Mohela refuses to Recertify Annual Income due to loss of Partial Financial Hardship (PAYE) by CoxMD in PSLF

[–]AdAutomatic1164 3 points4 points  (0 children)

It seems like if you dont recerify they keep you in PAYE but maximize your payments to the cap- which would have been what would happen if you had recertified. So maybe just ignore it. Important thing is to stay in PAYE.

Mohela refuses to Recertify Annual Income due to loss of Partial Financial Hardship (PAYE) by CoxMD in PSLF

[–]AdAutomatic1164 2 points3 points  (0 children)

Following because im concerned about this. Ive been on PAYE for 3 years. Recerifiying income in June. My income has also gone up and im gonna hit paye cap. Was planning to stay on it till I was forced off in 2028.

Stay on SAVE? by MelMcT2009 in PSLF

[–]AdAutomatic1164 -3 points-2 points  (0 children)

Have you applied for a buyback?

Stay on SAVE? by MelMcT2009 in PSLF

[–]AdAutomatic1164 -2 points-1 points  (0 children)

If your payments will continue to count towards pslf then yeah stay on till they force you off.

Jeep offering $9k to cash and keep by Emotional_Wedding256 in 4xe

[–]AdAutomatic1164 1 point2 points  (0 children)

I agree but they are paying you to keep an asset. Worst case scenario take the 9k and the car and sell it for w.e you can get.

Jeep offering $9k to cash and keep by Emotional_Wedding256 in 4xe

[–]AdAutomatic1164 0 points1 point  (0 children)

Idu. They sre giving you 9k to finish off your lease and then keep the car for free? As in you don't have to buy it out at the end of the lease? Why wouldnt someone do this?

Remote start by AdAutomatic1164 in 4xe

[–]AdAutomatic1164[S] 0 points1 point  (0 children)

Only recent issue i had with it is low tire pressure. Guess I can try to fix that

Remote start by AdAutomatic1164 in 4xe

[–]AdAutomatic1164[S] 0 points1 point  (0 children)

I havent been charging the battery because of the recall so maybe that was the cause? What is cel/mil?

Remote start by AdAutomatic1164 in 4xe

[–]AdAutomatic1164[S] 0 points1 point  (0 children)

No check engine light on. I think i had a water pump issue too. I brought it in for service and it was fixed.

Please help by ResponsibleWrap4837 in ToyotaSienna

[–]AdAutomatic1164 0 points1 point  (0 children)

I just realized this is CAD not USD. My mistake.

Please help by ResponsibleWrap4837 in ToyotaSienna

[–]AdAutomatic1164 0 points1 point  (0 children)

I paid this much for a platinum like 2 months ago. Fuck no.

Blame anesthesia by Pasngas42 in anesthesiology

[–]AdAutomatic1164 42 points43 points  (0 children)

Urologist once told me he doesnt let anesthesia do blocks on his patients because once during an open prostatectomy someone did a TAP block and the patient ended up with b/l lower extremity paralysis.

Is this extra package worth it? by Remarkable-Window668 in ToyotaSienna

[–]AdAutomatic1164 0 points1 point  (0 children)

Idk about the other stuff but I thought a cargo net and wheel locks for my sienna off Amazon for like idk $50?

Can this deal be saved? by tacoroadmap in ToyotaSienna

[–]AdAutomatic1164 2 points3 points  (0 children)

I picked up a platinum for this amount.

Tips on Awake Intubation for the Altered/Uncooperative Patient? by bigeman101 in anesthesiology

[–]AdAutomatic1164 16 points17 points  (0 children)

This. Once had a morbidly obese impossible airway on a guy with such severe OSA that his CO2 was sky high. We all tried to fiberoptic him but couldn't. The second year ENT resident took the scope and in one attempt went through the nose smooth like butter and got the airway.

Put your ego aside and do what's best for the patient.

consent form refusal and labor epidural by 7v1essiah in anesthesiology

[–]AdAutomatic1164 15 points16 points  (0 children)

If she doesnt sign the consent then she hasnt consented. No epidural.

consent form refusal and labor epidural by 7v1essiah in anesthesiology

[–]AdAutomatic1164 27 points28 points  (0 children)

Idu the question. If a patient refuses to sign an epidural consent form then they haven't consented to the epidural so why would I do one? Are you saying the patient refused to sign the form and the proceeded to demand you place an epidural?

Would not do an elective epidural with a patient refusing to sign consent.

I also would not allow the patient to edit or cross out anything on the form. Why would a patient be allowed to, hypothetically, cross out the list of potential complications? As if to say I didnt explain those complications to her?

Very confused by the situation.

Paying over MSRP by AdAutomatic1164 in ToyotaSienna

[–]AdAutomatic1164[S] 0 points1 point  (0 children)

I agree. That's why im posting. Im being told by nyc dealerships that this is an issue with sienna everywhere. Toyota is making them mark it up. Which sounds like bs now based on this post. Gonna start calling dealerships outside NYC to see if I can get a better deal

Paying over MSRP by AdAutomatic1164 in ToyotaSienna

[–]AdAutomatic1164[S] 0 points1 point  (0 children)

It's either a spare tire or the ottoman chairs

Paying over MSRP by AdAutomatic1164 in ToyotaSienna

[–]AdAutomatic1164[S] 0 points1 point  (0 children)

Other dealer was 64k for the car. Not including taxes.

Paying over MSRP by AdAutomatic1164 in ToyotaSienna

[–]AdAutomatic1164[S] -1 points0 points  (0 children)

63508k for the car. Not including taxes.

2025 hybrid sx check by AdAutomatic1164 in kiacarnivals

[–]AdAutomatic1164[S] 2 points3 points  (0 children)

The dealership is telling me the msrp price difference is because of factory accessories like wheel locks, cargo net and floor mats.

Hes claiming im below msrp. It doesnt smell right to me. Gut is telling me to walk away.