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"Have you ever noticed that small departures from policies and procedures become bigger departures, and...

State is pretty swanky, I remember seeing it. Thanks for telling the story "behind the frames"!

P.S. AO is "American Optical", right? Do you get hits on that super-classic stuff?

So I saw the Coach rep. You will think all I have is Luxottica, but that's not true.

Coach is really staid (look it up). With the brand "aging" (that is, it's been around for soooo loooong) and...

I looked at Europa and there wasn't much I liked. Am I missing something?

In the rare event that we have "covered CLs" we simply order them to our office, and hold them until the third party payer pays us. It's a long wait, sometimes.

But it's a smart policy: "No...

That means opportunity.

Saw Armani Exchange, today.

I posltion this line as our lowest price point.

Plenty to choose from. Male and female and sunwear.

Is mostly on-trend (good, really, since a lot of...

This world is going to suffer an acute shortage of optician services like never before. McTicianry is NOT going to cut it. Technology is NOT going to replace the human, here.

What's more, ODs...

I think there is an optician existential problem more so than a scope-expansion problem. Optometry should help.

So, you get whatever they allow you as a supply fee, for the covered CLs, or they cap your professional fee if the member doesn't get formulary contacts?

And they allow a higher patient...

Krystle, I'm sure you didn't mean this, but never, ever dispense CLs without payment in full. We don't even ORDER them without payment in full, actually.

So essentially you are trying to discern what is Davis's benefit for a "off-forumulary" contact lens?

Here's one way to guess: how much do you get paid for "on-formulary" lenses? I'm thinking...

I'm not sure how it would work if there were no direct physical contact, but I'm not dogmatic. Off-gassing?

Nice diagram! ^^^ Here's mine:
...

You make an interesting recommendation regarding temples, and I want to see if I can figure out why.

I know that high plus lenses cause the dreaded "jack-in-the-box" phenomenon, meaning that there...

Had a patient with concerns she was allergic to her photochromic plastic lenses. I acknowledge she could be allergic to everything from the frame components to the lens polymer, but I don't think...

https://uwaterloo.ca/chem13-news-magazine/april-2017/chemistry/photochromic-dyes-plastic-lenses-part-1

Photochromic dyes for plastic lenses: Part 1
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Hey, I meant that she should fit the frame for distance position and figure out how far away from the old eyeball it's going to be, then correct the Rx for POW.

Oooh. He went there and got specific. He may have done one of these in the past 10 years, unlike me...

Agree with Fester. I was just bringing the vertex distance issue into focus, but as he says, find the frame and measure the vertex distance and compensate the 11mm-refracted (man, that's close) Rx.

Also remember how to read an add on a high power plus lens: turn the frame around on the lensometer.

Remember that a nice 42 eyesize frame is going to make mega-difference in whether she has to do...

What lab did you use?

What's the diagnosis?

Reduced acuity?

Outside Rx?

Vertex distance?

"She complains about the sweet spots beging inconsistent for intermediate and near" sounds like a problem patient. Intermediate and near zones don't vary. They're the same. Every minute of every...

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Just guess. You can dot their eyes and read.