Personally, I don’t want to pay, nor could I afford to pay the malpractice premiums that doctors need to pay for the privilege of infiltrating skin for minor procedures. It is a liability issue. It is not about fairness, ability or IQ. It is about protecting the public with the full back up of monetary restitution if something goes wrong.
My original point remains the same - with the epilator I use, the Apilus Platinum, I am not seeing a demand from my clients for topical anesthetics. The ones that ask for topical help, are asking in regard to their middle upper lip, most likely. I am glad to respond and help. I actually have 5 gram tubes of lidocaine for purchase, at my cost plus sales tax. I sell about ten tubes a year.
It is none of my business what others do in their offices, but I do like to hear what they do, with the spirit of sharing ideas. I simply report, with utmost honesty, what I have found to be true in my practice. If Michael Bono wants to describe me as dismissive, then I assume that he is speed reading my posts with little comprehension, perhaps?
I have to admit that I am a little confused about the push for anesthetic help when I am not seeing this as an ongoing need in my practice. I do long appointments for the most part. Yes, some clients are very sensitive, but I can change some things to make it better for them. If I can’t find something that works, then we talk about topicals or they just get something internal to take, on their own, ranging from Advil to Percocet. I have to follow the constraints of my license and I am not angry about that or think it is a fairness, ability or IQ issue. I don’t think it is right, either. Give one well-intentioned person a syringe with a bottle of lidocaine and if they inject into a vein accidentally, on Nelly!
One of my daughters is a nurse practitioner. She can inject and suture, but she has advanced training (masters degree) to do so. Another nurse, may not have those privileges. Imagine putting injectables into the hands of any electrologist, who ranges from a high school graduate to a former teacher. Again, this is a liability issue, not solely an ability issue and there has got to be strict standards to protect the consumer.