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Doctors Building Wealth
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Doctors Building Wealth

Author: 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.




172 Episodes
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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 ...
What If Real Estate Investing Actually Reduced Your Stress? You're already juggling a demanding career, a family, and a never-ending list of responsibilities. The last thing you want is to add more stress to your plate. So when someone suggests real estate investing, your first thought might be: "That sounds like a lot of extra work I don't have the bandwidth for." We get it. We felt the same way. But here's what we discovered after building a portfolio that replaced our clinical income: real...
What If Paying Off Your Student Loans First Is Actually Costing You? If you're a physician sitting on $200K+ in student loans, you've probably been told the same thing over and over: pay off the debt first, then start building wealth. It sounds responsible. It feels safe. And we get it, because we both did it ourselves. But looking back, we wish someone had challenged that advice. Because what we've learned after reaching financial freedom in just three years of real estate investing is that ...
What if you could stop waiting until 65 to enjoy the freedom you're working so hard for? Most financial advisors hand you a retirement plan and tell you to max out your 401(k), invest in the market, and wait. Wait until you're older. Wait until you have "enough." Wait until you've traded decades of your life for a number on a statement. But here's the thing: a high net worth on paper doesn't buy you freedom. Cash flow does. In this episode, we're sitting down again with Austin Dean, founder a...
You Have More Time Than You Think "I don't have time." It's the number one objection we hear from doctors considering real estate investing. And honestly? It's a question we asked ourselves back in 2015 when we were both working 80+ hours a week as hospitalists, Kenji had a startup, and I was picking up OB shifts on the side. So we get it. Your schedule is packed. Your responsibilities are real. And the idea of adding something else to your plate feels impossible. But here's what we've learne...
What if you could learn the most powerful real estate lessons from an entire year of episodes in just 20 minutes? We're closing out 2025 by revisiting the three most popular episodes of the Doctors Building Wealth Podcast, each one packed with insights that help physicians build wealth, reduce taxes, reclaim their time, and design a life on their terms. From the costly mistakes new real estate investors make, to the mindset shifts that fuel physician entrepreneurs, to the investment strategie...
Why do so many doctors—who’ve achieved one of the most difficult professional goals—struggle to set personal goals beyond medicine? Most physicians are conditioned to follow a clearly laid-out path: college, med school, residency, attendingship. But once they reach the end of that predefined road, many feel stuck, directionless, or burned out. In this episode, Leti and Kenji unpack the hidden reasons why goal setting is so challenging for doctors—and how to break free from the “do more, achie...
What if the best window to build real wealth isn’t when everyone feels confident—but when most doctors are sitting on the sidelines, waiting for clarity that never comes? Many doctors get stuck trading time for money, parking their savings in familiar places, and telling themselves they’ll invest “when things feel safer.” Meanwhile, rising costs, market cycles, and missed opportunities quietly compound, keeping them locked into the rat race longer than they planned. In this episode, Kenji and...
Is it possible that your constant drive to do more is actually keeping you stuck? Many doctors find themselves in a cycle of chasing achievement—checking boxes, hitting milestones, and pushing forward without ever really feeling fulfilled. You’ve been taught that success comes from effort and control. But what if the freedom you're working so hard for requires a completely different approach? In this episode, Dr. Jacob Liberman—optometrist, visionary, and author of Luminous Life—offers a powe...
Is real estate still just a side project—despite your best intentions to build wealth and reclaim your time? Many doctors get stuck trying to do it all alone, without the structure or support to make real progress. In this episode, Leti and Kenji share five key patterns they’ve observed among the most successful members of their EB Pro mastermind. These are the behaviors that consistently lead to faster scaling, bigger portfolios, and lasting confidence as a doctor-investor. By the end of thi...
What’s the best way to create content for your audience: with a structured plan or just going off the cuff? Do you struggle to find the right balance between having a structured plan and letting your creativity flow freely in your content? Not having enough structure can lead to confusion and a lack of clarity, while over-structuring can stifle creativity and spontaneity. So how do you find the middle ground? BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER: The benefits of having structure ...
Ever wondered why the goal shouldn’t be to just be comfortable in life? A lot of people, especially doctors, are stuck in a cycle of comfort that prevents them from taking the next big step toward financial independence and real freedom. This comfort zone—while safe—can become a trap. The idea of living comfortably often stops us from embracing challenges that lead to true wealth and freedom. It’s time to break free from the norm. BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER: Why being c...
Are you still thinking all debt is bad when it comes to real estate investing? Many doctors shy away from building wealth through real estate because they’ve been taught to fear debt and avoid leverage. But misunderstanding the difference between good debt and bad debt might be holding you back from unlocking serious financial freedom. BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER: Why leverage is one of the most powerful tools in real estate investing—and how smart investors use it to gr...
What kind of rental property should you invest in first—short-term or long-term? If you're stuck on this question, you're not alone—and the wrong choice could cost you time, money, and tax benefits. Many high-income professionals dive into real estate without aligning their first property purchase with their financial goals—and end up missing out on key tax savings or getting overwhelmed by property management. BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER: The key differences between sho...
What if one real estate investment could unlock your time freedom—while filling a critical healthcare gap? Too many doctors try to build wealth by working harder or picking the “easiest” investment strategy—only to burn out or break even. But there’s a powerful, often overlooked niche in real estate that not only offers significant cash flow—it also allows you to serve aging patients with dignity. In this episode, Dr. Alex Schloe shares how he built a thriving real estate business focused on ...
What if you could invest in real estate and make a real difference at the same time? Aline and Carlos Zamora chose assisted living facilities as their path to financial freedom—and impact. In this episode, they share how they went from full-time doctors to full-time real estate investors. They talk about how they found their first deal, hired the right team, and learned to run a care-based business. If you're looking for a unique way to grow your portfolio, this episode will show you what's p...
What would your life look like if you stopped letting fear make your decisions? Are your limiting beliefs keeping you stuck in analysis paralysis while your dream life passes you by? You’re not alone—but that hesitation might be the biggest obstacle standing between you and financial freedom. In this inspiring episode, Lama Nordine—a full-time nephrologist, mom of four, and real estate investor—shares how she pushed past fear and built a portfolio of six short-term rentals… all while managing...
What if your real estate investments could create financial freedom and transform lives at the same time? Too often, doctors think they have to choose between profit and purpose. But Rebecca and Scott Steenbergh discovered a strategy that delivers both — and it’s not your typical rental model. By investing in sober living homes, they’ve created a portfolio that not only cashflows but also supports people in recovery — offering them stability, dignity, and a real shot at a new life. BY THE TIM...
Are you unknowingly giving away more money to taxes than you spend on food, clothing, and housing combined? Many high-income earners—especially physicians—make this one costly mistake: they accept high taxes as inevitable and never take action to change their situation. But what if we told you that by learning a few key strategies, you could legally slash your tax bill and keep more of what you earn? BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER: Why taxes are your biggest expense—and how...
Are you unknowingly missing out on powerful tax-saving strategies hidden in the new tax law? Too many high-income professionals are walking into tax season without a strategy—and it’s costing them tens of thousands. The 2025 tax law changes are complex, but if you understand how to use them, you can dramatically lower your tax bill and accelerate your path to financial freedom. BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER: Why the extension of the 37% top tax bracket and standard deducti...
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