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  #18  
Old 12-31-2006, 09:21 PM
drfrank21@gmail.com
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Default Re: In denial


William Stacy wrote:

- quote -

> > Well, I would think that a .25 cyl doesn't qualify as a significant
> refractive error any more than a single sneeze qualifies as an upper
> respiratory infection. But a -2.00 cyl certainly is an ICD 367.21 and
> can cause a lot of suffering for the patient..


Not what I asked. Do you consider ametropia a disease (no matter what
degree) and do you tell your your patients that they are suffering
a disease? I'm not trying to be confrontational here but curious.
Wouldn't
that mean that refracting opticians are diagnosing and treating
eye disease?

A -2.00 uncorrected cyl can cause some asthenopia but I don't
consider that "suffering"- I've had patients in the past that have
been asymptomatic with this amount as well.

Happy new years!

frank

Alt 12-31-2006, 09:21 PM
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  #17  
Old 12-31-2006, 07:29 PM
dr.seagal@yahoo.com
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Default Re: In denial


Dan Abel wrote:
- quote -

> In article <ws-dnYx2FetQhwXYnZ2dnUVZ_qWvnZ2d[at]giganews.com> ,
> "Mike Tyner" <mtyner[at]mindspring.com> wrote:
> > "Jon via MedKB.com" <u12444[at]uwe> wrote
> > > > What do you consider to be **full time**
> > > "All waking hours" is a typical description.
> Although they don't work well when bathing, since they fog up. I
> always wore them swimming, so I could check out the girls.

Dear Dan Abel,

Now I see why you have retinal detachment.

S.Seagal

  #16  
Old 12-31-2006, 07:23 PM
Dan Abel
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Default Re: In denial

In article <ws-dnYx2FetQhwXYnZ2dnUVZ_qWvnZ2d[at]giganews.com> ,
"Mike Tyner" <mtyner[at]mindspring.com> wrote:

- quote -

> "Jon via MedKB.com" <u12444[at]uwe> wrote
> > What do you consider to be **full time**
> "All waking hours" is a typical description.

Although they don't work well when bathing, since they fog up. I
always wore them swimming, so I could check out the girls.
  #15  
Old 12-31-2006, 07:19 PM
Mike Tyner
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Default Re: In denial


"Jon via MedKB.com" <u12444[at]uwe> wrote

- quote -

> What do you consider to be **full time**

"All waking hours" is a typical description.

- quote -

> What reasons would make you insist on it for some who is -2.5

I can't think of any and I never insist on full time wear, except where kids
are likely to lose them or you work in a chemistry lab or there's some other
common-sense reason.

-MT, OD


  #14  
Old 12-31-2006, 06:57 PM
Dan Abel
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Default Re: In denial

In article <1167589084.603484.106840[at]42g2000cwt.googlegroups.com> ,
"Dr Judy" <mpace99[at]rogers.com> wrote:


- quote -

> Beyond the legal requirements, it is her choice whether to use the
> glasses or not.

Of course, it is also a choice as to who is your friend. If your friend
doesn't listen to you, breaks your fine china and endangers people by
driving when they can't see...
  #13  
Old 12-31-2006, 06:54 PM
Dan Abel
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Default Re: In denial

In article <1167589084.603484.106840[at]42g2000cwt.googlegroups.com> ,
"Dr Judy" <mpace99[at]rogers.com> wrote:

- quote -

> Jon via MedKB.com wrote:
> > > What do you consider to be **full time**
> > What reasons would make you insist on it for some who is -2.5
> A doctor will never insist that a patient comply with a recommendation,
> whether wearing glasses, using artificial tears for dry eye, stopping
> smoking or taking insulin for diabetes. All I can do is inform them of
> the advantages of the recommendation and the consequences of not
> following it. Occasionally a doctor may refuse to continue treating a
> non compliant patient when the non compliance makes further treatment
> futile.


Then again, there are the lawsuits. My OD told a patient to take a hike
after he said that he wore a daily disposable for a year. The OD can
write whatever he wants in the chart, but who is the jury going to
believe when infection sets in?

My son broke his finger. His doctor said that he wouldn't heal until he
stopped smoking. He stopped. I was pretty happy.
  #12  
Old 12-31-2006, 05:18 PM
Dr Judy
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Default Re: In denial


Jon via MedKB.com wrote:

- quote -

> What do you consider to be **full time**
> What reasons would make you insist on it for some who is -2.5

A doctor will never insist that a patient comply with a recommendation,
whether wearing glasses, using artificial tears for dry eye, stopping
smoking or taking insulin for diabetes. All I can do is inform them of
the advantages of the recommendation and the consequences of not
following it. Occasionally a doctor may refuse to continue treating a
non compliant patient when the non compliance makes further treatment
futile.

Whether for your friend at -2.50 or someone else at -10.00, all I can
do is remind them that they are not legal to drive without glasses and
that they will see things like TV, movies, people's faces better with
glasses. If she worked at an occupation that has a vision requirement,
I can inform her that her employer will require that she wear glasses
on the job. I usually also point out that wearing or not wearing
glasses will not cause her vision to get better or worse.

Beyond the legal requirements, it is her choice whether to use the
glasses or not.

Dr Judy

  #11  
Old 12-31-2006, 04:56 PM
Jon via MedKB.com
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Default Re: In denial

- quote -

> -2.50 is pretty common. As a professional, I seldom require anyone to
> wear -2.50 full time. If they don't create a hazard by driving without
> correction, there's little reason to insist on full-time wear.

What do you consider to be **full time**
What reasons would make you insist on it for some who is -2.5

--
Message posted via MedKB.com
http://www.medkb.com/Uwe/Forums.aspx/vision/200612/1

  #10  
Old 12-31-2006, 03:57 PM
Mike Tyner
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Default Re: In denial


"Kerryn via MedKB.com" <u12444[at]uwe> wrote

- quote -

> driving. I've tried the subtle approach but she seems to have it in her
> head
> that glasses should be worn as little as possible, even if they'd help.

Sounds like she's fallen victim to the myth that wearing glasses causes
further myopia.

- quote -

> reason I asked what the pros do is because I wondered if you has some
> suggestions for people when you prescribe on how much/when to wear them.
> Is
> there anyone here who's the same prescription?

-2.50 is pretty common. As a professional, I seldom require anyone to
wear -2.50 full time. If they don't create a hazard by driving without
correction, there's little reason to insist on full-time wear.

-MT, OD


  #9  
Old 12-31-2006, 03:41 PM
Kerryn via MedKB.com
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Default Re: In denial

Of course I want to help but I also think she's being a bit stupid. A couple
of years ago she said her glasses were -2.50 and she just wears them for
driving. I've tried the subtle approach but she seems to have it in her head
that glasses should be worn as little as possible, even if they'd help. The
reason I asked what the pros do is because I wondered if you has some
suggestions for people when you prescribe on how much/when to wear them. Is
there anyone here who's the same prescription?

--
Message posted via MedKB.com
http://www.medkb.com/Uwe/Forums.aspx/vision/200612/1

 

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