Re: Acuvue Oasys - soon?, but venturing off topic here, for sure...

In article <dbv9o201ebi@xxxxxxxxxxxxxxxxxx>, "RM" <privacy@xxxxxxxxxx>
wrote:


> Then you imply that commercial dispensers sell-out their patient best
> interest for the "best deal" from optical sales reps when you said,

Well, it happens, in private and commercial settings. I'm glad you
don't sell out your clients, but you will have to admit that it happens.

> Then you try to imply that lower prices for contact lenses that are
> available from commercial optical suppliers causes patients to abuse their
> lenses when you said,

Nope. You mis-read that one. Cheap lenses don't cause wearers to abuse
their lens. Lack of information and follow-up care does. The perception
that contact lenses are commodities does lower the bar as far as people
thinking that if they're so easy to get, they must be safe no matter
what. That perception can, of course, be corrected with appropriate
dialog.
>
> > And then there's the issue of contact lenses seen as medical devices
> > with health risks and benefits verses simple consumable commodities.
> > That perception influences compliance and responsibility.
>
> Finally you try to deny your outrageous remarks by claiming "no one here
> dissed commericial fitters". YOU DID!

No one did in the past, at least as I recall. I did so with
reservations, that some commercial fitters certainly do not foster
compliance and responsibility. And I added that some private
practitioners are equally guilty of that same thing.

>
> I too work for in a commercial eyeware setting. I have also worked in
> private practice, in an optometry school, and with a group Ophthalmology
> practice. I believe my current commercial practice gives patients excellent
> eyecare for an excellent price. Sometimes I run into arrogant private
> practitioners who think they are better than their commericial practioner
> colleagues for some reasons I can't fathom. We all went to the same schools
> and passed the same proficiency exams. I guess some people need to feel
> superior to others.

And it tires me that I have to fix people who have received inadequate
eye health and vision care because they were shopping for the lowest
cost or the fastest get-it-done. And again, that does not necessarily
mean it happened at a commercial place but you will have to admit that
is exactly why people go there. There are bozos everywhere. I'm glad
your not one of them.

By the way, when I graduated from school, I was tempted by the instant
big-bucks of a commercial chain, the franchise of which was run by a
friend of the family. I was promised "autonomy" and promptly
reprimanded and forced to quit when I did not meet the volume demanded
(I refused to Rx +.50 readers, for example) and referred "customers" to
private docs for testing not offered in the "store."


Well, we've yet to see "one hour pacemakers installed or replaced" signs
in the big box store or 'buy one MRI and get your CAT scan free!" offer.
But I'm sure it's coming.

Sorry, doc, I don't particularly care for commercialized health care,
whether it's vision or plastic surgery or dentistry or anything. I also
have little tolerance for incompetent doctors in private setting or even
fancy university hospitals.

I don't think you can find fault with that thinking.

--LB, O.D.
.

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