Vanilla, I know nothing about surgery, but I can offer some advice about math tutoring, as that's my dad's occupation (in addition to freelance journalist and small-time author), mostly Grade 12 and 13 level. A couple of his pupils are from Toronto, which is anywhere from a one to three hour drive, depending on traffic and weather. He charges them for travel. Might be worth looking into for you. Also, I'm no expert in New Zealand currency, but ~$30 an hour seems kinda low for math tutoring.
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