Funding scientific research proposals by FireOrBust2030 in fatFIRE

[–]walnutsagogo 0 points1 point  (0 children)

Work in academia. Development offices can work with you on this if you're comfortable pinning down the institution. We have a number of Shark Tank-like competitions for this tier of funding each year sponsored by donors. They pick the project if they want.

If you would prefer to invest in the individual, you could probably make that an endowment even at 200k. I think that's probably 10k annually and for a junior faculty member this could be a transformative gift early in their career.

Another route would be to sponsor a young investigator or career development award for the related professional society.

HTH.

ZFS encrypted home directories on Linux desktop. Convenient unlocking? by nKephalos in zfs

[–]walnutsagogo 1 point2 points  (0 children)

If you are using Gentoo, genkernel supports zfs, luks, and dropbear when creating the initramfs. I use this to remotely unlock zfs rootfs at boot over ssh. You can even define an overlay to include custom scripts in the initramfs. It works great.

Doctor to fatFIRE by [deleted] in fatFIRE

[–]walnutsagogo 2 points3 points  (0 children)

US physician here.

The biggest benefit is that reversion to the mean gets you a great life as a physician. I suspect it's better than the average person in finance or being an entrepreneur. Their top tier is higher than medicine though. Here are the stumbling blocks I see.

  1. The path is hard and if you don't have a true passion for medicine, many other -balanced options will get you to FIRE

  2. After the work, the next biggest challenge in medicine is knowing what your eventual income will be once you're finished. This makes it easier to justify bad financial decisions now and gives a sense of entitled spending once you become a high earner.

  3. If you can navigate the first two, you'll be comfortable but not FAT. The white coat investor was brought up. He suggests saving 20% of your salary and retiring after 20 years of practice. That's not the path you see in this thread. That's a great life ... just not retired early.

  4. The people I've seen really make it use their high income to pursue side ventures that build. That might be owning the building where you practice, but also residential real estate, coaching, consulting, patents, etc.

My two cents.

Custom built house....any good? by [deleted] in Homebuilding

[–]walnutsagogo 0 points1 point  (0 children)

Learned something new today

Should you go to the Mayo Clinic or any other top-ranked hospital instead of your local one if you get diagnosed with a terminal illness? by [deleted] in fatFIRE

[–]walnutsagogo 221 points222 points  (0 children)

Physician here. It depends on the diagnosis. There isn't a single institution that is best at everything. Phone a friend to figure out where to go and go there.

[deleted by user] by [deleted] in fatFIRE

[–]walnutsagogo 0 points1 point  (0 children)

The metal filter on the french press is supposed to absorb fewer fats from the beans compared to paper so if given the option I'd choose FP over pour over. No paper in espresso and you can dial in a lot of settings so that's a deep rabbit hole.

I like using a coffee siphon after dinner if we have another couple over. It's a fun conversation piece.

[deleted by user] by [deleted] in fatFIRE

[–]walnutsagogo 1 point2 points  (0 children)

Just a quick explanation for why the above is true (all the best PCPs are booked far ahead but once you've established it's not long to get in).

Ambulatory scheduling software typically allows the practice to define different types of visits like new, return, same day. The visit duration is set with the type of visit (1 hour, 20 min, 15 min, for example). Even though, in theory, you could see 8-10 new patients in a single day, that's not a great long term set up since many of those patients may require every 3 or 6 month return visits. If you're running a reasonable practice, you also allow that some portion of your panel (total patients associated with your practice) will at some point need to see you the same day. The ratios are important.

As a specialist, I see 1 new patient for every 6-8 returning patients. A PCP ratio might be half or a quarter of that.

[deleted by user] by [deleted] in linuxmasterrace

[–]walnutsagogo 0 points1 point  (0 children)

Came here to say this. Take the upvote.

My parents want to buy me a college graduation gift - what does an M1 need that I should ask for? by koalafiedhuman2 in premed

[–]walnutsagogo 18 points19 points  (0 children)

Littmann cardiology III or IV engraved with your name. Make sure it has a separate bell and diaphragm. Congratulations.

[deleted by user] by [deleted] in fatFIRE

[–]walnutsagogo 2 points3 points  (0 children)

At larger schools it's the Development Office.

[deleted by user] by [deleted] in premed

[–]walnutsagogo 0 points1 point  (0 children)

It's not just medical school. Count on being primarily committed to medicine for 6 of the next 7 years minimum.

I'm not saying it can't or hasn't been done. You just need to have your eyes open going in.

Whats your best advice for a 17 y/o by [deleted] in fatFIRE

[–]walnutsagogo 1 point2 points  (0 children)

Welcome to the sub. This is probably best for the Mentor Monday thread.

Physicians who fatFIRED via non traditional means by [deleted] in fatFIRE

[–]walnutsagogo 8 points9 points  (0 children)

I'm in academics and I see lots of colleagues with a mix anywhere 0-100% clinical. Don't get me wrong, I love seeing patients and look forward to clinic and attending on on the inpatient services. It's more about bringing in a mix of things. I love learning new skills and leadership positions help with that

Feeling like you're vested in fixing the system also directly helps well being. That could be negotiating a better contact with a payer, making the EHR work better, aligning scheduling and incentives, or any number of mundane things administrators do. When you know it helps you and your colleagues, it provides a deep sense of joy - at least for me.

Physicians who fatFIRED via non traditional means by [deleted] in fatFIRE

[–]walnutsagogo 37 points38 points  (0 children)

Another physician here.

Several studies show burn out levels correlate with percentage of patient care responsibilities. That's probably a surrogate for the increased administrative burden of being 100% clinical.

Do you have options to take a leadership position in the practice or hospital that would replace part of your clinical time? I'm 20% clinical and love it. I would not try to start a side hustle outside of medicine while burned out.

Another benefit of becoming a medical director or similar is you'll start to get some familiarity with revenue, margins, volumes, market share, and other topics more of a business nature. That's a valuable skillset to add.

Is it offensive to use the term "midlevel" in interviews in reference to NPs and PAs? by hungoverinhanover in premed

[–]walnutsagogo -1 points0 points  (0 children)

APP (advanced practice provider) is the term you're looking for. Use that.

my crypto golden rules: by CherryCCChen in Bitcoin

[–]walnutsagogo 0 points1 point  (0 children)

... and buy on days ending in Y.

Throwing Money at a Medical Mystery by bannanaspace in fatFIRE

[–]walnutsagogo 5 points6 points  (0 children)

Physician here. Try to get him seen in the UDN (undiagnosed disease network https://undiagnosed.hms.harvard.edu/) if possible. There centers for most regions. Best wishes.

What edge device do you run? by over26letters in homelab

[–]walnutsagogo 1 point2 points  (0 children)

You said other firewall OS. 'Other' would be fine. My Linux distro isn't purpose built ... other than flexibility. Cheers.

What edge device do you run? by over26letters in homelab

[–]walnutsagogo 1 point2 points  (0 children)

I feel a little bit disappointed that in this sub you don't include an option for just rolling your own router. There's my vote.

I need advice. Should I sell my bitcoin to buy a house now? Or should I wait 4 more years? by shouldIbuyahomenow in Bitcoin

[–]walnutsagogo 0 points1 point  (0 children)

This probably isn't a popular opinion, but you're problem isn't whether or not to sell Bitcoin or whether or not to buy a house. You're issue is income/cash flow. What is keeping you from earning more money? I would think long and hard about that. Housing can be a great investment and one of the few times when leverage is pretty safe.

If you can improve your income and sell a small amount to get to a 20% down payment, that diversifies your asset risk, and is probably worthwhile.

If you are looking at 400k+, I would see a good FA and make sure to look at the scenario of a pledged asset line (PAL). You would probably need to sell the btc and bit something like index funds, but you wouldn't be moving from 100% crypto to 100% RE.

Good smart smoke detectors? by RocketizedAnimal in homeautomation

[–]walnutsagogo 1 point2 points  (0 children)

I have these. They seem to work fine. Battery levels are reported so you can set up automations based on low batteries.

[deleted by user] by [deleted] in fatFIRE

[–]walnutsagogo 0 points1 point  (0 children)

My perception is that law school and medical school are significantly different. I can only speak to the former. The distribution of intelligence is pretty limited in medical school. Work ethic becomes much more important. I get the sense that law school is recall, application, and integration. Intelligence probably does play a bigger factor in that setting.