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[KHE]

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http://www.xtranormal.com/watch/7296599/fun-at-the-eye-doctor?page=1

 

[Hello2011]

http://www.xtranormal.com/watch/7296599/fun-at-the-eye-doctor?page=1

That sounds like me when I go to my optometric physician. 😀

 

[Tippytoe]

Absolute classic. This is about every 3rd patient in my office.

You get to deal with these idiots all for $63 from VSP ($18.90 to you after the 70% overhead expenses). 😳.

 

[Shnurek]

lol he's spending way too much time with her. I'd just be like you can go blind if you don't take off your contacts. You can wear glasses or nothing at all, its up to you. I'll see you tomorrow.

 

[mclem222]

As I tell patients in this situation

" at the end of the day...it isn't my eyes..it's yours so whatever you want to do is ok with me but you are probably going to damage your eyes permanently if you don't get out of the lenses"

 

[Jason K]

Or......

http://www.youtube.com/watch?v=U3X_zVvRTn0

 

[PBEA]

As I tell patients in this situation

" at the end of the day...it isn't my eyes..it's yours so whatever you want to do is ok with me but you are probably going to damage your eyes permanently if you don't get out of the lenses"

why would you be ok with whatever they want to do their eyes? That doesn't make sense.

This person should be chided until their behaviour is corrected, otherwise not fit with cl's at all.

 

[mclem222]

the point is I tell them what needs to be said, if they want to be idiots I let them..As a doctor your responsibility is to tell patients the consequences of doing and not doing certain things. People are allowed to make bad decisions. It is not your job to "force" people or yell at them until they do what you consider to be a good decision. As long as they know the risks of their behaviour it is fine. Now a patient like this I am not going to give them a new contact rx but I tell them " you should not wear your contacts if you want this to get better and not go blind..if you don't care about your vision you can do as you please but that is a bad idea" Not clear how it doesn't make sense to do that.

 

[PBEA]

the point is I tell them what needs to be said, if they want to be idiots I let them..As a doctor your responsibility is to tell patients the consequences of doing and not doing certain things. People are allowed to make bad decisions. It is not your job to "force" people or yell at them until they do what you consider to be a good decision. As long as they know the risks of their behaviour it is fine. Now a patient like this I am not going to give them a new contact rx but I tell them " you should not wear your contacts if you want this to get better and not go blind..if you don't care about your vision you can do as you please but that is a bad idea" Not clear how it doesn't make sense to do that.

that pt should be told in no uncertain terms that they cannot do those things. No exception. Sure you can't force them but that's beside the point. Saying "you can do as you please" is vague and could imply the wrong idea. Just sayin....

 

[VA Hopeful Dr]

that pt should be told in no uncertain terms that they cannot do those things. No exception. Sure you can't force them but that's beside the point. Saying "you can do as you please" is vague and could imply the wrong idea. Just sayin....

I disagree. I have plenty of patient that do unsafe things, and my spiel goes something like "You need to stop doing X. If you don't, you will likely suffer from bad things Y and Z. You're an adult, what you do is up to you". I don't tell them that they absolutely cannot do anything because a) that's just not true, the diabetic can, in fact, eat 5 cartons of Ben and Jerry's every day and b) you can't really tell people what to do. Our job is to make recommendations and to facilitate those recommendations through drugs, treatments, further studies, f/u. Obviously we can stop enabling our patients, no more contacts/narcotics/whatever; but, we can't force them to do anything.

 

[PBEA]

I disagree. I have plenty of patient that do unsafe things, and my spiel goes something like "You need to stop doing X. If you don't, you will likely suffer from bad things Y and Z. You're an adult, what you do is up to you". I don't tell them that they absolutely cannot do anything because a) that's just not true, the diabetic can, in fact, eat 5 cartons of Ben and Jerry's every day and b) you can't really tell people what to do. Our job is to make recommendations and to facilitate those recommendations through drugs, treatments, further studies, f/u. Obviously we can stop enabling our patients, no more contacts/narcotics/whatever; but, we can't force them to do anything.

Of course we can't force someone to do anything. But you don't waffle on your guidance do you? If that diabetic tells you "he's pounding pepsi all day" then you don't say "well its your body, its ok with me" do you? I suspect you'd say something like "No you can't/shouldn't do that, let me suggest a nutritionist, etc". My point wasn't about forcing anything, but that the recommendations should be clear, not ambivalent or vague.

If somebody aks me "can I sleep in my cl's", I say "no", not "well you shouldn't but its your life, do what you want". I think my way is better 😛

 

[Jonbrout]

Chuckle.

 

[eyeballmadness]

ok

 

[Shnurek]

If somebody aks me "can I sleep in my cl's", I say "no", not "well you shouldn't but its your life, do what you want". I think my way is better 😛

I concur

 

[Optoed]

"Lord, why have thou forsaken me?" loll

 

[swtster]

"It is patients like you that make me wish I had become an accountant."
I don't know why I found this line so amusing. Maybe it's because I said the opposite back when I was an accountant.

 

[DawgOD]

this is crazy... compliance compliance compliance. :smh: