YEARS AGO, when I worked at a commercial practice, I was refracting a patient. I was standing to her right and spinning the dials when I looked down and noticed a cockroach sitting on her shoulder. Without a pause, I moved the near point rod down and gently placed my hand on her shoulder, at the same time flicking the roach onto the wall behind her. I completed the exam and the patient didn’t have a clue as to what transpired. — Mark Perry, OD, Vision Health Institute, Orlando, FL
