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Save My Seat - Free
A Live Workshop for PAs Ready to Plan Their Exit from Clinical Medicine

You don't need $2 million dollars invested to quit your PA job. You need a bigger plan.

Money ICU is a 3-day workshop for PAs who've been in medicine 3+ years, love their families (and themselves) more than their career, and are quietly ready to become work-optional sooner than later.

Save My Seat - Free See what's inside

April 26, 27 & 29, 2026  ·  Days 1–2 free  ·  Day 3 VIP  ·  Live on Zoom

First, let's name what you actually want

Most PAs say they want to be "work-optional". What they really need is:

"I want to do what I want, when I want, with whomever I want."

Not early retirement. Not a second career.

You want slow mornings on a Tuesday -with your partner or kids- without permission.

You want to be the parent who's there for school pickup and drop offs.

You're not trying to escape medicine.

You're trying to get your life back on your own calendar.

Why this can't wait another year

The longer you stay in clinical medicine without a plan, the more expensive the exit becomes.

The expense isn't money. It's identity, energy, and the window of your kids' childhoods.

I know PAs with $1.4M invested who still work full time stressed.

I know PAs with $280k who already left and happy.

The gap isn't the investment portfolio. It's the plan and uncertainty that goes underneath it.

The framework

Getting ready to quit your PA job has three layers.
Most PAs only work on one.

Most of the work happens below the money layer - where it's harder to see and easier to ignore.

Layer 01
You know this one

The Money Layer

This is the one you know. Cash buffer, portfolio mix, tax strategy, the spreadsheet. It matters - but it's also the easiest of the three. Which is exactly why you've been stuck here for 3 years. It's the layer that feels productive when the others feel scary.

Most PAs show up to Money ICU with this layer half-built. That's not the problem. The problem is thinking this layer alone will get you out. You can have the numbers dialed and still not leave - because money doesn't tell you who you are without the badge, and it doesn't make the decision for you when the moment comes.

Layer 02
The harder one

The Identity Layer

You don't just work as a PA. You are a PA. You think like one, spend like one, save like one, dream like one. And because of that - your income, your lifestyle, and your ceiling stay exactly where they are for the next 40 years.

The only way out is to build a version of you that exists outside the badge. One with its own goals, its own roadmap, its own definition of what a good life looks like. But nobody teaches you how to do that. There's no curriculum for becoming someone new on purpose. So you default to what's safe, what's comfortable, what's familiar - and another year goes by.

Layer 03
Nobody teaches this

The Systems Layer

This is the layer nobody teaches and everybody needs. Not one system - a set of them, running quietly underneath your life so the big decisions don't have to be brave. A system for making decisions from the lens of your Future Self, not your Current One. A system for managing your time across your job, your kids, your fitness, and your financial goals - so you work less, do more, and outsource the things that don't deserve your energy. A system for keeping your marriage fully aligned on where you're going, so you never have money fights again.

When the moment comes - the moment you could actually leave - most PAs freeze. Not because the money isn't there. Because there's no system underneath to carry the decision.

Money ICU builds all three layers. Not just the spreadsheet.

Money ICU is where you start building all three.  Save My Seat - Free →

The real reason you haven't left yet

When I ask PAs why they aren't able to quit their jobs, their answer is always "not enough money".

The real answer is almost NEVER the number. It's one of these six.

To them, you are the PA. The stable one. The breadwinner. The predictable paycheck the whole family plan is built on. Every time they try to picture you outside of that role, they get nervous - it looks unstable, unpredictable, and a little scary. So they avoid the conversation. You avoid it too. And the plan never gets built. The only way through this is to actually sit down and have it.
Take the PA away and you don't know who you are. You don't know where you'd start. You don't know what you'd do on a Monday. You don't know if you still have a purpose, or a mission, or a reason to get up. "I'm a PA" isn't just a job title - it's the scaffolding holding up everything else. And the thought of removing it feels like standing in an empty room with no door.
The insurance. The 401k match. The PTO. You know they cost something on the outside, but you don't know what, and the not-knowing is what keeps you stuck. You've never lived a life where your employer wasn't quietly handling all of it for you, and figuring it out yourself feels like a second job you don't have time for. It's not that the handcuffs are too expensive. It's that there's a knowledge gap, and the gap feels bigger than it is.
You hit your "freedom number". Then you raise it. Then you raise it again. Every year it goes up 15, 20, 50% - because you're watching cost of living climb and you're terrified of being caught short. So you push the date back. And back. And back. It's not prudence. It's fear wearing a spreadsheet. You don't break this loop with willpower. You break it with a system.
Being a PA gave you a mission. Your team needed you. Your patients needed you. The schedule needed you. You showed up and you mattered, all day, every day. Take that away and the question that comes up isn't "what will I do with my time?" - it's "what am I for?" Most PAs have never had to answer that question before. And they're not ready to answer it on their last day. You have to answer it now.
"I'll figure it out when I leave" is the most expensive sentence in this whole thing. You figure it out now - while the paycheck is still paying for the experiments. Money ICU is where we go through all six and you figure out which one is actually yours.
Across the workshop

Here's what you leave with...

A Next-Level Vision of Your Exit

The answer to "what's next after being a PA?". A specific, written picture of what Tuesday at 10am looks like in the new life you're building. This is the thing every other plan gets hung on.

Your Real Freedom Number

Not the FIRE formula. The number that accounts for the lifestyle ratchet, the identity cliff, and the post-exit rehearsal period nobody prices in. For most PAs this is smaller than they feared.

A Map of Your Three Layers

Where you are on money, identity, and systems - on one page. You'll see instantly which layer is actually blocking you. (Spoiler: it's almost never money.)

A Spouse-Sync Script

The four prompts I give every couple I work with, so the hardest conversation becomes a 20-minute monthly meeting instead of a fight on Thanksgiving.

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Is this for you?

Money ICU is for you if:

This is for you

  • You've been a PA (or clinical NP/MD) for 3+ years
  • You're in a serious relationship, married, and/or with kids
  • You're a dual-income household or the primary earner with a committed partner
  • You've already handled the basics - you have savings, you invest, you know what an index fund is
  • You can feel the cost of staying even when the paycheck is good
  • You want out but you want out on purpose

This is not for you

  • You're looking for a "how to budget" workshop
  • You want someone to hand you a FIRE number and send you on your way
  • You're not willing to involve your spouse in the plan
  • You're pre-debt-payoff and still stabilizing basics
  • You want tactics without touching identity
Sami Ngo, PA-C - founder of WealthRx and Money ICU host
Why I'm the one running this room

Sami Ngo, PA-C

Physician Assistant  ·  Coach  ·  Founder, WealthRx

I'm Sam. I'm a PA who paid off $150k in student loans in 4 years, hit a million-dollar net worth 4 years after that, and built a multimillion-dollar net worth before 35.

After 9 years in medicine, I quit my full-time urgent care job and took my family to Thailand for a 6-month sabbatical. That was 4.5 years ago… and I never went back.

I didn't know I wanted to leave clinical medicine until I lived a life where I didn't have to. I spent a Tuesday morning on the beach with my husband and 2 kids eating croissants and matcha - no alarm, no shift to clock into, no PTO request - and realized I could afford to never go back.

How? 3 things: money, identity, and systems.

Money: I eliminated all debt, built multiple income streams, and made working a choice - not a requirement.
Identity: I built a life outside of "Sami the PA" - so when I walked away from clinical medicine at 35, I wasn't losing myself. I was becoming myself.
Systems: I built an operating system for my money, my time, and my decisions so I could do more with less and stop white-knuckling every financial move.

I've since helped thousands of PAs do the same - pay off debt faster, invest with a plan, and start building a life that doesn't depend on their next shift.

Money ICU is the workshop I wish I'd sat in four years ago. That's why I'm the one teaching it today.

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The room, the time, the terms

Three nights.
One plan.

Everything you need to know before you save your seat.

  • Date
    April 26 & 27, 2026
    (Day 3 - Apr 29 - is VIP)
  • Time
    Day 1 - 4:00PM PDT / 7:00 PM EDT
    Day 2 - 5:30PM PDT / 8:30 PM EDT
    Day 3 - 5:30PM PDT / 8:30 PM EDT
  • Where
    Zoom (link sent 24 hours before)
  • Bring Your Spouse
    Free. One ticket, two seats.
  • Investment
    Free

Reserve your seat.

Doors close when the room fills or 24 hours before start.

Optional upgrade

Days 1 & 2 give you the framework.
Day 3 is where you build it.

The free sessions cover the theory - the three layers, the vision, the numbers. VIP Day on April 29 is the implementation session: you leave with your actual plan built, not just understood.

Free - Days 1 & 2
$0
April 26 & 27
  • ✓ The three-layer framework - money, identity, systems
  • ✓ Your real freedom number + vision exercise
  • ✓ Bring your spouse - free
Save My Seat - Free
Where the plan actually gets built
VIP - All 3 Days
$49
April 26, 27 & 29
  • ✓ Everything in Free
  • ✓ April 29 - Implementation Day: you build your actual exit plan, live
  • ✓ Private Q&A with Sami after Days 1 & 2
Upgrade to VIP - $49

Register free first. You can add VIP anytime before April 29.

The guarantee: If you show up live, do the homework, and don't walk out with a clearer exit plan than you walked in with - I'll refund you. No form, just email me.
Questions

Frequently asked.

Yes - in fact, this is built for you. The workshop is for PAs who aren't at the number yet, because the number is the last domino, not the first. Money ICU is about making sure the other layers are ready so the number, when it arrives, actually triggers the exit.
Yes. Most of the room is in that exact spot. You'll leave knowing whether you want out, or whether you want a version of staying that doesn't cost you your Tuesdays. Both are real answers.
They'll get the most out of it of anyone in the room. The hardest layer in your exit is the spouse-sync layer, and they've been doing it blind. Bring them.
Most of them sell you a FIRE number and a vibes-based pep talk. I'm a PA, this is built specifically for PAs in their 30s with families, and it's about the two layers everyone else skips. If you wanted "just the money part," you'd have left already.
One more thing

The version of you
that already left
is waiting.
Come meet her.

Money ICU is two live evenings - free. It's the cheapest appointment you'll ever make with your future.

You don't have to be sure. You don't have to be ready. You just have to be in the room.

Save My Seat - Free

April 26 & 27, 2026 (free)  ·  April 29 (VIP only)  ·  Doors close when the room fills or 24 hours before start.