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How are you Marie?
Find, very well.
Marie, how many treatments we`ve done so far on your feets?
About 5 treatments.
5 Sessions...
I haven`t had any medication,
and was simply search over internet
and found this type of treatment was available
and 5 sessions later my feets improved.
Ok, and now you come back
to make a preventative treatment
because you felt some discomfort.
Yes.
Ok, tell us a little bit
how the previous treatments were performed,
were they non comfortable?
No at all,
during the treatment I felt only
the heat from the laser,
but minutes later,
the heat seensation dissapeared.
And contrary to the pain
I felt before doing treatment
while using shoes while walking around,
after the treatment the pain dissapeared.
This is the same story
I hear from 100% of the patients.
After the first session,
they feel completely relieved.
I mean, there are patients that
even when using shoes is painfull to them
or the weights of the sheets of the bed
cannot be tolerated.
Yes, I realize that
the more treatments I`ve got,
the more I could be without pain,
in the beggining after the first treatment
I was without pain for 3 days
and then the pain returned
We`re gonna start the treatment
with the HELIOS II Laser.
We set the mode at 1064nm,
4 mm, 10 HZ and 700 mJ.
Treatment consist in generating a caloric effect
as we are going to see now.
We move the laser permanently
to produce an homogeneous heating effect
across the whole surface of the nail...
...until the patient starts feeling some pain.
At this moment we stop.
With this we produce death of the fungus
without altering the quality of the adjacent tissue.
The effects on the fungus are 2,
one is related to the laser absorption
by the fungus chromophore
which is dark in color
and so, absorbs all the laser light,
thus heat builds up quickly
and produce fungus destruction.
So, we continue moving while firing
until the patient refers some pain,
then we stop the treatment.