India's Broken Medical System: NEET, Doctor Violence & Salaries | Dr. Nachiket | FO513 Raj Shamani

29:13Every little thing, now patients are coming up and beating up the doctor. Every little thing. Do you know how to write a complaint? Can you write all these complaints? We can all do it. There is nothing. Nothing happens. Doctors do it. I'm sure someone will kill someone. They do it. Everything happens. Nothing happens. Why? A government had planned our thing, Doctors Protection Act against violence. And that was that, the act comes from immediately, the person will be immediately action. The first time, it's been coming from 5-7 years. It's not yet. and cases are now increasing that I think doctors are not used to be like that and even when you are not in this situation you can't understand the story I remember what happened to my time I was doing my internship you were posting in emergency emergency is basically triage road traffic accident outside the patient came the patient came and started giving the CPR our senior and he died.

30:18So long ago, he was the attendant in the local language. He was standing up to 30-40 people. And he was going to fight in the way. And I'm telling you, I was scared out of my witch that we will die today. Because here, everyone has studied the scalpel, the future, all have studied. They will kill us. And there is no merit here. There is no merit here. Lawlessness was on a different level. on the merit. We literally all have said run away. We have put our lab in our normal clothes and we run straight and we saw what happened after that. And then they came in and they did a little bit of all right.

30:58Only because the almost dead patient which the senior was trying to save could not be saved. There's a mob mentality at that time. There's no logic, there's no reasoning. Just come and come and come in their hands and they in our college there was security in our college but what do those 40 people merit security what do you do what does the government do nothing police law nothing whatever whatever you start to do you have to take action but you will be fine there are few states where the government bus drivers are who accident even do not kill them because it's not allowed that you can't kill them it's a serious offense if you have if you have a bus driver you will do something you will not kill them you will kill them he will kill them wrong side you can't do anything they are protected you have seen, many people say that the bus people are far away they run anything because they don't do anything so states the bus drivers have more security than a doctor which is great because they have security but doctors have also not them government college in the hospital.

32:37It's easier to get in the government. In Delhi, a person was angry with a pistol. This is the last year or the last year. I'll tell you about 6-8 years ago. He was angry with a resident. He was holding a pistol. He was holding a pistol. And then he went inside and shot the patient. Shot the patient. This is 2 hours a day. Government hospital. Government hospital. In Delhi. And a densely populated area. In a GTP. And after that day. After all this happened. Everything was normal. Everything was normal. Nobody cared. Nobody cared. Something happened. Nothing happened. Nothing happened. He went and went.

33:31The police didn't say anything. Nothing. What do you do then? What are doctors supposed to do? yeah we protest we cry a lot but again no one hears is this the reason doctors America came from India absolutely you are watching stats that the number of doctors who are going abroad are going to be a lot of like the moment they do their studies and they just want to go out there is a stark difference in the salary part if I talk about it. In India, the salary starts in$50 ,000 to$1 ,000. There, the salary starts in$1 ,000. Plus, the work-life balance. Alright, neurosurgeons are the starting salary.

34:17It's$3 ,000 to$4 ,000. Alright, price power parity, then it becomes aided code. Plus, weekends off. If you have done a 24-hour duty, next day off. You have a proper structured program. You are not just left in the wild. You are not just left in the wild. and then you see in second year, when you become senior, you harass your work. The structure program, fixed working hours are your, fixed working hours are your, your pay is good, you have health benefits, our nothing is wrong. There is no incentive for the person to work even a cent more. Why am I feeling my knowledge? I don't get anything, I don't get any pay, I don't get any benefit, why am I doing it?

35:03Secure Derella who killed someone. Look, 75 % doctors have gone through some kind of violence. What I used to say. Yes. Every three doctors out of four doctors. Yes. 75 % in their whole career have gone through some kind of violence. It can be a small scale violence, it can be a large scale violence, but they have gone through some sort of violence. You go to the hospital today, ask them to any big hospital. I'm not talking about private government. There is a whole hospital in a day. It's a big place. There are 19 departments. There is a place where there is a place where there is a place where there is a place.

35:40How much is it taking a hand? When the world knows that anything will happen, it's going to be a fear. This is the stats that are increasing. 20 % of doctors are suicidal. Because people are so stressed. We are going to the 30-35 % of the number of doctors. We are going to the test so many doctors. Overworked. In the first year, I am going to try to help doctors. There are 3-4 messages every day. Sir, I am not doing my HOD. I am not doing my senior. There are many places where the inter-department, the department, who is a junior first-year, has to buy food for the complete department. Where will you get the money?

36:26The money is coming to us, you will pay us all. I don't have money for you. So, you see all these things. People want to rush to US, UK, Australia. And whoever goes, they are very happy. It's a tough exam, no doubt. It's a tough journey. But they are happy. How tough is it? If someone is a doctor, he will do MBBS. Then explain me, what is it if someone goes to India or Australia so basically if you go there you have to clear step 1 USMLE exam that's a licensing and residency exam when you get to the US you get a license in the US but what do you do in India that's a mandatory for everything PG for everything UG UG you have become a doctor so now you have the right to practice in India alright Now you have to go to US and practice, then you have to give an exam called USMLE.

37:25USMLE is a licensing exam. It gives you a license to practice in US. Plus, if you apply it, then you can do your post-graduation residency in US. There are three steps basically. Step 1. Step 1 is you test basic science. It's an MCQ exam. Step 2 is you test clinical knowledge. Again, an MCQ exam. And then Step 3 is clinical skill exam. simulations and again MCQs then you have a exam which is called OET which is an English test exam alright and with this if you have all you have to then you have residency match NREM which is basically you have a seat in a John Hopkins or a college so if you have this then you have to which is again a three year thing there is a good job there.

38:19You get a very good pay from the day one itself. Structured hours are you? Fixed working hours are. If someone doesn't work, you get money. How much will you get a residency? There is a different branch. It's different. It's average that you get in the beginning of 70-80 ,000 ,000. Year. Residency. Then, you have to do this for 3 years then 3 years you do this then when you go out then you can work as a doctor there you can have your own private practice or you can work in a hospital and where 3 years later then how much money can be? 3 years later if you are a person like neurosurgeon it can go up you have done a residency directly in MBBS after 3 years after residency residency is PG post graduation yes so when you go out you are a psychiatrist you are a surgeon you are a neurosurgeon and in that 3 years how much money you need to be you need to be let's say that when you get out then you go inside but before that you get 4 ,000-5 ,000 dollars which is decent which is decent this excludes flights and travel that's an investment type so how much difference but can everyone reach?

39:44No, it's a tough examination. Neat PG is tough or this is tough? This is tough. This is tougher? Neat PG is now going to be a little clinical but Neat PG used like two years, three years back it was a one-liner exam. It was more of microbiology founder who discovered microbiology who was the father of microbiology these type of irrelevant questions were asked. But when you talk about USMLE that you talk about. They test you like a doctor. They give you a scenario. That I will tell you that I will tell you. This is the complication. The complication is not the first thing. It gives you a scenario.

40:23That someone is coming, someone is half, someone is sweating, someone is holding a eye, someone is holding a eye, someone is holding a body, someone is holding a body, now you have everything you see. Now you feel like this patient is this. So tell you, who is going to give you? Alright. Or you can give a scenario. This is basically an amalgamation of different subjects. India is also studied subject-wise in India. Do you know this question of medicine is only medicine? Now the system is changing. We are currently coordinating clinically. But there is a huge gap between need, PGA and USM. So, more people are choosing this, do you think?

41:05It's not so much. But in the study of Indian doctors in America, one out of five doctors are Indians so we have reached so we will be sure we will go from here yes it is you think that every year 10 ,000 people get 10 ,000 kids 10 ,000 people and they want to go there because these conditions are bad in India and what difference is there doctors and other doctors it is not different in doctors only conditions do you think an American doctor is superior than an Indian doctor? Absolutely not. Or Indian doctor in America is superior than Indian doctor here? Yes. Why? Because the same person is there, infrastructure is better.

41:48Alright, even if I tell you today, places like Harvard are like 20 years ahead of us. Why? Infrastructure. The machines that they have. I have students, my students who have gone to US. So a person basically got into international radiology. That's one of the most revered branches. Alright, high tech driven. So I remember 3 years ago, he told me that wherever there are machines, the thinking of India has 10 years. Because there is no infrastructure in our past, apart from some places. Alright, but there is infrastructure common in this area. And some people in India can't afford so much fees, afford so much money.

42:33That's why they go to Russia to study, right? Yes. So, why are you all of a sudden doctors going there? Where did this boom come from? So, foreign medical graduate, they call foreign medical graduate. So, all these people, you know, Russia is going from 1990. It's a whole system running. So, when private colleges were here, they used to charge like 10-15 lakh rupees in that way. Russia would charge like 10-15 lakh rupees. Okay. Huge difference in money. Russia is becoming very easy. It's becoming very easy. It's not the money. money is less than level of education level of education in Russia there are some colleges but there are some colleges not even the biggest problem is there is a language barrier okay patient Russian teacher Russian all right so within 6-8 months you should have to go so that when you study you are getting to understand so all those Indian students will be studying English or studying Russian no the normal teachers are in English they are in Russian Russianized version in the Russianized version.

43:34Okay. And this is now. If I tell you about 5-7 years ago before, they were studying in Russian. China is studying in Chinese. Philippines is studying in Philippines. Alright. Now the people, the Indian contractors and consultants, because India is giving them so much business, they are investing in learning English so that we can learn in English. And this boom came in the past 5-7 years. But before that, every nation was teaching in the native language. But what is the boom? why do you do it? where are you going from India? Russia Philippines Georgia China was closed post-COVID but before China was good Georgia people go Uzbekistan Kazakhstan all the small countries why?

44:19because they have one of them is reduced this is the biggest reason second if I talk about all the countries then all the 3 hours from India Georgia 4-hour flight, 5-hour flight, Uzbekistan, 3-3-4hour flight. Russia is far away. Russia is far away. But Russia has said that the infrastructure is made a lot of time before. And because the relationship is good, the political relationship, there is a lot of support. Sometimes there is no stability in Russia. So, this is a very useful. Second thing is that if you have a doctor, then you have either Indian private college or outside. There is no option behind.

44:57So, people tend to choose FMG when they are not able to afford Indian private medical colleges. So, just cost-free. Just cost-free. That's easy. Easy not. You can study the doctor. The whole world is the same. It's not that I will be different from American books. Medicine's Godfather book is Harrison. So, the whole world is the doctor. Harrison is the doctor. The whole world is the doctor. high-send and what is written is true that's the basically the bible of the whole medical world yes so whether you have FMG or USM or Indian IMG you have to study what is the difference is the difference how you are studying how much of your patient inflow how much of your patient can you see and after that your learning capacity Russia and the problem comes to kids of course when you go out It's a huge cultural shock to you.

45:58You have to do all the work. You don't have to eat. Now, there are many good things developed, but at one time, you didn't get food. You have to just go and adjust to a foreign weather. What is the age that kids go out? 17-18 years. You have to go budget everything, live in a foreign land, harsh weather. Extreme harsh weather. Extreme harsh weather. It's a very tough journey. Then go back. First, take an exam. What happens when you come to India? Like the USMLE, the licensing exam, India has a licensing exam. Which is called FMG entrance examination. Foreign medical graduation entrance. Alright.

46:39So, if you have to apply this exam, then you can apply the license to India. Practice. So, those kids are studying Russia, or China, or Philippines, they have what kind of difference in India? So, first of all, to FMG exam do pass rate of matter 20-25 % why? 70 % fail why? exam is the same thing exam is the same thing that the success rate is not going to be 20-25 % why is it what is it what is the difference the problem is that the colleges open us and

47:31g to pull into the author toiation,

47:48Barack states and states and not in college The common man can sound like she'sIB Admission daw沖 بجلتے ہیں کہ ڈبا کھولے جے ادھر سے authorities نے بالکل اس کو stamp لگا رکھائیں گے کیسے باتا چلے کون تھا ڈبا کھولے جے کون تھا اچھا بارے اب ہم کیا مانتے ہیں کہ وہاں کے کچھ جو admitted بچے ہیں ان سے پہلے بات کرو فیری بھیجو بچوں کو without a word of mouth reference please do not send your kids anywhere otherwise ایک scam باتتو scam کیا چل رہا ہے In a scheme for this reason, and in the Russian college, about 300 children 클�inä revs.abile pilgrims for longer admits holding 500 children. In his της mind, I would get ever 500 of my licence back and get Memorial tribunal.

48:58The school does not have all this 1950borough cannibal for the school. The college corpasses in the Twitter, г cie게요, give a voluntary SBU and if one of them has el Basic Manager alone. Why ?!

49:37come back just How many children do that? If they pass good, then they are good. Okay. If you don't study, then nothing will happen. Fair. But they are good. And how many eligible seats are eligible for that college? If they are a 1.500 college, then you have to have to have a very important job. Otherwise, your degree will get cancelled and you will be sent back immediately. Now, what is the worst thing to these children? When they come back, they work in internship. 90 % of the place, how much they stipend is? Guess, zero. Why? They're asked to be unpaid laborers. Why? Just because FMG is. Today, one year before, NMC, NMC has released a rule, that what is necessary for FMG, that when FMG comes back, they have to work for three years.

50:33Before they can give, they will get the license to basically. Yes. And for three years, they will not be paid anything plumber plumber bho paysa leta jub toilet ticker ne aata hai or ya ha ha ha ha ha ha ha aq sarae pang sara ke course ke baad dispera mbbs1 ke baapis aya unseye ye umeed karriye ki aap tien sara free me kama karoge or ye official notice pe nikal ryeye kiya aap free me kama karoge kiyo bata nii baithe baithe kuch nia khabar ajaatii ki aaj aaj aaj kama kata hai duggal saap ka mohda aisa hai तो आज ये free wig होब करेगे कोई reason तो होगा, कोई logic तो होगा कोई logic नहीं है इन लोग ने protest किया सरकार took back the decision तो मतलब हम ये कह रहें कि bureaucracy यहाँ पहुंच गई है कि आज आज आपने एक rule नकाला बच्चों ने protest किया और आपने वापिस ले लिया I think it was so much thought process.

51:26How can you think you can see three years in free work? One official gives me a question. They give me the kids to pay for the money. Today, my money is paid for me. They put my money, they put me a degree. After that, I was skilled labor. Minimum wage is like this. After that, my money is paid for me or not. You will pay for my money? will you give me work? If I have 8 hours work, you will give me this money? It's simple. You are saying that because my father has paid, I don't have to do this. There is no sense in this. This is happening with my daughter. Today, the country has a need. Every year, 35 ,000 daughters come from the side.

52:09We give them to them. They give them to them. They give them to them. They say that you can work free. Then they say that you can work. When they do this, so 6 months after someone else is released that this is that you have two times why why nobody knows and then they protest they take notice this is the problem that why doctors are feeling shitty in India I'm telling you today there's no more there's no more people with our country is very wrong doctors are the worst treated community in the whole country after all this we still expect them to and when these people are needed the government calls them frontline warriors and when these people come back and go back go back and go back and don't get money if someone asks a doctor to ask a doctor today people are giving guilt today you saw a tweet where someone had put it that I went to a doctor I have 5 minutes for 1000 people.

53:19That's what I have done. That's what I have done. I have to do doctor guilt. Why? He was a doctor. He was 12 years old. He was 12 years old. He was a good location. He was giving rent. He didn't give it. He was a patient. He was a consumer.

53:51grave

53:57is it we areよし On java java I've been studying for 12 years and I'm getting 50 years old. So when did I get a doctor? When did I get a doctor? And this country is just getting hit. It's just getting hit. There's a central institute. I'll call it. A central institute of seniors have released a list for the juniors to follow. It's written on the list that you can see seniors' eyes. can you see? If senior comes in, wish you should know that you should know all seniors. You should know where all seniors are, all right. If senior you should know that you should that you should have written in every message.

54:54You should have released a public list. I mean, where did you get a list? All right. But I can imagine that there will be something happening. Why are you doing that? Above. But the patient is not dangerous. Because a doctor, who is in the government college or hospital, or in his residency, see me, okay? 18, 19, 20 hours he's been working on his work now, you know, 24 hours, 48 hours he's been working on without sleeping, without eating without eating, without eating, without eating in any way, he's been working on his own proper senses in his own 4 people are different from eating then, the public's fear is going to be where he goes security is not sleeping, eating, eating, eating no place, because he's got getting paid for the money so he's got stress so the patient who is doing the work will be a little bit top notch no you have also seen a video a made it video came LLRM college where a video made where the resident slept in that the patient was mis-happed everyone had hurt the resident everyone had people in general public they thought after the doctor slept

56:17he was there for 48 hours and he just got tired and he slept if you watch the video the person who is making the video is just making the video he is making the drama for this he will not take it he will not take it he will not take it he will take it think about how much pressure is

56:40first of all you have to take it and public just to basically blame you for something. Public video not even trying to save the patient. If he's asleep, he'll get out of the way. He'll get out of the way. No, he'll get out of the way. Now, if you go to the video, check it out, he's doing it. It's high time we get fixed working hours for a residence. If it doesn't happen, then their mental stress and mental torture just increased. after 48 hours, 72 hours of duty can't be mentally sin. But this is running back. If he's working for 48 hours, no one will appreciate there is no appreciation from the senior.

57:28Public will not do that and the next day we have to come back to the same mindset. This is my way. I will work this way. We treat them like hell. And it's so tough. It is tough. And you do something. In every business, in every profession, in every field, you judge how many winners and losers are. This profession is only losers. I'm sure the majority of doctors, in fact, I think almost all doctors, who are the patient's good, the number of people will lose. The number of people who are the bad, If you don't have to save in the emergency, or something happens, it will be a very minimal number. The amount of money will help you, it will be a big number.

58:17But, the amount of money is paid for a single digit percentage. No appreciation for 95 % of people. That's why they are taking money. Consumers mindset come here. 5 % is paid. Why is this not a treatment? People are looking for guaranteed schemes now.

59:04すばらぎ érm ix phukind kai dousu boi nd jan papand jan rap a England武aniu ng Arena sa nume moment moment

59:07doctor said this test. What does he say? Doctor is having a commission. This is a protocol. With every sign symptom, a series of tests. All right. This is US. The doctor says this is US. But there is no test. Every test is considered under insurance. So nobody has to pay anything. India has to try to follow the protocol. And I tell you, 99 % doctors do not follow protocol. They know that patient will 4 tests. I will give you the first day. They give less. They utilize the experience. They are using this. You can take it twice. I will give you two. I will give you four. In the chart, there are four.

59:48But every day you say four, every patient says that this doctor has a commission. That's why I have four. You can hear this. Doctors have to make a revenue. I am telling you today, that someone doesn't say that you have unnecessary tests. but some hospitals do they do? they say that they do revenue share alright so that they grow and grow this is a corporate hospital but they can not give a target one soft target there are people, there are hospitals we have patients do but they can never tell us test is as per the protocol you have a kidney I have a lung test I'm not saying the test. I'm saying the test of kidney.

1:00:32Alright, next time you can have a test of lung. You can counter-sweep. You can manage the mismanagement. But for kidney 4 tests, liver and LFT, it's necessary to do the test of kidney. If you have to do the test of kidney, then you will do the LFT and KFT. But if you think that I had a pain here, but I have LFT and KFT, I have no doctor. I will tell you how to do it. How is it possible? Protocols dictate how much it is necessary. but are you telling me that there are corrupt doctors corrupt doctors are everywhere corruption is everywhere but I will not say that 2 % doctors for the rest of the doctors fair but that we all know majority doctors are way good something is wrong something is wrong something is wrong a doctor is corrupt Where can he get money from?

1:01:28What are the ways for him to be corrupt extremely? The best way is to be unnecessary tests, unnecessary medicines. All right. Unnecessary visits to the place. Three-four places where you can get money from. You have to force your surgery, which is not necessary. You have to force your cosmetic procedure. All right. But the more successful doctors have such a big job, they will never get corruption. and the patient understands that there is no need to be is it true? is it true? can you tell me? so basically they homeless people they take some of the drug and take them and take them they go and do surgery what happens in many places they take them to test they say that you have to do a small surgery and they take the kidney they don't leave it.

1:02:20This is very rampant there. Okay? This Nepal side built. Nepal side, these West Bengal people who are with them. Because there's a lot of homeless and so much that people are ready to do anything just to earn for a little bit of money. Alright, it's unethical, it's wrong. I mean, I'm playing with someone. But that's the same thing. And in Nexus, doctors, politicians, everybody will do it. Everything will do it. And more than doctors, program How To Cum I am not a doctor. I am telling you, the most important thing for the doctor, the primary thing is his honor. True. If the question comes to his honor, like I am also a doctor, if the question comes to his honor, then I don't need anything.

1:03:11That's a code. That's a simple code. These are all the work, which comes to basic procedures, and then they copy paste it every time. The mortality rate is so high. 50 % mortality rate is in it. but in that case, it's not that the last value is for them, it's basically a subject, right? If it's gone, it's okay, no, it's gone, kill it. Homeless people are, poor people are, or if someone's asking for them, or if someone's asking for something, it's going to grow rampant. And everything is going forward to the future. Is there a black market or organ? Yes. There's a huge, huge black market. You can buy it.

1:03:57You can buy it. You need to the right person at the right location. Where in the whole world. What does it look like? Do you have any idea? Yeah, I have no official number. But I have just heard rumors. The kidney rate is running around 15-20 lakh rupees. Alright. I might be wrong here also, but rumors are coming. Alright, the liver rate is running around 15-20 lakh rupees. Eyes are running around 10-20 lakh rupees. that's going on. Okay, someone needs shade. Shade? Shade also needs people. Alright, that rate is increasing. This is going on. Cosmetic, people can buy shade and buy another one.

1:04:39You have seen the US, there are a lot of strict rules for organ transplantation. For being an organ donor and organ recipient also. If your chances of recovery are very less, they don't get you into the list. If you have a preceding condition, you are alcoholic, you are a smoker, something you have to do, you will not get a transplant. The transplant is given, it will be viable and it will be good for long time. until the same time. So, as many people are getting into this situation, then they go through these black market routes. Every person loves their knowledge. Because there is demand, so in the world, there is supply in the world, and how do they get out of it?

1:05:21Talking about demand, what is the most important in the future? Which is the demand of the specialty? Doctors who want to become? I believe that oncologists is going to be cancer. Yes. The way our water is bad. Life-child conditions. Oncology in both as a physician side as well as a surgery side is going to be the top-notch branch. Intermissional radiology. All right. Techniques will come like this. And gastro-euro. Gastro basically has been laid and the uro will go down the kidney. These branches will go up and get up. And my personal favorite is psychiatry. I think in which way, especially in the top tier, top one and two cities, which is like stress, depression, anxiety is increasing.

1:06:14All right, little kids are coming up with depression. My sister-in-law is a psychologist. And she tells me, third and fourth standard kids are coming to her in good schools, saying we are stressed, we are depressed. Mom and dad are playing in a house, okay if you send a good school you think people next to me are coming in an Audi I don't have an Audi there is depression so look at the reasons people are getting mentally stressed so when you see them I believe psychiatry will have a great role to play in the upcoming 10 years and with the advent of AI half of the population I believe half of the population who does not adapt to AI is going to become unemployed.

1:07:04Where will everyone go? Stress and depression will grow. Psychiatrist has a great role to play. Do you think AI will replace doctors? I believe doctors who do not adapt to AI will be replaced. Whose practice are they? Today we talk about radiologists. Radiology which is a tech oriented branch. People say this every time. I personally say that can happen in radiology, so that the AI will not be so much that the radiologist will not be kept in the need of radiologists. But it doesn't happen every time.

1:07:41Radiologists who do not adapt to AI, they will be a problem. Simply as if there is a new AI tool and it can diagnose faster, it can expedite the result. And radiologists, I don't use this tool and I will go to the conventional way, so you can go here and you will get fed out in 3 years but if you go with the AI itself even the patient is happy you get a faster diagnosis and I think a much accurate diagnosis but clinically you have to establish AI will not take a chance clinically you have to sign and say this is the final diagnosis based upon this thing so you will not get your value if you go through the right channel are you into watches?

1:08:26yeah I love watches

1:08:30so I had this mentor he had a unicorn company in Bangalore itself so he was a big part of my mentor I liked his work I won't take the name itself because his first chance doesn't know but his best thing he didn't reply so he was a part there so I went back alright and I like they said, I went under the lift and I took them to the lift. I said, sir, I'll talk to you in 5 minutes. He gave me a bodyguard. So, he said, you're the fool who puts me on the daily meal. I said, yes, sir. So, he said, let's go. He went to the car. So, he said, I'll give a message for a month. I'll give a week for a month.

1:09:15But that message can only be yes and no. Nice. I said, bro, what is this? First month, I did not put a single message. Second month, he gave me a call. I said, you have lost so much my message is not getting me. I said, sir, I don't understand what I'm doing. I said, the reason I have asked you because I want you to desegregate the pyramid. I don't want to message me on the base that I don't understand. I want to ask you to answer nine times questions and ask me for example, do I need to go here or do I need to go here? Nice. And that logic was like foolproof logic. and it completely made me crazy that what a person is coming I have never thought that it can happen alright and then they said when your company will be 100 % that day I will give you a watch okay and then I asked what you like I said I love watches so I will give you a Rolex Rolex not said I will give you a watch which will be 100 % I will message that sir 100 % done and then he gifted me a diamond Rolex oh sweet which I probably didn't expect to have never thought.

1:10:25I thought that let's give you a maximum of a million dollars. But he gifted me that diamond Rolex. Which is the first time I've ever seen in my collection. That bro, there's nothing above this. No, because it's a lot of value. A lot. Amazing. So that was your first watch? That was my first watch. What do you do now? So basically, I was leading a company called Dr. Bhatia Medical Coaching Institute. All right. We were the pioneers into NEET PG coaching. NEET PG is basically when kids come to MBBS, they give them specialization exam. They give them specialization exam. So my father was the one who started this industry back in 1996.

1:11:08He was the first coaching institute in this sector. He was a great man. So I joined MBBS in 2011. I started my life in my doctorate. Now the company was growing up. The family company grows up and grows up. In 2012-2013, a little downfall started. The company was growing up. It was growing up and growing up. In 2014, I joined the business. I was probably in the third year. I started helping my father. when we harp with special education only one year don't fall thatination before we take it when we roll If you send for a study, I ask you to ask you to ask which coaching I am going to join. When a senior is bad, you have 4 junior is bad.

1:12:09Minimum. Before that, I can come back to my office.

1:12:16When the company started to go down, I was going to go down. The first time I realized that we will probably have the worst years of life. The whole thing that we have gained, the company is 10-10 crore loss. Negative views, probably like the day of life, there are thousands of people who have gone. What happened? What was the wrong thing? In 2012, we were one of the top companies in the NeatPG sector. Everything was big. It was going on. When the company reached the top, the thing was management. It was probably managed by a family based company. That's when it's a flip towards a little bit of professionalism.

1:13:02It's not getting it. What revenue are you going to do? That's when it's revenue. It's a lot of 100 crores. All right. It's a profitable company. Good profit. Good profit. Top in North. Top in India. We are a complete India based. We will have 100 centers in India. Neat PG is not comparable to Neat UG. Neat UG is a very big sector. We give 22 lakh papers. In Neat PG, now we are going to get 2 lakh papers. Otherwise, we would give 1 lakh paper. 11, 12. So, you have to be on top. Then you have to be on top. You have to be on top. Give me one mistake. Maybe 20 will be, but one thing that doesn't do not do family businesses, which is professional management.

1:13:46I think ego management. on both the sides. This is very important. What is it? When you grow, people come to you to increase the payments because they are seeing you know, salary, salary, faculty fees, faculty, and I think I think I think I think I think I'm going to increase my payments. And at this time, you know, they need to have a very professional way of management. You can't even get into the same direction. You need to have a middleman. All right. Who can negotiate on your behalf? I would say that the biggest fault was not the middleman. Family was talking to everyone. And when the fight happens, then there is nobody to cover it up.

1:14:28The fight, I and you are sitting in front of us, the fight will be finished. Either the thing will become or it will be finished. Now, when the big companies are finished, people go out on a revenge mode basically. That we will see. All right. We have taken it and we have taken it. Yes. And when the ego comes in, then things started going down itself. So I personally think that management at that time was a big troublesome for everyone. Then the government changed a little bit. We were not prepared for that exam. Our competition was further than that. They were young. They changed their own way.

1:15:12And in that time, digital marketing didn't come in 2011 even Facebook group used to be considered a major win which competition our competition was dams alright they won great team great people great director and everything but they came forward alright they had a good hold in the country but they came forward digital marketing everything then when this happened at the centers our problem that is a very annual cyclic business. It's not that if you have a chance to get a chance, you will get a chance to get a chance. If you don't join in March in March, you have gone full of money. Now, you have a tax on your whole year.

1:15:53And if you want to run a minimum 50 ,000 ,000 euros, this is the biggest problem. I will say that. If you get a chance to get a chance to get a chance, then you will get a chance to get a chance next year. Yes. Jan-Feb March. If you don't have a child, then you have a tax on every year. you have to pay for 50-60 lakhs when digital marketing came we can't adapt because again the mindset is coming back from the old ways that we are doing the way the exam changed we can't adapt when one subject we were studying 10 days we were studying 4 days at some point we were studying 2 days because we were going to go successful company we can't do it we have probably got pride that we will not get wrong.

1:16:41It's a lot of people, not just the management, even everybody around us, are not open to change. If someone wants to change, then no one needs to listen. Then when the graph goes down, what happens? The thing in one center started wrong. The kids complained about the center. The center has said that I'm doing a pack, and you can manage yourself. and you can keep it in the middle of the day. Now, the thing is, in the middle of the center, we will go where? The cash crunch is like this, slowly, slowly. You look like the company is not going to keep it, but the cash crunch is not going to keep it.

1:17:20Who knows? This is bad.

1:17:25The next time you leave, your money is 40 ,000 ,000 rupees, but this is the junior is bad for you. for you. Don't go there. Education is working on word of mouth. Whether it's anyone who is. UG, PG, SSC, IIT. Word of mouth is the biggest marketing tool. Your word of mouth is bad for daily. You are constantly because of pride in everything. You are running in the center. Why do I reduce my resource? Exactly. Because your biggest USP is this. But I don't know that that every year you're going to lose money. And that negativity, it's not just coming on to you. It's coming to your employees. It's coming to your faculties.

1:18:08Because they say that we're studying with our heart. Why are you giving a child? Because of the money. They're not wrong. And there's a whole negative vibe around the company. They're cursing themselves that we're in this company. So this is going on. 18-19. 19 May Atec Kaza Maan Ata Us time Taki Kaza Kaza Sare Baiz Kaza Bas Ham Mantli Jitana Company Itse Ata Ta O Cazor Kaza Kaza And 19 Was The Year Jab Hem Company Imployiz Nne Fakulties Nne Chhet Chhet Mahin Nek Kaza Kaza Kaza Kaza Kaza Best Support To Jostra Mujhe Mila Kira Mujhe Fon Nih Kera I had a bad idea. I had a bad idea. But the company was a bad cash crunch.

1:18:58I had a house. I had a bank. I took a house. I made a small house. I put all the money on my father.

1:19:12I told him that I was crazy. I don't know how many people are crazy. I'm not crazy. If it's not, it's like this. after that I don't have anything else. I don't have anything else. I don't have anything else. If I don't do anything new, we can't even come out. You are in trouble.

1:19:35December 2014 2019 we launched the app. January 2016 we launched the app. It was a heavy capital expenditure that we did. I was given 10 years in it because my faculty fees were more than 10 years. I got all that. At that time, there was no tech. All right. So, tech was expensive also. By July 2020, we were back in profits. 6 months. 6 months. That one app took us out of our whole company. I know that when we came back to profits, I probably gave it all the best. I never thought that we can come back to profit. That we can do break even. After that, then, the company reached in 2023, we reached 200 crore mark.

1:20:35I think we were second in our industry. Alright. And then the Japanese bought up the company in 2023 November. Your ego. DBMC. DBMC is the parent company. Alright. and the ones who were in our offline business were struggling a lot because the app started

1:20:55and then you know offline centers started getting filled up and then the whole company came back in profit reached 200k mark and then I got a good exit. Nice. Who bought it? The Japanese company called M3. M3? M3. Are they coaching business education business? Yes. They are basically into education business only. They have a company called Marrow in Bangalore. So through NHPL which is the parent company of Marrow, they purchased ours. And then exit. And then exit. The offer comes that you have to take an investment banker and reach out. How did that happen? So, it was a very interesting story for me.

1:21:33So, when I came to company profit, I understood that it will not be sustainable for a long time. Because I was seeing that I am not earning anything. all right company 100-800 crore are you are you you can't get anything you can't do anything why are you going on investment no no complete good sharp the money is going on on paper it looks very good the numbers are good positive and everything but nothing in your hand okay so I thought that either I go for private investments equity investments or I sell the company because that's the only way it's sustainable. In 2001, I went to a banker, not a banker, basically, a VC to go to a VC.

1:22:25I didn't know how many stories I had. Why? I said, I had 25 stories. I said, bro, you're a bitch. What are you thinking about? Why? I talked to people. Okay, now that time COVID was going on, I suppose people didn't have so much. Those two-three people were saying, let's make a SEP team. I'll show you a big number. We said, let's graph. We've all done it. But in that time, in 2021, all the physics people were in the boom. On Academy. There were a lot of boom. So, you'd get to it. I went to VC. Without any kind of knowledge, what do you do? I had zero knowledge about VC's work. I went to VC. I said, when they're getting to it, we'll get to it.

1:23:11We'll get to it. It's been a day and a day. It's been a day. It's true. We didn't listen to our songs. We thought that this is a song of sadness. It's going to go. The night after the night, it's going to go and it's going to go.

1:23:26And I didn't know why I didn't know why. I didn't know anything. After all, I gave PPT. Why do I want to go? I said, marketing. I said, it's for him. I said, sales is for him. I said, product is for him. Why do I want to go? I thought this was your thought.

1:23:49Okay. Fair. I understand now. Okay. Yeah, doctor. I'm a doctor. I suppose there's no one who has thought about investment. All right. And there's no need for people with such people. Just talking about people. So finally, I ate this shit. The other one ate it. The other one ate it. The other one ate it. and I realized that what should I do. It should be that till the time you are not providing any kind of value to anyone. People are not going to come to you. So I closed the conversation after 5. I then structured the number of 122 only the presence of the company. And the whole 122 started that people should see this company as a value addition to their portfolio.

1:24:35If there is no thing, nobody is going to come. And that technique actually worked for me. Because post that thing, then every company came to me by themselves. If you were your name and you were making money people started coming to you. Then I got a banker when I had deals like three deals on my table. Alright. Then I got a banker that I've now structured the deal so that I can get the best value. Because then I didn't have anyone. I said if I'm going to somebody I'm I mean my own thing is devaluation that will automatically reduce because you want to sell. I said I was So, you have to show it, if you take this company, it is going to be a major addition to your portfolio.

1:25:19And then, so, is it that investment banker through you? No, there are three people. And then, and then, and then, whichever you suited. And, how do they value your company in this case? EBITDA. EBITDA is multiple. And how many are the multiple in EBITDA? In EdTech? 10x. 10x on EBITDA. not profit not like no no EBITDA I will not just basically I got a combined deal itself so big EBITDA 10x which both offline online and both was on NEET we were on NEET PG that was NEET PG and then what did you get exit 10x so first time 20 % 50 % so basically it was 50 % so EDtech they purchased I got a wholesome deal basically.

1:26:14They gave me a multiple revenue there. In the offline business, it's EBITDA only. So I got like 9.7x EBITDA. I think on an example, they have combined deals with each one. They have reduced it in 200 crore. Random number. So in 200 crore, do they give you 100 crore? 50 % advance or 30 % advance? So I'm telling you this. I told them that they were different from Gurukul and DBM. They bought Gurukul with 100 % in one time. Because they are into a tech, they wanted to acquire these Gurukul in one time. They bought DBM 5049. They purchased 51 % first and 49 % later. Okay. And how do these cash transfers give you?

1:27:02So 51 % came with me before. based upon that after DD complete documents complete there is no branch that 2-3 work will come then get something it was not in the group it was in the DB it was in the this is a 49 % it will be a conditional how much revenue you have to say that you have to say that you have to say that you have to say so that and then it will be multiple it will be a if it is a link if you have 10 if you have 10 we have 30 we have 15 we will give 4x or 5x all of that incentive based nice so 50 50 and then 50 are the rest of it yes and other condition clause non-compete etc non-compete is standard 3 years it is there after 26 nowhere in education or nowhere in medical education nowhere in NEET PG you can do NEET you can do it

1:28:07what are you doing in that? you are making a brand, you attract yourself so you will do it right? I am a part of this company called Dopa it's a Kerala based company linguistic teaching so I have invested so I see a strong founder presence in that team so what's your plan do you do it again will you be dirty or not invest and what will you do? I'm looking at the truth. I'm looking at the truth. I'm looking at the truth. I feel like I want to love with my own. If I love with my own, and I believe in a great power of manifestation, that I want to make a unicorn company. So I just want to love with my own.

1:28:50If it's done, I think I do that. Now I'm working on a small thing with my mother itself. Her self. gut bacteria we are making traditional drinks probiotics kanji, kokum, chaj basically the way our coke is drinking so when I got a gut problem my mom ate kanji and salt so why not take it again exactly fermented drinks I mean, it's been a drink, it's been a Coke, then the juice comes from the juice. Alright. These all, which are traditional drinks, are traditional drinks, they will be made. So, like Yakult, they made in Japan, America made ACV, you made your local drink. Interesting. For protein, the Satu is very good.

1:29:47Alright. Health drinks. Health drinks, yes. Traditional health drinks. Well, thank you so much. it was lovely talking to you same pleasure that you came here I really knew absolutely reality was in the country which is harsh and little bit of here and there you talked about a lot of things so thank you so much thank you so much it was lovely meeting you bye pleasure sir how was it so exciting I think last the best ever trip I had was New Zealand adventure and calm at the same time absolutely and the best people that I have ever met in the whole world is New Zealand. It's not a peace. It's empty.

1:30:29It's empty. It's empty. Nothing is empty. If you go two hours, you'll be a snow covered. If you go two hours, you'll be a beach. If you go to the other house, you'll be a morning walk. Yeah. We'll be a little bit. Thank you so much. This episode is the end to the end. Now, I have to do three things. First of all, subscribe to this channel. Because as much as you subscribe, subscribe to you, we will have to bring you to your own better and valuable guests. Number two, tell me in comments, what did you feel good and bad, so that we can repeat those mistakes. And which guests you want to see in our podcast, so that we can bring them to you and give you value.

1:31:07And number three, you must have to share this episode with someone, because one conversation can change someone's life. I'll see you next time. Until then, keep figuring out. Thank you.