Abstract
In Reply. —I wish to thank Dr Spizziri for his kind letter and thoughtful comments. His idea that second opinions should be tiered, based on the number of cataract surgeries done per year, might make a second opinion plan more palatable to ophthalmologists and certainly easier to manage. His suggestion would also make it easier to include other procedures in the process. Dr Spizziri's comments concerning a house man are germane. Avoiding this would be a requisite of a successful second opinion plan.
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