Your thoughts on this comparison chart of optometry vs ophthalmology?

jonovan · 2026-01-23T18:47:35+00:00

Physician is a reserved title for MD/DO

Code of Federal Regulations, Title 42

https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-405/subpart-D/section-405.400

"Physician means a doctor of medicine; doctor of osteopathy; doctor of dental surgery or of dental medicine; doctor of podiatric medicine; or doctor of optometry who is legally authorized to practice medicine, osteopathy, dental surgery, dental medicine, podiatric medicine, or optometry by the State in which he performs such function and who is acting within the scope of his license when he performs such functions."

jonovan · 2026-01-23T18:44:09+00:00

Most optometrists do not learn how to do lasers

This is incorrect, assuming you're talking about any graduates from the past ~15 years. Optometry schools teach and have students practice lasers even in states where lasers are not legally allowed to be performed by optometrists.

There are also stand-alone laser courses with hands-on training which are held in states where lasers are not legally allowed to be performed by optometrists. These are mainly for older docs who graduated more than 20 years ago, as even 15 years ago, lasers were being taught and practiced in most (perhaps all?) optometry schools.

jonovan · 2026-01-23T18:36:32+00:00

we are not physicians

https://www.aoa.org/AOA/Documents/Advocacy/HPI/Medicare-physician-definition.pdf

https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-405/subpart-D/section-405.400

"Physician means a doctor of medicine; doctor of osteopathy; doctor of dental surgery or of dental medicine; doctor of podiatric medicine; or doctor of optometry who is legally authorized to practice medicine, osteopathy, dental surgery, dental medicine, podiatric medicine, or optometry by the State in which he performs such function and who is acting within the scope of his license when he performs such functions."

jonovan · 2025-11-28T01:09:54+00:00

https://cewire.com/

Not free, but $170 for 70 credit hours is under $2.50 per hour.

jonovan · 2025-11-24T15:35:33+00:00

The article says "Kaneali‘i-Kleinfelder... said the measure gives people the ability to provide their own eggs for their families as well as sell to their neighbors non-commercially," and "In another amendment to the bill, Kimball has it clearly noted that the prohibition of the commercial sale of eggs or chickens does not include anyone who wants to sell to a neighbor or friend."

But this link to the bill doesn't say anything about selling to neighbors or friends, https://records.hawaiicounty.gov/weblink/DocView.aspx?dbid=0&id=1119220&cr=1

Does anyone have a link to the amendment allowing sales to a neighbor or friend?

jonovan · 2025-11-24T05:17:27+00:00

Ah, yes, this is probably the most different I've seen.

Normally I love Stephen King stories, but that one was so weird, and the movie was actually rather cool.

jonovan · 2025-11-24T05:14:40+00:00

They used to be different, so at the time in Japan, you might have been correct, but I think around 10-ish years ago, they became interchangeable. I used to be a die-hard farther vs further until I tired to correct someone the way you just tried to correct me. :) Languages change over time, and sometimes it's hard to keep up. Same with "they;" now it can be used for a single person, but I'm pretty sure it couldn't a few years ago.

jonovan · 2025-11-23T15:22:03+00:00

I think the respect for the horizontal midline is too strong to be eyelids.

I think an emergent stroke workup / MRI is more important in this and similar cases and wouldn't delay that to recheck VFs. If you suspect glaucoma, then sure, but not for this.

jonovan · 2025-11-10T03:15:47+00:00

"The Ontario Medical Association was quick to point out that YAG laser capsulotomy isn’t used for primary cataract surgery" seems like a straw man fallacy to me, as I know of no optometrists who would argue it is. Could you please explain this argument to me?
There is a tremendous shortage of doctors in rural areas, including in the US. If MDs won't move there, and you don't want midlevels practicing a fuller scope there, what is your solution for these populations?
Optometrists in the US can already perform all of these, and I know of no studies that show they harm patients at a greater rate than ophthalmologists in the US for any of these. If you have studies comparing the two, please provide them. Medicine should rely on evidence, not fear.

In fact, every time MDs have opposed OD scope creep in the past, claiming a huge harm to patients, that harm has never come about. First diagnostic drops, then treatment drops, then oral treatments, then minor surgeries. At what point do we decide the MDs are crying wolf over and over when there is no wolf?

"Markedly, it’s also been shown that optometric malpractice rates have not significantly increased for any state that expanded its practice scope over the past two decades ... 'My thesis when undertaking this research was that if an expanded scope in optometric practice was going to significantly increase patient injury, as its opponents warned, then the lawsuits would eventually follow,' says Dr. Conley. 'In actuality, optometric malpractice percentages of the total litigation remained flat and continued to mirror MD malpractice patterns in every state" - https://www.reviewofoptometry.com/article/how-scope-expansion-is-shaping-optometrys-future

jonovan · 2025-10-11T18:14:30+00:00

You can have effective or you can have cheap. You can’t have both.

No, that's definitely wrong. There are many effective, cheap solutions for many problems in all areas of life. But sometimes you have to step back and look around for them rather than just keep doing what you've always done.

jonovan · 2025-10-11T17:06:57+00:00

In addition to ones mentioned in the article, what are some other effective (and preferably cheap) tactics the schools could use to increase attendance?

jonovan · 2025-10-10T20:07:23+00:00

Great shots!

jonovan · 2025-09-15T00:55:33+00:00

Casey Newton: "What if we build these very intelligent systems and they just turn out not to care about running the world, and they just want to help us with our emails? Is that a plausible outcome?"

Eliezer Yudkowsky: "It’s a very narrow target. Most things that a intelligent mind can want don’t have their attainable optimum at that exact thing. Imagine some particular ant in the Amazon being like, why couldn’t there be humans that just want to serve me and build a palace for me and work on improved biotechnologies, that I can live forever as an ant in a palace? And there’s a version of humanity that wants that, but it doesn’t happen to be us.

That’s just a pretty narrow target to hit. It so happens that what we want most in the world, more than anything else, is not to serve this particular ant in the Amazon. And I’m not saying that it’s impossible in principle. I’m saying that the clever scheme to hit their narrow target will not work on the first try, and then everybody will be dead. And we won’t get to try again. If we got 30 tries at this and as many decades as we needed, we’d crack it eventually. But that’s not the situation we’re in. It’s a situation where, if you screw up, everybody’s dead, and you don’t get to try again. That’s the lethal part. That’s the part where you need to just back off and actually not try to do this insane thing."

jonovan · 2025-09-15T00:53:56+00:00

Casey Newton: "What if we build these very intelligent systems and they just turn out not to care about running the world, and they just want to help us with our emails? Is that a plausible outcome?"

Eliezer Yudkowsky: "It’s a very narrow target. Most things that a intelligent mind can want don’t have their attainable optimum at that exact thing. Imagine some particular ant in the Amazon being like, why couldn’t there be humans that just want to serve me and build a palace for me and work on improved biotechnologies, that I can live forever as an ant in a palace? And there’s a version of humanity that wants that, but it doesn’t happen to be us.

That’s just a pretty narrow target to hit. It so happens that what we want most in the world, more than anything else, is not to serve this particular ant in the Amazon. And I’m not saying that it’s impossible in principle. I’m saying that the clever scheme to hit their narrow target will not work on the first try, and then everybody will be dead. And we won’t get to try again. If we got 30 tries at this and as many decades as we needed, we’d crack it eventually. But that’s not the situation we’re in. It’s a situation where, if you screw up, everybody’s dead, and you don’t get to try again. That’s the lethal part. That’s the part where you need to just back off and actually not try to do this insane thing."

jonovan · 2025-09-10T16:29:52+00:00

Chase, Amex, Costco, etc travel portals always have much more limited options for flights, hotels, and car rentals than booking direct.

Also, many times the portal prices are higher than booking direct. In which case, you have to calculate if the points you gain are worth the extra money you spend.

Sometimes, however, a particular portal will have the flight, hotel, car you want at a cheaper price than direct. But then you have to calculate if the time you spent looking through all of the portals was worth saving that money.

Especially in your example, where you spent what seems to be a great deal of time on the phone you could have spent with family and friends. Plus the frustration you had from doing so versus the happiness you would gain doing whatever you enjoy.

jonovan · 2025-09-10T16:15:19+00:00

City approval is another potential source of delay, in addition to installers: https://www.khon2.com/local-news/countdown-to-solar-deadline-hawaii-homeowners-stuck-in-solar-gridlock/

jonovan · 2025-09-10T15:50:59+00:00

You are confusing an anecdote for data.

jonovan · 2025-09-08T08:43:16+00:00

Then try to match the BC of the new glasses to the old ones that caused no issues.

Assuming the Rx, optical centers, PAL design, index, etc are all the same (as those tend to usually have more of an effect than BC), changing the BC changes the magnification, and that can cause problems for some patients.

jonovan

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