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There is no Monster Under Your Bed

One of the most interesting aspects of fear is that it is often completely irrational. Which is not to say that fear is unnecessary, or even not useful. It’s just that it seems to reside in the deeper less evolved parts of our brains. It’s a more animal, and a less analytical response to the […]

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Lurking Below

There is something present in you and in me at all times and in all situations to varying degrees. Beneath the surface whenever we meet someone new, or give a talk, or ask the boss for a raise, or fly on a plane, or cross the street, or look out of the window in a […]

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K.I.S.S.

Having had the good fortune to complete high school, an undergraduate degree, four years of medical school, three years of internship/residency, three years of a cardiology fellowship, and one year of a subspecialty fellowship in arrhythmia, I’ve been blessed with the opportunity to learn from a lot of teachers. And when I look back at […]

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Homerism (and notes)

I’m rereading The Four Pillars Of Investing by William Bernstein. This is a terrific book, that I highly recommend everyone interested in investing to read at least once. Bernstein is a remarkable mind who is able to take complex economic history and theory and calculations and distill them all down into a very readable and […]

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Warren and Me

If you’ve been reading this blog for any amount of time you’ve no doubt noticed that there are some themes that repeat themselves over and over again. There’s the one about the central importance of saving a good portion of your income. There’s the one about the incredible power of small efforts repeated over long […]

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All About the Benjamins?

If I were entering college today, knowing what I know now, I would mix in a few economics classes. At the time I started college, my perception of economics was that of a boring pseudoscience practiced by technocrats. It was a field for bean counters and for those without imagination or creativity. I was interested […]

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There’s No Utility in Futility (Metaphorically Speaking)

Yesterday was one of those long days that sometimes occur when you’re a doctor. (And always seem to happen on the Fridays before call weekends.) Up at 6:30, to the hospital by 7:30, a meeting, a few consults, rounding on the floor patients, four procedures, and before I know it it’s 9:00 or 9:30 and […]

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Going Middle Ages

My friend Jenny recently wrote a really interesting blog post about becoming middle-aged. It seems that reaching middle-age has been something that she’s been looking forward to for a long long time. When I was younger I certainly didn’t look forward to becoming middle-aged.  It seemed pretty uncool. But having arrived here, I must say […]

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Why Ask Hawaii?

I hope you will pardon the diversion. But let’s face it, I’m on vacation. So wailing away on the wall of wealth building and and travel hacking is quite simply not in the cards right now. I would feel too much like one of those sad souls doing Excel spreadsheets poolside in his beach chair. […]

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Zero Sum Game

I am very lucky. When I joined a private practice cardiology group 4.5 years ago fresh out of fellowship I joined a good one. I work with a great collection of doctors and practitioners of all different stripes. And I know that we do a very good job of taking care of our patients, and […]

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