I’ve seen things now and then about the healing and stress-reducing power of touch: how healthcare providers and caretakers can do a surprising amount of good for the patient by even such small things as putting their hand on a patient’s shoulder, or touching them briefly on the upper arm. With one of my c-sections, there was some sort of trainee (EMT?) sitting in, and she offered to let me hold her hand while I was getting the epidural, and it helped so much, and I still remember it a quarter-century later.
And here’s the situation I’m going to apply that paragraph to: I had a very stressful dentist appointment yesterday. I was getting two crowns, and I was getting them with a new dentist, because our old dentist sold the practice between one of my appointments and the next. I had many, many anxieties. One was that I would barf when they used that dental goop to make impressions of the teeth; the dental assistant scolds me that I shouldn’t be thinking of it or planning for it, but the fact is that it’s happened twice (and I WASN’T thinking about it or planning for it the first time) so I feel like I have reason to think/plan—and also I feel like THEY should be GLAD to be forewarned. Second anxiety was of course ALL THE DRILLING, not to mention LONG NEEDLES INTO MY GUMS. Third was the part where they ask you to verify that the bite is right, and it takes a dozen or more tries, and novocaine is involved so it’s hard to tell, and also I have forgotten how I bite. Is it like this? Actually I can also bite like this. Perhaps my bite was off to begin with? Why does this process involve my inexpert subjective contribution??
Fourth anxiety was that the temporary crown would fall off while I waited for the permanent crowns, and I would have to keep going back and having them act like this is a surprising thing, and ask me if I was chewing a pencil or something when it happened. Fifth anxiety was the appointment in three weeks when the crowns were ready, and having to do the bite thing again. Sixth anxiety was the cost: they’d said they’d send me an estimate, but they hadn’t. What if the new dentist charged a lot more? Also: the old dentist had a discount for paying with a check instead of a credit card, but did the new dentist? I would need to bring the checkbook just in case, and I don’t carry a purse anymore so I guess I’m putting it in my back pocket? Maybe it will fall out. Seventh anxiety was that this was a brand new untested dentist (untested by me: he’s been practicing elsewhere for nearly a decade), and I was getting TWO CROWNS as my first experience with his work?? What if it was a disaster?? What if I should have switched practices the minute I heard that this one had been sold?? Why didn’t the old dentist WARN me he was leaving, so I could have quick gotten these crowns done with him?? And eighth anxiety was just THE WHOLE THING, EVERYTHING ABOUT IT, ABSOLUTELY ALL OF IT.
Here is the thing I found helpful: I concentrated on any element of human touch. I have to concentrate on SOMETHING while I’m lying there with nothing to do, and usually I concentrate on the sound and feel of the drill, and on worrying that I will suddenly start feeling pain and I will jolt upward and the drill will do something scary to my tooth/mouth, and on the indignity of drool, and on worrying that I am not holding my mouth open enough and/or I am holding it open ridiculously extra, and on the gross feel of the novocaine, and on where I should be putting my tongue and what if I accidentally put it right onto the drill. This time, instead, I concentrated on the way I could feel the assistant’s leg against my upper arm, and the dentist’s fingers on my mouth—sorry, it is kind of struggle to write this in a way that doesn’t sound unintentionally erotic; but you’ve had dental work done, you know we are not talking about that.
Once I started noticing those things, I found I was SIGNIFICANTLY relaxing. I felt my shoulders drop down to the back of the chair, and my breathing changed. I started thinking about things like how kind of amazing it is that two separate people with their four hands can somehow work together in the small area that is my mouth and on the even smaller area that is my tooth. They are working together SEAMLESSLY, without any bumping into each other! How much practice does that take? Do some dentists and some assistants work better together than others? I’m sure they DO. How do they TEST for that, when hiring? Do they do a trial run together, as part of the interview process? Are assistants in dental school trained using hands-on situations with dentists, and the dentist-teachers give them feedback on that? Are dentists likewise trained with feedback from experienced assistants?
I noticed that this new dentist keeps up a steady stream of pleases and thank yous with his assistant, and how nice that is to hear. I realized my old dentist did not do that—but also, I don’t think it’s that he wasn’t polite, I think it was that he’d been working with the same assistant for decades and they probably no longer needed much talking; I don’t remember him asking her for things, either. I noticed that the dentist and the assistant use much lower tones when they talk to each other than when they talk to me, and it’s interesting that they can hear each other over the sound of the drill—but probably they are saying expected things, which makes those things easier to hear. Like when I had a hearing test, and I told the technician I was only able to identify a word because I’d heard it earlier in a louder round, and she said that was on purpose. I noticed that both the dentist and the assistant spoke in soothing, calm voices, to each other and to me, and wondered if that too was part of dental-school training. I wondered if dentists with nicer voices were more successful than dentists with irritating voices.
What I am trying to say is that it shifted THE ENTIRE EXPERIENCE. It was still, of course, very unpleasant and stressful—but my goal is not to CHANGE REALITY, my goal is only to cope with it better, and I coped with it much, much better. I think it’s partly the human-touch-reduces-stress thing—but also that focusing on the human touch made me focus on the human element. This is not just Me Having An Unpleasant Dental Procedure: there are two other people in this room, and they are doing interesting work, and how nice it is that there are people who train to do this interesting work so that we are not still in the era where I would be giving someone a chicken in exchange for having these two teeth pulled out with a pliers.