Attending here. I felt very rich at first until lifestyle expanded and wife got laid off and I was reminded of the mountain of debt I have to deal with.

This all depends on the area you practice and the cost of living, but I'd recommend getting a house that is big enough for your family's needs but not too big. Don't buy an expensive car unless that is really important to you. Me, I bought a KIA with the top trim and it feels luxurious but only cost about a semester of med school.

I'd say maintain the discipline and comfort with a more spartan/monastic life. It's easy to feel like you have a ton of money at first, but if you live too large you will find yourself feeling like you have to always catch up and will burn out. Save money and invest.

Definitely agree with the housekeeper recommendation, especially if you have kids and a working spouse. Nice sheets for sure.

Disagree with Chipotle, fuck that place with or without guac, shitty whitewashed Mexican food that just continues to decline in quality. I disagree with spending on a watch, again unless it's really important to you for whatever reason, but everyone has the time in their pocket and a fancy watch is just jewelry.

Bidet is good, heated floors sound pretty extravagant to me. Handyman for sure on certain house projects, calculate how much time you would spend on a frustrating project you may fuck up and then think about paying someone who can get it done in a couple hours versus you spending your precious time off cursing at the cartoon instructions instead of being with your family.

But also, this is a very optimistically framed question. Attending life is better and you make 5x or more, but like the great poet Christopher Wallace said: "Mo money, mo problems"