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- Hello, I would like to welcome you
to the LARAMY K optician Works Training Center,
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Today we are going to talk about the notes
that doctors sometimes write
at the bottom of a prescription.
Two things that I haven't said in a really long long time.
One is we have a little housekeeping to do
before we get started.
And two, the P word.
Yes, I used the prescription word
and few things make me more unhappy.
Obviously here at optician Works we use the term lens order.
Eyeglass lenses are two pieces of curved plastic
held in front of your eyes by a couple of bent wires.
But for this particular video
notes written on prescriptions,
well, we're just gonna have to work with that aren't we?
The big takeaway from all of this
that we're gonna go over
is that when you are handed a lens order,
you can change absolutely anything that you want,
except for the sphere, the cylinder and the axis.
And the sphere, you can even play with that
when combining it with a portion or all of the Add
to make different distances for others ranges.
Now when are you gonna see this
if you've been in business for a while,
you obviously have a good steady stream of prescriptions
coming in, you're in business.
So you're familiar with the doc or doctors
that you work with, you know the text,
you can call over there,
check on something that's not quite right.
This stuff is gonna occur outside your comfort zone.
This is gonna be when you see scripts
from somewhere other than where you're used to.
We're gonna think first, we're gonna act second.
This is a time to shine.
This is a time to win hearts plural, and minds plural.
If this is new?
this is something you're seeing for the first time.
This is probably a potential new customer
that you're dealing with.
Make that one customer happy.
They tell people Others, they tell 100.
I can almost guarantee you if you look out the door
of your store right now,
there's probably growth happening around you.
It's everywhere.
You've got the mixed used 500 units,
you've got new housing developments, subdivisions,
the world is growing.
You're gonna see new stuff coming in.
And what a perfect time to grab 100 or 1000 new customers.
So what do I mean by think first and act second?
You want to make this process as easy and comfortable
for that new customer as you possibly can.
You need to think like a LARAMY. K optician Works optician.
How can I make this look as good as possible?
How do we do that?
Well, we're gonna learn the notes that you may see.
So you understand them, So you don't have to question it,
you are not going to make a call if you cannot figure it out
if you can't stop and think it through on your own,
and you have to call the place that they used to go to,
you're not gonna do that while they wait.
You're gonna make that call after they leave,
sell them a new pair of glasses, take the money, thank them,
give them a hug, send them on their way.
Then you go back and troubleshoot, sort it out.
You do not want to be having that call while they're there.
You don't want to immediately take a brand new script
hundreds of potential dollars in your hand
and then start going
"Oh, well I don't understand what this means"
"I'm gonna have to call them, and where did you use to go?"
and no ,no, no, don't do that.
Make it easy.
When you have to, if you have to make that call.
Be ready for it.
Your gonna get the person on the other end,
that's gonna give you a hard time
'cause that seems to be the way things go these days.
Be ready, who you are, what you need, when you need it,
where you need it, how, and why.
And the why is critical.
Explain to them in detail what you're doing.
You are not a threat to them,
they are not gonna get this sale anymore.
That person doesn't live in Michigan anymore.
They live in Virginia, big difference.
You're not hurting their business, right?
And if they say
"that's expired, I can't send it to you"
Just say,
"so what?"
"You can write expired across it for all I care"
"I need a reference"
All right, just be prepared for that kind of stuff.
And don't have that conversation in front of that
potential new customer who's gonna tell 10 people
who's gonna give you 100 new potential customers.
Let's go over the notes that you may find
that a doctor has written at the bottom of a lens order.
All right, I've got quite a stack of these to go through
so let's get started.
One last piece of housekeeping
I am strictly talking about eyeglass lens orders,
not contact lenses, two different things.
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Use specific Brand lens.
No, once you pay for your prescription,
you are free to take that absolutely anywhere you want
in order to have your glasses made,
and they may use whatever Brand lens that they choose.
Nope, ignore it.
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This is a good one.
One of the good ones, Unlike Signs Correct.
Look at your right, it's a minus, look at your left,
It's a plus.
No sense having to call anybody and double check
and say "Whoa did you mean that?"
Unlike Signs Correct, excellent.
Yep, you're good to go.
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Balance, this tells you that this person in their left eye
is either severely compromised or blind.
It means that in the left eye you will use
a spherical equivalent and how you get that
is covered on the optician works website.
And I am not going to tell you that you need to use Poly
or Trivex.
And the answer to why is in another video.
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This is one that you see popping up from time to time now.
And this is writing the prescription in eighth a
diopter steps instead of quarter diopter steps
rather than actually work
to win your business and confidence.
They instead write in eighth steps with the hope that you
can't fill it online.
Kind of a lame excuse.
If I got that by the way, see what do I do?
I would not call, I wouldn't check,
I wouldn't make a big deal out of it,
I would put that person in a minus 125 sphere in the right
in a minus 225 minus 175 in the left.
And can lens powers be written in one eighth diopter steps?
Heck sure they could be written in one 100th diopter steps,
but believe me, there will be other notes on that lens order
and the customer will have a reason why
it was done that way.
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Very closely connected your an Add of plus 110.
I literally just saw this week or so ago,
it was connected to a brand name lens.
total nonsense, no, get if I got this.
I would not call, I wouldn't make a big deal out of it.
I would choose the appropriate lens.
And I would get them either a one or a 125 Add,
depending on their age.
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This one comes from somewhere back in 1999.
And as good LARAMY K optician Works opticians,
you know that the last thing you want to do
is increase the power in a Progressive.
So if you ever see that, for goodness sake, ignore it
and go with the straight Add power.
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This one says that it expires 10/12/2023
when it was written 10/12/2022 there are a few states
that allow that.
Other than that I will let your conscience be your guide.
I think you know where I stand on that.
Two pieces of curved plastic never expire.
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Here's one of the good ones.
IOL stands for Intraocular lens,
IOP, Intraocular lens patient or post-cataract.
Cataract surgery now is super super easy.
It works out for the best almost always.
Three weeks later they come in for their first
pair of glasses after cataract surgery.
Usually the sphere cylinders really quite low
as usually kind of high depends on which lens they use.
But kind of a good thing to know.
There may be a huge difference between
what, where they may go from a minus five or seven
down to a one or a minus 50 or something.
So good good note to have.
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NVO, near vision only ,DVO, distance vision only.
Comp, computer, Int, intermediate.
This is a great note.
This tells you that you're gonna have a nice conversation
with your customer.
And you're gonna decide which of those they want
what distance are looking for.
And you're gonna combine that Add power and Some way
with that sphere power to get them what they need.
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This is a nice note, this is For Over Contacts,
this means obviously person wears context all the time
maybe needs a reader now or intermediate pair.
So that's a good note to have nice thing to know.
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Match Prism or in other words, I have no idea what I'm doing
and I hope that you do.
I do take you through the steps
on how to get close to Matching Prism
using lens meter on the optician works website.
If not, you really need to talk to your customer.
See if you can't backtrack and find a written prescription
with a docs notes on what prism should be there.
Or they're going to have to find a practitioner
that knows what they're doing.
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Recommend AR.
Well, sure what a nice note.
A lot of people feel that the doctor's suggestions
carry a lot of weight.
If they Recommend AR, that's fantastic.
Obviously, you're not looking to recommend
a specific brand AR, but AR is a good thing.
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Here is good one, this says Wears seg high or low
means you're gonna be fitting a lined bifocal
or lined to trifocal.
And yeah, you're gonna have a nice long conversation
with the customer, you're gonna put that black line
where you think they're gonna like to where it,
you're gonna look at where they're wearing their pair
that they have now.
And just make sure that everything lines up
the way they want before hitting send on that order.
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Use Same Segment, well, I mean yes and no,
probably not a bad idea.
But certainly if they had a reason to go from a 28 to a 45,
well use a 45, if they absolutely positively
wanted try a progressive at last,
Well I guess you would try a progressive.
That's up to them.
You know, again, it's gonna, you know,
you gonna have to play that one by the ear little bit.
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No poly.
Some people, especially years ago
used to feel very strongly
that poly had such horrible optical qualities
that no one should wear it.
What a load of poop.
If you got somebody that wears contact lenses all the time,
they want a spare pair for their suitcase,
then by all means, that's what you stock
they want a pair while they're waiting, make them in poly.
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Vertex, Vertex whatever might be 13, 14, 12
absolutely no meaning whatsoever,
especially for those numbers.
If you were up above plus or minus eight it begins to matter
if you saw it there then I'd start thinking about it
considering it I would not worry but,
certainly in powers like that
not gonna make any difference whatsoever.
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And last but not least, OK For Context,
no note has given opticians more trouble over the years.
OK For Context written on an eye glass prescription
is a way of a doctor telling you
that during a medical eye exam,
they found nothing to contraindicate use of contact lenses,
tells a practitioner like contact lens specialist,
that they're free to do a fit.
All right.
Hope that helps notes found on eyeglass lens orders.
I'll see you again next week.
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