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Dental Care - Dental Pre-Surgery Testimonial

David Greene tries and succeeds with PWP:


David Greene, 29, was the first patient to receive oral surgery at the Surgicenter.  Greene, who is an avid sports fan of Phillies teams, UNC basketball and the horses at Delaware Park, is less enthusiastic about daily dental care.  An articulate young man with autism, Greene embraced the need for surgery when Bashkow shared a story with him.

“I told him about sepsis in the mouth of a person I knew who had a phobia about doctors and dentists.  I told him he could be that person and that he needed care.  It made a big impression on him.”

As a result, when they did the walk through, “he asked a lot of questions of me and of the nursing staff,” Saienni said.  “He kept repeating, ‘If I don’t care for my teeth, I could die.’  That was his motivation to get through the surgery.”

Following the walk through, Greene practiced for the IV, and was given a review of what to expect. The day of the surgery, Greene did well with pre-op intake and blood pressure checks.   But he balked at the IV.  “Though we counted with David and did a practice putting on the tourniquet , he was too nervous to complete the IV,” Saienni said.

“After two tries, the anesthesiologist talked directly to David and told him that another option would be a needle in his arm to put him to sleep.  David agreed, but after talking it over with me, asked to try the IV again.   When the anesthesiologist walked back in to give the injection, I told him that David wanted to try again.  He said, ‘Great’ and it was successful.   The anesthesiologist was so patient and willing to do it three times with David.  In a regular hospital setting without us there, I don’t think that would have happened,” Saienni said.

Greene was in the OR three hours for scaling, root planing, and a full set of x-rays.  His mom, Rita Greene, couldn’t have been more pleased.

“PWP slows everything down, which is something he needs.  He doesn’t do well with transitions.  It’s sensory overload.  The PWP techniques get him more at the speed his head is going, so he can cope with the environment and not try to escape the confusion of it all,” she said.

The Surgicenter staff, she said, “went out of their way to be kind to David.  He was having conversations with the nurses.  They went out of their way to be with him, to talk to him and treat him like he was regular guy, and you don’t always find that, just the opposite in fact.  They were wonderful!  If we had to do it all over again, we would go back there very comfortably.  It’s as good as it gets.”

Excerpted from "The Perioperative Press" published by Christiana Care Health System, Summer, 2013


Practice Without Pressure Corporate
P.O. Box 829
Bear, DE 19701

(302) 419-8131