Hello. Please apologize to my long absence. Greedy American cable company take away my internets because I cannot make a pay. Now, I have to use computer inside a local librarian. But I am no here to make a cry on you like Belarus man after many vodka and horse fluid cocktails. I here to help. A nice optiboard men suggest on me, "Borysko, tell us how to make a troubled shootings on a progressives." So I will paint some scenarios on you and you can please put them inside you.
Troubled Shootings on a Progressives
1. Patient say, "The floor looks a tilted." This easy to fix. I tell them, "Yes, my stupid boss Sergei put in flooring. It is tilted."
2. Patient can see up close but not far away. Also easy. I say them to stand closer to things they wish to look on.
3. Patient ask why their progressive lens has a line. I tell them, many cheap progressives do not even include a line. Borysko give you 28mm segment for same price as no-line progressive.
Number after 3. Patient bring note from their doctor of optometric. He say seg height incorrect. I call this doctor late at night and talk on him about parlor game I learn in Ukrainian prison. Doctor change mind, seg height is perfect.
5. Patient say it feel like eyes being pulled out to sides. Sergei appear with pliers, he offer to show what eyes being pulled feel like. Patient say problem has gone away.
Ptitsa krovny! My computer time is up. They only give Borysko one hour, and for much of hour I look on naughty pictures of Minsk Goat-Milking Festival. Very nice.
I will make a try to help on you again as soon as impossible. Please again apologize to my poor english. Thank you please.

In Ukraine, optician refract. Many America optician wish to refract. But optician afraid of refract for these excuse:
They say "I can no refract, is against laws." Do not worry. America laws have little punishments. In America, police cannot even rape you without cause. In Ukraine we say man afraid of laws take no moneys breaking laws.
Optician also say "I do not know how to make a refract on a patients." Is okay, Borysko tell you how. That why this post.
Borysko Tell How to Make a Refract

1. Pretend You a Doctor...I tell patient wait in examinations chamber, doctor be coming. I put on doctor coats and pretend mustache I make from hair of my loins.
2. Make a Confidence on Patient...I tell patient "hello I am real doctor with many colleges. You no worry, I will not drug you and touch your venereals."
3. Look in Eye for Disease...I use doctor tool call "slut lamp" and look in eye. If there is pupil eye is good. If no pupil I give a reference to ophthalmologist who live in R.V. down street from me.
Number after three. Pretend Take K Measures...Is no good to take measure because no profit on contract lenses. Pretend measure and tell patient "You can no wear contract lens because your eye no shape like a spherical. Your eye shape like clenched fist of monkey."
5. Put Patient Head on Phoropter...Tell patient make look on your eye chart. Any eye chart okay. I use Serbian pornographics pictures for eye chart.
6. Make a Dial Flip...Start with -7.00 then flip dial to +5.00. Ask "which better this (-7.00) or this (+5.00)." If both no good patient Rx is -2.00 -0.50 x 170.
7. Continue Refract...Flip dials very fast and keep ask which better. When you tired of dial flip you have sphericals Rx.
8. Cylindricals...When you have sphericals is now time for check of cylindricals. Use Andrew Jackson Cross Cylinder. Make red dot and white dot on top. Change axis until patient sight blurry and can no more see. Then pick axis you like. I like 70, is nice!
9. Check Presbyterians...Look at patient. If old like hot vice-premiere woman Sarah Palin, they a +1.00 add. If old like John McCain they a +3.00.
10. Visual Feels Testings...Take cigarette you have been smoking during exam and bring to eye of patient from side. If patient block you before you burn eye, they have a good peripherals.

Now you may see is easy make a refract. A doctor only charge you much wages and look on internet when no patients. Is better you make a refract yourself and take much moneys.
I always say I sorry for being of Ukraine and please apologize to my mistakes of your bad language.