Gilad Jaffe, MD

@olsonplanner Personally, I would put 50-75k to payoff student loans at a guaranteed 7% return, 25-50k invested into a portfolio I expect on average, over decades to make 8-9%+ per year. Stratify the “investment”.

*this isn’t real, a hypothetical

My friend just got a $100k bonus at work He’s 35, married with 2 kids Has ~$250k in student loans at a fixed rate around 7% Here are his options: Invest the bonus Put it toward the student loans Take the family on a much-needed luxury vacation What would you do?

@olsonplanner Agree- I went through a few tax accountants until I landed on someone hi has tons of physician specific tax experience and is outstanding.

Every single doctor out of training should be paying good money for excellent and proactive tax advice. Every single one of you.

@BhallaResearch Amazing! Congrats!

Please contact us if you are interested ….

@olsonplanner Great review! Thanks Tyler

The far majority of people do not understand how taxes work, including you physicians. Mainly because the tax code is ridiculously complex. But if you'll take 3 minutes to read on, you'll learn 90% of what you need to know:

@olsonplanner Getting back into to good shape (something I should try to do now but can’t seem to find enough time between work, family etc to do it as well as I’d like to)

Doctors - What hobbies will you indulge when you finally do less doctoring?

@PERTConsortium A well deserved honor @rchannick !

Congratulations Dr Richard Channik for receiving the #PERT2025 Founders Fund Award , an integral part of PERT Consortium. A well deserved award for a clinician that has impacted the care of PE patients nationwide

@olsonplanner Great post @olsonplanner

Docs - You want to be financial independent 15-20 years into attendinghood? It starts the moment you finish training, with the following 12 steps:

@olsonplanner Thanks! That’s very helpful. Amazing content 🙏🏻

Sure Gilad! Rebalancing = bringing your portfolio back to your target mix (like 80% stocks / 20% bonds). ✅ Once or twice a year, check if you’re off by ~5% or more. ✅ Sell what’s overweight, buy what’s underweight. ✅ Use your contributions to fix imbalances first (less tax impact for your taxable account adjustments). Risk tolerance ranges Start with: •Aggressive (30+ yrs): 90/10 •Moderate (10–30 yrs): 80/20 •Conservative (<10 yrs): 60/40

Most docs wait too long to invest because 1) they really can’t do much while in training and then 2) they often overcomplicate it once they have the income to do it! Y’all love checklists right? Here’s how to start investing this week without getting paralyzed by the details:

@olsonplanner Can you suggest the best way to rebalance and how to know “how balanced” you are for the risk tolerance you want?

Step 4: Automate it ✅ Set up monthly contributions ✅ Ignore market noise ✅ Rebalance once a year Your goal is consistency, not excitement.

@olsonplanner Thanks for everything you post. I find it super interesting, useful and really easy to follow.

At 5:45pm EST today, I’m gonna try something new. I’m going to pilot a (nearly) weekly space right here to field the financial and tax questions and issues facing physicians today. Pop in to say hi or ask your question today! I may turn it into a weekly event, we’ll see…

One of my favorite UCLA peeps visits SD! Great reunion!

@datsunian @uclaCVfellows @uclaimchiefs @RachelOhmanMD @UCLAHealth @DOM_UCLA @kewatson @netta_doc @arafiqmd1 @HayaseJustin @gcfmd @IntMedAbel @A_SteinMerlob @dgsomucla @UCLAHealthJCCC @MichaelR21 Not surprised. Congrats @RachelOhmanMD !

A BIG congrats to @uclaCVfellows @uclaimchiefs @RachelOhmanMD for being voted @UCLAHealth IM residency's Fellow Teacher Award!! 🔥 in HF, #cardioonc, disparities & MedEd! This is a highly touted award where many @DOM_UCLA fellows are deserving of this honor. Congrats Rachel!

@VenkteshR As usual, so eloquently written

My OpEd piece today in the Los Angeles Times in response to the strange email request that showed up in almost 2 million federal workers' email boxes this past Saturday. latimes.com/opinion/story/…

@MazenOdish Love that show!

Its a reminder that it is important to be kind!

Likely the best ad for any product ever.

If you know undergraduates interested in spending time with us for a summer of #KUH , please pass along @NIDDKgov

@nickmmark @CritCareTime @djkrispp17

Hey ICU pharmD friends - I’m thinking about doing a @CritCareTime episode about the importance of ICU clinical pharmacists. Specifically I’m looking for top 10 pearls & pet peeves. Got any good ones to share?

Was great awesome to catch up with mentor, friend and #aldosterone guru @BhallaResearch!

@ross_prager I’m obviously biased as a pulmonologist, but I personally still find lung auscultation very useful. Cxr or pocus wont help me diagnose a Copd or asthma exacerbation, for example. Acutely, wheezing or absent breath sounds can provide me with some quick useful information.

10/10) Things that are not routinely part of my exam. JVP - difficult to assess and a static marker of right atrial pressure which does not inform whether to give fluids. It is not an oil dip stick. Bowel sounds - simply stop. Carefully palpating for splenomegaly or liver - if you care enough to examine in detail (e.g. it would actually change your ddx) then do a POCUS or other imaging modality to quickly and way more accurately diagnose. Heart Auscultation - rarely does this change management. If you have a patient that you are considering a valvulopathy (and it is potentially meaninfully impacting management), you should just do a critical care echo or formal echo. Lung Auscultation - this can be useful to listen for wheezes, but if you have a high enough pre-test probability for pulmonary pathology that you are basing decisions on something you hear, you should get a CXR +- lung ultrasound

I hear clinicians say the physical exam is dead.☠️ This is just not true 🛑 Here are the 10 most important clinical exam findings in the ICU A 🧵 (and some things you can probably stop doing...) #medtwitter #foamed

@Askins_Razor @CritCareTime @PERTConsortium @SeaStarMedical @rchannick @UCLAPCCM @uclaVIR @JonnyMoriarty

🚨🔥NEW EPISODE🔥🚨 @CritCareTime is BACK to talkin’ #PE; covering #CDT, #PERT and more with Dr. Rich Channick - PE expert and past president of @PERTConsortium ! Thx to @GiladJaffe for his production help and @SeaStarMedical for their continued support! 👇‼️Links Below‼️👇