Dr. Alok Tiwari MD

𝗧he "noble service" narrative wasn't written by doctors.

It was written by people who benefit when you feel guilty about charging.

10 years of watching this play out. Same script. Different hospitals.

Think about who wins when you undercharge:

The hospital bills ₹12 lakhs. Pays you ₹1.5 lakhs. Keeps the difference.

The patient saves money. Tells friends you're "reasonable."

Everyone gains. Except you.

And here's what nobody says out loud:

A society that refuses to pay its doctors well doesn't get noble doctors.

It gets charlatans. Desperate ones. Compromised ones.

The very people screaming "healthcare should be free" will be the first to fly abroad when they need real care.

Noble service is real. I believe in it deeply.

But it's mine to give. Not theirs to demand.

When someone else prescribes nobility for you, what they're really saying is: "I want your skills for free."

P.S. When was the last time you apologised for your consultation fee?

4 days ago | [YT] | 10

Dr. Alok Tiwari MD

15 years waiting. For nothing.

Waiting for seniors to refer.
Waiting for the HOD to notice.
Waiting for someone to invite you to present.
Waiting for permission to exist.

I've seen it happen.

Young Doctors joins a group. Talented. Hungry.
Told to "wait your turn."
Turns into years. Turns into resentment. Turns into regret.

The senior who promised mentorship? He's protecting his turf.
The referrals that were supposed to come? They went to his nephew.
The conference slot? Given to someone who asked. Not waited.

Nobody is coming to hand you your career.

Not the department. Not the hospital. Not the senior who smiles at you in the corridor.

Set a deadline.
Wait if you must — but only until a certain date.

2 years maximum. Start looking at 18 months.

If referrals aren't coming, if case count isn't growing, if you're still asking permission for what you should be doing — that's your signal.

Then move.

Change the city if needed.
Leave the department if stuck.
Walk away from the group if they're holding you back.

Drastic? Maybe.

But staying in the rot is worse.

I left my group years ago. Felt like a setback then.
Turned out to be the push I needed.

Progress doesn't always come from patience.
Sometimes it comes from a decision everyone else calls reckless.

Seize the day. Or watch 15 years disappear while you wait for someone else to give you what you should have taken.

P.S. What are you still waiting for that you could just go and get?

6 days ago | [YT] | 8

Dr. Alok Tiwari MD

My favorite quote:
"A human being should be able to change a diaper, plan an invasion, butcher a hog, conn a ship, design a building, write a sonnet, balance accounts, build a wall, set a bone, comfort the dying, take orders, give orders, cooperate, act alone, solve equations, analyze a new problem, pitch manure, program a computer, cook a tasty meal, fight efficiently, die gallantly.
Specialization is for insects."
— Robert A. Heinlein

1 week ago | [YT] | 9

Dr. Alok Tiwari MD

Aisa bhi kya PAGALPAN?

A 24 year old NEET aspirant allegedly injured himself to qualify under the disability quota for MBBS admission. Police say the act may have been planned after repeated exam failures.

This is not just about one student.
It shows the huge pressure young people face to become doctors.

Limited medical seats, repeated attempts, family expectations, and fear of failure can push students to extreme decisions. No exam is worth risking health or life.

• Mental health support for students is very important
• Career guidance beyond MBBS is needed
• Admission systems must be strong and fair
• Students must be helped before they reach a breaking point

It’s time we talk openly about exam pressure and support our students better. 💯

3 weeks ago | [YT] | 6

Dr. Alok Tiwari MD

Big hospitals don't want you to be famous.

​They want patients to love the building, not the doctor.

​The Corporate Strategy:
• Marketing the logo, never your face.
• Keeping patient data for themselves.
• Making you a "replaceable" employee.

​The Goal?
If you leave tomorrow, they want the patient to stay.
To them, you aren't an expert. You are just "Cabin Number 4."

​Don't be a ghost in a corporate machine.
Build your own name. Be the brand.

1 month ago | [YT] | 13

Dr. Alok Tiwari MD

In private practice, there is no institution behind you.
No mentors. No colleagues.
Every decision is on you.

1 month ago | [YT] | 7

Dr. Alok Tiwari MD

There’s a trend in healthcare AI messaging that worries me.

I keep seeing claims like:

“AI improves patient experience.”
“AI reduces defaulters.”
“AI improves outcomes.”
“AI personalizes care.”
“AI transforms engagement.”

These sound great in a pitch deck - but they quietly blur an important truth.

AI does not directly comfort a patient.
It does not build trust.
It does not persuade someone to adhere to treatment.
It does not redesign a care pathway or policy.

Those outcomes still come from clinicians, care teams, operations leaders, and the health system itself.

What AI actually does - and this is still incredibly powerful - is enable the ecosystem:

- identify risk earlier
- classify and structure messy data
- highlight gaps, fraud, leakage, and deterioration
- prioritize interventions
- streamline documentation and admin
- support clinical and operational decision-making
- help providers and payers align more effectively

Put simply:

AI generates signal.
Humans and systems generate outcomes.

So yes - defaults may reduce, engagement may improve, outcomes may strengthen. But that happens because people and processes take better actions, informed by AI-driven insight.

Why does this distinction matter?

Because language drives expectations. And expectations drive trust.
Healthcare cannot afford hype-inflation.

Let’s be precise:

AI doesn’t “improve patient experience.”
AI enables the system to design a better experience.

AI doesn’t “reduce defaults.”
AI identifies who is at risk - so humans can intervene.

AI doesn’t “deliver care.”
AI supports the people who do.

When we describe AI honestly - as an enabler, facilitator, and intelligence layer - we respect clinicians, protect patients, and retain credibility with regulators, boards, and policy leaders.

Healthcare is human at its core.
AI makes the humans stronger.

1 month ago | [YT] | 2

Dr. Alok Tiwari MD

Medical hierarchy doesn’t reward truth.
It rewards timing.

Say the right thing too early, you’re labelled difficult.
Say it too late, you’re irrelevant.

So most stay silent.
Not because they agree, but because they’re calculating survival.

Power in hospitals is rarely loud.
It’s implied.
It’s procedural.
It’s hidden in “protocol” and “tradition.”

The mistake young doctors make
is thinking competence alone is enough.

1 month ago | [YT] | 6

Dr. Alok Tiwari MD

A single Income is the most dangerous position for a doctor.

Few build choices.

One Skill.
One Career.
One income.

That’s not stability.
That’s dependence.

Doctors with multiple options don’t beg, adjust, or tolerate nonsense.

They walk away.
Money feels safe.
Optionality is power.

Agree or disagree?
What gives you the ability to say no?

1 month ago | [YT] | 8

Dr. Alok Tiwari MD

Talent is common in medicine.
Discipline is rare.

Everyone was brilliant in medical school.
Everyone cracked an exam.
Everyone has “potential.”

Then reality starts.

Early mornings without applause.
Reading when you’re already exhausted.
Cases that don’t go your way.
No instant rewards.

That’s where most Doctors quietly decay.

Discipline isn’t motivation.
It’s obedience to a standard even when no one is watching.

1 month ago | [YT] | 7