The audio appears to be a medical procedure involving the removal of an ingrown toenail and surrounding infected tissue. The doctor or medical professional discusses the procedure with the patient, explaining what they are doing and why. They also mention that the patient has a growth or tumor underneath the toenail, which they will remove.
The doctor notes that the patient has a lot of dead skin and infected tissue around the toenail, which they need to remove to prevent further infection. They also mention that the patient's toenail is very long and will need to be trimmed.
Throughout the procedure, the doctor and patient engage in conversation about various topics, including the price of meat, the impact of the COVID-19 pandemic on the medical profession, and the patient's experience with ingrown toenails.
After removing the infected tissue and growth, the doctor applies a cream and dressing to the affected area and provides the patient with instructions on how to care for the wound. The patient is advised to change the dressing once a day and to apply more cream if the wound bleeds.
The doctor notes that the patient may experience some bleeding and pain after the procedure, but this is normal and should subside within a few days.
Here are the key facts extracted from the text:
1. The speaker is describing a medical procedure to remove a toenail and surrounding tissue.
2. The patient had an ingrown toenail with a lot of dead skin and tissue buildup.
3. The patient had been experiencing pain and bleeding in the affected area.
4. The speaker is using a tourniquet to minimize bleeding during the procedure.
5. The procedure involves removing the dead skin and tissue, and trimming the nail.
6. The speaker discovers a growth or tumor underneath the toenail, which is likely caused by trauma or pressure.
7. The growth is described as a filiform fibroma, which is a type of benign tumor.
8. The speaker removes the growth and the surrounding tissue, and applies cream and gauze to the area.
9. The patient is advised to change the bandage once a day and to do a dressing change at night to prevent the gauze from sticking to the nail bed.
10. The patient is expected to experience some bleeding, which is normal, and may need to apply more cream and gauze to the area.
11. The speaker notes that the patient's store had a max capacity of 900 people, but was limited to 50% capacity during the pandemic.
12. The speaker mentions that the price of meat had increased significantly during the pandemic.
13. The speaker had to work in a busy and crowded environment during the pandemic, with many customers and limited distancing.
14. The speaker notes that some employees were nervous and didn't want to come to work during the pandemic.