I know it’s a hot take but free work here and there really leads to many great and better paid opportunities.
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I have asked a couple of my doctor friends about stuff but usually don't get anything particularly useful in return. Asking for advice isn't the same as actually working on something though, so I'm not sure this analogy works. I'm fine with giving free design advice.
And I admit that occasionally… sometimes… it just feels damn good to see a friend light up about an idea they think is great, and donating some pixels to help them see it
I've actually done that as well. It's different when there's a close personal relationship.