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Nearly 50,000 people watched our co-parenting reel and asked the same question: "Why don't you just get a nanny?"

People expected us to have full-time help. We don't. Not because we can't afford it. Because we made a different choice.

In this episode, Nii and Renee pull back the curtain on the real systems, the real schedule, and the real financial trade-offs behind running a two-physician household with two boys — without a nanny.

You’ll hear:

→ Why Renee refuses to hire a nanny (4 specific reasons)

→ The Sunday Night Meeting — how we plan every week before it starts

→ The Primary Parent Rule — the core rule that keeps our household from falling apart

→ Our calendar system — how Nii builds his locums schedule around Renee's call

→ The Date Night Rule — the one non-negotiable that protects our marriage

→ Why our boys know the plan (and why it matters)

→ The REAL financial cost of this choice (Forbes data + our honest numbers)

→ Our one-income philosophy — if we can't build wealth on one physician income, we're doing it wrong

→ What we sacrifice. What we refuse to sacrifice.

If you're a first-generation doctor in your family, this is your community.

Find us on YouTube: www.youtube.com/@docsoutsidetheboxpodcast

Mentioned in this episode: https://www.forbes.com/sites/christinecarter/2025/02/11/motherhoods-price-tag-the-financial-reality-of-working-vs-leaving/

FREE DOWNLOAD:

Download the First-Gen Doctor Blueprint — everything we wish someone had told us about finances, career planning, and building a life in medicine. Visit: https://darkos.lpages.co/first-gen-physicians/

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Have a question for the podcast?

Send us a Voice Message: https://www.speakpipe.com/docsoutsidethebox
Text us: 833-230-2860
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Email: team@drniidarko.com

This episode is sponsored by:

Locumstory. Learn how locum tenens helps doctors make more and have the lifestyle they deserve!. Check them out HERE!

ABOUT DOCS OUTSIDE THE BOX:

Dr. Nii is a General Surgeon. Dr. Renee is an OB/GYN. We are first-generation Ghanaian and Haitian physicians who paid off $662,000 in student loan debt in 3 years, built a locum tenens agency, and navigated every major medical career decision without a family blueprint.

We created this podcast for first-generation doctors — physicians who are the first in their families and lack the inherited knowledge about money, contracts, career strategy, and the unwritten rules of medicine that many of their colleagues learned growing up.

Real conversations for first-gen doctors.

DISCLAIMER: Dr. Nii and Dr. Renee are physicians, not financial advisors or attorneys. Content shared in this podcast reflects personal experience and should not be considered financial, legal, or medical advice. Please consult qualified professionals before making financial or career decisions.