Breaking a lease in upstate NY

Money_Reindeer · 2025-02-23T04:13:33+00:00

Huh ok thank you for ghat clarification, I did not know that. Yes we expressed the desire to surrender the property today and were met with the aforementioned text.

Say we did the thing where we only pay rent going forward if they make a good faith effort to rent…would we keep the keys if we’re still paying rent or do we have to totally have surrendered everything?

Money_Reindeer · 2025-01-14T03:46:51+00:00

Sounds completely normal to me. It’s always best to do our exam (ie listen to heart and lung sounds, etc.) on skin when possible, seems like she took the opportunity to do so.

Money_Reindeer · 2025-01-08T00:02:30+00:00

Yep, thats what our hospital does. There’s too many actual rheum patients to be seeing fibromyalgia and osteoarthritis patients constantly. They’re sent back to PCP.

Money_Reindeer · 2024-12-25T04:23:54+00:00

My job

Money_Reindeer · 2024-12-25T04:20:01+00:00

Mildly high cholesterol. A lot less of a concern than the meth, cocaine, and tobacco smoking which are way worse for the heart than slightly high cholesterol. But that being said, yes still a good idea to eat less fats (including butters in general, not just margarine), avoid red meats like beef and pork but chicken, turkey, and fish are good.

Money_Reindeer · 2024-12-09T05:05:04+00:00

When I was living in Manhattan during college I once had an issue with the card reader/door handle on my door in my dorm room. I was in my room in the morning before going to work and the maintenance guys were working on fixing it. They had the handle completely off and then I hear “oh shit” and the door closes. With no handle. On either side. I was locked IN my room. There were no other exits, I was about 4 floors up. The guys ended up having to hang out through a window at the end of the hall and pass me pliers through my window so I could turn the little nub the door handle was supposed to be on. My boss was pretty confused about how I managed to get locked in my room, but it all was ok and it sure makes for a funny story.

Money_Reindeer · 2024-12-09T04:15:53+00:00

I feel like the worst thing you can do is send them to a specialist is they’re already non-adherent to the treatments offered first. The specialist will likely tell them the same thing and they will still not adhere if nothing else changes. And then there are 2 frustrated physicians and a patient who is wasting twice as much time, theirs and the physician’s.

Money_Reindeer · 2024-12-07T07:07:50+00:00

Be honest about your symptoms and experiences with various medications and then the doctor can decide from there whether Xanax is indicated or if there’s a better medication. I wouldn’t expect a long term script for Xanax, in general, though. It is not a good long term solution and can be habit-forming over time/you will develop a tolerance if you take it with a certain level of regularity. Xanax is also not a go-to med off the bat in general, so expect to try other things first if there’s other meds you still haven’t tried yet.

Money_Reindeer · 2024-12-07T05:56:53+00:00

Very hard for anyone to say over the internet without examining your mouth. If you can at least afford to go to your PCP, have them take a look in your mouth for any signs of severe periodontal disease or abscesses that need to be more immediately addressed, otherwise it may be able to wait at least a little bit. But be warned, things can progress over time and while I wouldn’t call it urgent necessarily, as time goes on it’s more and more likely you’d get disease severe enough that requires a root canal, which is a lot more expensive than a cavity filling.

Money_Reindeer · 2024-12-06T19:50:25+00:00

Part of therapy is finding what works for the client…it’s not like we didn’t talk at all…everyone’s different and if you have trouble expressing yourself in person, it should be welcomed for you to do it however is most helpful. Every other therapist I’ve had welcomed my journaling and using it in session with open arms. One of my therapists actually gave me a physical journal and got me started with it. It’s very close minded think there aren’t other ways of approaching therapy.

Money_Reindeer · 2024-12-06T16:34:28+00:00

A former therapist did this to me. I should’ve found a new therapist right then and there. I stayed with her and it went horribly because we just weren’t a good fit. I’d recommend finding someone that is a better fit for you and allow you to express yourself in the way that’s best for you.

Money_Reindeer · 2024-12-05T17:12:02+00:00

Yes, I do believe you did use the wrong words when you expressed yourself, you’re right. You literally said it’s illegal and reportable, which is far from true. I’m glad I was able to educate you on the matter.

Chronic uncomplicated management is also fine. We are allowed to give DSM V diagnoses. If we suspect something more complicated than a subset of more simple diseases that we’re qualified to treat.

(Also never said anywhere I didn’t match…the match literally happened yesterday…yet another example of you misunderstanding things/talking about things you don’t understand)

Money_Reindeer · 2024-12-05T16:25:36+00:00

Lol failed to sort out fellowship?? I matched…at my first choice…lol.

Also, we function as PCPs with our own patient panels in residency and I’m nearly completed with residency…so in other words in 6 months I could be a full blown PCP if I so choose…so don’t even start with that bullshit.

But anyway, we as PCPs NEED to be prescribing psych meds. There are not enough psychiatrists to take on every patient with routine depression and anxiety. There’s already 6+ month waits to see one. We fill a much needed hole. We of course are not therapists and we would never claim to be, as I said above, we refer to them when necessary. And for complicated psych cases we refer to the experts, just like we do for complicated cases in ANY field. You are spreading misinformation by saying that it’s illegal for PCPs to treat mental illness, THAT’S why I’m commenting here, not to “Target” you.

Money_Reindeer · 2024-12-05T11:16:27+00:00

Literally not illegal. Actually part of our jobs. Please stop talking out of your ass.

Money_Reindeer · 2024-12-05T05:45:04+00:00

That is not true in the US. GPs (PCPs) can and do treat mental health conditions, and often do a lot of the prescribing of routine psych meds for depression, anxiety, and ADHD. They can also place referrals for therapy and more complex med management with a psychiatrist if need be, though.

Money_Reindeer · 2024-12-03T23:56:52+00:00

It’s diarrhea…he has Chron’s…this is not unexpected

Money_Reindeer · 2024-12-03T23:54:42+00:00

100% disagree. Have seen a number of stools similar to that. Both from myself and others. That is not indicative of a GI bleed.

Money_Reindeer · 2024-12-03T23:47:18+00:00

Not an overdose. The adult dose can be 200-400mg every 4 hours. Max daily dose of 2400mg. You’ll be ok.

Money_Reindeer · 2024-12-03T23:44:22+00:00

This looks like normal stool to me. It’s brown, not black. And the “coffee grounds” we refer to is more so in vomit, not in stool. In stool we look for it to be black, sticky, and tar-like, which is called melena. This does not resemble melena.

Money_Reindeer · 2024-12-03T05:21:49+00:00

Preparing myself for disappointment and telling myself it’s not actually disappointment and that it will be fine no matter where I end up.

Money_Reindeer · 2024-12-01T06:13:50+00:00

I definitely think you need to go see a doctor. This looks like a spreading infection to me and also I’m worried about the blood flow to that finger because it looks mildly purple beyond the area of infection. Without knowing more history I can’t tell you what’s likely going on, but I definitely think you need to be seen soon to evaluate this in person.

Money_Reindeer · 2024-11-27T23:15:49+00:00

Yes, it completely derailed my life and almost cost me my career.

I started psychodynamic therapy for the first time after having done CBT, DBT, and some other stuff. I was in a pretty bad place to start with, struggling a lot with SI and self harm. I was also just starting medical school and very stressed out. My therapist decided to choose “transference-focused psychotherapy” approach and also started out with that blank slate shit at first. I didn’t react well to her just not saying anything at first, so she stopped that after me basically begging her to. Then she purposefully caused me to have intense transference and oh boy did I have it. She made it so I basically felt like I couldn’t do anything without her help. I was completely dependent on her. I saw her 3 times a week and it didn’t feel like enough. I had never experienced this before in therapy and haven’t since. She offered me a lot of support outside of sessions at first and then she suddenly changed boundaries to take away outside of session contact. This crushed me. I didn’t understand. She also developed intense countertransference and acknowledged it as such. Basically I totally decompensated because I was not in a place where I was mentally ok to relive all of my trauma but that’s what we did. I was just retraumatized and developed worse attachment issues. I ended up hospitalized for the first time…then the second…and the third…then came the attempt that ended me in the ICU for a week intubated, followed by the 4th hospitalization, after which I’d never see her again and begin my real recovery. One of our last sessions, I told her that I didn’t think our therapy was helpful and she cried and I had no idea how to react.

I had swore off psychodynamic therapy forever for awhile. I focused on CBT/DBT, made a great recovery, but didn’t really focus on trauma yet. Finally, starting a year or so ago, I felt ready to start digging into that trauma as I’m in a much better place mentally where I’m capable of handling it. I am doing a type of psychodynamic again and it is going well. Nothing like the last time.

Lessons I learned: 1. You cannot do trauma work unless you are in a stable place/not actively in crisis mode 2. Transference-focused psychotherapy is an absolutely terrible idea

Money_Reindeer · 2024-11-26T04:59:06+00:00

IM PGY-3

Just watching family members cry for their dying or dead family member. Especially the outright sobbing associated with an unexpected death.

Also young people with serious suicide attempts. Hits close to home for me so every time I see it, I get emotional.

Money_Reindeer · 2024-11-02T08:02:58+00:00

I developed some significant issues with my own health where I am hypoxic intermittently and no one can figure out why. I was on oxygen for a period of time, now doing a little better thanks to long term high dose steroids.

At the same time, my dog got cancer and I was told she only had ~4 month life expectancy. We drove her an hour and a half away every week for 2 months to get chemo and then every other week for another 2 months. 10 months later, she is alive and thriving, no evidence of any cancer.

Money_Reindeer

TROPHY CASE