May 2022 - Surgical Serenity Solutions

Do you like going to the dentist?

dental patient wearing headphones I ask you, tongue in cheek, do you like going to the dentist? Because of course no one likes going to the dentist. Having a person that you don’t know very well, leaning over you, while you are laid back in a helpless position and with a drill or other noisy tools coming at you. Of course it’s awful!!

Recently I was told that after all of the fillings I’ve had, all of the crowns, Invisalign braces and a triple root canal in one tooth, now I need a tooth extraction! I was truly horrified because I never had a moment of pain. I didn’t realize that you could have a serious dental infection and feel no pain whatsoever.

But I definitely knew that I would have pain during and after a back molar extraction. And I really hate pain! That’s one of the main reasons that I created Surgical Serenity Solutions, because I, personally, hate pain and don’t want to take opioids or other potentially addictive medications.

Going to the dentist is just one of those necessary evils I guess, and if you don’t go, you risk even more pain than if you do go!

I did learn to use nitrous oxide judiciously because when they remove the nitrous oxide, the brain fog goes away immediately, but nitrous, plus carefully chosen music is a really good combination, I think!

What does the research say about music and dentistry?

surgical headphones in dental surgery

I think it’s interesting to note that dentistry was one of the very first sub-specialties in the medical-dental field to use music through headphones on a regular basis. I vividly remember going to the dentist in the late 1950’s in South Carolina (USA) and being given a large pair of headphones with 5 different channels on it as well as a channel of “white noise.” I thought it was pretty cool and it definitely distracted me from worrying about the pain that might result from drilling in my mouth.

Later I learned that dentists were being taught to use “audio analgesia” during their procedures to supplement and augment the effects of novocaine which lasted for a very long time.

A recent study, “Effectiveness of music interventions on dental anxiety,”

reports that “music listening significantly lowered levels of anxiety and stress of females during dental procedures. Authors of the study concluded that there was a strong physiological (increased secretory immunoglobulins level) response to music by females.”

And their recommendation?

“It is recommended that pre-recorded music be offered through

headphones during the dental procedure to adult patients to reduce their dental anxiety.”

My Experience

So, the day finally arrived for my tooth extraction and I had chosen a specific piece of music that I wanted to listen to during the extraction and to listen in conjunction with nitrous oxide. I was concerned that my own playlists might not be loud enough so I chose piece for large concert band, called “Folksong Suite” by Ralph Vaughn-Williams.

I learned my lesson about listening to free sites! I was listening to my chosen music on YouTube and found that every 3-4 minutes the music stopped in order to have a commercial!! I was so frustrated because the music then did not automatically re-start. There was drilling and pulling, and drilling and pulling because it was a large molar and had been in place for a long time.

Luckily I was coherent enough to switch the music to my classical playlist and just turn the volume up enough to block most of the sounds. The procedure was over sooner than I expected and I got through it with very little trauma.

Needless to say, music through headphones is highly recommended when going to the dentist. Even for a simple cleaning I take mine because now they use very high-speed tools that emit a loud and high-pitched sound which is disconcerting to me.

Every dentist that I’ve talked to is more than happy to let patients bring in their own headphones and music. And remember to download the playlists at www.SurgicalSerenitySolutions.com/calm.

Nursing and Music: a match made in Heaven

The use of music in nursing has a long and rich history. No less than Clara Barton and Florence Nightingale were advocates. Not everyone can be a nurse and not everyone can be a musician. And definitely, not everyone can be a music therapist. All of these are noble callings but everyone’s gifts and opportunities vary. Nursing and music are a match made in Heaven.

This week has been National Nurses Week and I’ve been interacting with some very forward-thinking nurses. These nurses recognize the healing and restorative benefits of music. One nurse in particular, is searching for a way to use music in the ICU with patients who are struggling to regain their health. Some are struggling to regain consciousness.

Nurses and caregivers have probably been using music since the beginning of time. It’s natural to want to comfort a patient in any way possible, but as busy as nurses are all day long, the intervention must be simple and efficient. Nurses are allowed to sing and hum when patients are OK with it, but not every nurses has that gift.

Clara Barton was one nurse who believed in the power of music although she did not sing or play an instrument herself

Clara Barton founded the American Red Cross in the early 1880’s and was passionate about her mission to respond to anyone and everyone who might be in an emergency/crisis situation. She worked tirelessly in New England trying to raise awareness of the dire needs of people and also trying to raise money to support her mission. In the end she was quite successful and that’s why most of us have heard of the American Red Cross today.

This organization still responds to people all over the world who have undergone a natural disaster or other tragedy.

I’m proud to say that my grandmother, Julia Adelaide Fishel Adams worked for the American Red Cross and I grew up hearing about the life-saving work of this amazing organization.

Clara Barton was a believer in the power of music to change patient’s lives and bring them peace and comfort. She tended to soldiers as they recovered from their battle wounds during the Civil War. Contemporaries called her “The Angel of the Battlefield.”

Florence Nightingale lived about 50 years earlier and was also a believer in the power of music

Florence Nightingale, (1820-1910) was the nurse called the Lady with the Lamp. She was British and a famous nurse during the Crimean War. She was also a social reformer and considered to be the founder of modern nursing. Florence Nightingale in particular is known internationally and many of her quotes are still remembered today. One of my favorites is :

“A human being does not cease to exist at death. It is change, not destruction, which takes place.”

In Notes on Nursing: What It Is And What It Is Not1, Florence Nightingale’s important book, she wrote:

The effect of music upon the sick has been scarcely at all noticed. I will only remark here, that wind instruments, including the human voice, and stringed instruments, capable of continuous sound, have generally a beneficent effect–while the piano-forte, with such instruments as have no continuity of sound, has just the reverse. (the pianoforte was an historic instrument that followed the harpsichord and preceded the modern piano. It did not have a damper pedal and therefore was not able to sustain sound like the modern piano can do.) The finest piano-forte playing will damage the sick, while an air, like “Home, sweet home,” or “Assisa a piè d’un salice,” on the most ordinary grinding organ, will sensibly soothe them–and this quite independent of association. (Florence Nightingale, 1898: Notes on Nursing)

I’m not sure I agree with this, but I find it very interesting to know that she believed this.

The first music that I found to be very effective in the ICU, as well as the perioperative period, happens to be soothing, calming piano music. Music that has a steady tempo, the tempo of the healthy, resting heartbeat is best.

To hear samples of this music and all of our playlists, go to www.SurgicalSerenitySolutions.com/calm. Each of these playlists is 50-60 minutes in length. There are five distinct genres to choose from: Classical, Jazz, New Age, Lullabies and Memory Care.

I am deeply grateful for the work of all nurses and excited to know that they are embracing the use of music in the ICU. Helping patients get through a very difficult time in their lives is so important.