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  • Avatar StateOfMyHead 
    Participant
    Status: Advanced Practice Provider
    Posts: 155
    Joined: 01/01/2019

    I think the only market timing that could work is to buy in the fall and winter when school has started. You may have less inventory, though.

    The thing in your favor is that you don’t currently “need” a home and you have cash stores to buy when you want over the next few months.

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    This is a thing, pay attention to it.

    Trying to decide what is going to go on with the market as a whole is a losing game, but if you are ready to look and buy right now as we head into October you stand a very real chance of being a rare buyer in a buyer’s market. Someone who has been on the market for a while might be ready to make a deal.

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    Other than not buying when the market is clearly inflated this is as far as I tend to go with attempting to time the housing market. In my experience it seems sellers are willing to negotiate a bit more around Thanksgiving rather than sit on it until after the first of the year. Not sure if that is area specific though.

    in reply to: New attending home purchase. Time housing market? #253650 Reply
    Avatar StateOfMyHead 
    Participant
    Status: Advanced Practice Provider
    Posts: 155
    Joined: 01/01/2019

    • The Group “cannot hire enough physicians “? Certainly the can in the “high income region “. Pay the high income.
    Problem solved. Now find the “top of the license” patient load.

     

    It isn’t as simple as “Pay the high income. Problem solved”.

    The issue is multifaceted and particularly difficult in rural areas. There are psychiatrist positions in rural Maryland listed for >$325,000 that remain vacant for years or are not ever filled. Before someone raises the telepsych suggestion also consider night and weekend coverage needs. The bright young physicians now are not willing to sacrifice their quality of life and are setting boundaries making these positions prime for the midlevel picking.

    Avatar StateOfMyHead 
    Participant
    Status: Advanced Practice Provider
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    Gentrification is a valid strategy that I have seen work out. I think you would need to be patient and you could be wrong.

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    This! I think modest outlay and modest expectations yield the least discomfort both financially and emotionally over the long term for someone who wants to dabble in real estate.

    in reply to: Buying in a gentrifying market #253531 Reply
    Avatar StateOfMyHead 
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    Status: Advanced Practice Provider
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    Joined: 01/01/2019

    I think this is very interesting although I haven’t experienced it. It kind of makes me leery to think of what structural or electrical issues could be lurking behind drywall unless they were able to clearly show a full rehab? Hopefully others will write in.

    in reply to: previous fire on home disclosure sheet #253237 Reply
    Avatar StateOfMyHead 
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    Status: Advanced Practice Provider
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    Joined: 01/01/2019

    When I was young and didn’t have much income I bought old, run down row houses in three gentrifying neighborhoods. The rental income wasn’t impressive initially but paid the mortgages after a modest rehab. The tenants were all excellent and the two I sold tripled in value over the 10-15 years that I owned them. I still have one purchased for $75,000, no mortgage, rental income $1,800 mo, worth about $200,000 as it stands, if I were to put $50,000 into it could probably get $300,000. So while not earth shattering investments, and yep they do require babysitting, they diversified my portfolio, made a profit and I would do it again if I were in a similar situation. What I usually looked for when speculating on neighborhood improvement is to select those with clear, defined boundaries that separate them from the next section such as a river, large park, on a peninsula, walkable to the retail/restaurant action, near desirable private school etc.

    in reply to: Buying in a gentrifying market #253233 Reply
    Liked by xraygoggles
    Avatar StateOfMyHead 
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    What did the mushrooms treat?  Very interesting.
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    Or horrifying considering what could go wrong with this scenario. Ketamine is similar and I can only hope once again we haven’t let the horse out of the barn before closing the pasture fence.

    in reply to: Evolution of Medicine #252926 Reply
    Avatar StateOfMyHead 
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    I used to get annoyed when my wife would ask me, “Do you want to come with me to go buy xyz?” I would think, “Hell no, I hate shopping. I still have flash backs when my mom would take me to go shopping as a kid. Are you trying to be just like my mom!” I might as well have committed Seppuku had I uttered those words.

    I don’t think that any more. I now ask, “Do you want me to come?” If she wants alone time, she’ll say something like, “I can go by myself.” If she says, “it’s up to you.,” that means I gotta go. Then I transport myself back to a mindset when I was a young adult hormonic male. If a pretty girl asked me to go shopping with her, f yeah I’d go. When I get to the store of choice, I’ll either go geocache or do core static exercises. Then when the times comes, “Should I get this?” I’ll respond, “If you can wait and dwell on it, I’d wait, but if you really “need it” or “want it”, then get it, cause you deserve it. For the work you do, you deserve it more than most people buying this item.” I don’t know if it works, but sometimes she actually puts the item down never to return to it again. And I’m not doing game theory here, everything I said is true.

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    You sound like a good and smart husband. I especially like the strategy of transporting yourself back to when having a great girl like that would have made anything tolerable.

    in reply to: frivolous female spending #252761 Reply
    Avatar StateOfMyHead 
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    I think its less about gender and more about one’s spending philosophy with whatever emotional baggage that may also entail. Finding a mate with a similar financial style was crucial for me. After two decades of marriage we rarely consult each other before even large purchases and haven’t had one argument over money. I’m good with that.

    in reply to: frivolous female spending #252595 Reply
    Avatar StateOfMyHead 
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    My tenants only seem to average 2-4 years so I haven’t ever increased the rent. I will raise by $50 or so a month when they vacate which has worked well over the years.

    in reply to: Do you rent out to section 8? #251227 Reply
    Avatar StateOfMyHead 
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    Most difficult clinical complexity: decompensated liver failure, hepatorenal syndrome

    Most annoying: cyclic vomiting

    Most unproductive: syncope

    Most common BS diagnosis: “UTI” (not everyone who has wbcs or even some bacteria in their urine has an infection!)

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    Now this is comprehensive. I wish everyone should start over and address in this format.

    in reply to: Worst Diagnosis #251224 Reply
    Liked by adventure
    Avatar StateOfMyHead 
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    I also had difficulty logging in for several days last week. I changed browsers, computers and cleared cache. It resolved for no reason I can discern. Perhaps there is a an address we could email if this happens as I couldn’t find any where for assistance and didn’t want to bother Jim.

    Vagabond MD, really going to miss you, and hope you aren’t a stranger once your new gig is established. Best wishes.

    in reply to: Difficulty logging into forum…. #250215 Reply
    Avatar StateOfMyHead 
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    Great time of year to go.  I second Second City.  I’ve heard the architectural cruises are great but never did one.  Museums mentioned are good.  Sears tower gets a rec, but mostly to do the Ferris Bueller thing and try to “see your dad”.  Portillos, Giordanos (or equivalent Chicago pizza) are musts IMO.  Big fan of going to the Signature Room at the top of the Hancock for a drink (more interesting views than Sears IMO).  Cubs are away this weekend but going to Wrigley would have been up there.  Just don’t leave your car with these guys:

    https://giphy.com/gifs/ferris-buellers-day-off-bGxfUZGfFzCbC

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    I was going to say although touristy I loved the architectural cruise. It was just long enough to hold my attention and the city truly is beautiful.

    The Chicago style pizza was a disappointment. The crust was like dry, crumbly bisquick. Then again I’m originally a New Yorker so perhaps something was lost in translation.

    in reply to: things to do in Chicago #248830 Reply
    Avatar StateOfMyHead 
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    Splash Refinancing Bonus

    On the flip side I have had people save their whole life their nest egg, have it 100% drained and end up on medicaid.  One patient said to me, “I could have gone on a cruise 5 years ago and it would not have mattered, why did I save at all?”

     

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    My thought is the nest egg IS for end of life care, right? Unfortunate that this patient didn’t take a cruise if that would have made them happy but we will all attempt to balance present wants vs anticipation of future needs. Unfortunately without a crystal ball it makes it impossible to predict how to spend as much as we can while saving some for the last years when we will likely require full care. Regardless of what the government is willing to offer as a stipend I don’t want my family members caring for my most personal ADLs when I am unable. There seems to be significant struggles with Erikson’s last stage of Integrity vs Despair in the United States and it is likely only a limited few of us will be blessed to pass peacefully in our sleep after playing a round of golf the day prior.

    The real elephant in the room in my opinion is addressing the amount of money spent on end of life care. Will we as a medical community or society have the stones to consider ethical guidelines as to what could be considered frivolous? At what point does moving the g-tube or is the full code on Grandmom more cruel than humane.

     

     

    Avatar StateOfMyHead 
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    I don’t think research supports this phenomenon although hospital legend surely does.

    in reply to: Full Moons? #245883 Reply
    Avatar StateOfMyHead 
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    Yesterday my wife went to a second hand children clothing store. She bought clothes for the next 6 months for our 4 kids. We do a lot of hand me downs but those darn kids have to be different sizes and genders making it less effective.
    She spend just shy of $200. On literally 50 articles of clothing. She complained about how much it cost the rest of the day. To get the same amount new would easily be double to triple.

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    You were smart with your selection. I have seen countless physician spouses with certain lifestyle expectations that is incongruent with the actual income.

    in reply to: $350000 barely middle class #245797 Reply
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