526 Pediatric Medical Emergencies & Anesthesia: Prepared, Not Panicked

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If I'm giving an IAA, I'm going to be putting a big bubble in your cheek.

It's going to stretch your cheek really big, so you'll definitely feel that.

A lot of kids say it feels funny, but it's normal, just.

The most important thing you need to do is hold still, and you're going to feel me like

shake in your cheek, or if I have an assistant, I will have them spray water and suction

at the same time.

So if you have multiple things going on at once, then they're not focused on what's actually

going on.

There's a poke back there.

I don't say sorry to patients, because if I say sorry to them, then that implies that

I've done something wrong.

I haven't done anything wrong by getting them numb.

It doesn't feel great, but I'm trying to help them get through the appointment.

And that not only helps them know that I'm not doing something wrong, but it also helps

me because it's hard.

It's so hard to do this to little kids.

It can be really taxing emotionally.

Welcome back listeners to a tell of two hygienist podcasts.

We are your host, David Torres.

And I am here with the best co-host ever, my period, don't tell partner and crime, as

you specialist, the harder terminator miss Jessica Atkinson, harder terminator.

I need a t-shirt that says harder terminator.

I really like that.

That was a good intro, Dave.

Good intro.

I just found out today that Dave feels more adult when people call him Dave.

So this is what we're going to, I'm going to have a new habit of calling him Dave, because

I already have created a habit of David.

So it's going to be if I slip into David, Dave, I'm sorry, but it's okay.

I get it.

You would think that after having three kids, that's what's going to make me feel like

in a dope.

No, apparently just a whole new identity.

Yeah, when I say David to my husband, it's usually when he's in trouble.

So Dave's very, you know, so we are, we are lucky today to have two of my save co-workers

ever, the illustrious dynamite duo.

And now I feel like I need to make some alliterations, calculus, calculus, controller, tartar, terrorist,

you know, Dave, you were much better at this.

I'll leave that to you.

So by my husband duo, that was, yeah, that was good.

That was good.

So we have with us today talking about all, oh, say that again, Lindsay.

I said pediatric princesses.

I don't really feel like a princess, but yeah, well, we hope today you do this, this, this

moment, you guys feel royal, thank you.

You're welcome.

And we're going to start by introducing our royalty today.

We have Lindsay with us and Brittany, we have Lindsay Richmond.

I should probably tell you the last name so that they can stalk you and see how great

you are.

And Brittany Tibo.

And I have the great opportunity to work with these ladies.

And I'm going to have them tell you a little bit about themselves, like whether into school,

what they're doing.

And then we're going to talk about why we're having them on talking about pediatrics and

in particular anesthesia and peds.

So we'll start with you, Brittany, you know, alphabetical order.

Okay, perfect.

Yeah, I'm Brittany Tibo.

I've been working in pediatrics for about around like 12 years, starting as an assistant.

And then I went to hygiene school and then I did pediatric hygiene.

So I've been doing, I've been a hygienist for seven years, eight years, eight years.

And then I've also been a part-time adjunct instructor at Utah Tech.

That's where we know each other.

I know, I know.

It's been the best.

I've been there for seven years.

And yeah, I'm a mom of three.

I decided a new little boy.

He's the cutest, petudiest, judiest.

I'm obsessed with him.

So yeah, I mean, was that great, something else that was great?

I would like to know, and at the, at the extra of your intro, what would you like to be known

for?

Like what, what would be on your epitaph of hygiene?

Ooh, I mean, definitely local anesthesia, just, you know, keeping it chill and not getting

stressed about it and just being prepared, I think, yeah, I don't know, I mean, that's

a cori epitaph.

That's cori.

Kay Lindsay, tell us about you.

Hello, I'm Lindsay Rich Rand.

I have been a hygienist for the last 13 years.

I graduated from what was formerly known as Dixie State University.

Now, Utah Tech University, and I have worked in pediatrics at the same pediatric office

for the last, the almost 13 years.

And that is where I met Brittany.

So Brittany and I worked together, so I worked with, I was a brand new hygienist and she

was a brand new assistant, so we worked together.

And then she went to dental hygiene school and then she came back to our office to work

as a hygienist.

And I must say this about Brittany, she is amazing.

It's true.

All our co-workers, no one ever has anything bad to say about her ever.

She is one of the best patients love her.

She is so professional, it's ridiculous.

And she is just extremely good at her job.

And I always joke that Brittany and I, so we work at the same places, I too am an adjunct

instructor or was an adjunct instructor.

She left me.

I'm so sorry.

At Utah Tech.

So Brittany and I work in the same places and we never work together because we would work

opposite days.

Yeah, I should.

In the night.

Yes.

And so that, and I always say that is the worst part of my job is that.

Yes.

I work with Brittany and don't get to work with Brittany.

It's a real hard work.

Yeah.

So we were pregnant with our two girls at the same time.

We did.

Both were surprises.

That's a bonding moment.

It is a bonding moment.

And we have followed each other career-wise and then also motherhood-wise too.

Yep.

So the same age and so we're always bonding over that.

Yes.

So yeah, I've been at that pediatric office for the last 12 years to be worked for the

best dentist ever.

It was so good.

The best.

What else?

The video was an adjunct instructor in pain control because at our pediatric office we

get all of our patients or our doctor's patients now.

And that is why we have invited these two wonderful humans with us today because we want

to talk about probably for me as a brand new hygienist, the thing that made me most nervous

is giving anesthesia on a pediatric population because I don't know about you, but when I was

in hygiene school, I did not ever give an injection to a child.

Did you date?

No.

Well, I have a sad reality, guys.

I'm in Florida and we can do anesthetics on anybody younger than 18 years old.

Oh, I love it.

Well, naturally, I got questions for you all, but if you see how you draw, drop them.

I didn't know how I feel every day.

But essentially, yeah, I know I have it.

I know.

I know.

Well, okay.

So I'll tell you my story then about entering into the professional world and my first opportunity

to give anesthetic on a pediatric patient.

He was on what they call a kitty cocktail and if he listened to our last episode with

Dr. Johnson, it talks about what's in that kitty cocktail.

And this kid was not kitty cocktailing.

He was not, it was not working and he was on nitrous and he was not having it.

And I was shaking.

It was like I was taking boards again.

I was like, what is wrong with my hands?

Yes.

And this was a moment for me to recognize my own limitations and look at the situation.

And I said, you know what?

This is not going to be good for the patient and it's not going to be good for me to have

this be my first experience giving an injection on a kid.

So I had a great colleague.

She came in and she showed me how she does anesthetic on a kiddo and she was like bomb.com.

The other hygienist and she just was like taught calmly and granted she'd done this thousands

of times.

But just an awesome opportunity for me to see that it was doable and that I didn't need

to be as concerned and then I made the right decision to be a watcher, not a doer at

that moment.

Yeah.

So how do you approach a situation where you have done injections on a population 18 plus

and then be put into a situation where this population shrunk?

Yeah.

Yeah.

Yeah.

Like the day of tomorrow, Flora could be like, all right guys, welcome to the pizza world.

Like what advice do you guys have for me or what is the main differences between an adult

and a child when it comes to an anesthetic?

Yeah.

So this was a question I got asked when I got hired at my office was my dentist asked,

so how do you feel about local anesthesia?

I'm like, great.

Just pass my boards.

I'm ready.

He's like, how do you feel about get your injections on kids and I was like, never done

it.

But Willie to learn and luckily, we did have really great mentors,

doctors were like our mentors and taught us a lot of different tricks.

But obviously, the first thing that comes to mind is you have to know ear max dose because

we're looking at middle children.

And so you got to know that right off of that.

If you got a tiny kid coming in there, then you need to know your max dose.

And then also you really need to know your anatomy because if you give them an injection

and it doesn't, for example, like a lower block and you're not in the right spot, then

what do you do?

Because if you're already at your maximum, something that was like an aha moment for me, I don't

know why it took me to be like, oh, I can give a mental injection or an insisive.

Sometimes those two things are used interchangeably, but it to be particular, give them an insisive

injection on those pre those baby molars because those are your little pre molars.

And that could be enough.

That was like, oh, aha, I don't have to be given an IA to this kiddo because he doesn't

need it.

Well, and what I imagine is for different procedures, like, you know, when I gave local

and aesthetic, I'm doing SRPs, guys, we don't do SRPs on kids like that, you know what I mean?

So we're thinking numbing quadrants, we're thinking numbing tissues and tell me, please

like share an amazing story that you have had about managing the patient because they're

kids.

They don't, you know, they go to the locker room like, oh, I'm going to get a shot, right?

It's never going to be, although I would argue also that some of those behave like when

it comes to injections, right?

But the vervage that you use, how do you talk to them?

Do you show them the needle because or do you not show them the needle?

They go, how does that work?

Yeah, that's, that's a big, I think you have, when you first bring the patient back, you

just have to analyze what is going on and what do they know about the appointment?

You have to look at their mannerisms, are they, are they cool?

Do they not really care?

Are they like hiding behind mom?

It all starts when you bring them back.

You have to talk to them, you have to, you know, I love your shoes, you know, what

pop patrol characters are favorite, just trying to begin that conversation, you know, like,

if they're answering you, no problem, then you're like, okay, we'll see, well, how the

next step goes.

And the next step in the appointment would be talking to the parent, it's talking about

their history, have they done this before?

I mean, sometimes we know we can read the note, but it's also good to talk to the parent

and see if they have any more information, seeing if they need nitrous, I, you know, definitely

recommend nitrous a lot.

Not only does it help with the anxiety, if it's there, it also kind of blocks what you're

doing, I can't see what you're doing.

If they have that huge hood on, yeah, then it was, yeah, so, yeah, seeing, seeing if they

know what's going on, if they, you know, don't really know, then you don't personally,

I don't like to tell them that you're getting a shot.

Shot is just a no-no, that is a bad word in our office, so you definitely have to kind

of phrase things in a different way, you know, tell them that they will be experiencing

something different.

You don't need to say the word pain, that's also a no-no, how we use a no-no.

So my go-to is I really love to tell them that they're getting a bubble in their cheek,

you know, this bubbles, especially, so I do like to give IA's on kids, especially because

if they're, if you just do like a menthol or insisive, you know, you, and they do have

a large cavity, it doesn't always work great, and you want to be sure, good to know.

You want to be sure that they're really not, because if the dentist goes in there and

they're freaking out about, you know, you don't know what they're, what they're freaking

out about, is it pain, are they worried about the vibration?

Do they not like the section in their mouth, like, you want to be sure that they're not.

So I do give IA's most of the time, unless it's just a little tiny thing, you know, I'll,

I'll try and keep it minimal, just so we don't have cheek biting and stuff like that.

But yeah, most of the time when you're giving an injection on a child, if they have restorations

that need to be done, usually it's those 80 molars in the back that are touching and

both of those teeth need to be numb anyway.

So, you know, and they want to use a rubber dam.

So you have also would have to get the lingual side numb if you didn't do an IA and

a lingual block.

So anyway, back to what I was saying, I actually don't remember what I was saying.

But you're talking about what you were your words that you use.

You say a bubble?

Yes, a bubble.

So if I'm giving an IA will say, you know, I'm going to be putting a big bubble in

your cheek, it's going to stretch your cheek really big.

So you'll definitely feel that a lot of kids say it feels funny, but it's normal.

Just the most important thing you need to do is hold still and you're going to feel me

like shaking your cheek or if I have an assistant, I will have them spray water

and section at the same time.

So if you have multiple things going on at once, then they're not focused on what's

actually going on that there's there's a poke back there.

So if they have some cold water back there, it kind of gives a different

another sensation to what they're feeling.

So it's not just the one thing.

So wait a minute.

So what I'm hearing is Brittany and Lindsay's that you guys are magicians, right?

Like I'm going to go ahead and do the master distraction for full magic trick.

You have a bubble and your cheek type.

That's fascinating.

Thank you for sharing that because though I have another follow-up question

so bear with me because now I'm excited.

But I saw my four-year-old last week for dental cleaning.

And he knows that I do this for a leap.

And he saw that I was sitting him in the chair and actually my wife is a hygienist too,

so she was seeing the other kids and she was like, you got to take care of the baby,

which is Jacob.

You get the four-year-old leaky.

Yeah, she was like, I don't think he trusts me, right?

And I think that's what she said is trust.

And I didn't understand it, I didn't understand it,

but being able to talk to him and show, because I do show him, right?

Like obviously I'm not numbing him, but I'm showing him the process of doing a cleaning.

He acts me three times and I counted.

Is this going to hurt?

Are you going to hurt me?

Is this going to hurt?

Right?

And then I just stopped answering the question and I was like,

Bobby, why would I hurt you?

Right?

Everything I do is to make you better or make it better.

Right?

How much time do you guys have?

Because I hear that you guys are numb for the amazing dances that you work with.

How much time do you have to kind of build that trust

and have that relationship with your patient?

Because I mean, I built trust with my four-year-old,

so that implies that I had four years to kind of get to that moment.

Well, how do you deal with strangeness and most importantly also their parents, right?

Yeah.

So I would say it depends on the day, obviously.

Sometimes you have more time to work with a patient than others.

And also I think, like Britt said, you start evaluating right away

what they're going to be able to tolerate.

So if I come in and a patient sits in the chair find,

they lay back in the chair find, they start watching a movie and zone into the movie,

I know I'm going to be able to get this done in two minutes, right?

If the patient won't sit in the chair,

if they are worried when I put topical in their mouth,

if they're jumpy or anything like that,

then I know this is a patient that I'm going to need to spend some more time with.

So you just kind of have to assess what they're doing.

So if I do have a patient that is jumping at what I'm doing,

then I'm talking them through everything that I'm doing.

And also I think the biggest thing, too, is just validating them.

Nothing will lip a kid quicker than if you one lie to them.

And say, oh, no, no, no, no, nothing there.

It doesn't hurt at all.

That's a lie.

That's not true.

They're going to see it.

They can sense it.

They know.

They have a topical sense.

Yes.

And so if they ask me, is this going to hurt?

I'll say, sometimes it can't feel a little scratchy.

The most important thing is that you just hold really still like a statue.

That's usually my wording is just like that.

And then just validating.

So if they give me some kind of reaction,

and I say, oh, and I write when I'm giving that injection,

I say, yeah, I think you're feeling that.

You're doing so good.

Can you go for three more seconds?

So especially if I'm doing like an infiltration on the top or something,

I'll give a little injection if they're like jumpy.

And I think it's not going to be safe to continue.

I just give a little bit right at that injection site.

Like a little stopper full three seconds, you know,

and I count for them too.

Okay, we'll do three seconds and then we'll take a break, okay?

And so that's kind of something that I do take a break and then see how

they do.

Because a lot of times you can get back in there,

give another penetration and they don't feel it as much too.

Sometimes if it's on the bottom, like for an IA,

I don't usually like to do multiple penetrations on an IA.

Yeah.

Because so much tissue, you're going through all that muscle and so

if I'm in there for an IA, then I'm saying, okay, we're doing it

and I try to get it.

Just try to get it done.

And that's kind of nice.

So it kind of depends on if they have work on the top and the bottom too.

Like on the bottom, I'm like, okay, we're just going to, we're going to block it.

Do an IA, doing going on buckle.

We'll be done in one minute.

So then I can tell them that too.

It's going to take one minute.

You can do this.

I'm going to count down.

And then as I'm going to say, oh, you're probably feeling that.

It's that bubble stretching right now.

Okay, we're halfway done.

Okay, we have three seconds left, three more seconds.

You can do this.

And again, but it's a lot of validating words.

Again, I'm never going, oh, don't do that.

Or why are you moving?

Or some of my parents will do that too.

And that's another thing is just managing.

A parent's jumping in and being like, oh, is that hurting them?

I'm like, could you stay over there?

Oh, yeah, I think another theme too is kids don't like being, I mean,

they like being in control of what's going on.

So giving them a little bit of control, like, you know,

telling them that if anything's bothering them too much, they can raise their hand.

That way, you know, say, well, and then add on like, you know,

just you just have to hold still, but you can raise your hand.

So that way they know that like, okay, I can let them know what's, you know,

that I'm not okay, but I don't need to jump out of the chair real quick.

So yeah, giving them something that they can do.

Yes, like, don't wiggle your, like instead of don't do this,

don't do that.

Say, you can wiggle your toes or you can wiggle your fingers.

And otherwise they're wiggling all their legs and your whole body's

and sometimes I'll even hand them the suction.

Like, hey, will you be my helper?

Can you put this in your mouth and, you know, and be my little helper and suck,

suck out any of the water or anything?

So giving them some control that way is really helpful too.

Yeah.

Another thing I never do either is I don't say sorry to patients because

if I say sorry to them, then that implies that I've done something wrong.

I haven't done anything wrong by getting them numb.

It doesn't feel great, but I'm trying to help them get through the appointment.

And that not only helps them know that I'm not doing something wrong,

but it also helps me because it's hard.

It's so hard to do this to little kids.

It can be really taxing emotionally to have to do it like it sucks sometimes.

And so I try to stay in a good headspace too of not saying sorry.

And I say thank you to patients instead.

Don't thank so much for holding so still while I'm doing this.

I know this one's really hard.

Thank you.

Thank you for being such a great patient.

You did really good.

That was the hardest part.

You did it.

You know, now your mouth is numb.

The dentist is going to come in.

He's going to spray some water.

So and that just that helps me a lot to be open.

Not getting a sorry.

Oh, and it's also sorry that I did this.

Oh, I'm sorry.

You know, because then you'd get that and then the patient will react to that too.

And they'll be like, yeah, you should be sorry.

Like, yeah, man, that did hurt.

Yeah, exactly.

So what did you say said?

Thank you to them.

They also feel a sense of pride in themselves.

They're like, oh, yeah, I am.

You're welcome.

I do have a bubble in my cheek.

I do this.

Yeah.

This is the master of words of using positive words.

I don't know.

Just you have to say things right.

And she's really good at that.

Well, it's kind of like that mindset, right?

And I mean, Lindsay, you kind of skim over this a little bit.

But I'm fascinated to know about the parent situation, right?

Like, you know, because again, those words,

a parent can say a triggering word.

And then it can just derail the whole appointment.

You're like, come on, man, I was just trying to do this.

And now you just push me back, you know, this much.

So has there been ever a story?

Maybe, and I don't know, tell me more.

Do you guys have the parents in the room?

Do you kind of politely ask them to leave?

Ergo, kick them out?

Or how does that, how does that work in the day to day?

Yeah.

So in our office, we do allow parents.

That's important for our doctors.

It's important for us too.

You know, it does depend on the kid.

Sometimes they do really great when the parents in there,

sometimes they do worse.

I think the biggest thing is that as soon as the patient comes back,

I am taking charge of what's going on in the chair.

So as soon as they get back, I say, okay,

we're going to lay your chair back.

What movie do you want to watch today?

Which also gives them power right away.

And also, let's me see if they're going to sit in the chair.

And then once they're laid back in the chair,

got some ear plugs in, then I start talking to the parents.

And I say, okay, this is what we have planned for today.

Usually we have earphones in too.

So maybe they can't hear.

Maybe there's on again.

Sometimes they can still hear.

But again, I'm also just assessing.

And then I'm telling parents, here's what we have planned today.

Your child needs a filling on the upper right side.

My name's Lindsay.

I'm the dental hygienist.

I'm going to be getting their mouth numb.

And then the dentist is going to come back and he'll work on those teeth.

Have they had this before?

Or if I look at the chart and say,

this is their first time doing this,

how do you think this is going to go?

But I'm keeping it pretty neutral too,

because I don't want the patient to be like, what are we doing?

You know, I'm just kind of asking it casual questions just to see.

And then kind of going from there to see what what parents say.

They're like, oh, yeah, this is the first time.

I think they're going to do good.

Or no, this is their first time.

They got shots at the dentist or, you know,

which are doctors office, which is the,

that's one of the worst.

Things they're going to say is bring up,

or they'll pick up their own trauma too.

I hate it.

Or that they shot on my YouTube video.

What's going to go on?

You're like, which YouTube video?

A little shop on words?

Like what do you want?

What do you show them?

Um, but I will, I just try to take, take control of it

so I can control the conversation so that they aren't bringing up those things.

And if they do, I'm thinking in my mind,

how do you shift?

They're like, I told them they were going to get a shot.

And then do you say,

okay, I'm going to get them numb.

So we'll be, we'll be using, we'll be using some different,

due to say, we'll be using some different words.

Or how do you transition from,

I just showed them a video of an injection going through a cheek.

Good luck.

You know, like what, what kind of is that shift into that type of talk of shot

out to, this is going to be a really nice,

a really nice experience.

I usually shift it back to, yeah, I say they will need to be numb.

If a patient outright asks me if I'm getting a shot,

I always say, that's a really great question.

I think when you look in your mouth first,

it's easy.

Yeah, I'm like sometimes new, sometimes we don't,

because that's true.

Sometimes I'll get in there and like if it's a little

occlusal on something, sometimes we don't have to numb them,

especially in ABT.

So I'm never outright saying, yeah,

for sure, to parents, I'm kind of going,

just I'm pointing at the thing behind them,

where big kids can't see, like here's the, here's the syringe.

I'm going to be getting them numb, you know,

like kind of making some eye contact with parents.

So then they kind of know to, oh, okay,

like these are the, this is how we're saying this.

So you find that parents generally follow your lead of, oh, numb,

oh, bubble, oh, I see that's not, I'm just curious,

if you ever have a patient that's like,

I want to be honest with my child and I told them,

yes, that they are going to get, yeah.

Okay, I mean, that's definitely happened before,

you know, parents will walk in and say,

I've told them everything else is going to go on.

Sometimes the kids are great with it, sometimes they're not.

And if they're not, it honestly, just kind of,

it just, you just have to see how it goes, you know,

like take it, take it step by step.

I mean, once you get to that point,

it's just to behave your management.

It's, you know, what can I do?

What can I throw in to make this a better experience?

What can I do to get their mind off of it?

And if they know exactly what's going to happen

and they're not okay with it,

it's a lot of talking them through it.

Like this is going to be just a second or a few seconds.

We can do this, make it feel better.

I can have my assistants raise some water.

You can do this.

Like it's just a lot of positive talk.

And, you know, a lot, most of the time,

kids can't get through it.

And that's one of my favorite things is that one,

when they are terrified and they know what's going on,

and then afterwards they're like, okay, that wasn't so bad.

And then I'm like, yeah, see, you can do that.

You can do hard things.

You did awesome.

And then my other favorite thing is when they're like,

they have no idea what's going on.

They have no idea they just got a shot.

And I'm just like, yes, it's best, but.

Oh, well.

Have you guys, because parent guilt is the real thing, right?

Have you guys ever experienced a parent voicing their guilt?

Oh, had I pay attention to my child more,

or taking them to the dentist more?

We wouldn't be in this position.

Has that ever happened to you?

And if so, how do you kind of like reassure them that,

obviously, we can't take back,

you know, we can't cry over spilled milk,

but here's what we can do moving forward,

as hygienists ask preventive specialists.

Yeah, that definitely happens a lot.

I've been to team parents cry about it.

I feel like, again, validation is just huge.

Like, I have my own kids.

I know how hard it is to brush their teeth.

I know that they like to snack on goldfish every five minutes.

I totally get it.

And, you know, telling them that like,

we have parents come in here all the time.

And we see this all the time.

And it's really hard.

It's hard to get in there and do that.

But now, like, now you're aware of it.

It's good that you're here and we're taking care of it now.

But now we can give you the steps

and we can give you some education

on what you can do to prevent this from happening again.

So, I mean, really, it is common kids get cavities.

They can get it quick.

They can get them really quick.

And so, yeah, it is validating them.

And I think that's the biggest thing for me, at least.

So, yeah, sometimes on the flip side too,

we do have parents, which I probably need to find a better way

to mitigate this beforehand.

But we do have parents that come in

and I wish they would say this.

So, spread the word.

If you're a parent, don't say this to your kid.

But when they're getting stuff done, they say,

see, you should have brushed your teeth.

Very unhelpful, not super motivating for a kid

who's frustrated.

And also, it's not that easy.

It's really not that easy to just

in so many, so many know this,

so many factors.

Factors, thank you.

So many factors that contribute to getting a cavity.

Mouth breathing.

Yes, diet.

Yes.

And we explain that to like,

medication.

Yes, it isn't just a brushing thing.

It's, yeah, we definitely try to explain what we can

and help them where we can.

But, yeah, that's just so many different factors

that play into that.

So, making sure that they're aware of that

and doing their best, honestly.

So, yeah.

So, usually if a parent says that too,

then I'll say, brushing is really important,

but then there's some other things too.

And then you can more education, you know, like, okay, let's,

yeah, let's look at, let's talk about some things that we could,

we could work on.

After I'm done with the procedure,

though, in the middle of the procedure,

I'm like, no, it was like that.

And I hope no other professionals are saying that either.

Like, if you're going to be like, well,

should a brush your teeth, you know, it's not helpful.

Give people, give people things to take action

instead of take shape.

Exactly.

Yes, that's never helpful.

Yeah.

I appreciated when we were getting ready for this

opportunity to talk with people who do injections every day all day long

on the pediatric population, bringing sent me something

that I think would be a great thought to land on.

As we close, and she said that preparation, not panic,

and learning to roll with the punches is the key

to creating safe, positive dental experiences for kids,

families, and dental teams alike.

And I just want to thank the both of you for sharing your practical

every day.

This is what it looks like in the doing.

And there are a number of different approaches

to giving injections to children.

And I hope that you took something away from their

experience to try to try tomorrow or the next time that you give an injection

or one day crossing our fingers in Florida that you can give an injection

to a lot of Florida.

I think David could, I think Dave could do it for sure.

For sure.

I think Dave could do it.

Yeah.

I know he could.

Yeah, I love that.

And guys, thank you so much for joining us in this episode.

And really the listeners that are out there

and they're hearing your story just like me.

Maybe I'm motivated to make something happen here in Florida.

But a parent like me as well, we all we all work in dentistry

and we have heard this comment that people avoid us because there's trauma, right?

And the fact that you guys are those hidden two fairies

bicuspid duels that are like they in magicians,

molar magicians.

The molar magicians that are there in and they out avoiding

and preventing furthering that trauma in children, right?

I think that's extremely impactful.

And I really, really appreciate you guys doing that

each and every single time.

Yeah, yeah, I think just learning to slow it down,

know that you're, you know, be confident.

You know what you're doing.

Yeah, this, I think slowing it down and trying to make the appointment

fun is one of the biggest cues for kids, so.

And one of the most rewarding those two because again,

it doesn't always go great and it can be really, really hard, emotionally,

especially when kids are, you know, there are times I walk out of rooms

and I'm shaking.

For sure.

The hands are shaking like, you know, hard to stay

emotionally regulated yourself while also helping a child

and their parents stay emotionally regulated too.

So it's a, it's hard job.

But rewarding when you get a patient numb and then they're good

for the rest of the appointment or they come back in six months

and they're okay to sit in the dental chair.

That's really what's about.

And to have practitioners that are making a concentrated

effort to be better at what they do every day.

And thanks for being an example of all.

Thank you.

It's fun.

It's the best.

Yeah, real, real quick.

If dental anesthetic was a magic spell, what name will we give it?

A magic spell.

Yeah, you know, like a Harry Potter spell.

Like, um, Lumos or.

You know what I mean?

Am I nerdy now too much about this?

No, I'm trying to think about a Harry Potter fan.

Um, I'm like, it have to be something anesthesia.

And anesthesia.

Your ears.

I miss you.

You walk, I love like you just literally just wet your rest.

Your eyes have a wand.

I need one.

There you go.

But you gotta be careful because it is an anesthesia or is it an anesthesia?

Oh, yeah.

Oh, yes.

It's important.

You're going to end up with something that you do want.

If like in love, you'll stop right now.

Exactly.

Well, thank you.

Where's Harmony, will you need her?

Well, we're, I'm getting there.

We'll get there.

Yes, you have the hair.

I'm getting there.

Thank you, guys.

Thank you.

It was a pleasure.

That's a wrap on today's episode of a tale of two hygienist podcasts.

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We're David and Jessica.

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