

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 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!

Jun 15, 2025 • 40min
Give More, Earn More: The Surprising Secret to Building Wealth as a Doctor with Bob Burg
Bob Burg, author of 'The Go-Giver,' shares his wisdom on transforming burnout into success by shifting focus from getting to giving. He discusses how adding value to team relationships enhances loyalty, especially in medicine and real estate. Bob emphasizes the role of authenticity in leadership, urging listeners to cultivate it for both personal and professional growth. His insights into the dynamics of giving and receiving challenge conventional wealth beliefs, revealing that true prosperity stems from generosity and understanding personal values.

Jun 8, 2025 • 15min
How to Get the Tax Benefits When You Buy a STR at the End of the Year
How Can You Maximize Tax Benefits When Buying a Short-Term Rental at Year-End?Are you struggling to figure out how to take advantage of tax benefits when purchasing a short-term rental towards the end of the year?Many people are motivated to use real estate tax loopholes, especially for short-term rentals. But when you're buying towards the end of the year, how do you make sure you get your required hours in?BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:How to make sure you complete your 100 hours of material participation by year-endCreative ways to accumulate hours quickly—even if you’re managing the property remotelyHow to leverage these hours to unlock significant tax benefits like bonus depreciationRESOURCES MENTIONED:https://semiretiredmd.com/material-participation/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 1, 2025 • 39min
Building Wealth That Lasts: Real Estate and Other Alternative Investments with Josh Magnuson
Are you struggling to grow your real estate portfolio because you keep running out of capital?Many investors hit a wall when their personal funds dry up and don’t know how to keep expanding beyond their first property.This episode dives into how creative capital raising and combining active and passive investing strategies can break that barrier and help you build lasting wealth faster.BY THE TIME YOU FINISH LISTENING, YOU’LL LEARN:How to leverage community and capital raising to scale your real estate investments beyond your own fundsThe differences between active and passive real estate investing, and how to balance both for long-term successWhy diversification into alternative investments and uncorrelated assets is crucial for protecting your wealthREADY 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!