Outcomes Rocket Podcast: The Truth About Needle Fear

Outcomes Rocket Podcast with Dr. Baxter and Saul Marquez


With the two COVID vaccines already available and one more on the way, vaccination and fear of needles is one of the major points of conversation right now.

In this episode, we welcome back to Outcomes Rocket one of our favorite guests in the show, Dr. Amy Baxter, Founder and CEO at Pain Care Labs. Dr. Baxter is raising awareness on the fact that how we vaccinate kids causes adults to stay afraid of needles.  She talks about needle fear, needle pain, a little bit of vaccination history, the psychological and actual pain factor, how Buzzy responds to alleviate pain, and how it can help the second dose COVID patients.  Dr. Baxter shares tips on how to make vaccinations easier as well as how to help those who experience needle trauma, so please don’t forget to tune in.


Click this link to the show notes, transcript, and resources: outcomesrocket.health


The Truth About Needle Fear with Amy Baxter, Founder & CEO at Pain Care Labs

Do Glasses Protect Against COVID?

Filmed live at the Hive, Atlanta, Georgia, on February 24, 2021.


We are seeing a 71% decrease in recent Covid-19 cases, could this mean we are hitting a degree of herd immunity now? Herd immunity numbers are based on the r-naught of the virus, so we may be hitting herd immunity for a lower r-naught but not for a higher r-naught associated with some of the newer strains of the virus. Dr. Baxter estimates that we will be hitting enough herd immunity by fall that indoor dining will safely resume.


There’s also some bad news that has come out this week, published in a new study on autopsies of those who died due to covid.


Another study published pulls a link between wearing glasses and a protection against the coronavirus, but Dr. Baxter is skeptical, saying they did not account for the confounding factor of socioeconomic status.


Dedicated page to COVID-19 Resources

News Updates from Dr. Baxter Feb. 17, 2021

As I like to say on our FaceBook Live and YouTube channel, GOOD Day, Friends of Buzzy!
Rather than live-streaming each Wednesday, I’m going to answer a question that’s come in, and give an ‘inside-scoop’ look into the exciting life of an Entrepreneur In Pandemic!  This week:
  • Why we think schools are safer from COVID than FLU
  • A Week in the Life


Kids are germ-balls, so the fact that COVID was sparing the youngest while hitting the oldest members of our population is actually the key to understanding transmission. Since this does not always make the news, people are aghast that clenbuterol achat the CDC is recommending kids go back to school. In fact, though, the way SARS-CoV-2 spreads is why I feel good about kids going back to school, even though it actually MIGHT lead to a burst of flu.


Respiratory Droplets

Both COVID and flu are spread by respiratory droplets. For this reason, even before the 2020 flurry of mask articles, it was recognized that mask-wearing is much more useful than hand-washing for fighting Flu. https://lnkd.in/dNvcavB


However, SARS-CoV-2 also spreads in aerosols small enough to linger, whereas sneezing, coughing, and – to a much bigger extent – touching objects spreads flu. While flu can enter through the mouth, eyes, or nose through touching, most COVID enters through the specific wiggly “ciliated epithelia” past the nose in the nasal cavities.


Viral Load Volume

While touching a doorknob and then biting a nail or wiping a nose can transmit flu, a kid would have trouble inserting enough virus into the nasal cavity by nose-picking. Plus, while SARS-C0v-2 survives on surfaces, it is not likely to be infectious from there, because SARS-CoV-2 has to be nasally inhaled.


While adults and kids have the same immune response when the virus enters, it is the total viral load volume that matters. Nasal cavities grow with age, with adult males having the largest, and children not even having fully developed sinuses until age 12. Even if the swab shows the same viral load, the tank size is SO much different, so kids spread and catch COVID less.


A Week in the Life

This is an experiment, so if you’re not so interested, please let me know what you would like to know about me, our company, or our activities.


Low Back Pain Device Development 

A research grant from NIH NIDA allows us to evaluate whether the Buzzy/Vibracool mechanical frequency can reduce opioid use for people with low back pain. The working-title “Duotherm” was ready for tooling, but the clinical outcomes of the patients were not quite as good with the slick professional-looking one as the homemade one we tried first. So, we are “back” to the drawing board for two small changes.


HHS Vaccine Advisory Committee Testimony & New Studies

Last week, I was invited by the Health and Human Services Vaccine Advisory Committee to testify on needle fear. It was the honor of a lifetime. I have dedicated my professional life to researching and developing solutions to improve healthcare delivery. Now that needle fear is understood to be a barrier to healthcare, we can make informed decisions to accelerate herd immunity against COVID. See my testimony here.


This week, we learned about two new studies with good new info on Buzzy. One is a poster on Port Access from Sweden – so exciting!


Sorry for the long missive, keep those cards and letters coming,



Buzzy – Pain Relief for Pediatric Vaccinations

In 2009, the National Institute of Child Health and Human Development  (NICHD) supported the development of Buzzy and recently added updated information to the National Institutes of Health website.  Part of the update was to acknowledge that the U.S. Small Business Administration named Pain Care Labs a winner of its 2020 Tibbetts Awards.


The original NIH RePorter posted all the project details  including the abstract. The first few lines of the abstract states, “Needle sticks are the most frequent and most distressing medical procedure children experience. Resultant needle phobia decreases parents’ compliance with immunizations and affects patients’ subsequent interactions with health care systems, resulting in delayed steroide anabolisant achat belgique diagnoses, refusal to donate blood, and even death. Current products rely on health care professionals to voluntarily use messy, ineffective, and time-consuming interventions for a pain many consider insignificant. An immediately effective reusable pain relief device available directly to consumers could reduce morbidity and suffering worldwide.”


Now 11 years later, we are dealing with a global pandemic and we must get as many people vaccinated as quickly as possible. Dr. Baxter recently testified to HHS about the growing number of adults with a fear of needles and the resultant impact on the health of the individual and their community.  The fear of needles and resultant stress can deca durabolin acquisto affect a person’s willingness to engage with healthcare professionals and can impact whether they or their children keep up-to-date on recommended vaccinations.


See the full post on the NIH website.


Read more about resources for COVID-19 vaccinations here.


Read more about Buzzy here.

Herd Immunity by March?

A new article says that children are less likely to catch and spread Covid-19. Their viral load might be the same, but because sinuses do not develop until later in life, the ACE2 receptors are far less numerous.

As Dr. Baxter says, total viral copies matters, and kids have a small tank while males over 60 have a huge viral reservoir.


Children 11 and younger who are less susceptible = 48 million people. Adults who have moderate to good immunity from catching the disease by the end of march is likely to be 30 million x 2-6 who were asymptomatic or untested, let’s call it 120M. Vaccinated people will be 75 million by the end of March. We need to get to 220 if R0=3 (and that’s probably really high) soooo 24 + 120 + 75 = 219.


Masking will likely stay with us at least until around the end of the year, but effective herd immunity is reachable by March according to Dr. Baxter.


Dedicated COVID-19 webpage here.


Article: A COVID-19 Vaccine Hesitancy Rarely Rarely Talked About: Fear of Needles

Dr. Amy Baxter was one of several experts consulted for this article about needle fear by Hillel Hoffmann for the Medical Bag website.  There are several Q&A that help explain the impact of needle fear on public health. The medical community needs to recognize that needle fear is real and common.


“In 2012, a Harris Interactive survey for Target found that 60% of the people intended to skip a flue shot that year, and 23% of those folks were doing so because they didn’t like needles. Avoiding shots because of needle fear isn’t limited to the civilian population. According to a review of research published in the Journal of Advanced Nursing in 2018, 8% of healthcare workers at hospitals and 27% of all hospital workers avoid influenza vaccination because of needle fear.”


Despite multiple studies documenting needle hesitancy and needle fear, the medical community at large is failing to acknowledge or take action.  This lack of action has very serious repercussions for in terms of fighting a pandemic.

Access the complete article via this link


Additional information on needle fear and phobia can be found on this page.


Article: The Stuff That Este Haim Uses (Almost Daily) to Manage Her Type One Diabetes

Este Haim was diagnosed with Type 1 diabetes at the age of 14.  In this “Trust Me I Should Know” segment of The Strategist (New York Magazine), Este states that “Diabetes affects every part of my life.” Nahrungsergänzungsmittel für Training, Sport, Laufen, Fitness und Bodybuilding FoodCompany kaufen virilup test t-shirt sport gym workout bodybuilding gymnastik bodybuilding bodybuilder gym fitness tostadora.  The items she discusses in the article are what she uses to help her “stay on track for the past few years and make life easier as a touring musician and diabetic of 20 years.” Guess what the 2nd item on her list is?  If you said “Buzzy,” you nailed it.  Este says, danabol ds “When I was taking shots proviron achat every day, this was a lifesaver.” She prefers the needle pain relief of Buzzy compared to the numbing creams, likes that it’s cute, and also mentions that her best friend uses Buzzy for her Botox.

Access the complete article via this link


Additional information on using Buzzy for Diabetes can be found on this page.

Nasal Irrigation & Cholesterol

Approaching one year since we have been aware of Covid-19, Dr. Baxter brings some updates about her nasal irrigation clinical trial.


High blood pressure is correlated with increased severity of Covid-19. This is something scientists and doctors have noticed since nearly the beginning of the pandemic, but a new paper suggests a reason why patients taking statin drugs to lower their cholesterol are actually doing better and less likely to have severe cases of Covid. It all ties back to the viral load being indicative of illness intensity. Statins block the ability for Covid to interact with Ace-2 receptors. This means that Covid is less able to inject itself into the body since it is harder for the cells to be received. 


Nasal irrigation study update! Funded by Augusta University Foundation, Neilmed, and Navage, the study is at the end of enrollment and is beginning to look at findings. Only 2 people in the study went to the ER for covid related illness. The solution to pollution is dilution and this seems to be good evidence towards the validity of nasal irrigation.

Dedicated COVID-19 webpage here.

Don’t Like Needles? Here Are Facts & Solutions

Dr. Baxter is wearing her lab coat, so you know this video is another evidence-based, science backed conversation. In this episode, the topic is needle fear.

Addressing needle fear is critical to the public health plan for the rollout of the COVID vaccine. Dr. Baxter has researched vaccine refusal for 15 years. Her recent data indicates that identifying anxiety and reducing pain with the first injection could dramatically improve the second #COVID19 vaccine uptake by as much as 35% and help save lives. Buzzy is the only pharmaceutical or medical device proven effective for adolescent or adult intramuscular (IM) injections, the only intervention proven effective for fear reduction, and the overwhelmingly most studied and effective intervention for pediatric injections.

Dr. Baxter has a bone to pick with how needle fear is being covered in the news. She breaks down myths and misconceptions about needle fear. She examines adolescent behavior around the HPV vaccine – including why many adolescents do not return for the subsequent shots. Science is the way forward – not myths or preconceived notions about people who are afraid of needles.

We need everyone to return for the second dose of the COVID vaccine. We have the tools to address pain, fear, anxiety, nausea, fainting – this will promote trust in the system and return visits.

Here are a few facts about needle fear that Dr. Baxter covers in today’s video:

  • The number of injections on the same day when a child is old enough to remember influences the likelihood of needle fear later on. Vaccines given between ages 4-6 are that critical time where we can easily effect positive change.
  • Stigma against being afraid of needles makes it difficult to measure needle fear.
  • Needle fear affects adults too, not just children.
  • Anxiety, needle fear, and a fainting response influenced whether blood donors would come back to donate a second time.
  • Since 1983, we’ve started to give more injections between ages 4-6.
  • Here’s how to use Buzzy to reduce vaccination pain and needle fear:
  • Place buzzy on the injection site before the jab, move up between the brain and the pain during the shot, and then back down after to reduce pain. (“Between the brain and the pain.”)
  • The spine filters out pain signals when using Buzzy, so that only vibration and cold signals make it to the brain.
  • Buzzy’s vibration separates muscle fibers to relieve pain and soreness after the injection.

Let’s get ahead of this virus with an EASY, proven solution for needle pain AND fear. Use it to decrease next-day soreness. #BuzzyHelps

Dedicated COVID-19 webpage here.

Go Faster & Help More Patients with Buzzy

As emergency departments become crowded with COVID-19 patients, and staff shortages continue to be a challenge, Buzzy can be a huge time-saving advantage over topical anesthetics.  Children’s Healthcare of Philadelphia found Buzzy to relieve pain as well as LMX for kids age 4-19 (average age of 9), but venous access took only 3 minutes with Buzzy compared to 40.5 with LMX.  If 100 patients in your unit need labs and you’re used to topical anesthetics, this equates to a 62.5 hours per day time savings!  That’s like 6 extra people to help per day.


For children under age 6, where ice may be uncomfortable, EMLA worked slightly better, but took over an hour where Buzzy’s “delay of action is practically zero.”


Pro Tip: let children who find the ice uncomfortable hold it in their hands. One recent study in adults found vibration gives over 90% of the Buzzy’s numbing when used alone for IV access (ice is still the way to go for injections though).


Disinfecting Options

Buzzy should be cleaned with the same wipes being used to clean counters, surfaces, doorknobs and stethoscopes. Alcohol swabs, chlorhexadine, or other disinfecting wipes are all appropriate.


To further reduce concerns, use Buzzy Healthcare Grade Ice Wings or use Personal Use Soft-Sided Ice Wings and Infection Control Bags


COVID Mutations, Slow Vaccine Rollout & “Jumping the Line”

In her first video of 2021, Dr. Baxter covers the realities of a massive vaccine rollout. Is the COVID Vaccine roll-out as slow as we think it is? Are people jumping the line? What role might children’s hospitals play in vaccinating large numbers of adults? What about those new strains? These questions and many more, answered.

Side note: remember back in May of 2020 when we talked about summer plans, then back to school, thinking everything would be “back to normal” by the fall? Dr. Baxter will continue her live talks for as long as it takes to get “back to normal.” Watch krijg meer informatie to the end for a hopeful message about how we get on the other side of this pandemic. Thank you for watching!

Is the vaccine rollout moving very slowly? Not really. This is an extremely sophisticated logistical exercise and efficiencies will improve over a short time. Building the infrastructure/assembly line is the hard part; maintaining the system is much easier.

Are people jumping the line? Trick question. There are multiple lines and the “rules” about who goes first are just guidelines. It’s important not to waste a single dose.

What role might children’s hospitals play in administering vaccines to adults? Pediatric hospitals are already well-equipped to deliver mass vaccination. Children’s hospitals are excellent at mass vaccinations for flu for their staff each year. One idea could be to boost their supply and have them support community vaccination at their locations with their logistical expertise. Those at high-risk of getting very ill from COVID-19 should be getting vaccinated at these locations (not waiting in long lines at the local health department). These hospitals are not over-crowded now since flu is low, injizierbare steroide children are not in school, so many viruses normally circulating now are not.

Do I need to worry about new strains and mutations of the coronavirus? Different strains and variants of COVID are going around. The UK strain is easier to catch but does not appear to be more severe. The South African strain might have mutated enough that the current vaccines will not protect against it. This is why the sooner we achieve herd immunity, the better. Time is of the essence. Most recent science says it would take about 4-6 weeks to create a new vaccine capable of addressing new mutations and strains.

Dr. Baxter covers the death rate (R0) of SARS-CoV-2. Measles, for example, is super-contagious. One person with measles can infect 17 people. With SARS-CoV-2virus, there’s variability in the transmission rate that changes the R0. If a mutation is easier to transmit, we have to have more people vaccinated to “keep the herd safe.”

What can I do to reduce the lung effects of COVID-19? Improving your own breathing can help. Dr. Baxter recommends . . . you guessed it – nasal irrigation! If you use a C-PAP machine, keep using it.

Let’s get ahead of this virus with an EASY, proven solution for needle pain AND fear. Use it to decrease next-day soreness. #BuzzyHelps

Dedicated COVID-19 webpage here

Who Will and Won’t take the COVID Vaccine and Why?

  • Filmed live at the Hive, Atlanta, Georgia, on December 30, 2020. 


New research from The Journal of the American Medical Association (“JAMA”) covers concerns people have about taking the recently approved COVID vaccines. Dr. Baxter covers these concerns: 


  • hesitancy based on past failures of the healthcare system, including systemic racism, illustrated by the Tuskegee experiments.


  • is the vaccine effective? Yes! Solid efficacy (95%). 


  • is the vaccine safe? Yes! A few episodes of Bell’s palsy (a condition that causes a temporary weakness or paralysis of the muscles in the face). Note: temporary.


  • does the EUA/emergency use authorization mean these vaccines are less safe than a vaccine that goes through full FDA review?


  • Possibility of Guillain-Barre syndrome? To date, no cases of GBS have been reported following vaccination among participants in the mRNA COVID-19 vaccine clinical trials.


  • What about infertility risk? There are concerns (like infertility, e.g.) that did not have the time to be answered. 


  • For all the other vaccine data submitted, the EUA is the real deal/above reproach. What if you are immunocompromised? Can you still get the vaccine? Yes! There’s no “live” virus in the vaccines. Your immune system’s appropriate reaction to the vaccine is normal. What should I keep doing before I have the chance to get vaccinated? Wear a mask & practice regular nasal irrigation. Take these OTC items: Vitamin D, zinc, Quercetin. 


  • Is there historical support for quarantining? Yes! Public health concerns mean your constitutional freedoms may be limited. History includes quarantining to reduce the spread of small pox and yellow fever. 


Vaccine hesitancy may be related to needle fear. Dr. Baxter illustrates this with the Polio vaccine, an oral vaccine. Adult needle fear and fainting are public health threats that could defeat herd immunity. People are dying from COVID-19. Dr. Baxter explains how we must change a variable immediately if we expect to succeed against the disease and achieve herd immunity. If we do something NOW to address needle fear, we could reach 38M more people.


How do we address pain, fear, and fainting? Dr. Baxter is a leader in this field and explains. We must address fear, fainting, and pain in the immediate near term to get close to herd immunity. Let’s get ahead of this virus with an EASY, proven solution for needle pain AND fear. #BuzzyHelps


Dedicated COVID-19 webpage here: Covid-19 Vaccination Resources


Buzzy and VibraCool are FDA registered 510(k) cleared to Control pain associated with injections, venipuncture, IV starts, cosmetic injections and the temporary relief of minor injuries (muscle or tendon aches, splinters and bee stings). Also intended to treat myofascial pain caused by trigger points, restricted motion and muscle tension.


Dr. Amy Baxter directs innovation, invention, and strategy for Pain Care Labs. Accomplishments include international thought leadership on pain management and acute opioid reduction, multiple NIH SBIR Fast-Tracks, eight issued patents, multiple first author textbook chapters and journal publications, and successful 510K FDA clearances. After graduating from Yale University and Emory Medical School, as a double-boarded pediatric emergency physician, Dr. Baxter founded PEMA Emergency Research, created and validated the BARF pediatric nausea scale cited in fifty studies, and founded Pain Care Labs. Recognition includes Forbes Ten Healthcare Disruptors, Inc. Top Women in Tech to Watch, Top 10 Innovative and Disruptive Women in Healthcare, a Wall Street Journal “Idea Person”, and the Most Innovative CEO of 2014 from Georgia Bio. National and international lecturing highlights include MakerFaire, AARP, and TEDMED. On Homeolux Board of Directors. Also known for turning down Mr. Wonderful on Shark Tank.