I did not get an email about your response gracchus or I’d discuss it. I have a lot of experience with OD world, but am not part of it. “Considerations” has a specific meaning in business, but it looks like you mean forces and concerns and such. That’s great we can work with that. This is going to sound high handed because I am trying to answer your concern in a neutral formal way.
Measuring PD incurs a risk for the party making the measurement. They are responsible for the device if the PD measurement is wrong or if there is an assumption not made that was necessary for the specific device. – The risk is tiny and an OD should measure and provide the measurement if they think it would be used. Not a contact exam.
The Doctor does not get paid for this measurement - In most cases the cost of an eye exam is the same with or without the PD measurement. PD is often then (but not always) measured at the Optical (dispensary) this increases the likelihood of getting payment directly to effort and risk. – This does not seem to be a bad idea, but can obviously cause issue if the expectation that the service is included in the eye exam.
Heath records are owned by the doctor, not you. The PD being included on the record and not the prescription (which is also owned by the doctor, but they have to provide once by law) means that a patient is asking for free something that is not theirs. – This is a serious point of contention for patients and the law is clear, but if a Doctor values clientele over customers they should provide this information.
I forgot the term, but healthcare is a product that you do not really know what you are getting till you got it. This means Doctors need to learn how to manage expectations of their staff and clientele. Unfortunately, Doctors are often TERRIBLE at this. Sometimes that open their own shop and get bitter and annoyed at people going for the discount options. More often, they just do not see the issue. Complaints are made to the staff and are watered down or changed in tone by the time they reach the Doctor. The Doctor are often happy to let the staff handle it are never really asked to consider the larger implication for patient care and practice image. If a Doctor does not do PD for every patient (visits tend to fall under about a 6-8 categories) it is often just habit not maliciousness. Yes, I am aware the bitter ones exist.
Obviously, if it is your first visit or the first time needing glasses you may not know the ask for the PD or if it is provided automatically.
Do not return to an OD (a DO is a different type of doctor in America) if they do not meet your expectations.
Most states have a board the manages optometry. Make a complain if you feel the Doctor acted improperly.
Some Doctors are paying more attention to online reviews, but be prepared to be “fired” as a patient is that is your first route.
Also make it clear that you like the Doctor, but their stock does not work for you. Some may even have discount code for you at online suppliers. (this is much more common with contacts, though.)
Give the damn PD and learn how to educate your patients on their exposure if they purchase through a third party. (As in do not complain us and No, will will not fit those glasses.)
gracchus - I hope that is what you were looking for. I do not mind talking about it all. I am not part of Big Eyewear - though I guess that is just Luxotica now.