august 2008 - Michigan Optometric Association - American ...

JULY - AUGUST 2008 VOL. 88 NO. 4
INSIDE:
• FALL SEMINAR
• ANNUAL MEETING
HIGHLIGHTS
• 2008 MOAPAC OPEN
• AOA HOUSE OF DELEGATES 2008
THE OFFICIAL PUBLICATION OF THE MICHIGAN OPTOMETRIC ASSOCIATION

contents
JULY - AUGUST 2008
The Michigan Optometrist (Issn 1071-1627) is the
official publication of the Michigan Optometric
Association and is published bimonthly at
530 W. Ionia St., Suite A, Lansing, MI 48933-
1083, telephone (517) 482-0616, FAX (517)
482-1611, e-mail: cindy@themoa.org and website:
http://www.themoa.org.
Art Direction: Connection Graphics, LLC
Direct all editorial correspondence to the editor.
Advertising and all business correspondence should
be addressed to the business manager. Deadline for
all material is the 5th of the month preceding the
month of issue.
Editorial Board: Dr. Mark Swan, O.D., M.Ed.,
F.A.A.O.
Annual Subscription $25.00 - Single copy $4.00.
Periodicals postage paid at Lansing, Michigan.
Printed in USA.
Postmaster: Send address changes to the
MICHIGAN OPTOMETRIC ASSOCIATION
530 W. Ionia St. Suite A, Lansing, MI 48933-1062
Opinions expressed in the various signed articles
in this journal are those of each individual
author and not necessarily those of the editorial
staff or the board of directors of the association.
Advertising material accepted by the publication
is intended to conform with ethical optometric
standards, however, advertising acceptance does
not imply endorsement by the Michigan Optometric
Association.
MICHIGAN OPTOMETRIC ASSOCIATION
530 W. Ionia St. Suite A, • Lansing, MI 48933
(517)482-0616 • FAX (517) 482-1611
www.themoa.org • Email: cindy@themoa.org
CONTENTS
VOL. 88 NO. 4
HAVE YOU PLANNED A SITE VISIT YET? ....................... 4
BOARD OF OPTOMETRY ................................................ 4
wELCOME NEw MOA MEMBERS ...................................... 4
BOTTOMS UP! ............................................................... 5
OPENING EYES, SPECIAL OLYMPICS ....................................... 8
OPENING EYES AwARD .......................................................... 9
PATIENT CHOICE ........................................................ 10
MOA PATIENT ADVOCACY ........................................... 12
GCSI LEGISLATIVE UPDATES; APPROPRIATIONS AND
CAPITAL OUTLAY ............................................................... 14
AN UPDATE FROM FRANCO PUBLIC RELATIONS GROUP;
MEDIA INTERVIEwS IT’S BEST TO BE PREPARED .............. 15
THE IMPACT OF MILLER V. ALLSTATE ......................... 16
JOIN US FOR THE 40 TH ANNUAL FALL SEMINAR ....................17
MOA ANNUAL MEETING .............................................. 20
27TH ANNUAL MOAPAC OPEN ..................................... 22
MOA ANNUAL MEETING HIGHLIGHTS ......................... 24
ARE YOU READY TO BECOME CERTIFIED OR READY FOR
THE NEXT LEVEL? .............................................................. 26
AOA COMMISSION ON PARAOPTOMETRIC CERTIFICATION
ANNOUNCES COMPUTER-BASED EXAMINATIONS .................... 26
AOA NEwS ............................................................................ 29
MOA PARTNER PROGRAM SPONSORS ......................... 30
MAGAZINE SUBMISSIONS .......................................... 30
MOA GRASSROOTS HONOR ROLL .................................. 31
MOA POwER ........................................................................ 32
CLASSIFIEDS .............................................................. 35
ADVERTISER’S INDEX................................................. 35
CALENDAR OF EVENTS 2008-2010 .................................... 36
AOA HOUSE OF DELEGATES 2008 - SEATTLE, wA ................. 37
The Michigan OpTOMeTrisT 3

OFFICERS AND TRUSTEES
MICHIGAN OPTOMETRIC ASSOCIATION
President: Barbara L. Horn, O.D.
President-Elect: Gregory D. Dotson, O.D.
Vice-President: B. Jeffrey Pulk, O.D., F.A.A.O.
Secretary/Treasurer: Lillian H. Kalcazinski, O.D.
Past President: Mark Swan, O.D., M.Ed, F.A.A.O.
Trustee: Matthew L. Maki, O.D., F.A.A.O.
Trustee: David S. Cook, O.D.
Trustee: J. Gregory Ford, O.D.
Trustee: Paul A. Hodge, O.D.
OFFICERS AND TRUSTEES
MICHIGAN FOUNDATION FOR VISION AwARENESS
President:Michael S. Becker
Secretary:Deborah L. Myers
Treasurer:Kristine Williams
Immediate Past President: Mark P. Williams, O.D.
Scholarship Trustee: Scott Cunningham
Annual Meeting: Mary E. Bellows
Membership Trustee: Linda M. Moleski
Public Information: Robert A. Holmes, Jr.
Newsletter Trustee: Matthew Klein
ASSOCIATION DISTRICT PRESIDENTS
District No. 1: Jeffrey J. Fitzmaurice, O.D.
District No. 2: Rachel Hollenbeck, O.D. and
Annessa Allison, O.D., Co-Presidents
District Co-Presidents No. 3: Julie McMullen, O.D. and
Matthew Johnson, O.D.
District No. 4: Karen Douglas, O.D. and
Joseph Douglas, O.D., Vice-Presidents
District No. 5: J. Alan Mannik, O.D.
District No. 6: Shelly D. Baker, O.D.
District No. 7: Jana M. Fisher, O.D.
District No. 8: Jennifer A. Lintz, O.D.
STAFF MICHIGAN OPTOMETRIC ASSOCIATION
Executive Director: Cindy A. Schnetzler
Legal Counsel: Kevin A. Moody, J.D.,
Miller, Canfield, Paddock & Stone
Legislative Counsel: Steven E. Young, Eric C. Hingst
Governmental Consultant Services, Inc.
Office Staff: Carrie A. Barton and Pamela R. Steffy
MICHIGAN BOARD OF OPTOMETRY
Frederick P. Darin, O.D., Chairperson
Donald W. Lakin, O.D., Vice Chairperson
Members: Peter M. Agnone, O.D., David C. McClintic, O.D.;
Stephen P. Thompson, O.D.; and
(Public Members) Harvey Curley, William D. Dansby,
Winifred Motherwell, and Kays T. Zair
HAVE YOU PLANNED A
SITE VISIT YET?
Check out www.
themoa.org today.
See our fresh new
look and gain valuable
information on
industry news. The
web site is a great
resource for program
information. The flexibility
of the format
allows MOA staff to add photos and content with ease.
Check back often for photos of recent events and timely
program information.
www.themoa.org
BOARD OF OPTOMETRY
APPOINTMENTS
Peter M. Agnone, O.D. of Grand Blanc succeeds Donna
Haba to represent optometrists for a term expiring June
30, 2012, William D. Dansby of East Lansing succeeds
Teresa Folino to represent the public for a term expiring
June 30, 2010, and reappointments of Drs. Donald H. Lakin
of Clinton Township and David McClintic, both for
terms expiring June 30, 2012.
welcome
NEw MOA MEMBERS
Dr. Amy Dinardo
Big Rapids, MI
Phone: 231-580-9069
Email: adinardood@yahoo.com
Dr. Sherah Eavey
Rx Optical
Kentwood, MI
Email: sherah@eavey.com
Dr. Jennifer Tekiele
Michigan Eye Institute
4499 Town Center Parkway
Flint, MI 48532
Phone: 810-733-7111
Email: jennifert@mieye.com
PRESIDENTIAL ACCEPTANCE REMARkS
BOTTOMS UP!
BARBARA L. HORN, O.D.,
MOA PRESIDENT 2008-2009
Senator Alan Sanborn presents the
MOA president’s gavel to Dr. Horn
during the Installation Program
at the association’s 112th Annual
Meeting at Boyne Mountain Grand
Lodge, Boyne Fall, Aug. 1-3, 2008.
Dr. Peter H. Kehoe, AOA President, Installation
Officer for Annual Meeting Award Ceremonies.
Imagine one year from today, August, 2009, and an 18% reduction in your
practice, not being able to control what you prescribe for your patients, and
the inability to provide any medical care; or, in one year: the growth of your
practice, freedom to prescribe what you determine is best for your patients
at the fullest scope of practice. The difference is the strength of the Michigan
Optometric Association, and therefore the livelihood of your practice. Just as a team
can not send their captain into the game alone to make up for the work of a whole
team of players, coaches and staff, the MOA can not function with just one optometrist
or a single board of directors. Work gets done at the committee and local level
and we are only as strong as the support we generate and receive. Some may see
organizations as having a top-down approach. I think of our associations as working
from the base upward; therefore, “Bottoms UP”!
When I first joined in serving on the MOA Board in 2002, I had a conversation with
Dr. Mark Cook at a break, where inadvertently, much brainstorming takes place. I talked
with Dr. Cook about my desire for the MOA to have a more integrated relationship with
the local societies. We discussed the potential power possible if the members of the societies,
the Michigan Optometric Association, and therefore, members of the American
Optometric Association moved forward together. Dr. Cook looked at me, gave me that
great Cook-smile, and told me that each board member has their ‘plan’ to implement and
told me he thought I had just realized mine. And, so it is that I stand before you today
with a clear goal and mission for this upcoming year to increase unity within the profession
of optometry through our devoted local societies. Thank you, Dr. Cook.
Not long ago, I saw a plaque and it made me stop to think. It read: “The Best
Things in Life Aren’t Things”. I clearly remember the day I sat in my office earlier this
year and was thinking about the MOA when my eyes wandered across this saying.
I am constantly telling my colleagues about their tangible benefits to membership,
something they can hold onto, and actually hold the value of our association in their
hands. My interpretation of this saying hit home that day because it made me realize
that the best things in optometry, as in life, aren’t physical objects that you hold.
They, simply, are not ‘things’.
This idea hit home again last fall when I was fortunate to be the keynote speaker
at the Western Regional Conference, a combined student meeting, in California. Dr.
Rick Van Sluyters, a professor and Dean of Students at U.C. Berkeley School of Optometry,
mentioned that he is a third-generation optometrist from Michigan. He thought
his grandfather may have been a past president in Michigan. That very week, without
solicitation, a friend of Rick’s happened across an article of his grandfather’s. The article
was in The Optometric Weekly, October 29, 1931. It was an address, titled “To the
Members of the Michigan Society of Optometrists” by retiring president, Dr. Charles
Van Sluyters, confirming Rick’s recollection of his grandfather’s role in optometry. In
this address, Charles stated, and I quote, “four dollars of your dues paid to this organization
goes for your membership in the A.O.A., leaving eleven dollars for dues in this
organization.” He talked about the advantages of membership; educational congress,
See “BOTTOMS” cont. on page 6
4 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 5

“BOTTOMS” cont. from page 5
mid-winter meeting, annual meeting, and
savings on insurance. These are some tangible
benefits, dollars saved, & C.E. credits
earned, which are still benefits today.
Charles continued with, and, I quote, “last
but by no means least, you are protected
by your organization from attacks in the
legislature that might take away your right
to practice”. Sound familiar?
I submit to you that just as it was
in 1930, the “best things” are things
you cannot hold. It is the protection
of optometry and the eagerness of optometrists
to advance our profession to
where it is today. It is the united voice
protecting our patients and our practices
as doctors of optometry.
Looking at our evolution since 1930
we can look at a stronger membership
count, and the dues have increased, ever
so slightly. Actually, the percent of dues
as compared to income is similar today
as it was back in 1930. We can take pride
in the addition of many successes for
Michigan Optometry to evolve and unify
our profession since 1930.
Our lobbying firm is one example,
GCSI. You can hold a copy of legislation
recently passed into law in your hands,
or hold a bottle of a glaucoma medication
in your hand to treat your patient.
You cannot hold your patients’ value of
that medication saving their vision in
your hands or hold the life long relationship
built through GCSI in your hands.
I suggest that these intangible things are
the best things about the results of our
lobbying efforts.
Another example is our Public Relations
program. You can hold all the press
releases and disks full of our television
and radio interviews through our PR campaigns
in your hands. You cannot hold
the impact of educating the public about
the importance of eye care in your hands
and you cannot hold the gratefulness in
your hands of a mother whose infant’s
life was saved when her Retinoblastoma
was found by an InfantSEE TM assessment;
“If everyone is moving forward together, then success takes care of itself.” - Henry Ford
optometry’s no-charge, public health program
for infants. I suggest that these intangible
things are the best things about
our state and national PR campaigns.
Last year the MOA board began an
annual Leadership Retreat to invest in
our Michigan leaders. As my focus this
upcoming year revolves around our societies,
we will also be inviting the society
presidents and their families to our
Leadership Retreat for participation in
leadership training, and to thank them
and celebrate their successes.
The AOA launched the “Drive for
65” just last month. This drive is a yearlong
campaign to increase membership
by 3%, to a rate of 65%. This is such a
crucial time for this important membership
drive because within 15 years 40%
of our current national membership is
eligible for retirement! We have pledged
to the AOA to increase our membership
rate in Michigan and I, as President of
the MOA and chair of membership for
the nation, will make this membership
drive a priority for the MOA this year.
Michigan will surely soar in its strength
by numbers because of our committees
and local society involvement.
Local societies, however, do not
have the luxury of their own office staff
for support and institutional memory.
We should share resources and ideas
within the society structure, and develop
manuals that can prevent societies
across the state from re-inventing
these essentials. This could help make
the transition from one local society
president to the next seamless. I have
a specific plan to utilize MOA’s steadfast
commitment, and our resources, to
continue building the relationship between
the MOA and local societies. A
few highlights for that plan include establishing
a Society Committee within
the MOA Structure to allow the societies
direct input to the MOA board of directors;
intimately involving the societies
in the national Drive for 65 Campaign;
and encouraging each society president
to showcase their successes by:
• writing an article for the
Michigan Optometrist annually,
and
• attending
- at least one Board of Directors
meeting each year,
- our leadership retreat, and
- our annual meeting to present a
report on their society.
Through local society visits, and
continued interaction set forth by previous
presidents of this association, I
am thrilled about this opportunity to
work together strengthening optometry
throughout all levels. Surely, we can put
the AOA well above their 65% goal!
Dr. Mark Swan said in his address
last year that when he turned the gavel
over he hoped ”we will have an effective
communication infrastructure, greater
awareness and appreciation of each
others’ accomplishments and greater
public awareness of optometry as THE
source of eye and vision care.” I’d like
to congratulate Dr. Swan for reaching
his goals and I pledge to you this year
that I will give my best effort so that
when I turn over the gavel next year
to Dr. Dotson, we will have continued
building upon this legacy and added to
the achievements of the MOA through
strength in numbers.
In closing, a quote from Henry Ford,
“If everyone is moving forward together,
then success takes care of itself.” Let’s
move forward together in caring for and
protecting our patients to the best of our
ability as ONE solid family of optometry!
To make this positive difference for our
patients, and our profession, by August,
2009 let’s now look toward our roots, our
solid framework of local optometrists, and
turn this association upside down. From
the local, to the state, and to the national
association, I sincerely pledge to give my
best to our united association. I declare
that it is time for “BOTTOMS UP!”
MOA NEwS
CONGRATULATIONS!
On Monday, July 21st,
Dr. Sarah Hinkley
completed the certification
process to
become our newest
Certified Low Vision
Specialist. Dr.
Hinkley is faculty at
the Michigan College
of Optometry (MCO)
at Ferris State University.
As we all know, the loss of Dr. Walter
Betts, the Certified Low Vision Specialist
at MCO, has left the optometry school in
need of a certified doctor to provide services
to Michigan Commission for the
Blind clients.
DEAR MICHIGAN EYE
CARE PROFESSIONAL:
The Michigan Commission for the Blind
(MCB) has a new Eye Doctors section on
our web site as a resource for you in assisting
your low-vision patients. The site
includes information on:
• How to refer your patients to MCB for
services
• Ordering free MCB publications for
your patients
Collaborative activities of MCB and
eye care professionals
The web site also includes an e-mail
link to send your comments and suggestions
about the site.
As the first professional that most people
consult when they experience vision
loss, you have the opportunity to provide
information that will help your patients
to maintain their independence—even
after you’ve done everything that you
can do professionally to maximize their
diminishing vision.
We hope this new resource will be
useful to you in helping your patients access
information they need.
Sincerely,
Patrick D. Cannon
State Director
Michigan Commission for the Blind
CAREFREE EYE CLINIC OPENS IN LANSING
VOLUNTEERS NEEDED!
As an initiative to address
the vision and eye health
needs of the underserved
and low-income uninsured
in the Lansing community,
the Carefree Medical Eye
Clinic opened its doors for
patient care services on June
4, 2008. Located at 3333 S.
Pennsylvania Ave. in downtown
Lansing, this new facility
has been established
by Drs. Leonard Silverman
of Okemos and Mitchell Dobrzelewski
of DeWitt under
the direction of Dr. Barry Saltman, Medical Director of Carefree Medical and
Dental, Inc.
With donated equipment provided through Tim Larson of Lombart Instruments,
Essilor Labs, the two optometrists and other local OD’s, the eye clinic
features two complete exam lanes and optical dispensary, with preliminary
testing and capability for on- site lens finishing. Presently, the doctors and two
student assistants cover the clinic schedule on a volunteer basis, with exam
services scheduled two afternoons per week. Patients are fit with single vision
or standard bifocal eyeglasses, with frames chosen from donated selections,
for a nominal co-payment. Surgical referrals are addressed through cooperative
arrangements with local ophthalmologists.
For nearly four years, Carefree Medical has provided essential care for
Medicaid, Ingham County Health Plan, and uninsured patients in the central
Michigan area and presently serves over 8000 patients. A dental clinic was
established in 2006 and the new eye clinic represents a further expansion
in the scope of services and access for local populations for whom this basic
care might otherwise be unavailable.
“Uncorrected refractive error and access to eye health services remains a tremendous
need worldwide, and it is an increasing public health problem for evergrowing
numbers of adults and children in this country.”, says Dr. Dobrzelewski.
“This initiative is an effort to apply our professional talents and coordinate
available resources to effectively address this need locally. It is very rewarding to
see this idea actually up and running and making a difference for patients!”
* Additional doctors and assistants are needed, and anyone interested
may contact Dr. Dobrzelewski (517.669.4411) or Silverman (517.349.8888)
for more information, or call Carefree at (517) 887- 5922.
*Donations of any equipment, overstock frames or stock lenses are also useful
and appreciated.
Thank you!
6 JULY - aUgUsT 2008 www.michigan.gov/mcb/
The Michigan OpTOMeTrisT 7

Opening Eyes…
Special Olympics
By Dr. Philip E. Irion, O.D., Project Chair
The frame station dispensed 633 pairs of glasses this year.
(r) Dr. Frederick P. Darin, of Charlotte has dedicated, nearly a decade of
volunteering for Opening Eyes.
OPENING EYES VISION
SCREENING
Our third best year for Opening Eyes!
This, our ninth year, we screened 889
athletes at the Summer Games in Mt.
Pleasant, May 29-31, 2008. We provided
633 pairs of glasses to the athletes, which
is the most ever! We provided 336 pairs
of dress eyewear, 111 pairs of prescription
sport and swim eyewear, and 186 pairs
of plano sport and swim eyewear, and referred
seven athletes for additional care.
Our volunteers were made up of 23 optometrists,
six MFVA members, five students
from Colleges of Optometry, nine
members of the Michigan Paraoptometric
Association, 24 Lions Club members, 20
opticians, and 10 staff, spouses and equipment
reps for a total of 107 volunteers.
I would like to thank the Michigan
foundation for Vision Awareness (MFVA),
and the Lions International foundation
for their major sponsorships. I would
also like to thank the following people/
companies for their contributions to the
screening: Cherry Optical, Tim larson,
Lombart Instruments, Jaysun Barr, Santenilli,
Kim Rankin, V.S.P., Drs. Fred Darin,
Doug Heinze, Jamie Seals, and Dan
Wrubel. Without the financial support
and use of equipment from the above we
would not be able to hold this event.
Next year the Summer Special Olympic
Games will be held May 28, 29, 30,
2009. The games are always held the
first weekend after Memorial Day. Your
participation in this year’s Opening Eyes
will automatically place your name on the
mailing list to receive the commitment
form for the project in 2009 (around January).
When we recruit in the summer
and fall you don’t need to sign up unless
you have a change of address.
You should feel very proud that you
were part of this program and on behalf
of the athletes I want to THANK YOU
for your hard work and dedication that
made the Opening Eyes project such a
an outstanding success this year!
Athlete modeling his new sunglasses.
Thank you
to the following sponsors:
• Cherry Optical
• Gentex Division of Essilor Lenses
• Gerber-Coburn
• Lombart Instruments
• Liberty Optical
• Lions Club International
Foundation
• Michigan Foundation for Vision
Awareness • Saflio
• Santilla • Hilco
• Spartan Stores, Inc.
• VSP Mobile Eyes
OPENING EYES AwARD
They fit perfectly!
Dr. Philip E. Irion, Project Director for the Opening
Eyes vision Screening Program, accepted an award for
ten years of extraordinary service and dedication to
the athletes of Michigan Special Olympics.
The award was presented during the opening ceremonies
at the Summer Games in Mt. Pleasant, MI on
May 29, 2008. Dr. Phillip E. Irion
8 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 9

PATIENT CHOICE:
PATIENT AUTONOMY
VERSUS PROVIDER
BENEFICENCE
By
Rachael Peterson, Candidate for OD, 2009
CASE HISTORY
A 56-year-old caucasian male presented
with blurred vision and distortion of the
left eye for the past 6 months. The patient
reported arthritis in the knees and
hypertension. He reported taking no
medications and having no known drug
allergies. Both family and ocular histories
were unremarkable.
CLINICAL FINDINGS
Upon examination, the patient’s visual
acuities with current correction of OD
–2.75 –0.50 x 148 were 20/20 (dist)
and 20/20 (near, with a reading addition).
The OS current correction was
OS -2.50 –0.25 x 180, giving acuities
of 20/70 (dist) and 20/100 (near, with a
reading addition). Pupils were equal at
4 mm, round and reactive to light and
accommodation with no sign of afferent
pupillary defect. Visual field testing
(confrontation method) was negative for
peripheral defects. External ocular adnexa
exam revealed blepharitis OU and
dermatochalsis OU. Subjective refraction
revealed a correction of OU –2.50
sphere with visual acuities of OD 20/20
and OS 20/70 (dist). Goldmann tonometry
yielded pressures of 22 mmHg OU.
Biomicroscopy revealed vitreal floaters
OD and 1+ nuclear sclerotic cataract OS.
The cornea was clear OD and had a mild
inferior corneal scar OS, while the anterior
chamber was deep and clear OU.
The remainder of the slit lamp exam was
unremarkable. Dilated funduscopic examination
revealed sharp disc margins
and pink rim tissue with a cup to disc
ratio of 0.5 in each eye. A macular hole
with surrounding edema was noted OS.
The vessels and peripheral retina were
within normal limits. An OCT image OS
showed a macular break with underlying
macular edema. Diagnosis was macular
hole OS and macular edema OS.
TREATMENT
The patient was educated thoroughly
on the severity of a macular hole along
with the possibility of vision loss if not
treated in a timely fashion. Being a rural
community he was referred to a retinal
specialist 50 miles away. A spectacle
prescription was not given at the time of
the exam due to the macular problem.
He was instructed to return to the clinic
after seeing the retinal specialist to reevaluate
the refractive correction.
The patient was not very concerned
with the retinal hole and wanted to
schedule the appointment to see a retinal
specialist himself. The attending clinician
tried to find a retinal specialist closer than
50 miles to accommodate the patient’s
needs, but there were none available. The
patient was still not willing to be seen
within the recommended time frame.
Per the patient’s request, the attending
clinician gave the phone number of
Rachael Peterson
the retinal specialist so he could call and
schedule an appointment. The clinician
called the retinal specialist to inform the
office that the patient would be calling
and of the urgency of the patient’s evaluation.
Five days after his eye exam, the patient
called the office requesting a copy of
his new prescription. He also stated that
he had no insurance, so going to a retinal
specialist would not be feasible. The patient
was called back and informed again
about the urgency of the macular hole,
how it is a sight-threatening condition
and that glasses would not help improve
the vision in his left eye. The patient was
also informed again that he could see any
retinal specialist as long as it was accomplished
immediately and to let the clinic
know so that his medical records could
be sent to the office of his choice.
The following day the patient called
stating he wanted his record faxed to a
doctor in Toronto, Canada. The attending
clinician faxed the record, but called
and educated the patient again, informing
him that the skills and expertise of
the doctor were unknown; however, the
clinic was obligated to send the record
per his request.
DISCUSSION
The ethical dilemma in question is
whether the patient is doing what is best
for himself or whether his health care
decisions should be put in the hands of
the health care provider? Where does the
boundary lie between the patient’s right
to make his own choice and the provider’s
responsibility to do what is best for
the patient?
According to the Hippocratic Oath,
“I will prevent disease whenever I can,
for prevention is preferable to cure.” The
following is stated in the AOA Code of
Ethics, “To keep the visual welfare of the
patient uppermost at all times.” In addition
to the code of ethics, the four principles
of biomedical ethics must be considered;
1) beneficence, 2) nonmaleficence,
3) justice, and 4) autonomy. Beneficence
requires the eye doctor to do good while
nonmaleficence compels the optometrist
to avoid harming his/her patient. Justice
compels eye doctors to treat patients
fairly and autonomy holds that patients
have the right to make their own choices
on treatment options.
In this case, referring the patient for
further care and providing education regarding
the potential loss of vision is an
example of beneficence (to do good) by
the optometrist. The patient demonstrated
autonomy (self-governance) when he
made the choice not to follow-up with
a retinal specialist, and then eventually
chose one with whom the clinic was not
familiar. To make an informed choice,
the patient needed to have enough information.
In this case, he was told about
the diagnosis of a macular hole and was
instructed to see a retinal specialist for
treatment. The patient was educated on
the risks of not having the treatment
along with the benefits of possible treatment.
He was also informed that there
were no alternative treatments, such as
eye drops or prescription glasses, that
would repair the macular hole. The patient
had the capacity to understand the
education provided to him, but the decision
he made was not, what appears to
the optometrist, to be in his best interest.
This autonomy of the patient is backed
by the US Supreme Court decision that
stated “logical corollary of the doctrine
of informed consent is that the patient
generally possesses the right not to con-
sent, that is, to refuse treatment.”
In the past, the interaction between
the beneficence and autonomy principles
led to beneficence outweighing autonomy.
This resulted in paternalism in which the
doctor took predominant control of the
patient’s health care. Paternalism, or following
the doctor’s orders as an authority
figure, has not been used often in recent
generations. This is partly due to
the generational shift in attitude towards
patient self-responsibility in his/her own
healthcare and also due to increased access
to information for patients to make
their own decisions on treatment.
In recent years, autonomy of the patient
has outweighed beneficence of the
doctor. However, in order for patients to
make an informed choice about their treatment,
doctors need to educate patients on
Although doctors cannot make
decisions for their patients, communication
and education is paramount
in ensuring the doctor meets
his/her ethical responsibilities.
the benefits and risks of the treatment options.
While educating patients, doctors
need to ensure that patients understand
the various options. Although patient autonomy
usually prevails over doctor beneficence
for adults, this is not the case
in underage individuals. The US Supreme
Court in 1944 established, in the case of
Prince v Massachusetts, that the parents
cannot refuse treatment for their children
if the lack of treatment would endanger
their children.
Doctors also need to be cognizant
that patients may make decisions based
on other factors, such as fear and cost.
Patients may feel a sense of fear or economic
burden which optometrists may
not understand and which may limit
the patient’s ability to make an informed
decision. The patient must be educated
about the treatment options available
and in cases when patients seem to have
insurmountable financial considerations,
the doctor or their staff should have procedures
in place to assist the patient in
obtaining financial assistance.
CONCLUSION
This case demonstrates that a patient’s
right to make his own choice (autonomy)
outweighs the doctor’s duty to do what
is best for the patient’s visual health (beneficence).
It is the doctor’s responsibility
to inform the patient of the treatment
options. Patients need extensive information
to make a well-informed decision.
Even though doctors may not agree
with the patient’s decision, they must
respect the patient’s autonomy to make
that choice.
Dilemmas such as this sometimes occur
in the practice of optometry. Doctors
want to do what is best for their patients,
but are hampered in this desire by the
rights of patient to make their own decisions.
Although doctors cannot make
decisions for their patients, communication
and education is paramount in ensuring
the doctor meets his/her ethical
responsibilities.
CITED REFERENCES
Bailey R.N., Heitman E. An Optometrist’s
Guide to Clinical Ethics. St.
Louis, 2000. American Optometric
Association.
Pozgar G. Legal and Ethical Issues for
Health Professionals. Sudbury, MA,
2005. Jones and Bartlett Publishers.
Patient Referrals. 2006 American Optometric
Association. From: http://www.
aoa.org/x6161.xm.
Prince v Massachusetts 321 US 158
(1944).
10 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 11

MOAPATIENT ADVOCACY
July 17, 2008
The Honorable Jennifer M. Granholm
Governor of Michigan
111 S. Capitol Avenue
Lansing, Michigan 48909
Dear Governor Granholm:
On behalf of the College of Optometrists in Vision Development (COVD), and the Michigan Optometric
Association (MOA) we would like to request your support in proclaiming August 2008 as “Children’s
Vision and Learning Month.” Past Gubernatorial letters of support have served as invaluable
reminders to the public about the critical relationship between good vision and successful learning
and performance in school.
Vision problems impact millions of American children. Here are a few relevant facts:
• Current research indicates that one in four school-age children have vision problems.
• Sixty percent of students identified as “problem learners” have vision problems that
are undetected.
• Seventy percent of juvenile offenders have undetected and untreated vision impairments.
• 18 million children will not have an eye examination by an eye doctor by the time they
enter school.
Research also indicates that appropriate diagnosis and intervention can lead to profound positive results.
A study conducted at the State University of New York found that when children with previously
undiagnosed vision problems were treated, they were able to improve their reading ability two grade
levels in just six months.
COVD and the MOA are working to educate parents, teachers and the general public about the importance
of vision in the learning process. One way to do this is to focus attention on these issues
through the annual observance of “Children’s Vision and Learning Month.” We would greatly appreciate
your support in helping to proclaim August 2008 as “Children’s Vision and Learning Month.”
Thank you for your consideration of this request.
Sincerely,
Danna Haba, OD, FCOVD Mark Swan, OD, MEd, FAAO
COVD State Coordinator President, MOA
www.covd.org www.themoa.org
12 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 13

LEGISLATIVE UPDATES
YOUR GOVERNMENTAL
CONSULTANT SERVICES, INC.
(GCSI) TEAM……..
Appropriations
and Capital Outlay:
We are pleased to announce that the
Legislature has finally reached an
agreement on a Capital Outlay bill that
includes $26.9 million for the Ferris
State University “Center for Collaborative
Health Education.” Once again we
extend our thanks to Dr. Mark Swan,
Immediate Past President of the Michigan
Optometric Association, and Dr.
David Eisler, President of Ferris State
University, for their compelling testimony
before the Joint Committee on
Capital Outlay.
Typically the Capital Outlay bill is
the final budget bill to be passed by the
Legislature. With the Transportation
budget bogged down while the Legislature
works toward an agreement on
a new border crossing from the City of
Detroit to Windsor, the process may indeed
take until late September to resolve
itself. Now that an agreement has been
reached on the Capital Outlay bill, we
fully expect the Senate and House to approve
the Conference Report on Senate
Bill 511 and send the bill to the Governor
for her signature as soon as the separate
agreement on Transportation is reached.
Continuing our efforts with the legislative
leadership, the respective House
and Senate Appropriations Chairs, and
the Capital Outlay Chair, Co-Chair and
members will remain the top legislative
priority for the remainder of the summer
and into the fall until the Capital Out-
lay bill is indeed approved and placed on
the Governor’s desk.
2008 ELECTIONS:
The August primary has added one small
wrinkle into the upcoming fall elections.
Representative Ted Hammon (D-Burton)
lost his bid to serve as the Democratic
candidate in the November General
Election. Recall, of the 110 members in
the Michigan House of Representatives,
44 members were no longer eligible to
serve due to term-limits. When combined
with Representative David Law
(R-Commerce Township), who won the
Republican Primary for Oakland County
Prosecutor, the fall election will select a
minimum of 46 new members to the
Michigan House of Representatives, who
will begin serving January 1, 2009.
Grassroots Optometry (GO!) continues
to be one of the most effective and
robust grassroots organizations involved
with the Michigan political process. The
relationships newly elected MOA President
Dr. Barb Horn and Dr. Greg Dotson
have established with their respective
legislators are shining examples of what
can be accomplished.
With a minimum of 46 new members
being elected to the House of Representatives
this November, we cannot stress
enough the importance of full participation
in GO! through the fall and next
Erik Hingst Steve Young
year. Now more than ever, your participation
is crucial. Without your dedicated
collective effort, the gains the MOA
has made through expanded capabilities
and scope of practice will be at risk.
With your dedicated participation, our
firm will be able to continue our work
with Executive Director Cindy Schnetzler,
new President Dr. Barb Horn, and
the new Executive Board Members, and
effectively advocate on behalf of the
MOA while protecting the Association’s
principles and expanding the platform
for the future.
Governmental Consultant Services, Inc.
120 N. Washington Square,
Lansing, Michigan 48933
Phone: 517-484-6216
Fax: 517-484-0140
An Update From
Media Interviews –
It’s Best To Be Prepared
We have been working with Dr. Donahue,
chair of the public relations committee,
to coordinate media training sessions
to prepare MOA doctors for media
interviews.
To date, nine MOA optometrists have
been trained to speak to the media. Our
goal is to have media trained optometrists
available in every Michigan media
market who can comfortably speak with
reporters from newspapers, radio and
television stations on issues relating to
eye health/safety.
Through our relationships with reporters
and producers across the state,
we schedule interviews and manage interview
requests on behalf of the MOA.
Reporters are looking for knowledgeable
and accessible sources of information
that is of interest to their viewers or
readers. Often, they want to talk with a
source that is from the geographic area
that serves their readership/viewership.
Here are a few tips to keep in mind
if you are contacted by a reporter.
Interview the interviewer. Find out all
you can about the story. What is it about
and what is its scope? How do you fit in
the story? What information does the reporter
want from you?
Develop purpose points. Once you
know what type of information the
reporter is looking for, develop three
purpose points to convey the information
and your point-of-view. Condensing
information to three main thoughts
helps to communicate the important
elements of the topic in a concise, persuasive
manner.
Find out the deadline. A reporter’s
time is limited and deadlines are often
tight. It is important your response to a
reporter meets the deadline or you will
lose the opportunity to be quoted in the
story. Also, be sure to be available after
the interview in case the reporter has follow-up
questions.
Speak in layman’s terms. Use simple,
declarative sentences and avoid acronyms,
jargon and technical terms.
Again, keep it simple and use your purpose
points.
Avoid saying “not available” or “no
comment.” You will appear to be hiding
something. Don’t speculate or guess. If
you don’t know the answer to a reporter’s
question, simply indicate you will find the
answer and call them back. Remember to
keep in mind the reporter’s deadline.
Do not expect the reporter to be your
best friend. Reporters are paid to ask
tough questions. Also remember that
anything you say during a conversation
with a reporter can be used in the
story. There is no such thing as speaking
“off-the-record.” Also, for newspaper
interviews, don’t request to see a story
before it’s published – it is not common
practice for reporters to provide a story
for review.
It’s your time to be the expert
A media interview provides a great opportunity
to share your knowledge and
raise awareness of eye health and safety
as well as the MOA. Remember that you
are speaking on behalf of the MOA and
not your individual practice.
Three easy steps
Once you establish yourself as a knowledgeable
and accessible source for the
media, they will continue to contact you.
Developing the relationship is the first
step – delivering your purpose points
with authority and accuracy is step two.
The final step is being available if the reporter
has follow-up questions.
The result
Being prepared for an interview ensures
that valuable information is conveyed
to the public about the importance of
good vision care. It’s a public service you
should be proud to help support.
YOUR FRANCO TEAM
We are always available for a consultation
if you are approached by the media
for an interview. Don’t hesitate to call!
Lauren Panaretos, 313-567-5048
Susan Ferraro, 313-567-5046
Rita Sitto, 313-567-5008.
14 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 15

THE IMPACT OF
MILLER V. ALLSTATE
By Kevin S. Moody and Kelly M. Drake
Miller Canfield, Paddock and Stone P.L.C.
Michigan courts have recently addressed
how businesses that provide
professional services, including optometric
services, must be incorporated
under state law. Although the courts left
the state of the law somewhat murky,
they provided some insights of which
optometrists should be aware.
To understand the courts’ decisions,
it is helpful to have some familiarity
with two state laws governing corporations.
First, the Business Corporation
Act (“BCA”), Michigan Compiled Laws
450.1101 et seq., allows a corporation to
be formed “for any lawful purpose.” MCL
450.1251. However, the BCA states that if
another statute would allow a corporation
to be formed to engage in the particular
type of business, then the corporation
cannot be formed under the BCA unless
the other statute specifically allows it. Id.
Second, the Professional Service Corporation
Act (“PSCA”), MCL 450.221 et seq.,
permits professionals to incorporate. A
professional corporation is organized
solely to render one or more professional
services, and its shareholders must be
licensed persons or other specified individuals.
Id. “Licensed persons” includes
optometrists. MCL 450.222(b). The PSCA
does not state that professional corporations
may be formed under the BCA.
These two statutes were at issue in
Miller v Allstate, which involved a physical
therapy practice that had incorporated
under the BCA. The Court of Appeals,
in May 2007, declared that corporations
that provide professional services must
be incorporated under the PSCA. The
Court noted that the PSCA allows the
formation of professional corporations
and does not state that such corporations
may be formed under the BCA. Therefore,
the Court concluded, professional corpo-
rations could not lawfully be formed under
the BCA. Consequently, businesses
incorporated under the BCA who employ
professionals such as optometrists
to provide professional services would
have to re-incorporate under the PSCA.
Or, if incorporation under the PSCA was
not possible, an alternate arrangement
with the professional would need to be
established, such as a franchise or independent
contractor relationship.
But the controversy did not end with
the Court of Appeals’ decision. The Supreme
Court reviewed the Court of Appeals’
decision and in July 2008, decided
that the question about the physical therapy
practice’s incorporation should not
have been decided. The Supreme Court
The take-home message is to review your
arrangements and consult with your
lawyer to learn about your situation and
options and make informed decisions.
concluded that only the attorney general
has authority under state law to challenge
the legality of how a business is incorporated.
Because the attorney general was not
a party in Miller v Allstate, the incorporation
question was not properly before the
Court of Appeals. Consequently, the Supreme
Court vacated the part of the Court
of Appeals’ decision where it concluded
that professional corporations must incorporate
under the PSCA; essentially, that
part of the decision is considered never
to have existed. It is important to understand
that while the Supreme Court did
not disagree with the Court of Appeals’
conclusion, it vacated “the rationale” of
the Court of Appeals … a curious and illogical
action. The ruling that the case was
not the proper time and place to decide
the issue is one thing, but to suggest that
the analysis or “rationale” no longer exists,
serves only to confuse things.
What does this mean for optometrists?
Although, the Court of Appeals’ reasoning
was sound, and other courts (and the
attorney general) would likely reach the
same result, the Supreme Court’s decision
takes away any immediate threat to optometrists
concerning random challenges being
mounted against their means of incorporation.
Currently, there is no Michigan
case on the books stating that optometric
practices must be incorporated under the
PSCA and only the state attorney general
has authority to raise such a challenge. So,
the likelihood that an optometrist or eye
care practice will face such a challenge is
somewhat limited.
However, the issue remains unresolved
and a potential threat. It may
never be raised to an active level by the
attorney general, the courts, or the legislature,
but, if it is, it can affect MOA
members in several ways.
Optometrists who have incorporated
under the BCA should be aware that
their corporate structures are likely invalid
and could be contested in an action
involving the attorney general. One remedy
would be simply to re-incorporate
under the PSCA, if the corporation can
satisfy the requirements of the PSCA,
including that all of the shareholders
are licensed optometrists. Optometrists
who are shareholders in a practice along
with non-optometrists should alter the
arrangement as it violates the “rationale”
of the Court of Appeals’ Miller decision.
Those forming new practices should realize
that they must incorporate under
the PSCA to comply with state law.
Optometrists who are employed by
See “MILLER” cont. on page 30
JOIN US FOR THE 40 TH ANNUAL
FALL SEMINAR OCTOBER 15-16, 2008
The Michigan Optometrist is proud to announce the speakers featured
at this years 40th Annual Fall Seminar in October. We have an outstanding
array of speakers arranged for 14 hours of COPE approved
CE credits. In addition, we will have over 100 exhibitors within the
ophthalmic industry for you to meet.
OPTOMETRIST LECTURE COURSE DESCRIPTIONS
wEDNESDAY, OCTOBER 15, 2008
“Ocular Pain Management”
Jeffrey R. Varanelli, O.D., F.A.A.O.
This course discusses pain management
options for the optometric practice including
topical and oral administration
(from OTC to controlled substances).
Indications, contraindications, adverse
effects, and the pathophysiology of pain
will also be reviewed.
“Baby Steps Toward Infant Eyecare” -
Glen Steele, O.D.
Clinical “how-to’s” on examining and diagnosing
eye conditions of children ages
newborn through one year.
“Contemporary Optometric Care and
Management of the Retina” -
Kim Castleberry, O.D.
This will be a comprehensive discussion
of posterior segment issues including
new treatments for retinal disease, new
techniques for evaluating the posterior
pole and the appropriate coding and billing
steps will all be discussed.
“Glaucoma Case Studies with Coding
Follow-Up” - Kim Castleberry, O.D.
Glaucoma and the EHR practice: Coding
and technology update with case studies
utilizing EHR.
“Emerging Trends and Techniques in
the Contact Lens Practice” -
Patrick Caroline, COT
One of the more challenging situations
for the contact lens practitioner is the fitting
process for those patients who have
unusual ocular conditions or special fitting
circumstances. Examples are myopia
control in children, high myopia and
hyperopia, and irregular astigmatism
due to disease such as keratoconus, and
corneal trauma or corneal surgery. These
situations necessitate a comprehensive
understanding of contact lens design and
fitting dynamics. Plus, this type of patient
usually has extremely high expectations
of the visual result that will be achieved
with the contact lens fitting. This lecture
is designed as an overview of the emerging
trends and fitting techniques in specialty
designs that can be utilized in these
fitting situations. A complete description
of these designs will be provided.
“The Design and Fitting of Specialty
GP Lenses” - Patrick Caroline, COT
Throughout this lecture we will review a
wide range of modern innovations emerging
in the gas permeable lens industry.
Some of these technological advances include
new lens designs for keratoconus,
modern contact lens corneal reshaping,
advances in semi-scleral GP lenses and
advances in presbyopic GP lens designs.
A series of case histories will be presented
in which these new modalities proved
successful in addressing the physical and
optical needs of specific patients.
“No-Nonsense Management of the
Presbyope with Contact Lenses” -
Patrick Caroline, COT
The modern contact lens wearing population
is rapidly maturing therefore eye
SEMINAR SPEAkERS
Patrick Caroline,
COT
John Classe’,
O.D., J.D.
Mike Johnson,
FCLSA
Jeffrey R.
Varanelli, O.D.,
F.A.A.O.
Kim Castleberry,
O.D.
Michael DiSanto,
FNAO
Glen Steele, O.D.
Not Pictured:
Ed De Gennaro, M.Ed, ABOM and
Eric Schmidt, O.D.
16 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 17

care practitioners are faced with many
challenges in the contact lens management
of the presbyopic patient. Today,
there are a wide range of RGP and soft
lens designs that are available for the correction
of presbyopia however, most designs
provide sub-optimal imaginary at
distance and/or near and have ultimately
resulted in poor long term success.
Throughout this lecture the participants
will be exposed to a detailed assessment
of the optical benefits of certain RGP and
SCL bifocal designs. Unique software
will be presented that allows practitioners
to custom design the best contact
lense solution for your patient.
Upon the completion of the lecture the
participant should; have a clear understanding
of the various multifocal lens
designs for the correction of presbyopia
understand the parameters necessary to
calculate RGP multifocal lens designs,
and understand the complex follow-up
and problem solving necessary to be
successful with multifocal lenses.
OPTOMETRIST PROPOSED SCHEDULE
wEDNESDAY, OCTOBER 15, 2008
7:45AM—8:30AM — Registration
8:30AM—9:20AM — COPE #17133-PH “Ocular Pain Management” Jeffrey R.
Varanelli, O.D., F.A.A.O. (One COPE credit hour – fulfills Michigan Board of Optometry
pain management requirement for licensure)
A Prescription For “Needs Based” Vision Solutions Michael DiSanto, FNAO (limited
seating, register early) Sponsor: Essilor of America
9:00AM—9:50AM —COPE #19395-PH “Prescribing Oral Steroids” Eric Schmidt, O.D.
9:50AM—10:20AM—Break and Exhibits
10:20AM—12:15AM—COPE #21022-SD “Practicing Full Scope Optometry :
Challenging Cases From Private Practice” Eric Schmidt, O.D.
12:15PM—1:45PM—Lunch
1:45PM—2:35PM—COPE #20398-AS “Dry Eye: A New Look At An Old Disease”
Eric Schmidt, O.D.
2:35PM —3:25PM —COPE #12852-GL “The Optic Disc in Glaucoma” Eric Schmidt, O.D.
3:25PM—3:55PM—Break
3:55PM—4:45PM—COPE #20277-SD “Not So Fast! Some Cases That Might Fool You”
Eric Schmidt, O.D.
OPTOMETRIST LECTURE
COURSE DESCRIPTIONS
THURSDAY, OCTOBER 16, 2008
“Prescribing Oral Steroids” - Eric
Schmidt, O.D.
The prescribing of oral steroids is a very
useful privilege for optometrists, however,
improper dosage and usage can lead
to complications for the patient. This
course will detail the pharmacology of
steroids and present clinical indications
for their usage.
TRACk ONE
9:30 AM—10:20 AM —COPE #12825-FV
“Baby Steps Toward Eyecare” - Glen Steele, O.D., Sponsor: VSP
***You must be in attendance for all three hours of course to receive credit – no
partial credit may be earned
“Practicing Full Scope Optometry: Chal-
10:20AM—10:50AM —Break and Exhibits
lenging Cases from Private Practice” -
Eric Schmidt, O.D.
10:50AM—12:30PM —COPE #12825-FV—continued
“Baby Steps Toward Eyecare” -Glen Steele, O.D., Sponsor: VSP
12:30PM—2:00PM —Lunch and Exhibits
2:00PM—2:50PM —COPE #19597-CL
“Emerging Trends and Techniques in the Contact Lens Practice” Patrick Caroline,
PARAOPTOMETRICS SCHEDULE AND
COURSE DESCRIPTIONS
wEDNESDAY, OCTOBER 15, 2008
7:45AM—8:30AM—Registration
With the expansion of our scope of practice,
optometrists are being faced with
more difficult clinical conditions to treat.
This course will present challenging
cases and a template on how to through
such cases. The concept of differential
COT, Sponsor: Vision Care Institute
8:30AM—9:30AM—Dispensing Eyewear to Computer Users
diagnosis will be highlighted.
“Eye Disease and Malpractice—
Video (Not So) Grand Rounds” -
John Classe’, O.D., J.D.
2:50PM —3:20PM —Break and Exhibits
3:20PM — 4:10PM —COPE #21856-CL
“The Design and Fitting of Specialty GP Lenses” Patrick Caroline, COT,
Sponsor: Vision Care Institute
Jim Day, ABOC, NCLE
This course will familiarize participants with the comfort and vision improvements
task specific lenses can make for someone experiencing the symptoms of computer
vision syndrome. Particular attention is given to the merit of computer vision syndrome
and computer lenses with a “progressive” design. ABO approved. Sponsor:
“Dry Eye: A New Look at an Old Disease”
- Eric Schmidt, O.D.
Many therapeutic and diagnostic advances
have been made recently which
Liability claims against optometrists are often
decided by documentation. Standard of
care requirements for glaucoma, retinal detachment,
tumors, diabetic retinopathy, eye
infection, and ophthalmic drugs and lenses
are described. Video testimony simulations
4:10PM —5:00PM —COPE approval pending
“No-Nonsense Management of the Presbyope with Contact Lenses”
Patrick Caroline, COT, Sponsor: Vision Care Institute
5:00PM — 6:00PM —Exhibit Hall Reception
HOYA Vision Care, North America
9:40AM—10:40AM —“How to Keep Your Doctor from Getting Sued” John Classe’, O.D.
This lecture will touch on major liability issues in private practice and how assistants
can conduct themselves to minimize the risk of litigation. ABO approved.
10: 40 AM—10:50 AM —Break and Exhibits
shed a new light on our understanding
of dry eye disease. This course will provide
the latest data on the pathology of
dry eye as well as diagnostic tests that
improve our ability to successfully treat
this disease. A treatment pyramid will
are used to illustrate significant errors in
care and documentation.
“Are You Violating Patient Confidentiality?”
- John Classe’, O.D., J.D.
Are You Violating Patient Confidentiality?
- Legal and ethical obligations must
be adhered to by optometrists to protect
confidentiality of patient information.
Federal and state laws and optometry
board rules and regulations establish requirements
for confidentiality, and both
legal and ethical violations are punishable.
This lecture discusses violations
that can occur when selling a practice,
discharging an employee, selling an
ownership interest, and terminating an
independent contractor.
TRACk TwO
9:30AM—10:20 AM— COPE #22389-PS
“Contemporary Optometric Care and Management of the Retina” -
Kim Castleberry, O.D., Sponsor: VSP
10:20AM—10:50AM —Break and Exhibits
10: 50 AM—12:30 PM—COPE #21601-GL
“Glaucoma Case Studies with Coding Follow-Up” - Kim Castleberry, O.D., Sponsor: VSP
12:30PM—2:00PM —Lunch and Exhibits
2:00PM—3:40PM — COPE approval pending
“Eye Disease And Malpractice – Video (Not So) Grand Rounds” - John Classé O.D., J.D.
3:40PM—4:10PM —Break and Exhibits
4:10PM — 5:00PM —COPE #22826-EJ
“Are You Violating Patient Confidentiality?” - John Classé O.D., J.D.
5:00PM—6:00PM—Exhibit Hall Reception
THURSDAY, OCTOBER 16, 2008
10:50AM—11:50AM — Emerging Trends and Techniques in the Contact Lens
Practice—Patrick Caroline, COT
One of the more challenging situations for the contact lens practitioner is the fitting
process for those patients who have unusual ocular conditions or special fitting circumstances.
Examples are myopia control in children, high myopia and hyperopia,
and irregular astigmatism due to disease such as keratoconus, and corneal trauma
or corneal surgery. These situations necessitate a comprehensive understanding of
contact lens design and fitting dynamics. Plus, this type of patient usually has extremely
high expectations of the visual result that will be achieved with the contact
lens fitting. This lecture is designed as an overview of the emerging trends and fitting
techniques in specialty designs that can be utilized in these fitting situations. A
complete description of these designs will be provided. NCLE approved.
11:50AM—1:30PM —Lunch and Exhibits
1:30PM—2:30 PM — It’s What You Don’t See That Makes The Difference
Jim Day, ABOC, NCLE
With all the anti-reflection lenses are the market, how do you choose the correct one
for your patients? This lecture will give you the tools and the technology to communicate
to your patient’s the benefits and differences of the world of anti-reflective
lenses. ABO approved.Sponsor: HOYA Vision Care, North America
also be discussed.
“The Optic Disc in Glaucoma” - Eric
Schmidt, O.D.
Recent advances in diagnostic technologies
and therapeutic modalities have altered
how glaucoma is diagnosed and
managed. This lecture reviews some of
the new technologies, medications and
philosophies and how they impact on
glaucoma care.
“Not So Fast! Some Cases That Might
Fool You” - Eric Schmidt, O.D.
Patients will often present with atypical
presentations of common conditions or
with complex presentations that mimic
other conditions. This course will present
how to handle such complicated cases
and how to deal with eyes that do not
7:00AM —9:00AM—Registration
2:30PM—2:40PM —Break
cont. see “FALL” on page 28 respond typically to accepted therapy.
18 JULY - aUgUsT 2008 7:15AM—8:15AM — Breakfast Lecture—Cope #21081-PM
The Michigan OpTOMeTrisT 19

2008
MOA
Annual Meeting
s (l to r) Lifetime Achievement Award 2007-2008 Frederick P. Darin, O.D. Student of the Year Award 2007-2008
Paula Smith Michigan College of Optometry, Optometrist of the Year 2007-2008, Ronald J. Meyer, O.D.
s Jack W. Bennett - Optometric
Educator of the Year Award 2007-
2008, awarded posthumously to
Walter C. Betts, O.D. Michigan College
of Optometry
s Young Optometrist of the Year
2007-2008 presented by Barb Horn,
O.D. to Lillian H. Kalaczinski, O.D.
s Bradley E. Habermehl, O.D.
Keyperson Award 2007-2008
s Mark Swan, O.D., M.Ed.,
F.A.A.O President 2007-2008
was honored for his unselfish
dedication and leadership for the
advancement of the optometry
profession.
MFVA SCHOLARSHIP RECIPIENTS:
s Melanie Denton
s Richard Guzak
s Brad Wrubel
s Rachel Peterson
Michigan
Foundation for
Vision Awareness
s 2008 - 2009 Board of Directors (top l to r)
(MFVA) Board
Past President Mark Swan, O.D., M.Ed, F.A.A.O.,
of Directors (l
Secretary/Treasurer Lillian H. Kalcazinski, O.D.,
to r) President,
Vice-President B. Jeffrey Pulk, O.D., F.A.A.O.,
Mike Becker,
President-Elect Gregory D. Dotson, O.D., President
Treasurer, Kris
Barbara L. Horn, O.D., (bottom l to r) Trustees
Matthew L. Maki, O.D., F.A.A.O., David S. Cook,
Williams, Past-
President, Mark
s Elizabeth Lane
O.D., J. Gregory Ford, O.D., and newly elected
Paul A. Hodge, O.D.
20 JULY - aUgUsT 2008
Williams, O.D.,
Public Information, Robert Holmes, Annual Meeting, Mary
Bellows, Membership Trustee, Linda Moleski.
s (l to r )– 30 year MFVA recognition
presented to Cheryl Nametz by
Linda Moleski
s (l to r ) - 30 year MFVA
recognition presented to Kris
Williams by Linda Moleski
Not pictured: Aaron.Scheinker
cont. see “SUMMER” on page 24
The Michigan OpTOMeTrisT 21
s
Dr. Kehoe,
AOA President
addresses the
MOA members
at the Business
Meeting.
s
s Teresa Seim, O.D. -
Distinquished Service Award

27TH ANNUAL
MOAPAC OPEN
Timber Ridge Golf Club
East Lansing, Michigan
s Dr. Mark Davis organizes the group
s Golf Committee co-chair,
Dr. Greg Ford with Dr. Dave Durkee
s 1st place team – (l to r) Jordan Kuipers (student), Drs. Phil Walling and Paul Hodge
s 2nd place team – Drs. Tom Cunningham, Kyle Booher, Matt Maki
s Putting contest winner –
Jordan Kuipers (student)
s Warming up on the putting green
s Most FUN team – Drs. Mitch Dobrzelewski and Jeffrey Koetz, with Alyssa
Jackson (student) and Becky Motz, (student)
s Drs. Rick Snow and
John Nametz
s Closest to the pin, Marlene Darin
with Dr. Greg Ford
s
Drs. Phil Walling and
Cheri Vincent-Reimer
22 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 23

SUMMER cont. from page 21
ANNUAL MEETING HIGHLIGHTS
24 JULY - aUgUsT 2008
The MacuScope
Helping you fight the leading
cause of blindness in the world.
The FIRST commercially available instrument that accurately measures
macular pigment, and assesses your patients
risk of developing AMD, decades
before symptoms begin.
• Proven standard method
for measuring MPPD
• Validated by researchers worldwide
• Non-invasive, painless,
safe and effective.
For pricing information or an in-office demonstration
please contact us at:
800-404-4170
www.MacuScope.com
info@MacuScope.com

COMMISSION ON PARAOPTOMETRIC
CERTIFICATION
ARE YOU READY TO
BECOME CERTIFIED OR
READY FOR THE NEXT LEVEL?
Have you been looking into AOA Paraoptometric
Certification or looking forward
to the next level but not sure where to
sit for the examination? Look no more.
The Michigan Paraoptometric Association
will be hosting the CPO, CPOA and
CPOT written examinations at the MOA
Contact Lens and Primary Care Seminar.
WHEN:October 16, 2008 (Sign up deadline
is Sept 5, 2008)
WHERE:Lansing Center
333 E. Michigan Ave, Lansing, MI 48833
WHAT: CPO-CPOA-CPOT Certification
Examinations
Download an examination application
and candidate handbook from the AOA
website! http://www.aoa.org. Or contact
the CPC office at 800-365-2219 ext 4210
Some study materials are available from
The AOA Paraoptometric Section - PS@
aoa.org or call 800-365-2219 ext. 4222.
wHAT IS PARAOPTOMETRIC
CERTIFICATION?
This program has been developed by
a respected panel of American Optometric
Association paraoptometrics and
optometrists, created to educate, re-educate,
and continue educating paraoptometrics
as the field of optometric assisting
grows.
Modern optometry demands that
paraoptometrics accept and provide a key
role in the practice. They must receive
continual education and training in order
to fill this role. Paraoptometrics serve
only to enhance the profession of optometry,
as well as the individual practices that
employ them. Education and recognition
26 JULY - aUgUsT 2008
is, and always will be, integral to the success
of all professionals involved.
wHY BECOME A CERTIFIED
PARAOPTOMETRIC?
The AOA Paraoptometric Certification
Program can provide a formal declaration
of education and skill and achievement
in the profession of optometric assisting.
Increasing your knowledge of
optometric assisting will give you the
opportunity to improve your job satisfaction
and your professional relationships
with your doctor, your peers, and
the patients you serve.
By becoming a certified paraoptometric,
you may obtain the ability to become a part
of the clinical team resulting in increased
respect of the optometrist. Additionally,
this program is designed for and achievable
with minimal assistance from the optometrist
and a minimal amount of funds.
wHY SHOULD I EMPLOY A CER-
TIFIED PARAOPTOMETRIC?
The AOA Paraoptometric Certification
Program will instruct your staff to make
the most efficient use of time allowing you
to operate at your highest level. A Certified
Paraoptometric reinforces your professional
image, which can only enhance
patient satisfaction. This may result in
additional referrals to your practice.
A Certified Paraoptometric demonstrates
a commitment to the profession
of optometric assisting, which results in
an increased level of competence.
Paraoptometric Certification Program
is supported by an education from CibaVision,
a Norvartis Company.
AOA Commission
on Paraoptometric
Certification Announces
Computer-Based
Examinations
The AOA Commission on Paraoptometric
Certification (CPC) announces that beginning
in 2009 certification examinations will
be offered via computer at several hundred
sites in the U.S., in addition to the current
paper administration annually conducted
at Optometry’s Meeting®. Computerized
administration offers more flexibility
in scheduling and reduces the need for
travel. The new administration process will
also provide a more controlled and standardized
testing environment and a consistent
testing experience for all candidates.
The examinations will be offered daily
during four, eight-day testing periods.
The first computer-based test administration
will begin Saturday, February 7, 2009
through Saturday, February 14, 2009.
Other test dates will occur in May, August,
and November 2009; the June 2009
test date will be the only paper administration
conducted. Paper administered
examinations will be offered through
December 31, 2008. Once eligibility has
been established, candidates will schedule
their examination directly with the
designated testing center online.
The CPC is committed to the integrity
of its certification programs and the
professional development of optometric
assistants. These changes bring the CPC
closer to its goal to create global recognition
and acceptance of the CPO, CPOA,
and CPOT certifications as the mark of
excellence in optometric assisting.
CIBA Vision has provided grants to
help support the Paraoptometric Certification
program for nearly eight years.
Through its generous support, the CPC
continues to offer the only certification
available to paraoptometrics in the United
States, Canada, and the Armed Forces.
Detailed information will soon
be available; for general information
about the CPC examinations, please
contact dmleuschke@aoa.org.
Julie M. Mahoney
AOA Public Relations
800/365-2219 ext. 4176

FALL cont. from page 19 11:50AM—1:30PM—Lunch
PARAOPTOMETRICS SCHEDULE CONT.
2:40PM—3:40PM — Ocular Anatomy and Pathology Part I — Harper Wildern, O.D.
This course will provide an introduction to basic ocular anatomy and pathology. After
completing this course attendees will have a better understanding how common
ocular conditions affect visual perception from an anatomic view. This course will
also serve as an excellent review for attendees who will be sitting for the AOA certification
test, parts “CPOA and CPOT”. Sponsor: Michigan Optometric Association
3:40PM—4:10PM—Break
4:10PM—5:10PM —Ocular Anatomy and Pathology Part II— Harper Wildern, O.D.
wEDNESDAY, OCTOBER 15, 2008
8:30AM—11:30AM—Workshop A—CPR/First Aid —Dan Sowles, EMT
8:30AM—10:30AM—Workshop B—Basic Optics (Beginning Dispensing) —
ABO approved—James Brady, ABOM
This is a three part course 1) Light – this will cover industry terminology along with
the basics just what light is and how it travels. 2) Lenses – this will break down
the basic components of prism and the affect light has as it passes through a lens.
3) Frames and Fit – frame materials along with various mountings will be covered.
10:50AM—11:50AM—Workshop C—How to Check in Jobs —ABO approved—
James Brady, ABOM
This workshop is designed to teach the correct method of verifying an order that has
arrived from the laboratory. The workshop begins with a comprehensive explanation
of industry terminology that relates to frame dimensions, lensometry, physiological
measurement, frame parts and other tools that would typically be used in conjunction
with the verification of an order.Sponsor: Enterprise Optical, Inc.
2:40PM—4:40PM—Workshop B (Con’t)—Advanced Dispensing—ABO approved
- James Brady, ABOM
This workshop will cover adjustments from A-Z including rimless mounts, use of
panto, retro, proper temple alignment ad yes, the more difficult adjustments a dispenser
runs into.
THURSDAY, OCTOBER 16, 2008
7:00 AM—8:30AM—Registration
8:30AM—9:30AM—The Truth About Optical Myths, Half-Truths and Falsehoods—Ed
De Gennaro, M.Ed, ABOM
This is an interesting an informative session that looks at a variety of optical situations
that are commonly misunderstood. Have you ever wondered WHY you have to turn
a bifocal around to get the proper add power? Did you know that with most of today’s
frames you can’t measure the effective diameter of the frame with a ruler? If you’re
using the target of the lensometer to focus the eyepiece, you’re doing it wrong! These
and other interesting and useful topics will expose the truth about some of the most
misunderstood issues in the profession. ABO approved. Sponsor: Essilor of America
9:40AM—10:40AM —The Truth About Optical Myths, Half-Truths and Falsehoods
Part II—Ed De Gennaro, M.Ed, ABOM
10:50AM—11:50 AM —Understanding Optical Patient Expectations
Ed De Gennaro, M.Ed, ABOM
Are you interested in satisfying every patient that enters your office for services? If so,
the most important thing you need to focus upon is the patient’s expectations. Knowing
in advance what their expectations are gives you the insights you need to meet or exceed
them...and that’s a formula for success. You don’t need to be clairvoyant or have a crystal
ball; this seminar will show you how. ABO approved. Sponsor: Essilor of America
1:30PM —2:30PM —Custom Soft Contact
Lenses: Answering the Need for Challenging
Patients —Mike Johnson, FCLSA
This lecture will provide the attendee a
detailed understanding of how custom
manufactured soft contact lenses can
aid challenging patients. Attendees will
learn what design types are available,
who the best candidates for each design
are, who in the industry is manufacturing
them, the types of materials available
and how they are manufactured. Paras
will gain the knowledge to recognize the
availability of custom soft lens options
available for patients with a wide range
corneal curvature and spectacle corrections.
NCLE approved. Sponsor: Art
Optical Contact Lens, Inc.
2:40PM—3:40PM —”Solving the Insurance
Billing Puzzle”
Linda R. Hood, ABOC
Do you want to know and understand
the part you play in the billing insurance
puzzle? This course will explain
how every staff person in the office affects
reimbursement from the insurance companies.
It’s not only the billing office responsibility
to get reimbursed by the insurance
company, first time, every time,
it’s the responsibility of the appointment
desk, front desk registration, technicians
and opticians, and optometrists that are a
piece of the puzzle. Learn how your position
in the office is a vital piece of the
puzzle and how you contribute to getting
the claims paid. Valuable tips will be given
on billing, dealing with patients and
their insurance and getting timely, proper
reimbursement from the insurance companies.
Upcoming changes, HIIPA, compliance
and documentation also will be
discussed. Sponsor: Megabytes
3:40PM—3:55PM—Break
4:00PM—5:00PM —“Solving the Insurance
Billing Puzzle Part II ”
Linda R. Hood, ABOC
THURSDAY,
OCTOBER 16, 2008
AOA Certification-Workshop
1:00PM—5:00PM—All three levels of
the AOA certification written exams will
be offered. Applicants must go to www.
aoa.org website for additional details and
application forms. Deadline for applying
for the exams is September 5, 2008.
AOA NEwS
NEw 2008 MEDI-
CARE PHYSICIAN FEE
SCHEDULE PAYMENT
RATES EFFECTIVE FOR
DATES OF SERVICE
JULY 1, 2008 THROUGH
DECEMBER 30, 2008
The Medicare Improvements for Patients
and Providers Act of 2008 was enacted
on July 15, 2008. As a result, the
mid-year 2008 Medicare Physician Fee
Schedule (MPFS) rate of -10.6 percent
has been replaced with a 0.5 percent update,
retroactive to July 1, 2008.
Physicians, non-physician practitioners
and other providers of services paid
under the MPFS should begin to receive
payment at the 0.5 % update rates in approximately
10 business days, or less.
Medicare contractors are currently working
to update their payment system with
the new rates.
In the meantime, to avoid a disruption
to the payment of claims for physicians,
non-physician practitioners and
other providers of services paid under
the MPFS, Medicare contractors will
continue to process the claims that have
been on hold on a rolling basis (first in/
first out) for payment at the -10.6% update
level. After your local contractor
begins to pay claims at the new 0.5%
rate, to the extent possible, the contractor
will begin to automatically reprocess
any claims paid at the lower rates.
Under the Medicare statute, Medicare
pays the lower of submitted charges or the
Medicare fee schedule amount. Claims
with dates of service July 1 and later
billed with a submitted charge at least at
the level of the January 1 – June 30, 2008,
fee schedule amount will be automatically
reprocessed. Any lesser amount will
require providers to contact their local
contractor for direction on obtaining adjustments.
Non-participating physicians
who submitted unassigned claims at the
reduced nonparticipation amount also
will need to request an adjustment.
Contractor websites are being updat-
ed with the new rates and these should
be available shortly.
Be aware that any published MLN Matters
articles affected by the new law will be
revised or rescinded as appropriate.
Finally, be on the alert for more information
about other legislative provisions
which may affect you.
Further instructions regarding other
provisions of MIPPA will be forthcoming.
2008 OPTOMETRIC
RECOGNITION AwARD
QUALIFIERS
The Initial Award is given to doctors
of optometry who have completed
150 hours of approved continuing
education in their field over a period
of three consecutive years. Out of the
2,184 participants enrolled in the program,
1,755 have earned the Initial
Optometric Recognition Award since
its beginning in 1980.
The Continuing Award is given to doctors
of optometry who have completed 50 credit
hours of continuing education in their field
over a one year period and, in addition,
have previously received the Initial Optometric
Recognition Award.
Congratulations to our Michigan winners!
Continuing Award Recipients
Dr. Robert S. Buckingham
Dr. Richard J. Hackman
Dr. Paul Anton Hodge
Dr. Bob Kocembo
Dr. Robert Reed
Dr. James S. Smith
Dr. David M. Tykock
2007 PQRI FEEDBACk
REPORTS AVAILABLE
The Centers for Medicare & Medicaid
Services (CMS) has announced that
2007 PQRI Final Feedback Reports are
available on a secure website.
The first step is to register for access
through a CMS security system known
as the Individuals Authorized Access to
CMS Computer Services (IACS). Do not
register if you did not report PQRI quality
measures in 2007.
There are two categories of user
types in IACS: individual practitioner
and organization. The CMS approval
process differs depending on the type of
user you are; therefore, it is important to
register correctly.
Follow these instructions if you are
a professional paid by Medicare directly
(you have not reassigned Medicare
payments to a group practice):
If you do not have employees, the CMS
approval process requires you to register
as an individual practitioner and access
the PQRI 2007 feedback report personally.
Some solo professionals have incorrectly
registered in IACS as organizations,
and have had to reregister as individual
practitioners. If you have employees and
therefore are an organization for tax purposes,
you may select one of 2 options:
Option 1: Register in IACS as an organization
if you will use one or more
employees to access IACS and/or your
PQRI feedback reports, OR
Option 2: Register in IACS through the
Individual Practitioner role if you will access
the PQRI report personally.
If you are a professional who has reassigned
Medicare payments to a group
practice: Do NOT register in IACS unless
you are one of the individuals designated
to do so by the group practice.
Group practices will register in IACS as
organizations. Up to 2 individuals will
be able to access the 2007 PQRI feedback
report for each organization that registers
in IACS. One 2007 PQRI feedback
report will be prepared for each taxpayer
identification number (TIN). The group
practice will be responsible for sharing
National Provider Identifier (NPI) level
information with the appropriate professionals
within the group practice.
For more Information: IACS Quick
Reference Guides may be found at http://
www.cms.hhs.gov/IACS/04_Provider_
Community.asp on the CMS website.
Summary information about accessing
the 2007 PQRI feedback reports for those
registering as organizations and individual
practitioners will soon be posted on
http://www.cms.hhs.gov/PQRI on the
CMS web site.
28 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 29

“MILLER” cont. from page 16
a corporation formed under the BCA should be
aware that the corporation is not technically allowed
to provide optometric services through an
employee arrangement. The employed optometrist
may not be in violation of this law and the care
he or she provides may remain a valid and valued
service to the public, but a business corporation
may choose to establish an alternate arrangement
with optometrists in order to be aligned with the
“rationale” of the Court of Appeals decision. Solutions
such as establishing a franchise or independent
contractor relationship may require the
employed optometrist to manage his or her own
benefits or create other inconveniences; however,
such solutions can be structured to support the
professional autonomy of individual optometrists.
Owners of a PSCA practice with wills that
leave the practice to a spouse or other beneficiary
who is not an optometrist should consult with
their lawyer to establish an alternate mechanism
to bequeath the practice, because it would be unlawful
for the non-optometrist to own and operate
the practice.
Finally, because of the Supreme Court’s
decision, there is technically no difference today
than there was two years ago when this all
started. The take-home message is to review your
arrangements and consult with your lawyer to
learn about your situation and options and make
informed decisions. Stay tuned, however, because
the issue has not been settled and may re-appear
in a different form in the courts, or legislatively.
We will continue to monitor this issue and keep
you updated of any changes.
NRHA wANTS TO
SHARE YOUR STORY
This invitation to submit articles on practice/
education efforts in rural offices is extended
to the MOA membership.
See your name in print. Send your stories
about exciting optometric undertakings that are
occuring in the rural areas of Michigan.
Rural Roads is a lay magazine for National Rural
Health Association (NRHA) members, so this
does not have to be referred journal quality. Newsworthy
items of interest are sought.
The NRHA maintains the right to edit all
submitted materials for clarity, consistency and
formatting to meet in-house style guidelines. For
more information or to submit an article, e-mail
editor@NRHArural.org.
RECOGNITION OF THE MICHIGAN
OPTOMETRIC ASSOCIATION
PARTNER PROGRAM SPONSORS
Visionary Sponsor:
Bronze Sponsors:
PLEASE VISIT THE MOA wEBSITE AT www.THEMOA.ORG
FOR PARTNER PROGRAM DETAILS.
MAGAZINE SUBMISSIONS
We invite Michigan Optometric Association members to submit articles
of interest to our readership for publishing in the The Michigan Optometrist.
Articles are subject for review by the editorial committee. To be
eligible for consideration, submitted material must be:
• Provided electronically via e-mail by submission date to the editor,
Cindy A. Schnetzler: cindy@themoa.org
• Accompanied (when applicable) with graphics, charts or graphs
(provided as print quality graphic files in tif, jpg, eps or pdf format).
All articles received by the deadline date for a specific issue will be
reviewed by the editorial committee and considered for that issue or
possibly a later issue.
The Michigan Optometrist Article Deadline
Submission Dates:
Please notify the MOA with submission requests.
September – October ’08: article due by August 31st
November – December ’08: article due by October 20th
Do you have photos of your office, staff, equipment or other optometric
subjects that could be used in future Michigan Optometrist magazines?
Please forward to the MOA. If photos are provided electronically
we need to receive them at 300 dpi. If photos have a photographers
copyright or feature people, please be sure to send us permission for
publishing or a credit line to include.
MICHIGAN OPTOMETRIC ASSOCIATION
grassroots
HONOR ROLL
Recognition
Levels for
Legislative
Participation
Platinum Level 2,000 points
Gold Level 1,000 points
Silver Level 750 points
Bronze Level 250 points
MICHIGAN OPTOMETRIC ASSOCIATION
HONOR ROLL
(PLATINUM)
(2000 OR MORE POINTS)
(GOLD)
(1000 OR MORE POINTS)
(SILVER)
(750 OR MORE POINTS)
(BRONZE)
(250 OR MORE POINTS)
ways to Accumulate Recognition Points:
300 points for personally sponsoring a fund-raising event for a legislator or candidate
250 points for personally working on a campaign (phoning, going door-to-door, etc.)
150 points for serving as a legislative team leader or contact
100 points for attending a fund-raising event
PARTICIPATION REPORTING COUPON
Name
Address
Legislator or Candidate Information:
Name: Type of Activity
Purpose of Event: Date of Event:
Mail or fax completed coupon to: Michigan Optometric Association
530 W. Ionia St., Ste. A, Lansing, MI 48933-1062
Fax: (517) 482-1611
*Form may be reproduced for reporting multiple contributions
Recognition Levels for Legislative Participation:
Alice Bacak
Bruce Buckingham
Richard T. Carrigan
Bruce Christensen
Garry Deo
Gregory D. Dotson
Thomas Doyle
Robert Foote
J. Gregory Ford
Paul France
Lee R. Goodfellow
Robert A. Hohendorf
Robert Huizenga
Matthew J. Maki
Suzanne Maystead
Nancy Peterson-Klein
Heidi Schefferly
Roger R. Seelye
Teresa M. Seim
Brenda Smoke
Mark E. Swan
30 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 31

MICHIGAN OPTOMETRIC ASSOCIATION
power
POLITICAL OPTOMETRISTS wORkING FOR EXCELLENCE IN REPRESENTATION
Recognition
Levels for
Political
Financial
Contributions
ESTEEMED LEVEL $1,500 or more
HONORED LEVEL $1,499 - $1,000
RESPECTED LEVEL $999 - $250
VALUED LEVEL $249 or less
ways to Accumulate Recognition Points:
One (1) Point for every dollar contributed to a legislator or political candidate (directly
or through the Grassroots Optometry (GO!) program)
One (1) Point for every dollar contributed to the Michigan Optometric Association
Political Action Committee (MOAPAC)
POwER PARTICIPATION REPORTING COUPON
Name
Address
Legislator or Candidate Name
Amount of Legislative Contribution $
Date of Contribution
Amount of MOAPAC Contribution $
Date of Contribution
Mail or fax completed coupon to: Michigan Optometric Association
530 W. Ionia St., Ste. A
Lansing, MI 48933-1062
Fax: (517) 482-1611
*Form may be reproduced for reporting multiple contributions
MICHIGAN OPTOMETRIC ASSOCIATION
power
POLITICAL OPTOMETRISTS wORkING FOR EXCELLENCE IN REPRESENTATION
ESTEEMED LEVEL
($1,500 OR MORE)
HONORED LEVEL
($1499-1,000)
RESPECTED LEVEL
($999-$250)
Peter M. Agnone Jr.
Michael Biddle
Kyle R. Booher *
Robert L. Carter *
David S. Cook *
Kiersten Coon*
Thomas G. Cunningham
Mark C. Davis
Mitch Dobrzelewski
Ellen M. Dohr
Gregory D. Dotson
Joseph K. Douglas
VALUED LEVEL
($249-or LESS)
Kevin L. Alexander
Alice Bacak
Robert L. Baker *
Elizabeth Becker
Rodney Bellows
Steve Bierlein
Albert Blaize
Bard Bloom
Scott Bloom
Aimee Bronson
William Buckingham
David M. Burnett
Bricker Buseth
Richard T. Carrigan
Bruce Christensen
Roger R. Seelye *
Mark J. Cook *
Frederick P. Darin*
Howard Dubin
David G. Durkee *
David E. Duryea *
Robert Foote
J. Gregory Ford *
Carol L. Marston-Foucher
Douglas N. Heinze
John P. Hemming
Barbara L. Horn *
T. K. Johnson
Matthew J. Maki *
Suzanne R. Maystead
Ronald J. Meyer *
Donald W. Mitchell *
Robert Molter
Sean G. Connolly *
Robert Deck
Leslie K. Delemeester *
Brian Dolphin
Scott R. Ecenbarger *
Samuel S. Estes
Robert Farrell
Gregory B. Ferman *
James E. Fletcher *
Paul G. France
Chad R. Gallatin *
Paul D. Gammage *
Paul R. Gayeff *
Douglas E. Gillies *
Lee R. Goodfellow
Lorne Gottesman
Martin F. Guinta
Lee H. Halsted *
Dirk Schrotenboer
Teresa M. Seim *
John Nametz
A. Dennis Olmstead *
Henry R. Racki
Andrew D. Roubos*
Heidi L. Schefferly *
James P. Serino *
Kenneth J. Suppes
Mark E. Swan *
Michael G. Wallace *
Philip Walling
Theodore B. Walton
Mark Williams
Terri A. Wolf
Daniel N. Wrubel
Charlene Hamilton
James Harris
William B. Hass
James Hilligan
Paul A. Hodge
Robert A. Hohendorf
Rachel G. Hollenbeck
Patrick J. Holser
William R. Houser
Robert Huizenga
Dennis Johnson
Heidi L. Johnson *
Lorn E. Johnson
Gregory G. Kalkofen *
Michael P. Keating
Christina T. Kennedy *
Jeffrey J. Kenyon *
Laura L. Kenyon *
32 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 33

VALUED LEVEL
($249-or LESS)
Paul W. Kenzie
Chris M. Kramer
Ann Lacroix-Fredal
William D. Lakin
Paul W. Lanczki *
K. Lee Lemon
Barry K. Lesnick *
Jeffrey W. Lozen *
Julie Marvin-Manders *
Fred L. Mathews
Deanna L. Mayo *
Ryan M. Meyer *
Thomas Moleski
Bruce Morgan
Steve D. Morris *
Robert G. Nesom
Lee C. Newton *
Andrea P. Nielsen
David W. Oosting *
Gregory L. Patera *
Edward A. Peters
Nancy Peterson-Klein
B. Jeffrey Pulk *
Lee E. Rigel
Frederick W. Scarpace
Mark H. Schinderle *
John M. Schmitz
Melissa K. Schultz
Robert W. Shick, Jr. *
Robert J. Slezak *
Brenda Smoke
Rick A. Snow
Ralph J. Spagnuolo
Todd E. Staniszewski *
Edward F. Stein *
Robert L. Unser
Michelle T. Valella *
Jeff R. Varanelli *
Cheri Vincent-Riemer
Philip Walling
Michael P. Weisgerber
Michael S. Weishaus
Mark S. White
Richard J. Wlodyga
*Monthly charge card donation
to MOAPAC
CLASSIFIEDS
OPTOMETRIST WANTED
– Bored with your current scene?
Established, full scope optometry
practice seeks an enthusiastic optometrist
to work part-time with
our seasoned, highly trained staff.
Must have a genuine interest in
people and must be a team player.
Beautiful location in Northeast
Michigan. This is an opportunity
like no other. Contact us to find
out what makes us different. Lois
at loishibner@charterinternet.
com or (989) 724-7440.
EMPLOYMENT WANTED –
Michigan licensed, TPA Certified
optometrist seeking employment.
Prefer western or northern Lower
Peninsula. (734) 578-6149 or jrswanson@mail.com.
OPTOMETRIST WANTED –
Looking for some extra cash? Established
Grosse Pointe practice
needs Saturday coverage 8 AM
– 2 PM. Email Michael Lowe,
O.D. at villageoptical@voyager.
net or call (313) 529-6573
PRACTICE WANTED: Optometrist
seeking to buy established
practice in Southeast Michigan
area. Any interest, please email:
optom3@yahoo.com
FOR SALE - Established Grand
Rapids practice and equipment
with or without building. Excellent
second location or primary
with growth potential. Contact
P.O. Box 2024, c/o MOA, 530
W. Ionia St., Ste. A, Lansing, MI
48933 or carrie@themoa.org.
FOR SALE – Closed office with
ADVERTISER’S INDEX
GENZYME INSIDE COVER
HUMANwARE PAGE 27
HARBOR OPTICAL PAGE 34
state of the art equipment. Reasonably
priced. Please call (989)
799-5955
MICHIGAN / INDIANA - Wal-
Mart and Sam’s Club independent
lease opportunities for O.D.s in
MI: Houghton Lakes - Lansing
- Bad Axe - Charlotte - Escanaba
- Sandusky - Tawas City and in
IN: Huntington - Fort Wayne -
Kendallville - Osceola. Excellent
equipment and staff provided. For
more information please contact
Kim Vo, O.D. at (479) 426-3979
or k0vo@wal-mart.com .
CONSULTING SERVICES IN
MICHIGAN – Increase your revenue
(optometric and/or ophthalmology)
from within your office.
Experienced, professional marketing
and practice development.
For more information and a free
brochure please call: Optometric
Practice Development Co. at
(248) 423-0731 or email dborsand@sbcglobal.net
.
OPTOMETRIST WANTED
– Large optometric office seeking
an associate to become partners
in practice. Our office features all
sub-specialties in optometry. If interested
please send your resume
to suburbaneyecare@yahoo.com.
BUYING OR SELLING A PRAC-
TICE? - Allow an attorney experienced
in the sale and acquisition of
optometric practices to assist you.
Tax, estate planning, collection
work and other legal services also
available. Services offered statewide.
Contact Norman L. Sandles,
Attorney at (248) 540-2741.
LANE & REED PAGE 35
SIGNET ARMORLITE PAGE 39
ARTOPTICAL BACk COVER
34 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 35

MICHIGAN OPTOMETRIC
2008-2010
ASSOCIATION
CALENDAR OF EVENTS
Board of Directors
Meetings
September 17 – 9:00 a.m. Big Rapids
November 5 – 12 noon U-Club,
Lansing
Special Events
September 16, 2008
MOA-MCO Student Night
Holiday Inn, Big Rapids
November 15, 2008
MOA Leadership Retreat
Zehnders Hotel, Frankenmuth
May 28-30, 2009
Summer Special Olympic Games
January 21, 2009
Legislative Reception
Radisson Hotel, Lansing
June 11, 2009
MOAPAC Open
Timber Ridge Golf Course, East Lansing
Educationals
October 15-16, 2008
Fall Educational Seminar
Lansing Center, Lansing
January 21- 22, 2009
Winter Educational Seminar
Lansing Center, Lansing
2008 Local Society
Meetings and News:
(information at the MOA
Web site at www.themoa.org)
DISTRICT 1
President – Jeffrey J. Fitzmaurice, O.D.
DISTRICT 2
Co-Presidents – Rachel Hollenbeck,
O.D., and Annessa Allison, O.D.
September 16 - Dr. Michael Boyle, Oculo-plastic
and Reconstructive Surgeon
will be speaking on AN Overview of
Common and Important Diseases of the
Eyelid, Lacrimal System and Orbit
Contact thewmoa@gmail.com if you
would like more information.
DISTRICT 3
Co-Presidents – Julie McMullen, O.D.,
Matthew Johnson, O.D.
DISTRICT 4
Co-Vice Presidents – Joseph K. Douglas,
O.D., Karen J. Douglas, O.D.
DISTRICT 5
President – J. Alan Mannik, O.D.
Sept. 1
Nov. 3
Local meetings are typically scheduled
the first Monday of every other month
excluding June, July and August.
DISTRICT 6
President – Shelly D. Baker, O.D.
No special event schedule until fall.
DISTRICT 7
President - Jana M. Fisher, O.D.
DISTRICT 8
President – Jennifer A. Lintz, O.D.
Sept. 25
Nov. 18
Jan. 27, 2009
March 19, 2009
Sept. 17, 2009
Nov. 17,2009
Conventions/Meetings
September 5-6, 2008
AOA State Legislative Conference
Indianapolis, IN
June 22-24, 2009
AOA Congressional Advocacy Conference
Washington DC
June 24-28, 2009
Optometry’s Meeting
AOA Congress, Washington DC
July 16-19, 2009
113 th MOA Annual Meeting
Boyne Mt Grand Lodge, Boyne Falls, MI
June 16-20, 2010
AOA Congressional Advocacy Conference
Orlando, FL
Advisory Council
(Past Presdents)
November 5, 2008
9:00 a.m. U-Club, Lansing
AOA
House of Delegates
2008 - Seattle, wA
s Michigan Delegates – (left to right) Drs. Roger Seelye, chair, MOA Legislative Committee, Fred Darin,
chair, State Board of Optometry, Teresa Seim, MOA immediate past-president, Barbara Horn, MOA
president elect, Gregory Dotson, MOA vice president, Mark Swan, MOA president, Matthew Maki, MOA
Trustee, and David Durkee, MOA past-president.
Seattle scene…Mt. Rainer…
2008 Optometry’s Meeting June 25-29, 2008 in Seattle, WA was bittersweet
for Michigan this year. We bid farewell to Kevin Alexander, O.D., Ph.D., as
AOA president and wished him the best of luck as he departs his role as Dean
of the Michigan College of Optometry to assume the reigns as President of the
Southern California College of Optometry. Thank you Dr. Alexander and welcome
Dr. Peter H. Kehoe, president of AOA!
36 JULY - aUgUsT 2008 The Michigan OpTOMeTrisT 37

s Dr. Gregory Dotson – MOA vice president
carried the Michigan flag into the
AOA Congress House of Delegates.
s (left to right) Dr. Mark Swan, president
MOA, presented a farewell plaque to Dean
Kevin Alexander at the Michigan Reception
on Thurs., June 26th in Seattle.
38 JULY - aUgUsT 2008
s (l to r) Dr. Mark Swan read the AOA resolution to honor Dr. Alexanders’ year as
President of the American Optometric Association.
s Dr. Swan surprised Dr. Alexander with gifts from his Michigan friends and wished
him great success with his new career as Dean of the Southern California College of
Optometry.