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#18
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| 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 |
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#17
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| Dan Abel wrote: - quote - > In article <ws-dnYx2FetQhwXYnZ2dnUVZ_qWvnZ2d[at]giganews.com> ,
Dear Dan Abel,> "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. Now I see why you have retinal detachment. S.Seagal |
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#16
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| In article <ws-dnYx2FetQhwXYnZ2dnUVZ_qWvnZ2d[at]giganews.com> , "Mike Tyner" <mtyner[at]mindspring.com> wrote: - quote - > "Jon via MedKB.com" <u12444[at]uwe> wrote
Although they don't work well when bathing, since they fog up. I> > What do you consider to be **full time** > "All waking hours" is a typical description. always wore them swimming, so I could check out the girls. |
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#15
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| "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 kidsare likely to lose them or you work in a chemistry lab or there's some other common-sense reason. -MT, OD |
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#14
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| 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
Of course, it is also a choice as to who is your friend. If your friend> glasses or not. doesn't listen to you, breaks your fine china and endangers people by driving when they can't see... |
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#13
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| 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. |
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#12
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| Jon via MedKB.com wrote: - quote - > What do you consider to be **full time**
A doctor will never insist that a patient comply with a recommendation,> What reasons would make you insist on it for some who is -2.5 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 |
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#11
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| - quote - > -2.50 is pretty common. As a professional, I seldom require anyone to
What do you consider to be **full time**> 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 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 |
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#10
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| "Kerryn via MedKB.com" <u12444[at]uwe> wrote - quote - > driving. I've tried the subtle approach but she seems to have it in her
Sounds like she's fallen victim to the myth that wearing glasses causes> head > that glasses should be worn as little as possible, even if they'd help. further myopia. - quote - > reason I asked what the pros do is because I wondered if you has some
-2.50 is pretty common. As a professional, I seldom require anyone to> suggestions for people when you prescribe on how much/when to wear them. > Is > there anyone here who's the same prescription? 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 |
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#9
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| 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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