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| Author |
Message |
<short@short.com>
medicine forum beginner
Joined: 21 Jun 2006
Posts: 5
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 Posted: Wed Jun 21, 2006 9:15 pm Post subject:
sick of astigmatism (soft torics)
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Just got my frequency 55 soft toric trial contacts after two weeks. Again,
they are Frequency 55's, which I really hate. I wore contacts several years
ago, and it took several tries to "get it right."
I haven't worn them for about 4 years. I went to Eyeland and my prescription
was:
Right Eye: -4.25 x -3.25 x 020
Left Eye: -4.50 x -2.75 x 155
I got those trial contacts and they were bad. The left eye felt good but the
right eye didn't seem to fit right and had frequent blurriness. I wasn't
happy with Eyeland so I went to America's Best about three months later.
My prescription was:
Right Eye: -4.00 -3.75 x 025
Left Eye: -4.25 -3.25 x 155
So, which prescription is right? Why the change after just 3 months? After
two weeks I got my trial contacts and at first they seem better than
Eyeland's first attempt. The right eye seemed a bit clearer and feels better
in my eye. But... after awhile stills get blurry and out of focus far too
often especially at longer ranges. No matter who fits my contacts, it feels
like the right eye is always messed up, as if there's a blurry film over my
vision. The left eye doesn't feel as sharp as it did with Eyeland's trial
pair, but again, better than my right eye which causes the problem. Also, as
with the other contacts, even with two eyes, if i'm seeing clearly it's just
a matter of time before everything gets blurry for a second or two before I
have to blink many times to clear it up. what's the problem? are they not
staying in place? what can they adjust if my prescription is correct? is
there another brand other than frequency 55 that i can use?
i have to schedule another appointment for the doctor to check my vision and
make an adjustment. i'm sick of this. |
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Mike Tyner
medicine forum Guru
Joined: 24 Mar 2005
Posts: 1299
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| Posted: Wed Jun 21, 2006 10:48 pm Post subject:
Re: sick of astigmatism (soft torics)
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<short@short.com> wrote
| Quote: | Just got my frequency 55 soft toric trial contacts after two weeks. Again,
they are Frequency 55's, which I really hate. I wore contacts several
years ago, and it took several tries to "get it right."
|
I'm not sure why that means you should "hate" a particular brand. F55 torics
are about as stable and predictable as other brands. They also come in two
shapes, and you didn't say which.
| Quote: | I haven't worn them for about 4 years. I went to Eyeland and my
prescription was:
Right Eye: -4.25 x -3.25 x 020
Left Eye: -4.50 x -2.75 x 155
I got those trial contacts and they were bad. The left eye felt good but
the right eye didn't seem to fit right and had frequent blurriness.
|
It helps to deal with vision and comfort as two separate issues. I gather
the right eye *felt* ok, but the vision varied.
| Quote: | I wasn't happy with Eyeland so I went to America's Best about three months
later.
|
Not necessarily a step upwards. Torics are tricky and America's Best usually
caters to price shoppers.
| Quote: | My prescription was:
Right Eye: -4.00 -3.75 x 025
Left Eye: -4.25 -3.25 x 155
|
Believe it or not, those two prescriptions are very similar. Notice in each
case the first number goes down but the second number goes up. Those changes
offset each other and if you figure the spherical equivalent (a standard
measurement of overall strength) you find each eye stayed exactly the same.
Also notice that the third number (axis) was identical in the left eye and
only changed by 5/180 in the right.
| Quote: | So, which prescription is right?
|
You'd probably be happy with glasses made from either pair. They probably
represent accurate measurements at different ends of normal diurnal
variation.
| Quote: | Why the change after just 3 months?
|
As I said, it isn't a big change. And astigmatism doesn't typically change
much. But readings vary by +/-025 on the same day with the same examiner, so
a variance of 050 over three months is no surprise. And one meridian got 025
steeper and the other got 025 flatter; that's typical of the variation you'd
see in an individual.
Probably the biggest variable is examiner instructions and the patient's own
sensitivity to cylindrical blur.
Other causes for variation are dehydration eg antihistamines, exposure,
climate etc., as well as hormonal skin changes, sleep, and lots of others.
But yours didn't change much.
With toric contacts ( and glasses) it's usually preferable to undercorrect
astigmatism than to overcorrect it. So if you were making glasses, use the
first prescription. If *your* contacts are made the same strength as your
glasses, something is wrong.
NO toric will stay in place 100% of the time. If it does it's too tight. So
instead of looking for the "right" contacts, try to find the least annoying
of them. With your prescription, it's unreasonable to expect torics to be as
sharp as glasses.
If you want perfection, you should check into gas perm contacts. Sometimes
they work out better than glasses but we'd need to know more about you.
-MT, OD |
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<short@short.com>
medicine forum beginner
Joined: 21 Jun 2006
Posts: 5
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| Posted: Thu Jun 22, 2006 12:01 am Post subject:
Re: sick of astigmatism (soft torics)
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But the right eye is always bad and blurry. Why would they prescribe me soft
torics when gas perm contacts are better? I have another appointment
tomorrow -- the eye doc there seemed better @ America's Best. She was
syrian, and seemed to care a lot more than the doltz at Eyeland. I'm sick of
wearing glasses, thus, I'm going for contacts.
"Mike Tyner" <mtyner@mindspring.com> wrote in message
news:kOKdnap7lqooUQTZnZ2dnUVZ_sWdnZ2d@giganews.com...
| Quote: |
short@short.com> wrote
Just got my frequency 55 soft toric trial contacts after two weeks.
Again, they are Frequency 55's, which I really hate. I wore contacts
several years ago, and it took several tries to "get it right."
I'm not sure why that means you should "hate" a particular brand. F55
torics are about as stable and predictable as other brands. They also come
in two shapes, and you didn't say which.
I haven't worn them for about 4 years. I went to Eyeland and my
prescription was:
Right Eye: -4.25 x -3.25 x 020
Left Eye: -4.50 x -2.75 x 155
I got those trial contacts and they were bad. The left eye felt good but
the right eye didn't seem to fit right and had frequent blurriness.
It helps to deal with vision and comfort as two separate issues. I gather
the right eye *felt* ok, but the vision varied.
I wasn't happy with Eyeland so I went to America's Best about three
months later.
Not necessarily a step upwards. Torics are tricky and America's Best
usually caters to price shoppers.
My prescription was:
Right Eye: -4.00 -3.75 x 025
Left Eye: -4.25 -3.25 x 155
Believe it or not, those two prescriptions are very similar. Notice in
each case the first number goes down but the second number goes up. Those
changes offset each other and if you figure the spherical equivalent (a
standard measurement of overall strength) you find each eye stayed exactly
the same. Also notice that the third number (axis) was identical in the
left eye and only changed by 5/180 in the right.
So, which prescription is right?
You'd probably be happy with glasses made from either pair. They probably
represent accurate measurements at different ends of normal diurnal
variation.
Why the change after just 3 months?
As I said, it isn't a big change. And astigmatism doesn't typically change
much. But readings vary by +/-025 on the same day with the same examiner,
so a variance of 050 over three months is no surprise. And one meridian
got 025 steeper and the other got 025 flatter; that's typical of the
variation you'd see in an individual.
Probably the biggest variable is examiner instructions and the patient's
own sensitivity to cylindrical blur.
Other causes for variation are dehydration eg antihistamines, exposure,
climate etc., as well as hormonal skin changes, sleep, and lots of others.
But yours didn't change much.
With toric contacts ( and glasses) it's usually preferable to undercorrect
astigmatism than to overcorrect it. So if you were making glasses, use the
first prescription. If *your* contacts are made the same strength as your
glasses, something is wrong.
NO toric will stay in place 100% of the time. If it does it's too tight.
So instead of looking for the "right" contacts, try to find the least
annoying of them. With your prescription, it's unreasonable to expect
torics to be as sharp as glasses.
If you want perfection, you should check into gas perm contacts. Sometimes
they work out better than glasses but we'd need to know more about you.
-MT, OD
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LarryDoc
medicine forum Guru Wannabe
Joined: 29 Apr 2005
Posts: 262
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| Posted: Thu Jun 22, 2006 2:53 am Post subject:
Re: sick of astigmatism (soft torics)
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In article <UNidnXIm3-hNQATZUSdV9g@ptd.net>, <short@short.com> wrote:
| Quote: | But the right eye is always bad and blurry. Why would they prescribe me soft
torics when gas perm contacts are better?
|
Because you insist on going to discount optical stores for your eyecare
instead of private practice doctors. Gas perms (sometimes) require more
time and to fit than soft and more experience. They are not available to
"take and run" as are soft lenses. They are often less profitable in the
short term than soft lenses. Hence you will not find them at
discounters.
And as you've been told, soft toric lenses in your prescription don't
always work all that well and do require adjustments to the fit and
power to optimize acuity. That takes time and more time means less
profit for discounters. Additionally, the discounters may not be able to
offer you more than one or two manufacturers.
| Quote: | I have another appointment
tomorrow -- the eye doc there seemed better @ America's Best. She was
syrian, and seemed to care a lot more than the doltz at Eyeland. I'm sick of
wearing glasses, thus, I'm going for contacts.
|
Then find a doctor who has the skills to fit you with lenses that will
satisfy your needs. Some of us actually enjoy the challenge of finding
"the right fit" of lens material and design to make the experience as
rewarding as possible---for both the wearer and the fitter. Good PR,
you know.
LB, O.D. |
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p.clarkii@gmail.com
medicine forum Guru Wannabe
Joined: 11 Sep 2005
Posts: 247
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| Posted: Thu Jun 22, 2006 3:20 am Post subject:
Re: sick of astigmatism (soft torics)
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short@short.com wrote:
| Quote: | are they not
staying in place? what can they adjust if my prescription is correct? is
there another brand other than frequency 55 that i can use?
i have to schedule another appointment for the doctor to check my vision and
make an adjustment. i'm sick of this.
|
------------
its tough to fit toric lenses on people with high astigmatism. the
slightest movement and rotation causes noticable blur. the only way to
find the best prescription is to try a prescription for a time (several
days to a week), go to a follow-up appointment with the doctor, and
allow him/her to adjust the prescription based upon the lens fit.
with your prescription it isn't possible to simply run in for an exam
and leave with perfect-fitting contact lenses. it doesn't work that
way. you just need to accept that.
gas permeable contact lenses are certainly a possibility but the reason
that soft lenses dominate the contact lens market is that most people
find the comfort (or lack of comfort) of the gas permeable lenses to be
unacceptable. but you should try them anyway. if you are able to
adapt to the feeling of gas permeable lenses they MAY provide you with
better vision although, as you have been told, we do not have
sufficient information about you to determine whether they might work
or not.
either get yourself in a mindset to take the time to find the optimal
fitting contact lenses, or just wear your glasses. you are not going
to be a simple patient to fit because of your high astigmatism and your
impatience.
also, I think it is irrelevant whether or not you go see a retail
chain-based eye doctor or a doctor in private practice. I have seen
good and bad doctors practicing in both situations. just find someone
who is willing to invest the time it takes to best fit a patient like
yourself, and then you need to accept that it is going to take some
time too. |
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<short@short.com>
medicine forum beginner
Joined: 21 Jun 2006
Posts: 5
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| Posted: Thu Jun 22, 2006 4:42 am Post subject:
Re: sick of astigmatism (soft torics)
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Yeah, she said to be patient, it'll take a few tries. So, i'm going to do
that.
<p.clarkii@gmail.com> wrote in message
news:1150946435.578126.130530@i40g2000cwc.googlegroups.com...
| Quote: |
short@short.com wrote:
are they not
staying in place? what can they adjust if my prescription is correct? is
there another brand other than frequency 55 that i can use?
i have to schedule another appointment for the doctor to check my vision
and
make an adjustment. i'm sick of this.
------------
its tough to fit toric lenses on people with high astigmatism. the
slightest movement and rotation causes noticable blur. the only way to
find the best prescription is to try a prescription for a time (several
days to a week), go to a follow-up appointment with the doctor, and
allow him/her to adjust the prescription based upon the lens fit.
with your prescription it isn't possible to simply run in for an exam
and leave with perfect-fitting contact lenses. it doesn't work that
way. you just need to accept that.
gas permeable contact lenses are certainly a possibility but the reason
that soft lenses dominate the contact lens market is that most people
find the comfort (or lack of comfort) of the gas permeable lenses to be
unacceptable. but you should try them anyway. if you are able to
adapt to the feeling of gas permeable lenses they MAY provide you with
better vision although, as you have been told, we do not have
sufficient information about you to determine whether they might work
or not.
either get yourself in a mindset to take the time to find the optimal
fitting contact lenses, or just wear your glasses. you are not going
to be a simple patient to fit because of your high astigmatism and your
impatience.
also, I think it is irrelevant whether or not you go see a retail
chain-based eye doctor or a doctor in private practice. I have seen
good and bad doctors practicing in both situations. just find someone
who is willing to invest the time it takes to best fit a patient like
yourself, and then you need to accept that it is going to take some
time too.
|
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<short@short.com>
medicine forum beginner
Joined: 21 Jun 2006
Posts: 5
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| Posted: Thu Jun 22, 2006 8:12 pm Post subject:
Re: sick of astigmatism (soft torics)
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Well I went back and there was another doctor there. Some young guy. Seemed
like a buffoon. Uh, I'll check the matrix and order a new pair and call you
when they come in. Looks like I'm going to have to go to a contact lense
specialist eventually. What would guy just out of college know about fitting
high astigmatism soft torics. When he asked me to read the chart I couldn't
see a thing lol. Letters were blurred like crazy.
<short@short.com> wrote in message news:oCmdnRCmuc4qggfZUSdV9g@ptd.net...
| Quote: | Yeah, she said to be patient, it'll take a few tries. So, i'm going to do
that.
p.clarkii@gmail.com> wrote in message
news:1150946435.578126.130530@i40g2000cwc.googlegroups.com...
short@short.com wrote:
are they not
staying in place? what can they adjust if my prescription is correct? is
there another brand other than frequency 55 that i can use?
i have to schedule another appointment for the doctor to check my vision
and
make an adjustment. i'm sick of this.
------------
its tough to fit toric lenses on people with high astigmatism. the
slightest movement and rotation causes noticable blur. the only way to
find the best prescription is to try a prescription for a time (several
days to a week), go to a follow-up appointment with the doctor, and
allow him/her to adjust the prescription based upon the lens fit.
with your prescription it isn't possible to simply run in for an exam
and leave with perfect-fitting contact lenses. it doesn't work that
way. you just need to accept that.
gas permeable contact lenses are certainly a possibility but the reason
that soft lenses dominate the contact lens market is that most people
find the comfort (or lack of comfort) of the gas permeable lenses to be
unacceptable. but you should try them anyway. if you are able to
adapt to the feeling of gas permeable lenses they MAY provide you with
better vision although, as you have been told, we do not have
sufficient information about you to determine whether they might work
or not.
either get yourself in a mindset to take the time to find the optimal
fitting contact lenses, or just wear your glasses. you are not going
to be a simple patient to fit because of your high astigmatism and your
impatience.
also, I think it is irrelevant whether or not you go see a retail
chain-based eye doctor or a doctor in private practice. I have seen
good and bad doctors practicing in both situations. just find someone
who is willing to invest the time it takes to best fit a patient like
yourself, and then you need to accept that it is going to take some
time too.
|
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BD
medicine forum Guru Wannabe
Joined: 28 Jul 2005
Posts: 148
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| Posted: Thu Jun 22, 2006 9:35 pm Post subject:
Re: sick of astigmatism (soft torics)
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| Quote: | Seemed like a buffoon.
|
If you want quality, why are you going to the optician-equivalent of a
Wal-Mart?
Your expectations and your choice of providers are simply not a good
recipe for satisfaction. |
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<short@short.com>
medicine forum beginner
Joined: 21 Jun 2006
Posts: 5
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| Posted: Fri Jun 23, 2006 4:11 am Post subject:
Re: sick of astigmatism (soft torics)
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Didn't know it was the quality of Walmart. I specifically asked when I went
in if they could prescribe proper contacts for me since i have a high
astigmatism. They took the reading of my glasses and gave it to the female
doctor, she said yes she can do it but it'll take a few tries.
So I go back today to pick up the contacts and she's not there. Another
doctor is there. I did not expect that since her name is on the door. I
don't feel like its professional either. So far i'm only out $70 for the
exam. Well, and $70 for the Eyeland contact exam a few months back which
produced the same terrible results.
Can nobody help me?
"The Central Scrutinizer" <bobby_dread@hotmail.com> wrote in message
news:1151012116.416945.23470@r2g2000cwb.googlegroups.com...
| Quote: | Seemed like a buffoon.
If you want quality, why are you going to the optician-equivalent of a
Wal-Mart?
Your expectations and your choice of providers are simply not a good
recipe for satisfaction.
|
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LarryDoc
medicine forum Guru Wannabe
Joined: 29 Apr 2005
Posts: 262
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| Posted: Fri Jun 23, 2006 7:11 am Post subject:
Re: sick of astigmatism (soft torics)
|
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In article <EMmcnVWv5uJ49AbZUSdV9g@ptd.net>, <short@short.com> wrote:
| Quote: | Didn't know it was the quality of Walmart. I specifically asked when I went
in if they could prescribe proper contacts for me since i have a high
astigmatism. They took the reading of my glasses and gave it to the female
doctor, she said yes she can do it but it'll take a few tries.
So I go back today to pick up the contacts and she's not there. Another
doctor is there. I did not expect that since her name is on the door. I
don't feel like its professional either. So far i'm only out $70 for the
exam. Well, and $70 for the Eyeland contact exam a few months back which
produced the same terrible results.
Can nobody help me?
|
Duh. We've tried.
LB, O.D. |
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Dr. Leukoma
medicine forum Guru
Joined: 30 Apr 2005
Posts: 1283
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| Posted: Fri Jun 23, 2006 11:32 am Post subject:
Re: sick of astigmatism (soft torics)
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short@short.com wrote:
| Quote: | So I go back today to pick up the contacts and she's not there. Another
doctor is there. I did not expect that since her name is on the door. I
don't feel like its professional either. So far i'm only out $70 for the
exam. Well, and $70 for the Eyeland contact exam a few months back which
produced the same terrible results.
Can nobody help me?
|
I agree. $70 is what I would expect for an oil change, not for fitting
a prescription like yours. Since you weren't charged a professional
fee, I doubt you can expect to get professional service.
DrG |
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BD
medicine forum Guru Wannabe
Joined: 28 Jul 2005
Posts: 148
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| Posted: Fri Jun 23, 2006 5:21 pm Post subject:
Re: sick of astigmatism (soft torics)
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| Quote: | Can nobody help me?
|
Not to sound unduly sarcastic, but franchise-type optician outlets
never give me a good sense of security. I did go to one for my last
pair of glasses, but I got a scrip from my opthalmalagist who I'd been
seeing for years, and my prescription has not changed in recent memory.
I asked some very specific questions on why my practicioner's $500
glasses were qualitatively better than the $300 ones from the outlet.
And their response did not satisfy me. So I felt little risk of
shortchanging myself. And as it happens, the glasses I got from the
outlet were perfectly fine.
However: If I need an appendix removed, I won't go to Skalpels-R-Us. If
I am having back spasms, I won't go to We-Krak-Em... I'll find a
reputable practicioner with verifiable credentials, and ideally a track
record with cases similar to my own, should my own be at all unusual.
The same should hold for your vision, if it is important to you.
No offense, but I don't think anyone here but you is surprised that you
are unhappy.
BD |
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retinula@hotmail.com
medicine forum beginner
Joined: 14 Nov 2005
Posts: 44
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| Posted: Sat Jun 24, 2006 5:08 pm Post subject:
Re: sick of astigmatism (soft torics)
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The Central Scrutinizer wrote:
| Quote: | Can nobody help me?
Not to sound unduly sarcastic, but franchise-type optician outlets
never give me a good sense of security. I did go to one for my last
pair of glasses, but I got a scrip from my opthalmalagist who I'd been
seeing for years, and my prescription has not changed in recent memory.
I asked some very specific questions on why my practicioner's $500
glasses were qualitatively better than the $300 ones from the outlet.
And their response did not satisfy me. So I felt little risk of
shortchanging myself. And as it happens, the glasses I got from the
outlet were perfectly fine.
However: If I need an appendix removed, I won't go to Skalpels-R-Us. If
I am having back spasms, I won't go to We-Krak-Em... I'll find a
reputable practicioner with verifiable credentials, and ideally a track
record with cases similar to my own, should my own be at all unusual.
The same should hold for your vision, if it is important to you.
No offense, but I don't think anyone here but you is surprised that you
are unhappy.
BD |
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retinula@hotmail.com
medicine forum beginner
Joined: 14 Nov 2005
Posts: 44
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| Posted: Sat Jun 24, 2006 5:20 pm Post subject:
Re: sick of astigmatism (soft torics)
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i think its irrelevant whether the eye doctor works out of his own
private practice or whether he works out of a retail chain. i cant
help but notice that the two doctors who spoke out in this thread have
a biased against retail doctors-- i'm sure its because both are private
docs.
whats important is that you have a doctor who will take the time to
properly fit you in the type of lenses you need. also-- whether you
paid a high price or not is clearly irrelevant.
personally, i have worked in both environments. currently i work
part-time in a medical/surgical practice and also in a retail
optometric business. my patients receive the same care in each
location. i have the same access to the same materials in both
locations except to costs for a simple refraction and contact lenses or
glasses is MUCH less in the retail location.
pardon my blunt comments short, but you need to quit whining about your
situation. if you've found a doctor whom you like and you think will
take the time to fit you well (and it doesn't matter whether she
practices in a walmart or a private office!) then make sure you
schedule your appointment with her and then follow her recommendations.
expect it to take time. with high astigmatism you may not find a
satisfactory fit with soft lenses and you may need to try a gas
permeable hard lens. expect it to be uncomfortable initially but many
people get used to it.
========
short@short.com wrote:
| Quote: | Didn't know it was the quality of Walmart. I specifically asked when I went
in if they could prescribe proper contacts for me since i have a high
astigmatism. They took the reading of my glasses and gave it to the female
doctor, she said yes she can do it but it'll take a few tries.
So I go back today to pick up the contacts and she's not there. Another
doctor is there. I did not expect that since her name is on the door. I
don't feel like its professional either. So far i'm only out $70 for the
exam. Well, and $70 for the Eyeland contact exam a few months back which
produced the same terrible results.
Can nobody help me?
"The Central Scrutinizer" <bobby_dread@hotmail.com> wrote in message
news:1151012116.416945.23470@r2g2000cwb.googlegroups.com...
Seemed like a buffoon.
If you want quality, why are you going to the optician-equivalent of a
Wal-Mart?
Your expectations and your choice of providers are simply not a good
recipe for satisfaction.
|
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LarryDoc
medicine forum Guru Wannabe
Joined: 29 Apr 2005
Posts: 262
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| Posted: Sat Jun 24, 2006 10:50 pm Post subject:
Re: sick of astigmatism (soft torics)
|
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In article <1151169654.946715.129830@u72g2000cwu.googlegroups.com>,
retinula@hotmail.com wrote:
Two things, the first being FYI you posted a reply to this thread with
no new text. And next.......
Perhaps it's time to change the subject of this thread.
| Quote: | i think its irrelevant whether the eye doctor works out of his own
private practice or whether he works out of a retail chain. i cant
help but notice that the two doctors who spoke out in this thread have
a biased against retail doctors-- i'm sure its because both are private
docs.
|
My bias is against the retail opticals, not necessarily the doctors who
work for them. It is the opticals that commercialize eye health care
and that is my primary issue. It matters not if it's optical or
surgical or the fast-buck doc-in-the-box "urgent care" place. The
"insurance" payers have a part in this, too. It creates a mindset on the
part of the health care consumer that ultimately degrades the management
of their health. I have a problem with that.
| Quote: |
whats important is that you have a doctor who will take the time to
properly fit you in the type of lenses you need. also-- whether you
paid a high price or not is clearly irrelevant.
|
That is most certainly true.
I'm certain there are bozo docs in private practice as there are in
retail, but there's a difference in the retail establishments. You could
have a fine, knowledgeable doc who simply does not have access to
product, due to corporate decision makers limiting him/her to certain
brands of lenses or lenses that exceed a certain cost/profit index. The
corporate "deciders" (for those of you outside of Bushville, a new
vocabulary word here in the USA, which is actually a old Middle English
word but I'm sure he didn't know that when he spoke.) may also limit the
amount of time that can be spent on any one service procedure.
I'm not saying that is the policy at all retail opticals, or that some
private practice docs don't do the same things to maximize the bottom
line. I just think that a private practice doctor with competence,
ethics and caring and depending upon good will and patient referrals is
more likely to go the extra mile to satisfy a patient's needs and
concerns. A corporate chain store is just a very different business
model.
| Quote: |
personally, i have worked in both environments.
|
As did I, so I know. I tried to "to do the right thing" and was
promptly told to do otherwise. I lasted a couple of weeks. In private
practice, I try to profit from the time I spend making patients happy.
Sometimes, a contact lens fitting takes a longer time than I feel
comfortable billing the patient and I might make little or no real
"profit" (there's not a lot of $$ in the actual lenses, folks), except
from the many patients referred to me by the one who respects my work.
In the end game, it is, of course, getting what you need from someone
who is able to provide that in a timely and cost-effective, hopefully
pleasant manner. And wherever you can find that..............
LB, O.D. |
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