PP
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If you want kids at least one of you should do lighter academic jobs.  Private practice doing maternity leave is suboptimal and long absences really hurt your practice.  
I have a full production RVU model with a community hospital system.  I made PP money with a pension but no direct teaching.  Hospital employed does exist with 4 day workweek and potential for teaching and pension.  Call that academic light.  Full academic salaries are a solid 100k less than our 4 day workweek salaries.  
If you don’t want to retire really early academically or academic light schedules make sense to avoid burnout.  If you do it right you get a pension too.

Radiology PP is a slog.

I'm sure it's specialty dependent. I'm in a surgical subspecialty and there is lots of crossover. The beat surgeons in my field tend to be PP as the volume/efficiency is much higher (very generalized statement).

Has he reached out to the PP Investigations team? Pissy announced it years ago it must certainly be humming along efficiently by now.

My only issue is that whoever originally wrote that copypasta referred to PP as "dude."
PP pants is like, the furthest from dude that a man can possibly be. I, a dude, have revoked his eligibility for dude status a long time ago.

My best friends in residency were a dual anesthesiologist couple.
They worked PP for 4 years and then switch to Kaiser positions here in CA. They made the switch to start a family. The Mom went part time when the kids were young. They went from making 650-700k each to 700k per year together.
In 4 years of PP they were able to pay off their school debt. Put a great down payment for their dream home. Start 529's for their 2 kids. And stash a huge amount away in retirement investments.
We are now out for 12 years and they are doing great. I think this is probably the best way to do it and it allows so much flexibility later.
If you are here then you know that early investment is vital. I'm sure the 100,000's of extra investment dollars they were able to put away in 2015-18 has grown tremendously since.

>When looking at what caused the other Giants to fail, it looks like Nike might be repeating the same mistakes.
The common denominator among the four listed in the OP is that they were B2C retail businesses with a significant physical prescense and convoluted / expensive supply chain that got outcompeted by Amazon, unburdened from the overhead of owning a portfolio of physical outlets.
How does this apply to Nike? From what I understand, their B&M presence is pretty marginal -- their cash balance on their BS exceeds PP&E, Net. Their 10-K shows ~$700MM in capex on ~$2.9bn in OCF -- so over $2.0bn in FCF on the year.
Having a really hard time seeing how Nike falls into the same bucket as Blockbuster, Sears, Toys R Us, Circuit City, and every other pre-internet business that got their shit handed to them by the e-commerce sector in the 00s...

Everyone here is debating academics v pp.
In these fields: can you find two part time jobs or a perdiem pp and a 3/5 days academics job and get to feel out both worlds? Much easier to quit and explore another job if you have 2 part time gigs.
Also: community hospitals or smaller hospitals will sometimes blend the line between PP and academics

8-12 wk of paid parental leave is common in academics whereas it’s often 0wk paid in PP. Something to think about if you want kids.
If you don’t then it doesn’t matter anyway because you’ll be loaded and it’s best to take the most sustainable/enjoyable career path.

Yea I’m going to disagree with this completely, knowing multiple real world counterpoints. One thing I’ll say is that some rads can become fast, and others cannot. That is more so inherent to the person.
Also, grinding low volume of high complexity cases is different than grinding high volume low complexity cases. I’ve seen some manage this transition of academics -> private by becoming even more efficient because the rare high complexity case never slows them down as it might the community rad who never had the volume of seeing as many of the complex cases.
Ultimately, everyone is different. No job is perfect. PP is for the most part better, but there are exceptions. Dysfunctional PP group, tenuous locums gigs with fickle hospital admins, rich cancer centers that end up paying better than PP. YMMV.

PP and grind for 5-10 years while living it up. Once at 5 mm do whatever you want. 

It’s true depends on the prestige of program,particularly in specialized fields, may not take privates or the big downfall is you will be very behind on promotion track (experience in PP will not allow you to enter as an associate professor).
Sweet spot is community-academic affiliated hospitals that support you well rvu based, but there’s a residency program to get at your teaching itch (and answer all the calls at night).
You could also find a pp where people aren’t competing with each other (very difficult to sus this out..) but both of your specialties are very lifestyle, I don’t think pp is that crazy in those specialties..: compared to the grind in plastics or other surgical specialties.

Yeee maadarcho\*\*\*\*\*\*,.,,,, Last month me hi paisa dalna chalu kiya hai PP flexy cap me.

Sala mera ulta wala "MIDAS" ho gya hai.. jisko bhi choota hu.. niche aa jata hai.

I now have Asian PP

Depends on what you think about pointless meetings.
Love: VA
Can tolerate: academics
Hate: PP
You will be fine financially either way. In my case, the hierarchy issues settled it for me.
Even during the interview, I could tell that the private practices were looking at me as hiring a colleague whereas academics were looking to hire someone they can order around.
Looking back, I am happy with my PP choice.
As a PP cardiologist, I have the flexibility to start clinics and rounds a little later to allow dropping kids off at the school etc. In academics, I would most likely be required to attend early morning academic conferences and presentations.

Where'd the $100K go, PP?

Better yet - PAY him with _'PP Art Coin'_.

I went PP. Wouldn't change it for the world.

The problem with starting with academics is it's hard to ramp up - you get used to slow clinic, no way you can handle a busy community practice. (Imaging doing the VA for 10 years then going back)

I think medicine is going down the tubes - make money while you can, can always join academia later when hospitals own everything.

"Getting the money together". That means PP promises to put up 5% of whatever the total cost is (and never gets around to paying unless maybe if he is hassled to do so relentlessly) in the impossible event his pipe dream happens.

We all train in academia and have little insight into what the real world is like. My recommendation is to test the waters in private practice. You can always go back to the ivory tower. Also, you can still teach and be involved with med students/residents in PP.
In my experience having done both, PP has more flexibility/ control to shape your job to match your life. Also can say goodbye to BS hierarchy. Academics is fine but in my experience more rigidity, bureaucracy, red tape, meetings etc. And much less pay.
Try something new!