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The relationships between OPTOMETRIST and...

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LEESA...
Posted: Mon Oct 19, 2009 4:25 pm
Guest
I've always wondered about this one. Although they are in a similar
arena, their jobs are very different.

I was wondering about the relationship between these two
professionals. For instance, are there a lot of OPTHALMOLOGISTS that
think they know it all and act as if they are superior in some ways to
an OPTOMETRIST? Or... is it more often than not a situation where
there's a healthy respect between the two?

And lastly... is there really much interaction between the two on a
professional level?

Thanks in advance

LEESA (I)
 
Otis...
Posted: Mon Oct 19, 2009 6:40 pm
Guest
Dear Leesa,

Subject: Ophthalmology is medicine.

In many countries, optometrists are prohibited from using the title of
"Doctor".

If an optometrist detects a medical problem (like glaucoma) he must
refer this medical problem to an ophthalmologist.

Currently you will find optometrists working for ophthalmologists.

I am certain will get many opinions on this subject -- shortly.

Enjoy,






On Oct 19, 10:25 pm, LEESA <taylorlee... at (no spam) gmail.com> wrote:
[quote]I've always wondered about this one.  Although they are in a similar
arena, their jobs are very different.

I was wondering about the relationship between these two
professionals.  For instance, are there a lot of OPTHALMOLOGISTS that
think they know it all and act as if they are superior in some ways to
an OPTOMETRIST?  Or...  is it more often than not a situation where
there's a healthy respect between the two?

And lastly...  is there really much interaction between the two on a
professional level?

Thanks in advance

LEESA  (I)[/quote]
 
Otis...
Posted: Tue Oct 20, 2009 3:34 am
Guest
Dear Leesa,

Subject: What role to optometrists play?

When optometry was established about 1900 (as a sub-speciality) by
Chalmer Prentice, medical people fought the idea, by stating that
doing a "refraction" was NOT the practice of medicine.

In the last 100 years, major changes have taken place. But the issue
of the optometrist as a medical doctor still remains in dispute.

Some countries prohibit an optometrist from being called "Doctor" --
that title being reserved for real doctors.

Today, optometrist can practice deling with "pink eye" and other of
that nature. Serious medical issues must be referred to an
ophthalmologist.

The training of an OD started with about a 3 month program (about
1900) with a diploma.

Today, an optometrist must have 4 years of college, followed by 4
years of optometry school. Just the cost of optometry school is about
$100,000.

This does compare with an ophthalmologist, who has almost the same
time in under-graduate, and then 4 years in medical school. Afte
that, the medical doctor must do an internship, and can choose to
become an ophthalmologist.

To further respond:


On Oct 19, 10:25 pm, LEESA <taylorlee... at (no spam) gmail.com> wrote:
[quote]I've always wondered about this one.  Although they are in a similar
arena, their jobs are very different.
[/quote]

Leesa> I was wondering about the relationship between these two
professionals.  

It is good. Optometrists measure the refractive state of the eye.
Ophthalmologists conduct medical care of the eye.

For instance, are there a lot of OPTHALMOLOGISTS that
think they know it all and act as if they are superior in some ways
to
an OPTOMETRIST?


The ophthalmologist is responsible for ALL medical condtions of the
eye. The optometrist does not have that responsiblity. I don't know
if you want to call this a "superior" attitude, but it must be clear
who exactly is responsbible. You will find that insureance companies
will not insure an OD if he conducts medical proceedures.

 Or...  is it more often than not a situation where
there's a healthy respect between the two?


As long an the "line of reponsiblity" is clear -- there is no problem.


[quote]And lastly...  is there really much interaction between the two on a
professional level?
[/quote]
Sure. You will find ODs working for Ophthalmologists. That changed
from the 1950s, when the ophthalmologists attempted to prohibit this
relationship.


Enjoy,





[quote]Thanks in advance

LEESA  (I)[/quote]
 
Neil Brooks...
Posted: Tue Oct 20, 2009 5:22 am
Guest
On Oct 20, 7:34 am, Otis <otisbr... at (no spam) embarqmail.com> wrote:
[quote]Dear Leesa,
[/quote]
You'll want to ignore Otis.

He's widely considered an absolute idiot on this newsgroup.

He also hurts people, and can provide no evidence that he's ever
helped anybody.

Seriously.
 
Salmon Egg...
Posted: Tue Oct 20, 2009 10:38 am
Guest
In article
<f9c5d64f-9504-410b-ae2e-60f5b81148c3 at (no spam) b18g2000vbl.googlegroups.com>,
Otis <otisbrown at (no spam) embarqmail.com> wrote:

[quote]Subject: Ophthalmology is medicine.

In many countries, optometrists are prohibited from using the title of
"Doctor".

If an optometrist detects a medical problem (like glaucoma) he must
refer this medical problem to an ophthalmologist.

Currently you will find optometrists working for ophthalmologists.

I am certain will get many opinions on this subject -- shortly.

Enjoy,
[/quote]
I am legally, professionally, and ethically entitled to use the title
"Doctor," but not in a fraudulent way. I try to point out that I am not
a health professional. That will not stop me from speaking out against
"health professionals" who are fraudulent or quacks when they put
forward ideas that are counter to the laws of physics or chemistry.

There actually are laws on the books of most if not all states that do
not allow the appropriation of the title "Engineer" for unlicensed
practitioners. There is an industrial exemption. Nevertheless, that does
not seem to prevent people from unlawfully using such a title. Every now
and then I read of someone getting nailed for practicing engineering
without a license.

I have run across health practitioners who are unlicensed. Many of them
know little about what they are talking about. Some have scant knowledge
of biology or chemistry. The scary part is that the less they know the
more adamant they are about their efficacy. They are true believers.

Bill

--
Private Profit; Public Poop! Avoid collateral windfall!
 
Mike Tyner...
Posted: Tue Oct 20, 2009 8:04 pm
Guest
"Otis" <otisbrown at (no spam) embarqmail.com> wrote

[quote]Today, optometrist can practice deling with "pink eye" and other of
that nature. Serious medical issues must be referred to an
ophthalmologist.
[/quote]
Most of my referrals are to internists and neurologists. Who do you refer
to?

[quote]It is good. Optometrists measure the refractive state of the eye.
Ophthalmologists conduct medical care of the eye.
[/quote]
So optometrists should STOP prescribing antibiotics, ordering labs and
imaging studies, removing foreign bodies and inserting punctal plugs.
Because Otis said so.

[quote]The ophthalmologist is responsible for ALL medical condtions of the
eye. The optometrist does not have that responsiblity.
[/quote]
So, optometrists never get sued for missing brain tumors and glaucoma. Otis
says they aren't responsible.

[quote]who exactly is responsbible. You will find that insureance companies
will not insure an OD if he conducts medical proceedures.
[/quote]
So, Otis says I should send back those checks I get from Medicare and Blue
Cross.

[quote]Sure. You will find ODs working for Ophthalmologists. That changed
from the 1950s, when the ophthalmologists attempted to prohibit this
relationship.
[/quote]
I've had two ophthalmologists work for me over the years. That must confuse
you.

Otis, you have no training or experience and you have no business making up
answers.

-MT
 
Mark A...
Posted: Wed Oct 21, 2009 2:21 pm
Guest
"LEESA" <taylorleesa0 at (no spam) gmail.com> wrote in message
news:222642ef-794b-4210-8445-68494401dc63 at (no spam) m1g2000vbi.googlegroups.com...
[quote]I've always wondered about this one. Although they are in a similar
arena, their jobs are very different.

I was wondering about the relationship between these two
professionals. For instance, are there a lot of OPTHALMOLOGISTS that
think they know it all and act as if they are superior in some ways to
an OPTOMETRIST? Or... is it more often than not a situation where
there's a healthy respect between the two?

And lastly... is there really much interaction between the two on a
professional level?

Thanks in advance

LEESA (I)
[/quote]
Many Ophthalmologists perform refractions and dispense eyewear, just like an
OD. So there is a certain amount of tension in the relationship, especially
if an Ophthalmologist's patient is not be treated for any kind of eye
disease.
 
LEESA...
Posted: Thu Oct 22, 2009 4:18 pm
Guest
Thanks for the replies guys... I do have a few more questions (don't
I always? LOL).
Considering that opthalmologists are also surgeons, does that mean
that they all actually practice eye surgery, or do some of them become
less active in that area and more or less assume the role of what
would be more along the lines of what an optometrist would do?

Thanks again

LEESA (I)
 
Mike Tyner...
Posted: Thu Oct 22, 2009 11:57 pm
Guest
"LEESA" <taylorleesa0 at (no spam) gmail.com> wrote

[quote]Considering that opthalmologists are also surgeons, does that mean
that they all actually practice eye surgery, or do some of them become
less active in that area and more or less assume the role of what
would be more along the lines of what an optometrist would do?
[/quote]
If you took away the surgery, pre-op, and post-op visits, what's left is
pretty much what I do all day.

They could do it, but they'd hate it.

-MT
 
Dan Abel...
Posted: Fri Oct 23, 2009 12:15 am
Guest
In article <rLydnYMjicct2HzXnZ2dnUVZ_r-dnZ2d at (no spam) giganews.com>,
"Mike Tyner" <mtyner at (no spam) mindspring.com> wrote:

[quote]"LEESA" <taylorleesa0 at (no spam) gmail.com> wrote

Considering that opthalmologists are also surgeons, does that mean
that they all actually practice eye surgery, or do some of them become
less active in that area and more or less assume the role of what
would be more along the lines of what an optometrist would do?

If you took away the surgery, pre-op, and post-op visits, what's left is
pretty much what I do all day.

They could do it, but they'd hate it.
[/quote]
Many years ago, I shared an office with a guy who had had an eye injury.
He was told that he should be seeing an Ophthalmologist rather than an
Optometrist. So he found an OMD who mostly refracted and dispensed
glasses. The doctor was semi-retired and wasn't keeping up with the
latest in eye medicine. My office partner decided that seeing him was a
bad idea, and that he should see both an OMD to monitor his injury and
an OD for his glasses. He later developed both cataract and a retinal
detachment in the injured eye, at a comparatively young age. So, in my
hallway at work, there were three comparatively young men (late 40s)
with cataract, two of whom had retinal detachments.

--
Dan Abel
Petaluma, California USA
dabel at (no spam) sonic.net
 
Mark A...
Posted: Fri Oct 23, 2009 4:11 am
Guest
"LEESA" <taylorleesa0 at (no spam) gmail.com> wrote in message
news:8b454245-be9d-4286-b600-eba74bcc18c6 at (no spam) o36g2000vbl.googlegroups.com...
[quote]Thanks for the replies guys... I do have a few more questions (don't
I always? LOL).
Considering that opthalmologists are also surgeons, does that mean
that they all actually practice eye surgery, or do some of them become
less active in that area and more or less assume the role of what
would be more along the lines of what an optometrist would do?

Thanks again

LEESA (I)
[/quote]
Just because an ophthalmologist does not do a lot of surgery does not mean
that they become OD's. It is true that some patients will come to an
ophthalmologist for a simple eye exam that they could have gotten at an OD,
but their are not enough patients who do that to get away without the
medical training they have received.
 
Mike Tyner...
Posted: Fri Oct 23, 2009 11:31 am
Guest
"Mark A" <noone at (no spam) nowhere.com> wrote

[quote]but their are not enough patients who do that to get away without the
medical training they have received.
[/quote]
I'm not understanding.

Both specialties file CPT codes 92004/92014 and get paid for it.

-MT
 
Don W...
Posted: Sun Oct 25, 2009 9:14 pm
Guest
[quote]
If you took away the surgery, pre-op, and post-op visits, what's left is
pretty much what I do all day.

They could do it, but they'd hate it.

-MT
[/quote]
Mike,

Anti-vegf drugs part of your practice?

Don W.
 
Don W...
Posted: Mon Oct 26, 2009 6:27 am
Guest
Mike,

I am talking about the injection of anti-vegf drugs in the treatment
of macular degeneration.

And the possible use of OCT's in the examination process.


Don W.
 
Mike Tyner...
Posted: Mon Oct 26, 2009 7:44 am
Guest
There are some important differences but the elements of an eye examination
are pretty well standardized.

-MT


"Don W" <dwilgus at (no spam) prodigy.net> wrote in message
news:df30b114-2ac5-467e-b3d0-e30e4ecdcc08 at (no spam) u13g2000vbb.googlegroups.com...
[quote]
If you took away the surgery, pre-op, and post-op visits, what's left is
pretty much what I do all day.

They could do it, but they'd hate it.

-MT

Mike,

Anti-vegf drugs part of your practice?

Don W.
[/quote]
 
 
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