Medical Forum / General / Vision / December 2005
Freedom of Academic Speech -- Freedom of Open Discussion
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otisbrown@pa.net - 28 Dec 2005 21:20 GMT Dear Prevention minded friends,
Subject: Freedom of speech, and the constitution
Re: Freedom of speech on the Internet.
Re: My interest in engineering an science.
Neil Brooks wishes to reprort me to an Optometry Board for "practicing optometry".
My choice of words to describe the natural primate eye is "positive refractive state" and "negative refractive state". I think that is perfectly clear.
Further, the visual environment is in "diopters".
And lastly the natural eye is a "black box" tested on an "input" versus "output" basis. Simple concept, simple scientific proof -- if you have the mind for it.
And lastly helping the person "understand" the concept is to help a person so that he can avoid "stair-case" myopia -- if he has the force-of-will to do so.
It is a second-opinion choice a person can make.
I prefer that is be done with the support of a prevention-minded optometrist like Steve Leung, if at all possible.
This is the basic development of scientific change for the future.
If the person if offered the preventive second-opinion, then he can always revert to the minus lens -- if that be his choice.
Jeeze!
Best,
Otis
_________________________
Dear Neil,
Subject: You should read the constitution.
My statements are about the dynamic behavior of the funamental eye.
I have posted disclaimers to this effect on my site.
I hope they can read the King's English.
Others can read my site (and your site if you have one) and make up there own minds.
In fact, Neil, I would suggest you set up your own site, and develop technical arguments against the concept that the natural eye is a dynamic system.
You do this -- and remove your foul language -- and I will refer to YOUR SITE as something to read -- if they dislike the concept of preventing a negative refractive state of the natural eye.
You also might cite YOUR CREDENTIALS for making your kind of ignorant statements.
Best,
Otis
_____________________________________
From: "Neil Brooks" <NEIL.BROOKS@sbcglobal.net>
Subject: I'VE HAD ENOUGH
Dear Otis
Please be aware that I sent an e-mail, this morning, to the Franklin County Attorney General and the Pennsylvania State Board of Optometry, citing many of your posts, the response of the many caring optometrists who have asked you to stop, and a link to review your posting history.
I have requested that they investigate you for practicing medicine without a license. I am prepared to provide them with e-mails sent to me by people who claim that following your advice made their eyes worse, and that they never knew that you are NOT a licensed eye care professional.
Happy New Year
Neil
otisbrown@pa.net - 28 Dec 2005 21:27 GMT Dear Neil,
In can you did not read it -- here is my legal disclaimer posted on the first page of my site.
Let me state that I wish that I personally had this type of information and scientific proof available to me. I think ALL YOUNG CHILDREN should be provided with the preventive information when they are on the threshold of a negative refractive state.
Hells Bells, they can always choose pure neglect. That is no problem at all.
They will just get into that -1/2 diopter per year business proven by the Oakley-Young study.
If that is what they desire -- then I am not going to stand in their way.
This is just about an "informed choice" at the critical point -- where the PARENTS make that choice.
Got it?
Enjoy,
Otis
________________________ (Legal15.txt)
Legal Notes on, "How to Avoid Nearsightedness" and your choice about using the preventive method.
"We can't solve problems by using the same kind of thinking we used when we created them."
Albert Einstein
LEGAL DISCLAIMER 1
Let me recite my personal disclaimer. Because I am not medically trained and because I am averse to the prospect of being sued for giving advice (medical or otherwise), I am stating emphatically that everything written here ("How to Avoid Nearsightedness", including all related pages on this site) is nothing more than my personal opinion and experience. If you are interested in reading about that experience, I invite you to continue reading. If you want a medical opinion or advice, you should contact a medical professional.
If something I write seems to be advice, you should re-read this paragraph and understand that I am only using literary license to convey my experiences and opinions. I offer you NO ADVICE and I do not recommend to anyone that they should subscribe to any treatment for any condition without proper medical advice, EVEN IF I TELL YOU THAT I AVOID SOME MEDICAL ADVICE OR TREATMENT FOR MYSELF.
I take PERSONAL RESPONSIBILITY for my health. You should take personal responsibility for your health (not my advice - just my opinion). It is up to you to decide if medical professionals and the medical industry, the food industry and others act in your best interest or not. It is up to you to decide, if after reading my experiences, how and whether to address any health issues including those related to your vision.
PS: These statements are adapted from Donald Rehm's "Myopia Myth" and the "Vision Freedom" site -- but the insight they developed about legal responsibility applies equally to this site.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
LEGAL DISCLAIMER 2
"How to Avoid Nearsightedness", is an educational tool that can assist you in accurately understanding the eye's proven dynamic behavior.
Our book is not intended to be a medical text, nor does it substitute for medical diagnosis or treatment of eye disease by an ophthalmologist. The techniques developed for prevention are derived from the concept presented in the book and is considered to be the second opinion. This second opinion is based on proven scientific facts as they concern the dynamic behavior of the natural and fundamental eye.
It is the reader's sole responsibility to determine the suitability of this book's advocacy for his use. Once you make up your own mind to use the preventive method, you should then find an OD who will support you in your major effort -- based on your own best judgment. There are ODs who are now helping their own children in the use of the plus lens for prevention. That is the type of "open minded" OD you need.
This site is dedicated to your own personal interest and your own goal in life -- where you assume complete technical and legal control over your own eyes.
You must understand the intended purpose of this site and assume all risks and liabilities resulting from your actions.
I can tell you personally that I wish I had been offered the preventive method advocated here. I acknowledged that the method is difficult and requires your own understanding. I wish I had been offered this alternative -- when I was at the threshold. I believe that the method would have been effective at that point.
Because of the advocacy of Dr. Jacob Raphaelson, I realized that the person (you) must play a very strong role in prevention. If the effort is neglected or ignored at that point (by you) then nearsightedness can not be prevented. In the future you will find some ODs who will help you -- once you personally make the decision to use the plus for prevention. The very nature of these scientific arguments assumes that you have both the knowledge and motivation to take a large if not total responsibility to carry out the preventive work successfully.
***********************
LEGAL DISCLAIMER 3
TRUTH ON THE INTERNET
Truth goes through three stages:
First it is ridiculed. Then it is violently opposed. Finally it is accepted as self-evident.
I subscribe to the "HONcode" principles of the Health On the Net Foundation.
[Although technically, I deal with the eye's behavior as a well-engineered system, and present objective facts on that basis. Therefore the term "health" is not the quite correct term to use to describe the method of prevention that I advocate in my book and on this site.]
In conformance with the principles of the HONcode, I state that:
1. Funding, services and material for this site are provided solely by advocates for prevention. Our advocacy is a result of an exhaustive effort on our part to determine if nearsightedness can be prevented. I published a book to detail this judgment of optometrists, ophthalmologists and myself on this matter. No commercial interests (including the commercial interests of doctors, hospitals, and/or the optical industry and the pharmaceutical industry) are involved.
2. Our advocacy exists solely to benefit you and for that reason I consult with professionally qualified, scientists, engineers, consumer advocates, and medical people.
3. Unlike the American Medical Association, which routinely spends millions of dollars influencing legislation and the operation of our government to benefit its members financially, I spend no money for such purposes.
4. The purpose of this site is to provide you information which might enable you to make an intelligent choice between two mutually exclusive alternatives. The specific issue concerns the scientifically proven effect that the minus lens has on the refractive status of the natural eye. If you do not believe this scientific truth -- then you should run the experiment yourself. Only you must judge the experimental outcome. Science works in no other way.
MORE ABOUT TRUTH AND THE INTERNET
The Internet has made a nearly unlimited amount of scientific (and health) information available to the public, and reliance on this source will continue to increase. In past generations -- before the widespread availability of such information -- one could do little else but rely upon the advice of one's doctor. Please remember that "the doctor" has children of his own. Some doctors who understand the deep scientific issues and proof involved are helping THEIR OWN CHILDREN in the use of a plus lens for prevention. This is the origin of the "second opinion" concept in medicine.
Information from the government and the media tends to be censored and further, is intended to serve the interests of big money and "traditional medicine". Further, some public sprinted engineers and pilots have been sued to shut them up.
You will not find a program devoted to prevention with a plus on television, nor even on public television. This would antagonize too many powerful and vested interests. Now, because of the true freedom of speech that does exist on the Internet, all this is changing. We are learning how much influence "traditional methods" can have on our lives.
We are learning that there is more than one opinion on nearly everything. In many cases, the opinions are profoundly contradictory or even in direct opposition. Finding the truth about fundamentally scientific topics -- when properly implemented -- can result in your being able to enjjoy clear distant vision for life. The facts concerning the dynamic behavior of the fundamental eye. can be agonizingly difficult to establish.
How does one determine if information presented on a Web site is accurate?
Even organizations with prestigious sounding names and people with impressive titles do not necessarily know or speak the truth. Their beliefs are very often flawed because of a biased education, limited experience, open or hidden financial interest, face-saving concerns, peer pressure or other factors.
When you learn to ask the right question you can lead yourself to a better answer -- than we have had in the past. That is the philosophy and approach presented to you on this site.
The history of health care is full of instances where something easy-to-use was widely believed to be a fact by all the experts -- and was later shown to be false.
When you actually CHECK the experimental data yourself, you find that the "wildly held" belief that "environment" has NO EFFECT on the refractive status of the eye is indeed a "false belief".
You must be thorough and complete to gather as much information as you can before making a scientific and/or "health" decision. The truth is there but you must search for it using YOUR qualities of common sense and scientific judgment.
**********************************************
LEGAL DISCLAIMER 4
This site is dedicated to the concept of freedom of speech as established by the U. S. Bill of Rights. In addition there is the issue of academic freedom, since I hold the unpopular but accurate concept that the natural eye is proven to change its refractive state when the visual environment is changed.
Optometrists and ophthalmologist who disagree with this concept should respond on this forum with an honest discussion, rather than bringing legal actions against me. I will post their objections so that you can judge the nature of their opposition to this reasonable concept that the evolution-designed eye is dynamic rather than passive. It is your right to be adequately informed about this preventive "second opinion".
By open, honest technical review and discussion you should be able to learn more about their reasons for the objections to effective prevention with a plus lens.
Yes, prevention (and recovery from 20/60 to 20/20) is difficult. But why not be fair minded about both the difficulties and opportunities of prevention?
To avoid confusion as to the nature of the discussion, please use the term, "focal state" to describe what you actually measure. This will save us a great deal of technical difficulty, and these words will enable us to avoid anger and misunderstandings. We can have an accurate technical discussion about the behavior of all eyes. The Donders-Helmholtz theory and picture of the eye as a box-camera is no longer a technically accurate concept of the eye's behavior.
When all fundamental eyes are tested they always change their focal state in a negative direction when a minus lens is placed on them. All primate eyes do this. This is a matter of engineering and science -- and confirmed by direct experimental test.
Since this issues is not about medicine, nor even related to medicine, (unless you believe that a positive or negative focal state of the natural eye is an organic defect) you can examine the objective factual data yourself and reach your own conclusion about the inherent behavior of all fundamental eyes.
There is no intention to make improper statements, only the desire to help you form an opinion about the course of action that you MIGHT take to clear your distant vision to 20/20. (i.e., to change your focal state from -1/2 diopter to a value of +1/2 diopters). This change can be of great value to you if your long-term career goal requires that you have 20/20 distant vision for life.
I believe that evolution designed a sophisticated automatically focused camera. A scientific review of this type should precede any discussion of the defective eye -- or the "cause" of any defect. Since the focal state of the eye tracks the average visual environment, (or accommodation system) then the eye can not be regarded as defective if it has either a positive or negative refractive status.
Ultimately your own review of the objective experimental data will help you resolve the issue. I am concerned about being accused of making statements about the eye that I have never made. I have never said that a confined environment causes the eye to become defective. In simple terms I stated that, since all eyes track or follow the average visual environment, a more negative environment will simply produce an eye with a more negative focal state.
I am responsible however, for technical typos and inaccuracies that may exist in the text of my book. If you find them, please contact me so that I can correct them.
I provide this engineering advice with the idea that I wish I PERSONALLY could have been on the "receiving end" of this advice. By this, I mean WHEN the method COULD have been effective for me. I take this advice as an "either-or" decision you must make BEFORE you begin wearing a minus lens. I hope YOU understand the recommendations and suggestions in that context.
Sincerely,
Otis Brown
Neil Brooks - 28 Dec 2005 21:32 GMT >In can you did not read it -- here >is my legal disclaimer posted >on the first page of my site. I have something similar that I carry in my wallet.
You, uh, actually think that's going to alleviate the liability for what you post on this forum?
I guess you missed as many classes about law as you did about optometry.
 Signature Live simply so that others may simply live
otisbrown@pa.net - 30 Dec 2005 03:29 GMT Dear Neil,
Subject: I only argue that an OD should DISCUSS the potential for prevention with the plus -- AT THE THRESHOLD.
Further, I argue that the parents should be informed of the preventive alternative when the child's refractive state is threshold, i.e., zero to -1/2 diopter.
Lastly, I understand that some one "over-did" your plus lens as a child -- and now you are at +5 diopters or so.
Interestingly there are some second-opinion ODs who would argue that wearing that "plus" all the time kept you at +5 diopters. Here again, you should have avoided the plus -- if you have an understanding of this issue. In the case, the "plus" preveted your refractive state from moving down in the normal range of zero to +2 diopters.
Here is the discussion for your interest.
May Dr. Allen's second-opinion live long and prosper!
Best,
Otis
+++++++++++++++++++
How to Eliminate Hyperopia
by Merrill Allen, OD, PhD, FAAO, FCOVD
Humans are adaptable. The refractive error distribution in the population of newborns is almost a normal curve. By the first grade the distribution has become leptokurtic with the great majority of the population falling within -0.5 and +2.00 diopters of error. The babies have grown out of their refractive errors!
Graduate Students at Indiana University did a study of babies at 2 weeks of age who performed as well on focusing tests as college students. The one baby who did not was about 5 D hyperopic. After 6 weeks or so it was clearly withdrawn and abnormal in personality. The baby could not respond to the test. Application of +4 D glasses changed the baby's personality overnight!
Regarding the overcoming of hyperopia by optometric intervention, the baby above was not followed, but if the baby continued to wear those glasses, now as an adult, he/she will still be +4 hyperopic.
I worked with an 18 month old esotropic girl whose eyes were so crossed I thought she had convergence fixus. However when I held her at arms length and turned my body through 360 degrees her vestibulars took over and her eyes straightened and she showed nystagmus. At each of the three visits I increased the plus to take home. Her eyes straightened with +11D. Then at the age of three years while moving to another city she lost her glasses and went without them for 3 months. The new eye examination showed her Rx to be +4. She had lost 7 diopters in three months!
I did not realize the significance and was not smart enough to say to Mom: "Let's leave the glasses off for another 3 months," or "Let's wear plano glasses with binasal occluders for 3 months." The last checkup of this patient was at age 18 years when she was wearing +4D contact lenses! We cured her of esotropia and reduced 7 diopters of hyperopia! She has of course continued to be straight eyed.
Wild monkeys have low hyperopia or emmetropia and no myopia. Caged monkeys have less hyperopia and much more myopia. Because the evidence for emmetropization is so strong, I suggest a couple of approaches on how to emmetropize young hyperopes.
Only prescribe as much plus as needed to keep the eyes straight. (In the case of our baby that couldn't focus and had personality problems, the plus probably wouldn't be needed for more than a week or two as the child figured out how to use his eyes. At most the Rx should only be about half of the retinoscopic Rx and then reduced in power as the eyes change. With esotropia, more plus power may be needed at first to establish normal binocular vision, after which treatment of hyperopia may proceed. Alternatively for esotropia, the no Rx, binasal approach, see below, is highly recommended.
Use no lens power but provide binasal occluders such as frosty Scotch tape applied with the outer edges placed at the distance apart of the centers of the pupils, minus 4mm. A growing child will require frequent occluder adjustments as his/her pupillary distance increases. The binasals will straighten crossed or exotropic eyes as well as cause emmetropization. Within 6 months the occluders can be removed. Strabismus and refractive error should be cured in that time! if you or the parents forget, the child will grow out of the binasals [they will cover less and less of the visual field] and will be cured. We know that older people grow into myopia, so I would not put an upper age on when a person can grow out of hyperopia. The important condition is that they be able to intensively pursue visual tasks requiring accommodation. If they are not visually involved, and if we eliminate the need to emmetropize, they will not emmetropize!
When I'm in the mall, I see thick glasses on small children and I have to control myself. I know that wearing those glasses blocks emmetropization. If Mom would put the glasses on the child only in the afternoon, the child would grow out of his/her hyperopia and require several spectacle power reductions. If the child's correction is less than the refractive error, he/she will grow out of the need for those glasses and soon weaker lenses will be needed.
Merrill Allen
otisbrown@pa.net - 30 Dec 2005 03:47 GMT Dear Neil,
Subject: Getting the eye with a refractive state of zero to "move" in a positive direction.
Re: Range of refractive state for the natural eye -- maintained in the "wild" is between zero to +2 diopters.
Here is a statement about the effect of a plus when used -- as you are now using it.
Thus you have proved my thesis.
The subject is indeed complex -- and we should have a discussion of the "second opinion", and yes, even Neil Brooks!
Thanks Neil for proving the effect of that plus on your refractive state. Please keep youself in that +5 diopter coke bottle -- you will be much better for it.
Best,
Otis
+++++++++++
Subject: Proving that "protective" positive state can be developed in the natural eye.
=======================================
Excerpt from:
The Eye in its Relation to Health
By Chalmer Prentice, M.D.
Transcription (c) A. Wik, 2004
=======================================
Case 2. Partly manifest; D. A., age forty; Dr. Stanley of Brantford, Ont., says this case has been under his observation for upwards of four years;
[Comment: The reasons why Prentice took the following plus-lens steps are not important. What is important is the proof that an eye with a positive lens on it changes its refractive state in a positive direction as proven by the following sequence. From primate studies, refractive states from zero to +2.0 diopters are completely normal. "Hyperopia" is a positive refractive state of the natural eye -- within reason. OSB]
Chalmer> No hyperopia was found by dropping a two grain solution of atropine into the eyes twice a day for one week; then increasing to four grains to the ounce, it was used for three days, and on examining the eyes again I still found no indication of hypermetropia.
[Comment: Historically, a refractive state of exactly zero is called "emmetropia". Prentice is using a cycloplegic to make this measurement -- which is considered standard around the world. OSB]
Chalmer> Vision without the glasses was twenty-twentieths or normal. I prescribved a +1 D glass for outdoor use, which gave twenty-fiftieths of vision at twenty feet. For house, reading, writing and all close purposes, I prescribed a +4 D, which was +1 D more than an absolute suspension of accommodation at thirteen inches.
[Comment: A +4 diopter lens will move the "near" environment out to "infinity" or beyond -- thus simulating living in the "wild". OSB]
Chalmer> This rendered the patient artificially myopic. At the expiration of three months, through the +1 D glasses at twenty feet, vision was twenty-twentieths. On removing the glasses, vision was also normal, but on returning them to the eyes again, the vision through the glasses was now reduced to twenty-thirtieths, but in half an hour it was again twenty-twentiehts or normal.
Chalmer> I now increased the power of both pairs of glasses +0.75 of a dioptre, which again gave twenty-fiftieths of vision at a distance, and the glasses for near use about the same amount of artificial myopia that the first pair of reading glasses gave.
Chalmer> At the expiration of six months more, vision under the +1.75 D, at twenty feet, was normal.
[Comment: Normal means 20/20 in this context. OSB]
Chalmer> On removing these glasses, it now required some five minutes for normal vision to take place, indicating that the reduction of ciliary innervation was become somewhat fixed.
[Comment: The eye has a positive refractive state of +1.75 diopters, which is "high-normal". Primates and persons can and do have 20/20 with the positive status. OSB]
Chalmer> The glasses were continued, as well as the above modus operandi, for a period of one year, since which time the patient has been wearing +2.75 for all general purposes. With these glasses vision is twenty-twentieths at all distances...
[Comment: Prentice has created a positive refractive state of +2.75 diopters, bascially PROVING that the human-primate eye performs exactly the way the the adolescent primate eye behaves. OSB]
Chalmer> ...but for the purpose of resting the accommodation, a +5 D is frequently resorted to for long and continued close work.
[Comment: It is not clear exactly WHY Prentice made this woman's refractive state "positive" but his actions do prove the point. Remember, a positive refractive state of +1.0 diopter is considered VERY VALUABLE for midshipmen entering a four year college. OSB]
Neil Brooks - 30 Dec 2005 05:08 GMT >Please keep youself in that +5 diopter coke bottle -- you >will be much better for it. ... and you keep yourself in legal jeopardy.
The rest of US will be much better for it....
 Signature Live simply so that others may simply live
Neil Brooks - 30 Dec 2005 05:12 GMT They're still coming to take you away, ha-ha...
http://nbeener.com/Otis_Brown_BARS.bmp
 Signature Live simply so that others may simply live
otisbrown@pa.net - 30 Dec 2005 16:40 GMT Neil,
That was a cute song -- for those who remember it.
Also -- have you looked in a mirror lately.
I am certain to present the letter you sent my wife and evidence of you semi-psychosys.
But even that wouild be too subtle for your understanding.
Just hop on you bike and do another 100 miles, with your eyes protected by those +5 diopter lenses.
Best,
Otis
Neil Brooks - 28 Dec 2005 21:31 GMT >Dear Prevention minded friends, > [quoted text clipped - 6 lines] > Neil Brooks wishes to reprort me to an Optometry Board for >"practicing optometry". Actually, Neil Brooks *has* reported you to the Optometry Board, and to the District Attorney in your county.
> My choice of words to describe the natural primate eye is >"positive refractive state" and "negative refractive state". I [quoted text clipped - 5 lines] >"input" versus "output" basis. Simple concept, simple scientific >proof -- if you have the mind for it. Nobody (especially you) has a clue what you're talking about. Making up terminology doesn't change the fact that you have consistently attempted to *prescribe* particular lenses for particular patients on this forum. It seems that you may have caused harm to at least a few of them.
> And lastly helping the person "understand" the concept is to >help a person so that he can avoid "stair-case" myopia -- if he >has the force-of-will to do so. There just doesn't seem to be any proof of this "stair-case myopia" stuff that you prattle on about, nor any proof that your proposed therapy has any favorable effect on it.
> It is a second-opinion choice a person can make. > > I prefer that is be done with the support of a >prevention-minded optometrist like Steve Leung, if at all >possible. The relevant governing bodies *have* already investigated Dr. Leung. Now we'll see what the relevant bodies have to say about *you*.
You're back-pedaling ... as always. You've been warned oh, so many times that you're trying to play optometrist with neither a license, the background, the education, the training, or the knowledge. I gave you ample notice that I fully intended to bring your actions to the appropriate legal authorities if you couldn't control your OCD.
You're SO fond of quotes. I got one for ya': as ye sow, so shall ye reap.
Best of luck, Uncle Otie....
As always, enjoy our pleasant discussions about the fundamental nature of this old coot.
 Signature Live simply so that others may simply live
Neil Brooks - 29 Dec 2005 17:20 GMT >Actually, Neil Brooks *has* reported you to the Optometry Board, and >to the District Attorney in your county. The DA's office responded this morning:
> Good Morning Mr. Brooks, We have reviewed your e-mail and > will be opening a file. Could you please provide your > address and phone number, so if needed the investigator can > contact you. Ruh-roh, Uncle Otie. Is it getting warm in here?
I sincerely hope you haven't crossed the line in all these years of ranting. Could have deleterious consequences for you, big guy.
 Signature Live simply so that others may simply live
otisbrown@pa.net - 28 Dec 2005 21:38 GMT Subject: On the issue of pure scientific (not medical) proof that the natural eye is a dynamic system.
A HISTORY OF THE ORIGIN OF THE BOX-CAMERA THEORY OF THE EYE
A QUESTION CONCERNING THE NATURE OF PROOF
Reference: "Introduction to Physiological Optics", by James Southall
I have often hear the words, "prove it", with respect to the fact that the fundamental eye can have a negative refractive state.
Since the "it" is never described, it follows that no one can ever "prove it".
But if the requirement is to prove that the eye is an auto-focused camera versus the box-camera concept, then proof is possible.
I wrote my book so that you could help your own daughter avoid nearsightedness. I know you want to help others but -- regardless of proof -- I do not think the general public will understand what must be done.
Dr. Jacob Raphaelson went through this 100 years ago, as described in, "The Printer's Son". The public wants their distant vision sharpened instantly, and expects this of you. Anything beyond that point they will reject -- unless they are very motivated and intelligent about this difficult situation. It is very clear that the person who desires prevention must have strong motivation and support from you if the person plans to use the plus lens effectively.
In my opinion, your work with the public is very difficult because the public is not logical, and not consistent in what they expect. Unless they have the motivation, they will not push hard in the proper use of a plus lens. A professional pilot, who looks at his own eye chart and sees the results as they develop will be your best candidate for effective prevention.
The public demands immediate results and does not listen to explanations. They will quit an effort if their is the slightest problem, or if some other ophthalmologist or optometrist uses "scare" tactics against them. If this happens, they will quit the effort and blame you for anything that might happen with their eyes. There is no incentive to attempt to help most people -- and both you and I understand that truth.
The health profession has no choice except to apply a minus lens and (with a few exceptions) suggests that anyone who asks deeper questions about these issues must be "not-scientific".
I can accept this as the reality of medicine. They should say "non-medical", rather than "not-scientific".
In science, you pay attention to direct objective measurements. This is not quite true in optometry -- as I described above.
Tragically, this unfortunate situation has continued since its inception 400 years ago. The theory of the eye began this way:
1. The lens-developers dealing with the public found a plus lens that would sharpen near vision -- when you reached old-age.
2. In addition, they found that young people with slightly blurry distant vision, could clear their distant vision with a minus lens.
The theory of using a lens on the public is based on the above understanding of responsibility and resulting direct action. There has been very little improvement in this concept of the eye.
Around 1600 Johan Kepler (Astronomer) began developing a pure-refractive theory of the eye. This was good work, but assumed that you could "freeze" the eye and make all your measurements based on the box-camera concept. This idea never attempted to analyze the eye's dynamic behavior at all -- only the refractive properties of an intellectually frozen eye.
This analysis this approach was good, so the fact that the eye is not frozen was forgotten. Kepler's analysis could be used to support Items 1 and 2. For this reason the "frozen eye" theory was accepted as a medical theory -- and anyone who challenged the concept concerning the bad results of item 2 were told that Kepler's theory was "proven" and that the natural eye is a rigid box cameras.
Kepler's theory was further refined and re-published in 1858 by two ophthalmologists, Dr. Donders and Dr. Helmholtz.
They accepted Kepler's frozen-eye concept, and added further assumptions.
1. They assumed that a focal state of exactly zero could be considered normal. Donders invented the word emmetropia to describe this idealization of the "frozen" eye.
2. They assumed that any focal state other than exactly zero must be a defect, or "refractive error". They invented the word "ametropia" to describe both positive and negative focal states of all normal eyes.
Don't get me wrong at this point. These were great men in medicine at that time. But they continued the academic assumption of Kepler, that you could "freeze" the eye and do a pure refractive analysis. They also assumed that you could translate a relative focal state into an absolute dimensions. (i.e., they assumed that if the eye had a focal state of zero, it must have an exact length of 24.38 mm. In fact no relationship has ever been established.)
By doing this, they thought that they made the Kepler's theory into proof that the eye was "too long", when the natural eye simply had a normal but undesired negative focal state.
This box-camera theory made the use of a plus or minus lens seem more systematic, although it requires a belief that the eye is defective if it has a negative or positive focal state. (i.e., if your eyes have a focal state that is not zero, you are suffering from "stress and strain" because the eye is too long or too short. The reasoning here is circular, because it is not proven that a focal state of zero corresponds to a exact length. It is only an assumption that you can convert relative measurements into absolute dimensions.)
In any event, this theory makes all eyes defective by definition -- a thesis of doubtful validity.
Why should we object to Kepler's theory, which became the a theory of practice? As a theory that allows refractive analysis of an idealized eye it is excellent. As a theory of the eye that reproduces the actual motion and change of focal state of the natural eye -- it is not accurate.
Kepler's pure-refractive theory was correct, but the assumptions of the follow-on (Donders-Helmholtz) theory are not accurate or correct.
In the light of experimental data developed in the last 50 years we should begin developing a better conceptual model of the eye's dynamic behavior.
The experimental facts demonstrate that all eyes change their focal state as the visual environment is changed. By reference to the facts, the eye is established to be a well designed auto-focused camera. (i.e., you can make ALL eyes nearsighted by forced wearing of a minus lens.)
The type of data needed to demonstrate this truth was not available in 1860. So the original conception should undergo evolution to account for these recently developed facts. But in fact, the operative reasons for using a plus or minus lens have not change since their original inception -- 400 years ago. Thus the "theory of the eye" is driven by expediency, and not by objective scientific facts -- in my humble opinion.
Science is based on objective facts. We should be able to recognize that there is a problem with expanding Kepler's theory, beyond its original intended scope. He did an excellent refractive analysis. He did not intend that we believe that all eyes are rigid box cameras that are defective because they have focal states other than zero.
We suggest that the natural eye is an auto-focused camera, and that, for this reason, the natural eyes must change its focal state (which you measure) as you change the visual environment (which you control). Since we are using neutral language to describe this situation, it follows that experimental conformation (that all eyes are auto-focused cameras) will be straight forward. The nature of this type of experiment can hardly be argued.
This means that the evolution-designed eye can have both negative and positive focal states, and not be defective.
In fact, the measured focal state of your eyes is directly dependent on your accommodation level -- in diopters.
Obviously, if you work for long hours, your normal eyes are going to develop a negative focal state. This is perfectly normal and an expected for an auto-focus camera.
The Helmholtz-Donders theory, and its required assumption has never been objectively tested -- as stated by Dr. William H. Bates. This means, that the box-camera picture of the eye is misleading at best. At worst, it blinds us to a potential method of preventing the development of nearsightedness by aggressive use of a plus lens.
Sincerely,
Otis Brown
Neil Brooks - 28 Dec 2005 21:40 GMT [snip]
The e-mail is out. The ball is in motion. You're scared and regurgitating defensively right now. It's unbecoming and undignified.
You made your bed, Uncle Otie. Just lie in it.
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otisbrown@pa.net - 28 Dec 2005 21:46 GMT Subject: Even the ophthalmologists know that the minus is "risky"
THE EFFECT OF A NEGATIVE LENS ON THE NORMAL EYE
Truth is so obscure in these times, and falsehood so established, That unless we love the truth we cannot know it. - Blaise Pascal
THE HISTORICAL OPINION OF THE USE OF A NEGATIVE AND POSITIVE LENS FOR NEARSIGHTEDNESS
Over the past eighty years, eye doctors have become increasingly suspicious of negative-lens use for nearsightedness. While the immediate effect is instant clarity of vision, the long-term effect has been recognized to be bad. For instance Dr. Samuel Drucker said: (3)
The suspicion began to dawn on me slowly that among the causes of progressive myopia it might be necessary to list concave lenses themselves. From many articles that have appeared in the past on the subject of 'Optical Poison', a familiar term a decade (1930) ago, many other optometrists appear to have the same idea. An optometrist in Ontario (1938) says that, "...he would like to have a law established and enforced that would make it a misdemeanor for any refractionist (optometrist) to prescribe minus glasses for any child unless under very extenuating circumstances." (3)
These are strong opinions by individuals who have had direct and prolonged experience with the use of a negative lens and the effect that this lens has on the normal eye.
Doctors, some time ago, have correctly deduced the nature of the problem and suggested the correct solution. For example, Chalmers Prentice, wrote the following in 1895: (3)
In the nomad, who is reared out of doors, and who follows such pursuits that his vision is mostly used at twenty feet and greater distances, the nerve-impulses to the ciliary (lens) muscle become established so that the easiest vision is for the far point, and in many years of such use, these impulses become more or less fixed; while the child of a higher civilization spends his life within doors, amuses himself with toys, picture books, kindergarten amusements and learning to read.
We will assume that such a child generally holds his book or toy 10 inches (4 diopters) from his eyes, in which case the crystalline lens requires a much greater convexity, or higher state of refraction to bring about perfect vision; and this is brought about by an increase in the ciliary nerve-impulse which changes the shape of the ciliary lens. Through long continued use, this impulse becomes comparatively fixed, and in some instances refuses to suspend itself sufficiently to bring about distant vision again, and so myopia has set in. The regular work of the student and those other pursuits which require the use of the eye at the near point, tend to perpetuate this condition and make it progressive.
...Again, the important question, 'How are the advantages of a high civilization to be attained without the foregoing disadvantages?' If the eyes are to be used at a distance of ten inches, aid them artificially by a ten inch magnifying glass; then the nerve-impulses to the ciliary muscle will be no more than if the patient were leading an outdoor life and viewing objects at twenty feet or more.
It is clear that the collective common sense of the profession has indicated the type of problem they face and the nature of the expected solution. In the article "Trying to Get Myopia into Focus", (1987) Dr. Theodore Grosvenor of the Houston College of Optometry, insists that persistent close work causes myopia. He also states that;
"Once the eye has started to stretch, it may be too late to keep it from stretching. The ultimate study would be to put reading glasses on first-graders, before anyone has developed myopia." (4)
[Comment: This is indeed the PROFESSIONAL SECOND OPINION. The fact that IMPLEMENTATION is difficult should not stop a DISCUSSION about the possiblity of true-prevention for a person on the threshold. OSB]
WHY ISN'T THE PREVENTATIVE APPROACH OFFERED?
With this type of scientific understanding of the eye's behavior, you would think that the insightful and motivated optometrist or ophthalmologist could introduce a practical and effective method of solution. Dr. Jacob Raphaelson did exactly that in the following example -- with the following result:
THE PRINTER'S SON
"It was the year 1904 that I met a mother at a social lodge meeting. She told me about her son's trouble with his eyes in school. I gave her my card and told her to bring him to my office and I would fit him with a pair of spectacles.
"She said that she had no money at the time and that her husband was a printer working in another city. She did not expect him home for the next six weeks. I told her all this would not matter, that she should bring the boy over and I would fit him with a pair of spectacles. I told her that she could pay for them when her husband returned home.
"She brought the boy in and I examined his eyes. I found that his vision for distance was poor. It was less than 20/40. I made him a pair of plus 1.00 diopter spectacles. She was to pay me when her husband came back home.
"In about six weeks she came back and returned the glasses to me. She stated that her husband was provoked with her for getting the glasses. He had tried the boy's eyes with different prints, far and near, and had found him to have perfect vision with his naked eyes. In fact, she said, the boy could see even better without the glasses than with them.
"I was surprised that the plus lens could produce recovery that quickly. I could hardly believe this story. I persuaded the mother to bring the boy back to let me check to see if he could really see well with his naked eyes. She again brought the boy in and I checked his vision. I found that the father was indeed right. The boy had good eyes, with 20/20 vision and better.
"I was in a dilemma. I did not have the nerve to say anything to the mother. I just let her go. How was I to prove that the boy had poor vision before he received his glasses? And who would believe that vision could be restored by just wearing a pair of plus 1.00 glasses for a few weeks?
"My experience with the printer's son aroused my inborn tendency for exploration. It gave me an incentive to try to do special work on children's eyes and on vision restoration. It also enticed me to investigate myopic (nearsighted) eyes because I was myself nearsighted.
"On the other hand, this experience was a warning to be cautious in doing such work. For selling spectacles to persons who, supposedly, did not need them was almost a crime. And the fitting of glasses without the advice or consent of a medical doctor to unhealthy or diseased eyes, or even to an unhealthy person who might need or be under medical attention, was, and is now, and encroachment on the medical profession.
"To shield myself against possible enmity and involvement, I took the following precautions: First, I quit using the title 'doctor' in any form, in print or verbally. I was to be known as a spectacle fitter and nothing more. Second, I charged a reasonable price for the spectacles I sold but nothing extra for any special work or relief I gave. I did not advertise about this special work. I just did it as a matter of routine whenever or wherever I was given the opportunity.
"Thus in 1904 I became an independent researcher on the relationship of the eye's behavior to spectacles, vision, and health. I have kept it up, and will continue to do this work as long as I continue to have the incentive and capability.
"Who would believe it? Who would believe that by just wearing a pair of plus one (+1.00) glasses for a few weeks, that normal vision to the naked eye could be restored to children whose eyes have a negative focal state? This was true in 1904, and it is also true now, in this decade of 1950." (It continues to be true in this decade of 1990 -- Otis Brown)
SCIENTIFIC VERIFICATION
With such strong recognition that a negative lens has such a profound and adverse effect, you would think that it should be possible to develop scientific verification for this characteristic of the normal eye. You would be correct. The testing and verification is impeccable -- if we restrict our attention to the normal eye's behavior.
(See previous analytic studies of the dynamic nature of all natural eyes. This is an academic subject -- not a medical one. Please understand the difference.
The issues should hinge on whether we expect and understand the naturual eye to be a competent control system, i.e., purly an engineering scientific analysis issues. Draw your own conclusions. It is clear that unless the person develops "wisdom" on this issue -- he simply SHOULD NEVER EVEN ATTEMPT TO WEAR A PLUS FOR PREVENTION. GOT IT? OSB]
Neil Brooks - 28 Dec 2005 21:47 GMT [snip]
In a bit of a panic now. "Oh, no. What have I done?"
Bead of sweat bubbling up on a furrowed brow.
You should have just gone away when you declared me a psychopath and promised to leave....
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Scott Seidman - 28 Dec 2005 21:57 GMT > In a bit of a panic now. When does he start singing "Bicycle Built for Two", like HAL in 2001? When he gets to that, I'd assume the end is near.
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Neil Brooks - 28 Dec 2005 21:58 GMT >> In a bit of a panic now. > >When does he start singing "Bicycle Built for Two", like HAL in 2001? When >he gets to that, I'd assume the end is near. LOL!!
Open the pod bay doors, Uncle Otie....
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otisbrown@pa.net - 28 Dec 2005 21:55 GMT Subject: Medical People Support YOUR RIGHT to an infomed choice in this matter of true-prevention.
Here is Doctor Romano's statement supporting your right to true-prevention -- if you wish to invoke it.
Best,
Otis
__________________________________________________
HOW TO AVOID NEARSIGHTEDNESS
A Scientific Study of the Eye's Behavior
Otis S. Brown
Published by C & O Research
_____________________________________
Copyright 1989 by Otis Brown
All rights reserved. No part of the contents of this book may be reproduced or transmitted in any form or by any means without the written permission of the publisher.
Library of Congress #89-91632
ISBN #0-917882-30-X
Cover by Art Etris
Printed and bound in the United States of America
_______________________________
To
Carol Honodel Brown
and to the memory of
Dr. Jacob Raphaelson
_____________________
Foreword
Ophthalmologists, optometrists and research workers are responsible for the second opinion presented in this book, that nearsightedness (myopia) is as much, if not greatly more, due to environment (and avoidable) than heredity (unavoidable).
The essence of avoiding myopia is using a plus lens (a mild magnifying glass, as in reading glasses required by older people) before the eye becomes seriously nearsighted.
If the approach advocated in this book is to work properly, you must take full responsibility to develop a clear understanding of the normal eye's behavior. In addition, you must personally implement the practical method of prevention.
In this situation we can only offer the student of science an accurate picture of existing practices, as well as an education about the fundamental behavioral characteristic of the normal eye. This approach will put you in full control of your visual welfare.
The author has demonstrated a depth of understanding of the problems and limits that occur in existing health practice. With good judgment, and personal effort, it is highly probable that you can avoid nearsightedness.
Paul E. Romano M.D., M.S.O. Professor of Ophthalmology, University of Florida, Gainesville
ACKNOWLEDGMENT
Over the past thirty years I have made an exhaustive effort to review the experimental data that allows us to accurately judge the normal eye's behavior.
In this effort I have met many fine individuals working in the diverse fields of engineering, ophthalmology, aeronautical education, optometry, and scientific research. In addition, I have been assisted by many friends who have patiently reviewed this analysis and engaged in much discussion and review. The writing of this book was possible only with the assistance of the following individuals:
Paul Romano, MD, University of Florida Peter Greene, PhD, Harvard University Karel Montor, PhD, The United States Naval Academy Dave Guyton, MD, Johns Hopkins University Alfred Sommers, MD, Johns Hopkins Hospital James Tielsch, MD, Johns Hopkins Hospital Lawrence Stark, PhD, Research Scientist Vera Rollo, PhD, Author, Flight Instructor William Ludlam, OD, Research Optometrist Francis Young, PhD, Research Psychologist Alan Shotwell, OD, Research Optometrist Stirling Colgate, PhD, Research Scientist, Los Alamos Howard Howland, PhD, Research Scientist, Cornell University Maurice Brumer, OD, Research Optometrist Ron Berger, OD, Child Diagnostics and Treatments Associates
And last, but most important, I gratefully acknowledge Carol Brown's support. She has borne with patience the almost endless academic discussions about the normal eye's behavior that led to this book.
INTRODUCTION
"It is better to light one candle than to curse the darkness."
The Christophers
It is a pleasure to produce this book. While many scientists are convinced as to the accuracy of the facts presented in this book, we could not be certain that pilots of less experience could get the proper insight, work with the plus lens, and ultimately clear their distance vision to normal.
This book details the practical efforts that you must make in order to achieve vision restoration from 20/50 to 20/20. I cannot claim that more than this is achievable, although Dr. Stirling Colgate states that he was able to recover from 20/80. You will find out the extent of your own recovery by actually implementing the preventative procedure described in this book.
IS THIS BOOK FOR YOU?
This book is designed for use by two groups of individuals; the research scientist who is willing to develop a thorough understanding of the fundamental behavior characteristic of the normal eye, and the person, for example a would- be pilot, entering a four-year academic institution, who wishes to be visually qualified upon graduation. It is also of interest to parents of school-age children.
It is possible to avoid nearsightedness. Recovery from nearsightedness has been successfully accomplished, for example by Stirling Colgate, a scientist who developed a clear understanding of the normal eye's behavior. It is, however, almost impossible to recover from anything more than a slight amount of nearsightedness. Because of the difficulties of recovery, it is important that you clearly understand the scientific basis for this alternative approach.
This alternative has been developed over the past three decades by the eye care profession and is currently practiced by twenty percent of the profession. The practice requires the use of a plus-lens (bifocal) for children who are slightly nearsighted. This development (of the second-opinion) encourages us to look more deeply into scientific experiments that resolve the normal eye's behavior.
[Again I wish that I PERSONALY HAD THE PREVENTIVE SUPPORT OF DR. JACOB RAPHAELSON. It would have taken some "learning" on my part -- and some "dicipline" from my parents -- but that is why we are intelligently evaluating this PREVENTIVE approach. OSB]
Neil Brooks - 28 Dec 2005 21:57 GMT [snip]
On to panic mode now.
Mouse clicking feverishly, papers flying ...
"Got ... to ... defend ... self .... Make ... it ... seem ... as ... though ... I ... have ... only ... talked ... of ... theory ...
Don't ... want ... to ... accept ... consequences ... of ... my ... actions."
Too late, Uncle Otie. The e-mail's out. You should have walked away when everybody implored you....
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Scott Seidman - 28 Dec 2005 22:14 GMT > Copyright 1989 by Otis Brown > [quoted text clipped - 5 lines] > > ISBN #0-917882-30-X Cool. If anyone would like to write an Amazon Review, the link is: http://shorterlink.com/?7NNPVI
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Mike Tyner - 28 Dec 2005 22:18 GMT > Cool. If anyone would like to write an Amazon Review, the link is: > http://shorterlink.com/?7NNPVI Availability: THIS TITLE IS CURRENTLY NOT AVAILABLE. If you would like to purchase this title, we recommend that you occasionally check this page to see if it has become available.
The demand is underwhelming.
-MT
Neil Brooks - 29 Dec 2005 09:17 GMT >> Copyright 1989 by Otis Brown >> [quoted text clipped - 8 lines] >Cool. If anyone would like to write an Amazon Review, the link is: >http://shorterlink.com/?7NNPVI Gosh, Uncle Otie ...
The single review that was there when I looked isn't very flattering at all. Hmm.
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Mike Tyner - 28 Dec 2005 22:05 GMT > My choice of words to describe the natural primate eye is > "positive refractive state" and "negative refractive state". I > think that is perfectly clear. What's perfectly clear is you have adopted your own sign convention, the exact opposite of conventional use.
> And lastly the natural eye is a "black box" tested on an > "input" versus "output" basis. Simple concept, simple scientific > proof -- if you have the mind for it. Simple concepts for simple minds.
Human physiology should be redesigned so it isn't so blasted complicated. Don't you think?
> And lastly helping the person "understand" the concept is to > help a person so that he can avoid "stair-case" myopia -- if he > has the force-of-will to do so. I'm using "force-of-will" to keep elephants from trampling my front yard. So far, it's worked great.
> It is a second-opinion choice a person can make. It is an elaborate ruse to glorify fringe pseudoscience as medical advice.
> I prefer that is be done with the support of a > prevention-minded optometrist like Steve Leung, if at all > possible. Perhaps you could get Dr. Leung to participate here. Because you aren't making sense.
> This is the basic development of scientific change for the > future. Nice to know you have our future mapped out so neatly.
> If the person if offered the preventive second-opinion, then > he can always revert to the minus lens -- if that be his choice. Everyone should be offered elephant repellent.
-MT
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