Low Cost Delivers High Value: Why My $1.50 Bead Necklace Is Priceless

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As an emergency medicine resident in 2002, I arranged a 6 week rotation through the Nairobi Hospital, which is where the who’s who of Kenya receive their care – presidents, expats, business people, tribal chiefs. My mentor during my time there was an American-born cardiologist, the private physician to then president-for-life Daniel Arap Toirotitch arap Moi. It was a formative …

Will I Miss My Ex?

crispydocUncategorized 32 Comments

I’ve accepted a position outside of clinical medicine. It represents an opportunity to continue to support the community health system I’ve been a part of to continue to ensure it’s viability for the future, at the hospital where both my kids were born. A little like going from player to coach while supporting the same team enterprise. Making this decision …

A Conference About Money And Marriage In Medicine?

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Physician finance bloggers seem to be dominated by shift-based specialties (anesthesia and emergency medicine come to mind), so it’s nice when a different specialist weighs in. It would be impressive enough that Dr. Brent Lacey’s career as a gastroenterologist requires him to handle Texan-sized colonoscopies, but there’s more – he’s also a physician finance blogger at the Scope of Practice …

Delivering Her First Album: How FIRE Helped An OB/GYN Find Her Voice

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The best part of writing a physician finance blog is the delightful assortment of true-to-their-internal compass folks you pick up as friends along the way. I feel fortunate to count Dr. Kristina Dervaitis, a Canadian OB/GYN, among the menagerie of misfit docs who make life more interesting as they redeem our profession in my eyes. I’ve invited her to share …

Announcing WCI CON 2022

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[Disclosure: If you register for WCI CON 22 using this link, I make a modest commission at no cost to you.] Enrollment has begun for the upcoming Physician Wellness and Financial Literacy Conference 2022, offered every 1-2 years by the White Coat Investor. You have 5 days to score early bird pricing on in-person attendance. I was a speaker at …

A Good Mid-Life Crisis

crispydocUncategorized 2 Comments

It’s the first swell of the autumn that’s above knee high, and I find myself in a lineup in cold water with a handful of dudes. If I had to guess, these surfers constituted what remained of the precocious puberty crowd from high school – they shaved more at age 14 than I do today, and were socially popular – …

Encore Careers And Applied Vs. Bench Research

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I’ve spent a great deal of time thinking about what my encore career might look like. Some of that thinking has to do with how to go about deciding on that first action. Do you dip a toe in the water to an interesting idea? Do you commit fully and completely to your best option? How much is the right …

Is Your Investing Process- Or Outcome-Oriented?

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An acquaintance relishes trumpeting his large bet on bitcoin and intent to hold on for dear life to a group of us repeatedly via text. He insists it demonstrates his investing prowess. For proof of his skill, he holds up the considerable increase in value he can demonstrate since he initially invested. When I ask to understand why he invested …

The Sisyphus Year

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It’s been a brutal time to be in medicine. The start of the pandemic caused an unexpected and precipitous drop in patient volume. Those docs who ran their own practices and relied on elective or non-emergent procedures for their livelihood faced significant adverse financial consequences for the evaporation of their patient base, although the Paycheck Protection Program offset some of …