The J-Tip Jet device (National Medical Products, CA) will be purchased as an empty device and sent to Dr. Nayan Patel at Central Drugs Pharmacy, CA, for preparation. Central Drugs Pharmacy will fill these devices and ship them to Bellevue hospital. The devices will be filled and packaged, using aseptic techniques, with either 0.25 cc of normal saline or 0.25 cc of 1% buffered lidocaine. This device is FDA approved for administration of lidocaine in children and is currently used in a number of other institutions at the time of this study.