Golden Rules For Living In The Golden State

crispydoc Uncategorized 4 Comments

I describe myself as an unrepentant Californian. I grew up hiking along coastal foothills and spent my youth learning respect for the Pacific Ocean. I’m at my  happiest sporting shorts and sandals. When I wanted to impress girls in high school, I’d wear my good flannel (that was really a thing). I love it here. At the same time, living …

The Doctor Salary Is A Drug: Potential For Abuse

crispydoc Uncategorized 3 Comments

My sense of gallows humor, honed over decades of emergency medicine, is bound to infuse my writing. I hope it will not be mistaken for making light of substance abuse or the pain it causes individuals and families. As a common final pathway for many in crisis, the ED at best serves as an inflection point and support for those …

The Doctor Salary Is A Drug: Pharmacokinetics

crispydoc Uncategorized 5 Comments

I awoke this morning inspired to describe the interesting and unusual pharmacokinetics of a drug I have deep experience both using and abusing: the doctor salary. Doctor salaries have a delayed onset from the time of initial ingestion. 4 years of university education plus 4 years of medical school plus 3-7 years of residency creates a situation rarely encountered in …

Ordering Off The Menu

crispydoc Uncategorized 7 Comments

Docs who cut back demonstrate an aptitude for envisioning possibility where others cannot. They sacrifice income to gain time to pursue balance. They create and sustain unconventional arrangements with employers and colleagues, and find ways to package these arrangements fairly so all affected parties gain value through their participation. I was thinking about this recently as I conducted an interview …

Docs Who Cut Back #20: Dr. Academic To Community

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Dr. Academic To Community (ATC) is an emergency physician who was on an express track to an academic career when she and her husband started a family. Her goals evolved and she recalibrated her life accordingly. My fascinating interview with Dr. ATC proceeded in a non-linear fashion. A central theme was the struggle to balance career aspirations and intellectual passion …

Wha’ Happened in Oaxaca? Part 2

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By sheer dumb luck, our trip coincided with the annual Guelaguetza celebration. It began in pre-colonial times as an event where representatives from far-flung villages came together in shared worship of corn and the deities that brought the harvest, and included exchanges of food and textiles as a form of reciprocity between villages. The event brings rural indigenous cultural practices …

Wha’ Happened in Oaxaca?

crispydoc Uncategorized 14 Comments

I have a mea culpa: last summer was a huge experiment in family travel, and it’s only now dawned on me that I never wrote about the second installment of that adventure. Thanks to strategically cutting back my clinical load and obtaining advance approval from the scheduler in my physician group, we were able to travel for 5 weeks total, …

I Flirted With Complexity. Here’s What She Taught Me

crispydoc Uncategorized 6 Comments

It was late at night when the bartender called last round. She was wearing a sophisticated little black dress, seated alone at a small table, when our eyes met across the room. Full of liquid courage, I made my way over, asked what she was drinking, and ordered two. I’d heard rumors about her before in the books I was …

Is The Financial Independence Movement A Triple Package Group?

crispydoc Uncategorized 5 Comments

I recently spent a weekend visiting my parents, and as other compulsive readers may relate to, I found myself sifting through their bookshelves in search of brain fodder. I became intrigued by the book, The Triple Package: How Three Unlikely Traits Explain The Rise And Fall Of Cultural Groups In America. The authors were Yale Law professors Amy Chua (who …