Medicine’s money pit – The Doctor House

There are plenty links on the finances of renting vs. buying.  This isn’t that kind of post.  Rewind a few years:  “Don’t buy a house, rent for a year. ” said my co-residents to me after some rare downtime between morning didactic and clinic.  It was good advice and I came to think about how I didn’t take it quite a bit over the next 5 years. Continue reading “Medicine’s money pit – The Doctor House”

I buy $500 per hour guitar lessons: Discretionary time vs money

Between 2 kids, 2 busy practices, exercise, continuing medical education and the prairie-dog style pop-up items that keep my to-do list at around 10-15 long, I have about 10 discretionary hours per week.  Like Gollum in Lord of the Rings, these are preciousssssssss to me.  They are fungible like money.  I can do, well, whatever I want with them.  I choose luxury. Continue reading “I buy $500 per hour guitar lessons: Discretionary time vs money”

Getting hit by a truck: Gratitude in the face of adversity

“Hey are you ok?”  I heard as I came to, hand numb from lying in the snow.   A slightly familiar face,  the guy who hit me, faded in, his voice slowly muted by the nearing ambulance sirens.  “I got hit by a truck!” I thought as a wave of nausea gripped me and I swallowed it down before taking inventory of my body.
Continue reading “Getting hit by a truck: Gratitude in the face of adversity”

The Pursuit of Happiness Part 1: Can we change our Happiness?

We hold these truths to be self-evident, that all men are created equal  that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.

Sweet Happiness…..  We have an unalienable right to pursue it in the United States, just as much as life, as written in the Declaration of Independence.

How are we to best pursue it? Continue reading “The Pursuit of Happiness Part 1: Can we change our Happiness?”

Our $35,000 Christmas gift to ourselves – the Donor Advised Fund

My wife and I were born into middle classes families that valued education, religion, saving money and trying to be good human beings.  We were born in one of the best societies humans have created, possibly at its peak.  We live in unprecedented luxury compared with our peers from even 1 century ago much less 3 or more.  We have 2 healthy kids and our parents are still alive.  We just cannot go on with all that good fortune without feeling like we won the human birth lottery.  We  as have more than our share of luck, so we decided to give some away. Continue reading “Our $35,000 Christmas gift to ourselves – the Donor Advised Fund”

The Lifestyle Deflation Paradox – Decrease your lifestyle to increase it.

There is a lot of talk about “lifestyle inflation” which is basically spending the extra money one makes as one gets more advanced in a career, gets a side hustle, inheritance, stock market gains, credit (terrible idea) or whatever. What about the opposite of lifestyle inflation? We voluntarily went through “lifestyle deflation” once we realized that we were spending our way to unhappiness. It’s not as bad as it seems and totally worth the short-term pain to get back on track. Continue reading “The Lifestyle Deflation Paradox – Decrease your lifestyle to increase it.”

Gratitude Blog Journal

I’ve been in a bit of a funk lately with medicine.   Lots of patients, 2 young kids, no vacation for a while owing to partner leaving and no nearby family.  I love my job choice of medicine.  It’s easy to overlook all the good things about a career in medicine and as bloggers we often try to identify problems with our job so we can offer solutions.  So I decided to write down some things I’m grateful for in medicine, a gratitude post.   Continue reading “Gratitude Blog Journal”

Choosing a physician job: location, money and lifestyle

Yay me, I found the perfect physician job:  warm (but not hot) all year round, right on the beach, 1 hour drive to mountains with skiing, large international airport (with Southwest), 7 figure pay, low cost state with no income tax, tons of benefits (401k, 457b, match, healthcare), no buy in immediate partnership, no call, 15 weeks paid vacation and 2 fulls days off a week.

But I jest….. Continue reading “Choosing a physician job: location, money and lifestyle”

How spending money can create happiness – Part 2

Sauron predicts the future

This is a continuation from a previous post titled: How spending money can create happiness – Part 1

5. Pay now and consume later

Modern culture is consume now, pay later.  We can get almost whatever we want, on credit, delivered to out door within 1-2 days (sooner if amazon drones take off).  This eliminates anticipation, which is a source of happiness.  Taking the cookie example, eat the cookie now and get X pleasure, or save the cookie for later and get X pleasure plus all the anticipatory pleasure from delaying. Continue reading “How spending money can create happiness – Part 2”