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Medical Forum / General / Vision / January 2006

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*/*- OTIS BROWN WARNING */*-

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Neil Brooks - 23 Jan 2006 16:50 GMT
Dear Reader,

Otis Brown is in no way qualified to give medical advice.

He is currently under investigation by the State of Pennsylvania for
practicing medicine without a license.

(see: http://nbeener.com/OTIS_INVESTIGATION.pdf)

Don't waste your time with Otis Brown.  Don't waste your money with
Otis Brown.  Take your children to a qualified optometrist or
ophthalmologist.
Signature

Live simply so that others may simply live

acemanvx@yahoo.com - 23 Jan 2006 19:19 GMT
If I understand right, he says he does not practice medicine and
whatever he says is his opinion from an engineer's perspective. He does
not pescribe glasses or medicines.
otisbrown@pa.net - 23 Jan 2006 20:16 GMT
Dear Aceman,

You are absolutly correct.

Further I do not "sell" anything -- my
book is not my site FOR FREE!

I used to wonder why an OD or MD
would not discuss true-prevention with
me -- when I was at about -1 diopter (20/50)
and still "functional".

Hell, I would have paid him, and learned
from him.  But now Niel Books has PROVEN
why you will NEVER get that kind of assistance
(long over-due).  He will sue the bejesus out
of any OD who would attempt ot respect you and your desire to PRESERVE
your distant vision through the school years.

Let us hope that we can get "wiser" and smarter about this issue in the
comming years.

But I guess I am just a "dreamer".

The Neil-Brooks effect lets all these "majority opinion" ODs off the
"hook" as far as I am concerned.

I do think that any prevention-minded OD like Steve Leung should have
the parents sign a legal contract, indicating the nature of the
"preventive method", and the role of the parents in supporting their
child in the proper-use of the plus (at the THRESHOLD before it gets
totally out-of-hand.)

That would be a start.

Best,

Otis
A Lieberman - 23 Jan 2006 22:43 GMT
> Dear Aceman,
>
> You are absolutly correct.

And you are absolutely WRONG Otis.

When you stop providing medical advice, you will not hear from me.  

Suggesting plus lenses on eyes that need correction is medical advice.

Maybe you better ask Steve Leung what the definition of medical advice is.  
You keep quoting him, so maybe he can get you on track.

Allen
Neil Brooks - 23 Jan 2006 20:25 GMT
>If I understand right, he says he does not practice medicine and
>whatever he says is his opinion from an engineer's perspective. He does
>not pescribe glasses or medicines.

People who violate laws profess their innocence all the time,
ShroomManVx.  

That's why we have judicial and investigatory bodies to look into
these things ... as they're doing now.
Signature

Live simply so that others may simply live

Dan Abel - 23 Jan 2006 22:33 GMT
> If I understand right, he says he does not practice medicine and
> whatever he says is his opinion from an engineer's perspective. He does
> not pescribe glasses or medicines.

Of course he doesn't.  He just tells people what glasses or medicines to
use.

No way does he "pescribe" anything.  No one does.  The word doesn't even
exist.

Signature

Dan Abel
dabel@sonic.net
Petaluma, California, USA

RM - 24 Jan 2006 00:15 GMT
Perhaps you should be investigated as well.  You have gone on the public
record by posting on an internet site that you have taken illegal schedule 1
controlled substances.  What you wrote can be clearly traced back to you.

Smooth move dumbass.

==========

> If I understand right, he says he does not practice medicine and
> whatever he says is his opinion from an engineer's perspective. He does
> not pescribe glasses or medicines.
Eye Question - 29 Jan 2006 23:30 GMT
The internet (including this group) is full of both fact and fiction.   Even
among "qualified professionals" any advice offered here is just "another
opinion".  Expression of opinion and free speech is a right guarenteed by
the first amendment.  Its up to the reader to determine if any advice given
by anyone should be followed.

After my post to this group I challenged my OD about his recommendation  for
my son to have constant use of minus lenses, even for close up work.   I
know as a child I was told to constantly wear minus lenses and my
nearsightedness progressed rapidly.      I have no way of knowing that if I
hadn't worn glasses, if it would have progressed as rapidly.   I do have
evidence that I quickly became more nearsighted even under the advice of a
medical professional.   Based on my own personal experience, opinions
expressed in this group, and a discussion with my OD,  I did get glasses for
my son, but I do tell him not to wear them unless he needs them to see
something far away.

It is a given that any posts are an expression of "opinion" and NOT "medical
advice".

> Dear Reader,
>
[quoted text clipped - 8 lines]
> Otis Brown.  Take your children to a qualified optometrist or
> ophthalmologist.
Neil Brooks - 30 Jan 2006 00:04 GMT
>It is a given that any posts are an expression of "opinion" and NOT "medical
>advice".

to you.  You can't say that, with certainty, for others who come to
this forum, desperately seeking help.
Signature

Live simply so that others may simply live

otisbrown@pa.net - 30 Jan 2006 00:37 GMT
Dear Eye_Question,

Subject:  When ideas conflict in "medicine".

Re:  What does an OD do with his own child?

There was a "plus" study conducted by Francis Young
and Kenneth Oakley (Medical Doctor).

This study involvolved 250+ kids.  1/2 the kids
were given a single-minus, and 1/2 received
a "plus" bi-focal.  The plus group "down" rate
was almots zero, while the single-minus group
whent down at a rate of -1/2 diopter per year.
(Oakley-Young study).

Do you believe this report?  No?  The second-opinion
ODs believe it, while the majority-opinion ODs refuse
to believe it.

How do you resolve this conflict in understanding
the dynamic behavior of the natural eye?
You just say that the second-opinion agrees to
very restricted use of the plus, while the majority
opnion insists that a minus has NO EFFECT on
the refractive state of the primate eye.

There is no way that you can resolve this issue,
and Neil Brooks attacks anyone who suggests
that you have an informed, competent second-opinion
for your child.  I would suggest reading the
site of a second-opinion optometrists, Steve Leung OD
for further "preventive" information.

www.chinamyopia.org

Best,

Otis
Mike Tyner - 30 Jan 2006 01:41 GMT
> This study involvolved 250+ kids.  1/2 the kids
> were given a single-minus, and 1/2 received
> a "plus" bi-focal.  The plus group "down" rate
> was almots zero, while the single-minus group
> whent down at a rate of -1/2 diopter per year.

Are you aware of any similar studies that attempted to duplicate these
results?

-MT
otisbrown@pa.net - 30 Jan 2006 04:18 GMT
Yes, Mike, studies run by the "majority opinion",
which of course certify your "circular" thinking about the idea that
the natural eye is not a dynamic system.

But for Eye-Question -- that is the "majority/second" opnion issue.

Mikes desire to maintain his myth -- despite the facts from the primate
studies -- does not "over-throw" the second-opinion.

Be wise about this issue.  Even the majority-opinion ophthalmologists
recommend minimum use of the minus -- unless absolutly necessary.

Make your recommendations to your child accordingly.  We are never
going to know what you choose to do -- will we?

Best,

Otis
Mike Tyner - 30 Jan 2006 04:58 GMT
> Yes, Mike, studies run by the "majority opinion",
> which of course certify your "circular" thinking about the idea that
> the natural eye is not a dynamic system.

I asked a simple question and you obfuscate.

How many subsequent studies have confirmed the results? How many refuted?

> Be wise about this issue.  Even the majority-opinion ophthalmologists
> recommend minimum use of the minus -- unless absolutly necessary.

So the majority of optometrists insist on full-time wear? I doubt you've
done any systematic poll of either specialty.

Another simple question - do you know what a "straw-man" argument is?

-MT
otisbrown@pa.net - 30 Jan 2006 05:18 GMT
Dear Mike,

Subject:  Eye-Question and HER assessment of her choice.

We can argue until hell freezes over -- and  I think Eye-question knows
that.

I am certain YOU would put you child into an over-prescribed minus and
think that is WONDERFUL.

But there are optometrists and ophthalmologists who have become
very skeptical of that policy.

In fact, some realize that "myopia" is like scurvy, in that it is a
slow
development of our "civilized" world, and simply proves the
fact that the natural eye adaptes its refractive state to its
average visual-enviroment.  But of course you deny anything
and everything of this nature.

But some ODs realize, that while they can have no effect on
the public that "walks in off the street" -- think better of their
own children.  An for them, the START THEM IN A PLUS,
when there refractive state moves from plus-to-minus.

The eyes of these children of these second-opinion optometrists will
simply
not develop stair-case myopia for that minus.

You don't believe that -- well, that is your right as a
majority-opinion optometrist.
I have never argued against that idea -- have I.

Best,

Otis
Mike Tyner - 30 Jan 2006 07:44 GMT
> I am certain YOU would put you child into an over-prescribed minus

Only if they wanted to see.

> But there are optometrists and ophthalmologists who have become
> very skeptical of that policy.

There are a few. Not so many as there used to be.

> development of our "civilized" world, and simply proves the
> fact that the natural eye adaptes its refractive state to its
> average visual-enviroment.  But of course you deny anything
> and everything of this nature.

Nope, you're wrong about what I said. Myopia is influenced by working
distance and time spent in near work.

> But some ODs realize, that while they can have no effect on
> the public that "walks in off the street" -- think better of their
> own children.  An for them, the START THEM IN A PLUS,
> when there refractive state moves from plus-to-minus.

It would probably work at age 1 or 2. When I find a 1-or-2 year old with
myopia, I might try it. Contact lenses would probably be the most effective
way.

> The eyes of these children of these second-opinion optometrists will
> simply not develop stair-case myopia for that minus.

I have no experience as a clairvoyant, so I have to rely on statistics. Can
we see yours?

-MT
Dick Adams - 30 Jan 2006 05:30 GMT
"Mike Tyner" says to "Otis Brown":

> I asked a simple question and you obfuscate.

I don't think it is obfuscation.  Obfuscation is a higher-level ploy,
and is a purposeful device.

> Another simple question - do you know what a "straw-man"
> argument is?

It could be readily be assumed that Otis Brown himself is a
straw man, and one created by newsgroup's dominant culture.

Thusly, the inquiry could be considered reentrant, in a sense.

Like the fabled bird flying an inward spiral,
finally up its own a.shole.

--
Dicky
otisbrown@pa.net - 30 Jan 2006 14:08 GMT
Dear Dicky,

Subject:  The "second-opnion" is always "trashed" by the
majority opinion -- until a few people "wake up" to the
consequences of an over-prescribed minus lens.

Since you are a philosopher of science,  I think this
will explain Mike's majority-opinion "position".

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

THE HISTORY OF EXISTING PRACTICE

The use of a lens to deal with any and all problems of the eye began in
the 14th century. The practice of using a negative lens for
nearsightedness has continued, almost unchanged, for the last 300
years. The compelling reason for this practice is the public's demand
for an instant solution, and a corresponding refusal to consider the
use of an alternative approach.

A REVIEW OF THE PAST APPROACH

We should all thoughtfully evaluate the unfortunate effect of using an
immediate and easy fix for the problem of nearsightedness. This
situation of a self-perpetuating mistake (produced by public need and
attitude) is sometimes recognized by the students of medicine. Dr.
Perri Klass said it this way in VITAL SIGNS:

"... Sometimes the awesome weight of medical knowledge is totally off
the beam. You have to practice medicine with that in mind, with the
knowledge that a hundred years or so along the road, they'll be telling
stories about the medical theories of today to get a laugh of the
medical students of 2100..."

And about medicines' confidence in its routines:

"... Or something so basic, so taken for granted, that no one has
gotten around to questioning it.

Whatever it is, probably the medical profession is collectively doing
something really dumb and really damaging, and doing it with complete
good will and typical medical self-confidence."

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

This applies to vision. The demand for negative lens use comes partly
from the public's demand for an instant solution, (and corresponding
reluctance to properly use a plus lens) and not from a scientific
assessment of the behavior characteristic of the normal eye.

Best,

Otis
Dick Adams - 30 Jan 2006 15:58 GMT
> Since you are a philosopher of science ...

So I am overeducated -- so what?!!  I could not succeed to get my
eyes right until some extraordinary dumb luck in my dimming years.

> The practice of using a negative lens for nearsightedness has continued,
> almost unchanged, for the last 300 years.

Jeez, Otis!  It's not *a* negative lens -- it's billions, may trillions of
them negative suckers.  There are/were many different varieties, to meet
different needs, some with cylindrical aspect, some prismatic, some tinted,
some compound, etc.

> The demand for negative lens use comes partly from the public's demand
> for an instant solution, (and corresponding reluctance to properly use a plus
> lens) and not from a scientific assessment of the behavior characteristic of
> the normal eye.

Which *plus* lens, for Crissake?  What kind, how used?  Use how monitored?
Etc., etc.  What exactly is "the behavior characteristic of the normal eye"?  
What exactly are the anatomic, neurologic, and functional details of how
eyeballs fail to develop normally (or otherwise)?

The idea of fooling the eyes into believing that their close work is at visual
infinity seems very reasonable, and it is hard to believe that it has not proved
efficacious in spite of the considerable numbers of attempts which have been
reported.  I would still like to believe in it as a possibility for the future.

Your valiant but vain effort to split the whole thing into Plus and Minus, like
Heaven and Earth, Ying and Yang, God and Lucifer, etc. and etc., sadly
undoes the cause you seek to espouse.  You have firmly planted yourself
as the "straw man" for what you label as the "second opinion".

Of course, this post changes nothing.

--
Dicky
otisbrown@pa.net - 30 Jan 2006 16:22 GMT
Dear Dicky,

Subject:  Science respecting the behavior of the natural
eye as a "dynamic" system.

Re:  Versus quick-fixing the public -- off the street.

Dicky> Of course, this post changes nothing.

Otis>  Of course -- except for those optometrists who
recognize that they must help their own children keep
their vision clear (with the plus) through the school years.

Otis>  Obviously this depends on the optometrist's judgment
of scientific fact -- and the implementaion thereof.

Otis> And of course, my nephew who realized the accuracy
of the Oakley-Young study, and the recognition that if
he wished to keep his distant vision clear for life (from
age 13 to 40) he has little choice but to implement
the "preventive" method himself -- because sure as
hell he would get no help from the "majority opinion".

Otis>  But Mike has a POWERFUL STATEMENT to
make, i.e., Neil Brooks psychotic filing statements
against ANY OD WHO WOULD EVEN ATTEMPT
TO HELP YOU WITH THE PLUS AT THE THRESHOLD.

Otis>  That statement truly and absolutely DEFINES
THE LIMIT OF "MEDICINE" -- if that is what
quick-fixing the plublic with a minus lens is all about.

Otis>  The further explains why my nephew has virtually
no choice -- but to figure this out -- and "clear" his
vision himself.

Otis>  That explanation seems to be the one the
separates a scientific appreciation of the fundamental
eye as a dynamic system, from the "habit" of dealing
with the plublic that walks in off the street.

Otis>  The issue becomes "who is responsible"?
You "own" your eyes.  If you wish to "protect" them,
then this second-opinion choice is open to you.
But if you choose "neglect" at the threshold -- then
eventually there is no choice but to use the minus lens.
That is the one "argument" I can accept.

Best,

Otis

Dicky
Quick - 30 Jan 2006 18:59 GMT
"dynamic"
"majority opinion"
"MEDICINE"
"clear"
"habit"
"who is responsible
"own"
"protect"
"neglect"
"argument"

Quote count: 10,  post size: Small

-Quick
Mike Tyner - 30 Jan 2006 17:45 GMT
> undoes the cause you seek to espouse.  You have firmly planted yourself
> as the "straw man" for what you label as the "second opinion".

Precisely, the "straw man" argument applies when Otis decides what I believe
and what I tell my patients, then mounts an argument against that imaginary
point of view.

Specifically, the contention that I "insist on full time wear of
overprescribed minus" is false, twice over.

-MT
Dick Adams - 30 Jan 2006 18:21 GMT
> > undoes the cause you seek to espouse.  You have firmly planted yourself
> > as the "straw man" for what you label as the "second opinion".
[quoted text clipped - 5 lines]
> Specifically, the contention that I "insist on full time wear of
> overprescribed minus" is false, twice over.

Oh, *that* straw man?!!!

Well, my contention would be that you guys created Otis before he created
you.

Well, if not that, nurtured him carefully.  Particularly Neil Brooks, who sustains
him like dead meat sustains maggots.  But now me also, apparently.  So move
over Neil Brooks.  He'll go on making us stupider than we make him, with every
swipe and counterswipe.

--
Dicky
Christopher Zöttl - 30 Jan 2006 20:07 GMT
Dick wrot:

> Which *plus* lens, for Crissake?  What kind, how used?  Use how monitored?
> Etc., etc.  What exactly is "the behavior characteristic of the normal eye"?  
>
> --
> Dicky

I have been reading this thread for quite a while and I am asking my
self the same question. WHICH *PLUS* LENS, FOR CRISSAKE?!? etc.

Chris
Quick - 30 Jan 2006 18:57 GMT
"second-opnion"
"trashed"
"wake up"
"position"

count 4. Size of post small.

-Quick

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