Doctors Building Wealth
Leti and Kenji
Doctors Building Wealth is for physicians drowning in student debt and working endless hours, wondering if your medical career will ever bring true freedom. Despite your six-figure income, the path from successful doctor to financially independent professional feels impossibly complex.We get it—balancing patient care and financial planning is overwhelming when no one taught you how to invest during medical school. Lucky for you, you don't have to figure it out alone.Meet Drs. Letizia Alto and Kenji Asakura, physicians who've built a multi-million dollar real estate portfolio while maintaining their medical careers. They've helped hundreds of fellow doctors replace clinical income with passive cash flow—without sacrificing patient care.Join Leti and Kenji each week as they interview physician investors who've escaped the burnout cycle, share step-by-step strategies to analyze deals, and provide actionable blueprints to build your real estate portfolio with your busy schedule. Learn how to leverage your high income, create tax advantages most doctors miss, and build the time freedom you deserve.It's time to stop trading your time for money and start building generational wealth. Your patients need you at your best—not burned out and counting the years to retirement.
Episodes
Mentioned books
Oct 5, 2025 • 50min
Tax Breaks for 2025 and Beyond: How Real Estate Can Slash Your Tax Bill with Amanda Hann and Matt MacFarland
Are you unknowingly giving away more money to taxes than you spend on food, clothing, and housing combined?Many high-income earners—especially physicians—make this one costly mistake: they accept high taxes as inevitable and never take action to change their situation.But what if we told you that by learning a few key strategies, you could legally slash your tax bill and keep more of what you earn?BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:Why taxes are your biggest expense—and how to start thinking like the wealthy to change thatCommon tax write-offs real estate investors and business owners miss out onHow “strategy stacking” and the 2025 tax law changes could help you unlock massive tax savingsREADY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!
Sep 28, 2025 • 30min
How the New Tax Law Impacts Real Estate Investors with Nick Aiola
Are you unknowingly missing out on powerful tax-saving strategies hidden in the new tax law?Too many high-income professionals are walking into tax season without a strategy—and it’s costing them tens of thousands.The 2025 tax law changes are complex, but if you understand how to use them, you can dramatically lower your tax bill and accelerate your path to financial freedom.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:Why the extension of the 37% top tax bracket and standard deduction changes could impact your bottom lineHow Opportunity Zones—especially rural ones—offer unique tax savings for real estate investorsWhat major tax credits (like for EVs and solar) are disappearing—and how to act before they’re goneREADY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!
Sep 21, 2025 • 26min
How Dr. Regina Kim Built Confidence—and Cashflow—Beyond Medicine
Dr. Regina Kim, a family physician from Portland, Maine, shares her transformative journey from skepticism to real estate success. With 25 years of medical experience, she overcame limiting beliefs and launched into short-term rentals, turning a small property into a tax-saving powerhouse. Regina reveals how the Zero to Freedom program gave her the confidence to invest and incorporate strategic tax advantages. Her story inspires others to break free from fears and embrace the rewarding world of real estate.
Sep 17, 2025 • 15min
The 5-Year Rule: How to Safeguard Your Investments in Any Market with J. Scott
What kind of real estate investing is smart right now—and what should you avoid at all costs?If you're still flipping homes or buying properties without a clear exit strategy, you could be putting your financial future at serious risk.The market is changing. A recession may be coming. And if you're not adjusting your strategy accordingly, you may be caught holding the bag. But the good news? There is a way to continue investing—and even thrive—if you follow a few critical rules.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:Why experienced investors like J Scott are avoiding transactional real estateThe 5-year time horizon rule—and how it protects you in uncertain marketsPractical tips to structure financing and debt for long-term stabilityREADY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!
Aug 31, 2025 • 16min
How to Know When It’s Time to Change Real Estate Markets
Are you stuck wondering if it’s time to move on from your first real estate market? You’re not alone—this is one of the most common questions new investors ask.Too many investors make the mistake of jumping ship too early... or spreading themselves too thin. Without mastery in one market, you're risking time, money, and missed opportunities.The good news? There’s a better way—and it starts with getting focused, building relationships, and finding hidden value.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:Why almost any market can work if you have the right strategyThe 3 critical things to master before you even think about switching marketsHow putting in offers—even ones that don’t get accepted—can unlock off-market deals and stronger agent relationshipsREADY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!
Aug 24, 2025 • 34min
From Shifts to CEO: Dr. Takashi Nakamura’s Path to Time and Financial Freedom
What if you could create geographic and time freedom—without leaving medicine entirely? Many doctors believe the only way out of burnout is to leave medicine altogether. But what if that’s not the only option?You may be underestimating how powerful telemedicine can be for regaining control of your time and income.In this episode, we dive into how Dr. Takashi Nakamura built a location-independent income stream—and how you can too.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:How Dr. Nakamura got licensed in all 50 states and built a telemedicine business from the ground upThe common fears doctors face when starting telemedicine—and how to overcome themWhy telemedicine and real estate investing make a powerful combo for achieving financial freedom fasterREADY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!
Aug 17, 2025 • 13min
Can’t Find a Cashflowing Property? Here’s What You Might Be Missing
Are you frustrated because you can’t find a property that cash flows in your market?You’re not alone—and you might be making the same mistake most new investors do: relying solely on listed rents and face-value numbers.When deals don’t pencil out, many investors give up or think they need to switch markets. But the truth is, cashflowing properties are out there—you just need to know where (and how) to look.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:Why the best deals disappear from the MLS in hours—and what that means for your search strategyHow hidden value can turn a “bad” deal into a cashflow machineThe simple mindset shift that can help you uncover opportunities others missOther Resources:STR: https://semiretiredmd.com/str-coc-calculator/COC: https://semiretiredmd.com/coc-calculator/READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!
Aug 10, 2025 • 33min
Decide and Move: Overcoming Analysis Paralysis and Embracing Uncertainty
Are you stuck on the sidelines, waiting for the “perfect” moment to make your next big move in real estate or life?Is analysis paralysis keeping you from taking action, costing you growth, opportunity, and progress?It’s time to stop letting fear and uncertainty dictate your future. Discover a proven framework to make decisions confidently—so you can move forward, learn faster, and achieve more, even when the outcome isn’t guaranteed.BY THE TIME YOU FINISH LISTENING, YOU’LL LEARN:Why the fear of making the “wrong” decision is holding you back—and why inaction is often the worst outcomeHow to embrace uncertainty, pivot quickly, and turn every result into either a win or a valuable lessonThe simple, practical steps Leti and Kenji use to break free from overthinking and start seeing results nowRESOURCES MENTIONED:https://semiretiredmd.com/decide-framework/READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!
Aug 3, 2025 • 14min
How this Couple Cut their Taxes, Beat Burnout, and Built Wealth—While Working as Doctors
Zeeshan Qureshi, a talented neuroradiologist from Western New York, and his wife Asma, share their inspiring journey from accidental landlords to intentional real estate investors. They reveal how to conquer analysis paralysis and take that crucial first step in investing. The couple discusses effective tax strategies, including the REPS approach, to maximize income and combat burnout. Their candid experiences with challenging property projects emphasize resilience and the value of teamwork in building true wealth—all while managing their medical careers and family life.
Jul 27, 2025 • 33min
The Truth About Private Practice with Dr. Karleen Su: Leadership, Legacy & Letting Go of W-2 Life
Have you ever wondered what it really takes for doctors to become successful entrepreneurs and build something from scratch—even when the odds are stacked against them?Are you feeling overwhelmed by the idea of starting your own practice or business, and worried that you don’t have the business skills or resources to succeed?Many doctors make the mistake of trying to “figure it out” alone, hiring expensive consultants or missing out on the power of community—and end up feeling lost, isolated, or even burned out. But there’s a better way.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:The biggest lessons Dr. Karleen Su learned in launching and scaling her own private practice (and what she wishes she’d done differently)The real challenges (and rewards) of building a thriving physician community and running successful medical conferencesHow culture, leadership, and the right network can make or break your entrepreneurial journey as a doctorREADY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!
