WHO DECIDED THAT DOCTOR'S REDOS ARE FREE???????????????
First of all I would like to apologize for my absence. It seems life has gotten in the way of the #DAILYOPTICIAN but now something has impassioned me and I am compelled to write!
Secondly, this blog is not about YOU. It is about OTHER optometrists and ophthalmologists who are writing prescriptions that are wrong.
And finally, I do not have it in for refractors. I am an independent optician dispensing eyewear from a great many optometrists and ophthalmologists from all over the world. My own father is a practicing optometrist who has been writing prescriptions for decades and my daughter is on the path to optometry so I have great respect for the profession.
That being said, I am tired of redoing doctor's errors. It used to be a rare occurrence that a patient would need redo. If the client couldn't see their best after dispensing their eyewear they would visit there optometrist and they were told to wear their new glasses for a couple of weeks and typically adapt to the new prescription or there would be a slight adjustment and a redo would be done with the optician for free. Things have changed dramatically. I don't deny that with digital devices, "office lenses", and other new lens technology that it is more complicated to refract. Is it that the ODs are not giving their patients enough time in the chair?Do they not discuss the details of their patient's lifestyle and what kind of glasses they not only need but want? Is there a discussion about expectations for the patient's adaptation and visual acuity?
It has come to a point where we use our refracting test lenses on many clients before we make a new pair of glasses. We do a lot of multiple pairs and having to remake 3 pairs because of a doctor's change is terrible for the patient, the labs and us. Last week we had a long time client bring in a new RX from her regular optometrist and after making multiple pairs, she was unhappy with the vision in her right eye. So, we sent her on her way to contact her doctor for a recheck. The next thing we know we are faxed a change in RX from the doctor's office. We were surprised our client was seen so quickly and contacted her to confirm. Our client told us she had not gone back to see the doctor in person but the doctor changed her prescription without an office visit! How was this possible? How can you recheck someone over the phone?It turns out the doctor made her changes based on an auto refractor and a hunch. How can we do our best work off a hunch? I don't know what the answer is but I am pretty sure that the communication between the refractor and the patient has to improve.
As independent opticians we need to get as much information from the client and their previous eyewear to end up with the best result, which of course, is a happy client and lots of referrals. NO ONE likes redos! Not the doctors, not the labs and certainly not me. I would love to hear from everyone about what their policy is regarding redos and if it is an issue in your area.
Love to hear from you!!!!