Friday, May 9, 2014

A521.7.4.RB- Knowledge Sharing Story



“Explanations can come to represent lenses through which we view the world” (Denning, 2011, p. 191) From 2010 until 2013, exactly three years to the day, I worked at an Optometry office. While there were leadership flaws that attempted to mar my experience, I came to adore the patients and the subject matter of eyes. One of the many interesting things about working in a medical office is you see the whole human spectrum: shy people, young people, mean people, elderly people etc. Some of the more interesting were the brave people who would say to me, do you wear glasses? To which I would reply, no. Then they would implore, well, do you wear contacts? Unceremoniously I would gently shake my head no. Then my favorite question would be, so why do you work here? At first this question made me feel like an imposter. I understood the underlying question, if you have never experienced wearing glasses, how could you possibly know anything about them?

I was looking for a job and I had an unusual amount of friends all working at the same place. They asked me if I wanted a job and naturally I was hesitant for the reason of not knowing anything about glasses. It was a trainable position, in fact it was preferred that you needed to be trained. They shared their knowledge with me. Suddenly this world of vision and eye health opened up to me filled with concepts I never imagined before. There was so much more than just wearing glasses. Post operative surgery care, cataracts, macular degeneration, glaucoma, lasik surgery, eye problems, refractions, dilations and the list just continues. Of course, vision correction was the most obvious reason patients ended up patients. The term glasses, as a concept, was just the tip of the iceberg. There are so many types of frame materials, face shape matters, nose pads or none, single vision, bifocal, trifocal, progressive lens, lens coatings, anti-glare and of course care and repair. Part of my job was to do phone triage for the office. When patients called, I would obtain the information pertaining to their issues based on questions I would ask to determine how emergent the situation was and to give knowledge and instruction depending on what I heard. Not long after taking the position I found myself a walking eye encyclopedia.

Something I found myself passionate about was sharing the knowledge I had so that I could improve the lives of the patients. I realized the patients were the people in my community; a very large portion of the community, actually. Some were so blind they could truly wreck their car and kill someone. Some yearned to see the faces of their families. Not being able to see well is something that can make life very difficult and many depend on their glasses as a tool to allow them to do anything from basic functions to more complicated processes. Many people told me that if they could not see, they could not do their job.

It was astounding to me how little people knew about the things they wore on their faces everyday, all day and have been doing so for possibly decades. Although I did not specifically train in optical, I acquired the knowledge to share and took opportunities with each patient whether asked a specific question, during small talk or during checkout to improve their glasses experience. I had many adorable patients and I would like to tell them a quick rundown about things you may not realize about your glasses, how to care and how to repair. They were genuinely pleased with how much I cared about their vision and that I was giving them information to improve their lives.

In our office, it was our goal to provide the best quality products that could simulate as close to the human eye possible. Each year vast improvements are being made, however the intricacies of the eye are fully able to be captured. For instructional purposes, most of the glasses were made with Crizal, a built in coat that varies in levels that reduces glare, improves clean ability and comes with a warranty. (FYI, fun tip, never use superglue to repair your glasses, it voids the warranty. You are welcome, world.)

I knew when patients reached for the cleaning cloths or the cleaning spray, it was a great time to talk about how to clean glasses. I would say to them, I see that you are buying cleaning spray and a cleaning cloth, but do you know the best way to clean your glasses? I bet you would never guess what I am about to tell you. What you do is take dish soap, like Dawn, and warm water and wash your glasses like you are washing the dishes. In fact, you can even wear them right into the shower and use that soap, too. Just do not let the water be too hot because you can craze the lenses, which is many micro fractures in the lens that cannot be removed. The grease cutting agents in the dish soap cuts the natural oils the human face has that is constantly rubbing into your glasses. To dry them, a clean cotton cloth will do the trick. In the office, we use cut up old t-shirts. Make sure to dry the temples well so that your screw holding your lenses into your frame does not rust. The spray is great for when you are out and about and need to quickly take care of a smudge, but with your Crizal coating, a cleaning cloth will be able to take off fingerprints quite easily. Also, don’t forget that you can throw your cleaning cloth into the washer. It gets weighed down with oils, too. Just do not use fabric softener because it will not react with your lenses very well. The washing of both your lenses and cleaning cloths will make random daily cleaning much easier because you are not smearing the dirt and oils back and forth, they are actually removed.

Sharing this knowledge made wearing glasses a little easier for the patients. It is hard to have the best vision possible when you are looking out dirty windows. It also improved health. There are many skin ailments and hygiene is important for care and prevention. Denning states that knowledge sharing occurs countless times every day and during this time period of my life it truly did. The act of knowledge sharing continuously required teaching individuals on a one-on-one basis repetitively through the same explanations, but was worth it knowing they could make these industry standards of care part of their routines. Denning also says that through “the acquisition of this new experience, existing thoughts and beliefs can evolve. This is how we learn, and this is why the transmission of knowledge is largely made up of storytelling.” (Denning, 2011, p. 184) My hope was that patients would eventually pay it forward and possibly teach someone else in their lives. What you teach one person may teach many people. Spreading the knowledge around is much better than spreading the dirt and oils around on glasses lenses.

Reference: Denning, S., (2011). The leader’s guide to storytelling; Mastering the art and discipline of business narrative. San Francisco, CA. Jossey-Bass.

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