Let’s just get it out of the way.
If the title of this article rings a bell for you, one
of two possibilities exist. The first possibility is
you’re a Bill Cosby fan. In the mid-1990s he hosted
a TV special and then a couple of full seasons of a
show of the same title. The second possibility is you’re
getting old. Why? Because Cosby’s show was based on
a segment of Art Linkletter’s radio show, House
Party; this began in 1945, and moved to television
through the 1960s. It featured, oddly enough, kids
saying the darndest things. While that concept made
for great entertainment and high TV ratings, opticians
saying the darndest things while dispensing to
children will not have similar, positive results.
Sometimes the first thing out of an
eye care professional’s mouth sets the stage for
disaster. Imagine a really exaggerated, high-pitched
whine, speaking far too slowly, “Good morning young
man…are you here to pick out some glasses?” Trust
me. In this day and age if you speak to a kid in that
tone and in that way (assuming the kid is 8 years of
age or older) he or she is thinking, “First of all,
I’m not a young man, I’m a kid. Second of all,
what do you think I’m here for…a pastrami
sandwich?” The point being kids today are just a
little more sophisticated than we were at their age.
To establish credibility with parents, and rapport
with the pediatric patient, speak respectfully to
both, using the same respectful tone and manner.
Having said that, an effective
pediatric dispenser is wise enough to know that what
is most important to the parent or guardian is not
necessarily what is most important to the child.
Realizing what is most important to both parties, and
clearly communicating how the features and benefits of
your recommendations fulfill those respective desires
will ensure your success. So what is most important to
the parents? What is it the kid cares about most?
Before we delve into and answer those questions, let’s
put first things first.
Over the last 30 years, I have
discovered that the most challenging parents to deal
with are the ones who lack a real appreciation of
exactly how their little darling sees without the
prescribed correction. This phenomenon does not only
apply to kids who are wearing glasses for the first
time. You would be amazed at how many parents have
kids who have worn glasses for years, but they still
do not have a true understanding of what their kid’s
vision is like without glasses. I believe it is our
responsibility to show them. It’s very easy to do.
For example, imagine the kid’s Rx is -3.50 OU. Ask
the non-glasses-wearing (emmetrope) mom or dad, “By
the way, do you know how Johnny sees without his
glasses?” They usually stutter some response that
clearly indicates they do NOT have an understanding.
“Let me show you,” I say. That’s when I grab a
couple of +3.50 lenses from the trial lens kit, or a
pair of +3.50 over-the-counter readers. I place them
in front of mommy or daddy’s eyes and say, “That’s
pretty much how Johnny sees if he doesn’t wear his
glasses.” Over the years, I have brought more than
one parent to the verge of tears with this simple but
dramatic demonstration.
I always do it with kindness and
respect, in a non-sarcastic manner, but I think it’s
important – especially for parents like the one who
bitterly complained about the kid breaking his frame
and said, “Hell…school’s out in about 6 weeks…you’re
going to have to wait ‘til the end of summer before
I get you new ones!” This kid was a 4-diopter myope.
Uh-oh…time for a demonstration!
What’s most important to a
parent? Parents want to know that the money they are
spending on their kid’s eyeglasses is money that’s
being well-spent. Physically demonstrating the
strength and flexibility of a Flexon®-like material
can go a long way to doing just that. Verbally
explaining and then showing in writing the terms of
your warranty can also add value to the transaction.
Consider extending as generous a warranty as you can
when it comes to kids. Maybe you normally offer a
90-day or 1-year manufacturing defects warranty. Why
not offer a 1-year unconditional warranty for kids?
After all, most of your frame vendors extend a similar
warranty to you. Over the years, I can count on one
hand the number of juvenile patients who “abused”
this policy.
Other than protecting their
investment, most parents also want to feel they are
protecting their kid. If a parent ever balks at the
price of eyeglasses (assuming your prices are fair)
even after explain the replacement policy…guess
what? It’s time for another demonstration! Explain
that the lenses you are using are designed to fully
protect their child’s eyes and overall eye health.
Not only do these lenses filter out 100% of the sun’s
harmful ultraviolet rays (which can lead to early
onset of things like macular degeneration and
cataracts), check this out. That’s when you take
your optical hammer, shatter a plastic demo lens, hand
them a polycarbonate or Trivex® lens, and ask them to
do the same. Have fun with this one. “Hit it harder!”
Maybe even let little Johnny try. A brief conversation
explaining how this relates to flying projectiles like
baseballs, rocks, and BBs might be in order at this
point of the demonstration.
In case you haven’t figured it
out yet, the kid himself doesn’t give two hoots
about money or safety. Sophisticated or not, at this
stage of development, from their point-of-view, they
are absolutely certain of two things: 1. Money, in
fact, does grow on trees, and 2. They are impervious
to pain and are going to live forever. So what pushes
their buttons? While there might be few other “minor”
considerations like improved vision and comfort, they
primarily care about one thing: “I’m not going to
look like a nerd.” By the way, in terms of
ultimately helping them accept the idea of glasses and
effectively establishing some rapport and trust, I
have found it helpful to describe poor frame choices
using a few words and phrases that get their
attention. Things like, “I don’t know…those look
a little nerdy.” Or, “I’m sure we could find a
frame that looks prettier.” If you are brutally
honest with the not-so-good looking frames, they’ll
eagerly believe you when they try on the perfect
fitting frame and you say, “Now those look cool!”
Or, “Now those are really pretty.” A phrase like,
“Those are very popular this year,” also works
well.
Embrace some of these ideas and you
will become a more effective ECP in the area of
pediatric dispensing. And when it comes to dispensing
to children I’m a big believer in “Whatever Works.”
So long as it’s not illegal, and it’s not immoral…and
it works…you ought to do whatever it takes to see
that the patient whose vision and eye care is in your
hands gets the best all-round frames and lenses to
best serve his or her needs.