It is a fact that most of us lack the basics of managing our finances. It is not unusual to come across doctors who have little awareness about their income, expenses & future goals (for which money is needed). Here are some tips that could help. twitter.com/i/web/status/1…
1. Life insurance: If you have dependents (children, spouse), life insurance is a must to safeguard their future in case of any unexpected incidents. Life #insurance is to protect the risk, and not an investment to get returns. Term plans are good.
2. Medical insurance: Medical care is expensive and we would have to bear the expenses if we or our family members fall sick. Family floater schemes are the best as premiums work out to be lower.
3. Professional indemnity insurance: Even if you are an excellent doctor, mistakes can happen, and it is better to have it covered. If you go for group insurance through professional organizations, premiums can be 50% lesser.
4. If you earn in cash, deposit them, as only then it can be invested. If you keep cash at home, the value depreciates over time. Using cash to buy gold (beyond certain amount) or real estate is illegal and moreover, they may not be the best options.
5. Keep only small amounts of money in savings account, which could be needed in emergency (may be equivalent to 3-6 months of income).
Also avoid investing in fixed deposits, as returns most often do not even beat the inflation.
6. The best & most rewarding investment is equity. You can invest in mutual funds or directly in shares. You should choose 4-5 mutual funds, including large, small and midcap categories. Direct (growth) funds are better. Do not have too many mutual funds, as difficult to monitor.
7. You could also invest directly in shares. It is better to invest for long term.
There are only two reasons to sell equity- first, when you need money; and second, if you feel the company would not do well in future.
For ex-50-100% rise in share price is not a reason to sell.
8. Gold is not a good investment. Over long term, returns are not good.
If you love gold, you can invest via sovereign gold bonds (SGBs)- it is safe to hold SGBs in digital format, and you earn 2.5% interest per year.
Do not allocate >5-10% of your portfolio to gold.
9. Real estate is risky. It can give tremendous returns at times. It can become a source of litigation, or can create differences among family members. One can not sell parts of real estate.
If you need 15 lacs for your child's education, you can't sell a plot worth one crore.
10. One can own a home for emotional satisfaction and happiness. Owning a second flat for earning rental income is not a wise decision, as returns are low.
Avoid taking loan for buying home (if you have money), as you end up paying much more. Try to prepay loans at the earliest.
11. Public provident fund, Sukanya samriddhi scheme and senior citizen saving scheme are good options for those who are looking for fixed returns (though the returns are lower than equity).
Debt or hybrid mutual funds are also good options for those with lower risk appetite.
12. REITs (real estate investment trusts), InvITs (infrastructure investment trusts) and recently launched Nexus REIT are good products with relatively lower risks and they offer quarterly payouts. About 5-10% of portfolio can be allocated to these products.
13. Take home message
*Have an idea of income, expenses (current & future)
*Make a list of goals and likely expenses for them
*Invest your money wisely to take some pressure off from the work (returns from equity could be more than what you earn from medical practice!)
Disclaimer: These are based on my personal experiences. Do your own research and consult your financial advisor before investing your hard earned money. #Equity#investments#Doctors#MedTwitter
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1. Mr Hari to his wife Mrs. Rani: "Have you lost all shame? Why are you changing dress in the living room, where our driver is waiting?"
Mr Hari had noted instances of mood swings in his 55-year old wife for the past six months but today's incident was shocking. #MedTwittertwitter.com/i/web/status/1…
2. Mrs Rani was otherwise a pleasant woman, however, she had become irritable for the past few months. She would get agitated over small issues and go into a shell (for several hours) on many occasions. She would refuse to talk to her husband and even refuse food.
3. Mr Hari attributed these changes in her personality to post-menopausal symptoms and tried to ignore them, and hoped she would get back to her previous self soon.
He had noted inappropriate behavior in his wife on a few occasions, when she would crack jokes with strangers.
1. Today's resting HR was in 30s (39 bpm) again (usually it is 40-42 bpm). My original resting HR (in Nov 2020) was 72 bpm (prior to taking up running). With consistent running, resting HR dropped by about 30 bpm in about two years. #Heartbeattwitter.com/i/web/status/1…
2. In the general population without known coronary artery disease and heart rate lowering medication, elevated resting HR (RHR) is an independent risk marker for all-cause mortality (death).
Reference doi.org/10.1007/s00392…
3. Several studies have indicated that low resting heart rate (RHR) is associated with health and longevity, and conversely, a high resting heart to be associated with disease and adverse events.
Reference: doi.org/10.1080/003655…
Ten lesser-known symptoms that could point towards a diagnosis of brain tumor
June 8th is celebrated as “World brain tumor day” to raise awareness about brain tumors. I would like to focus on the symptoms, presence of which, can make one suspect the presence of brain tumor. twitter.com/i/web/status/1…
Common symptoms of brain tumor include headache, vomiting, reduced alertness, fits & paralysis. However, in several cases, these classical symptoms may be missing. It is important to know the lesser-known symptoms of brain tumors so that they can be diagnosed & treated early.
1. Increase in hat and shoe size over time- A tumor of pituitary gland of brain producing excess growth hormone (GH) causes a condition known as acromegaly, which can result in increasing head and feet size, necessitating a need for larger hats and bigger shoes.
Litchi encephalitis (chamki bukhar): Facts and Myths
1. Lychee (or litchi) is a fruit, mostly grown in China, India and rest of Southeast Asia. Fruit ripening coincides with Indian summer (May-June).
There is a concern that eating litchi can cause brain fever and death.
2. Litchi does not cause "encephalitis" (brain fever).
No infective agent (virus or other pathogen) has been isolated from CSF or blood of any victim of litchi encephalitis.
Also, it does not spread from person-to-person (what is expected in an infection).
3. How is litchi associated with litchi encephalitis?
Hypoglycin A and Methylene cyclo propyl glycine (MCPG), more commonly found in unripe litchi and depletes glucose reserves in the body. More fatal for under- or malnourished children, who eat unripe litchi on empty stomach.
10 commonly asked questions about migraine answered 1. Is migraine hereditary?
Migraine is hereditary, so if one or both of your parents have it, there is a 50-75% chance you will too. However, in many patients, there is no family history of migraine. #MedTwitter#migrainetwitter.com/i/web/status/1…
2. Can children get migraine?
Ans: Yes. Migraine occurs in about 3% of preschool children, 4-11% of elementary school-aged children, and 8-15% of high school-aged children. Incidence of migraine increases in adolescence.
3. What are the common symptoms of migraine?
Ans: Headache, nausea, vomiting, intolerance to bright lights and noise.
Some people can have flashes of light, zigzag lines or blurred vision prior to onset of headache (called as visual aura).
Adverse effects of commonly used medicines (at their usual therapeutic doses)
1. Every medicine has adverse effects, especially if taken in higher doses. Some drugs can cause allergic reactions at the usual dose too. Here I describe non-allergic side effects of a few medicines. twitter.com/i/web/status/1…
2. Vitamin B12 deficiency- can occur due to Metformin use for diabetes. 3. Headache and cerebral venous sinus thrombosis (clotting of blood in brain veins)- can occur in women after using hormonal pills (OCPs) 4. Confusion, disorientation and seizures with levofloxacin & similar+
+antibiotics, especially in people aged 60 or more. 5. Parkinsonism- due to use of anti-vomiting drugs; levosulpiride, and anti-psychotic drugs.
Levosulpiride is added to anti-acidity drugs and can be recognized with letter L, as in Pantocid-L, Razo-L, etc #MedTwitter