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Medical Forum / General / Vision / June 2005

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My response to "caring" about the second opinion -- and implementation

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otisbrown@pa.net - 08 Jun 2005 14:50 GMT
    Dear Prevention minded friends,

    It has been asserted by William Stacy that I "don't care"
about the protection of a preson's long-term distant vision.

    I do.  For that reason I listened very carefully to
Raphaelson's statement about the "Printer's Son" and realized that
the person himself must institute the plus-lens preventive method.
I did not what to see my sister's kids develop stair-case myopia
from an over-prescribed minus lens.  Equally, this "caring" only
works for your blood-relatives.

    In fact I would gladly PAY for support from an OD like Steve
Leung OD for leadership in this preventive method.

    Here is my response to my "caring" about your long-term
visual welfare.

    Best,

    Otis

        _________________________________

Dear Jon,

Subject:  Here I am accused of "not careing".

   If I had any "fault" it is that I care too much.  Some people
I no doubt "irritate", and that group of people (or their
children) will get stair-case myopia from their over-prescribed
minus.

    It takes a wise person to sort through these issues -- and
make a success of prevention as you have done.

    Welcome to the would of science -- you have proven to be
skillful in your vision clearing work from -1.5 diopters
and 20/60 to 20/20.

    Best,

    Otis

       __________________________________________

Subject:  Who cares for your distant vision?  You personally -- or
     some "third party"?

cc: Jon who cleared from -1.5 D (20/60) to 20/20.
   Mike who cleared from -2.75 D to 20/30 (still working on it).

DETERMINATION

Some people dream of success ...
while others wake up and work hard at it.

    ++++++++++++++++++++++++++++++++++++++++++++++

DrG > As far as Otis goes, I doubt that he cares not a whit for
     your daughter, or anybody else, for that matter. Even
     though your daughter is being helped by her optometrist,
     Otis still finds fault.

Otis> As you might recall the poster had made a slight
     distortion in her statement.  I totally support
     prevention-minded ODs who help mothers with
     there children -- clearing their vision (on
     the threshold) to 20/20 -- if requested
     by the parent.

Otis> Fine, that is your opinion.  You say I don't care.  I
     suggest you don't care about the long-term effect that the
     minus lens has on the refractive status of the natural eye.
     I cared deeply about Raphaelson's statement about the
     "Priner's Son".  Rapahelson cared -- and so do I.  But the
     implementation must be by the person himself.

Otis> That basically means that the person himself implements the
     PREVENTIVE method of solution -- and further means that you
     are destructive towards that "second-opinion" goal.

Otis> But we disagree on objective scientific facts that PROVE
     that the natural eye is dyanamic.  You prefer to ignore this
     proof of the natural eye's bahavior, and insist (on your
     ability to quick-fix with a minus) that all others totally
     ignore this direct proof.  This suggest that a person who
     has the ablity to comprehend the nature of the natural eye's
     bahvior must also have the ability to "take control" and
     clear his vision back to standard by heavy systematic use of
     the plus.

Otis> The alternative is staircase myopia with the minus lens.
     But you don't seem to care about this proven "secondary
     effect".  You just tell the person he has "bad heredity",
     and he will believe you.

Best,

Otis
William Stacy - 08 Jun 2005 15:00 GMT
>      It has been asserted by William Stacy that I "don't care"
> about the protection of a preson's long-term distant vision.

It would be helpful if you posted this as part of the previous thread to
which it refers so at least I and other interested people (why there
must be at least 2 or 3 of them) could follow the context.

> I did not what to see my sister's kids develop stair-case myopia
> from an over-prescribed minus lens.  Equally, this "caring" only
> works for your blood-relatives.

Wow.  Are those your true colors showing? Do I see a swastika on that
little flag?

w.stacy, o.d.
otisbrown@pa.net - 08 Jun 2005 15:25 GMT
William Stacy OD

Dear William,

Subject:  Caring for people close to you.

    Wow!  First you accuse me of "not caring" -- like you could
"judge" an issue like that, and then you accuse me of being a Nazi
-- or something like that.

    For my part -- I HAVE NEVER INSULTED YOU.    I have only
reported scientific facts accurately -- and suggested we develope
preventive measures based on scientific facts.

    The reason for my statement about "immediate relative" was
the issue of the quality of the information, and the type of
motivation it takes IN THE PERSON to keep vision clear -- when
otherwise the refractive-status of the natural eye goes down by
about -1.3 diopters in four years.  (West Point and Annapolis).

    If a person is adequately informed of these proven facts --
and decides to take strong "protective" actions -- he can keep his
vision clear -- while his friends lose theirs.

    And yes, I did not wish to see him develop stair-case
nearsightedness.

    Here is Keith's statement about his protective work with
the plus.

    Best,

    Otis

++++++++++++++++++++

FOUR YEARS OF COLLEGE WEARING A PLUS LENS

    Dear Uncle,

    Thank you very much for the book, "How to Avoid
Nearsightedness".  I got it yesterday after I came back from the
weekend.  I am looking forward to reading it soon, but for now I
have a great deal of school work to read.

    I would imagine you'll be pleased to have me tell you that
one of the first things I did after opening your book was to check
my eyes with the eye chart.  I am able to read the 20/20 line on
the eye-chart.    I have been using my drug store plus lenses most
of the time now.  I have always passed the driver's license eye
test.

    I use these glasses nearly 100 percent of the time when I
read text books and use them for about 70 percent of the total
reading I do.  I started using them as much as possible again
because, at the end of last semester my sight was pretty bad (I
didn't check them on a chart).  I am lucky to have an uncle who
showed me back in eighth grade that I could prevent my
nearsightedness.

    One thing college has taught me is to listen to others and
then use or adapt methods to work for me.  In the last few years I
have had a great deal more reading work to do.    If I don't use the
magnifying lenses I notice fairly quickly that my sight starts to
deteriorate.  Then I realize it's time to do something to stop
that process.

    At the moment, I am wearing the magnifying lens because I
know what it does for my vision.  Thanks for taking the time to
tell me how to avoid a situation, wearing glasses at all times for
the rest of my life, that I would find unpleasant, and for sending
me a copy of your book so I can learn more in-depth about the
methods I am using.

Keith B.
William Stacy - 08 Jun 2005 15:38 GMT
> Subject:  Caring for people close to you.
>
>      Wow!  First you accuse me of "not caring" -- like you could
> "judge" an issue like that, and then you accuse me of being a Nazi
> -- or something like that.

You can't have it both ways.  I quote directly from your post on this
thread:

' Equally, this "caring" only
works for your blood-relatives. '

Maybe I misunderstood that and maybe I didn't. What in the world does it
mean, if not that '"caring" only works for blood relatives'? Sounds to
me like a quote from Mein Kampf. Maybe you didn't mean it.  If so, say
so.  Otherwise, in my book, you're otis brown shirt.

w.stacy, o.d.
otisbrown@pa.net - 09 Jun 2005 04:36 GMT
Dear William,

If you remember "The Printer's Son", where Raphaelson effectively
prevented nearsighedness (cleared from 20/40 to 20/20), only
to have the parents NOT UNDERSTAND the necessity
of agressively using the plus -- to kee distant vision clear.

What that suggests is that a much closer relationship must
exist between the person who wishes to avoid nearsighedness
(pseudo-myopia), and the person doing the "leadership".

Since my sister's kids would know what I advocated, and
the fact that other optometrists advocated prevention also,
they learned how to make a choice ... a decision for
prevention.

The choice was clearly theirs -- and it meant long-term
use of the plus -- clearing their vision whenever necessary.

That takes a great deal of PERSONAL motivation.  Since
they were successful, they never had any need for
your or the negative lens.

Steve Leung OD also is in the same situation.  It take
personal commitment to your child to get him
to systematically put on the plus -- when the
child has is seven years old and had a refractive
state of zero.

You calling me a Nazi, and other insults reflects on
a tragic attitude on your part.  I meant "caring"
as a long-term commitment to a person -- which is
something you can not provide.

If you suggest someting like "prevention" and the person
does not "like" prevention (as in "The Printer's Son),
then the person will simply disappear on the street
and you will never see him again.

When the person is older, like "Mike" and "Jon" and can
make this critical decision (as Stirling Colgate did), the
they can clear their vision themselves under THEIR OWN
CONTROL.  But that takes you out of the loop -- completely.

It also saves them $200 to $400 since there is no negative
lens involved, and the plus sells in the stores for about
$10.

So yes, it does not have to be a "blood relative", but the
person must have the scientific commons sense
of a Stirling Colgate, and understand the fact that
his eyes belong to HIM, and with correct understanding
of the eye's behavior, the can SLOWLY clear their
vision from -1.5 diopter (20/60) to 20/20 as
Jon has done it.

Seeing that he is effective, he obviously is never
going to allow his distant vision to move back
down to 20/40 --  or if it does so -- it will only
be because he neglected to use the plus
for all his close work.

Since this is an "iterative" process, and he can
see the results -- and do it himself -- there is
no need for your "services" other than to
check for true-medical issues like glaucoma,
detached retina, MD, or other issues like that.

Best,

Otis
William Stacy - 09 Jun 2005 19:15 GMT
> Dear William,
>
> You calling me a Nazi, and other insults reflects on
> a tragic attitude on your part.  I meant "caring"
> as a long-term commitment to a person -- which is
> something you can not provide.

OK then you meant "care-giving" rather than caring.  Another example of
troll-like language twisting.  Sorry, I'll try harder not to bite next time.

w.stacy, o.d.
otisbrown@pa.net - 09 Jun 2005 21:16 GMT
Dear William,

The term "caring" means a two-way street.

If you care for a person -- and he does not care
for himself -- then you are wasting your time.

Like cigarette smokers.  You may care that
the don't smoke -- but if they are warned, and
continue to smoke then the resonsibility
for the consequences of ignoring the
warning rests with them.

Same with wearing an over-prescribed
minus lens -- and ignoreing the
facts concerning doing so.

Best,

Otis
Dr. Leukoma - 09 Jun 2005 21:36 GMT
> Dear William,
>
[quoted text clipped - 16 lines]
>
> Otis

There is a proven relationship between smoking and a number of health
problems.  There is no such relationship between vision and wearing
corrective lenses.  For you to even suggest it is totally irresponsible
on your part.  But, of course you aren't really a responsible person,
from what I am able to tell.

DrG
William Stacy - 10 Jun 2005 00:14 GMT
> Dear William,

> Same with wearing an over-prescribed
> minus lens -- and ignoreing the
> facts concerning doing so.

Let's try something new.  Let's have you define "over-prescribed minus
lens" as precisely as you can.  You use that term a lot and I'd just
like a reasonably concise definition that we can work with. Can you do
that in a sentence or two without trashing it up with a bunch of
opinions, judgements, testamonials and the like?

w.stacy, o.d.
Mike Tyner - 10 Jun 2005 06:53 GMT
> Let's have you define "over-prescribed minus lens" as precisely as you
> can.

I believe he's done that in the past.

According to Otis, "over-minused" is vision better than 20/40. The standard
is established by the Division of Motor Vehicles.

I believe "over-prescribed" applies when optometrists provide accurate
refractions to a large number of people.

I don't believe Otis holds ophthalmologists to the same standard. He never
mentions them.

-MT
William Stacy - 10 Jun 2005 20:13 GMT
While I'm waiting for Otis to answer my challenge, I thought I'd post
the results of my traditional care for a 38 year old female over the
past few years.

I first saw her in 1999, at which time her refractive error was:

R -2.25  20/20
L -1.50  20/20  and she continued with that Rx

In 2002 I found

R -1.75 20/20
L -1.25 20/20 and I adjusted her Rx to that level.

Today she was

R -1.25 20/20
L -0.50 20/20  and I again adjusted the Rx to reflect that change.

So I guess "stair steps" go both ways, even when full minus Rx is worn
full time.

w.stacy, o.d

btw, her 40 year old husband went from -3.00 to -2.75 O.U. today, again
with full time wear. So do you think my treatment has been in error?
otisbrown@pa.net - 11 Jun 2005 03:57 GMT
Dear William,

I would point out that your statements
are anectdotal -- since
I have no way to check them
at all.

With primates I can verify the
fundamental behavior characterist
by "input" versus "output" testing.

Objective, repeatable experiments.

You CAN NOT do this with
human-primates.  No argument
there.

But a wise scientist can
draw the correct conclusion
about the behavior of the
natural eye as a sophisticated
system from this type of
scientific experiment
and study.

The difficulty is in helping
a person to understand
the NECESSITY of using
the plus for prevention -- BEFORE
a minus lens is used.

And THAT seems to be an
impossible problem for all of us.

Best,

Otis
Dr. Leukoma - 11 Jun 2005 04:11 GMT
> Dear William,
>
[quoted text clipped - 29 lines]
> And THAT seems to be an
> impossible problem for all of us.

It is not logically necessary that a plus lens does anything at all.

DrG
A Lieberman - 11 Jun 2005 05:45 GMT
> Dear William,
>
> I would point out that your statements
> are anectdotal -- since
> I have no way to check them
> at all.

EXCUSE ME OTIS.  

WHERE IS THE PROOF I KEEP ASKING FROM YOU ABOUT SOURCES SUPPORTING YOUR
POSITION>

I HAVE NO WAY OF CHECKING YOUR STATEMENTS, THEREFORE YOUR STATEMENTS ARE
ANECTDOTAL.

MAYBE BY SCREAMING AT YOU, YOU CAN HEAR ME ASK YOU AGAIN.

PLEASE PROVIDE PROOF OF YOUR STATEMENTS OUTSIDE YOUR WEBSITE.

I bet you can't and won't.

Allen
William Stacy - 11 Jun 2005 05:11 GMT
Hey Otis, here is the challenge I put forth at the beginning of this
thread.  Your single response to this thread was not responsive at all
to the question.  Lets try again.  It's not complicated.  All I'm asking
for is a definition:

> Let's try something new.  Let's have you define "over-prescribed minus
> lens" as precisely as you can.  You use that term a lot and I'd just
[quoted text clipped - 3 lines]
>
> w.stacy, o.d.
Dr. Leukoma - 11 Jun 2005 12:34 GMT
Otis is an expert at bobbing and weaving, but seems to know little or
nothing about the dynamic nature of the eye.  Perhaps he should read
some of the studies published by Earl Smith, O.D., Ph.D.

DrG
 
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