Weird (or stronger word?) doctor's behavior - what should I do?

Discussion in 'Optometry Archives' started by Mike Jackson, Dec 18, 2003.

  1. Mike Jackson

    Mike Jackson Guest

    Hello all,

    I'd like to solicit opinions on this situation.

    Basically, it was time for my annual eye exam, so I picked a doctor
    in a new area since I moved. I need a new prescription for contact
    lenses, and I have been wearing 2-week lenses produced by "Ocular
    Sciences" for 3 years now, and they were fine in all aspects as far as
    I could tell.
    I bought them from "Target", and took the box to the doctor to show
    him what I had. Previously, I had similar things branded differently
    but always labeled by "Ocular Sciences" on the actual internal

    Well, once we went through all the tests, he insisted on changing my
    contacts to the ones produced by "CIBA vision". He also told me that I
    should spend my insurance money on 2 boxes of these at $55 each, total
    $110. He claimed they could be worn up to one month each pair. I tried
    to ask him to prescribe to me what I was wearing before, citing me
    being accustomed to them, my perceived lower cost, and that I liked
    them. Instead, he slammed "Target", and told me that what I was
    wearing was designed 20 years ago and was really old. What he offered
    was of course really modern, and that he would never touch anything
    like what "Target" sells. Never mind that "Target" resold "Ocular
    Sciences" stuff, as many other places, and the insurance I have
    recommends both "Ocular Sciences" and "CIBA". I tried to keep the
    packaging from the trial lenses he made me wear, but he went to great
    lengths to get it back citing legal reasons. Well, I negotiated
    copying the info from the package so that I could check things later

    I came home, and checked things online. It turned out that both the
    previous lense material "Ocufilcon D", and the new lense material
    "methafilcon A" are in the same category. Also, these "advanced"
    lenses he was pushing at $55 a box could be had for as low as $15
    online, and the claimed wear time is 2-4 weeks (Ciba Vision CHOICE AB
    or identical relabeled lenses). So 1 month is really on the far side.
    My old lenses cost pretty much the same, $15-20 depending on the

    Now, due to the lense change, I have to go for a follow-up visit in 2
    weeks. I think I'll just get the prescription and take my business
    elsewhere. He will probably insist that I must spend my insurance with
    him, but as far as I can see, the insurance will cover lenses from
    outside just the same.

    Anybody got any comments? Are my concerns justified?

    Mike Jackson, Dec 18, 2003
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  2. Mike Jackson

    drfrank21 Guest

    Unless the provider saw something detrimental with what you were
    wearing there was no reason to for him to pull the tactics he
    did. If I have a patient who is happy in his/her current cl's and
    the fit is fine I will give the patient options of other choices
    but will more than gladly update the rx in his current material.
    I'm more concerned about patient satisfaction and proper fit than
    profit mark-up.I also find it distasteful critisizing the competition,
    makes the provider look petty.

    So I think your concerns are very justified with what you stated.
    It would be interesting if you "insisted" on getting your current
    cl material and refusing the Ciba's. Just say that the new lenses
    feel "awful" or something like that.

    drfrank21, Dec 18, 2003
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  3. Mike Jackson

    Otis Brown Guest

    (Mike Jackson) wrote in message
    Dear Mike,

    Your concerns are justified.

    Find another doctor.

    Do the words bias and money mean anything in
    affecting the recommendations of this doctor?
    Do his explanations seem reasonable to you?



    Otis Brown, Dec 18, 2003
  4. Mike Jackson

    Dr Judy Guest

    snip of doctor foisting lenses on a patient.
    If he wasn't suggesting the newest silicon hydrogel lenses (Night and Day)
    but the older Focus or AB Choice you are justified. Don't take your
    concerns here though. You can complain about this doctor's behaviour to his
    licensing body and they will investigate the complaint and discipline the
    doctor if needed. Tell us what state you are in and we can direct you to
    the correct regulatory body.

    Dr Judy
    Dr Judy, Dec 18, 2003
  5. Mike Jackson

    Mike Jackson Guest

    Thanks for your opinion on this.
    I did in fact spent about 10-15 minutes trying to get just an updated
    prescription for my old type of lenses, but got nowhere. He kept
    saying that if I wanted "Target" (not "Ocular Sciences"), I should
    have gone to "Target" and all such crap. What can I do when I go back
    in 2 weeks for follow-up? Say that the new ones don't feel good and
    ask for a prescription for the old type? What if he keeps refusing?
    Should I just report him to the Optometrists board, as well as cancel
    my credit card payment for his services?

    What course of action can I take?


    Mike Jackson, Dec 18, 2003
  6. Mike Jackson

    Dan Abel Guest

    I have to strongly disagree about Mike taking his concerns here. This is
    a good place to find out whether a claim is reasonable or not. I've seen
    many posts here with claims that were groundless. Other claims are
    valid. Before lodging a complaint with a licensing board, it's nice to
    know whether you have a chance and which way to go. It's hard for us
    laymen to know the difference between "doctor knows best" and doctor is
    trying to jack up the charge and doctor has a sweetheart deal with a
    supplier and gets a rebate or a case of Scotch if they switch enough
    patients over to a certain contact, one that is no better and maybe worse
    for some patients.

    I should also mention to Mike that I'll guess that the doctor isn't going
    to give him the prescription and may not have to, and that if he does, it
    will have a specific brand name of contact on it and won't be good for a
    different one.
    Dan Abel, Dec 18, 2003
  7. Mike Jackson

    Dr Judy Guest

    Sorry, I didn't mean don't take concerns here, I meant don't JUST take them
    here, there is legal recourse.

    Dr Judy
    Dr Judy, Dec 18, 2003
  8. Mike Jackson

    The Real Bev Guest

    The guy sounds like a flake to me (I went to such a flake once, who
    insisted that my new glasses were wrong because I'd lied on the eye
    test) even if he isn't deliberately putting his markup in front of your
    satisfaction, but I'm just a layperson with really-hard-to-fit eyes. I
    suggest disputing the charge with your CC company and perhaps going back
    to your local Target if that's reasonably convenient.

    It would be nice if there were a really good way of finding a new doctor
    in any field, wouldn't it?

    Not all cultures are equal. If they were, we
    would have a lot more cannibal restaurants.
    The Real Bev, Dec 19, 2003
  9. Mike Jackson

    Mike Jackson Guest

    OK. The lenses he gave me had the following on the actual packaging:
    "8.7 -X.XX 14.5", 03031305, Abberration Blocking Technology,
    methafilcon A, CIBA vision, "D2461A" - this was vertically on the
    right of the packaging.
    I looked this up on google and it is mostly likely that these are "AB
    choice" is in "Abberration Blocking". If I am mistaken, please, let me

    I am in NJ, in here is the organization I found for this state:
    "New Jersey State Board of Optometrists"
    Let me know if this is the correct place.


    Mike Jackson, Dec 19, 2003
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