Conversation: The conversation between human and AI assistant.
[|Human|] My son s great toe and the toe next to it are infected. One doctor told him that he has trench foot. He hurt his great toe at work, it jammed the toenail back into the curticle. The skin on this great toe started to peel off and swell, then it split in the crease, the second toe started to turn red and peel off. He has a lot of pain in his foot and it travels up into his calf and behind his knee. He had an MRI which didn t show any infection in the bone but the pain is really bad. He was told by wound care to let it dry but it looks worse now than before. This has been going on for more than two months. The pain is so bad he can t sleep. He is a coalminer. He has changed socks often while working. No one seems to want to do any thing to help him. His foot has started to swell now. What is the next course he needs to take. in
[|AI|]  Hello, As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your Doctor [dermatologist] and do CBC with differential.2) Discuss with your Doctor about injectable antibiotics like [Ceftriaxone].3) Try to elevate the affected area for quick recovery and clean affected part in antibiotic solutions. Do follow lifestyle modifications like this:1) Wash your wound daily with soap and water. Do this gently as part of your normal bathing.2) Apply a protective cream or ointment. For most surface wounds, an over-the-counter antibiotic ointment (Newsprint) provides adequate protection.3) Try to cover your wound with a bandage. Change bandages at least daily.4) Watch for signs of infection. Redness, pain, and Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.