High Income Vagabonding?

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Since this blog is in many ways a time capsule from the current version of me to the person I was 15 years ago, there are concepts that occasionally resonate with the unencumbered new attending far more than they do with the married father of two with a mortgage and a bum shoulder.  One such idea is the concept underlying …

The Ascetic Treadmill

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As part of a fellowship in International Emergency Medicine, I spent six months (multiple trips over a two year period) in northern Ethiopia. One of the most otherworldly experiences I had during that time was exploring Lalibela, a town which occupies a revered place in Ethiopian Orthodox Christianity.  A walk through town revealed temples hewn from single enormous slabs of …

Insensible Losses

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I was introduced to the concept of “insensible losses” in medical school.  Briefly, excess fluids lost from the human body are difficult to measure via the lungs, skin and GI tract, but can take a significant toll on the state of hydration.  Conditions that stress the body and increase metabolic rate (burns, fever, a pint of Ben and Jerry’s in …

Financial Independence Skills For Kids: A Shallow Pursuit?

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This morning I took a hike with a friend through the hills along the California coast.  My friend is a thoughtful, deeply intellectual academic, and our conversation turned to the topic of what legacies we hope to pass onto our children. Reflecting my current preoccupation, I said that I hoped to pass onto my kids the keys to achieving financial …

Status Interruptus

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Volunteer: Can room 8 have a glass of water? MD: Unfortunately no, at least not until her CT results are back.  Thanks for advocating for her. RN#1: Room 8 is asking for water. MD: I know, you’re the second to ask me.  We need to wait for her CT results before letting her have fluids, but please let her know …