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  • Avatar Scarftheverb 
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    Sounds like you should start your own practice

    in reply to: Considering a change to Pharma for career satisfaction #239669 Reply
    Liked by Zaphod, gvs.psych
    Avatar Scarftheverb 
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    The side burner and a cast iron pan also make for a great sear.

    in reply to: To grill or not to grill? #234979 Reply
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    Avatar Scarftheverb 
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    Gas grills are no fun. Get the Deluxe Weber Kettle (charcoal) and a slow n sear for < $600. You get to really play with fire and you can do some serious smoking on it as well. https://amazingribs.com/ratings-reviews/tools/weber-accessories-and-addons/slow-n-sear

    Avatar Scarftheverb 
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    This is the business model of these private equity firms in anesthesia (and probably most other fields).

    The pitch is something like this:

    We give you (PP partners) $2M paid out as capital gains over 5-7 years, and in return you give us 30% of the money you make in perpituity. Then we’ll use our leverage to renegotiate a 30% increase in unit value with the insurers and you’ll end up making just as much as before. It obviously doesn’t always work out like that in real life, and even when it does is driving up the cost of healthcare. Usually a good deal for the guys 5-7 years from retirement and a bad deal for the ones 20 years from retirement.

    Avatar Scarftheverb 
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    I’ve always loved the Tacoma too, but my Tundra fits 3 carseats/boosters in the back with ease, which was the main reason I got it. The ability to occasionally tow something or fill up the bed with mulch is just a bonus. I average about 15mpg, but our minivan only gets 22 or so it’s not really a huge differnce. Luckily I live 3 miles from work.

    in reply to: Mr. Jones' truck #231212 Reply
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    Avatar Scarftheverb 
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    Big discount on Mach 3 razor blades. It only let me buy 2 packs but I would have bought 10 if possible.

    in reply to: Amazon Prime! #230709 Reply
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    Avatar Scarftheverb 
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    I was recently in the market and my car obsessed colleague said the Dodge is the best truck out right now, followed closely by the Ford. I’m cheap and a Toyota lover, so I went with a 2014 Tundra. It was under $30k fully loaded and is almost indistinguishable from the new ones rolling off the factory floor. Been thrilled with it so far, but it sure does burn some gas.

    in reply to: Mr. Jones' truck #230706 Reply
    Avatar Scarftheverb 
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    Just came to say congrats on that monster income so early on! I’m guessing some in-demand specialty with a heavy call stipend?

    in reply to: 700k house in cash or 3m house with mortgage? #221436 Reply
    Avatar Scarftheverb 
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    I find myself fantasizing about buying a house in cash and sticking it to the man by dramatically refusing to buy title insurance. I’m sure it will never actually happen, and if it did no one but me would care.

    in reply to: Buying in a Very Competitive Market #216141 Reply
    Avatar Scarftheverb 
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    Earnest refinancing bonus

    I have mixed feelings about realtors. It hurts to see their cut on the contract, but there are several successful realtors on my street and those guys work hard, have great interpersonal skills and huge funds of knowledge on the process and the local markets. The fixed percentage (especially on a 7 figure house) is probably over the top, but they do add some value for a lazy person like myself. What really gets me is the title insurance—has anyone ever heard of a title dispute in a suburban developed neighborhood? That industry must spend a lot on lobbying and kickbacks to the lenders.

    in reply to: Buying in a Very Competitive Market #216139 Reply
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    Avatar Scarftheverb 
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    I’m in the exact same situation (the numbers are even eerily close). With a full time nanny, part time preschool, and other miscellaneous expenses the extra $100k doesn’t really add all that much. But we figure over time the income will go up and the expenses will go down, so it feels more like an investment for the future.

    I even think my spouse would feel fulfilled staying home with the kids right now, but again, in a few years the kids won’t need full time care and they (awkward pronoun used in lame attempt at internet anonymity) might regret the sacrifice of a career that could very well surpass mine in income and/or “importance.”

    in reply to: Making sense of spouse income #216137 Reply
    Avatar Scarftheverb 
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    Ortho residency is brutal (at least at the places I trained), but lifestyle after residency seems to largely be dictated by the surgeon’s preference in all fields. More work=more money, and the private practice guys I know work about as much as they want to and no more. Employed or academic guys probably have less say over their lifestyle.

    in reply to: Best surgical lifestyle? #215706 Reply
    Avatar Scarftheverb 
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    medical school scholarship sponsor

    Another vote for ortho. I’m happy on the other side of the drapes, but the orthopods are the only ones who occasionally make me question my specialty choice. Plenty of money, lots of subspecialties to fit your personality, and it’s been years since I did a midnight ortho case. Like someone said, they are rainmakers for the whole medical system, which gives them clout I didn’t quite understand the importance of as a med student.

    in reply to: Best surgical lifestyle? #215683 Reply
    Liked by Dusn
    Avatar Scarftheverb 
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    My spouse did biglaw for 5 or 6 years. Made mid 6 figures by the end but it wasn’t worth it. Probably averaged over 80 hours per week and was on call for clients 24/7/365. Partners made 7 figures but I’d guess less than 10% of new associates made it to partner and their lifestyles weren’t any better than the associates’. Medicine is the better gig by far.

    Avatar Scarftheverb 
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    I think you get to skip the ‘live like a resident’ step

    in reply to: Next step after finishing fellowship #204461 Reply
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