How to fix an Ophthalmologist’s “no-op” error

By now, the most common mistake doctors make when they prescribe medications to patients is a “no op” error. 

In this scenario, a doctor uses a different dosage than the patient, and the patient doesn’t know it. 

If the doctor uses the wrong dose, the patient may have an uncomfortable experience. 

A patient is more likely to experience side effects like vision loss, nausea, and even seizures if they don’t know they are getting the wrong medication. 

According to a report published by the U.S. Food and Drug Administration (FDA), about 40 percent of physicians mistakenly prescribe drugs to patients who don’t need them. 

There are many reasons doctors make these mistakes, but for some, they are the result of poor judgement. 

“I have been a physician for more than 30 years and I can’t tell you how many times I have had a patient come in with no medication.

The pharmacist said they couldn’t give them their medication because of the no op,” Dr. Richard T. Lohman, a professor of surgery at the University of Southern California School of Medicine, told ABC News. 

Some doctors are just not as understanding as they should be. 

Dr. Lohns prescription for a medication that he did not know he needed for his wife’s eye condition could have resulted in an unhappy ending for the couple. 

Lohman explained that when he was doing his office visits for his patients, he would ask them, “What does this medication do for you?” 

The woman would say, “It helps me sleep,” but it didn’t make any sense. 

So, Dr. Lohlman went to his local pharmacy, looked up the word “noop,” and came across a generic medication called “L-A-D-O.” 

“L-Dopa is the generic version of L-A (l-theanine), which is a precursor to dopamine, the brain chemical that makes us feel happy,” Dr Lohmen explained. 

He was confused, so he checked the ingredients list, and found that L-DOPA did not contain the amino acid L-tyrosine. 

The patient would need to take L-Tyrosine to get her L-Lysine.

Dr. David R. Lillis, a physician in Seattle, Washington, said that when a patient comes in with a prescription for the L-a-Dopamine, he must first read the ingredients label to make sure they are L-Acetyl L-Theanine.

Lillis said he found this confusing. 

When a patient does not know they have L-acetyl L theanine, the physician should take a blood test to see if there is a problem with the patient’s liver or kidneys. 

However, if the patient has liver disease, they should not take LAcetylethanolamine or any other supplement to get L-lysine and L-glutamine. 

While Lillias prescription did not go through, he did find a prescription that was labeled as a no op medication.

“It wasn’t a ‘no op,’ it was a ‘precursor to dopamine,'” Dr. R.L. Liddle said. 

To learn more about eye disease, Dr Lohlmans family has created a website called L-Vision and Losing Your Eyes. 

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