@optotrician: Sunwear in Jewelry?

Guy with thick accent (Indian?) holding up $9.99 sunglasses: Do you have anything cheaper than this?
Optician: Over in jewelry there are more sunglasses.
Guy: Yes. Cheaper?
Optician: I don’t know for sure, but probably a few might be cheaper.
Guy just stands there.
Optician pointing to jewelry: Over in jewelry.
Guy: Where?
Optician: Look right over there. Jewelry.
Guy: Sunglasses?
Optician: Yes, a different selection over in jewelry.
Guy: Cheaper?
Optician: You’ll have to look and see.

I did an eye exam almost 3 years ago. The patient paid their copay. A couple weeks later the insurance paid the rest, a whopping $15. Almost three years later the insurance said their payment was made in error, so I have to remit to them a check for $15 or else a future EOB would have $15 deducted.
Whatever, they can deduct it, but I ain’t sending a check. Do they expect me to send the patient a statement for $15 for an exam from three years ago? Never mind the patient has probably moved, and even if they haven’t, they will probably shrug off the statement like I did from the insurance.
A month later the insurance takes $15 from one of my EOB payments. Luckily I don’t bother billing the patient because a week later, they sent me a check for the same patient’s three-year-old visit!
Make up your mind, insurance company!
[UPDATED: Today BCBS sent me ANOTHER letter saying that they overpaid me for this patient when they repaid me! Eat poop, BlueCross!]

I had a patient who has a really big head and his regular size glasses were making an indented, red scar in front of his ears. Of course I recommend the largest style frame we have called FatHeadz. He finds one he likes, and it fits his head perfectly. The optician enters the order, but the lab calls and says they can’t make it. It turns out he has a small PD; therefore, they don’t make a lens blank large enough for his combo of large frame, small pd. Poor guy.

@optotrician Stop Sweating So Much

Is there anything I can do to not get that gunk buildup by the nose pads?
An ultrasonic cleaner will take out the gunk. To help it not build up, try cleaning your glasses daily under the sink with dish soap that doesn’t contain lemon.

Yesterday I didn’t have to bill a single insurance. I love no insurance days.

New phones chirp like the phones in IHS used to. They also chirp louder and more frequently if no one picks them up quickly.

Lately people are confusing the non-contact tonometer with dilation. “Okay, I’m going to put some drops in your eyes to dilate them.”
Didn’t we already do that with the puff of air?
“No, that was just an eye pressure measurement.” (I already explained that when doing it, BTW.)

AlwaysCare website is down, probably due to hurricane Isaac since the call center is apparently in Baton Rouge. Earlier in the day, the website just timed out. Later it has this message: “AlwaysAssist website is currently having technical difficulties.. Please check back later to access any information. Thank you for your patience. For immediate assistance, please call [toll-free and local numbers] in Baton Rouge. ”

Of course all circuits are busy when you try to call that number. I think it’s ridiculous that they don’t have redundant servers across the country available. I guess these hurricanes inconvenience everybody…