

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

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!

Jul 20, 2025 • 13min
Should You Settle for Lower Cash-on-Cash Returns in Today’s Market?
Are you wondering if you should lower your standards for cash-on-cash returns just because interest rates are high?Many investors are settling for lower returns or even accepting properties with negative cash flow in today’s challenging market.But lowering your standards can put your investment goals—and your financial freedom—at risk. Instead, learn how to maintain your criteria and get creative to achieve your desired returns.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:Why maintaining strict cash-on-cash return criteria is crucial, even when interest rates riseHow to get creative with expenses, rents, and deal structure to keep your investments profitableSpecific strategies to negotiate better prices and find hidden value in today’s marketResources Mentioned:Cash-on-cash Calculator: semiretiredmd.com/coc-calculator/STR COC Calculator: semiretiredmd.com/str-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!

Jul 13, 2025 • 43min
Prepare, Probe, Propose: The 3Ps That Can Make or Break Your Next Deal with Jeff Cochran
Are you unknowingly leaving thousands on the table in your real estate deals because you don’t understand the art of negotiation?Most high-income earners—especially doctors—make the critical mistake of jumping straight to “the numbers” without preparing, probing, or proposing strategically.If you don’t master the right negotiation mindset and techniques, you risk settling for less, feeling burned out, or even dreading negotiations altogether. But when you learn Jeff Cochran’s “Three Ps” method and shift your approach, negotiating becomes not only more profitable but actually fun.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:The “Three Ps” of successful negotiations—and why skipping even one can cost you big in real estate and lifeHow to turn negotiations from a dreaded, adversarial task into a collaborative, creative process that gets everyone what they wantSimple mindset shifts that transform you from a people-pleaser into a confident, results-driven dealmakerREADY 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!

Jul 6, 2025 • 15min
What Happened When This Psychiatrist Turned a Duplex Into a Real Estate Empire
What if simply being the backup offer on a property could set you on the path to financial freedom?Many doctors give up on a deal after their first offer isn’t accepted, missing opportunities right in front of them.By staying patient, being the backup offer, and using creative 1031 exchanges, you can continue to build your portfolio even while working full-time in medicine.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:How Nicole Shirvani secured her first duplex by staying in as the backup offer until it came back to herThe way she used 1031 exchanges to build momentum and acquire multiple properties without heavy tax burdensHow to find and close off-market deals by building connections, calling local agents, and leveraging for-sale-by-owner opportunitiesREADY 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!

Jun 29, 2025 • 31min
Can Your Financial Advisor Help You Buy Real Estate? If Not, Listen to This.
Do you feel trapped in your medical career, overwhelmed by debt and the weight of your workload?Many doctors struggle with the feeling of being stuck in a never-ending cycle of work and financial stress, believing that the only way to break free is by waiting decades for retirement.But what if there was a way to achieve financial independence much sooner, using a strategy you may not have been taught in medical school?BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:How financial advisors can help you build a comprehensive financial plan beyond just stocks.Why real estate investing is often overlooked by traditional financial advisors—and how to make it work for you.The benefits of being a fiduciary and the questions you should ask financial advisors to ensure they’re working in your best interest.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!

Jun 22, 2025 • 16min
How Much Cash Do You Really Need to Start Investing in Real Estate?
Are you letting your bank account decide your future in real estate?Too many doctors believe they need tens or even hundreds of thousands of dollars to begin building a real estate portfolio. This belief not only delays your financial freedom—it may completely derail it. In today’s episode, Leti and Kenji bust the myth that you need a massive savings cushion to start investing and show you how creative strategies and the right mindset can unlock doors you didn’t know existed.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:The #1 limiting belief that stops high-income professionals from starting their real estate journeyReal-life examples of how doctors invested with as little as $6,000Multiple creative financing strategies that can get you into your first deal faster than you thinkREADY 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!