A Life Well Lived: A Physicians Guide to Wealth

Every week, dual-physician couples lose something far more valuable than money or opportunity: time. Not in dramatic moments—but through late nights charting, rushed mornings, postponed conversations, skipped workouts, and weekends spent recovering instead of living. In this first episode of the Power Couple Rx series—rolling out throughout 2026—James Nutter introduces six powerful, practical pres...

As the new year approaches, most people start thinking about goals. New routines. New plans. A fresh burst of motivation that—statistically—won’t last past February. Pauly Domenech doesn’t live that way. In this episode of Life Well Lived , James Nutter welcomes Pauly for a raw, energizing conversation about why standards—not goals—are what actually change lives. Pauly’s life story is anything but...

Time—not money—is the true currency of a meaningful life. In this solo episode, James Nutter invites physicians to step off autopilot and confront a hard truth: while doctors fiercely protect their income, homes, and assets, they rarely protect their time with the same urgency. The result is a life filled with drift—missed priorities, delayed dreams, and years that pass faster than expected. James...

For physicians, student loans aren’t just math—they’re emotional. They shape decisions about jobs, families, burnout, and freedom. In this masterclass episode, James Nutter pulls back the curtain on the confusion surrounding physician student debt and explains why so many doctors feel stuck, anxious, or ashamed about a system they were never equipped to navigate. James outlines the three student l...

Medicine wasn’t supposed to feel like this. In this wide‑ranging conversation, James and Donovan pull back the curtain on why so many physicians feel trapped—overtrained professionals reduced to overworked note‑takers, buried under administrative chaos and shrinking margins. Donovan explains how the modern healthcare system has shifted power away from physicians and toward bureaucracy, creating bu...

Money is emotional, chaotic, and—if left unmanaged—one of the biggest sources of stress for physicians and families. In this actionable episode, James Nutter shares the exact systems he uses to help clients build a financial plan and actually stick to it. He introduces the “Box and Shelf” method—a simple but powerful way to store all your financial tasks, documents, and priorities in one place so...

Financial clarity feels great — until life gets busy and everything stalls again. In this episode, James Nutter tackles the real gap most physicians face: execution. After laying the groundwork in the Financial Wellness 101 series, he walks listeners through practical frameworks for staying organized, focused, and consistent without burning out. James introduces the Box & Shelf method to eliminate...

Money conversations are hard for everyone—even financial advisors and physicians who deal with high-stakes decisions every day. In this deeply relatable and practical episode, James Nutter pulls back the curtain on why couples struggle to talk about money, why “knowing” and “doing” are not the same thing, and how to create a repeatable structure that makes financial conversations feel safe, produc...

This week on A Life Well Lived: A Physician’s Guide to Wealth , James Nutter moves from intention to action by breaking down the real math behind your goals. After helping listeners clarify their values, money love languages, and long-term vision earlier in the Financial Wellness 101 series, James now shows you how to identify what your dream life costs—and how to fund it, one intentional step at...

In this week’s episode of A Life Well Lived: A Physician’s Guide to Wealth , James Nutter continues the Financial Wellness 101 series, moving from “Vision” to action. After exploring values and the seven-part meaningful goal-setting framework, James dives deeper into how to turn intentions into results. He unpacks how to prioritize what matters most, write goals that are specific and attainable, a...

In this week’s solo episode of A Life Well Lived: A Physician’s Guide to Wealth , James Nutter continues the Financial Wellness 101 series—helping you bridge the gap between planning and living. After exploring your financial vitals, free cash flow, time audits, and values, today’s focus is on Vision 101: a seven-step goal-setting framework that connects your finances to what truly matters. James...

  In this week’s episode of A Life Well Lived: A Physician’s Guide to Wealth , James welcomes Zoe Taylor, a nationally recognized realtor and founder of _Moving Medicine Partners_—a nationwide network of 83 realtors who are all married to physicians and uniquely understand the challenges of relocating for medical careers. Zoe shares hard-earned insights on the biggest mistakes physicians make when...

In this week’s episode of A Life Well Lived: A Physician’s Guide to Wealth , James Nutter shares a powerful mindset shift: time—not money—is your most valuable asset. Drawing from his own annual “Time Audit” ritual, James explains how to review your past year to uncover what truly matters. He breaks down the process step by step—from reviewing photos and calendars to identifying the people, habits...

In this week’s episode of A Life Well Lived: A Physician’s Guide to Wealth , James continues the “Your Health Is Your Wealth” series with guest Chad Volant, founder of Strength Rx and long-time performance coach helping busy professionals and physicians build strength, mobility, and longevity. Chad’s philosophy is simple yet powerful: movement is medicine. Through practical stories and science-bac...

In this week’s episode of Life Well Lived: A Physician’s Guide to Wealth , James continues the Financial Wellness 101 Series by helping listeners “begin with a life well lived in mind.” James challenges physicians to reverse the traditional order of achievement—no longer building a life around work, but crafting a career that supports their ideal lifestyle. Through a series of powerful reflection...

In this installment of Life Well Lived: A Physician’s Guide to Wealth , James Nutter welcomes Dr. Sarah Samaan, a recently retired cardiologist who now coaches physicians in career transitions, time management, and mindfulness. Dr. Samaan shares her journey from decades in cardiology to becoming a physician development coach—drawing on her yoga practice, personal mission work, and equestrian pursu...

In this installment of Life Well Lived: A Physician’s Guide to Wealth , host James Nutter (fiduciary financial advisor and partner at IM Wealth) continues the Financial Wellness 101 series by tackling one of the hardest parts of personal finance: making decisions when there isn’t a clear “right” answer. Drawing on lessons from Darren Hardy’s Hero’s Journey leadership program, wisdom from Jeff Bezo...

In this masterclass-style episode of Life Well Lived: A Physician’s Guide to Wealth , host James Nutter (fiduciary financial advisor and partner at IM Wealth) is joined by Andrew Paulson, co-founder of StudentLoanAdvice.com and a nationally recognized student loan consultant affiliated with White Coat Investor. Together with James and co-host Jeff McPherson, CFP®, Andrew breaks down the latest phy...

In this episode of Physician’s Guide to Wealth, host James reconnects with his longtime friend, Dr. Rachel Carlson. Now a pediatrician in Hawaii, an active-duty Air Force officer, and a triathlete, Dr. Carlson’s story is a masterclass in living with intention. Dr. Carlson shares how she trained for a triathlon during residency, launched a wellness program as chief resident, and learned to prioriti...

Marriage and money both require one key ingredient: maintenance. In this candid episode, James is joined in-studio by Jeff McPherson and Todd Spencer—two longtime friends and leaders who’ve navigated physician families, shifting schedules, and the messiness of real life. Together, they unpack why couples often clash about finances and how small, intentional rhythms can transform both wealth and re...

Physicians spend years mastering medicine but rarely pause to define what truly matters most in their lives. Without that clarity, it’s easy to fall into indecision land—burnout, unfulfilling success, and money decisions that don’t match your priorities. In this empowering session, James Nutter guides you through a values workshop designed to uncover your top three core values. These become the fi...

You sacrificed years of training, piled up student loans, and now you’re finally earning real income as a 1099 physician. But instead of clarity, many find themselves overwhelmed—unsure of how to handle taxes, structure their business, or avoid leaving thousands on the table. In this masterclass-style conversation, James (@JamesNutter), Jeff McPherson, and CPA Matt Barzak share the exact framework...

Most financial advice is math-heavy and heart-light—focused on returns, percentages, and cookie-cutter formulas. But your relationship with money runs deeper than a spreadsheet. In this episode of A Life Well Lived , James Nutter guides you through the Money Love Language exercise from the Gottman Institute’s “Meaning of Money” framework to help you: Identify your top 3 Money Love Languages—securi...

In this episode, James Nutter shares the exact 13-minute scorecard he uses with every new physician client to identify financial weak spots fast — and take back control. You’ll learn: How to reassess your financial vital signs and uncover hidden risks What it really means to be “Eagle Strong” in your cash flow, protection planning, and financial organization Why most high-income families are still...

Are you aware of your cash flows? Most neglect, wise physicians understand. In today’s episode James Nutter continues the Take Control Rx series as he dives into cash flows and emergency reserves, providing insight into understanding money in and out, determining free cash flows, and setting up a peace of mind fund. He offers practical tools like the circulatory cash flow system and the Rocket Mon...