Your guess is as good as mine!
This doctor reminds me of The Vet on Better Call Saul. Not sure if this is some shady situation or its just how it goes over there. A few things to nitice during this "procedure" however:
1) Doctor not wearing any gloves
2) someone is smoking- you can see the smoke
3) no Novocaine, Lidocaine or anesthetic at all
4) the gauze to wipe up blood keeps getting tossed around.