We're trying to find out if the PD is a requirement of the eyeglass rx in New York state. I went on the state sight and couldn't find it anywhere. I know it's been said it depends on the state and I've seen where some have downloaded the requirements of their particular state. Wondering where you got that info. Thanks.
What difference does it make. No one in thier right mind would trust a P.D. from someone else anyway.
But too many people out there are irrational.Originally Posted by chip anderson
I saw nothing in the Title VIII Art 143 (Optometry) or 144 (Ophthalmic Dispensing) about PD's.
1st* HTML5 Tracer Software
1st Mac Compatible Tracer Software
1st Linux Compatible Tracer Software
*Dave at OptiVision has a web based tracer integration package that's awesome.
It has always been my understanding that if the P.D. was put on the Rx by the doctor, then it was a viable part of the Rx. Case in point: some doctors will actually figure how much to deviate a P.D. by in order to induce a certain amount of prism. If you ignore their measurement and use the actual P.D. the patient will end up with an Rx minus wanted prism.
Just my two cents worth.
If the doctor wants prism, he should write in prism. I have taught residents who after lengthy instruction, couldn't even take a K reading. Others who have no concept after years of practice how cylinder works in a contact. I would no more fit contacts based on whatever is stated on Rx than I would do surgery for a doctor. And I sure as hell wouldn't trust K readings from any "foolproof" automated machine. I have one office with two that are a diopter and a half apart. For that matter I wouldn't let one decide which contact lens I should use. I know damn well he consulted a chart, listened to a girl in a miniskirt and used whatever trial lens the girl gave him (if he used one at all, and if he did I know he didn't wait a week, do a follow-up and evalulate lens preformance).
How come you guys so afraid to trust your own ablilities and judgement?
Chip
If the you re-check and find the doctor's (or his cute little assistant's) P.D.
is wrong what do you do. Fill as written, call the doctor and ask what he's up to. Insinuate he's wrong? Or trust your own ablility?
Not a matter of trusting my own ability, just a matter of law. At the very least, a call to the doctor to discuss his measurement seems to be in order. Some doctors have been known to do this to avoid having their patients pay additional for prism. If it's on the Rx, then it's part of the Rx. Otherwise, if the patient has a problem, you've only got yourself to blame.
Basically I ask, because a patient of ours that got glasses with us about 3 months ago on her vsp now wants to get glasses over the internet for $79.00. She asked for a copy of the Rx and we did not supply the pd, and it started us wondering about it. Since she's already gotten glasses with us, obviously we have the pd, my major concern is if she asks for it, she's a -12.00/-12.75, and we give it probably there's going to be problems with the glasses and I don't want to take the fall. We've discussed the waiver deal, but still it won't help bad feelings.
A waiver is just a piece of paper. Won't hold up in court.
Autum: You gonna have bad feelings if you refuse to give P.D. You gonna have bad feelings if she goes mail order with your PD and it's not filled correctly. You gonna have bad feelings if she comes in you these $70.00
-12's and she ain't happy or wants service and you refuse or express resentment. You can't win either way.
Chip
My general physician just instituted a new procedure that he says will ensure better patient care:
He wants (me) to bring back all my pharmecuetical meds for him to "check", to be sure they were dispensed in accordance to his instructions...
Q: Is this an example of a "good" type of spin-off from our profession?
And if you believe this, I've got a bridge....
PD's as a viable part of the Rx? It shouldn't be referred to as an *Rx* in the first place! What's next, transitions as part of the Rx? Physio? AR?
YIKES!
My 2 cents...
Barry
Barry, I've seen this many times. There are Dr's around here that have little check lists on the side of the Rx with AR, High-index and one that even has a check box for Comforts. I've always called their office to see if the patient can go with something else if called for, but to me, these are mere recommendations. But if the Dr says "fill as written", I comply.
Why don't you just call some other offices in your area and ask them about the pd thing? Who cares if the patient has bad feelings? They are trying to put a -12.00 in a pair of 79 dollar glasses! They aren't even trying to give you the 79 bucks. Tell them straight out that you can't buy a decent pair of glasses with a -12.00 for 79.00 dollars and you want no part of it.
edit: just saw that she did actually buy glasses from you. This will be a good time to show her the difference in $79.00 -12.00 and a nice vsp job.
Your physician may just be trying to look out for you. I can remember back in the 60's when half the women we saw were half bombed on tranquilizers and the like. Many were seeing several doctors and had Rx's for half a dozen things when one would have sufficed if needed at all.
Your doctor might just have wanted to make sure there was no over Rx ing from several specialists with no knowledge of what the other had prescribed.
Chip
Liability issues
Give her the PD and while your at it give her the Rx at a vertex of 18mm. That oughta do it. :hammer::D
1st* HTML5 Tracer Software
1st Mac Compatible Tracer Software
1st Linux Compatible Tracer Software
*Dave at OptiVision has a web based tracer integration package that's awesome.
I guess you'll need to pay a lawyer a to do some research then. These legal questions always make me laugh. I posted this in another thread. In 17 years of business we have not had a legal issue. Do the rest of you have trouble in this regard? We typically have good relationships with our patients. I would have no trouble telling the patient that the glasses she is used to are worth much more than 79 dollars, and for that extremely low price you will not get the quality you are accustomed to.
Hey, I just don't want to be the first to have problems. It only takes one nut.
Many years ago, my OD father used to tell all patients who went outside his office to have their glasses made to bring the finished glasses in for him to check them. He considered that he hadn't done his job completely until he'd put the glasses on the patient and verified both the Rx and their vision.
When a patient here tells me they're going elsewhere to get glasses made, I also ask them to bring the glasses in so I can verify the Rx. Maybe it's old habit, but I do think it conveys concern and caring for the patient's welfare.
Andrew
"One must remember that at the end of the road, there is a path" --- Fortune Cookie
Yeah, no win situation is right. Though we had already decided to give her the PD if she asks. Honestly, the other Optician didn't even think about it when she gave her a copy of the Rx. If she calls for it we'll give it to her with the waiver (yeah, I know it's only paper and means squat). Though the waiver will be a good way to discuss possible quality issues she may have. PD or no, she's still got the vertex distance thing to worry about. The waiver is also going to include something to the effect that if there's a problem and she wants us to figure it out, there will be a charge--don't know what yet, but definetly something to say, hey, we're not free, service comes with the purchase.
There are currently 1 users browsing this thread. (0 members and 1 guests)
Posting Permissions
Reply With Quote
Bookmarks