Doing a case soon after a bad complication on a long surgical list feels like walking out of a bad car crash and starting to drive another car straightaway.... Not easy... But no choice...I try to keep the emotions in a compartment... Which I try to open ONLY after the list
Great piece of advice sir, Cataract surgery has thought me lot of life lessons, from passing sleepless nights on the days of complications, to giving the most satisfying feeling of life, it has made me more patient and humble prepared me to take on life as it comes and always reminds me learning never stops.
Thanks. It's a very important aspect of a eye surgeons career. Faults of all other surgeons are hidden but patient of an ophthalmic surgeon is aware of them the moment he opens his eye. It will be really nice if you advise young surgeons on how to communicate with the patient after a complication ha occurred.
Heart touching video Sir. Very few people think about the psychological aspect of the surgeons...u r one of those rare persons Sir. Loads of respect to you🙏
Excellent 👍. One thing I will like to add...one has to be confident but not over confident during surgery ( like if you don't have experience of managing small pupil then don't operate till you get enough confidence about it) and pay full attention to surgery ( like don't chit chat with assistant or receiving calls) . This will prevent many complications. And once it happen, don't try to manage by your own if it is not your speciality ( like managing nucleus drop by ant segment surgeon without VR back up) , just involve your specialist colleague in management like what you suggested 🙏
Sir this is very valuable advice! No one speaks of the mental strength in a surgeon. They all think that a surgeon should be infallible. I couldn't find many videos on recovering from a surgical complication. This video is great!
I must congratulate you for coming out with this video! Bravo! I wish I would have been born in this era to have been your fellow so that I could have the mental turmoil after a surgical complication! I agree with all the points you have raised,I have followed the same journey being a lone practitioner! There is always a first time for everything! So, don't be afraid to try out new things! Watch the masters do it, again and again, change one step at a time, never shy away from a piece of advice!
Great piece of advice Sir,it breaks a surgeon mentally to not be able to perform something in one patient that he has done innumerable times in others easily.Challenge is to accept and move on.Definitely speaking to colleagues helps.Some surgeons learn slow ,others are quick to gain wisdom.We need to recognise and accept our weakness and strength.
Very very Thank u sir for such golden words. M also gone through such situations. But as all know, show must go on. U r absolutely correct sir that no any surgeon gives 100% results all the time. Complications happens to every surgeon. Its a part of surgery. No one can refuse it. Some time its surgeon 's fault, sometimes situation is bad, sometimes case is complicated. All we need to handle the situation and must continue doing surgeries. No any surgeon intensionally do complications. It happenes. Thanx again sir. 🙏🏻🙏🏻👍🏻 pls keep motivate us by ur videos. 🙏🏻🙏🏻👏🏼👏🏼
Great video. Congratulations Saurabh. I do not think that there is any such video on this important subject . This video will not only motivate eye surgeons but surgeons of other specialities too. There is also absolutely no literature on this subject.As you said in this video we tend to take luggage of our old complications with us, which makes our work and surgery difficult and tiresome. Exercising , playing, meditation and yoga / pranayama can also help to move forward smoothly. Once again congratulations for a great video 🙏
❤❤❤ Excellent video. Priceless. It depends on 1.your wiring. Some are more sensitive. 2.your training. The adept you are in managing it, less stressed you are. 3.your practice make up. Whether you are single practitioner or a group. Your back up. Your need to practice. That is your need to continue doing surgeries to meet the financial demands that come up at the end of the month. All these play a role. If a surgeon says he doesnt have complications, One, He is not operating. He is lying. If your main source of income is not from surgeries and if your EMIs are not demanding and if you have a visiting surgeon a call away. Yes, there is a possibility that you desist operating. Asking a colleague to take over the case, to handle the complication helps even if he is of your level of competence in handling that because thats not his patient, thus more detached, less cluttered in mind in handling the case.
Sir....I feel you are the only one who can understand surgeons stress esp beginners...and iam proud to say ...I learnt many things from your videos sir...last case I had a complication... being a subscriber to this CZcams channel... immediately I felt like sharing with sir...took liberty to leave a gmail to sir...to which sir responded nicely.... really it helped me alot sir...you are my invisible GURU in phacos...thanks for such a wonderful video sir...every video has some knowledge to gain 🙏🏻
Very helpful advice given sir 🙏. Especially for private practice beginners like me , the guilt is more even if we did our best . Plus there is fear the patient will go to another senior surgeon in the same city and he may comment negatively about me . 🙏 Though I never faced anxiety for next case as I knew I had given my best .
That's a really great piece of advice und a honest boost of optimism for those that need it. I really hope, that all young surgeons will watch this and have already forwarded it to my team. Thank you very much
It's really great sir..I'm a fan of all your videos.This is another masterpiece from your heart. Thank you so much sir.I know few surgeons who became Ophthalmic Physician after few complications.Had they seen such wonderful messages long back..they might not have changed. Great sir
Thanks sir.A very few people in the world who explain the bad things of other in positive way and keep the faulty things secret. Young surgeons need a lot of mental nourishments and continuous cheer up by their mentors
Thank you so much Sir! I had a bad day in the Operation Theatre today. I know I didn't do well personally. And I was going through the psychological turmoil, feeling guilty that I wasn't cautious enough. Your video was liberating in many ways. There is so much on the technicalities of complications, but I think not many people talk about overcoming the emotional aspects post complications. Thank you for making this video! 🙂
Thank you sir for such a good video infact all your videos are really different from other they are very practical very helpful for beginners like me and also your video on other non surgical things in private practice starting from OT cleaning and sterilization all are very helpful i watch your all videos repeatedly and also wait for the next video
Most of the times, surgeons doesnt like to discuss their complications, least of all, openly. For they fear that they may be branded incompetent. If you post your complications in a forum, people may believe that this is a norm in your practice. If a particular complication is more frequent or if a step is not going as it should, it is always helpful to discuss it with a close friend, who is knowledgeable and not judgemental. One of the reason for air travel being the safest is regular audit, evaluation and creating SOP in different scenarios. Same cannot be said with surgeons, though in some institutions they have Mortality, morbidity conferences.
Thank you so much sir for your piece of advice and making such kind of video. It requires a lot of mental strength to perform next surgery following complication. Looking forward to such more videos.
1. Call the patient repeatedly. Make sure they know you care and won’t abandon them. 2. Call in another doctor and make sure the follow up with that consultant goes smoothly. 3. Tell patient you too feel very baldly. The awful feeling will abate with time……
Today there is IOL drop may be because of my overconfidence . Felt very guilty, start thinking of future aspects that i can't even recognise pc rent although pupil become small at the end. Or thinking that i m not perfect for surgery. Your video boosted me up. Thanks a lot sir
I'm very grateful 🙏 for you sir best words I heard and you make me more confident because I always feel upset and guilty when it occurs Great thanks for sharing this wonderful experience
I have a request Sir. Could you please consider making a video on how to handle rude bosses and colleagues. These are life skills that sadly many residents hailing from difficult childhood homes never acquire. Many bullying behaviours happen at work from people who treat us poorly for no reason at all. I experienced in ophthalmology resident training. I have no clue why I was treated that way by them.
Bullies prey upon whom they perceive as weak. In some situations like residency, you have to bear with seniors because of exams and stuff. In that case, it is always better to keep reinforcing positive thoughts to yourself. Smile when they are trying to belittle you and they will get confused. Exercise building self esteem. After residency and when dealing with bully colleagues, just remember to make it known to them that you don't like their behaviour. You can do this politely as first and then with more assertion if they continue with that behaviour. All the best.
Sir, many thanks for your advices. All are useful for me. The psychological side of phaco is very important. Especially for young surgeon. My mentor says that the main "battle" with complication is going in the head of the surgeon, not in the patient's eye. I experience an "adrenaline trip" with increasing heart rate and some tremor during intraoperative complications. I'm able to finish the case. My remedy is deep breathing, but it helps not always. Would you please suggest any other measures to calm down? Thanks a lot
Nice video sir. Wonderful platform to share our experiences on complications which may help others. In my final year residency i made pc rent in 4 cases of sics continuously, in one case i pulled out capsular bag. I thought i can no more handle i/a. But i pushed myself assisted my juniors case. I could prolapse the nucleus in to ac in poor mydriasis pt. After 5 successive pc rents 6th case went well. It gave me confidence that i can manage cases. Im carrying that spirit with me all the time. Wishing you all good luck
Nice video 📹👍 sir of important aspect of surgery that everyone 👍 exposed and who overcome because some this complications might destroy the future 😳 of the surgery So how 🤔 to dealing with the problem it's important and how early recovery as soon as possible without many losses 📉😔 Thanks alote doctor
It's stitched . You can get 1m cloth material from online cloth shops and select any funky prints or kids print , pref. Poplin cloth and you could get it stitched
Nice video sir.... important video on mental aspect of eye surgeon and how to handle it...but not talked about it in institutes or in conferences...
💯%👍
Doing a case soon after a bad complication on a long surgical list feels like walking out of a bad car crash and starting to drive another car straightaway.... Not easy... But no choice...I try to keep the emotions in a compartment... Which I try to open ONLY after the list
Great piece of advice sir,
Cataract surgery has thought me lot of life lessons, from passing sleepless nights on the days of complications, to giving the most satisfying feeling of life, it has made me more patient and humble prepared me to take on life as it comes and always reminds me learning never stops.
Thanks. It's a very important aspect of a eye surgeons career. Faults of all other surgeons are hidden but patient of an ophthalmic surgeon is aware of them the moment he opens his eye. It will be really nice if you advise young surgeons on how to communicate with the patient after a complication ha occurred.
Heart touching video Sir. Very few people think about the psychological aspect of the surgeons...u r one of those rare persons Sir. Loads of respect to you🙏
Very true 🙂
Excellent 👍. One thing I will like to add...one has to be confident but not over confident during surgery ( like if you don't have experience of managing small pupil then don't operate till you get enough confidence about it) and pay full attention to surgery ( like don't chit chat with assistant or receiving calls) . This will prevent many complications.
And once it happen, don't try to manage by your own if it is not your speciality ( like managing nucleus drop by ant segment surgeon without VR back up) , just involve your specialist colleague in management like what you suggested 🙏
Nice advice Sir. Thank you for sharing your valuable inputs !!
Thanks amit 😊🙏
Sir this is very valuable advice! No one speaks of the mental strength in a surgeon. They all think that a surgeon should be infallible. I couldn't find many videos on recovering from a surgical complication. This video is great!
Most needed and concerning video which every young surgeron should consider...thanku sir.
I must congratulate you for coming out with this video! Bravo! I wish I would have been born in this era to have been your fellow so that I could have the mental turmoil after a surgical complication! I agree with all the points you have raised,I have followed the same journey being a lone practitioner! There is always a first time for everything! So, don't be afraid to try out new things! Watch the masters do it, again and again, change one step at a time, never shy away from a piece of advice!
Thanks you sir and thanks for sharing your experience 🙏
You read our minds so well. It's great advice.
Great piece of advice Sir,it breaks a surgeon mentally to not be able to perform something in one patient that he has done innumerable times in others easily.Challenge is to accept and move on.Definitely speaking to colleagues helps.Some surgeons learn slow ,others are quick to gain wisdom.We need to recognise and accept our weakness and strength.
I am truly very grateful for this video Sir
You are my favourite teacher on CZcams 🙂
Thank you
You are welcome sir 🙏🏻
Very very Thank u sir for such golden words. M also gone through such situations. But as all know, show must go on. U r absolutely correct sir that no any surgeon gives 100% results all the time. Complications happens to every surgeon. Its a part of surgery. No one can refuse it. Some time its surgeon 's fault, sometimes situation is bad, sometimes case is complicated. All we need to handle the situation and must continue doing surgeries. No any surgeon intensionally do complications. It happenes. Thanx again sir. 🙏🏻🙏🏻👍🏻 pls keep motivate us by ur videos. 🙏🏻🙏🏻👏🏼👏🏼
Great video. Congratulations Saurabh. I do not think that there is any such video on this important subject . This video will not only motivate eye surgeons but surgeons of other specialities too. There is also absolutely no literature on this subject.As you said in this video we tend to take luggage of our old complications with us, which makes our work and surgery difficult and tiresome. Exercising , playing, meditation and yoga / pranayama can also help to move forward smoothly.
Once again congratulations for a great video 🙏
Thank you sir 🙏 your words motivate me.. keep motivating
❤❤❤
Excellent video.
Priceless.
It depends on
1.your wiring.
Some are more sensitive.
2.your training.
The adept you are in managing it, less stressed you are.
3.your practice make up.
Whether you are single practitioner or a group.
Your back up.
Your need to practice.
That is your need to continue doing surgeries to meet the financial demands that come up at the end of the month.
All these play a role.
If a surgeon says he doesnt have complications,
One, He is not operating.
He is lying.
If your main source of income is not from surgeries and if your EMIs are not demanding and if you have a visiting surgeon a call away.
Yes, there is a possibility that you desist operating.
Asking a colleague to take over the case, to handle the complication helps even if he is of your level of competence in handling that because thats not his patient, thus more detached, less cluttered in mind in handling the case.
Well said and very well elaborated 👍
Sir....I feel you are the only one who can understand surgeons stress esp beginners...and iam proud to say ...I learnt many things from your videos sir...last case I had a complication... being a subscriber to this CZcams channel... immediately I felt like sharing with sir...took liberty to leave a gmail to sir...to which sir responded nicely.... really it helped me alot sir...you are my invisible GURU in phacos...thanks for such a wonderful video sir...every video has some knowledge to gain 🙏🏻
Thank you.. we learn from each other 🙏
Great video, all surgeons have same life,it's very important to overcome your guilt and don't carry it for long time.
Very helpful advice given sir 🙏. Especially for private practice beginners like me , the guilt is more even if we did our best . Plus there is fear the patient will go to another senior surgeon in the same city and he may comment negatively about me . 🙏 Though I never faced anxiety for next case as I knew I had given my best .
I just had my 2nd Posterior Capsular Rent in my Phaco 😢I feel awful... thank you for this video... I'm so grateful 🙏 yes that's how I felt why me
watching this video on teachers day..learnt a lot from your videos. happy teachers day sir
Thank you pawan..best wishes
That's a really great piece of advice und a honest boost of optimism for those that need it. I really hope, that all young surgeons will watch this and have already forwarded it to my team. Thank you very much
It's really great sir..I'm a fan of all your videos.This is another masterpiece from your heart. Thank you so much sir.I know few surgeons who became Ophthalmic Physician after few complications.Had they seen such wonderful messages long back..they might not have changed.
Great sir
Thanks sir.A very few people in the world who explain the bad things of other in positive way and keep the faulty things secret. Young surgeons need a lot of mental nourishments and continuous cheer up by their mentors
I just came back to thank you for this video again
🙂🌸
I am truly grateful
Great advice
Every surgeon should know that some complications are inevitable and should know how to recover such hard experience
Thank you
sir so nice of u thanku v much for such a great support hence to push the junior surgeon from depression
Glad to know its useful 🙏
Hello sir...I am young ophthalogist...starting my career depressed many times..when I go wrong with case...thank you so much for the video..
This is the most useful video in my residancy i would say
Please also post a video...how to communicate and handle patients when complications happen.
Great advice sir, it will help many surgeons like me 🙏🏻
Great advice .thank you
Thank you so much Sir!
I had a bad day in the Operation Theatre today. I know I didn't do well personally.
And I was going through the psychological turmoil, feeling guilty that I wasn't cautious enough.
Your video was liberating in many ways.
There is so much on the technicalities of complications, but I think not many people talk about overcoming the emotional aspects post complications.
Thank you for making this video! 🙂
We all experience it ... there are always days when things just dont go right ..but then there are lot of good days just around the corner
Thankyou for openly discussing such an important aspect. of every surgeons life!. esp motivates young and upcoming surgeons:) thank you
Thank you sir for such a good video infact all your videos are really different from other they are very practical very helpful for beginners like me and also your video on other non surgical things in private practice starting from OT cleaning and sterilization all are very helpful i watch your all videos repeatedly and also wait for the next video
Thank you so much for the support
a rarely discussed topic Sir..thank you for taking out your valuable time in explaining this
Most of the times, surgeons doesnt like to discuss their complications, least of all, openly.
For they fear that they may be branded incompetent.
If you post your complications in a forum, people may believe that this is a norm in your practice.
If a particular complication is more frequent or if a step is not going as it should, it is always helpful to discuss it with a close friend, who is knowledgeable and not judgemental.
One of the reason for air travel being the safest is regular audit, evaluation and creating SOP in different scenarios.
Same cannot be said with surgeons, though in some institutions they have Mortality, morbidity conferences.
Sir you are the mentor of new beginners Thank you so much sir....
Great piece of advice sir !! A perfect video we never knew we were missing until we saw it ! 😀
Thank you so much sir for your piece of advice and making such kind of video.
It requires a lot of mental strength to perform next surgery following complication. Looking forward to such more videos.
Great video on mental health of Surgeon. 👌👌
Much needed video Sir. Thank You so much... Looking forward to more such videos 😊
1. Call the patient repeatedly. Make sure they know you care and won’t abandon them. 2. Call in another doctor and make sure the follow up with that consultant goes smoothly. 3. Tell patient you too feel very baldly.
The awful feeling will abate with time……
Nice tips
Great video sir,supportive and encouraging.
Thanks sir for boosting the mental level. Nice advise
Great to hear..keep doing good work
Today there is IOL drop may be because of my overconfidence .
Felt very guilty, start thinking of future aspects that i can't even recognise pc rent although pupil become small at the end.
Or thinking that i m not perfect for surgery.
Your video boosted me up.
Thanks a lot sir
Rare wonderful video. Thank you so much Sir. I suffer tremendously when I make errors. Thank you very much really
In every institute it is said not to have complications. Very few teach to manage it.
A very important aspect covered...
Which noone has discussed
I'm very grateful 🙏 for you sir best words I heard and you make me more confident because I always feel upset and guilty when it occurs
Great thanks for sharing this wonderful experience
gud mental guidelines ... sir... owe u my skills👏👏
Thank you sir
I have a request Sir. Could you please consider making a video on how to handle rude bosses and colleagues. These are life skills that sadly many residents hailing from difficult childhood homes never acquire. Many bullying behaviours happen at work from people who treat us poorly for no reason at all. I experienced in ophthalmology resident training. I have no clue why I was treated that way by them.
Bullies prey upon whom they perceive as weak. In some situations like residency, you have to bear with seniors because of exams and stuff. In that case, it is always better to keep reinforcing positive thoughts to yourself. Smile when they are trying to belittle you and they will get confused. Exercise building self esteem.
After residency and when dealing with bully colleagues, just remember to make it known to them that you don't like their behaviour. You can do this politely as first and then with more assertion if they continue with that behaviour. All the best.
Thanks so much Lonely Stranger. Wonderful words. I’ll use it. Yes politeness is important.
I loved the line “smile” when they belittle you 🙂
Thank you Dr Saurabh....Indeed a great advice...I adore your mentorship...
Thank you sir 🙏 😇
Great advice sir. Thanks for posting this video!!
Thank you sir your advice is very supportive and encouraging and help me to learn how to psychologicaly handle complication.
Very useful points, you elaborate very well sir. 👍
Thank you sir, for the good peice of advice..
Sir, many thanks for your advices. All are useful for me. The psychological side of phaco is very important. Especially for young surgeon. My mentor says that the main "battle" with complication is going in the head of the surgeon, not in the patient's eye.
I experience an "adrenaline trip" with increasing heart rate and some tremor during intraoperative complications. I'm able to finish the case. My remedy is deep breathing, but it helps not always. Would you please suggest any other measures to calm down? Thanks a lot
V nice video... A v v important subject to discuss .
Thank you very much , i needed to listen to this vedeo i can’t thank you enough
Thanks..glad to know you found it useful 👍
Nice video sir. Wonderful platform to share our experiences on complications which may help others. In my final year residency i made pc rent in 4 cases of sics continuously, in one case i pulled out capsular bag. I thought i can no more handle i/a. But i pushed myself assisted my juniors case. I could prolapse the nucleus in to ac in poor mydriasis pt. After 5 successive pc rents 6th case went well. It gave me confidence that i can manage cases. Im carrying that spirit with me all the time. Wishing you all good luck
Thats incredible journey which will motivate us all "It's not about how many times you fall, but how many times you get back up."
Absolutely makes sense... amazing insight
Thank you so much ❤
Nice advice Sir. Thank you so much !!
This video is especially for me😂😂😂thank you sir
Thanku sir ...I just saw ur this video's afte finishing my ot which I had complication
I go through severe anxiety during scurbbing for the next OT after complication. Thank you sir will keep these tips in mind. Hope it will help.
It will definitely help.. best wishes always
Great advice doc. Thank you
Nice video 📹👍 sir of important aspect of surgery that everyone 👍 exposed and who overcome because some this complications might destroy the future 😳 of the surgery
So how 🤔 to dealing with the problem it's important and how early recovery as soon as possible without many losses 📉😔
Thanks alote doctor
Thanks for making this video sir.
I should have listened to this earlier
Good points to keep in mind!
Thank you sir! I needed this .
Thank you so much sir
आयुष्या भराचा मंत्र सांगितला तुम्ही
Great advice 👌🏻
Nice video....truely said
thanku sir for ur advice
Very nice sir
Very nice
Thanks sir
Sir I would to order this kind of cap.. plz tell where it can be bought. You look great in it
I think i got it stitched :-) let me confirm with my wife.. she got it for us
It's stitched . You can get 1m cloth material from online cloth shops and select any funky prints or kids print , pref. Poplin cloth and you could get it stitched
Sir tooo good, much needed advice for everyone 👍
Thank you dr manish
Sir i tried many times. Still not able to make good rehxis.. How to make good one?
czcams.com/video/wOKiWCr98cs/video.html
czcams.com/video/eNUoATxttyc/video.html
Watch this videos and my playlist on ccc ..you will get it