Internal Medicine Physician • Investor • Opinions my own

Joined August 2010
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Two Thoughts 1. When you are content, you cannot be seduced. 2. Incentives drive human behavior.
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Be in control
Barbell strategy for killing it in an age of superhuman AI: Simultaneously get as close to AND stay as far away from AI as humanly possible. 1. Get close — play with AI models, use them to help you think, ask them to teach you about the world, get them to help you create, work with them to write code, understand what makes them tick, embed them into your everyday life, have fun. 2. Stay far away — learn to tell stories, make eye contact, build a team, lead with courage, connect far-flung ideas, build lifelong friendships, debate persuasively, think forbidden thoughts, handwrite ideas, confess your fears, fall in love. Spend less time trying to master mental transformations that are purely mechanical — building spreadsheets, analyzing trades, balancing accounts, writing code by hand, following playbooks, searching for needles in haystacks. These are the emerging no-man's land, squarely the domain of AI. Venture to the extremes. That’s where all the fun is anyway.
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No business (or human) is ever a finished product
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Let your winners ride! - David Sacks
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What is investing? It’s you give your money to someone/something else in the hope you’ll get more later. - Howard Marks
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A study suggests patients on GLP-1s may receive more antiemetics, sedatives/hypnotics, proton pump inhibitors, laxatives, histamine-2 receptor antagonists, and antidiarrheal drugs. Also gastroesophageal reflux disease and esophagitis were more common after starting GLP-1s, while peptic ulcer disease and endoscopic procedures occurred more frequently after starting SGLT-2s. Nutrient deficiency and unspecified anemia were more frequent among users of GLP-1s. acpjournals.org/doi/10.7326/…
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Drink olive oil and wear linen
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Will they call you, when they don't have to, because they trust what you think?
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In the age of AI, human presence is luxury
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Life is about capital and time allocation
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In life, solve for interesting. The experiences and stories you accumulate will compound
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In the end, where you find yourself in the endgame is the only thing that matters
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Judgement, Framing and Perspectives are alpha
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The value of long-term relationships far outweighs any single transaction
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Think: What am I doing or have going on (other than money) that is compounding in value
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Nobody can take away the dance you have danced
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It is not enough to possess a good mind; the most important thing is to apply it correctly. - Descartes
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One form of a life accelerant is having time in your day to specifically think/read without distractions.
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You are the edge
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Great products are often created by small teams
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Time is alpha
5 Jul 2025
To achieve a multi-bagger in the portfolio, you have to hold a multi-bagger in the portfolio. You will have to hold while the stock 2-3-4x in a year. You will have to hold as the stock eventually pulls back 50% from its highs. You will have to hold as the stock goes nowhere for months, quarters, maybe years, as fundamentals backfill into the stock price. You will have to hold as expectations get too high or management has some eventual growing pains. You will have to hold when it's cheap, expensive, loved, hated and volatile - sometimes all in the same year. You will have to hold while your emotions are screaming at you to sell. But what makes it even more difficult is very few will deserve to be held through all of this. Most of the companies you own today only deserve to be rented. Ownership is earned. microcapclub.com/conviction-…
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