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- Feb 2, 2008
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If you are using Optos to document pathology (fundus photo) or for advanced imaging (widefield angiography), I think it's perfectly legitimate. If you're doing it to document "normality" in an undilated patient, you're fooling yourself and the patient. A non-mydriatic camera is no substitute for a DFE...period..
Yeah, ok. So is there something wrong with documenting normal? Makes for an excellent teaching tool etc. I show the patients the effects of hypertension, diabetes, AMD, hypercholesterolemia; just to name a few. And Rev-Eyes is no magic bullet, hardly ever works. I never said "in place of". Interesting enough, I haven't seen studies saying the Optos missed anything. The study (which I witnessed as a student being done) actually showed DFEs can miss pathology because there's more variability between practitioners. Go figure...
If its helpful in management of a known disease why would you not charge for it? Would you not explain that to the patient and they sign a BOV stating that if the insurance does not cover it then it is the patient's responsibility? Don't compare apples and oranges. Doing a test that may reveal more information about a known disease is normal eye care practicing. And the patient can always refuse any service. Nowhere did it say the OD presented it in a scamming way.so if I say to a pt "I have an optional test for you to consider paying for, it is called corneal topography and it produces a digital representation of your cornea and is sometimes helpful in managing corneal disease...it would cost you $50 to perform"
you think that is reasonable?
BTW you are being scammed by your dentist because he is offering dubious testing in an effort to sell you "vitamins". It's called "profit motive".
derrrrrrrrrrrr
The dentist is charging for the technology. Whether in your opinion its useful info or not is not your concern, its the patient's decision. So its wrong for a doctor to stock vitamins? Wow, you sound like a real profitable doctor; smh.
The rationalization for this sort of behavior can be summed up below and is why optometry,dentistry and chiros fights to be respected in medicine. At some point you have to choose to be a doctor, not a profit center...and sorry...as much as you really try to convince yourself....you can't be both.
Yeah, I guess you're the "give services out for free" type doc. Treat pathology on vision insurance type. And we wonder why we are in the state we're in now as a profession.