Sunday, December 3, 2017

In news, CME Programme on Eye Donation, Jointly organized by Eye Bank Society of Rajasthan (EBSR) Kota Chapter and Kota Division Ophthalmology Society (KDOS).

Monday, November 27, 2017

In News- National organ donation day (Nov. 27, 2017) celebration at SuVi Eye Institute, Kota. Thanks to all participants


Sunday, November 12, 2017

Dear All, In this video, we are pleased to share with you 3 cataract cases (intumescent cataract, congenital cataract and dense cataract with IFIS) with IOL implantation using Ultrasert Preloaded IOL Delivery System. Here in the link:

Thanks. Dr Vidushi Sharma and Dr Suresh K Pandey, SuVi Eye Institute, KOTA, RAJ. India

Alcon Ultrasert Preloaded IOL Delivery System in Difficult Cases Dr Sure...

Dear All,

In this video, we are pleased to share with you use of Alcon Ultrasert Preloaded IOL Delivery System in Difficult cataract Cases. Thanks. Dr Vidushi Sharma and Dr Suresh K Pandey, SuVi Eye Institute, KOTA, India

Alcon Ultrasert Preloaded IOL Delivery System in Difficult Cases Dr Sure...

Dear All,

In this video, we are pleased to share with you use of Alcon Ultrasert Preloaded IOL Delivery System in Difficult cataract Cases. Thanks. Dr Vidushi Sharma and Dr Suresh K Pandey, SuVi Eye Institute, KOTA, India

Cataract Surgery without Preoperative Dilating Eye Drop Dr Suresh K Pand...

Pupil Dilatation by Intracameral Injection of Phenylephrine & Lignocaine - Phenocaine ERC

In this video, we share pearls
for achieving pupillary dilatation while performing cataract surgery using
Phenocain (Entod Pharma, ERC, UK). Phenocain is combination of preservative
free phenylephrine and lignocaine hydrochloride. This case of white intumescent
cataract underwent topical phaco with implantation of AcrySof IOL using Alcon
Ultrasert Preloaded system. Zepto nano pulse technology was used to create

Thanks. Dr Vidushi Sharma
and Dr Suresh K Pandey, SuVi Eye Institute, KOTA, India

Saturday, October 21, 2017

Pleased to share an Article published in Dainik Bhaskar about the  possibility of medical tourism in Kota. 
Thanks to all well wishers. Dr Vidushi and  Dr Suresh Pandey, SuVi Eye Institute Kota, india

Sunday, October 8, 2017

Changing Trends of Medical/Ophthalmic Practice: How to Respond to these Changes and How to become the Best Doctor? Dr Vidushi Sharma and Dr Suresh K Pandey, SuVi Eye Institute, KOTA, RAJ., INDIA


Dr. Vidushi
Sharma, MD (AIIMS, New Delhi), FRCS (UK)
Author: Meri Kitab Meri Dost: A Motivational Book for Youth
Director, SuVi Eye
Institute & Lasik Laser Center,
C 13 Talwandi, SuVi Eye
Hospital Road, Kota, Rajasthan, India

Dr. Suresh K Pandey, MS
(PGIMER, Chandigarh), ASF (USA)
Director, SuVi Eye
Institute & Lasik Laser Center,
C 13 Talwandi, SuVi Eye
Hospital Road, Kota, Rajasthan, India
Affiliation: Visiting Surgeon- Intraocular
Implant Unit
Sydney Eye Hospital, Save Sight Institute
University of Sydney, GPO Box 1614, Sydney, NSW,
-Visiting Assistant Professor
John A Moran Eye Center, Department of
Ophthalmology & Visual Sciences
University of Utah, 50 North Medical Drive, Salt
Lake City, Utah-84132, USA

Corresponding Author:
Dr. Vidushi
Sharma, MD (AIIMS, New Delhi), FRCS (UK)
Director, SuVi Eye
Institute & Lasik Laser Center,
C 13 Talwandi, SuVi Eye
Hospital Road, Kota, Rajasthan, India
Phone 9351412449

Ophthalmology Practice is unlike practicing in
other branches of Medicine with its own unique advantages and disadvantages.
The current practice of ophthalmology faces many opportunities and challenges
going forward. There are many forms of Ophthalmic Practice today, including
Solo Practice, Group Practice, Corporate Practice, Institutional Practice and
newer forms of Practice Consolidations and Mergers. There are also newer
challenges (generic drugs, possible price cap on IOLs, Goods and Services Tax,
etc), which have an impact on the way we practice ophthalmology, and it is in
our best interests to stay ahead of the challenges posed by these policy
changes. With decreasing reimbursements, increasing cost of equipments and a
changing economy, it may become increasingly difficult to stay afloat and
In this write-up, the authors offer valuable pearls for the
young ophthalmologist to overcome these challanges—from personal enrichment to
building a practice and dealing with increasing patient loads and the eventual
difficult patient.
successful young ophthalmologist:

A good
doctor needs to be a people’s person at heart. Someone who enjoys interacting
with all sorts of people. He/ she needs to be truly skilled in fine ophthalmic surgery,
as ocular surgery has really evolved to a very high level of precision over the
last few years, and therefore the patient expectations have also risen
dramatically. However, in this competitive and demanding world, both the
science and technique as well as the art are important. And therefore, while it
is quite enough to be a good surgeon and give good results, to excel, one has
to learn good communication skills, strive constantly to give the best surgical
results, as well as the best overall experience to the patients. Last but not
the least, punctuality and keeping up announced
timings in the clinic remain important to spread the message among your
patients that you are available for your patient to deliver the best possible

Learn and
Imbibe these qualities Early on
Young ophthalmologists first and foremost need to
learn and fine tune their surgical skills as best as they can, and the earlier,
the better. At a young age, without the additional responsibilities of family
and children, it is possible to travel to different cities and countries, and
get the best possible training. Good surgical training is the bedrock, that no
one can do without in today’s age. Along with this, young ophthalmologists
should also make it a habit to observe their seniors interacting with patients,
particularly difficult and demanding patients. If you have plans of having your
own practice, then you need to know the basics of financial planning and
administration. Observe the facilities that are provided in good practices, and
the small things that can make a significant difference to the overall patient

3.      Overcoming Challenges for Starting and running a new
ophthalmic practice
By default, even today most young ophthalmologists end
up starting their own practice, though the practice patterns are now changing
rapidly, with more emphasis on group practices, shared facilities etc. When one
starts a new practice, often they realize that the residency training has not
prepared them for this at all. When managing a new ophthalmic practice, the
ophthalmologist needs to go beyond clinical and surgical ophthalmology to truly
satisfy and manage a patient, and beyond patient management to run an
efficient, financially viable growing ophthalmic practice. Someone said that “The
education of the doctor which goes on after he has his degree is the most
important part of his education”. At this stage, we need to keenly and quickly
learn the basics of practice management, in terms of staffing, administration,
providing the right ambience, marketing, communication and patient handling
skills etc. in short, while we need to hone our surgical skills during
training, we must also focus on our soft skills if we want to run a successful

Art of
managing high volume patient workload in ophthalmic practice
If you are fortunate enough to have a high volume
patient workload in your practice, it often becomes a challenge to give enough
time to each patient and fully satisfy them. Here effective communication
skills become very important, where you can give all the necessary and relevant
information in a short time, and utilize your chair time with the patient most
efficiently. However, despite all this, there will be patients and attendants
who need repetitive explanations and guidance, and here the role of
well-trained staff, and particularly counsellors becomes very important. We
must utilize the services of well-trained and groomed
staff and counsellors who can take over the work of explanations and can give
the patients more time, thereby reassuring them and satisfying all their
queries. Depending on the workload and the practice setting, we can delegate
many other tasks to the staff e.g. optometrists who can do more than half the
work, or trained technicians who can perform investigations etc. However, it is
important to keep motivating the staff regularly to provide their best services
to the patients.
At the same time,
have printed brochures for all common diseases and facilities available in your
clinic, that give detailed information to the patients and attendants.
Electronic Medical Record (EMR) Systems can also help in managing high volume
practices, when used efficiently.

unsatisfied patients
This is becoming an increasingly difficult but
necessary art to master. We must take part of the blame for raising the patient
expectations so high, that they have become very difficult to satisfy. A lot of
aggressive advertising, tall claims and high surgical costs have convinced the
patients that eye surgery is a five minute wonder, where nothing can go wrong,
and the patient will get “super-vision”. In this scenario, the first thing is
to have good counselling for all surgical patients. Adequate chair time needs
to be given so that the patient expectations are realistic, and there is no
mismatch between their expectations and what can be delivered.  Despite these efforts, if a patient ends up
dissatisfied with the results, the first thing is to give a patient hearing.
Many irate patients often cool down enough with a felling of having been heard
and understood. Never try to brush aside their complaint, even if they seem
insignificant to you. Patients will seldom create much trouble if the doctor is
respectful and sensitive and hears them out, but with become increasingly
aggressive of they get the impression that the doctor makes them feel inferior
or is too rushed to listen to them.  Also,
it goes without saying that we must do the best that we can to solve the cause
of their dissatisfaction, and be financially considerate while doing so.

Marketing and image building is an
essential part of practices today, and is no longer considered a dirty word in
medicine. However, marketing in medicine bears a greater responsibility to be
ethical and appropriate. We owe it to the dignity of our profession to ensure
that our marketing is not in poor taste. Marketing is not synonymous with
advertising, and aggressive advertising is still controversial among medical
circles. Subtle marketing on the other hand is less expensive, often more
effective and also acceptable. But with the increasing presence of corporate
sector in the medical profession, advertising is here to stay. Marketing in the
medical field can initially be cold call type like newspaper advertisements,
billboards etc., where we make unsolicited contact with a wide audience. For a
new practitioner, this is necessary as he needs to inform the widest possible audience
in his area of practice about his services and expertise. Later, one can
progress to inbound marketing using the internet and social media for potential
customers, giving them a platform to ask queries and know you and your services
before they choose you and in-house advertising, where the services available
ain your practice are prominently displayed in your own premises with clear
information and staff is willing and capable to answer any queries related to
these services. For a young practitioner, it is important to control the
finances in marketing, and after the initial few cold calls, turn to more
focussed marketing and do not try to “outdo” competitors in advertising. It is
also a good idea to organize educational awareness activities and camps at
sites of public gatherings, which is a cheap and effective way to market
yourself. Finally, you must aim for a scenario, where your satisfied patients
become your best marketing tools, because this word of mouth publicity is the
strongest and most convincing to potential customers.

in Medical Society
To grow professionally among peers, one needs to have
good oratorical as well as public relation (PR)/communication skills. Start by
attending the meetings of the medial societies in your area and offer to
organize one or two activities at special occasions, where you can display your
organizational as well as presentation skills. Societies always need young,
dynamic people willing to take on responsibilities, without displaying any ego.
Remember not to get involved in factional politics, and be respectful to all

Secret of
Growing Your Practice
If you can provide good services, the work is bound to
grow. You need to ensure that you deliver not only good surgical results, but
also ensure an overall good experience for your patient. This would mean that
you focus on all services provided in your practice right from the ease of
paring near your practice to the reception, waiting time, comfort in the
waiting hall, adequate facilities for drinking water, toilets, refreshments, if
needed, reading material to keep them busy while waiting, professional
reasonable quick service, cheerful and cooperative staff and an adequate
explanation of fall their queries and concerns. Of course, the satisfaction
provided by the doctor would be the main driver, and you need to develop your
own soft skills and communication skills so that the patients feel reassured on
meeting you, and you can inspire confidence in them. Learn to connect with your
patients and empathize with their concerns. As you grow, try to provide more
services like Retina etc. depending on the financial viability.

and Managing the Team
If you have other ophthalmologists
and optometrists working for you, it is crucial and often difficult to keep
them satisfied and motivated. One crucial factor is opportunities for financial
and/ or professional growth. Also, be accessible to listen to genuine problems
of your staff and give them a patient hearing. Just like your patients, the
staff also wants to feel heard and understood. Do small activities, to foster
the team spirit among all the members, and make them feel valued. At the same
time, also let it be known that you observe everything, and any misdemeanours
will be strictly acted upon.

10.  Work Life Balance
In a busy practice, efficiency is important to ensure
that the patients are seen quickly, and your working time also doesn’t
overstretch. Learn to delegate all except the core work. Develop a good team
and employ good quality staff that can take off some of your burden. Have
enough staff to guide the patients and answer their queries and develop
effective communication skills yourself, so that you can give a quick yet
comprehensive explanation to the patient about his/ her condition.
If your practice is managed efficiently, this will
leave you time for your family. However, the most important factor for
achieving a good work life balance is to firstly recognize its need and
importance. Remember that your work is just one aspect of your life, which cannot
replace the equally or often more important aspects like health and family.
Ambition is an endless race, and therefore work to satisfy yourself and not get
ahead of others.

11.  Take Home message for Young Ophthalmologist
For young ophthalmologists, we would say that running
your own practice is a huge work and responsibility. Think well before you
choose what exactly you want to do,. If you feel you are not cut out to handle
all the responsibility (including clinical, financial, administrative etc.),
choose another option like working in hospital or a shared facility. If you do
choose to have your own practice, the initial few years are very crucial and
remember to focus only on patient satisfaction at this time. Also, remember to
be strong even if there are minor setbacks. Keep the big picture in mind, and
do not fret over small things. In the end, remember that the ultimate aim of
life is to be happy and professional success is just one means of achieving
that along with many other things.

Further Reading: The readers can also view
the video on following link:

Thursday, October 5, 2017

Motivation Mantra for Coaching Students SMART Time Bound Goals to Achieve Success in Examination

Motivation Mantra for Coaching
SMART Time Bound Goals to Achieve
Success in Examination
Dr. Suresh K Pandey, MS
Eye Surgeon &
Kota Division Ophthalmological Society

Studying has never
been known to be pleasant, not even by the most intelligent students and
to be one of the toughest tasks for most of coaching students.
It is not
uncommon for student to feel less than motivated all too often? Sometimes
students can feel really lazy and unmotivated. At
the time of examination many students (with poor preparation) have the urge to engage
in social media, play video games, read comics, watch television, hang out with
friends, clean their room, or do anything that keeps them away from preparing
for exams.
In this article, the author will share some practical
solutions for keeping them motivated and will also share success
for students to become successful in their career or to achieve
their goal.  

Make a Time Table: Time is money,
and as a student you should utilize your time very well. A timetable makes you the
master of your time.
Prepare a time table, stick to it  to complete your syllabus and follow it

Management to Achieve Goal: Super-
time management remain very
important success mantra and coaching students can use this
method when setting up goals: SMART Means: Specific, Measurable, Achievable,
Relevant and Time-bound goals. For coaching students, the Prefix
means, you have to supervise (review) it periodically to
fine-tune it and customize for your success.
S-Specific: As coaching students your goals should
be very specific (for example AIIMS or IIT, etc, Among Top 10/Top 20  Rank) and you should be able to know what you
want to accomplish. At this stage, as a goal set a rank (for example top 10 or
top 20) which you would like to achieve. What is your purpose to achieve such a
rank, it may be that you want to get some branch at some prestigious institute
(for example AIIMS or IIT)  or that it is
prestigious to achieve such a rank or anything that you think will motivate you
enough. Identify requirements and constraints to achieve your goal. The
requirements may be that you will have to study, for example 10 hours a day or
constraints like you have a school to attend and you have to devote 8 hours a
day in the school.
M-Measurable: By knowing what rank you want to
achieve, you would not be able to quantify your goals. From previous years’
papers and statistics be aware of the marks and board percentage required for
you to achieve the desired rank. In every exam you appear from now on, try to
achieve the required marks and if easily achievable set a bit higher target.
A- Attainable: For coaching students, the goals
should be attainable and realistic. If you set goals that are out of your reach
or below your standard performance, they would never help you. It may be the
case that you will have to stretch a bit but that should be realistic. In this
step decide how are you going to achieve the goal, suppose that if you desire
to get among top 10 and your current marks in your exams show that at this
stage you are not at par with it and also you are not ready to put in the
amount of efforts required, then you won’t be able to achieve it. Such unrealistic
goal setting will lead you no where other than disappointment. Instead, be
realistic and truthful to yourself.
R-Relevant: For coaching students, a goal that
supports or is in alignment with other goals would be considered a relevant
goal. For example, your other goal is to become a good musician and a AIIMS rank
holder, but with the constraints you have, you won’t be able to achieve both
the goals, then the set goal is not relevant. Think clearly and decide and
choose one of the goals or decrease the level of one of your goal.
T-Time-bound: For coaching students, achieving a desirable
rank is a long term goal. But to realize your progress, you will have to set
short-term goals. Set your goals daily and prepare a timetable for yourself the
previous day and stick to it. Spending half an hour on this on the previous day
would not be a waste. With this try to analyze did you achieve what you desired
as this would help you to prepare your timetable.

Health is Wealth: Keep Yourself Healthy and
To achieve
success in examination, it is very crucial to remain healthy, happy, and
energetic and stay motivated to achieve your goal.  Paying attention on these tips will be
helpful to keep yourself away from depression and other negative thoughts. As a
doctor, the author would like to suggest few tips to for students to keep
healthy and happy.
-Regular Exercise: Exercise increases blood
circulation to brain and help to increase the memory. Keeping your body
healthy and in shape is important. Walk to your classes, take a class that
involves physical fitness or check out the student facilities your campus
offers for students to utilize.
-Eat Right, Avoid Fast food: Try to follow
some simple principles like: always eat breakfast, never skip meals and snack
regularly to avoid hunger. Balance your meals by ensuring you have the proper
amounts of seasonal fruits, green vegetables, whole grains, dairy and proteins
while leaving sugary and fatty foods by the wayside. Avoid junk food and fast
-Get Sound Sleep: It can be difficult to
ensure you’re getting enough sleep when as a coaching student, you’ve got a
huge load of class work, piled on top of all your other commitments or when
your friends are studying all night. But getting enough (and sound) sleep can
really improve your overall health and wellness. For coaching students, experts
recommend six to seven hours sound sleep. In addition, try to stick to a sleep
schedule so that you can stay well-rested throughout the day. So stay asleep,
turn off the lights and all of your electronic devices (smart phone). Also, try
not to eat or drink caffeinated beverages near bedtime.
-Minimize Caffeine and Sugary Drinks: Foods
that are high in protein and fiber are way better for the coaching students in
the long run since caffeinated and sugary drinks seems like a great choice for
studying until you crash later on.
-Drink Lots of Water: Staying hydrated will
give students more energy throughout the day, reinvigorates your body, stops
you from overeating and aids in concentration. It also helps prevent those
pesky headaches so fill up your water bottle daily. Remember to reuse a
refillable bottle rather than wasting plastic, which is bad for the
-Relax, Relax, Relax:  It’s all too easy to get stressed but
being overly stressed can cause a variety of  health issues including depression that can
lead unfortunately to suicide in extreme situation.  Relaxation after hard work remains one of the
important success mantra for coaching students. Make sure to give yourself
plenty of breaks, maintain a healthy routine on a daily basis and always have
time to do activities that are low-stress like hobbies, going out with friends
and exercising.

Motivate Yourself Everyday Similar to You Brush Your
Teeth Everyday:
Like we take bath every day or
brush our teeth every day, for coaching students it is important to stay
motivated every day to achieve your goal and success in life. You can read a
chapter of motivational book or read famous motivational quote from internet. The
students can also read some of the motivational book specially designed for
competitive examination. These are: The topper prepares, by Saoum Paul, The
secret of my success, by Nithin Jain, Psychology of success in IIT JEE, The
story of Anand Kumar and super 30, It all adds up, the story of V K Bansal and
Bansal classes, by Sachin Jha.

Take A Regular Break: Relax and Reward Yourself
Once you have
completed your study, take a break and relax yourself by a short walk in park,
eat ice cream to reward yourself.
Aspiring students strive hard to excel and stay on the
top by putting in countless hours of studies, which include endless studying and
revision sessions. Their complete engrossment in this race results in marathon
study sessions devoid of any breaks or intermissions. Studies show that a
student who studies for an hour and takes a ten minute break at the end of the
session retains more of what is learned throughout the session, than a student
who continues studying without taking a break. Taking breaks while studying
contributes to better learning in a number of ways, and creates a major impact
on the process of learning.
Things coaching students can do in a break:
Listen to your favorite music;  Read the
newspaper or a book, leaf through a magazine, Take a walk, Talk to someone, Meditate
to relax and to improve your concentration, Engage your mind with a mental
exercise, Indulge in a light snack or drink, Take a power nap, Play your
favorite instrument, etc.

6.      Don’t Fear Failure
& Never Give up:
 For coaching
students, any  competitive exam is an
examination of patience, perseverance and persistence. As student, you really
need to work hard and put your best. At times you might feel defeated and might
want to give up. Instead redefine it as feedback and as a natural part of a
successful life. As world famous basketball player Michael Jordan said: “I’ve
missed more than 9000 shots in my career. I’ve lost almost 300 games;  26 times, I’ve been trusted to take the game
winning shot and missed. I’ve failed over and over and over again in my life.
And that is why I succeed.” Also, try to find the valuable lesson(s) in each of
your failures. As student, ask yourself: What can I learn from this?
7.      Motivational Mantra
for Coaching Student:

but not the least coaching students should stay motivated, energetic  till the examination day to do their best in
the examination- don't get bogged down by study pressure, many students are very
talented, but it is important how you perform on the examination day. As a
coaching student, you have to prepare well for one to 2 years; you must learn
to cope with the pressure/stress of examination. To be successful in
examination, the first and foremost is believing in
yourself. If you believe you can and you’re halfway there. You have to expect
things of yourself before you can do them. It always seems impossible until
it’s done. Don’t let what you cannot do interfere with what you can do.  It
is important to take practice tests periodically and do rehearsal and
recall of study material. This technique helps information to be moved from
short term memory into long term memory storage.
All coaching students should remind themselves
that this 'mental stress' during the exam is momentary. Focus on the good
things to come, after your examinations. This will motivate you to accelerate
your study mode, knowing that better things like fun and enjoyment are yet to

Doctor's TALK at Resonance PreMedical Division Kota by Dr Vidushi Sharma

Motivational Seminar in Resonance, Kota. Was wonderful to interact with these enthusiastic students, and bring a smile to their faces, and also trying to inspire them to live happier, more fuller lives, while studying for success. Thanks to all friends and well-wishers. Dr Vidushi Sharma and Dr Suresh K Pandey, Kota.