High Grade Newsletter – Step Outside the Game and Pull a Kobayashi Maru

Join the +20 High-Grade readers focused on continuous improvement and the love of learning:  https://drewalbertmd.com/the-high-grade-newsletter/


“You can always change your environment, take ownership. No matter how seemingly difficult.”


(Link) “Seek wealth, not money or status. Wealth is having assets that earn while you sleep. Money is how we transfer time and wealth. Status is your place in the social hierarchy. Understand that ethical wealth creation is possible. If you secretly despise wealth, it will elude you.” -Naval

What I’m Listening To

(Link) Just listened to this in audiobook form. Such a great historical account that is a must-read in my opinion. The River of Doubt is the true story of Theodore Roosevelt’s harrowing exploration of one of the most dangerous rivers on earth.


(Link) White Coat Investor interview of Morgan Housel, partner at The Collaborative Fund and a former columnist at The Motley Fool and The Wall Street Journal. “We talk about some of “the flaws, biases, and causes of bad behavior” he has seen often when people deal with money.”


What I’m Reading

(Link) “My mind” software example video. Wish this type of program was more accessible to self organize thoughts, ideas, and media. It organizes information to make it mores easily searchable in the future. It would be great if it could help you review information based on information you are trying to learn.

(Link) The Profile: Ultimate Guide to Successful Relationships


  1. Trust and respect go hand-in-hand

  2. Treat your arguments like a negotiation

  3. Conduct a relationship audit

  4. Forget grand gestures, opt for mini everyday gestures, instead

  5. Ask your partner to join for a walk

  6. Remember what matters

(Link) Interesting compilation of materials for founders by Dan Romero. 

(Link) Side Income ideas for physicians. Interesting example of Dr. Amir Baluch an Anesthesiologist’s side incomes, from an amazon store to real estate. Interview by Bootstrapmd.


“More importantly, it’s about how much money you make when you don’t work. The key is to have as many sustainable ethical revenue generating assets as possible. And my next guest has figured that out. This doctor started his first business while in medical school through a credit card transaction company, then shifted into flipping real estate and then now managing giant real estate projects with his team. He has a BioFund company and his next conquest is Amazon.”

(Link) Story about how we should be changing the game and thinking outside the box rather than just accepting things as is. Check out this great tweet thread by Kevin Lee, Founder @prodmanagerhq and Principal VC @pearvc:


“I was thinking through an interesting startup problem this past week, and I was reminded of a student I once had when I ran a student-led course in college on stock investing. She shocked the hell out of me by thinking outside the box and pulling a “Kobayashi Maru.” To set some context, Kobayashi Maru is a training exercise designed to test new academy students in Star Trek (I admittedly don’t watch the show but learned about this test from watching the theater film). To simplify, a student in the exercise is presented with two options: 


A) Cross a neutral zone to rescue civilian passengers aboard the Kobayashi Maru ship and cause a war.

B) Leave them to die.


If the student attempts a rescue, the simulation guarantees they are attacked and never escape or survive. If they abandon the civilians, the civilians die. It’s meant to be a no-win scenario. The simulation is meant to test one’s character.” Click the (Link) for more!

(Link) If I had extra time and spending money, this class by David Perell seems like a great investment. 


Orthopedic Surgery

(Link) This is one aspect of health that we’ve been working to address at Optimize My Surgery: “Forty-seven percent of patients undergoing spine deformity surgery and 64% of cervical spine surgery patients have low vitamin D levels. Postoperative bone health can be enhanced in women ≥51 years old with daily intake of 800 to 1,000 units of vitamin D and 1,200 mg of daily calcium. There is no solid evidence that pre- or postoperative bisphosphonates have a positive impact on bone healing. Conversely, some series have shown that teriparatide, an anabolic parathyroid hormone, may improve time-to-fusion and help reduce screw pull-out after lumbar fusion in postmenopausal women.”

(Link) Dr. Howard Luk’s take on muscle mass and longevity. “Muscle mass correlates with a decrease in all-cause mortality.  Simply put, the more muscle mass you have, the lesser the risk of dying from a chronic disease than some of your peers.  It turns out that just one hour of resistance exercise each week leads to a decrease in all-cause mortality risk.   One hour! One hour 🙂  You can do that!”


If you enjoyed reading this, please share it with someone you think would be interested! 

Here is the link: https://drewalbertmd.com/the-high-grade-newsletter/

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