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DISPENSING OPTICIAN

"The Future's So Bright, I Gotta Sell Something"

I study optometric practices

I teach optician classes

I know a crazy doctor, 
she wears dark glasses

Things are going great and they're only getting better

I'm doing all right, when someone calls I'm jumping

The future's so bright, 
I gotta sell something



Sell is a four-letter word whose meaning can be hard to grasp for ECPs in a medical setting.

Some common dictionary definitions of sell are: to transfer goods to or render services for another in exchange for money; to persuade or convince someone to buy something being offered.

The question is, how does the word sell fit into your practice?

Are you one of those ECPs that cringes every time you think about having to sell something to a patient?

If a patient is in the office for an eye health exam we don't always think of it as selling. Guess what? It is.

We did sell the patient something: a service. If they are sitting in the exam chair, someone sold them on being there.

Does the doctor sell to the patient during the eye health exam?

Maybe so. Maybe not. Not sure. Should they?

I believe the doctor should prescribe to the patient. Sell? Prescribe? What's the difference?

Prescribe means to lay down in writing or otherwise, as a rule or a course of action to be followed; to specify with authority; to designate or order the use of as a remedy.

Therefore, sell means to offer and prescribe means to order.

The doctor gathers information from the patient's exam results and prescribes the remedy. The patient follows the doctor's orders, if that's not happening, the future might not look so bright. Calling all doctors (if applicable): Relax, you can stop worrying that patients are thinking of you as their doctor who is also a pushy salesperson. You say the last thing that you want is for patients to think of you as a shady character. Being a shady character is a good thing! All of our patients should be wearing sunglasses.

Sunglasses aren't just to make a fashion statement or to wear as a clothing accessory. Sunglasses should be the other first pair of everyday eyewear. Unprotected sun exposure begins early in life and can cause long term damage. Children need to be taught the importance of wearing sunglasses, just as we teach them to brush their teeth, use sunscreen and wear a seatbelt. For safety reasons, children should have impact resistant sunglass lenses. The lens of a child allows 70% more UV rays to reach the delicate retina than in an adult. Some studies say that up to 80% of a person's lifetime exposure to harmful UV rays occurs by age 18. If it is bright enough outdoors for an adult to be wearing sunglasses, then it's way bright enough for children to be wearing sunglasses. We are doing our patients a disservice by not prescribing, specifying with authority or selling the importance of sunglasses to every patient. The sun may be 93 million miles away from the earth, but no one is exempt from its potential damage.

Moving right along to the famous 'either or' sell. You know, the contact lens patient that doesn't own a pair of eyeglasses. They have gotten away without having any eyeglasses for years at their previous doctor's office. They love to try and pull rank on ECPs and tell us they don't need eyeglasses. They have decided that their eyes are just fine without them. If a patient owns up to the responsibility of wearing contact lenses for vision correction, then they need to own a reliable pair of RX eyeglasses. The doctor's authority should trump any excuses that the patient can come up with to avoid this. It should not be a negotiating process. It should not be based on insurance coverage. Why do contact lens patients need back up eyeglasses? The doctor said so. It's impossible to predict the exact timing of eye emergencies, eye infections, loss or abuse to contact lenses, or other issues related to contact lens wear. Not having a pair of back up eyeglasses when emergency situations arise is too late. Reverse your thinking and prescribe contact lenses as a back up for eyeglasses. Make sure you are practicing within the guidelines of the law.

Due to the multitude of vision products available today, it is impossible to keep up with every single one. Combining the expertise of your practice's doctors, opticians, managers, techs, etc to determine the patient's optimal vision solution can be quite challenging. The key is to overcome the interoffice sell which takes place daily in practices everywhere. Decisions, decisions, what should we do? Is this progressive lens better than that one? I think so, but you don't. Oh yeah, you don't even wear eyeglasses, how would you know if the patient is going to love them or not? Can this anti-reflective treatment be ordered on that lens? Is this lens supposed to be this thick? Why did we order this lens material? Hey, what about the patient? They may not be happy with this. I think they will, you say they won't. And on and on. We won't always agree, however, there has to be final decision maker that is sold on the vision products that we are dispensing.

When serving patients practice speaking in terms of we instead of he or she. If human error is involved, avoid singling out the ECP by name. Pointing out co-worker's errors in front of patients is uncalled for. Tattle tales are for day care, not eye care. ECPs can't possibly be selling patients on outstanding service while nana nana boo boo-ing another team member. If you want to prove people wrong in front of others, switch careers and become a judge. Outstanding service is an easy sell if we always strive to do our very best work and promptly correct any errors that we make as a team.

Remember that our patients are most likely going to be selling our practice to their family, friends and co-workers, whether we want them to or not. And, the future is going to come whether we want it to or not. So with a bright bunch of law abiding shady characters, prescribing remedies, it will be hard for us ECPs not to grasp the sell. 

Ginny Johnson
LDO, ABOC

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