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Any “seasoned” folks here that have made the transition to pain from OR anesthesia after having been in practice for a while?
Moving from OR Anesthesia to Pain
- Thread starter bluewater
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I transitioned many years ago. Retired now. Suspect everything has changed. Fortunately my ABA cert is lifetime. Unfortunately Pain cert is for only 10 years. IMHO the problem is doing all the MOCA stuff for ABA when you are not doing OR anesthesia anymore. Not an issue for me once I gave up OR anesthesia but might be an issue for you. As far as giving up OR anesthesia I waited too long, should have done it way sooner. Nothing but blue skies and happiness once I got out of that OR hospital straight jacket anesthetic prison. Doing both too stressful for me. Final straw to quit OR when they wanted me to take regular call nights. I said what if a pediatric emergency crani comes in at night? They said you gotta be ready to do anything that comes in the front door. I said sayonara. Waves of happiness followed. BTW I like being retired also. Key is to have your health and money. Practicing and MOCA for two specialties is not healthy IMHO. Hate to see stress kill a doc before retirement. Been retired since 2016.
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+1. My experience was the same. Do what you enjoy, live below your means and retire before you die. Thirty years and out did it for me.
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I’m on my last day of vacation. Really don’t want to go back to work tomorrow.
I would retire tomorrow if I had a couple more million in the bank.
I would retire tomorrow if I had a couple more million in the bank.
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MOCA is for both now. i have to do nothing special to recert in pain. not having to a 10 year exam is a godsend.
i do struggle with the MOCA Minute anesthesia machine questions.
i was off for 5 days for the holidays. my wife is glad thats over.
i do struggle with the MOCA Minute anesthesia machine questions.
i was off for 5 days for the holidays. my wife is glad thats over.
What's your $ number in the bank to say I'm good and I can retire now?
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At least 25x your annual expenses
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That’s why I’m not there yet !
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Good rough guess. Use FI Calc or FIRECalc: A different kind of retirement calculator to get a better idea.
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Assuming 30 years of retirement max. Anything above that and the adage of 4% is irrelevant.
10
with or without house?
total net worth. including equity in house
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Is this a two-income household?
I don’t think I need as much because my husband is not spendy. He bought a pre-owned Toyota Highlander and was slightly distraught for months, even though he traded in his old car and technically spent less than the sale price.
ha. no. i wish.
we live in a high COL area and have 3 kids. 10M soulds like a lot, but with inflaiton and 20 years from now it really wont be.
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Burn rate of $400k/year? Seems high, no? Move upon retirement?
Kids make it harder to get there, but shouldn’t push the number higher in the end, right? I’ll probably have one in the house forever, but that carrying cost shouldn’t be too high. The others will be off the dole and decrease expenses greatly, at least I hope so!
My goal is at least $5M, but that’s including the hopeful situation with the kids above and I’m keeping 529 separate from retirement considerations. I also plan to continue working PT in real estate, so there will be some positive cash flow, and investment properties creating passive income. Most importantly, I think I can be there in <10 years and be able to walk away from the hospital if I want. “F U” number is far different than stopping all revenue generating activities.
i dont want to spend all of my $$$ before i die, either.
likewise, i will probably have a kid in the house forever, but dont really plan on having the passive revenue streams that you do. just the money invested already and social security.
my wife has 4 siblings. 2 of them havent been able to "make it" on their own and are constantly getting handouts from their parents. even though they are well into their 40's. id love to believe that i wont have to continue to support my kids into adulthood, but the reality is that i probably will; even if it to help on a downpayment, pay for a water boiler that explodes, get them into a rehab facility, pay for a lawyer, etc
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5 million is my goal as well. Though 4mil is enough if you also have a paid off house.
So true..it is quite sad for these kids now. I personally think they are going to struggle immensely. My son is 6 and already I can tell he’s not very scholastic. He’s very talented with putting things together but I have a gut feeling about having to provide at least some support for him in his adulthood. My daughter is too young to know, but maybe she can swindle some rich hedge fund/tech person to take care of her
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How much of that is a line item for cars?
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😂😂😂 good question!
Though seriously, my lady and no one in family believes me, but I’m done buying new porsches or other new sports cars.
The type of sports cars I like are being legislated out of existence by the liberals.
(Naturally aspirated (NA), lightweight 2 seaters of small or moderate size.
The most recently updated version of the porsche GT3 revealed this past October now makes 15 less ft lbs of torque from the same 4.0L NA engine due to the newest euro 7 emission rules. No porsche GT car has ever made less power than the preceding car, and this GT3 is expected to be their last pure NA GT sports car and only produced for 2 years.
All performance cars are being forced to go EV or turbo/hybrid. Those power trains are fine for a daily driver but for not a visceral weekend sports car.
Already (or no less than 3 years from now), none of the major brands, Porsche, Ferrari, Lamborghini, McLaren, Aston Martin, Mercedes, BMW, will offer a new sports car with a naturally aspirated engine, and possibly not even a sports car with a manual transmission.
I’m sure in the future I will buy or lease new cars powered by turbo, turbo hybrid, or electric for a daily, but I don’t see any more expensive new sports car purchases in my future for weekend fun. I’ll likely keep my two current Porsches forever, and prove my family wrong!
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The magic is largely gone from sports cars now.. heavy, hybrid, v6 emissions and noise regulations, crash regulations, mandated safety tech you have to turn off all the time, auto start stop. I’ve lost interest in the new stuff. The only cool new stuff is so expensive no one can afford it.
If the goal is 5M planned, what is your FU #? I think my FU# is 12M net worth with no debt.
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At 5M I could walk without a second thought, so that’s the “FU” number to me. I have no “bad” debt, only RE loans. I don’t think I could ever truly retire; bad relaxing genetics. I could walk from this job and not look back if I was sitting on $4M, but much more confident and comfortable at $5M.
Rule of 25 puts me at ~$4.5M based on current, but I think I could be at peace with much less. The question and calculation is hard for me to conceptualize. The not quitting work and having passive income changes a lot. Insurance against the unexpected disability or curveball in place.
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I just made the decision to pass on an EV for now and replace the clutch on my manual Golf R DD. So glad I did.
Also, given comments on here I figure some folks might find this interesting food for thought wrt the 4% rule…from the guy who came up with it (listen to the podcast for his most unfiltered comments):
The 4% Rule: Clearing Up Misconceptions With Its Creator Bill Bengen
I had the pleasure of speaking with Bill Bengen, creator of the '4% Rule' for retirement planning. Bill has been a reader of Financial Samurai for many years and has always been courteous in the comments section when I write about safe withdrawal rates. So, I figured it was time we had a chat to
www.financialsamurai.com
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I just made the decision to pass on an EV for now and replace the clutch on my manual Golf R DD. So glad I did.
Also, given comments on here I figure some folks might find this interesting food for thought wrt the 4% rule…from the guy who came up with it (listen to the podcast for his most unfiltered comments):
The 4% Rule: Clearing Up Misconceptions With Its Creator Bill Bengen
I had the pleasure of speaking with Bill Bengen, creator of the '4% Rule' for retirement planning. Bill has been a reader of Financial Samurai for many years and has always been courteous in the comments section when I write about safe withdrawal rates. So, I figured it was time we had a chat to
A manual golf R is a fun car. You should definitely keep it.
Regarding EVs, EVs aren’t a bad car purchase to use as a daily driver, as a second or third car in a household. But they should never be the only car, and they should never be purchased new due to the insane depreciation the first couple years. However, a 2-3 yr old EV, particularly a used Tesla, is a very reasonable option, that is far cheaper to run vs ICE (if you own a house so home charging) much quicker vs ICE of similar cost, and more reliable with less downtime/repair costs vs ICE, and yes they do reduce emissions.
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I’m biased but the R may be the best DD out there if you want AWD, nice interior and just enough useful space for kids+crap but still want a really fun 6MT ride without being particularly flashy.
EVs definitely have their place—wife has an PHEV SUV and it’s great.
I almost got an Ioniq 5, which checks a lot of boxes and the limited trim is really nice…but decided the timing isn’t quite right and I’m just not ready to give up my R…unless a used Lucid turns up at the right price then all bets are off.
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I used to have a Mk5 GTI - definitely a nice fun/practicality balance.
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If you're in a Blue state, double it. Blue state residents will be saddled with paying unfunded public employee retirement pensions for generations to come.
A. You are in a blue state
B. That modest increase pales in comparison to the $$$ saved by sending my kids to public school
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I’d gladly pay a bit more in taxes for excellent schools. For most families, the math easily favors that situation with even one kid.
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agree he is in a blue state
The increased blue state cost is not worth it for supposed better public schools.
This because sane non left wing people don't want to send their kids to public schools in blue states due sexualization of prepubescents, and indoctrination of their kids in transgender. LGBQ..., insanity, critical race theory, climate change as a 21st century religion, etc.
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Are you indicating blue states inherently have better education systems? Obviously, the red south is generally lagging, but the top third of states by many metrics are an interesting mix of red and blue states.
I 8!+€# about my outrageous property taxes frequently, but for the great schools alone, the price is less than the cost of private school tuition for 1 kid. Good perspective reset.
That said, I can’t imagine staying here in retirement unless there is significant tax reform.
To kind of get thread back on track…what does anesthesia look like for part-time, winding down late career for you all?
My partner is now doing “rehab hospitalist” work, covering inpatient 2 weeks on and 2 weeks off. Traveling the world and loving life. Not for me, but working for them quite well.
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lol this thread is so off topic.
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I’m typically all over, second only to painapp, but I made an effort undo the complete derailment!
So all of your kids became oversexualized transgendered purple haired communists when then went to public school?
Oh wait….
Do you know how ridiculous you sound?
It’s not 100 percent obviously, but generally the quality of the public education is proportional to wealth of any particular area. Public schools in Montecito CA are much better than Stockton, CA. But by and large, it is safe to say that public schools in liberal areas are ranked higher, get better test scores, and place students in more competitive colleges
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Do you know how ridiculous it sounds to say out loud the policies and propaganda of modern left wing democrats?
Indoctrination of children and repressing of parents rights, all by itself is why the Virginia governorship was won by republicans.
Your ridiculous indoctrination of our young people also played a role in the last election. Dems would have control of the House if not for this.
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The department of education is completely worthless and an enormous waste of money.
Since its inception by jimmy carter in 1979, reading and math scores of america kids have DECREASED significantly.
The best thing for kids is for education to be left to the states. Involving the federal government is a mistake.
U.S. Reading And Math Scores For 13-Year-Olds Declined To Lowest Level In Decades: Report
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Not true. I served as a locally elected school board member for 8 years. The quality of public education is determined by the amount of instructional time teachers spend in front of children, the fidelity to standards that administrators hold educators accountable to, and the parental support and values that parents teach kids at home. It's not money that determines outcomes; it's the degree to which educators and families support high standards, rigor, and merit. The US education system lags most of the world despite paying through the nose.
Blue states tragically overpay for their public education outcomes because of teacher unions. The money doesn't get to the classroom because it's siphoned off by adult special interests (pensions, health care, salaries, etc). It's just like facility fees and SOS in health care. Why charge 3X for and ESI in the HOPD? Because you can. Blue states pad the bill with all kinds of inefficient nonsense, and politics also heavily color the quality of public education in those jurisdictions. I'm a strong proponent of public education but watched special-interest, left-wing, progressive politics en****tify public education into a winner-takes-nothing, DEI-contaminated mess.
Let local communities run schools with only the broadest parameters and boundaries determined at the state level. Keep federal regulators out of schools as much as possible except for nutritional programs, Title IX enforcement, and standardized testing. A motivated, well-fed kid can learn in a cardboard box.
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and cutting the DOE will get rid of nutritional programs, Title IX enforcement, standardized testing.
here is an interesting graph of the federal funding that goes to the states.
Are Red States More Dependent On Federal Education Funding?
On the whole, dependence on federal funding is higher in states that went for Trump.
www.forbes.com
now this is by percentage. the article notes that the amount of money given to red states also tends to be more. the next graph shows the money per student, and it is still much higher for red states.
and go ahead and throw out the 1 blue "state" in the top 9 - as republicans are adamant that DC should not be a state.
so eliminating the DOJ and eliminating federal funding for states would more severely affect red states than blue, which are already doing worse.
finally - in terms of "running the education" - the DOE does not determine curriculum or run any school district or implement any teaching. that is already done at the local and state level. your implication that the DOE is determining what is to be taught is a lie.
Federal Role in Education
This page discusses the role of the U.S. Department, providing a brief history of the Department as well as a descrption of the Department's mission and staffing.
the way i read this post is that you have been unable to transform your liberal town's education into an Ayn Rand libertarian stronghold.
i agree that throwing money at the problem doesnt necessarily help, as seen in inner cities everywhere. it really comes down to the stability of the home, and the importance that parents place on their education. "generally" higher-achieving households reside in higher achieving communities, who have higher achieving students and schools. its not about teachers unions, FFS.
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Unfortunately, the NEA "represents" teachers kind of like the AMA "represents" doctors. The chasm between the things the NEA fights/advocates for, and the priorities of teachers in the classroom is wild. State education associations are a really mixed bag.
i mean, i have plenty of complaints about teachers unions. unions in general tend to protect sh$tty workers. and i also dont love the pensions. but teachers dont get paid that much. anything less and you will really be scraping the bottom of the barrel
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yes, i digressed without commenting on this statement.
werent you the one advocating for doctor's union?
union for me, but not for thee?
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No lies. I grew up in a household supported by a single teacher's salary. Heroic sacrifice to teach our nation's youth, terrible financial sense, or both. Suffice it to say, I make 10x what my dad ever did, even adjusting for inflation. Teachers should definitely make more, but unions and Washington bureaucrats skimming off the top with minimal to no appreciable benefit are akin to admin bloat and insurance executives in healthcare.
that means no title 1 from dept of education. that funding gap would need to be filled in somewhere, likely by your local property taxes.
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so do you really think that teachers would be better off without unions and union protection?
yes, there are problems with unions. but one can cogently argue that workers are better off with unions.
and teachers are not required to join a union.
but enough must find benefit to keep these unions in existence, right?
after all, 95% of NY teachers, 93% of California, but 0.3% of Florida and Texas teachers are in a union.
of note, average salary of Florida teachers is $51K, Texas $59K.
for New York, its $92k and California $87K.
www.datapandas.org
yes, there are problems with unions. but one can cogently argue that workers are better off with unions.
and teachers are not required to join a union.
but enough must find benefit to keep these unions in existence, right?
after all, 95% of NY teachers, 93% of California, but 0.3% of Florida and Texas teachers are in a union.
of note, average salary of Florida teachers is $51K, Texas $59K.
for New York, its $92k and California $87K.
