I saw a patient recently who has a condition called elephantiasis nostras verrucosis (ENV), a rare and unfortunate result of chronic lymphedema (in his case due to excessive weight). This is not a picture of his foot but his looked very similar. His ENV involves both lower extremities as well as his lower abdomen and scrotum. It very unlikely that his condition will improve much, unfortunately. He's miserable and depressed. He rarely leaves his home. I know he so wishes he could turn back the clock. I wish the same for him.
He has my complete empathy. It's the least I can do.