Living Four Lives at Once
Mar 16, 2026
This Week’s Real-Life Lesson: A Coaching Story from the Frontlines
Recently during one of my evening coaching calls inside the Physician Entrepreneur Academy, I had a conversation with a physician client that perfectly illustrates the reality many doctors face when they begin building an entrepreneurial life.
For confidentiality reasons, I will keep his name withheld.
What struck me most about our conversation was not that he was overwhelmed. It was why he was overwhelmed.
And the answer was simple.
He is trying to build a life that most physicians were never trained to manage.
Let me explain.
The Physician Who Is Living Four Lives at Once
This physician is a full-time family doctor.
He is also currently serving as Chief of Staff at his medical organization. He still takes obstetric call roughly one weekend out of every four. He is helping interview candidates for a new CEO.
And that is just the beginning.
Outside of medicine he is:
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Investing in short-term rental real estate
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Training a few hours a day for ultra endurance races
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Married and raising two children under the age of five
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Exploring entrepreneurial opportunities through his professional corporation
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Growing his real estate portfolio with STR’s
In other words, he is doing what I call living four professional lives simultaneously.
Many physicians quietly reach this stage.
You realize that medicine alone is not the entire story of your career.
So you begin expanding your life.
You start a business. You invest in real estate. You pursue athletic or creative goals. You spend more time with your family.
But here is the problem.
Most physicians attempt to do this without redesigning their systems.
And that is where friction begins.
The Surprising Micro-Business Insight
During our coaching session, my client said something that stopped me.
He said: "I feel like the biggest issue is just time during the day."
That statement is incredibly revealing.
Because what he really meant was this:
His clinical schedule was designed for a physician whose entire life is just practicing medicine.
But he is no longer that physician.
He is now a micro-business owner managing multiple life domains.
This is a fundamental shift.
When physicians become entrepreneurs, investors, or creators, their professional identity changes.
Yet their schedule often does not.
And that is exactly what we began to work on during the coaching session.
Small Systems Create Massive Relief
One of the first things we discussed was a simple operational strategy.
Email scheduling.
Most physicians try to respond to emails during the workday. But if you are seeing patients every fifteen minutes, that becomes impossible.
Instead, I suggested writing emails at night and scheduling them to send during business hours.
Write the email at 9 PM. Schedule it to send at 9 AM.
Now your administrative work flows during normal business hours without interrupting clinic.
Another efficiency idea we discussed was voice dictation for emails and notes. Speaking an email is often dramatically faster than typing.
These seem like small changes.
But small operational systems compound over time.
Even recovering 30 minutes per day creates an additional 180 hours per year.
That is more than four full workweeks of reclaimed time.
AI Is About to Change Physician Workflow
Another fascinating part of our discussion centered around the emergence of ambient AI documentation tools.
Platforms like DAX and Freed AI are beginning to dramatically reduce documentation burden.
Some early users report reclaiming 30 minutes or more per day of charting time.
Imagine what that means.
Thirty minutes per day becomes:
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more time with patients
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more time with family
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more time building your entrepreneurial projects
In the coming decade, physicians who adopt AI early will gain a massive productivity advantage.
This is something I have written about extensively in my blog:
Read more here in my post on KevinMD: https://kevinmd.com/2026/01/ai-in-medicine-why-it-wont-replace-doctors-but-will-redefine-them.html
The physicians who embrace technology strategically will gain control of their careers again.
The Hidden Challenge of Ambitious Doctors
There was another moment during our coaching call that made me smile.
My client is also an ultra endurance runner.
He recently attempted a desert race and completed 52 miles, but he was disappointed with the result.
I laughed and said something to him that applies to both athletics and entrepreneurship.
Confidence is built through smaller wins.
Sometimes the best strategy is not chasing the biggest goal immediately.
It is stacking smaller victories.
Finish a few shorter races. Build momentum again.
Entrepreneurship works exactly the same way.
Doctors often try to build the perfect business immediately.
Instead, start small.
A consulting project. A rental property. A side telemedicine practice.
Momentum matters more than perfection.
Recognizing the Season of Life
One of the most important insights from the coaching call was recognizing life phases.
My client is currently navigating one of the most intense seasons a physician can experience.
He has:
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a full clinical workload
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young children
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entrepreneurial ambitions
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athletic goals
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leadership responsibilities
Very few people attempt all of these simultaneously.
The goal is not eliminating pressure.
The goal is managing it strategically.
Sometimes the best decision is simply acknowledging:
"This is a demanding season of life."
And then designing systems that support it.
The Real Power of the Professional Micro-Business
One of the most encouraging aspects of this coaching story is something that many physicians overlook.
My client practices through a professional corporation.
That structure creates freedom.
It allows him to:
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experiment with AI documentation tools
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pursue real estate investments
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maintain entrepreneurial options
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design his career intentionally
That autonomy is priceless.
And it is exactly why I created the Physician Entrepreneur Academy.
Because every physician deserves the option to design their professional life.
Go Deeper by downloading my free e-Book: Should I Create a Professional Micro-Corporation?
Coaching Takeaway
The key insight from this coaching session is simple.
Doctors do not need to abandon medicine to become entrepreneurs.
They simply need to restructure how they operate.
Small operational systems.
Strategic technology adoption.
Micro-business thinking.
These changes allow physicians to scale their careers in ways that traditional employment rarely supports.
If you are interested in building this type of career flexibility, I encourage you to explore more ideas by purchasing my comprehensive course: Doctor You Are A Business where you will gain access to nearly 100 micro-lessons on how to start and thrive a a self-employed doctor.
Flash Sale: I am making this popular course available to our community for 50% off here with 6 easy payments of only $166. This is a once a year offer, so you won’t see this again. Don’t miss out. Go now to https://www.simplimd.com/offers/7N6nF7dM?coupon_code=50NOW
Is This Deductible?
Question
I grabbed a fast food meal on the way to doing some maintenance work on my short-term rental property in South Haven.
Is the meal deductible?
Answer
Possibly.
If the meal occurs during legitimate travel related to a business activity such as maintaining your short-term rental property, it may qualify as a business meal deduction under IRS rules.
However, routine personal meals typically are not deductible.
The key question is whether the meal occurred during business travel or while conducting business activity.
Always confirm specifics with your CPA.
Join the Movement
"Entrepreneurship is the most powerful form of professional autonomy a physician can claim."
Thousands of clinicians are rediscovering freedom through micro-business ownership.
If you want to start exploring your own entrepreneurial path, the Physician Entrepreneur Academy is a great place to begin.
Join the PEA Explorer Membership here: https://www.simplimd.com/PEAMembership
Inside the community you will find:
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entrepreneurial education for clinicians
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coaching and business tools
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case studies like the one you just read
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a growing community of independent doctors
You can also start with one of my free resources designed specifically for physicians entering the entrepreneurial world.
Download the free e-book:
Design Your Career Around Your Life: The Physician's Guide to Professional Longevity https://gamma.app/docs/Design-Your-Career-Around-Your-Life-The-Physicians-Guide-to-Profe-cjxhvy6x210pqc5
Because your career should support your life.
Not the other way around.
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