Doctors Building Wealth Podcast Por Leti and Kenji arte de portada

Doctors Building Wealth

Doctors Building Wealth

De: Leti and Kenji
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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.




© 2026 Doctors Building Wealth
Desarrollo Personal Economía Finanzas Personales Gestión y Liderazgo Liderazgo Éxito Personal
Episodios
  • Why You Should Always 1031 Exchange (And How to Do It Right)
    Apr 12 2026

    What If Selling Your Rental the "Normal" Way Is Costing You a Fortune?

    You bought a rental property years ago. It's appreciated, you've paid down the loan, and now you're thinking it might be time to sell. Maybe you want to upgrade to something bigger. Maybe the property isn't performing the way it used to. Either way, the plan feels simple: list it, sell it, pay the taxes, move on.

    We get it. That's the path most people take, and it feels responsible.

    But here's what we've learned after years of building our portfolio: every time you sell a property and pay taxes, you're not just losing money today. You're losing decades of compounding. And the gap between selling the "normal" way and using a 1031 exchange isn't small. It's life-changing.

    In this episode, we break down everything you need to know about 1031 exchanges, including the rules, the timelines, the mistakes most investors make, and the exact strategies we use in our own portfolio to make sure every exchange goes smoothly. We also share why we're almost always 1031 exchanging and why we think you should be too.

    BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER:

    • The shocking difference in long-term wealth between selling with a 1031 and selling without one (this number alone is worth the listen)
    • Why anyone can use this strategy, no special tax status required
    • How 1031 exchanges can become one of the most powerful ways to pass wealth to your children, completely tax-free
    • The difference between a "lazy 1031" and the real thing, and why we never settle for the lazy version
    • The two deadlines you absolutely cannot miss, even by hours
    • Why most investors make the same critical mistake when they sell first and shop second, and the simple fix that protects you from it
    • Creative ways we've extended our timelines, including a lease-back trick that bought us months of breathing room
    • What to look for in a 1031 exchange intermediary so your money is safe and your deadlines are protected
    • How some investors in our community are using tenants in common structures to scale into much bigger deals together

    This isn't about being overly aggressive with your taxes. It's about understanding one of the most powerful tools the tax code gives real estate investors and learning how to use it the right way. Once you see what's possible, you'll never look at selling a property the same way again.

    Listen now and start planning your next move with the full picture in mind.

    RESOURCES WE MENTIONED IN THIS EPISODE
    Our 1031 Exchange Company Partners: [HERE]
    1031 Exchange Blog Article: [HERE]

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE

    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook

    Liked this episode? Share it on social and tag me @semiretiredmd

    Love the show? Leave a 5-star review and let me know!

    Más Menos
    20 m
  • Ep 175: Can Mid-Term Rentals Really Get You 20% Cash-on-Cash Returns?
    Mar 29 2026

    What If You Could Get Short-Term Rental Cash Flow Without All the Work?

    Mid-term rentals have quietly become one of the most popular strategies in our community, and it's easy to see why. You take a property that would work as a regular long-term rental, furnish it, and rent it to tenants staying 30 to 90 days. The result? Significantly higher cash flow with a fraction of the turnover and management that comes with short-term rentals.

    In this episode, we break down everything you need to know to get started with mid-term rentals, from running your first cash-on-cash calculation to finding the right tenants, navigating taxes, and managing the property.

    BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER:

    • Why mid-term rentals can generate 20%+ cash-on-cash returns on properties that would otherwise be standard long-term rentals
    • How to use the long-term rental cash-on-cash calculator for mid-term rentals (and the additional expenses you can't afford to miss)
    • Which property types and locations work best, and why proximity to hospitals, corporate offices, and good school districts matters so much
    • The most common tenant types (traveling nurses, corporate workers, medical students, and insurance displacement renters) and how building relationships keeps your units full
    • How mid-term rentals are taxed as long-term rentals (meaning you need Real Estate Professional Status to offset W-2 income with losses)
    • What to watch for with city restrictions and how most regulations define short-term vs. mid-term stays
    • How to fill vacancy gaps between mid-term stays by listing on Airbnb or VRBO as a short-term rental
    • The flexibility to move between long-term, mid-term, and short-term rental strategies as your goals and market conditions change

    Mid-term rentals offer a compelling middle ground: higher returns than long-term rentals, less intensity than short-term rentals, and the safety net of knowing your property works as a traditional rental if you ever want to switch back. The key is starting with properties that make sense as long-term rentals, building the right relationships, and developing the skills to flex across strategies.

    Listen now and see if mid-term rentals belong in your portfolio.

    RESOURCES WE MENTIONED IN THIS EPISODE
    Boost Your Cash Flow Course (Mid-Term Rentals): HERE
    Accelerating Wealth Course (Short-Term Rentals): HERE
    Long-Term Rental Cash-on-Cash Calculator: HERE
    Short-Term Rental Cash-on-Cash Calculator: HERE

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE

    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook

    Liked this episode? Share it on social and tag me @semiretiredmd

    Love the show? Leave a 5-star review and let me know!

    Más Menos
    22 m
  • The Hidden Risks of Short-Term Rentals (And Why Most Investors Ignore Them)
    Mar 15 2026

    What If the Biggest Risk in Short-Term Rentals Is the One You're Not Thinking About?

    Short-term rentals are one of the most popular strategies in our community — and for good reason. The tax benefits through the short-term rental loophole are incredible, the cash-on-cash returns can be 15–20% or higher, and you get the added bonus of a vacation home your family can enjoy.

    But here's the thing: we've seen too many investors jump into short-term rentals without understanding the risks that can turn a great investment into a stressful liability. And most of these problems are completely avoidable — if you plan for them upfront.

    In this episode, we break down the three most common risks we see short-term rental investors face — low cash flow, changing STR regulations, and overwhelming workload — and give you the exact strategies we use to mitigate each one so your property stays profitable for years to come.

    BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER:

    • How to use a cash-on-cash calculator properly (and the two conservative assumptions we always build in to protect our downside
    • Why you should never "set it and forget it" with a short-term rental — and how actively managing revenue and expenses drives up your returns over time
    • The counterintuitive reason you should buy in markets with well-established STR regulations (not markets with zero rules)
    • How one couple in our community turned a $650K property into a $1.3M exit after a surprise STR ban — because they had a backup plan
    • Why forcing appreciation is your ultimate safety net, whether or not regulations change
    • The year-one vs. year-two management strategy that frees up your time while keeping the tax benefits
    • How automation, delegation, and virtual assistants can dramatically reduce your workload without sacrificing performance

    Short-term rentals can be life-changing investments. But only if you go in with your eyes open, a solid cash-on-cash calculation, and a plan to handle what comes your way. Don't learn these lessons the hard way — listen now and invest with confidence.


    If you're ready to go deeper, check out our course Accelerating Wealth at semiretiredmd.com/acceleratingwealth, where we teach you how to buy and operate truly profitable short-term rentals. And if you want to start running the numbers yourself, grab our free short-term rental cash-on-cash calculator at semiretiredmd.com.

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE

    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook

    Liked this episode? Share it on social and tag me @semiretiredmd

    Love the show? Leave a 5-star review and let me know!

    Más Menos
    26 m
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