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We all know that times have changed. This isn’t your grandfather’s optometry anymore. As the healthcare system and consumer values have evolved, we’ve been driven towards professional fees as our source of income.  Fees are now in a state of flux,...

For you Billy Joel fans, today’s department is “When will you write your masterpiece?” It’s a relatively obscure song, but it’s played in my mind for years as I anticipated this day. This will be my last Dugout Dirt...
“That ain’t workin’...that’s the way you do it!” Dire Straits Last month, I described some tips regarding practicing optometry on an ophthalmology model. It’s worked for me, but not all of these ideas are for everyone. Many practices rely heavily...
If you’ve been following, you read the Dugout Dirt column of two months ago, regarding Rhode Island’s fight to reasonably regulate tele-optometry’s inroads into that state. For best results, read the article first: https://odsonfb.com/what-telemedicine-baseball. Here is a follow-up, in...
Let’s go back on the clinical side of the fence this month. There I was, getting ready to present a lecture on herpetic disease at a state society meeting. One association officer leaned over to another and said, “Who’s...
I sense that as ODs, we do not get much training or even discussion on the concept of clinical failure. We are taught treatments for a given pathologic process, and we initiate them. As interns, if we are lucky,...
So, how’s your continuing education going? Are you breathlessly excited about attending that next lecture? Probably not. I’ll go as far as to bet that you’re picking your next big meeting event based on location rather than course agenda. Or, nearby restaurants? Continuing education...

The Blue Journal

I wanted to tell you about an article that I read in the journal Ophthalmology, known informally as “the Blue Journal.” Going cover to cover on each month’s edition has been a great benefit to my clinical thought process,...
“It’s better to burn out than it is to rust…..”  Neil Young You’ve fielded the third pre-authorization of the day, two of which have been rejected previously. Your 4 p.m. appointment is 20 minutes late and insists on being seen. What else...
The discussion of professional dress. Oh, I know.  The discussion of professional dress is as alluring as a progressive lens non-adapt at 5 p.m. on a Friday afternoon.   It’s costly, and when you get right down to it, a bit...
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