This doesn't happen all the time but from time to time I have patients and their parents picking out frames that are not going to work for them. Sometimes its a preteen wanting the big hipster look other times it parents wanting their 4 year old in oversized glasses. I will explain to the parent or patient why the frame will not work and make notes in the order saying so. Frame to big or plastic frame did not sitting on nose. I will also comment in the notes that I recommended against this frame. Then a few weeks after they have the glasses and experience all the problems I said they would have they are under the impression I will restyle them. This is usually a medicaid case were they get 2 replacements a year. I then explain that they cover replacements and that doesn't mean they get to pick out a new pair of glasses. I always tell them at the time the order is placed that these will be the glasses they have for a year and I will not be able to order them a new pair.
Why do they think I will eat the cost of the glasses or that medicaid will? If they used their own judgement shouldn't they be responsible for their choice? Would you restyle a patient for something like this ? Am I being unreasonable?
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