Here is a concise summary of the transcript:
**Patient's Situation:**
* Hadn't trimmed toenails in approximately 2 years due to difficulty reaching feet (bad knees)
* Resulting in extremely long toenails, one of which was partially detached and had accumulated dead skin and debris underneath
**Podiatry Appointment:**
* Technician (TB) trims and cleans patient's toenails, finding no signs of infection
* Discussion about:
+ Importance of regular nail trimming to prevent future issues (recommended every 2-3 months)
+ Proper foot care (using Epsom salt for soaking, drying thoroughly to prevent athlete's foot)
+ Patient's medical history (bad knees from playing football in university)
**Outcome:**
* Patient's toenails are successfully trimmed and cleaned, with no pain reported during the procedure
* Follow-up appointment scheduled for 2 months to monitor nail growth and adjust frequency as needed.
Here are the key facts extracted from the text, excluding opinions, with each fact numbered and kept as a short sentence:
1. The patient hadn't cut their toenails in approximately **two years**.
2. The patient has **bad knees**, which they attribute to past injuries.
3. The patient's **knees no longer function properly**.
4. The patient had **athlete's foot in their 20s**, which was solved with Absorbine Junior.
5. The patient **worked 12 hours a day outside** in their 20s.
6. The patient **played football**, specifically as a right halfback, for **two seasons at the University of Guelph**.
7. One of the patient's toenails **had ripped off**, but didn't bleed much.
8. The ripped-off toenail **came off in the patient's sleep**.
9. The patient **didn't feel pain** when the toenail ripped off.
10. The patient is advised to **use Epsom salt for foot soaks**.
11. The patient is instructed to **thoroughly dry between their toes** to prevent athlete's foot.
12. The patient's long toenails **had trapped dead skin underneath**.
13. One toenail **was completely lifted and not attached**.
14. The patient **had no signs of infection** under the affected toenail, just a scab.
15. The patient is scheduled to **return in two months** for a follow-up nail check.
16. If the patient's nails **don't grow too quickly**, the follow-up appointment might be extended to **three months**.