I always wanted to do a podcast, but I’ve never gotten around to it because who wants to hear me ramble? I can say things more succinctly by writing them. I think a podcast is interesting when it’s a small group discussion or an interview with interesting people. I’ve never gotten around to recording either scenario, so I never published a podcast…until now.
In a previous post I linked to a YouTube snippet of the CEO of 1-800 CONTACTS, Jonathan Coon, giving a speech to Wal-Mart optometrists. Posting the entire video from the DVD would take too much bandwidth, but I managed to scrape the audio to share with you. So it’s not really my podcast, but it is a step in the right direction.
Again, if I get a legal letter from 1-800 or Wal-Mart demanding that I remove the content, I will of course comply; however, they did send this DVD to every Wal-Mart optometrist, and some of those optometrists also work in private practice settings. Also, this presentation defends 1-800 CONTACTS and Wal-Mart’s partnership better than anything I’ve heard. So, I think you will agree that every optometrist who is interested should listen to this talk (or watch it if you can borrow it from your nearest Wal-Mart Vision Center).
Enjoy. (Click the player below or download manually or subscribe to it in iTunes or subscribe to Optoblog’s site feed or podcast feed to automatically get it in your favorite podcatcher.)
The Utah Optometric Association held their annual meeting in Park City at the Canyons Resort last week. The whole thing was a four day meeting, Thursday-Sunday, which is puzzling since the total CE hours offered was a mere twenty-three. The first two days only offered four hours and the last two days offered seven and then eight.
So why did the first two days only offer four hours? Well, of course you have to have the golf tournament which I overheard the same people win every year so they have to change the scoring rules to give others a chance. Then there’s all the luncheons, vendor fairs, dinners, parties, receptions, and association business meetings that take up more time.
Personally, I wish they would do all that other stuff on one day so that I could skip that day and still get all the CEs I need in just 2-3 days instead of four. I especially dislike having to go to CE on Sunday when I should be going to church instead. I mean, we live in Utah for Heaven’s sake! More than half the optometrists at the meeting are LDS church goers who normally wouldn’t work on Sundays, so you’d think someone could change the schedule to allow for more CE on Friday and Saturday and then I could skip out on the partying on Thursday and Sunday.
The Canyons is a nice resort. In the winter, it looks like you could ski out of your hotel onto the lift. But hey, all resorts in Park City are nice. The Canyons staff took good care of the conference room set-up, and there was plenty of pop, water, food, and hot chocolate.
Park City is great, but May is the off season. It’s neither winter nor summer, so you can’t ski and you can’t ride the alpine slide. Part of me would like to see the conference done in either the summer or winter when a lot more is available for the family to do; however, that would only serve to increase the rates of the convention and its hotel stay, so maybe it’s just fine in late May.
Really, it’s a great meeting, but the time lost in an extra day away from the office and the whole disrupting my Sunday routine has me thinking I might go to the NROC, SECO or AAO next time.
I’m sure I’ll still go to the UOA Park City conference occasionally in the future because it’s great to talk with other O.D.s in the state, but I’m never going to stay for a Sunday CE lecture again.
It is interesting that some private practice docs can’t seem to tell the difference between Kleenex and Puffs- I mean 1-800Contacts and other retailers of soft contact lenses. This article was written in October 2006, but certain items are worth repeating in 2008:
…optometrist Wiley Curtis, of Arlington, Texas, represented the AOA’s position, tempered by his own experience. “Over the course of this year, I have tracked 18 contact lens orders placed with 1-800 Contacts,” he says. “I am saddened to report that the first 17 orders were all filled by the company without any verification contact with my office, in apparent violation of the FCLCA.”
After the hearing, 1-800 Contacts looked into this accusation. “Our records from the last 12 months to this doctor’s office show 192 phone calls, three faxes and eight total hours on the phone with his staff,” says Kevin McCallum, 1-800 Contacts’ senior vice president of marketing and operations. “We received 117 orders from this doctor’s patients. All 117 orders received a successful verification request.”
This actually happened while the congress was hearing testimony about the FCLCA. Apparent AOA stooge, Dr. Curtis, alleged that 1800Contacts broke the law, so the 1-800Contacts team stayed up all night to research, and the next day at the hearings they provided evidence to the contrary.
I only first heard about this event when I listened to Jonathan C. Coon, CEO of 1-800 CONTACTS, speak to all the Wal-Mart Optometrists on April 27th at our all-travel-and-expenses-paid meeting in Nashville, TN. He had given pretty much the same speech on a DVD sent to all Wal-Mart vision centers earlier this year after the announcement of Wal-Mart and 1-800’s alliance. Here is a significant clip. Please watch.
I wish everyone could see the entire half hour speech, but the above video clip combined with the aove AOA-is-stupid story show why optometrists blindly dislike 1-800 Contacts. I hated 1-800 blindly because that is what the organized optometrist establishment taught me to do. After learning the facts, there is no reason for any optometrist to dislike 1-800, unless that optometrist also hates all their other competitors. I don’t because I’m friends with most of the other optometrists in town and 1-800 is making my life easier now.
For these reasons, I would like to officially and publicly retract the negative comments I made about 1-800 Contacts in this previous post. It was a knee jerk response conditioned by organized optometry, for which I am ashamed.
I admire Mr. Coon and his core team for everything they’ve done to become a very successful business. I think that private practice optometrists, like the above Dr. Curtis, are just jealous. Incidentally, Mr. Coon in his speech said that after presenting the facts about Dr. Curtis’s patient orders to 1-800 Contacts, 1-800 asked him and the AOA to stop making wrongful [slanderous, defaming] accusations or privide their evidence. He has yet to bring evidence or retract his statements.
Don’t be blinded, everybody. Go to your nearest Wal-Mart Vision Center and ask to watch the 1-800 Contacts DVD.
When we think of traveling outside the office, its usually just to do screenings at the old folks home, but I’m not talking about that. What if the industry made available light, portable and cost-effective exam equipment in a nice kit? What if you kept your Wal-Mart job 4 days a week but provide home eyecare one day a week? Would you want to provide home eyecare full-time?
I’m just thinking out loud here. Does anyone think there is a way optometrists can deliver home eyecare? If we can, should we?
**Update: I saw in Review of Optometry’s edition of Women in Optometry June 2008, that Dr. Tamara Hill-Bennett, O.D. makes house calls 80% of her practice. Since I couldn’t find a link to the article, here is a copy (PDF, 490 KB).
So I found out that I didn’t have to apply with 1800’s referral network, ProNet, for my practice located inside a Wal-Mart vision center because I’m already in the system because of the alliance between 1800Contacts and Wal-Mart. You won’t believe how awesome this is. First of all, no more telephone calls. It’s all fax now. Huge time saver for the opticians who need to keep busy helping my patients get checked out so they can pay my every-day-low-price exam fee.
And then today, 1800Contacts had a customer on the phone whose prescription expired, so they called my Wal-Mart vision center, and the customer was patched through to talk to an optician. The patient scheduled an exam for Saturday. How sweet is that?!!
So when I first announced that I was going to shift the focus of this blog to be pro Wal-Mart and tell people about my experiences in this setting (which I will someday get around to), I was flooded with spiteful comments. The first thing one commenter, “John Smith,” did was to try and dig up dirt on me and report me to the Utah optometric board.
On my VisionHealth EyeCare practice website, he saw that I linked to Wal-Mart.com’s contact lens sales section. He (mistakenly) believes this to be in violation of Utah law and (if he can be believed) filed a complaint to the board.
Let me quote the allegation that “John Smith” made:
In the state of Utah, optometrists are strictly prohibited from marketing or advertising for the mercantile establishment. This includes websites.
Now, I don’t know how they do things in Virginia, Ru-I mean “John Smith,” but here in Utah we have no such rule. I could see such crazy rules coming out of communist states like California or even psychotic-optometry-rule states like Nevada, but not in a freedom-loving, gun-and-God-clinging state.
Another commenter decided to sell us on 1800optometrist, which got me to thinking that hey, I’m providing those links to Wal-Mart.com for free. Why not annoy R-I mean “John Smith” even more and potentially make some cash at the same time by linking to 1800 Contacts!?!
It was simple. I found out about it while reading at 1800’s website, registered, and voila’, I have cool links on my practice website for patients to conveniently order contacts and save money while doing it. If they buy stuff, then 1800’s ad manager sends me a check to say thanks for the referral. While I was browsing 1800contacts, I also registered for ProNet so they will send me referrals when someone’s Rx expires.
Here’s what the ads look like (and if you are by chance a non-optometrist reading this article, please click on this link the next time you need to reorder contacts):
So, if you are like “John Smith” and think that I am caught in a Link Gate scandal, then here is the website for Utah DOPL’s complaint department. But believe me that I’ve searched all the documents found online with the Utah DOPL, and John Doe’s alleged Utah rule is made up out of the same magical stuff that new grads grab onto if they want to start their own solo private practice: wishful thinking.
Those of you new grads scampering to find a job might want to check out the Wal-Mart located in Brigham City, UT. They’ve only been having fill-in doctors lately, so I’ve heard they are looking for someone permanent who could stick around and grow the practice.
Contact the Vision Center manager at the Brigham City Wal-mart, and she could put you in touch with the District manager who makes all the decisions.
So my old cui congressus, the Armed Forces Optometric Society (AFOS), decided to show off a bit. They sent a letter demanding that 1800 Contacts cease and desist a certain practice on their website. 1800Contacts changed the practice in question, and then AFOS published their letter with great triumph in their April 2008 newsletter.
The item in question is apparently that when someone selected a ship to FPO/APO (military speak for Fleet/Army Post Office), the 1800 website indicated that they did not require verification of the contact lens prescription. The letter was sent on March 28, 2008, and by the April 2008 edition of the AFOS newsletter, 1-800 had changed their website to indicate that FPO/APO address still required verification.
Okay, now if I were the optometrist to find out about the FPO/APO verification snaffu, then I would have maybe shot off a private e-mail or a phone call, probably stating the same thing about believing that the policy could be in violation of FCLCA. But then I wouldn’t be thinking like Big Optometry. Organized Optometry needs a win. After the AOA suffered a humiliating loss to 1-800 over the whole FCLCA, they need to throw it back in 1-800’s face. Even though military eye docs don’t sell contacts, AFOS must grandstand the point that they scored big against the eeeevil 1-800 Contacts.
Okay, here’s my question. Did AFOS seek out every other online retailer of contact lenses to check their policy about prescription verification of FPO/APO ship-to addresses? Did they send all of the other retailers letters about “a legal oversight” and publish these concerned memos in their next newsletter?
So ever since I announced my new direction on this blog, my readership has increased tremendously. Now, I don’t have advertising on my blog, and I didn’t do it as a publicity stunt, but nevertheless, what happened happened.
All you commenters who want to dissuade me, you can’t. You should probably start your own blog at wordpress.com called ILoveSoloPrivatePracticeAndSoShouldEveryoneElseAndIHateYouIfYouDisagree. That way you can counteract the “faulty reasoning” and “manufactured reality” that I’m feeding the uniformed optometry students because I’m “jaded” and “so opinionated.”
Let’s reiterate. I love being a Wal-Mart Optometrist. I believe it’s the future of primary care optometry. If you disagree, start your own blog.
The Independent Urologist has an excellent post about surviving your first 1-2 years of private practice, should you be insane enough to try. I think he makes a great point, you need much more money in working capitol than capitol equipment. That was part of my problem, I ran out of money, had to get a job 4 days a week outside the practice just to pay the bills, and that left much less time available to grow my own practice.
My financing company wouldn’t give me very much money as working capitol. They capped it as a percentage of the total loan. You’ll note that a urologist has less equipment costs than an optometrist with an optical. If I were to do it again, I would find out all the companies like Altair that give you frames on consignment. I also wouldn’t buy fancy digital phoropters and Officemate Exam Writer. I would go cheap as possible on everything- bootstrap. That’s the only way you’ll survive until the break even point.
And I wouldn’t hire a practice consultant that takes $13,000 of your borrowed money either. Practice consultants will make you think that if you build it, they will come. It’s pretty expensive flavor-aid to be drinking. You’ll get all the information you need from internet searches and free resources like the Management and Business Academy. Also, a good buying group like C&E Vision has excellent resources to help you see what numbers you should be putting up.
By the way, did you know Wal-Mart docs have the Optometric Business Academy? I hope that you didn’t really think that vendors (like Ciba, Essilor, Topcon, and Transitions) only look out for private practice docs.
Also the IU notes that while he now has a positive cash flow, he estimates that he has lost ~$200,000 in income by starting up his own practice. If you start off practicing in Wal-Mart, then you have income from the get-go. I know of doctors working for other optometrists for ~$50-60K pre tax salary for a few years with the hope of buying into the practice. Even if they are allowed to eventually buy in, what about all the income lost? They could have been making $120K+ pre tax net while working with Wal-Mart.
1-800 CONTACTS and WAL-MART DVD (audio only)
