What to do....

[Fancynails]

Hi!
I got a new client yesterday, she told me on the phone that her nails were awful.... When she came, she fill in the record caard and washed her hands, I took cool blue and removed the polish... I have NEVER seen so ugly/bad nails!!! Her nails was totaly seperated from the nail bed (onycolysis) and her left hand look very strange like she has clubbed hands/nails.
She´s been to the doctor and is not fungal or psoreasis. It started 5 years ago.

No greeneis just dirt on the nailbed.... I asked her how she get the dirt away and she told me -Whit a toothpik.....
She allways were nailpolish in dark colour to hide the lifting...
Look at the picture and tell me what u think!!

 

[Bagpuss]

what pic hun

 

[BABSann]

Hi!
I got a new client yesterday, she told me on the phone that her nails were awful.... When she came, she fill in the record caard and washed her hands, I took cool blue and removed the polish... I have NEVER seen so ugly/bad nails!!! Her nails was totaly seperated from the nail bed (onycolysis) and her left hand look very strange like she has clubbed hands/nails.
She´s been to the doctor and is not fungal or psoreasis. It started 5 years ago.

No greeneis just dirt on the nailbed.... I asked her how she get the dirt away and she told me -Whit a toothpik.....
She allways were nailpolish in dark colour to hide the lifting...
Look at the picture and tell me what u think!!

Where is your picture?

 

[Fancynails]

Couldn´t get it in here :lol:

 

[S-j's]

Did she used to bite her nails? I am sure there must be something that she is not telling you. Trauma to the nails matrix could cause problems with the nails growing but lifting off the nail bed? We have experienced a few customers with a bit of lifting to the natural nail but that is after a nasty knock and it definatly doesnt last 5 years! It takes approximately 3-4 months for the nail to grow from the matrix to the free edge.

 

[Fancynails]

No, she hasn´t bite her nails. And there is onycolysis on EVERY nail. She told me that it started 5 years ago and the nail growes out but it lift right behinde the eponycium. She´s on no drugs or anything... And I don´t know what to tell her

 

[Bagpuss]

i don't think cleaning under her nails with a toothpick will help much either....she may have broken the Hyponychium doing this to roughly.

 

[S-j's]

So did you do extentions on her nails or was it a manicure? Has she had extentions on in the past 5 years or does she over buff her nails herself or anything? Sorry for asking so many questions!!

 

[geeg]

People ... this is for a dermatologist!!

I had a client just like this who had onycholysis for years and very far down.

She had never worn enhancements.

After 2 years of regular manicures and allot of care by this client, the condition never got better. FINALLY I convinced her to see a dermatologist. She had a rare type of nail fungus that was causing the problem. For one year she had to paint her nails both morning and night with a medication. The problem cleared after a year !! She was so grateful to get rid of it after years of covering it up with a dark polish and intermittent bouts of pain.

This is not in our sphere. Get her to see a dermatologist. You all know that this is not for us to guess at or try to figure out ... an expert is required and that is the advice we should give the client.

 

[Fancynails]

No she´s never had anything else (only polish)
I´ve shorten her nails and put two layers (thin) of brisa warm pink, (cover the lift....) and painted nail polish (creative 317 :lol: )
I didn´t want to put on gel first, but she paint her nails 2-3 times/week but if shé´s got gel the polish last longer and her nails needs som rest from the acetone. She´s got a new appointment on wendsday and she´s willing to come twice a week and use solar oil twice a day. I wrote in the reecord caard that she´s NOT alowed to use a toothpick under her nails!!

But I want to know what causes this problems

 

[Fancynails]

She´s been there and they told here, that they could "pull the nail" She didn´t want to do that...

 

[julia_james]

it seems a bit worrying that although you dont know what i s wrong with her nails that you still performed a service for her
we are taught at college that if we see anything that bad we are to refuse treatment and refer to a doctor as infections spread like wildfire if the person treating the client is unaware of the problem

 

[S-j's]

I really would read what Geeg has to say. If that was me I think I would have told her to go back to her doctors. There are limits to our business and I think that is it! And just think if there was any other problems caused during the time you do her nails she may blame you for it. Tell her you would like to keep in touch to find out how she gets on, but someone like a dermatologist would be able to help her more. Let us know what you decide to do though and what your client says! Good luck!

 

[Fancynails]

She´s seen a doctor not one or two times several times.... The past 5 years.... But they can´t find anything, There is NO fungus, no infection and no psoreasis...
But she pic´s on the nail and under... Whit a toothpick..

If she´s seen the doctor and there is no problems (Yes I know there is something....) BUT No infektion and she´s back on wendsday.

 

[geeg]

NOT a doctor. A specialist in nail disorders. She has a nail disorder. I repeat, she needs to see specialist. You should not be enhancing these nails. It will not cure her problem.

 

[julia_james]

NOT a doctor. A specialist in nail disorders. She has a nail disorder. I repeat, she needs to see specialist. You should not be enhancing these nails. It will not cure her problem.

well said geeg
this is not our line of work to diagnose problems that should be left to the specialists thats what they are trained to do

 

[1999judy]

I would advise her to go back to her GP and ask for a second opinion. I wouldn't touch her nails until she's done this. When she's done this a note from her doctor would also be a good idea.
We are not trained to diagnose these things.

 

[~Emmsybabes~]

well personally ,i would'nt go near these nails with a barge poll , never mind a toothpick !!!
you will be in a very akward position if the treatment you have carried out on this client causes an adverse reaction hun... i know she "says" the doctor said all was well ,but do you have written proof of this ?
mind you saying that if i was not happy with the state of the clients nails ,i still wouldnt preform treatment even with doctors consent!

please listen to geeg and when this lady next comes in ,tell her you have looked further into her case .and have found the problem WILL NOT be cured by twice weekly visits to you ,and solar oil,she needs to see a nail disorder specialist ....do a bit of research and find a few for her to contact,as left to do this on her own ,she probably wont !
hope it all gets sorted luv x

 

[Bagpuss]

I would advise her to go back to her GP and ask for a second opinion. I wouldn't touch her nails until she's done this. When she's done this a note from her doctor would also be a good idea.
We are not trained to diagnose these things.

don't think even a doctor will be able to rightly diagnose, derm would be better as Geeg has already said. x

 

[1999judy]

don't think even a doctor will be able to rightly diagnose, derm would be better as Geeg has already said. x

Yes usually it is your GP who will refer you in the first place, unless you go private.