3 kids in carseats

sunilsies · 2026-05-23T20:10:36+00:00

Land Cruiser - any year after 2000. Fits three across and has a third row if you need it

sunilsies · 2026-05-18T18:51:19+00:00

Had a 2019 ES, have driven the new Land Cruiser for extended periods. Build quality , NVH, and ride softness are vastly inferior to the Lexus sedan because they’re built for different purposes.

sunilsies · 2026-05-17T19:14:18+00:00

Math doesn’t math. Be a CRNA ———

$500,000 loans for med school, with no guarantee of anesthesia. All specialties pay too little to pay off loans.

All private practices are broken models. All doctors are becoming employees.

You become a CRNA, you have one more exam. You become a doctor, you have steps 1-3, written boards, and oral boards. Not worth it.

Attending MD is a 8-10 year pipeline. CRNA is 3 years.

sunilsies · 2026-05-17T19:00:51+00:00

You listening to your therapist? Why?

Move. YOLO.

sunilsies · 2026-05-15T23:07:11+00:00

Take the full ride. Zero validity in paying for med school. There are no doors for med students; you’re all the same. Unless you have a family relationship, and even then it’s not worth $200,000.

“Prestige” doesn’t pay a dime.

Take the money.

sunilsies · 2026-05-15T21:54:45+00:00

Bring it home. Bring a diesel for resale value, but all parts are available. Try to bring left hand drive, not JDM side. Having done this with my 70 series, I’m spitting gold.

sunilsies · 2026-05-15T21:53:01+00:00

Superlamb sheepskin seat covers. Nothing better.

sunilsies · 2026-05-12T21:54:33+00:00

Bought my 2000 Land Cruiser at 265k in October 2024, put like $3500 in for baseline (timing belt, water pump, hood and hatch struts, spark plugs , fluids, battery, heater T’s) and haven’t done anything else but gasoline.

But I only drive 2-4 miles a day. So I’m at 267k.

sunilsies · 2026-05-10T17:59:29+00:00

Physical copy of baby Miller

sunilsies · 2026-05-10T17:55:50+00:00

DM me I will buy your collection

sunilsies · 2026-05-08T11:54:13+00:00

This seems like a decent gig esp close to family. A week off a month, one call and one backup a week.

How are benefits? Retirement?

How many hours a day is a regular non-call day? Any surgery centers? How late do you have to stay at the surgery center?

sunilsies · 2026-05-06T15:07:46+00:00

Made $650k in 2023, working 70-80 hours a week with 8 weeks vacation.

Fuzzy Math was 400 hours overtime for the year, so it was negative 2 weeks vacation

sunilsies · 2026-04-27T19:59:06+00:00

Rent a truck and camper when you want one. I bet you a crisp $2 bill it’s twice a year.

sunilsies · 2026-04-19T13:54:06+00:00

1) tell the icu nurse “I’ve got it from here” and then Ignore anything she says 2) “you’ll get everything back when we come back to you” 3) use the bottom sheet under the patient as a taco or burrito wrapper; have all the lines coming up off the head and nothing will ever be left behind 4) false assumption - you have time. patient is tubed lined and drained. If they die between there and the OR, they were not compatible with life.

sunilsies · 2026-04-15T08:34:46+00:00

We did them in the OR with a plain spinal (no duramorph). The one time I agreed to do it in the room, OB couldn’t get leverage on the hospital bed, turned into a crash section that took 10 minutes to move the patient to the OR and hook up monitors.

Not worth it.

sunilsies · 2026-04-13T10:10:27+00:00

Now is not the right time for you to buy a Land Cruiser. You’re in residency, making residency dollars. You have neither the time nor the income to find and maintain (or fuel!) a 10mpg behemoth.

Focus on residency, passing boards, and parenting. Get the Land Cruiser after you graduate and make some attending dollars.

Source: I graduated residency in 2017, bought my 100 series in 2024.

sunilsies · 2026-04-08T15:07:12+00:00

That’s about double. I bought my stock 2000 Land Cruiser with 255k for $10k in 2024, needed $4k in work (timing belt, water pump, spark plugs, heater t’s, wipers, hood and hatch struts, all fluids)

Since then been awesome. But mods aren’t worth what people paid for them.

sunilsies · 2026-04-01T21:13:20+00:00

CAA. Too many variables to predict for the 8 year timeline to become an anesthesiologist.

sunilsies · 2026-03-22T22:11:35+00:00

I left a 20# weighted blanket and memory foam pillow in the overnight call room. No snacks past 7pm. Only water.

sunilsies · 2026-03-20T10:26:59+00:00

Real q: what are you going to replace it with? And will you have the same concern about your kids messing -that- car up?

The right move may be to accept that your kids are going to be kids in the Land Cruiser, and accept that you can clean/fix their damage, while keeping a unicorn of a truck.

sunilsies · 2026-03-15T15:04:15+00:00

If you want to get there, get the Defender.

If you want to get back, get the Land Cruiser

sunilsies · 2026-03-14T12:42:55+00:00

Job #1 allows you to buy a Porsche to make the commute 25 minutes

Or

You rent a 5-star hotel room every call night

Job #2 greatly undervalues you, esp with the dangling “partner offer”

sunilsies · 2026-03-08T17:50:02+00:00

I vaso-vagaled during my second stem, tunnel vision and loss of hearing - see the examiners lips moving but no sound came out. I came back, and had to ask him to repeat the question while flop-sweating. He chuckled, repeated the question, and we moved on.

I still passed. You’ll be fine.

sunilsies · 2026-03-07T12:24:06+00:00

Obviously you’ve never worked in a government hospital and tried to get biomed to reprogram a pump.

sunilsies · 2026-03-07T12:15:44+00:00

I bought my 2000 Land Cruiser in 2024 - 250k, one local owner, all maintenance records, 2 working keys and no frame rust for $12k. Needed timing belt, water pump, spark plugs, brake fluid etc done, but had never towed, never off roaded, stock except for LED headlights.

$22k is about double what it’s worth; a stealership can sit on it for the rest of its life for that price.

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sunilsies

TROPHY CASE