You'd think I said the world was round.
EVERYONE knows it's flat!
Sheesh!
B
to answer your original question Barry...YES I would!
[QUOTE=Barry Santini;492495]You'd think I said the world was round.
EVERYONE knows it's flat!
Sheesh!
Spheric, aspheric, or atoric
I didn't attend the funeral, but I sent a nice letter saying I approved of it. Mark Twain
I cannot fill expired RXs.
With that said, some "independent Drs next door" will write a Plano rx for "photophobic" patients so they can use their vision ins.
Win, win!
The only ins I can pull a sunglasses frame of the board for is CEC. --in this case I am filling a RX, and are able waive sales tax.
EM, Spectera, Davis, Avesis, etc....I go by their plan! I don't bill ins sunglasses off the board, but I can order Plano lenses.
Win, win!!
Barry your whole point is to point out to the patient that he's overdo for an eye exam. That doesn't mean he can't legally buy any number of over-the-counter readers or plano suns. If you mean to say that an Rx actually written as plano o.u. with no add is strange enough to call the Dr to ask whether there was supposed to be an add , you have a small point. In many years of dispensing, I can't remember any semi-lucid patient who is totally unaware that he/she needs a bifocal. Further a plano Rx is strange enough to call the Dr to see if he forgot to include the prism. Other than that, you have too much time on your hands and are starting an argument when none exists.
It's really an oblate spheroid. I thought all opticians knew that.
http://www.scientificamerican.com/ar...-is-not-round/
Why do they have to prove it? Who made "you" gate keeper? "Make you get an exam" Really? Forcing someone to take an exam???? Is that what this is about?
Plano lenses (regardless of a written prescription or not) are not regulated. There are voluntary standards to most of them, please note the word "voluntary".
If patient x wants a pair of plano's, for god's sake give it to him. Enough with the "I'm the Gatekeeper" stuff. Unless you are the Keyholder as well, we might as well be talking about Ghostbusters.
You cannot force people to get an exam. You can suggest it, you can recommend it.
Come on, man. Enough already.
I think you are all still missing the forest for the trees.
Why should there be Rx expiration dates at all tied to just *ammetropia*?
In the name of eye health gatekeeping???
I guess emmetropes are second class citizens in the eyes of Many ECPs.
B
I love argument, I love debate. I don't expect anyone just to sit there and agree with me, that's not their job.
Margaret Thatcher Oh! I though that was Barry's quote, lol!
Read more at http://www.brainyquote.com/quotes/ke...dbfBojUDlBV.99
I agree "make you get an exam" wasn't an ideal choice of words, but the relish with which y'all jumped on the semantics certainly won't earn any debate points. We know Barry isn't arresting them and escorting them to the doctor's office-nor is that what he's suggested.
I once had a patient with remakes back and forth to the doctor's office between DS & .25 cyl until the doc prescribed a 0.12 cylinder. Lab nailed it, and he was then happy as a clam with his specs. Goes against the grain of every other experience with docs and patients about accomodation I've ever seen. Half the docs I know almost refuse to even write .25 cyls at all.
So yeah, fine--if you can sell planos without an Rx, and someone's fool enough to pay you to surface them--knock yourself out. But it's a line we're crossing when we do--and we'd better make it clear to the patient we're taking our 'labcoat' off when we're making this sale. We're no longer a pharmacist. This is not a medical prosthetic, no you can't use your insurance, it will be taxed, and as far as your vision through the thing is concerned, caveat emptor.
Still...unless that patient signs a waver, I'm still on the hook for whatever the customer ends up not liking about it...especially if he blames it for him falling off his bicycle. Which is exactly what a guy who walks in with that weird, mysterious, expired Rx would do...and whatever story he decides to tell puts the burden of proof on us that we're not the kind of business "that makes glasses without prescriptions."
It's not the plano that's important...it's that he brought in a Rx at all. He's presumably under the impression he's on the 'doctor--prescription--pharmacist--medicine' track. If he thinks he needs a piece of paper at all, then it's better to let that cycle take its course irrespective of the "PL" on it.
Perhaps the thought experiment would be better served had we been provided more context about the Rx and patient data available, along with a paragraph or two of the optician's dialogue with the patient. When those facts plug in, there's probably much less disagreement about where the optician would go with it.
A written direction for a therapeutic or corrective agent; specifically: one for the preparation and use of a medicine. If the prescribing doctor uses an expiry date; does this not suggest to the ECP presented with said RX, that the individual is under a doctors care and that after it has expired they are required to return the attending doctor. The gate keeper of the RX is the prescribing doctor.
I didn't attend the funeral, but I sent a nice letter saying I approved of it. Mark Twain
Barry..You, I and most the rest of us know *why* there are expiration dates on some* eye glass Rx's. We also know which class of doctors do and which class of doctors don't.
I didn't attend the funeral, but I sent a nice letter saying I approved of it. Mark Twain
A horse! A mule! A horse! A mule! Traditiiiiiiioooooooon!
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