Advising physicians to build wealth, manage taxes, and make great life decisions. Host of A Good Problem to Have

Hartford, CT
This is a safe place to learn about finance. Every question is valid! #MedTwitter #MedStudentTwitter #financialplanning
39
38
622
The empire I'm building: Spending time with my kid while he wants to spend time with me.
2
1
40
2,968
Many doctors have missed out on lots of life. They may tend to want to "live for today" b/c tomorrow is not promised. At the same time, living into old age is extremely likely. Balance is very very important. Living one's elder years with limited financial autonomy is rough.
2
8
3,582
You can't see your own blind spots No matter how smart you are, or how good you are at your job In today's conversation with @SPuro88, we talk about knowing when to bring in outside perspective, whether that's on your money, your contract, or your practice Listen on Apple or Spotify
1
1
14
3,035
I pay professionals to tell me to do things that I know I'm supposed to do.
1
22
2,947
Had a great conversation with @SPuro88 about money and career stuff. Highly recommend trainees listen to it. A Good Problem to Have episode coming out this Wednesday.
1
1
6
2,362
This was a particularly good conversation : )
💸 Why Physicians Can Feel Broke on a $500,000 Income (And How to Fix It) Ever look at your bank account near the end of the month and think, "I make great money — where did it all go?" You're not imagining it. On our latest Physician Cents episode, we broke down a real physician household earning $500,000 a year — and by the time taxes, student loans, housing, and transportation are accounted for, more than $225,000 is spoken for before groceries, childcare, or a single vacation. That's not a spending problem. It's a cash-flow problem hiding behind a big number on your W-2. A few things we dug into: → Lifestyle inflation rarely looks reckless. It looks like a bigger house, a reliable car, and takeout after a brutal call shift — reasonable choices, made repeatedly, that quietly eat your margin. → A "full" budget isn't a failing budget. If your dollars are funding retirement, debt payoff, and your kids' 529s before you spend on anything else, that fullness is progress — not a red flag. → Automating your retirement, savings, and sinking funds does more for your financial health than any amount of willpower ever will. The goal was never to build the biggest account balance possible. It's to build a plan where every dollar has a job — so you can spend freely on what actually matters to your family, guilt-free. 🎧 A $500K income doesn't guarantee cash flow. See why physician households feel stretched thin — and how to build a budget that funds your future first. Full episode is live now — physiciancents.com/post/why-… And if you're not already part of the Physician Cents community, come join us — we're building this one honest conversation at a time. 🩺💰 #PhysicianFinance #PhysicianCents #PersonalFinance #LifestyleInflation #DoctorsAndMoney
3
3
41
36,083
Insurance-selling advisors can be a funny bunch. They earn significant comp on the sales of insurance policies and then get confused when doctors don't want to entrust them with their financial planning advice needs? A clear separation b/w fees and product advice is crucial.
3
2
9
2,171
Life is too short to stick it out in that toxic job. Make the change. It feels hard in the moment. But your skill set is rare and you will land on solid footing.
2
16
1,655
No, that non-compete is in fact enforceable.
8
2
32
15,558
I know the saying "doctors are bad with money" hasn't died yet. But it's on its way. I see more and more doctors taking ownership of their financial education and money decisions. It's awesome!
3
14
2,604
Own-occupation disability insurance is expensive It's one reason why so many new attendings skip it But think about what it protects • Years of school • Years of training • The income you worked for Today's new episode out now Listen on Apple or Spotify
3
2
1,986
Now @WeAreWealth is offering tax planning too??
2
1,571
Tyler Olson, EA retweeted
Big day - OB/GYNs are returning to Idaho in a big way! Congratulations to founders @DrLGarl and @NicholeMyersDMD - and developer @ECGcte! More to come later today.
2
3
16
1,431
You went from $70,000 in training to $500,000 as an attending It feels like you can do anything now You can't That income disappears fast if you let your appetite grow with it New episode out now Listen on Apple or Spotify
7
1
17
3,208
Let me just reiterate something. When I post stuff about clients, it's because they've asked me to, cautionary tale reasons. And ill-advised moves and mistakes - we've all been there. I appreciate when docs contribute to the "let's all respectfully learn from our mistakes."
2
1
16
2,929
New client came in with $1.3mil in his checking account. He wants you all to know: don't do this.
14
98
59,038
You can make $500,000 a year and still feel like money's tight And that's not necessarily a bad thing It could mean you're saving 20% for retirement, funding vacations, building savings And there's nothing left to spend on lifestyle creep
1
1
11
2,412
Admins everywhere salivating...
Replying to @yashu211996
🎯 🎯 ACGME's words: "reduce burden related to developing resident SCHEDULES" Whose burden? The program's — not yours. Delete the 8h rule and the q3 limit, and q2 call with no rest between shifts becomes compliant. The 80h average is all that remains.
1
16
13,542
A good financial plan isn't about aspirations It's about systems Like retirement contributions that happen automatically That's how a well-constructed plan actually functions
1
1,504
Spend 90% of your decision energy and professional advice fees on: - large purchase and student debt decisions - practice ownership and/or employment contract advice - tax planning
10
2,396