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Coping with Unexpected Life Events: How to Navigate When Plans Go Awry

By Dr. Bryan Jepson, Guest Writer

During my three-hour commute to a rural hospital for locums shifts, I have been immersing myself in the wealth of resources available on the WCI platform, which serves as an invaluable asset for physicians. Dr. Jim Dahle, the founder, excels in providing accurate information and addressing complex personal finance queries. Amidst the financial education materials, one can find inspiring success stories of physicians who have accomplished significant milestones on their financial journey.

The recurring narrative in many of these accounts typically involves graduating from residency burdened with substantial debt, earning a substantial income for a few years (ranging from \(400,000 to \)500,000 annually, and sometimes exceeding $750,000 for those with dual medical specialties), focusing on debt repayment, maximizing investments, and celebrating the rapid achievement of financial objectives. This proven model, coupled with financial discipline advocated by WCI, is attainable for most doctors and high-income professionals, leading to early career financial independence. It is truly motivating to witness individuals who have remained steadfast on this path and achieved commendable success.

However, this trajectory is not universal. In recent Milestone to Millionaire podcasts, Dr. Dahle acknowledges feedback from some listeners expressing concerns that these accounts may present an overly optimistic view that does not necessarily align with the reality faced by all individuals due to various circumstances. Reflecting on my own journey, I found myself resonating with these sentiments. Allow me to share a glimpse of my experience.

Embarking on Financial Education

Similar to many readers of WCI, my interest in personal finance was piqued after completing my Emergency Medicine residency in 1998. Back then, resources like the WCI blog were nonexistent, and the concept of blog posts was unfamiliar to me for at least a decade. However, I delved into books on finance and scoured early internet sources that offered insights into personal finance principles that have stood the test of time. These principles emphasized the significance of early and consistent investments, the security of diversification, the impact of compound interest, the advantages of real estate leveraging, the value of multiple income streams, and the importance of asset protection. Growing up in a frugal household, I had sound financial habits and was diligently paying off a reasonable amount of student loan debt. Securing a lucrative Emergency Medicine position with a promising growth trajectory, I invested in a modest home and acquired an investment property, setting the stage for what I believed would be a journey towards early financial prosperity.

A Shift in Financial Priorities

The course of my financial journey took an unexpected turn in 2001 when my second son, then 2 years old, exhibited signs of developmental delay and was subsequently diagnosed with autism at age 3. Overnight, our priorities shifted dramatically. My wife and I channeled all our resources into understanding his condition and facilitating his progress, particularly during a time when autism diagnoses were on the rise, and therapeutic resources were limited and uncovered by insurance. The financial commitment we made to support our son’s development was substantial, akin to the cost of a Harvard education.

Driven by a desire to leverage my expertise to aid other families navigating similar challenges, I made the pivotal decision to reduce my ER shifts and establish a nonprofit clinic to share the knowledge I had acquired. While this decision may not have been the most financially prudent, it held profound significance for other reasons. Consequently, our trajectory deviated significantly from the anticipated path post-residency.

Mid-career, I transitioned entirely from emergency medicine to dedicate six years to treating children with autism using insights from the realm of functional medicine. We liquidated our investment property to fund therapies and relocated to another state to contribute to a multidisciplinary clinic specializing in autism treatment. While the narrative is more extensive, the crux of the matter is that our decisions were steered by considerations beyond financial gain, leading to setbacks in our financial progress.

Revisiting Emergency Medicine

life derails plans

Despite maintaining a frugal lifestyle and diligently investing residual income, our financial growth was notably slower compared to our initial circumstances. Eventually, I returned to emergency medicine to recuperate financially and ensure the long-term well-being of my family. While we eventually regained financial stability, we lagged significantly behind where we would have been had our path been less convoluted, especially during the crucial early years of investing and saving.

I share my story not to elicit sympathy or accolades but to resonate with readers who may have encountered or are currently navigating similar challenges. Life has a way of presenting unforeseen obstacles, whether through caring for a special-needs child, personal health setbacks limiting work capacity, divorce leading to financial strain, or the responsibility of supporting a family member emotionally or financially. Despite the disruptions to your plans—be it temporary or enduring—I urge you not to lose heart or abandon hope.

While your journey may take longer, adhering to fundamental financial principles can still culminate in a successful outcome. The roadmap to financial freedom that I outline for my clients encompasses the following milestones:

  1. Earning more than you spend
  2. Allocating resources to what you value
  3. Eliminating detrimental debt
  4. Cultivating diverse income streams
  5. Safeguarding your assets
  6. Making informed and consistent investments
  7. Optimizing tax liabilities
  8. Securing your family’s future
  9. Strategizing retirement plans
  10. Identifying sources of fulfillment in retirement
  11. Managing your estate effectively
  12. Engaging in charitable endeavors

Remember, true wealth transcends monetary value. It is intertwined with relationships, experiences, support received during challenging times, and the ability to give back when possible. Your richness as a parent, a partner, a friend, or a community member is not quantified solely by your financial standing.

As a physician and financial advisor, my aspiration is for all my clients to attain financial independence while leading emotionally fulfilling lives—a life enriched by happiness and contentment, prioritizing holistic well-being over material wealth. While I commend those who achieve financial success early on, I hold profound respect for those who recognize that life is a continuous journey with evolving finish lines, focusing their energy on navigating each step forward.

My admiration extends beyond those dwelling in opulent residences or driving luxury cars. True heroes understand that while money can enhance comfort, genuine wealth encompasses far more.


[Editor’s Note: Dr. Bryan Jepson is a board-certified emergency medicine physician and a licensed financial advisor. With a master’s degree in Finance and Risk Management and as a CFP candidate, he serves at an independent financial advisory and planning firm catering to healthcare professionals. Residing in Monument, Colorado, Dr. Jepson is married with three adult sons, two of whom are on the autism spectrum. His interests include hiking, running, fishing, playing the guitar, and aiding his sons in communication through writing. Targeted Wealth Solutions, the firm he is associated with, is a paid advertiser and partner of WCI. However, this article is not sponsored and was submitted and approved in accordance with editorial guidelines.]