PA-C Life @pa-clife - Tumblr Blog

When you guys have visited potential apartments, what kind of questions did you ask besides the basics like what rent and utilities include?

dynastylnoire

Here are questions I didn’t ask but should have: what does the basement look like?

What measures are taken to secure the building ?

Are the walls thin? Brief info of who lives in the building. Are they college kids? People that work through the day? Elderly? Is it a mix? Where does the garbage go?

Can I pay rent bi-weekly? What kind of fuses does the apartment use? (My fuse box is in the basement. If I blow a fuse I have to replace it myself. They screw until the box. All of which I didn’t know until it happend and I was sitting in the dark suddenly)

audreynical2

Who do I call for repairs? (If it’s a private rental) Am I allowed to paint the walls? Is there any additional storage? Do you do regular pest control?

werewolfau-deactivated20180321

count the outlets, ask about recycling policies, ask if there’s a noise restriction (nothing loud after midnight, everything goes on the weekend, etc)

LAUNDRY FACILITIES Definitely ask about security Whether subletting is allowed (esp if you’re in college and might want to sublet for the summer) If you have a car, whether there’s parking/how much it costs What kind of heating/AC there is Procedure/response time for any maintenance How mail/packages are received/protected from theft (seriously people stealing your packages can be a huge problem) What kind of verification of your salary will they want, and in what circumstances will they accept a guarantor instead? Whether the apartment is furnished

Assuming you are in the middle of looking at/choosing between places: When does the lease start? Are you going to give preference to people based on when they can move in? Whether groups of a certain number of people get preference Really anything about who they prioritize for applications, it can save you a lot of trouble in trying to apply to places you’ll never get into

gizkasparadise

not something for asking the realtors, necessarily, but important rights you should be aware of as a tenant:

when and for what reasons are your landlords allowed to enter your home? how much of a notice should they give you before entering?

can the landlord make modifications to your home or apartment without your approval? to what extent?

what are the options and conditions for breaking your lease early if there’s an emergency? (this is ESPECIALLY important for anyone moving to a new state/considerable distance where you are not able to visit the apartment/home before you rent – students get taken advantage of ALL THE TIME with this shit)

if your first or last month at the property is a partial stay (i.e. you move in on july 15th, and rent is typically due on the first) make sure you don’t pay the full first month’s rent before you know the area laws! in many states, you are only legally required to pay for the time you are occupying the property

is renter’s insurance necessary? many apartments want at least 30k coverage, which can run a couple hundred dollars extra per year

are the landlords/property management liable for crimes on the property? for example, if your car was broken into. if not GET RENTER’S INSURANCE

lmaodies

-ask if there’s any property upkeep you can do to get a bit off the rent (aka, can they take 100$ off the monthly rent if you maintain the lawns/garden, etc.)

-ask if there’s been any consistent/frequent trouble with electricity/internet connectivity/cable if you have it

-what KIND of electricity?

-what kind of heating (hot water/electric)

-how secure is the neighborhood (if you don’t know)

-ANY PLUMBING ISSUES? check ALL the fucking taps, the showers, EVERYTHING WITH WATER to make sure it all works right.

seagodofmagic

-ANY PLUMBING ISSUES? check ALL the fucking taps, the showers, EVERYTHING WITH WATER to make sure it all works right.

I CANNOT SECOND THIS ENOUGH.

remisstoreality

ALSO

- who last lived here? why did they leave?

jenniferrpovey

- Do they charge an “amenities fee” (Around here you can’t avoid them at all now, but some places you might still be able to)

- Do they have a policy on rent increases? (Also check if there’s a legal limit to rent increases in the area).

- Are utilities paid in a separate check or with the rent?

- Are utilities metered or pro-rated (in older buildings it’s common to be charged by square footage and/or number of occupants, which can leave you subsidizing the people who turn the a/c down to 60 in the summer or the heat up to 80 in the winter - you may not be able to avoid this but it’s worth trying).

- Are there any switched circuits in the apartment. Buildings built in the late sixties through the early eighties often have switched circuits. If they do, then with the number of devices used these days you will probably have to have something important on the switched circuit - tape the switch in the on position! (Trust me).

- What are the rules on hanging pictures?

- Who is responsible for paying for and replacing bulbs in permanent fixtures? If it’s you and there’s a fixture with weird/unusual bulbs (globe style, chandelier style, etc) ask where you can buy the bulbs.

- What are the rules about pets? Do they have breed specific restrictions on dogs? Size restrictions on fish tanks? (Believe it or not that’s not uncommon).

crimeshetyped

This will be so useful once my lease is up thanks tumblr ☺️🙏🏾

kyidyl

A lot of what people are saying above is actually in the lease, so *read* your lease and ask questions about what you don’t understand.

Be very specific about how to get your deposit back when you leave. Ask them what things they routinely do to the apartments between tenants. So like I’ve lived in places that repainted between every tenant so I didn’t have to paint all my walls back to what they were, i just has to cover them in primer so they could cover the paint in one coat. They obviously re-key all the locks, too, and they might charge you for that but make sure they only charge you once. So like if they charge you the fee make sure they don’t also try to take it out of your deposit. ALSO re: moving out. A lot of places will replace or repair certain (or most) things as part of your time there. So if your dishwasher breaks or something like that, make sure to have them replace it while you’re there so they don’t try to charge you for it when you leave. But again, most of the repair stuff will be in your lease.

Take pictures, lots of pictures, of the apartment when you move in and when you leave.

If you live in Florida: ask how old the carpet is. They are required by LAW to replace it every five years, so that means if it is three years old when you move in and you stay for two years they will be required by law to change it when you move out regardless of the damage you do to it and they cannot charge you for it.

wayfaringmd

How safe are those hydrate spas? The ones where they put in an IV cocktail to “hydrate” you. Is it possible to over hydrate? I’m not in the medical field so I don’t understand the whole “fluids” thing but these spas seem a bit unsafe to me... even when they are run by medical professionals. Thoughts?

I will probably make some people mad with this post, but I am NOT a fan at all.

We don’t have them near me but I’ve heard about them. To respond properly to your ask I looked up some of these spas to see what services they offer. The commonality I found among all of them was vague benefits and uses of their products. Phrases like “boosts energy” “fights aging” and “immune boosting” were common. What follows is a basic explanation of common things they offer and my opinion on their usefulness.

1. IV fluid, usually normal saline, sometimes lactated ringers. It’s the same thing you’d get in the hospital. If you have functioning digestive system and kidneys you should be able to hydrate yourself effectively by mouth. Any excess fluid you take in is going to be filtered and excreted by your kidneys within the next day. $50 in the toilet.

2. B-complex/B12/B6/B2. If you eat a varied diet that includes animal products (not necessarily meat, but dairy and eggs count) and you don’t take any medications that inhibit the absorption of these vitamins (metformin and PPIs are big culprits) or have any medical conditions that affect these vitamins’ absorption (gastric bypass, pernicious anemia, heavy alcohol intake, among others), they’re probably pointless. If you need extra B12 because of one of the problems listed above, you can take it sublingually or in a shot without all the other crap on it. $25 in the toilet.

3. Glutathione - an antioxidant praised for its “anti cancer” properties, “immune boosting” and the ever-mysterious “detoxification”. You don’t absorb much of it orally, but it’s just a combination of 3 amino acids (cysteine, glutamic acid, and glycine) that your body can synthesize from several different pathways as long as you are taking in the components. Certain other dietary substances (vitamin C, E, selenium, curcumin, and others) help increase your body’s production of it.

4. Vitamin C - take all you want, you’re just going to pee out what you don’t need later. Lick a lemon every once in a while, why don’t ya?

5. Zinc - Hey guess what? If you take in too much glutathione, it decreases zinc levels! As it turns out, your body is probably better than a spa is at regulating those ratios. You need zinc on the daily and luckily it’s found in like, a ton of stuff, but extra can give you the squirts pretty badly.

6. L-Taurine/L-Carnitine/L-Arginine- the L’s make them look fancy and science-y, but they’re the same as “regular” taurine/carnitine/arginine. The L form is the active form. Guess what? Your body also makes all of these from other amino acids and proteins that you take in when you eat a regular diet. Ok, to be precise, carnitine and arginine are conditionally essential, meaning that if you’re a premature infant, a dialysis patient, or you have a handful of really severe illnesses, you might need supplementation, but I’m guessing if you fit any of those categories you probably aren’t frequenting hydration spas.

7. Toradol - it’s an NSAID similar to your ibuprofen and aleve that you get at Walgreen’s but stronger. We do use it regularly for migraine treatment, so there’s that. But if you aren’t hurting, why are you taking it?

8. Zofran - for nausea. The orally-dissolving pill form is just as effective as the IV. And works about as quickly. And is cheaper. Nuff said.

9. Magnesium - If you don’t have enough, you can’t transport calcium and potassium (both very important for muscle contraction, nerve conduction, and regulation of heart rhythms) properly. Too much potentially causes respiratory depression, but that would be in much higher quantities than what I’d assume they’re giving in the spas. PPIs like prilosec do inhibit some absorption of magnesium, so it’s reasonable that a person on those meds might need supplementation. But you could just as well eat some nuts or spinach or take oral supplements.

For the average not-chronically-ill person, there is little to no benefit to elective IV hydration and nutrition over oral. So instead of spending the time and money on a hydration spa, eat a decent diet, drink water, and take a nap when you need to relax.

Tl;dr: Eat real food, drink water, ask your doctor if you are missing anything important, and skip the $100 water that you will pee out a few hours later.

Starting off 2018 ending a relationship that was not good for my health. That hindered me more than it helped me. That was one-sided. That probably didn’t even exist except in my mind.

So tell me why the fuck it hurts so badly.

mexicanheaux

Sometimes u just gotta make yourself a quesadilla and move the fuck on

Unrequited love is a bitch

micdotcom

Do this four times repeatedly and you’ll be out. But how does it work? There’s some real brain science behind it.

runner-kat

I don’t know about sleep, but a palliative care physician taught me this technique to teach patients for dealing with anxiety. I started using it myself, and it really does help calm you down.

Men Are Trash

Here's a crazy idea

Maybe instead of yelling at me for writing an order incorrectly (first time doing it) you could teach me instead

consivanqueen

caffeinatedcardiomyopathy

“A patient suffering from dementia has been robbed of proper functioning, of reasoning, of relationships with their loved ones, of everything. The disease has looted them of their ability to exist in this reality. Rather than pulling them back into your world, through a door that has been locked and barred by a merciless disease, step into theirs. Grant them that composure that their reality is valid, because it’s all they have left.”

Quotes from a social worker in the hospital.

I think I hate my job