FABIO M.D

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12/07/2024

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21/06/2024

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05/06/2024

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28/11/2023

"Delirium is a common and serious condition characterized by short-term confusion, fluctuating cognitive impairment, and reduced consciousness.
It's a syndrome with various causes, affecting 1% of elderly individuals aged 55 or older, rising to 13% in those 85 and older. Understanding the epidemiology of delirium is crucial for effective healthcare. "

15/09/2022

*HOW CAN SELF-CONFIDENCE HELP TO OVERCOME THE NEED FOR VALIDATION FROM OTHERS?*

Being confident means that you rely on your own judgement about yourself. You acknowledge other people's opinions but don't make them a reason for disappointment.

When you lack self-confidence, you become dependent on other people's, opinion, judgement and suggestions to lead your own life. You become so reliant on them that everything you do is about pleasing them. When other people decide how you need to behave, act or live, you start living the life they want, not what you want.

Feel confident in yourself, no matter what others think of you. Take note of only those you know genuinely wish well for you, and ignore those who don't add value to you.

09/09/2022

Financial Independence is the point at which your monthly investment income exceeds your monthly expenses.

09/09/2022

A simple path to wealth!

1. Work. If possible in a high skilled trade where you can command a high pay.

2. Save. Spend less than you earn and save the rest. The higher the savings rate the better.

3. Invest. Prudently invest your savings in things you understand. A simple strategy is to just buy cheap land and unit trusts or treasury bills/bonds.

4. Repeat. Continuously acquire more high level skills to grow income. Save more. Diversify your investments.

25/08/2022

Comparison is the thief of joy [The Money Engineer 💰]

The worst game you can play is comparing your self with others. This will inevitably lead to intentional dissatisfaction. There will always be someone better than you. The best yardstick to use is the person you were yesterday. As long as you are heading in the right direction and you become better everyday then you are succeeding.

There is too much chaos in the world. When you orient yourself in a particular direction you bring this chaos to order. There is a seeming safety within your goals so choose them well. But most importantly break them down into simple daily tasks which you can execute.

For instance if you're struggling to get a handle on your money, you can start by defining what you want. This could be getting out of debt or building additional streams of income. Then you quantify these metrics and add some timelines. Say you want to pay off ugx 10 million in loans within two years. Or you wish to earn an additional 100k per month outside your job. Simply doing this clarifies the boundaries of your seemingly impossible problems.

Then it's a matter of writing down and executing some simple daily tasks. For the loans you can begin by writing down all the loans you have on the first day. You see this is already progress. The next day you can figure out how to pay off the smallest loan. For the additional income you can begin by researching possible business opportunities you can take on. Then you mobilize capital, register the business, buy stock, hire space, find customers, etc.

The point is you are making progress each day. You are making progress on your dream. You are not idly comparing yourself to others. You are in control of your destiny. You are better than the person you were yesterday. You are choosing to play within your circle of control instead of dwelling on things you can't do anything about. And this is all that matters on the road to success.

24/08/2022

Live below your means.

“People who live far below their means enjoy a freedom that people busy upgrading their lifestyles can't fathom.” - Naval Ravikant.

This principle is so simple and clichĂŠ that many of us ignore it but it's fundamental to obtaining financial freedom.

Simply earn as much as you can, spend as little as possible, and invest the rest. Repeat. This is how you become wealthy!

17/08/2022

Why money is an issue in relationships [The Money Engineer 💰]

Money is a sensitive topic in many relationships and it is one of the leading causes of divorce. There are a number of reasons why this is the case. In this article I discus some of the common issues around money in relationships and what we can do about them:

1. Different money personalities. We all have different money personalities. Ken Honda explains these personalities well in his book called Happy Money. Some people are compulsive savers while others are spenders by default. Some people are gamblers while others are worriers. Some people are simply indifferent to money. When these personalities mix in marriage there is bound to be fireworks. For instance if a spender marries a saver there is bound to be conflict. The way to resolve this is to have a sincere open discussion with each other and find a middle ground. You could for example dedicate some money for fun and random things to appease the spender while saving some money on a joint account.

2. Cultural differences. We all come from different families, tribes and nations. Each culture is unique and has a different approach to money. Some culture are more enterprising than others. In some cultures the man is the bread winner and takes care of everything. In other cultures it is the reverse. In some places women are not allowed to inherit property. In marriage these cultures clash and if not resolved early lead to marital breakdown. It's important to really understand a potential mate before committing to a lifetime with this person. Premarital counselling can help. You need to understand these differences and come to a common ground in your relationship.

3. Religious differences. Religion has a big influence on many people around the world. Some religions say money is the root of all evil. Other religions don't encourage charging interest on loans. In some religions poverty is encouraged. Now when two conflicting religions come together in a relationship there will be tension. Again a negotiated settlement needs to be reached by both parties to agree a reasonable way forward.

4. Communications issues. We all communicate differently. In his book the five love languages, Gary Chapman, points out the different love languages. They are Words of Affirmation, Acts of Service, Receiving Gifts, Quality Time, and Physical Touch. We need to spend time and understand each other's love language to improve communication. For example a husband may be very busy at work and then buy the wife expensive perfumes thinking this will make her happy. On the contrary the wife may prefer spending more quality time with the husband. This will create conflict and tension in the marriage.

5. Esteem issues. For many people (especially men) their self worth is tied to their bank balance. When the bank balance is low for whatever reason their self image maybe rattled. The culture makes it worse as it expects men to able to provide for their families. The issue is for us to redefine our self worth in terms of other meaningful metrics. For instance we are fathers, brothers, friends, colleagues, etc. We are God's highest form of creation irrespective of our bank balance. We are capable of becoming more and contributing to society. When we redefine ourselves this way we lift the pressure off ourselves to measure our self worth based on a bank balance. Women need to be especially careful in how they communicate about money with their husbands so as not to deflate their egos. This is a very delicate issue for most men.

6. Keeping up with the joneses. There is a lot of pressure in society to move up the ladder of success. In family meetings people are eager to show economic progress from new cars, businesses, homes, schools, big weddings, etc. It is very easy to get caught up in this vicious competitive cycle as you seek to please other people. Don't try to please in-laws when you can't afford. Better to live comfortably within your means.

7. Extended families. In Africa we have large extended families. The few people who make it economically are generally expected to support the rest of the clan. This can create a lot of strain on the meager resources of a family. Allocation of this economic care can also cause conflict. For example should a wife send most of her salary to her family instead of helping with the bills at home?

8. Polygamy. Polygamy and infidelity complicates issues. First it strains the already limited resources among multiple households. It also creates an environment of envy, mistrust and jealousy. It's hard to thrive as a family when there is a lot of intrigue and infighting. It's almost impossible to build a successful business with the co-wives as business partners. Indeed on the demise of the man the whole thing usually collapses.

9. Single breadwinner. There is an increase in households headed by single mothers. For whatever reason some men have abandoned their responsibilities and left the women to fend for themselves. Women need to empower themselves economically to withstand such scenarios. Being a house wife in this economy is a very risky proposition. The man can wake up and abandon you. We also need to empower our daughters not to rely on men to take care of them.

10. Low incomes. A low income household income generally has a lower quality of life. Such a household should focus on enterprise and vocations with better prospects. The idea is to do whatever it takes to increase household incomes.

11. Debt problems. Mismanaged debt can cause a lot of stress for a family. It is not uncommon for a wife to find out that the husband mortgaged the family home on a risky business venture. Spouses need to jointly discuss any loans before taking them on.

12. Too many children. Children are a blessing but in multitudes can quickly become an economic burden. The child care costs are crazy these days. You have to buy diapers, toys, clothing, etc. A decent nursery schools goes for more than one million shillings a term. Prudence suggests that we should only bear children we can afford otherwise we shall keep working into old age just to be able to sustain the family.

03/08/2022

THE PARETO PRINCIPLE
August 3, 2022, The Money Engineer, Mindset, Leave a comment.

I have noticed something interesting in our small manufacturing business. Most of the sales come from a handful of customers. Actually, about 80% of sales come from 20% of the customers. Same thing with costs. 80% of the costs can be attributed to a handful of cost drivers. The same trend can be observed with our product portfolio. Most sales are attributable to a single product. This may look weird to the untrained observer but this is a very natural phenomenon that can be found throughout nature.

In 1896 a guy named Vilfredo Pareto from Italy had a nice little garden in his backyard and he noticed something strange one day! It seemed to him that most of the fruit in the garden was only coming from a few plants. Being an economist, he ran the numbers and found that about 20% of the plants were bearing 80% of the fruits. Intrigued, he expanded his inquiry into other things like land ownership. Pareto observed that 80% of the land in Italy was owned by only 20% of the population. In fact, it turned out that most of the wealth in Italy was actually owned by only 20% of the population. This principle where 80% of consequences come from 20% of causes has since come to be known as the Pareto Principle.

The Pareto principle is closely linked to the Mathew principle in the bible which basically says that to those who have more shall be given to them and those who don’t have even the little will be taken away. Now, this sounds unfair but it is the reality of life.

So how can we use the Pareto principle and the Mathew principle to our advantage? To answer this question we need to explore another theory called the razor’s edge. The principle behind the razor’s edge is that the difference between winning and losing is a very thin line. It doesn’t take tremendously more effort to win in life. For example, a gold Olympiad usually wins a race by a few milliseconds. These few milliseconds result in out-sized fortunes for the winner compared to the first and second runner-up. We just need to focus on a few things which have a tremendous effect on the outcome we seek. In other words, by really becoming good at the vital few and largely ignoring the trivial many we can largely accelerate winning in a certain area of life. Now, once we begin winning in a few areas the Mathew principle takes over and we start winning more in life. Eventually, the effects of long-term compounding set in, and success becomes automatic.

Suppose for instance you have a low-end job that pays very little. You’re unsatisfied with your lot in life and begin to demand more from life. You resolve to climb up the success ladder. You decide to upgrade your skills. Say you are a cleaner and you decide to enroll in evening classes to pursue a qualification in accounting. You start coming very early to work and leaving very late while reading. You start doing your work in time. You are more focused. There is a renewed zeal in your life. You ask to volunteer in the accounts department on top of your cleaning job. There is a renewed enthusiasm about you. Your boss notices and begins to give you more assignments. You now enjoy your work more. The small wins start adding up which reinforces your journey. You pass a few papers and eventually gain a qualification. By this time you’re adding way more value to your organization. Your bosses realize they may lose a good worker and promote you to a clerk in the accounts department. Your pay suddenly increases and life takes on a new meaning. The simple action of upgrading your skills has totally transformed your entire life.

As you can see these principles work in reverse as well. 80% of your problems come from only 20% of causes. Simply fixing a few things in your life can produce incredible outcomes. Be careful of failing too often because you will only fail more because of the Mathew principle. For instance, if you have no job, no money and you just sit on the sofa watching TV life is just going to get worse for you!

So remember to focus on the vital few instead of the trivial many and make sure you win something small every day; for those who have more shall be added to them!

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