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I've cut Moms toenails for her in the past but I was told I might want to have a podiatrist do it instead. Mom (82) does not have diabetes but she does have poor circulation in her feet and she is on coumdin. Her nails are very thick and even after a good soaking they are tough to cut. I am very careful to just cut across but still I worry I might nick her. I believe Medicare will cover a podiatrists visit, should I call her PC doc and ask? What do you all do?

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Call the podiatrist. One can come to your home. You'll be surprised how easy it is to take care of thick, and even deformed nails, when you have the right tools to do it.
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If in doubt, call in the professionals. Practice makes perfect, and they're brilliant at keeping twitchy feet still as well as the actual clipping.
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I decided to go with a podiatrist. I got a good referral from Moms geriatrician and medicare covers it if it's in office. Now it's a matter of convincing her to go and getting her there. They don't do appointments later in the afternoon or weekends when I can take her. Hopefully she will reconsider taking the cab service that elder services provides. Like me Brother can't get away from work and Sister...well best I keep a distance from her right now. Mom does have a friend who took her shopping this week and that worked out well. Here's hoping.
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If you can get your Mom to a podiatrist do so. I take my Mom every 9 weeks for a toenail trim. Medicare covers this in full. You do not have to be referred to a podiatrist by your PCP. This is a wonderful service that Medicare provides and I would strongly encourage you to use it.
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I have not heard of using a Dremel but I will look into it.
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Podiatrists are good, but have you tried a Dremel? Our podiatrist uses a similar tool to smooth out the thick nails.
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Podiatrist is the way to go once the nails become thick. I used a podiatrist for my husband, for my mother, and now for myself.
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