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Welcome to Second Peak. Read this, then post one thing. Here's the short version of why this room exists. I spent twenty years in emergency medicine. Good career. Then around 50 I got to the top of the climb and found out it was a ridge, not a summit. The credential was real. The identity was a costume. Turns out that's not a midlife crisis. It's a false summit, and almost every high performer hits one. Meanwhile AI is quietly rewriting what credentialed work is even worth. So this is where we build the second half. Body, mind, relationships, work. Systems that actually run, not frameworks nobody executes. Do this now, before you scroll anything else. Post an intro in the Introductions category. Three lines, that's the whole thing: 1. Where you are and what you did for the last twenty years. 2. The one thing you're rebuilding right now. 3. The specific thing blocking it. That's it. Two minutes. I read every one and I answer every one. Three rules. Post the work, not the plan. Give before you ask. Respect the rebuild. Everyone here is a beginner at something new and accomplished at something old. That combination is the whole point. Ask the question you think you should already know the answer to. That's the one worth asking. Now go post your intro. I'll see you in the comments.
Healthcare Abroad?
Does anybody have any suggestions on figuring out the healthcare piece? I'm considering a move to Spain or the Netherlands and am not clear on the best way forward for securing healthcare coverage. As a freelancer, the cost for my current U.S. plan is more than painful.
I took Ambien on night shifts for two months and it was the worst sleep of my life.
Here's how that works in emergency medicine. You finish at 7 am wired, because your body thinks it's the middle of the day and it is. You get home, you take the pill, you get in bed, and you wait. I'd pop one around 10 and lie there for an hour, maybe two, out of the four I had. Then I'd wake up groggy and hungover, mouth dry, head full of cotton, and power through the next shift on espressos and diet cokes. I don't take prescription medications now. I don't use sleep aids. Nothing against anyone who does. That was just my experience, and it was enough. After a couple of months of that I woke up to something obvious: the pill was never the fix. The fix was smaller and duller and it worked. - supplements - phase shifting - running my sleep-wake cycle off real light, either outside or a 10,000 lux lamp in the winter - getting outside in nature We lived next to a nature preserve at the time, which turned out to be the best thing that ever happened to my sleep. I'd come off a night shift and go for a trail run instead of going straight to bed. Exhaust myself further on purpose. Then I'd come home, fall asleep in the guest bedroom, and stay under until my family got home for supper. I'd wake up refreshed, spend a few hours with my wife and kids, make myself an espresso, and head out the door in the dark to grind it out at a level 2 trauma center. That system worked well for decades. People ask me what I actually take, so here it is. Three things, and each one is doing a specific job. - Magnesium bisglycinate. The bisglycinate part matters. Unlike most cheaper magnesium, it's the form that absorbs well without wrecking your gut. This is the one that quiets the nervous system down and relaxes muscle. Mag Threonate is also an option. - Apigenin. A flavonoid, the thing that makes chamomile work. Mild, gentle, and it doesn't leave a residue in the morning the way a sleep aid does. - L-theanine. The amino acid in green tea. It doesn't sedate you, it turns the volume down on the spinning. An hour before bed.
Resume Triage
Bonus module is up today. You can find it under the Income Reconstruction in the classroom.
New in the Classroom
Your career is not as safe as your title suggests. You have a degree, a résumé, and twenty years of experience. None of that is the protection you think it is. The protection is how much of your actual day a machine can already do, and most people are badly wrong about which parts those are. They assume it is the technical work. It is usually the work they are proudest of. The reporting. The analysis. The thing they are the go-to person for. The Half-Life app walks you through your real duties, one at a time, and scores your likelihood of disruption by AI on a scale of 1 to 10. A 3 means you have time. An 8 means you are already standing on the wrong half of your career. It takes about three minutes. It is free. Nobody is going to sit you down and tell you this.
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High performers rebuilding the second half on purpose. Body. Mind. Relationships. Work. Real systems, not motivation. Systems you can run this week.
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