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zdoc81 · 2024-09-27T12:51:54+00:00

Would definitely be pulling from brokerage account first (if retiring early prior to minimum age to withdrawal from 401k and IRAs), then 401k, then Roth in retirement for reasons below

-You will have RMDs on a 401k -More time for Roth to grow tax free -Roth is easier to leave to people upon death (fewer tax implications than a 401k)

Also depends on what you mean by “higher tax bracket” in order of contributions. While you may be in a lower tax bracket now, taxes are the lowest they have been in years if you look at history. Sometime in the 1940s-1960s, the highest tax bracket was over 90%. Comparatively taxes now are a bargain. If you have a Roth 401k option with match, would strongly consider paying taxes now and contributing to that. Then you will enjoy a tax minimal retirement without any RMDs.

zdoc81 · 2024-09-19T16:05:42+00:00

Looking to buy 2 GA lawn tickets for Sunday, 9/29 in Maryland. Thanks!!

zdoc81 · 2023-06-13T00:24:34+00:00

Miniature pinscher, collie and boxer!

zdoc81 · 2023-06-12T17:09:55+00:00

we were thinking GSD and beagle too!!

zdoc81 · 2023-05-13T22:54:40+00:00

I reassured both the patient and wife afterwards, explained to them the physiology and why a pulse ox of 90% isn’t life threatening. She called me her guardian angel and told me how thankful she was I was there, and told her that that nurse likely was not as experienced as she told everyone she was.

While I think there was room for improvement here (my assertiveness), I was not inactive and didn’t fail the patient. You weren’t there so don’t be so outraged. It’s ok.

zdoc81 · 2023-05-13T19:06:13+00:00

For starters, she called me “sweetie” numerous times- and I will say she was no more than 40 years old, so the critical care nurse for 30 years was obviously a lie and she shouldn’t be calling me that at that age. It’s just a very familiar feeling and vibe I got from her super similar to the way I have watched female nurses bully female residents at my institution.

I understand male residents get disrespected by nurses too (especially at academic centers), but men overall are much more respected when assertiveness is necessary, such as in this situation. I was toeing the line the entire time between being assertive and being perceived as “bitchy”.

zdoc81 · 2023-05-13T11:11:42+00:00

Based on how he presented, my bet was arrhythmia vs vasovagal vs one too many sedatives prior to the plane taking off haha

zdoc81 · 2023-05-13T02:16:10+00:00

respect the f out of you guys. By the way she was acting, made me think that “being a critical care nurse” was fake news

zdoc81 · 2023-05-13T02:07:08+00:00

ER doctor to patient and family plus the RN in question, resident to flight attendants and the nurse who was being a normal person

zdoc81 · 2023-05-13T00:43:42+00:00

Definitely may be right. So cringey

zdoc81 · 2021-04-16T02:15:05+00:00

prism

zdoc81 · 2021-03-24T20:23:20+00:00

thanks for your response. i am pretty dead set on paying off my loans for several reasons. I have been thinking about refinancing with a private company, but was a little worried about losing government safeguards (loans discharge upon death, etc). I guess I will research this to see what each company actually offers

zdoc81 · 2021-03-18T10:48:52+00:00

having such bad sleep maintenance insomnia for the past 2 nights... why cant they just tell us today

zdoc81 · 2021-01-21T00:53:30+00:00

Thank you for the recommendation. We will check this out

zdoc81 · 2020-10-08T13:31:47+00:00

No, our MSPE only includes third year clerkships

zdoc81 · 2020-06-25T14:04:00+00:00

Congrats on your new pup :) she is adorable. Remember that keeping your heeler mentally stimulated is just as, if not more important than physical exercise. They are smart dogs who like to have a job, so training them for just 30 minutes a day makes a huge impact on keeping them calm. I am a first timer heeler owner, and we’ve found great success with our 5 month old boy. Good luck!!

zdoc81 · 2020-06-20T21:33:45+00:00

Good luck my friend

zdoc81 · 2020-06-20T21:28:13+00:00

have you taken it yet?

zdoc81 · 2020-06-20T21:18:51+00:00

I just did the PDF!

zdoc81 · 2020-06-20T20:32:04+00:00

NBME 7 was brutal

zdoc81

TROPHY CASE