is nottransmitting it to other people). This is just to my knowledge...my beliefs, my experiences.
 
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Interesting, I myself would still think twice though as I hve no experience with that, as I have always turned it away....
Just a thought, do you wear something to cover your mouth when performing feet? I somewhere read that you could get fungal infection in your lungs if you breathe in the dust from the toenails with a fungal infection, I don't know if it's actually true? Would be nice to know...
 
Interesting, I myself would still think twice though as I hve no experience with that, as I have always turned it away....
Just a thought, do you wear something to cover your mouth when performing feet? I somewhere read that you could get fungal infection in your lungs if you breathe in the dust from the toenails with a fungal infection, I don't know if it's actually true? Would be nice to know...

It seems a bit scary, now that I think of it (and was a bit freaked after one Dr House fungus in the nose episode, but then again, that scenario was made to make Dr House glorious :green:)

The most common fungus that attacks feet is tinea pedis and yes, it can spread around easily, but the odds it goes into your lungs or blood... so I wouldn't go that far and panick. Because:

Fungus is literally everywhere, but only if you're in bad luck :green: or have body conditions that make you easily get it. That refferes to weak immunity caused by illness of some kind, or simply being very depressed/stressed.

Otherwise we would all have fungus! Shoe stores, spas, pools, not to mention locker rooms, hospitals, and anywhere where people go bare footed and there is moist. And yet, we don't get fungus, even though we all find ourselves at such places.

My tutor has 48 years of experience dealing with feet, fungus, warts, you name it. And yet she never did catch anything, nor she wears mask. We're talking chiropodist's pedicures. And she does pedicures with clients feet on the towel on her lap, and that's the way she taught me.

Important thing is to disinfect everything of course, but while working, protect yourself - if you have open wounds, wear gloves (otherwise I don't) and watch that nothing goes to your feet or under your nails. Since client's feet are really close to my face, I must admit I breath carefully through my nose, but not in some panic manner, iykwim...

The main problem, from my experience, is that fungus doesn't hurt (at early stages, afterwards it can cause nail disfiguration, or starts itching in athletes foot case). Most of the women wear their polish and rarely see their nails 'naked' to see any changes. And when I do mention fungus, some of them really get insulted, because they think that only 'dirty people' get fungus, or just say yes, and want polish again to hide it. And that's so wrong... and when few of those came again and again and did nothing about their fungus, I did show them horrid pictures of old fungus and said - that's what you'll get in few months :green: and they all ran away and got medical help and after some time - nails were clear :green:

I deal with fungus infected toes very often, but then again, I'm trained and allowed to.

But if someone doesn't feel confident, or his stomack goes up, then s/he might as well refuse it, and that's much easier in your countries, because, as I gathered, there are strick distinctions between salon pedicures and chiropodist's work. So it's ones personal choice and one can easily point that client to someone else.

hth
 
Theres a pretty strict line between those two in our country aswell. I'm not allowed to treat warts, fungus or anything like that or remove callus with knifes (cannot remember the correct term for that, sounds scary to say knifes but I'm sure you know) , but nice yo know that I can carry out other treatments with care.
Makes perfect sense what you are saying, guess it's easy to get scared about such things when you don't know enough about it.:)
Another question now, sorry for hijacking the thread, would you get rid of your files? or would sanitiser spray be efficient enough? Now I'm going to open up my own salon, I would like to not turn people away, I just always has were I have been working.
 
As for 'knives' we call it scalpels, as they are scalpel holders with disposable blades, just like surgical ones.

And for files? After clients like that, I do throw them away, but also spray them with disinfectant. I don't know which disinfectant you use, but on every one it should say 'what it kills'.
 
Scalpels yes thats the word...
Thanks for the info it was really helpfull to me, and I hope to the original poster too:hug:
 
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no problem :hug:
 
Thank you all for all the replies. Unfortunately my client couldn't make it on saturday as she was feeling poorly however her husband had already paid for the treatment so I'll fit her in some other time. I intend to check her feet when she comes in as I haven't seen them myself. If there's any infection, then I'll have to refer her to her GP and if it's nothing, then I'll go on with giving her the treatment.
Thanks del3 and the rest for bringing my awareness to the fact that I don't know yet if there's any fungal infection and if there is, who diagnosed it. I'll keep you posted on what happens next.

THANKS
 
just to change the subject a teeny bit!

I have a lovely client...told me (but hasnt showed me) her really bad toe nail fungal infection.

Apparrantly she's had it ages, i said 'you know what i read? I read that VICKS is supposed to be a really effective treatment'

'Whats it going to cost you? couple of quid to try it'

SO she's been using it religiously since i have been her nail tek - now 8 months...all smaller toes have shown remarkable improvement....and the 2 big toes are coming along nicely now too.

The ingredient that i read about is THYMOL, also present in Listerine etc....google it it makes interesting reading.

NB obviously i am no doctor and not qualified to DIAGNOSE or treat but....it has helped in THIS instance!:green:
 

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