I don't think I ever said anyone was dumb or stupid..
What is the point of the optos? It is for detecting? Is it for monitoring? Is it a dilation replacement? Does the patient's potential expert witness think it is?
I personally don't think its all that hard to convince patients to be dilated if and when its needed. IF you have a device that is supposedly a replacement for it, sure, its going to be even easier for a patient to decline. Patients don't like me flipping their lids for gpc, or putting in drops for goldmann tonometry, or getting next to their cornea with a alger brush, but I don't loose sleep at night doing those things when needed. I'm sure if you asked most people they hate doing any form of tonometry, doesn't mean we should disregard standard of care. I don't know if patients not liking dilation is a good reason to embrace the optos.
I understand what you are saying, that doing almost 100% optos is probably better overall than 10% consenting to dilation. Makes sense, no argument needed there.. But I think legally its a scary position to be in, especially if you profit more from the lower standard and have the entire patient experience set up to "sell" optos and minimize dilation. Juries tend to look at those things. Not saying its wrong, but I think some docs put themselves in to a position where the cards are stacked against them should things go wrong.
Do you still take additional photos with your other camera? For example, when you are following a glaucoma suspect? Or do you just use the optos as a reference in the future?
just curious
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