Options and real estate wedlock - a beginner level trade on a real estate backed asset

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stillpremed said:
Hard for a 2T+ market cap company to do as well from a stock standpoint versus the mid to lower cap stalwarts (especially during these lean times)
Click to expand...
The other thing with GOOG while their businesses are diverse there is real concern about loss of search dominance. I cant remember the specific details but there was a report that google has 90% of the search previously but people are using ChatGPT/Perplexity etc for “search” and that will hurt GOOG. I dont follow the stock closely but do own some and remember hearing this.
 
stillpremed said:
Hard for a 2T+ market cap company to do as well from a stock standpoint versus the mid to lower cap stalwarts (especially during these lean times)
Click to expand...

Goog gets ~70% of it's revenues from search, and there is a paradigm shift happening where people are moving away from traditional search to chat bot search.

I, for one, use chat bot search 90% of the time. My default search in Bing goes directly to perplexity.ai. I also use Grok regularly. I don't use chatgpt.

Google is late to the game, and even though some of their new tools are pretty damn cool...they need to integrate it with "google.com" search.
 
thegenius said:
Goog gets ~70% of it's revenues from search, and there is a paradigm shift happening where people are moving away from traditional search to chat bot search.

I, for one, use chat bot search 90% of the time. My default search in Bing goes directly to perplexity.ai. I also use Grok regularly. I don't use chatgpt.

Google is late to the game, and even though some of their new tools are pretty damn cool...they need to integrate it with "google.com" search.
Click to expand...
Oh damn. Adapt or die.
 
Bought my first tiny amount of BTC. Had a limit order in at 101K, bought about 2K worth. I'll probably buy more every 5K it does down. BTC is currently making lower highs and lower lows...so buying at the lower lows is not a bad thing to do right now.

Just spoke to the wife about slowly acquiring BTC and she's like 1) "aren't people kidnapped and forced to give them BTC", and 2) "You are in front of the computer too much, you gotta get out more!" We had about a 3 min conversation and it moved to things like "You gotta fix the toilets in the house." and "Set aside time for next weekend because we need to clean out the garage."

LOL
 
thegenius said:
Bought my first tiny amount of BTC. Had a limit order in at 101K, bought about 2K worth. I'll probably buy more every 5K it does down. BTC is currently making lower highs and lower lows...so buying at the lower lows is not a bad thing to do right now.

Just spoke to the wife about slowly acquiring BTC and she's like 1) "aren't people kidnapped and forced to give them BTC", and 2) "You are in front of the computer too much, you gotta get out more!" We had about a 3 min conversation and it moved to things like "You gotta fix the toilets in the house." and "Set aside time for next weekend because we need to clean out the garage."

LOL
Click to expand...
Tell her you'll outsource those tasks with the money you make from options and BTC.
 
Apollyon said:
I don't understand why you got two dislikes for this. Honestly, why?
Click to expand...
It's not a dislike for the comment, it's a dislike for the stock. It dropped over 30% on the Novo Nordisk partnership termination news and I consider it high risk due to the legal and regulatory investigation/concerns. That being said, it's got excellent financials so it might be a value buy at some point but I think it needs to find a bottom first and so far is still in freefall. Still overvalued IMO. Down pre-market today.
 
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I'm glad I'm working nights this week and haven't been able to trade. I would have gotten it all wrong this week. I've been stopped out of about 3-4 positions yesterday and that's in cash but I would have gone heavy into oil/gold/defense stocks betting on Strait of Hormuz being closed or some other war escalation and instead...I'm reading about this brokered peace deal with futures green and so many stocks with crazy pre-market bullish movement.

Will be curious to see what TSLA did when I wake up. It had that crazy spike on the robotaxi news and now I'm reading about all this PR footage where the taxis were speeding or changing lanes incorrectly, etc.. TSLA sure loves that volatility.
 
Groove said:
I'm glad I'm working nights this week and haven't been able to trade. I would have gotten it all wrong this week. I've been stopped out of about 3-4 positions yesterday and that's in cash but I would have gone heavy into oil/gold/defense stocks betting on Strait of Hormuz being closed or some other war escalation and instead...I'm reading about this brokered peace deal with futures green and so many stocks with crazy pre-market bullish movement.

Will be curious to see what TSLA did when I wake up. It had that crazy spike on the robotaxi news and now I'm reading about all this PR footage where the taxis were speeding or changing lanes incorrectly, etc.. TSLA sure loves that volatility.
Click to expand...

The way oil moved as a result of all the middle east turmoil has yet again humbled me when it comes to market dynamics.

Prior to that dip I would have told you "this was the surest trade in the playbook," but here we are!

Even more reason to spend more time improving my skills on the sell side of options. That tends to be where a majority of my monthly gains come from anyway, simply sitting on covered calls and collecting premium.
 
Groove said:
Nothing big but I've got about 50K position in my wife's account on AMD.
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That is a decent position.

I have about that much in my brokerage account; purchased at $140/share and close to break even
 
cyanide12345678 said:
Same - holding a bunch of nvo contracts.
Click to expand...
I got out of mine for a small loss...it broke below the anchored VWAP from the recent low, MACD is curling down, and I just don't know what's going to happen with it. Didn't get the bounce I was looking for. Could be a fake out and maybe I'm wrong..but I would rather participate when these stocks hold the AVWAP
 
Updated portfolio:

ANF
AMD
AGESY
GOOGL
AMZN
AS
ARM
ATI
BCS
BTM
CCL
CLS
CRDO
KB
META
NGD
NVDA
PLTR
PM
STX
SEZL
SPOT
TEM
TIMB
UBER
VRNA

HemorrhagicShock said:
New ATHs for SPY and QQQ

Love to see it!!!
Click to expand...
Screenshot 2025-06-27 at 11.39.39 AM.png
Screenshot 2025-06-27 at 11.41.40 AM.png


21% gain in literally 2 months worth of trading days. Insane. I hope the worst is behind us for the year.
 
It is just absolutely insane right now. I am really thinking about selling my brokerage positions and just waiting to see.
 
Groove said:
Updated portfolio:

ANF
AMD
AGESY
GOOGL
AMZN
AS
ARM
ATI
BCS
BTM
CCL
CLS
CRDO
KB
META
NGD
NVDA
PLTR
PM
STX
SEZL
SPOT
TEM
TIMB
UBER
VRNA


View attachment 405745View attachment 405746

21% gain in literally 2 months worth of trading days. Insane. I hope the worst is behind us for the year.
Click to expand...

YEP dude, with a 16 VIX, insane!!!

To me this means we're in a new bull, and I wouldn't be suprised if we grind higher on the SPY and QQQs for the rest of the year

All the macro factors are pointing to it, including a gradually weakening DXY and global M2 continuing to rocket up.
 
Porfirio said:
It is just absolutely insane right now. I am really thinking about selling my brokerage positions and just waiting to see.
Click to expand...

I think you'll regret it.

The worst is behind us; look at the market charging forward, with still a lot of baggage in the media. Once that set of baggage clears, we're going to moon even harder.

I like a lot of Tom Lee's content on this (YouTube/google/X/whatever his stuff, it's very eye-opening and very rational)

Bottomline for me: TSLA, NVDA, MSTR, BTC, SOL, and now MTPLF
 
Alright, I'm going to pull a massive faux pas and drop a triple post, because the following point is extremely prescient.

I strongly believe a lot of the newish and/or institutional-grade bullishness is front-running a Trump takeover of the Fed.

We all know that in less than a year Trump is going to install another lackey in JPow's place, one who will take a wildly dovish stance, and drop that rate faster than a drunk mother drops her baby.

The last month or so (and the next few months) will be the market pricing in 5-6 rate cuts in 2026.

IMHO we go higher, and of course, NFA, because I'm just a retired and regarded ER doc
 
HemorrhagicShock said:
Alright, I'm going to pull a massive faux pas and drop a triple post, because the following point is extremely prescient.

I strongly believe a lot of the newish and/or institutional-grade bullishness is front-running a Trump takeover of the Fed.

We all know that in less than a year Trump is going to install another lackey in JPow's place, one who will take a wildly dovish stance, and drop that rate faster than a drunk mother drops her baby.

The last month or so (and the next few months) will be the market pricing in 5-6 rate cuts in 2026.

IMHO we go higher, and of course, NFA, because I'm just a retired and regarded ER doc
Click to expand...
Trump put JPow there. Do you think the next candidate will be asked, “JPow is late and weak - true or false?” As their single question from Trump?
 
Porfirio said:
Trump put JPow there. Do you think the next candidate will be asked, “JPow is late and weak - true or false?” As their single question from Trump?
Click to expand...

I don't know if you've been paying attention during this administration's "rule" but it's abundantly clear that there are no longer any rules.

Checks and balances are entirely dead, they were based on gentlemen's agreements and "honor" and other similar vagueness.

Trump and MAGA will install whoever they want, wherever they want.

Me? All I care about is making money off it, since it's abundantly clear that the wealth gap is widening, the middle class is shrinking rapidly, and I'd rather not be in the "Have-nots" category in our New America.
 
HemorrhagicShock said:
YEP dude, with a 16 VIX, insane!!!

To me this means we're in a new bull, and I wouldn't be suprised if we grind higher on the SPY and QQQs for the rest of the year

All the macro factors are pointing to it, including a gradually weakening DXY and global M2 continuing to rocket up.
Click to expand...
I am hoping that bull market will help me pay off both my student loan and my second investment property by next year. I only need 400k. Lol
 
HemorrhagicShock said:
I don't know if you've been paying attention during this administration's "rule" but it's abundantly clear that there are no longer any rules.

Checks and balances are entirely dead, they were based on gentlemen's agreements and "honor" and other similar vagueness.

Trump and MAGA will install whoever they want, wherever they want.

Me? All I care about is making money off it, since it's abundantly clear that the wealth gap is widening, the middle class is shrinking rapidly, and I'd rather not be in the "Have-nots" category in our New America.
Click to expand...
I agree with you. The whole system is rigged. I have to find a way to accelerate my COAST FIRE.
 
Splenda88 said:
I am hoping that bull market will help me pay off both my student loan and my second investment property by next year. I only need 400k. Lol
Click to expand...

It will, let it develop, I think the back half of 2025 is gonna go hard. There's over 7T on the sidelines waiting to deploy, and we're at new ATH. Time for FOMO euphoria runs!

Splenda88 said:
I agree with you. The whole system is rigged. I have to find a way to accelerate my COAST FIRE.
Click to expand...

This was my goal honestly, actually more Barista FIRE since I liked being a physician. But in my VHCOL area there's literally nothing an ER doc can do that isn't an insanely stressful clinical grind or already over-crowded with PA/NPs and other burned out docs.

I pretty much tried opening a DPC but that didn't work either.

So I do other online business things now.
 
HemorrhagicShock said:
It will, let it develop, I think the back half of 2025 is gonna go hard. There's over 7T on the sidelines waiting to deploy, and we're at new ATH. Time for FOMO euphoria runs!



This was my goal honestly, actually more Barista FIRE since I liked being a physician. But in my VHCOL area there's literally nothing an ER doc can do that isn't an insanely stressful clinical grind or already over-crowded with PA/NPs and other burned out docs.

I pretty much tried opening a DPC but that didn't work either.

So I do other online business things now.
Click to expand...

You're my hero dude. I can't wait to punch out like that. Full time investor. AI says I can do it in 5 years. 2 years at 120 hours and 3 working 6-8 shifts/mo. I'll be mid fifties. So pumped. I really don't know if I'll even feel the need to work clinical shifts. The only reason I might is because I'm the paranoid type that plans for doomsday scenarios and I might want just a tiny trickle of clinical time just to keep my foot in the door. Then again...maybe not. We'll see.

I find it humorous that the day after I requested to reduce my clinical hours, I get a bunch of CME modules from my CMG mandating completion pertaining to well being and burnout.
 
Groove said:
You're my hero dude. I can't wait to punch out like that. Full time investor. AI says I can do it in 5 years. 2 years at 120 hours and 3 working 6-8 shifts/mo. I'll be mid fifties. So pumped. I really don't know if I'll even feel the need to work clinical shifts. The only reason I might is because I'm the paranoid type that plans for doomsday scenarios and I might want just a tiny trickle of clinical time just to keep my foot in the door. Then again...maybe not. We'll see.

I find it humorous that the day after I requested to reduce my clinical hours, I get a bunch of CME modules from my CMG mandating completion pertaining to well being and burnout.
Click to expand...

The hardest part about hanging up the stethoscope was letting go of the ER doc identity. Indeed, it took a long time to get to the point where I could consider myself an expert at managing a high volume high acuity trauma/STEMI/stroke certified ED. There was meaning and satisfaction in knowing I was good at it.

But eventually, what I had to give up and deal with to maintain that persona, identity, and lifestyle was just too much. It's been over a year and I still haven't fully dropped the persona, especially since you get so much lay person cred for telling them you're an EM physician. You're a badass in their eyes. However...

I hate to say it, but EM is 100% blue-collar work, and I wish I realized that in medical school. I was more drawn to the sexiness of the field, particularly its potential to earn a substantial amount of money quickly through a 3-year residency. At the time, everything about it seemed exciting and interesting. As a medical student you're shielded from the day-to-day BS of being an attending EM physician, and you get to solely focus on bearing witness to the coolest cases, without having to deal with the negative aspects. I figured I wouldn't live past the age of 40, and so I didn't care much about the future (classic hubristic mid-20s male thought pattern).

It wasn't until I started investing my attending money that I realized there was a whole world of finance that interested me FAR more than medicine. And once I peeled back the surface, it was crazy to see how much money you could make simply by manipulating numbers on a screen in an intelligent way, rather than slave away physically and mentally at the bedside.

I wasn't designed to do blue-collar work, and by this point, EM was "easy" for me in specific ways, but tough in others. I will piss off a ton of people by saying this but EM wasn't intellectually challenging at all. It's a very algorithmic field, and the difficult parts all surround dealing with the personalities of the nurses, consultants, patients, and just about every other human obstacle that comes with providing care in a modern-day feces-fest that is the American ED. And then there's the mountains of charting and other secretarial work.

A difficulty Ludwig's airway? Go through your algo, if you have to cut, then cut. Get that airway by any means necessary. EASY.

But the hard part? Dealing with the dingus ENT on the other end. Dealing with the administrative fallout of having to do a cric. Going to peer review over saving a human being's life (which is what we trained to do). I could go on and on and on about these kinds of difficulties, which just wore me out. The road to hell is paved with good intention.

The medicine of EM is easy. It's, unfortunately, a tiny part of the job.

It was a waste of my talent and brainpower to be fighting with consultants, administrators, and sometimes even my own medical director.

I poured my intellect into learning how to invest, trade, scale, and, my goodness, has it been 1,000 times more fruitful. And get this. It's actually way more rewarding to me spiritually and mentally than being a physician ever was.

I now have a skill that allows me to support myself, my family, my kids, and even my extended family (if I become proficient enough) solely through my own skills. SOLOPRENEUR status. All I need is a computer and a great internet connection. I can do this from anywhere in the world. It keeps me informed about world events and macroeconomic factors, allowing me to stay ahead of 99% of human beings who are going about their lives when it comes to information flow.

I don't depend on nurses, assistants, bottom-of-the-IQ-barrel scribes, and a variety of other uncontrollable factors that we have to deal with as ER docs. That was a huge source of burnout for me. Zero control.

I genuinely think having to go through all that training is a complete waste for what the role is today, and I do think a well-trained PA can do a vast majority of the job, and could easily handle the more complex stuff if trained on the job. I've seen it before in some of the locums EDs. Experienced 20 year PAs who expertly placed lines and resuscitated patients intelligently. Managed traumas well. All of it. You're kidding yourself if you think you need an MD or DO to be a strong EM clinician in 2025. You just need good on the job training.

I think EM is full of people who truly can't see that our expertise isn't that valuable, isn't that difficult to obtain, and has minimal value-add to any healthcare system. And it's diluting faster and faster with the expansion of all these programs. It's an IMG specialty at this point.

I'm incredibly happy to be out of EM, and I'm also incredibly happy to be able to support myself with options income and risk-defined trading.

Though I'll end with this: I genuinely wish I could find some sort of way to still be a doctor as a side hustle, at my own pace. Perhaps see 5-6 patients per day, 2-3 days a week, assisting them with simple PCP-level tasks. Or even urgent care type stuff.

But a job like that doesn't exist, and you really can't create one and maintain a positive margin given what costs are these days, particularly in my VHCOL area. Any urgent care or similar clinical role effectively requires you to hustle out as much volume as possible - forget that.

And thus another physician withers away to the ether, pursuing something completely different, when I still have 20-30 years left in me to dedicate to some career or pursuit or whatever (I'm not even 40).

The best part is that I also received a half scholarship to attend medical school. What a societal waste if you think about it.

I'll leave you with this:
1. You can beat the market
2. It's pretty hard, but if you give it a residency-level effort (as you did with your clinical training) it's well within your reach
3. Invest in disruptive technology, learn how to pair trade with non-correlated assets, and SIZE UP
4. Learn options, this was such an unlock for me
5. "Diversification results in bips, concentration results in multiples."

Anyway, back to touching grass, taking my kid to a birthday party, followed by a stargazing event at the local observatory!

(Apologies for any mistakes, I just stream-of-consciousness typed this out)
 
HemorrhagicShock said:
It will, let it develop, I think the back half of 2025 is gonna go hard. There's over 7T on the sidelines waiting to deploy, and we're at new ATH. Time for FOMO euphoria runs!



This was my goal honestly, actually more Barista FIRE since I liked being a physician. But in my VHCOL area there's literally nothing an ER doc can do that isn't an insanely stressful clinical grind or already over-crowded with PA/NPs and other burned out docs.

I pretty much tried opening a DPC but that didn't work either.

So I do other online business things now.
Click to expand...
I just want work to become a choice, not a necessity. Luckily, I don't need a very high number.
 
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thegenius said:
Back in LULU, with shares (200), and a risk reversal (short Aug 220p, long Aug 260c) x5.
Click to expand...

Joining you on it. Adding September $170 puts when market opens on Monday. Probably 3-5 contracts to start.

Meets my criteria of a solid profitable beaten down company that’s not going anywhere.
 
cyanide12345678 said:
Joining you on it. Adding September $170 puts when market opens on Monday. Probably 3-5 contracts to start.

Meets my criteria of a solid profitable beaten down company that’s not going anywhere.
Click to expand...

MACD is starting to curl up. Beaten down like you said. BXTrender turned positive. Probably found a base to around 220-230. And did you see that huge gap starting at 275 going to 330? It would be a fooking hoot if that was filled prior to next earnings.

yea so yea this is a reasonable bet. They make good products and women who wear their clothes tend to look really hot too.
 
Retirement accounts have recovered completely from where they were at the beginning of the year.

I am starting to think investing in the stock market might be better than real estate.
 
HemorrhagicShock said:
The hardest part about hanging up the stethoscope was letting go of the ER doc identity. Indeed, it took a long time to get to the point where I could consider myself an expert at managing a high volume high acuity trauma/STEMI/stroke certified ED. There was meaning and satisfaction in knowing I was good at it.

But eventually, what I had to give up and deal with to maintain that persona, identity, and lifestyle was just too much. It's been over a year and I still haven't fully dropped the persona, especially since you get so much lay person cred for telling them you're an EM physician. You're a badass in their eyes. However...

I hate to say it, but EM is 100% blue-collar work, and I wish I realized that in medical school. I was more drawn to the sexiness of the field, particularly its potential to earn a substantial amount of money quickly through a 3-year residency. At the time, everything about it seemed exciting and interesting. As a medical student you're shielded from the day-to-day BS of being an attending EM physician, and you get to solely focus on bearing witness to the coolest cases, without having to deal with the negative aspects. I figured I wouldn't live past the age of 40, and so I didn't care much about the future (classic hubristic mid-20s male thought pattern).

It wasn't until I started investing my attending money that I realized there was a whole world of finance that interested me FAR more than medicine. And once I peeled back the surface, it was crazy to see how much money you could make simply by manipulating numbers on a screen in an intelligent way, rather than slave away physically and mentally at the bedside.

I wasn't designed to do blue-collar work, and by this point, EM was "easy" for me in specific ways, but tough in others. I will piss off a ton of people by saying this but EM wasn't intellectually challenging at all. It's a very algorithmic field, and the difficult parts all surround dealing with the personalities of the nurses, consultants, patients, and just about every other human obstacle that comes with providing care in a modern-day feces-fest that is the American ED. And then there's the mountains of charting and other secretarial work.

A difficulty Ludwig's airway? Go through your algo, if you have to cut, then cut. Get that airway by any means necessary. EASY.

But the hard part? Dealing with the dingus ENT on the other end. Dealing with the administrative fallout of having to do a cric. Going to peer review over saving a human being's life (which is what we trained to do). I could go on and on and on about these kinds of difficulties, which just wore me out. The road to hell is paved with good intention.

The medicine of EM is easy. It's, unfortunately, a tiny part of the job.

It was a waste of my talent and brainpower to be fighting with consultants, administrators, and sometimes even my own medical director.

I poured my intellect into learning how to invest, trade, scale, and, my goodness, has it been 1,000 times more fruitful. And get this. It's actually way more rewarding to me spiritually and mentally than being a physician ever was.

I now have a skill that allows me to support myself, my family, my kids, and even my extended family (if I become proficient enough) solely through my own skills. SOLOPRENEUR status. All I need is a computer and a great internet connection. I can do this from anywhere in the world. It keeps me informed about world events and macroeconomic factors, allowing me to stay ahead of 99% of human beings who are going about their lives when it comes to information flow.

I don't depend on nurses, assistants, bottom-of-the-IQ-barrel scribes, and a variety of other uncontrollable factors that we have to deal with as ER docs. That was a huge source of burnout for me. Zero control.

I genuinely think having to go through all that training is a complete waste for what the role is today, and I do think a well-trained PA can do a vast majority of the job, and could easily handle the more complex stuff if trained on the job. I've seen it before in some of the locums EDs. Experienced 20 year PAs who expertly placed lines and resuscitated patients intelligently. Managed traumas well. All of it. You're kidding yourself if you think you need an MD or DO to be a strong EM clinician in 2025. You just need good on the job training.

I think EM is full of people who truly can't see that our expertise isn't that valuable, isn't that difficult to obtain, and has minimal value-add to any healthcare system. And it's diluting faster and faster with the expansion of all these programs. It's an IMG specialty at this point.

I'm incredibly happy to be out of EM, and I'm also incredibly happy to be able to support myself with options income and risk-defined trading.

Though I'll end with this: I genuinely wish I could find some sort of way to still be a doctor as a side hustle, at my own pace. Perhaps see 5-6 patients per day, 2-3 days a week, assisting them with simple PCP-level tasks. Or even urgent care type stuff.

But a job like that doesn't exist, and you really can't create one and maintain a positive margin given what costs are these days, particularly in my VHCOL area. Any urgent care or similar clinical role effectively requires you to hustle out as much volume as possible - forget that.

And thus another physician withers away to the ether, pursuing something completely different, when I still have 20-30 years left in me to dedicate to some career or pursuit or whatever (I'm not even 40).

The best part is that I also received a half scholarship to attend medical school. What a societal waste if you think about it.

I'll leave you with this:
1. You can beat the market
2. It's pretty hard, but if you give it a residency-level effort (as you did with your clinical training) it's well within your reach
3. Invest in disruptive technology, learn how to pair trade with non-correlated assets, and SIZE UP
4. Learn options, this was such an unlock for me
5. "Diversification results in bips, concentration results in multiples."

Anyway, back to touching grass, taking my kid to a birthday party, followed by a stargazing event at the local observatory!

(Apologies for any mistakes, I just stream-of-consciousness typed this out)
Click to expand...
I think we can all relate to your train of thought. I want to push back just a little. We don’t matter a lot of the time, but we do matter.

Sure Non-Physician Providers can handle a large percentage of ED patients, but Emergency Physicians do it better and absolutely can change the trajectory of a small percentage of patients that NPPs wouldn’t. We also take care of many patients a little better in a more nuanced way. Only society can determine if that cost is worth the benefit. Our job also isn’t just to see individual patients, but to manage a Department. I have never seen a NP or PA do that. We are leaders, not side kicks.

Your career is not solely defined by or over after being a PIT doc. We are leaders of patient care, the department, the hospital, hospital systems, healthcare and even this country. EPs that last 20-30 years doing direct patient care are going to be few and far between anymore. We develop leadership roles in the healthcare system, pursue side gigs or other opportunities. Either way, the system depends upon our understanding and knowledge. Almost every CMO in my large hospital system is a former or current EP. These roles aren’t for everyone, but we now move the needle. Sure, turn to finance. That’s fine. Others turn to Pain. Others to Palliative. Others to Administration. Either way, we are everywhere. Yes, that hurts our demand. It also makes us all involved and a huge part of healthcare delivery. We say yes when others say no.

Our sexy resuscitation skills fade away, but our new skills pave paths into all facets of healthcare. We are essential to medicine in today’s world. Yeah, it’s not sexy, but if you continue to redefine your journey as you go it will be rewarding. 3 years, exciting cases, financial discipline, burnout, mindfulness and reinvention will result in reflection that the journey was rewarding.
 
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HemorrhagicShock said:
It wasn't until I started investing my attending money that I realized there was a whole world of finance that interested me FAR more than medicine. And once I peeled back the surface, it was crazy to see how much money you could make simply by manipulating numbers on a screen in an intelligent way, rather than slave away physically and mentally at the bedside.
Click to expand...

Bro, you know I love you - but it is this sentence that makes me cringe.
This is the reason I couldn't do a "career" in finance or wall street or whatever.
Zero value added to society by manipulating numbers on a screen. Couldn't look myself in the mirror and tell myself that my work was worth anything.
 
HemorrhagicShock said:
The hardest part about hanging up the stethoscope was letting go of the ER doc identity. Indeed, it took a long time to get to the point where I could consider myself an expert at managing a high volume high acuity trauma/STEMI/stroke certified ED. There was meaning and satisfaction in knowing I was good at it.

But eventually, what I had to give up and deal with to maintain that persona, identity, and lifestyle was just too much. It's been over a year and I still haven't fully dropped the persona, especially since you get so much lay person cred for telling them you're an EM physician. You're a badass in their eyes. However...

I hate to say it, but EM is 100% blue-collar work, and I wish I realized that in medical school. I was more drawn to the sexiness of the field, particularly its potential to earn a substantial amount of money quickly through a 3-year residency. At the time, everything about it seemed exciting and interesting. As a medical student you're shielded from the day-to-day BS of being an attending EM physician, and you get to solely focus on bearing witness to the coolest cases, without having to deal with the negative aspects. I figured I wouldn't live past the age of 40, and so I didn't care much about the future (classic hubristic mid-20s male thought pattern).

It wasn't until I started investing my attending money that I realized there was a whole world of finance that interested me FAR more than medicine. And once I peeled back the surface, it was crazy to see how much money you could make simply by manipulating numbers on a screen in an intelligent way, rather than slave away physically and mentally at the bedside.

I wasn't designed to do blue-collar work, and by this point, EM was "easy" for me in specific ways, but tough in others. I will piss off a ton of people by saying this but EM wasn't intellectually challenging at all. It's a very algorithmic field, and the difficult parts all surround dealing with the personalities of the nurses, consultants, patients, and just about every other human obstacle that comes with providing care in a modern-day feces-fest that is the American ED. And then there's the mountains of charting and other secretarial work.

A difficulty Ludwig's airway? Go through your algo, if you have to cut, then cut. Get that airway by any means necessary. EASY.

But the hard part? Dealing with the dingus ENT on the other end. Dealing with the administrative fallout of having to do a cric. Going to peer review over saving a human being's life (which is what we trained to do). I could go on and on and on about these kinds of difficulties, which just wore me out. The road to hell is paved with good intention.

The medicine of EM is easy. It's, unfortunately, a tiny part of the job.

It was a waste of my talent and brainpower to be fighting with consultants, administrators, and sometimes even my own medical director.

I poured my intellect into learning how to invest, trade, scale, and, my goodness, has it been 1,000 times more fruitful. And get this. It's actually way more rewarding to me spiritually and mentally than being a physician ever was.

I now have a skill that allows me to support myself, my family, my kids, and even my extended family (if I become proficient enough) solely through my own skills. SOLOPRENEUR status. All I need is a computer and a great internet connection. I can do this from anywhere in the world. It keeps me informed about world events and macroeconomic factors, allowing me to stay ahead of 99% of human beings who are going about their lives when it comes to information flow.

I don't depend on nurses, assistants, bottom-of-the-IQ-barrel scribes, and a variety of other uncontrollable factors that we have to deal with as ER docs. That was a huge source of burnout for me. Zero control.

I genuinely think having to go through all that training is a complete waste for what the role is today, and I do think a well-trained PA can do a vast majority of the job, and could easily handle the more complex stuff if trained on the job. I've seen it before in some of the locums EDs. Experienced 20 year PAs who expertly placed lines and resuscitated patients intelligently. Managed traumas well. All of it. You're kidding yourself if you think you need an MD or DO to be a strong EM clinician in 2025. You just need good on the job training.

I think EM is full of people who truly can't see that our expertise isn't that valuable, isn't that difficult to obtain, and has minimal value-add to any healthcare system. And it's diluting faster and faster with the expansion of all these programs. It's an IMG specialty at this point.

I'm incredibly happy to be out of EM, and I'm also incredibly happy to be able to support myself with options income and risk-defined trading.

Though I'll end with this: I genuinely wish I could find some sort of way to still be a doctor as a side hustle, at my own pace. Perhaps see 5-6 patients per day, 2-3 days a week, assisting them with simple PCP-level tasks. Or even urgent care type stuff.

But a job like that doesn't exist, and you really can't create one and maintain a positive margin given what costs are these days, particularly in my VHCOL area. Any urgent care or similar clinical role effectively requires you to hustle out as much volume as possible - forget that.

And thus another physician withers away to the ether, pursuing something completely different, when I still have 20-30 years left in me to dedicate to some career or pursuit or whatever (I'm not even 40).

The best part is that I also received a half scholarship to attend medical school. What a societal waste if you think about it.

I'll leave you with this:
1. You can beat the market
2. It's pretty hard, but if you give it a residency-level effort (as you did with your clinical training) it's well within your reach
3. Invest in disruptive technology, learn how to pair trade with non-correlated assets, and SIZE UP
4. Learn options, this was such an unlock for me
5. "Diversification results in bips, concentration results in multiples."

Anyway, back to touching grass, taking my kid to a birthday party, followed by a stargazing event at the local observatory!

(Apologies for any mistakes, I just stream-of-consciousness typed this out)
Click to expand...

what’s your portfolio currently? Is it still a lot of mstr?
 
RustedFox said:
Bro, you know I love you - but it is this sentence that makes me cringe.
This is the reason I couldn't do a "career" in finance or wall street or whatever.
Zero value added to society by manipulating numbers on a screen. Couldn't look myself in the mirror and tell myself that my work was worth anything.
Click to expand...

I beg to differ. And always much love! You and I have been in the trenches and thus mutual respect and love always.

I also do not expect any purist MD/DO to understand what I'm about to say.

All these traders and financial bros are providing an essential service to the world. The creation of markets, liquidity, velocity of money, and similar phenomena are the exact engines that drive growth, economies, innovation, and all sorts of other wonders that we enjoy in our modern world.

The stock market and its activity are such an important lever that allows neighborhoods, states, countries, and economies of various scales to accomplish things otherwise unachievable with available resources.

I KNOW that sounds like a hokey BS type corporate answer, but it's one of those things that you only understand and truly "get" once you've been in the space for a while.

Yes, these tools can be used for evil and malicious ends. See private equity's approach to destroying healthcare. I don't disagree with that at all.

Again, I don't expect a purist healthcare bedside person to understand how this is a HUGE value-add to society, but I love how I can now see both sides of the equation. It's clear to me that the two sides will never reconcile; nor should they... they are a yin and yang.
 
Last edited:
cyanide12345678 said:
what’s your portfolio currently? Is it still a lot of mstr?
Click to expand...


MSTR, BTC/IBIT, SOL, NVDA, TSLA, MTPLF and a variety of long calls, call debits, and covered call strategies within those underlyings.

For whatever reason I am still too "scared" of doing the CSP stuff you're doing and still want to figure out ways to add CSP strategies to my portfolio.

I'm currently working on learning various SPX 0DTE strategies.

My goal over the next year is to put together a diversified SPX 0DTE portfolio using a 3-part strategy:
1. Selling daily 0DTE condors
2. Directional debit/credit spreads based on backtesting/trend following/high conviction set ups
3. Hedge positions for those tail events
4. Double calendar spread YOLOs

That way my overall liquid networth is diversified over noncorrelated assets.

I have yet to make money though with my 0DTE portfolio, but it's only a 50k net liq portfolio at this point for learning, so still working on getting good there.

The reason I like 0DTEs and being present in the market early in the day is it forces me to keep a schedule.

That's another thing.

The market life is SUCH a healthier life than the constant circadian disruption. I wake up every morning, follow a routine, take care of the kid stuff, go on a quick walk with my coffee, and then spend about 20 minutes on premarket tasks. I then spend the next 2 hours trading and managing positions.

And then I'm DONE for the day.

Glorious.
 
HemorrhagicShock said:
I beg to differ. And always much love! You and I have been in the trenches and thus mutual respect and love always.

I also do not expect any purist MD/DO to understand what I'm about to say.

All these traders and financial bros are providing an essential service to the world. The creation of markets, liquidity, velocity of money, and similar phenomena are the exact engines that drive growth, economies, innovation, and all sorts of other wonders that we enjoy in our modern world.

The stock market and its activity are such an important lever that allows neighborhoods, states, countries, and economies of various scales to accomplish things otherwise unachievable with available resources.

I KNOW that sounds like a hokey BS type corporate answer, but it's one of those things that you only understand and truly "get" once you've been in the space for a while.

Yes, these tools can be used for evil and malicious ends. See private equity's approach to destroying healthcare. I don't disagree with that at all.

Again, I don't expect a purist healthcare bedside person to understand how this is a HUGE value-add to society, but I love how I can now see both sides of the equation. It's clear to me that the two sides will never reconcile; nor should they... they are a yin and yang.
Click to expand...

Fair answer.
I knew my position wasn't entirely correct; but I didn't know why.
 
HemorrhagicShock said:
I beg to differ. And always much love! You and I have been in the trenches and thus mutual respect and love always.

I also do not expect any purist MD/DO to understand what I'm about to say.

All these traders and financial bros are providing an essential service to the world. The creation of markets, liquidity, velocity of money, and similar phenomena are the exact engines that drive growth, economies, innovation, and all sorts of other wonders that we enjoy in our modern world.

The stock market and its activity are such an important lever that allows neighborhoods, states, countries, and economies of various scales to accomplish things otherwise unachievable with available resources.

I KNOW that sounds like a hokey BS type corporate answer, but it's one of those things that you only understand and truly "get" once you've been in the space for a while.

Yes, these tools can be used for evil and malicious ends. See private equity's approach to destroying healthcare. I don't disagree with that at all.

Again, I don't expect a purist healthcare bedside person to understand how this is a HUGE value-add to society, but I love how I can now see both sides of the equation. It's clear to me that the two sides will never reconcile; nor should they... they are a yin and yang.
Click to expand...

You both sounds like dinguses LOL
 
HemorrhagicShock said:
MSTR, BTC/IBIT, SOL, NVDA, TSLA, MTPLF and a variety of long calls, call debits, and covered call strategies within those underlyings.

1) For whatever reason I am still too "scared" of doing the CSP stuff you're doing and still want to figure out ways to add CSP strategies to my portfolio.

2) I'm currently working on learning various SPX 0DTE strategies.

3) My goal over the next year is to put together a diversified SPX 0DTE portfolio using a 3-part strategy:
1. Selling daily 0DTE condors
2. Directional debit/credit spreads based on backtesting/trend following/high conviction set ups
3. Hedge positions for those tail events
4. Double calendar spread YOLOs

That way my overall liquid networth is diversified over noncorrelated assets.

I have yet to make money though with my 0DTE portfolio, but it's only a 50k net liq portfolio at this point for learning, so still working on getting good there.

The reason I like 0DTEs and being present in the market early in the day is it forces me to keep a schedule.

That's another thing.

The market life is SUCH a healthier life than the constant circadian disruption. I wake up every morning, follow a routine, take care of the kid stuff, go on a quick walk with my coffee, and then spend about 20 minutes on premarket tasks. I then spend the next 2 hours trading and managing positions.

And then I'm DONE for the day.

Glorious.
Click to expand...

LOL

1) You do covered calls. Covered calls and cash secured puts are the same thing. Same expression of the same formula except one variable has a negative vs a positive. Everything about them are the same. The only thing that is slightly different is that you have skew so you tend to get slightly better returns selling puts vs doing covered calls. But it's the same, same, same!

CSPs are slightly more cash efficient too.

Next time you want to do a CSP with like a 30 delta call, instead just do a CSP with a 30 delta put. Provided you have some normal put-call parity, you'll see the returns are the same.

2) 3) LOL LMAO HAHA Oh brother. I would first stick to CSPs. I used to do 0DTE and it's just too hard. maybe I don't have the right mindset.
 
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