There are many moving parts from local laws, construction modifications and likely higher risk of liability if nothing else based on increasing the traffic with staff, medically fragile patients and family members. 

The compounding only works if you stay patient, consistent, and focused long enough to let it

I believe for the patient mostly passive RE investor that leveraged RE can do well but1) residential RE is not passive, especially compared to index funds and etfs.2) because non commercial residential prices are near an all time high, interest rate is near high for this century, rents are all time worse compared to costs (per 2 recent studies) that you would be entering RE at a challenging time and a time were most RE will not produce the returns that were easy to achieve prior to 2022.3) RE provides diversification, but may not far exceed the returns from passive options.  

For the med students, this should be a lesson as they are going to be dealing with patients who they may not like or agree with their choice, but they have to care for them all the same. 

They responded by asking me to be patient and informed me they are working "diligently" on the issue. 

If you treat your people like a transaction, a stop along the way, you will ALWAYS be chasing the next lead NOT attracting it. 3) Be Patient - Consistency Compounds - Most people overestimate what they can actually do in six months and grossly underestimate what they can do in three years.

if you can't do so for 1 or 2 or 4 years, so be it - be patient and continue to save-once you can house hack, house hack a few times in a row-if you do this just a few times, you'll own more rental properties than 95% of people-good luck

Be patient... be consistent.....it's not going to turn around overnight. 8.

I am not that patient. 2) value adds.

When nothing in our Buy Box presented itself by the end of that year, we elected to focus on savings and remain patient.