What’s The Right Amount Of Portfolio Complexity?

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As an ER doc and birdwatcher, I find that the breadth of human behaviors have a great deal in common with the variety of birds. Many years ago I enjoyed explaining to a faculty interviewer at a residency program that a short observation period, applied pattern recognition and a need to think quickly on one’s feet are inherent to both …

Strong Opinions, Weakly Held

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It’s my lot in life to be the last to know. I find out about relationships in the ER after an engagement ring has been presented, a child has been born or a staff member has departed. There are ambivalent aspects to my naivete – it’s arguably more difficult to enter the line of fire when you never knew where …

Playing The Percentages

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What are your superpowers? One of mine, cultivated from early childhood and strengthened routinely in my role as an emergency physician, is the ability to frame a situation in a way that allows me to move beyond aggravations, real and imagined. (Excluded from this claim is the ability to deal with preteens and adolescents, which I consider a universally shared …

Lessons From Docs Who Cut Back

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Chief Wellness Officers are administrative leaders tasked with ensuring that organizational culture and executive leadership align to produce a healthy practice of medicine for those tasked with working in the clinical environment. That is a complicated way to say they are supposed to help doctors either like their work more or resent it less. Structural incentives are important in helping …

Financial Security Is The Ability To Say Yes

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Dad, can we play Monopoly? Dad, will you take a look at my bike please? It’s making a funny noise but I want to go for a ride. Dad, want to watch this video I made? Dad, can I teach you this new dance a friend sent me? Being a parent is a time sink. If I thought I wasn’t …

Of Folk Tales And Finance

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Last night my son and I took turns reading short stories before bedtime, as is our longstanding ritual. We’d finished The Hobbit and the Lord of the Rings trilogy last year, and needed some lighter fare. We’re currently halfway through a book of folk tales from around the world. I received it as a gift from a third grade student’s …

When Passion Meets Aging

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I just finished reading Barbarian Days, a delicately wrought memoir by William Finnegan, a staff writer at the New Yorker magazine. Finnegan was awarded the Pulitzer Prize for biography in 2016 for this book. Finnegan’s gift is to use his lifelong obsession with surfing as a lens to explore the eventual unfurling of a unique and distinguished life path. His …

A Visit From Scrappy Younger Me

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When you start a physician finance blog, you are burning to share your message. You say yes to every opportunity, and are flattered when anyone expresses remote interest in what you have to say. Two plus years ago, I was a young upstart approached by a similarly newish blogger who asked me to complete a written interview that he assured …

A COVID Question You Can Answer For Less Than The Cost Of Your ER Visit Copay

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This article is intended for the otherwise healthy patient under 50 years of age who thinks he may have contracted COVID. If you have a body mass index above normal, are diabetic, use an oxygen tank, or the number of medications you take exceeds the number of grandchildren whose names you can remember, this is not written for you (in …

If You Press The Button, Someone You Don’t Know Will Die

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Some of the more fantastic ethical dilemmas I encountered as a child were accompanied by Rod Serling’s haunting narration on black and white episodes of The Twilight Zone. It’s only now, as an adult member of society during a public health crisis, that I am able to draw fully on the parables from that strange and unforgettable sci-fi series. One …