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MOBILE OPTICIAN

I Guess That's Why They Call It Confuse

Time on EMR webinars, could be time spent with you
Laughing with patients, helping them discover
If their prescription is even worth the bother
And I guess sometimes we all feel confused

Do you ever have days when you expect to turn around and see the camera crew from Punk'd or Candid Camera standing behind you?

Susie is all set to purchase doctor prescribed progressive lenses after her examination. Dr. Smart wants her wearing the best performance no glare progressive lenses for her RX. Susie admits she's been nervous about driving the kids around town, especially after dusk. On rainy days she pretends she's not feeling well to avoid carpooling duties. Last week she was ticketed for driving too slow. The neighborhood kids plastered it all over Facebook. Throughout the day Susie is constantly searching for her OTC readers which end up being on top of her head. She is sick of living such a dishonest, time wasting lifestyle. She loves the idea of wearing progressive lenses that are designed from the ground up. The frames she chose could not be more perfect for her.

Suddenly her accompanying friend, Pam Pessimist, brings up a negative progressive lens experience she had 20 years ago. Susie listens to Pam's dramatic story about how she almost crashed her husband's car into an IRS building. Pam goes on to tell Susie that she wouldn't dare get those awful progressive lenses if it were her eyes. Susie quickly decides that her OTC readers aren't that bad after all and she can always pay a taxi driver to get around town. She turns to Pam and thanks her for such good advice and tells you to please cancel her eyewear order.

What would you do?

A) Tape Pam's mouth shut using your best lens blocking pads.

B) Tell Susie it is impossible to void eyewear orders once they are entered in your new and improved EMR system.

C) Pull out a piece of white paper and draw an hour glass shaped progressive lens from 20 yrs ago and one from today and explain how technology has advanced.

D) Be courteous to Pam and acknowledge her outdated progressive episode. Stay focused on Susie and revisit her vision complaints, constraints and annoyances. Bring her peer pressured decision to Dr. Smart's attention.

E) Some or none of the above.

Scott has a new RX and just wants to purchase lenses for his current frame which shows very little signs of wear. His RX is written for full time wear which brings up the question of whether or not he owns a pair of back up eyeglasses. He says he's a risk taker and not worried about not having back ups. His girlfriend, Tina, reminds him of an ugly spare pair of eyeglasses in his glove compartment. Scott agrees to sign a frame release waiver. You explain that if something were to happen to his frame during or after his lenses were manufactured, you couldn't promise identical frame replacement.

When the transaction is almost complete Scott changes his mind and decides he will purchase a new frame. Scott and Tina select a frame based on your bragging about the frame's exceptional quality and how well it fits and looks on him. Scott pays in full and you thank him and send him on his way. A week later he is back to pick up his new eyewear. What is about to happen seems to be one of the worst ECP situations to have to recover from. While you are in the process of dispensing this awesome pair of eyewear that you spoke so highly of, you hear a *snap* and the frame breaks right in front of Scott's eyes. You stare at each other in disbelief as you break out in a cold sweat.

What should you do?

A) Some or none of the below.

B) Laugh at Scott for buying a new frame and not using his own frame. Tell him that the new frame really didn't look good on him. You just told him it did because Tina liked it. If he wants, you will help him find a different frame that probably won't fall apart.

C) Apologize (more than once) and let Scott see and hear how you are going to handle this never happens situation. Immediately place a call to your frame rep or customer service and explain what just happened and ask them what can be done yesterday/now/ASAP. Express your feelings of disappointment and embarrassment. Assure Scott that you and the company will do what it takes to make the situation right.

D) Give Scott a refund and order the same frame again and call him when the new eyeglasses are ready.

Tim is handed off to you with his RX and Dr. Missit states that there is very little change a.k.a. not much change at all a.k.a. slight change from his old RX to the new one. Dr. Missit says that Tim can decide what he wants to do about updating any eyewear. Should we flip a coin? Obviously Dr. Missit overlooked your EMR notes in BOLD letters regarding Tim's broken frame and pitted lenses. You're confused as Dr. Missit walks off and you ask Tim if you can hold his eyeglasses for a moment. He says sure but he doubts he will change them since the doctor doesn't really think he needs to.

What should you do?

A) Quit your job on the spot and let them figure it out.

B) Tell Tim that Dr. Missit needs to retire soon and the eye exam was probably a waste of time and money. You recommend that he buy some band-aids for his nose and just keep the eyeglasses that he has.

C) Take Tim's SV CR39 eyeglasses and the progressive lens identifier to Dr. Missit. Use the identifier to show the good doctor how Tim's lenses are pitting and how the frame's nose pad arm is broken off which explains the open wound on the left side of Tim's nose. Go back and tell Tim that Dr. Missit has prescribed new no glare polycarbonate lenses and new frames. If Tim seems confused then state the obvious about his current eyewear. If necessary ask Dr. Missit to join in on the conversation with Tim. If Dr. Missit refuses to, then remember it's not too late to change your answer to (A) or (B).

D) Some or none of the above.

Now that you have finished the Opti Pop Quiz, let's find out how you scored and see if you are even smart enough to be an ECP. Ah-ha! Gotcha! Guess what? You've just been CONFUSED! And from one ECP to another, I hope you stay that way.

Courteous
hOnest
Nice
Fun
Understanding
Smart
Empathetic
Determined

Ginny Johnson
LDO, ABOC

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