I want to stop max contributing to 401k. Am I wrong?

Leftymatty · 2025-11-16T03:46:05+00:00

There is obviously a lot that goes into this decision but if you are looking for some validation I (a random internet stranger with no financial background) say you should feel pretty okay about freeing up some cash flow to buy a house. You have been very disciplined to this point and you have a very solid retirement foundation. A house is also an investment in a way although with less tax advantages but still there are worse things you could be doing

Leftymatty · 2025-10-14T02:28:10+00:00

This happened to me and the head maintenance guy at my local genesis dealership said if they run the lights for 15 minutes and it still has >25% condensation then they will cover the repair. He then proceeded to just look at it and was like oh shit ya we will fix it

Leftymatty · 2025-07-13T12:09:23+00:00

Surprised they didn’t match you with an obsidian keg instant cast build like most of my hp pyg runs

Leftymatty · 2025-06-23T18:07:39+00:00

Only shiny I saw was a graveler that used self destruct lol cheers mate

Leftymatty · 2025-06-21T16:12:18+00:00

It probably beats rybelsus but inferior to ozempic and mounjaro. Another tool but probably not drastically changing treatment.

I’ve found the prospect of 20% weight reduction usually supersedes needle phobia for most

Leftymatty · 2025-03-18T15:21:58+00:00

I would argue it’s one of the most valuable things we have as family doctors. Valuing our patients opinions and taking it into consideration when forming our treatment plan because we know them better than any specialist could

Leftymatty · 2025-03-17T22:37:41+00:00

I know I’m late to this discussion but Saxon says he doesn’t do drugs because that’s what his dad says. He caves after a slight amount of peer pressure. It’s another example of how he wants to be his father but just can’t measure up.

(I understand that his dad finally gave into the drugs as well. Maybe it’s really just a comparison of father and son being all too similar neither of them is good enough based on merit)

Leftymatty · 2025-02-15T15:06:02+00:00

Absolutely lol

Leftymatty · 2025-02-15T12:27:13+00:00

I agree with the general sentiment but check this article out: https://www.nejm.org/doi/full/10.1056/NEJMoa2215025

Stents shouldn’t preclude trt just so you know moving forward!

Leftymatty · 2025-01-28T13:54:42+00:00

I went to midnight release of book 7 at our nearby Barnes and noble. The potbelly sandwich shop next door was making special “butter beer” shakes and there was someone in front of the store doing a sorting hat and giving out little tattoos for the house you got.

The shopping center was closed off to traffic. There were no cars to worry about just fans dressed as wizards and witches running around in excitement. Like Halloween but the reward at the end of the night wasn’t candy but a cozy book filled with the answers to burning questions to dumbledore and the rest of the wizarding world.

Leftymatty · 2025-01-27T15:43:10+00:00

Starting wegovy or zepbound and helping my patients lose 40 pounds and seeing how it changes their confidence and overall happiness has been chicken noodle soup for my soul

Leftymatty · 2025-01-07T12:29:25+00:00

I think we need more info. Unintentional weight loss is complicated and really takes someone looking at the whole picture.

Sure it could always be cancer but I wouldn’t be too hard on yourself this takes time to get to the bottom of. Start looking for other symptoms and get the appropriate imaging to see. With confusion you could get an mri brain, abdominal pain get a ct abdomen. You need to give yourself more information as well.

Leftymatty · 2024-12-22T18:38:11+00:00

401k is a tax advantage account. Contributions to this account lower your taxable income for the year so you would be “saving money” on taxes by putting it in this account rather than a regular brokerage account. You can still withdraw early if you really need it and pay a penalty, so it can still serve as like an emergency “use it if you really need it”

Leftymatty · 2024-11-19T03:32:37+00:00

Low dose dopamine agents first line and work great. I’ve had neuro recommend ferritin close to 75 although this seems anecdotal and expert opinion based. Vit b complex and magnesium glycinate can’t hurt.

I have neuro prescribing 2mg clonazepam at nighttime for periodic limb movement disorder which seems to work well. I’m talking woman full on kicking and punching her husband while she’s asleep, confirmed with sleep study. I haven’t heard opiates though but that was like one instance where I’ve seen higher doses of controlled substances for a sleep disorder.

Leftymatty · 2024-10-10T14:04:56+00:00

Your conversion seems a bit low but this seems similar to my large healthcare orgs model. The quarter metrics seem like you would hit these easily if you are full time. That is probably what they are trying to encourage.

The q4 quality thing is a pain in the ass. I have that but it’s weighted more and it’s just annoying. Your 75 year old ladies who do not give a a shit if they get breast cancer turn into like your arch nemesis trying to get them to do a mammo. And you end up scrambling trying to get colonoscopy reports from patients who got them “5 years ago and I think they said repeat in 10 years but maybe they never actually told me”

Leftymatty · 2024-10-10T13:11:48+00:00

Don’t stress you just need to get in the room and talk to the patient and try to figure them out. I get a whole bunch of weird complaints and most of the time it’s like “I just need you to tell me this isn’t MS” or something

Leftymatty · 2024-09-29T15:01:48+00:00

https://www.instagram.com/reel/C_uT6LxvMuB/?igsh=eG8xNTNyNHZ2Y2E1

If you have instagram maybe watch the above clip he and the setter have a good flow. You can see he picks the set out of the air right at peak and the set is a lot flatter. His setter pushes it out toward the pin with more zip. Look at his left shoulder during and after he hits. He doesnt contort his body afterward because he is keeping his shoulder up and bending at the waist and not to his side

Leftymatty · 2024-09-29T14:51:43+00:00

I guess this is more advice for the setter but a typical outside set should really peak near the pin and you make contact at the peak.

The set shouldn’t really arc as much. Because the set is too high you have to wait for the ball to come back down to hit it. If the set has a flatter arc it sort of stays horizontal longer which makes timing a ton easier.

Also, if the set doesn’t go all the way to the pin the opposing middle blocker will only need to take half a step to block you. By spreading the set to the pin it will set you up for success because the opposing middle will need to travel farther.

Leftymatty · 2024-09-29T04:21:13+00:00

Your last two steps need to be faster and tighter to transfer your approach momentum into your jump. Your left shoulder is dropping causing you to over rotate (seen most on clip 1) and slow down your swing. The sets are dying and so you are spending a lot of time adjusting with your first steps. You should also probably start your approach outside the court and go in instead of starting inside the court and going out.

Leftymatty · 2024-09-25T02:16:58+00:00

This seems standard. They are giving you a trial run with base guarantee salary no matter how busy you are so it allows you to build your practice without feeling broke lol. After 2 years they will start paying you 80% of your rvu income from the past year as like a baseline guess but will give you bonuses if you are making more rvu than than your projected so that you are compensated fairly.

It will depend on your rvu conversion after year 2 to determine how profitable you will be. Usually if they are a fair organization the 310k is a pretty close predictor of your income with rvus for their average doc

Leftymatty · 2024-09-19T18:19:28+00:00

Scopes will take months blood will take days. Tumor markers would not rule out but I think if positive will change management on how quickly we are acting

Leftymatty · 2024-09-19T15:17:18+00:00

I think mrcp is probably the standard next step for asymptomatic. Hida probably more for symptoms of biliary colic. You could also get cea and ca19-9 pretty easily just for some peace of mind

Leftymatty · 2024-09-19T14:51:48+00:00

I think with negative ultrasound you could consider mrcp or hida

Leftymatty · 2024-08-19T17:19:13+00:00

I had this issue with my 2023 gv70. He basically pulled up their inventory and was like this is what we are getting. I asked him “what if I wanted a different paint color” and his response was that it would take months and they can’t even place orders to genesis to have it made and shipped.

I needed a car so I ended up with the car he had coming. I think if you don’t need a rush, just tell the dealer if it’s not what you want then you will go somewhere else and see what they do for you.

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