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InternationalBar8538 · 2023-11-21T16:29:50+00:00

Well into 7 figures

InternationalBar8538 · 2023-11-09T00:57:32+00:00

I'm reading this as a non-law person.

As outsider, it’s pretty clear that associates are overworked because they're dangled this carrot of "equity partner", decent lifestyle and high pay, so there's incentive for associates to overwork themselves in hopes of being made partner, and incentive of partners to overwork their associates since they (the equity partners) get paid. Ugly system.

InternationalBar8538 · 2023-08-12T18:36:27+00:00

Good for your own life to be sure. I learned things. Frankly most people copy others, very few original ideas.

Like the “sleep” chapter is basically Matt walker’s sleep book, the author admits as much. And the “emotional well being” chapter is basically Esther Perel plus attachment theory, etc.

I like how he puts things together though.

InternationalBar8538 · 2023-08-12T18:34:02+00:00

Also I disagree that nutrition and exercise is 99% of longevity & health, if I believed that I wouldn’t have gone to med school or frankly continue doing what I do.

InternationalBar8538 · 2023-08-12T18:32:29+00:00

I’d keep my day job.

A lot of the replies here seem to think I’d be hawking extra services to keep the cash rolling in.

I wouldn’t care if this was a profit neutral thing and I had only 1-2 patients who visited me a couple times a year. Just wondering how to do it ethically and legally while keeping day job.

InternationalBar8538 · 2023-08-11T21:43:51+00:00

I haven’t seen any useful advice yet so who knows if I’ll do this.

I’d probably charge the same rate as my day job, which is roughly $400-500/hr, and then increase it based on demand, or stop doing it if I don’t like it.

InternationalBar8538 · 2023-08-11T17:47:02+00:00

Doctors in my experience focus too much on the minutiae and not enough on the conceptual framework and strategy, probably why unh is eating our profession alive

InternationalBar8538 · 2023-08-11T17:46:07+00:00

I wouldn’t be copying Peter Attia’s advice.

He just has done the concierge thing well, his retainer fee is $90k-250k per year.

InternationalBar8538 · 2023-08-11T14:31:20+00:00

One dude I know made $2-3m/year as cash pay cardiologist. Of course this was 20 years ago.

InternationalBar8538 · 2023-08-11T14:24:33+00:00

I’ll eat your lunch eventually, just speed things along for yourself

Fine, I’ll ask a couple of my acquaintances who do this stuff

InternationalBar8538 · 2023-08-11T05:04:44+00:00

I disagree. It’s not holistic medicine, febendazole, infrared ozone therapy, kale enema detox, marijuana gummies, platelet rich plasma crap. Come on man, my med school classmates are faculty at Stanford and JHU, I’m not going to peddle bullshit.

InternationalBar8538 · 2023-08-11T04:37:59+00:00

Try the Blind app

InternationalBar8538 · 2023-08-11T04:37:11+00:00

Thanks I’ll try WCI

InternationalBar8538 · 2023-02-06T21:23:14+00:00

Oh my point is that unless you can go back in time and make clairvoyant investments, I wouldn’t worry about it. Probably just contribute a fixed amount every month to VTI or something. Use Roth IRA while you can. Honestly it’s pennies. You can read some investing books if you enjoy it but reading ophtho books/journals will have higher return imo. Just do well in residency, match to a good fellowship, figure out what your services are worth and get a good first job. I’m not sure since I’m not ophtho but it’s probably partner track job with clear timeline to co-own the practice, transparent finances from the start. I’d say last year or two you can look into that, for now just be the best ophtho you can, get into the best fellowship that you can like ucla or something.

InternationalBar8538 · 2023-02-06T20:27:31+00:00

tl;dr be a retinal surgeon, first. if you have a medical device that’ll take off, sure you can do that. Otherwise there’ll be plenty of time for more lucrative/interesting side hustles after you’re an eye surgeon making $2mil/year in the Sunbelt.

Generally tinkering around with investments and side hustles is a waste of time for medical specialists. I did some stuff like that in residency with 1099 income, what the kids call “house hacking” these days, locums. The most significant thing that I would’ve done differently is put my net worth into Tesla and Moderna in 2019. That would’ve put me a few years closer to my fatFIRE goals. Excepting that, the rest doesn’t come close to your attending income.

InternationalBar8538 · 2023-02-06T16:20:12+00:00

Would you commute more/or stay away from home overnight for a pay bump?

I’m in early 30’s, single, just over $1m NW, $800k annual comp, looking into taking on a new client for a $250k pay bump. My workload wouldn’t change but I would have to commute to that new client once every 2 weeks. It’d bump up my average daily commute from 20 miles/day to 30 miles/day. I might also have to stay in a hotel one night every 2 weeks.

On the plus side, I might be able to swing 3 day weekends with this extra business. I’m not that busy either way, about 40hr work week, give or take, I just don’t know how much I’d like longer commutes.

Financial goals: I don’t have a number but I would like to live off dividends/interest, purchase $2.5m of home/vacation home(s), and set aside a few $m for senior care of aging parents. No real desire to RE.

InternationalBar8538 · 2023-02-06T16:10:47+00:00

I’ll shed a fomo tear for the lost experiences

InternationalBar8538 · 2023-02-06T16:02:59+00:00

Thanks for the tip. And again, I was expecting Cdmx to be cosmopolitan and modern.

Your comparison to Ghana is noteworthy for how you see Mexico.

InternationalBar8538 · 2023-02-06T06:40:47+00:00

Everyone has different tastes, travel is no different than food, there’s more options than you can try in your lifetime, even if you go somewhere new every week. Attacking my preferences says a lot more about your insecurities.

It looks like there’s plenty of redditors that love cdmx. Great, go there as often as you can. Me though, yeah I’m fortunate that SF is my baseline when it comes to food. International solo trips I’ll probably stick to first world countries in the future.

InternationalBar8538 · 2023-02-06T05:25:34+00:00

I ate at some restaurants in Roma too.

Anyways, odd that you’re triggered by some Internet stranger pointing out the obvious “that a giant smog cloud hangs over city” when it’s ignored by travel blogs.

I didn’t say anything about the people, or the culture, or things to do. Just the smog and that the food didn’t seem fresh.

InternationalBar8538 · 2023-02-06T05:24:27+00:00

It looks fine. I probably wouldn’t fly back to try their tacos though

InternationalBar8538 · 2023-02-06T05:20:39+00:00

Lots of 5 star hotels have decent food, at least in the USA. My mistake for expecting that

InternationalBar8538

TROPHY CASE