Biswajit Dutta Baruah
@itsbiswajit.bsky.social
Surgeon → Online Mentor | Helping young surgeons avoid burnout & build wealth | Ultra runner | Author | 🏥→💻
Your skills have value.
Even at 2 AM.
Even as a junior.
Even when "learning."
Especially when doing the actual surgery.
Stop funding their comfort with your desperation.
Even at 2 AM.
Even as a junior.
Even when "learning."
Especially when doing the actual surgery.
Stop funding their comfort with your desperation.
October 19, 2025 at 1:02 AM
Your skills have value.
Even at 2 AM.
Even as a junior.
Even when "learning."
Especially when doing the actual surgery.
Stop funding their comfort with your desperation.
Even at 2 AM.
Even as a junior.
Even when "learning."
Especially when doing the actual surgery.
Stop funding their comfort with your desperation.
You deserve fair compensation.
Both can be true.
Before your next "learning opportunity":
Agree on fees. In writing.
Know your worth. State it clearly.
If they deflect? Walk away.
The world isn't fair.
But you don't have to volunteer for exploitation.
Both can be true.
Before your next "learning opportunity":
Agree on fees. In writing.
Know your worth. State it clearly.
If they deflect? Walk away.
The world isn't fair.
But you don't have to volunteer for exploitation.
October 19, 2025 at 1:02 AM
You deserve fair compensation.
Both can be true.
Before your next "learning opportunity":
Agree on fees. In writing.
Know your worth. State it clearly.
If they deflect? Walk away.
The world isn't fair.
But you don't have to volunteer for exploitation.
Both can be true.
Before your next "learning opportunity":
Agree on fees. In writing.
Know your worth. State it clearly.
If they deflect? Walk away.
The world isn't fair.
But you don't have to volunteer for exploitation.
Here's what they won't tell you:
Desperation is their business model.
The more you need the "opportunity," the less they pay.
The more grateful you feel, the more they exploit.
Respect seniority? Absolutely.
Fund their lifestyle while you struggle? Never.
Senior surgeons deserve respect.
Desperation is their business model.
The more you need the "opportunity," the less they pay.
The more grateful you feel, the more they exploit.
Respect seniority? Absolutely.
Fund their lifestyle while you struggle? Never.
Senior surgeons deserve respect.
October 19, 2025 at 1:02 AM
Here's what they won't tell you:
Desperation is their business model.
The more you need the "opportunity," the less they pay.
The more grateful you feel, the more they exploit.
Respect seniority? Absolutely.
Fund their lifestyle while you struggle? Never.
Senior surgeons deserve respect.
Desperation is their business model.
The more you need the "opportunity," the less they pay.
The more grateful you feel, the more they exploit.
Respect seniority? Absolutely.
Fund their lifestyle while you struggle? Never.
Senior surgeons deserve respect.
"But junior, this is how you learn!"
Learn what?
That your hands are worth less than their name?
That 3 hours of surgery pays less than 3 hours of sleep?
Learn what?
That your hands are worth less than their name?
That 3 hours of surgery pays less than 3 hours of sleep?
October 19, 2025 at 1:02 AM
"But junior, this is how you learn!"
Learn what?
That your hands are worth less than their name?
That 3 hours of surgery pays less than 3 hours of sleep?
Learn what?
That your hands are worth less than their name?
That 3 hours of surgery pays less than 3 hours of sleep?
Their negotiation tactics won't save your dignity.
Draw boundaries or stay broke.
The choice was always yours.
Draw boundaries or stay broke.
The choice was always yours.
October 18, 2025 at 1:00 PM
Their negotiation tactics won't save your dignity.
Draw boundaries or stay broke.
The choice was always yours.
Draw boundaries or stay broke.
The choice was always yours.
I stopped haggling.
First negotiation attempt = polite decline.
Second attempt = show them the door.
"But doctor, people will call you greedy!"
They already do.
While counting notes from their designer wallet.
Your surgical precision saved mobility.
First negotiation attempt = polite decline.
Second attempt = show them the door.
"But doctor, people will call you greedy!"
They already do.
While counting notes from their designer wallet.
Your surgical precision saved mobility.
October 18, 2025 at 1:00 PM
I stopped haggling.
First negotiation attempt = polite decline.
Second attempt = show them the door.
"But doctor, people will call you greedy!"
They already do.
While counting notes from their designer wallet.
Your surgical precision saved mobility.
First negotiation attempt = polite decline.
Second attempt = show them the door.
"But doctor, people will call you greedy!"
They already do.
While counting notes from their designer wallet.
Your surgical precision saved mobility.
The Mercedes crowd?
They don't value your service.
They value their savings.
They'll negotiate ₹50,000 off your fees, then spend ₹80,000 on their next vacation.
They don't value your service.
They value their savings.
They'll negotiate ₹50,000 off your fees, then spend ₹80,000 on their next vacation.
October 18, 2025 at 1:00 PM
The Mercedes crowd?
They don't value your service.
They value their savings.
They'll negotiate ₹50,000 off your fees, then spend ₹80,000 on their next vacation.
They don't value your service.
They value their savings.
They'll negotiate ₹50,000 off your fees, then spend ₹80,000 on their next vacation.
Here's what 25 years taught me:
Patients who deserve discounts rarely ask.
Patients who demand discounts rarely deserve them.
The ones who truly struggle say "fees is high" but hesitate to negotiate.
Why?
They value what you're giving them.
Patients who deserve discounts rarely ask.
Patients who demand discounts rarely deserve them.
The ones who truly struggle say "fees is high" but hesitate to negotiate.
Why?
They value what you're giving them.
October 18, 2025 at 1:00 PM
Here's what 25 years taught me:
Patients who deserve discounts rarely ask.
Patients who demand discounts rarely deserve them.
The ones who truly struggle say "fees is high" but hesitate to negotiate.
Why?
They value what you're giving them.
Patients who deserve discounts rarely ask.
Patients who demand discounts rarely deserve them.
The ones who truly struggle say "fees is high" but hesitate to negotiate.
Why?
They value what you're giving them.
iPhone. Luxury watch. Premium car.
But when it's time to pay for surgery that restored his father's walking?
"Doctor, fees is too high. We're simple people."
But when it's time to pay for surgery that restored his father's walking?
"Doctor, fees is too high. We're simple people."
October 18, 2025 at 1:00 PM
iPhone. Luxury watch. Premium car.
But when it's time to pay for surgery that restored his father's walking?
"Doctor, fees is too high. We're simple people."
But when it's time to pay for surgery that restored his father's walking?
"Doctor, fees is too high. We're simple people."
Because quitting means losing 3 months of unpaid work.
This is how hospitals exploit young surgeons.
Not with low salaries.
With delayed payments disguised as policy.
You work.
They profit.
You wait.
This is how hospitals exploit young surgeons.
Not with low salaries.
With delayed payments disguised as policy.
You work.
They profit.
You wait.
October 15, 2025 at 1:28 PM
Because quitting means losing 3 months of unpaid work.
This is how hospitals exploit young surgeons.
Not with low salaries.
With delayed payments disguised as policy.
You work.
They profit.
You wait.
This is how hospitals exploit young surgeons.
Not with low salaries.
With delayed payments disguised as policy.
You work.
They profit.
You wait.
They call it "security deposit."
I call it interest-free loan extracted from desperate surgeons.
₹18 lakhs of his earnings held hostage.
While hospital earns interest on money he generated.
He can't quit.
Can't complain.
Can't even negotiate.
I call it interest-free loan extracted from desperate surgeons.
₹18 lakhs of his earnings held hostage.
While hospital earns interest on money he generated.
He can't quit.
Can't complain.
Can't even negotiate.
October 15, 2025 at 1:28 PM
They call it "security deposit."
I call it interest-free loan extracted from desperate surgeons.
₹18 lakhs of his earnings held hostage.
While hospital earns interest on money he generated.
He can't quit.
Can't complain.
Can't even negotiate.
I call it interest-free loan extracted from desperate surgeons.
₹18 lakhs of his earnings held hostage.
While hospital earns interest on money he generated.
He can't quit.
Can't complain.
Can't even negotiate.
Month 2: Generated ₹52 lakhs.
Borrowed ₹35,000 from me to pay rent.
He's operating on 15 patients weekly.
Hospital collecting full fees.
He's eating on borrowed money.
Legal? Yes.
Ethical? Laughable.
Common? Everywhere.
Borrowed ₹35,000 from me to pay rent.
He's operating on 15 patients weekly.
Hospital collecting full fees.
He's eating on borrowed money.
Legal? Yes.
Ethical? Laughable.
Common? Everywhere.
October 15, 2025 at 1:28 PM
Month 2: Generated ₹52 lakhs.
Borrowed ₹35,000 from me to pay rent.
He's operating on 15 patients weekly.
Hospital collecting full fees.
He's eating on borrowed money.
Legal? Yes.
Ethical? Laughable.
Common? Everywhere.
Borrowed ₹35,000 from me to pay rent.
He's operating on 15 patients weekly.
Hospital collecting full fees.
He's eating on borrowed money.
Legal? Yes.
Ethical? Laughable.
Common? Everywhere.
They network with industry leaders.
We network with each other's struggles.
They're building empires.
We're building debt.
The conference brochure showed equality.
The reality showed hierarchy.
₹45,000 bought us access to a room.
Bought them access to opportunities.
Same event.
Different worlds.
We network with each other's struggles.
They're building empires.
We're building debt.
The conference brochure showed equality.
The reality showed hierarchy.
₹45,000 bought us access to a room.
Bought them access to opportunities.
Same event.
Different worlds.
October 13, 2025 at 12:27 AM
They network with industry leaders.
We network with each other's struggles.
They're building empires.
We're building debt.
The conference brochure showed equality.
The reality showed hierarchy.
₹45,000 bought us access to a room.
Bought them access to opportunities.
Same event.
Different worlds.
We network with each other's struggles.
They're building empires.
We're building debt.
The conference brochure showed equality.
The reality showed hierarchy.
₹45,000 bought us access to a room.
Bought them access to opportunities.
Same event.
Different worlds.
Conference hall:
Seniors presenting on stage.
Sponsored dinner invitations.
Private manufacturer meetings.
Us in the back row.
Taking notes.
Paying for our own meals.
Same registration fee.
Same certificate.
Completely different conferences.
Seniors presenting on stage.
Sponsored dinner invitations.
Private manufacturer meetings.
Us in the back row.
Taking notes.
Paying for our own meals.
Same registration fee.
Same certificate.
Completely different conferences.
October 13, 2025 at 12:27 AM
Conference hall:
Seniors presenting on stage.
Sponsored dinner invitations.
Private manufacturer meetings.
Us in the back row.
Taking notes.
Paying for our own meals.
Same registration fee.
Same certificate.
Completely different conferences.
Seniors presenting on stage.
Sponsored dinner invitations.
Private manufacturer meetings.
Us in the back row.
Taking notes.
Paying for our own meals.
Same registration fee.
Same certificate.
Completely different conferences.
He sets boundaries.
I break mine to appear dedicated.
No wonder he sleeps peacefully.
While I answer WhatsApp at 2 AM.
The uneducated driver understands value.
The educated surgeon undervalues everything.
Including himself.
I break mine to appear dedicated.
No wonder he sleeps peacefully.
While I answer WhatsApp at 2 AM.
The uneducated driver understands value.
The educated surgeon undervalues everything.
Including himself.
October 12, 2025 at 4:28 AM
He sets boundaries.
I break mine to appear dedicated.
No wonder he sleeps peacefully.
While I answer WhatsApp at 2 AM.
The uneducated driver understands value.
The educated surgeon undervalues everything.
Including himself.
I break mine to appear dedicated.
No wonder he sleeps peacefully.
While I answer WhatsApp at 2 AM.
The uneducated driver understands value.
The educated surgeon undervalues everything.
Including himself.
Last week calculation:
His monthly earnings: ₹65,000.
My effective hourly rate after free consultations and delays: ₹280.
The man with 10th standard knows what medical school never taught:
Time uncompensated is respect lost.
He charges waiting time.
I give waiting time.
His monthly earnings: ₹65,000.
My effective hourly rate after free consultations and delays: ₹280.
The man with 10th standard knows what medical school never taught:
Time uncompensated is respect lost.
He charges waiting time.
I give waiting time.
October 12, 2025 at 4:28 AM
Last week calculation:
His monthly earnings: ₹65,000.
My effective hourly rate after free consultations and delays: ₹280.
The man with 10th standard knows what medical school never taught:
Time uncompensated is respect lost.
He charges waiting time.
I give waiting time.
His monthly earnings: ₹65,000.
My effective hourly rate after free consultations and delays: ₹280.
The man with 10th standard knows what medical school never taught:
Time uncompensated is respect lost.
He charges waiting time.
I give waiting time.
I still haven't after 12 years of medical school.
He values his time.
I'm still proving my worth.
He says no to bad deals.
I say yes to everyone.
He values his time.
I'm still proving my worth.
He says no to bad deals.
I say yes to everyone.
October 12, 2025 at 4:28 AM
I still haven't after 12 years of medical school.
He values his time.
I'm still proving my worth.
He says no to bad deals.
I say yes to everyone.
He values his time.
I'm still proving my worth.
He says no to bad deals.
I say yes to everyone.
They want you obsessed with surgical excellence.
While you're perfecting ligament repairs, financial advisors are selling you garbage policies.
One workshop on equity beats ten workshops on arthroscopy.
For your bank account, at least.
While you're perfecting ligament repairs, financial advisors are selling you garbage policies.
One workshop on equity beats ten workshops on arthroscopy.
For your bank account, at least.
October 11, 2025 at 8:29 AM
They want you obsessed with surgical excellence.
While you're perfecting ligament repairs, financial advisors are selling you garbage policies.
One workshop on equity beats ten workshops on arthroscopy.
For your bank account, at least.
While you're perfecting ligament repairs, financial advisors are selling you garbage policies.
One workshop on equity beats ten workshops on arthroscopy.
For your bank account, at least.
You learn 15 approaches to ACL reconstruction.
Zero approaches to wealth construction.
The surgeon perfecting techniques stays broke.
The surgeon understanding compound interest retires rich.
Your scalpel has income limits.
Your investments don't.
Zero approaches to wealth construction.
The surgeon perfecting techniques stays broke.
The surgeon understanding compound interest retires rich.
Your scalpel has income limits.
Your investments don't.
October 11, 2025 at 8:29 AM
You learn 15 approaches to ACL reconstruction.
Zero approaches to wealth construction.
The surgeon perfecting techniques stays broke.
The surgeon understanding compound interest retires rich.
Your scalpel has income limits.
Your investments don't.
Zero approaches to wealth construction.
The surgeon perfecting techniques stays broke.
The surgeon understanding compound interest retires rich.
Your scalpel has income limits.
Your investments don't.
Five years later:
Surgical skills: marginally better.
Investment portfolio: ₹87 lakhs.
That book made me more money than all those workshops combined.
Medical education teaches precision.
Never teaches prosperity.
Surgical skills: marginally better.
Investment portfolio: ₹87 lakhs.
That book made me more money than all those workshops combined.
Medical education teaches precision.
Never teaches prosperity.
October 11, 2025 at 8:29 AM
Five years later:
Surgical skills: marginally better.
Investment portfolio: ₹87 lakhs.
That book made me more money than all those workshops combined.
Medical education teaches precision.
Never teaches prosperity.
Surgical skills: marginally better.
Investment portfolio: ₹87 lakhs.
That book made me more money than all those workshops combined.
Medical education teaches precision.
Never teaches prosperity.