Hello John, I enjoyed reading your post, and I think you did a good job. You are right about epinephrine causing less blood flow to the site of injection. Epinephrine also gives the doctor more time to work on the removal of the lesion from Janie neck. It is also important to know that a patient can request anesthetic without epinephrine, but the patient should make the request before the procedure so the doctor can make sure the correct medication is available at the time of the procedure. I think it is good that you make sure Janie remains in the office until she is clear danger. I think you did a good job overall educating the Janie of the side effects and ways to help her avoid damage to her neck.
