Quick help reading a prescription

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Rusty Ryan

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Hey

I haven't started Opt school yet so I need a little help interpreting a prescription for a friend who is looking to buy glasses online. Her prescription for distance vision reads:

OD Sphere: pl
OS Sphere: pl
OD Cyl: -0.75
OS Cyl: -0.75
OD Axis: 65
OS Axis: 100

Does it make sense having zero (pl) under sphere but having correction values for Cyl?
 
Hey

I haven't started Opt school yet so I need a little help interpreting a prescription for a friend who is looking to buy glasses online. Her prescription for distance vision reads:

OD Sphere: pl
OS Sphere: pl
OD Cyl: -0.75
OS Cyl: -0.75
OD Axis: 65
OS Axis: 100

Does it make sense having zero (pl) under sphere but having correction values for Cyl?

It basically means she has only astigmatism.
 
No it doesn't. It mean she's blind in both her eyes and so she needs laser surgery.

Tell her to go to an optometrist and ask. ****ing cheap skate.
 
No it doesn't. It mean she's blind in both her eyes and so she needs laser surgery.

Tell her to go to an optometrist and ask. ****ing cheap skate.

LOL! Exactly! Why not ask the online retailer they're buying from, so they can in turn say "Ask your eye doctor!" :laugh:
 
Hey

I haven't started Opt school yet so I need a little help interpreting a prescription for a friend who is looking to buy glasses online. Her prescription for distance vision reads:

OD Sphere: pl
OS Sphere: pl
OD Cyl: -0.75
OS Cyl: -0.75
OD Axis: 65
OS Axis: 100

Does it make sense having zero (pl) under sphere but having correction values for Cyl?


This is EXACTLY why everyone thinking about optom should RUN the other way. FEW ODs can make it doing disease only, there is just not enough pathology to go around and the days of selling glasses and CL are numbered. No way can we compete with online. BLAH BLAH BLAH about customer service, unfortunately people are careing less and less about this. It is all about the price.😡
 
Ya. But once they hit presbyopia, they really need to see a person to get a properly fit multifocal product. Just pretend we don't know what they want when they ask us to measure their pds? Or make then buy some cleaner at least.
 
well if this is why people should run from optometry, then people should also run from pharmacy since you can order your Rxs online. and people should run from medicine because reimbursement rates are declining and malpractice is rising rapidly. and people should also run from dentistry because they are "corporatizing" (yeah, just made that word up) and starting to advertise coupons, and people should run from every other job on the planet.

for all the ODs complaining out there and trying to discourage people from practicing optometry, maybe you got into it for the wrong reason. and it seems that every OD i meet who is complaining about not being able to make money, sure does drive a nice car and lives in a nice house. quit downing your profession and start taking pride in it! maybe thats when things will change... when you stop thinking the world is going to end.
 
I've heard from a well established OD that purchasing glasses and contacts online is no big deal. That Optometrists must simply learn how to attack the profession from other angles. What those angles are, I don't know.
 
well if this is why people should run from optometry, then people should also run from pharmacy since you can order your Rxs online. and people should run from medicine because reimbursement rates are declining and malpractice is rising rapidly. and people should also run from dentistry because they are "corporatizing" (yeah, just made that word up) and starting to advertise coupons, and people should run from every other job on the planet.

I think you probably made the remark off the cuff a little bit but I hope you (and all else out there) realize that accuracy of what you've stated.

I've said this before and I'm going to say it again. The biggest problem in health care is that as providers and/or business owners, you DO NOT control the money. You are essentially limited to charging whatever third party payors are willing to reimburse you. If they decide they want to pay you less because they want to raise their share price, or because their CEO wants the 50 foot yacht instead of the 45 foot yacht, then YOU GET LESS.

They don't give a crap that YOUR cost of doing business continues to go up.
They don't give a crap that your cost of living continues to go up.

I would not discourage people from pursuing a career in health care in general, or optometry in particular but the economics of the various fields can not be ignored, particularly if your desire is to one day have your own practice.
 
I've heard from a well established OD that purchasing glasses and contacts online is no big deal. That Optometrists must simply learn how to attack the profession from other angles. What those angles are, I don't know.

It's true to some extent but the "other angles" are slowly closing as well. It's going to be harder and harder and make the good living that health careers have historically provided. I think that that will be even harder for optometry for a variety of reasons. Doctors of ALL types, but optometrists in particular will work harder and harder to make the same money, or even slightly LESS money over time.

I can't say I would not recommend optometry but proceed with caution.
 
i agree about third party payers. but thats a separate issue. optometry is a growing profession, whether people want to admit. we are growing towards the medical side by the increasing number of practitioners treating glaucoma. also by a lot of the states pushing for lasers. you also have to consider the number of states who pushed for and got Botox and Latisse. our profession is growing but there is something we don't need. we don't need a bunch of griping, negative, pessimistic docs on here discouraging students from going into this great profession which repeatedly tops the Top 10 Professions according to USA Today (or US News and World Reports...can't remember which). the average salary for optometry has actually gone up over the years according to the AOA optometric salary study. look at the positive things in this profession instead of dwelling on the negatives. if you don't like optometry, quit. and also quit complaining.
 
i agree about third party payers. but thats a separate issue. optometry is a growing profession, whether people want to admit. we are growing towards the medical side by the increasing number of practitioners treating glaucoma. also by a lot of the states pushing for lasers. you also have to consider the number of states who pushed for and got Botox and Latisse. our profession is growing but there is something we don't need. we don't need a bunch of griping, negative, pessimistic docs on here discouraging students from going into this great profession which repeatedly tops the Top 10 Professions according to USA Today (or US News and World Reports...can't remember which). the average salary for optometry has actually gone up over the years according to the AOA optometric salary study. look at the positive things in this profession instead of dwelling on the negatives. if you don't like optometry, quit. and also quit complaining.

Ohh grasshopper, you have much to learn.
The only state that allows lasers is Oklahoma, and VERY FEW ODs use their laser privleges. I have lectured in Oklahoma, great bunch of docs, however not many can justify purchasing a laser for the few cases they would actually perform. (This has been beaten to death on other threads so I won't go into it here) This is the only state that ODs will ever get privleges, so if you are going into optometry thinking you are going to be firing lasers at will you are sadly mistaken. Many MDs that actually support ODs and their right to prescribe medication were taken aback by the Oklahoma push and actually reconsidered their stance. Our training does not lend well to surgical procedures and we should not be doing them.
Optometry may be growing, but many of us that have been out here in the trenches for many years feel that it is doing so in the wrong direction. Comercial optometry is a force, make no mistake about it. Luxottica owns their own chains, frame lines, two insurance companies, and their own labs. When they control the overhead and the money there is a problem. As KHE has so eloquently pointed out, we don't control the money. MDs don't control the money either, but they do control their own destiny as far as patient care goes, ODs do not have that luxury. There was actually legislation in Oklahoma two years ago called "Roll back the scope." Thankfully it did not pass, however we are always just a pen stroke away from legislation taking away our privleges. With the increase cost of education there are fewer young ODs that are paying their state association dues and contributing to PAC, which is essential for us to stay diligent politically. Look at the British Columbia fiasco, I have been told that a certain online contact lens retailer was behind the push for that legislation to go through. Money talks.
I, like KHE, am not trying to talk you out of optom, you just need to go in with open eyes and realize that the profession may not hold what you think it does. The general public thinks you make millions of dollars a year, you are a doctor, you must. Therefore it won't hurt you one bit if I get my glasses and contact lenses on line.
 
i agree about third party payers. but thats a separate issue. optometry is a growing profession, whether people want to admit. we are growing towards the medical side by the increasing number of practitioners treating glaucoma. also by a lot of the states pushing for lasers. you also have to consider the number of states who pushed for and got Botox and Latisse. our profession is growing but there is something we don't need. we don't need a bunch of griping, negative, pessimistic docs on here discouraging students from going into this great profession which repeatedly tops the Top 10 Professions according to USA Today (or US News and World Reports...can't remember which). the average salary for optometry has actually gone up over the years according to the AOA optometric salary study. look at the positive things in this profession instead of dwelling on the negatives. if you don't like optometry, quit. and also quit complaining.

Its not complaining, its called being honest and telling about the truths. Optometry schools are making students think that all they have to do is graduate, do a residency, become board certified and then the world is yours. That's simply not true.

In my opinion, the profession needs to add more procedures to its list, amoung many other things that need change & progression. I am grateful to the past ODs who fought long and hard for therapuetic rights, but now we have to move towards actual billable procedures, solidarity in organization, and equal national scope of practice.

What OD do you know is utilizing Botox? Most states do not allow injectables and we do not have adequate training experiences in utilizing Botox in all its aspects.

In all fairness, the problems facing our profession are not limited to us. The same is going around in many other professions. But as KHE pointed out, it affects us harder; especially when you look at our scope of practice. I'm still optomistic, but also keeping open my realistic eye as well. :luck:

If not for the financial constraints of going to medical school now, I would definitely join ksidoc in his endeavor. We'll see how things progress...:xf:
 
i agree about third party payers. but thats a separate issue. optometry is a growing profession, whether people want to admit. we are growing towards the medical side by the increasing number of practitioners treating glaucoma. also by a lot of the states pushing for lasers.

Respectfully Jake, I think you're making a serious mistake looking at it that way. There is no current demand for optometrists to be performing laser surgery. The number of patients that I see in a given month who would benefit from YAGs, PIs, or who ask about LASIK is no where near enough to justify the cost of having a laser in the office, and mine is a 3 doctor practice. It's just not what optometrists do.

you also have to consider the number of states who pushed for and got Botox and Latisse.

When Latisse came out, I had about 5 patients ask about it in the first week. Since then, nothing. The few that I have recommended it to have not filled it because the cost is obsene. Botox, same thing. It's just not what ODs do. If you wanted Botox, WHY would you see an OD?

our profession is growing but there is something we don't need. we don't need a bunch of griping, negative, pessimistic docs on here discouraging students from going into this great profession which repeatedly tops the Top 10 Professions according to USA Today (or US News and World Reports...can't remember which). the average salary for optometry has actually gone up over the years according to the AOA optometric salary study.

Keep in mind that AOA only considers those who are AOA members and more than half of optometrists are NOT AOA members. If you're struggling, chances are low that you're going to shell out two grand a year for AOA membership so understand that AOA data is going to be particularly skewed.

look at the positive things in this profession instead of dwelling on the negatives. if you don't like optometry, quit. and also quit complaining.

The positive is that at the end of the day, I make good money helping people see better. I own my own practice. I work basically as much or as little as I want.

The negative is that it is definately getting harder and harder to maintain. As providers, we get squeezed from patients and from third party payers. We essentially have no recourse. We can't just "raise fees" because we are limited to what third party payors will pay us. On some level, we actually have it BETTER than other providers because we DO sell glasses and contacts but contact lenses is pretty much a done deal....there's essentially zero margin there and glasses are rapidly heading down that road.

For me, there's more negative than that but I'll limit this dicussion to the just the economic end of it.

I don't think too many people really investigate well before entering school. Like you, they read the AOA statistics and read US News and World Report and think "HEY! I'll be an EYE DOCTOR! COOL!"

Well, it ain't quite that simple. It's pretty easy to make "ok" money in this field. It's really hard to make "good" money and it's getting harder and harder.
 
If you're struggling, chances are low that you're going to shell out two grand a year for AOA membership so understand that AOA data is going to be particularly skewed.

WHAT?! $2000/yr?! I didn't know that. That sucks. :-( *le sigh*
 
This is EXACTLY why everyone thinking about optom should RUN the other way. FEW ODs can make it doing disease only, there is just not enough pathology to go around and the days of selling glasses and CL are numbered. No way can we compete with online. BLAH BLAH BLAH about customer service, unfortunately people are careing less and less about this. It is all about the price.😡

What type of customers are going to buy glasses online? The Americas Best and Wal-mart customers. Frugal folks (fatwallet.com/grouponers) are the major market...looking for value over quality.

Online glasses constitute less than 3 percent of all eyeglass sales (http://www.visionmonday.com/ViewContent/tabid/211/content_id/20417/catId/304/Default.aspx). It will probably hoover around 5-8% in the next five years. Essilor designed a practitioner ONLINE optical shop for those interested in setting up their own online shop alongside their real one.

Should we be worried and proactive? Of course! Blockbuster didn't do very much when Netflix and Redbox popped up, and they are on the verge of bankruptcy. Oops?
 
With the increase cost of education there are fewer young ODs that are paying their state association dues and contributing to PAC, which is essential for us to stay diligent politically. Look at the British Columbia fiasco, I have been told that a certain online contact lens retailer was behind the push for that legislation to go through. Money talks.

Agreed!

It's so important to contribute to state association dues, statePAC, and AOAPAC. I get mad knowing those that are not members of their associations reap the benefits.

And this whole AOS vs AOA vs ABO vs ABCO crap is making our profession weaker every moment.
 
Should we be worried and proactive? Of course! Blockbuster didn't do very much when Netflix and Redbox popped up, and they are on the verge of bankruptcy. Oops?

The problem with "proactivity" in optometry (and all of medicine) again is that as providers, we do not control the money or the fees for our services.

I think that's a very tenuous position for doctors of all types. If our cost of business goes up (who's doesn't?) we don't really have the option to raise fees because we're limited to what 3rd party payors will pay us. At least in optometry we have SOME lattitude because we do have some non covered services like contact lens fees that patients pay out of pocket for but even that is being erroded heavily by managed vision care plans.

So the only way to stay level in health care is to either cut expenses to the bone or to just see more patients on the thinnest of razor thin profit margins.

Tough business it is.
 
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