To my wife, Let’s just start at the beginning. When we first met, you thought I was arrogant and prideful.  For two and a half years we would rarely talk while we walked past each other in our small college town.  At the time, we never could have imagined that one day we would get married.  In a twist of irony, two weeks before we started dating you still didn’t know as ...

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When Jason Kilar graduated from college he experienced tremendous personal and professional adversity.  Three days after graduation, Kilar’s father ended his own life after battling bipolar disorder. Kilar also battled professional valleys. In the months after graduation,  the work-life he had long envisioned couldn’t have seemed further from the reality he faced. After building shelves at a local store and hustling to find a job that he actually loved, this ...

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Recently, Crispy Doc ran an interview with Vagabond MD that highlighted his road to part-time work.  This struck a chord with me as I’ve considered doing the same despite being in my second year as an attending physician.  In fact, Crispy Doc and I had a conversation about achieving work-life balance through part-time work in Orlando at FinCon. When I came home after the conference, I ran into one of ...

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If you can’t beat ’em, join them (and make it better).  Am I right?  This was some of the sentiment I felt as I registered with FINRA (Financial Industry Regulatory Authority) to take the Series 65 exam.  Passing this exam will allow me to register in my state as an Independent Advisory Representative (IAR) and function as a financial advisor.   This begs the question: Why should I become a financial ...

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By this point, a lot of people have heard the famous Dave Ramsey quote, “If you live like no one else, later you can live like no one else.”  Ramsey is known for being a proponent of attacking debt aggressively when people ask, “How should I pay off my debt?” He proposes one method that I think works for the vast majority of Americans, but today I’ll argue that method isn’t necessarily ...

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A common proverb teaches that, “The road to hell is paved with good intentions.”  Medicine is a world where people are well-intended. Yet they fail to change a system that is broken and continues to produce burned out, depressed, and suicidal doctors. We can see their final destination, look back, and realize that we helped pave the road that carried them to that destination. Today, I want to hammer ...

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My oldest girl and I love watching birds.   We usually watch the birds right outside our backdoor while they eat from our bird feeder. As we were watching one day, it amazed me how comfortable the birds were jumping from post to post on the feeder or from branch to branch on the trees.  Often times at a distance taller than the bird itself. Why would they take this risk and ...

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As part of my job as an anesthesiologist, I get called to truly horrific airway events.  Sometimes they are down in the emergency department after a bad car accident, drowning, or burn.  Others are in ICU’s.  Sometimes they are even in hallways or bathrooms where people have stopped breathing or collapsed from cardiac arrest.  It’s part of the job. Recently, I was called to an airway in an ICU in what ...

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One of my best friends recently sent me an article from the Wall Street Journal discussing the generation that is about to enter into retirement.  The article highlighted how this generation will have an unacceptably high proportion of people who are unable to retire.  Following a generation that had guaranteed pensions, this left them with the reassurance that they would someday have one, too.  Left ill-prepared for retirement, this ...

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recent post by the White Coat Investor got me pretty fired up.  Dr. Dahle spoke about three of the main financial enemies that face physicians. The third one that he mentioned had something to do with medical culture.  The gist of it was that talking money in academic medical centers is considered taboo.  While I think WCI is right, it really made me angry.  As an academic attending ...

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