It is a wonder I ever gave another injection! Looking back, I was convinced I did not need local anesthesia, did not want to give injections, and generally thought that using anesthesia meant my instrumentation technique was "rough." It was not even my idea to take anesthesia - it was part of the ten-week Arizona Expanded Functions Program in which I enrolled. Because of the location, there was sufficient space for a large hematoma to form, complete with bruising. I applied pressure and ice to my partner's quickly swelling cheek. I finished the other injections and then noticed the hematoma forming. Obviously, I nicked a vessel and that is what caused the bleeding. Aspiration is when blood should appear, not when I was all through. I was not aspirating I was simply withdrawing the needle. As the needle slowly slid out, I was already breathing a sigh of relief that my first injection was over and all had gone smoothly. I remembered to aspirate no problem - it was clear, and then proceeded to deposit the assigned amount of anesthetic solution before withdrawing the needle. I concentrated on the "in-up-and-back" approach, while watching to be sure the needle was at a 45 degree angle to the midline and a 45 degree angle to the occlusal plane - all at the same time, mind you, and with my hand shaking like a metronome gone wild. There were so many things to watch for on the PSA injection, primarily related to geometry. I palpated the soft tissue, locating all the hard tissue landmarks, practicing my approach with a cotton tip applicator several times for each injection. I figured it could not be any worse than what I had just experienced, so I just went ahead and did it. It was the fact that not only was my hard palate numb, so was my soft palate! It was an awful feeling, and even with the small amount of anesthetic solution used, the numbness seemed to last forever, accentuated by each and every swallow.Īs miserable as I felt, the numbness of my soft palate distracted me from the apprehension of giving my first injection. We learned all the tricks with the pressure of a cotton tip applicator making the insertion essentially painless. But the GP is the one that I will never forget. We started with maxillary injections, and my partner did fine on the PSA, MSA, and NP. At the time, the complications confirmed in my mind all the reasons why I really did not want to learn local anesthesia in the first place and was sure I would never use it anyway.īefore I could give my first injection, I was the recipient of my partner's inaugural anesthesia experience. No needles were broken, but both my partner and I had problems. All these many years later, the complications of that first experience seem quite a comedy of errors, rather than the huge trauma I first imagined. As a matter of fact, I still remember quite vividly giving that first injection. After 25 years, you would think I could forget that. How did you get along without these conveniences?Īlong with remembering my first car - a 1963 blue Chevy Impala - I also remember giving my first injection. Today it might be more relevant to remember your first computer or cell phone. It does not take long for us to realize we would never go back to the days before car ownership. Do you also remember wondering, after having your own car for just a short time, how you ever managed without it? We only see how much we will use a car after we have one. All things considered, you got along just fine without wheels. Your outlook was to use other options - walking, bike, or bus. Consult the table above.Do you remember your first car? You got along fine without one, getting rides from family and friends. HKEY_CLASSES_ROOT\TypeLib\ĭelete the paths to versions of Outlook that are not installed.
On your keyboard, simultaneously press the Windows logo and R keys.Use the Windows Registry Editor to clean up the remains of old installations. You will need to reference this table for some of the procedures detailed in this section.Ģ.6 and 2.7 are okay for Office 2016 as well, if there is a reference to Office16 under 2.7.
The table below lists the version numbers corresponding to commercial names of Microsoft Office editions.