#sorry i just finished a few big runs and im. still not at the 150 quota

[wish-upon-the-universe]

Mirabell instarsandtime is so smart you guys!!!! Don't discount her!!!!! When you first get her shield, she blasts siffrin with so much technical craft jargon he can't keep up in the slightest!! Even Odile on had a faint grasp on the CARROT method!!!! And she was the first to bring up that Time Craft would actually kill you from the energy it needs!!! Guys she's a craft genius!!! Can anyone hear me!!!!!

[yougivemebutterfliessss]

We gonna ignore the fact that ghostie isn’t my main account but 150 :)

-saarah

HAPPY BIRTHDAY @ghostiewriter 🥳🥳🥳 ur old now congratulations. So you though could stump me with this vague prompt “make up your own” IM SORRY OKAY I thought giving something vague for Christmas prompts would make it EASIER. Anywho I have a secret weapon and her name Annie. Big shout out to @yellowlaboratory for turning my traumatic story of puking in a school bathroom during a track meet into a hilarious fic idea; please enjoy this unedited 🙈crack Drabble akdhsjdhsjdh

“You want me to call your priest?”

Track had always been a JJ and Kie thing. In sixth grade she’d decided they need to keep active during the winter and that indoor track would be the perfect way to do it. Not only was it during the months where there was no surfing, but it was a sport she could actually do with her boys. She just needed to convince them to do it. Pope was an immediate no, too much homework and John B was insistent on trying out for the basketball team, his dad used to play or something. Which left JJ, who for whatever reason picked joining track with her over joining basketball with John B. She always figured it was because he thought she needed him more, seeing as John B could make friends with just about anyone. Or maybe she was overthinking it and JJ just thought that track sounded more fun; either way, she’s glad he did.

They had long bus rides together, traveling to the mainland so they could meet up with other schools, spend the whole ride there laughing and joking and talking about nothing in particular. She snuck extra snacks into her lunch box so that she could share with JJ, forcing him to eat “healthy shit” like apples and granola bars. (she was quite pleased with herself for that one) They would normally fall asleep on the way back, wake up half on top of each other and not talk about it afterward. She would aggressively snap, “No” when people asked if they like each other and JJ would just grin widely like it was the funniest joke in the world.

He was annoyingly good too, at pretty much everything. If the coaches were down a person they could just throw JJ into that event with a little bit of practice and chances are he would at least place. He was mainly a sprinter and a jumper though, same as Kie. A lot of her favorite memories came from the three years they ran track together. In eighth grade however, things got more complicated because suddenly Kie also had to deal with her period.

She wasn’t one to let that hold her back, but long track meets after school definitely made things more difficult, but it was manageable. Until of course, it wasn’t, which long story short, led to Kie being doubled over on the gross floor of another school's bathroom feeling like someone was digging a knife through her lower abdomen and hoping she doesn’t start puking again. She wasn’t sure how long it took for JJ to find her, walking with his hands over his eyes, judging by the sound of him running into a stall door.

“Yo Kie, you in here?”

“Down here,” she groaned from her spot on the floor not wanting to shift from her position to face, any movement at all made her feel nauseous.

His eyes widened as he crouched down beside her, “Wow, shit. You okay?”

“Do I really have to answer that question?” She muttered with an eye roll, but even that felt weak.

“Right sorry. So did you like catch a bug or somethin?” He asked, backing away from her like she might be contagious.

The last thing Kiara felt like doing at the time was explaining the nuisances of period cramps to a thirteen year old boy so she just muttered, “girl stuff,” and the movement was enough to have her heaving into the toilet again.

“Holy shit,” JJ muttered softly, sounded shocked for reasons Kiara was in too much pain to care about.

“Are you pregnant?”

Kiara choked on her puke, managed to turn her head enough to face him.

“What?”

JJ ran a hand through his hair anxiously, not even seeming to have heard her, talking mostly to himself as he mumbled, “I’m not ready to be a dad.”

“We haven’t slept together you idiot.”

JJ’s went wide with realization. “You slept with someone else,” he exclaimed with what almost sounded like betrayal in his voice.

Kiara didn’t have time to respond before the aggravation at his absolute idiocy had her hanging over the toilet boil again. JJ shifted down so he was squatted beside her, held her hair back as he rambled on.

“So who's is it? No- no you don’t have to tell me that, I don’t even care who’s sperm it is I’m here for you Kie. He’ll be like my kid anyway. Or she. Duh.”

Kiara squeezed her eyes shut in disbelief, didn’t have the energy to turn her head to him as she hissed out, “JJ.”

He raised his hands in surrender, “Okay, okay, I get it, too much,” then added hopefully “I'll still be uncle JJ though right?”

“It’s no one's sperm you dipshit!” She cried, momentarily forgetting the pain in her abdomen as she turned to him.

JJ just blinked at her for a few seconds before responding with a dramatic gasp, a small spark in his eyes as he whispered, “Virgin Mary?”

Kiara groaned in disbelief, pulled her arms up to the toilet boil and rested her head on them, too exasusted to care about the unsanitariness of the situation.

“Does this mean I’m gonna be Jesus’ uncle?”

“JJ if you don’t shut the fuck up right now the next time I puke it’s gonna be on you.”

He backed up immediately, “okay okay point taken. I mean come on that one was kinda funny though.”

She didn’t look up, but she could easily picture the smirk on his face.

“Can you please do something helpful and go call my dad? I left my phone in my bag.”

JJ perked up at that, jumping to his feet. “Right, I’ll be right back, I’ll let the coaches know you’re puking too. Oh and do you want a water? Gatorade? Maybe Pepsi?”

“Water’s good.”

He was sprinting away before she could say thank you. Kie curled up on the floor, giving about zero shits about how dirty it was, anything to make her stomach hurt a little bit less.

JJ returned a few minutes later with water and her phone in hand. Announced, “Kie I can’t find your dad’s contact,” as he handed her the water.

She groaned inwardly for thinking she was funny when she made her dad’s name in her phone.

“Oh uh call Father Mike.”

JJ looked up at that. “You want me to call your priest?”

“No that’s my dad,” she responded with a sigh.

“Your dad’s a priest?”

She sat up and opened her mouth to respond but the movement sent another wave of nausea over her and she found herself back above the toilet boil.

“Should I start confessing my sins before or after you finish puking?”

Kiara fixes him with a glare as she pulls away. “It’s a joke. He put his dad in his phone as Father Joe so I put him in as Father Mike. It’s like imagine there was a comma, like ‘Father, Mike’.”

JJ furrowed his eyebrows as he considered that beforing saying. “You really should add the comma. It’s very misleading.”

“Can you just call him?” She asked, her voice almost pleading at this point.

JJ’s joking tone shifted at that, “right. Yeah of course.”

After that she felt well enough to let JJ help her back to their teams set up in the track building, where she could lie down on blankets instead of a cold floor. JJ still had races and events to do, but he ran back to check on her after every one and each time she would assure him that she was fine and that she didn't need a babysitter, but secretly appreciated how concerned he was. And in hindsight, the Jesus jokes were kinda funny, at least Pope and John B thought they were.

[heyligaya]

MY KOREA 2019 ITINERARY

Okay. I decided to make (write) this guide that might help someone out there planning to go to Korea. I'm going to make this guide the one I wished I read when I was fixing our itinerary so let’s go to what needs to be done after booking your ticket.

Honestly, it’s just simple guideline any traveler I think already knows but just in case.

Check the weather. I am a freak when it comes to packing. There is no such thing as PACK LIGHT. Homegurl needs options okay?? So I always check if what I'm going to bring will fit the current weather. Ask yourself, “do I need extra baggage allowance?” If personal baggage isn’t enough am I right? Haha.. hahaaa...haaa. But do consider this once you booked your flight. In my case, I added baggage allowance AFTER we booked the ticket since I figured “teka, pasalubongs will be extraaaa on this trip so better come prepared”

RESEARCH. Yeah yeah I know it can be a burden making those itineraries but honey, if you can stalk your ex-boyfriend for a week, you can search some good activities to do on your trip too! So get your stalking skills in work! In my case, my priority was PROXIMITY and BUDGET but will discuss that later. Make sure to change your peso bills to dolla dolla bills yo! It’s better to change the currency in Incheon Airport from dollar to Won than in any place outside the airport so better get those dollars before your flight.

Keep at least ₱2000 with you on your departure day. Why you ask? Two words. TRAVEL TAX. I learned this the hard way. I thought all was paid upon booking the ticket but Cebu Pac be like “Sis no! Better get that money for this countryyy” so yeah. You can actually pay Travel Tax upon booking but I didn’t know that. ₱1640  per person for travel tax. SHAKS ANG MAHAL DIBA? But it’s mandatory so...

Bring your own light snacks. My family ain’t playin. Once the plane took off, they started grabbing their hopia, crackers, and chips and people hear them crunch through and I'm so proud! Not paying 150 for a cheese cupcake okay? No. So bring your own.

If you’re planning to go to Korea, here are a few of my recommendations to purchase:

KLOOK Nami Island + Le Petit France. = It costs (₱1689 per pax) and it’s actually quite sulit for the whole experience.

KLOOK Discovery Pass = This is probably one of the most worth it purchase we had. 35 sightseeing privileges for free for only ₱2222 per person! COME ON! I actually calculated the number of entrance fees of the places we want to go to versus the amount of DP and yup! I definitely saved A LOT from that.

KLOOK UNLIMITED WIFI = Okay! I mean there were a lot of 4G internet that you can purchase here in PH already but with my pro-research skills, I found out that you can actually rent wifi that you can redeem in Incheon Airport upon arrival.(₱575 for 5 days) I purchased the 5-day free wifi. Para connected tayo diba?

If you are going to purchase, make sure to take note what terminal in Incheon you will depart since there are several choices where you can pick them up. Also, align your time of departure. Not all kiosks are 24hrs so if you’ll arrive beyond 9pm, choose the kiosk that has 24hrs running time for you to claim your rentals and passes.

If you booked your ticket with a late arrival LIKE ME (10:25pm but settled all the claims and reloads of T-Money at around 1:00am), your only choice is the NIGHT BUS. (see pic below for the airport bus schedules)

If however, you have a normal time of booking which reaches within the time where AREX is still going then I HIGHLY recommend using the AREX for ₩9000.

We took the N6001 bus which will drop us at Seoul Station.

Let us start.

So my itinerary wasn’t your typical one. I had the places as my priority so when I made this one, I made sure that I can utilize the location as much as possible. I researched all the places I can visit near

Myeongdong

Insadong

Ewha Woman’s University

Okay. So It might sound boring when I only mentioned three BUT do imply that these 3 have an abundance of tourists spots where either I can just walk or a 9min subway ride.

OUR LOCATION: We rented an Airbnb in Jungnim-ro.

(https://www.airbnb.com/users/show/214545347)

That is literally 7 mins away from Seoul Station subway which was HIGHLY convenient for us since we used the subway. ONLY subway (psh if I’ll rant about how many time I’ve been conned in my first time in KR, it’s gonna be to long) so I’ll attach my host’s details and if you want to rent her place WHICH IS SUPER DUPER NEAT BTW and we’re located near police station so the place is 100% safe so if you want to rent, you may do so. And one more thing, they have a youtube directional instruction on how you’ll be able to go to the main building of the house. LUV THAT! <3

PS: My Itinerary is made for my mum and aunt where they can explore but also minimize the stress of walking coz they’re old but STILL I made sure to expand the place I can explore as much as I can.

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Day 1.

Namsan Tower/Myeongdong

Disclaimer: Don’t judge! I know we only went to two destinations for Day 1 but I consider the fact that I'm with my mum who’s a senior citizen and we haven’t slept yet 😳 so I decided to shorten our destinations to visit for Day 1 so she can rest in the afternoon

Discover Pass can be used as T-Money (like beep card here in PH) so I suggest to load at least ₩30,000 for subway purposes.

Subway ride costs ₩1,2000 FIXED.

N SEOUOL TOWER

NAMSAN PARK

LOVE LOCK LANE

MYEONGDONG

Namsan Cable Car opens at 10:30. I specifically picked the daytime tour since Im with my mum and aunt and the would pretty much appreciate pictures in light BUT I highly suggest visiting Namsan Tower at night. The City lights is AMAZING.

Namsan Entrance fee is around ₩3000. You can choose if you want the one-way ride or the round trip. CAREFUL! The payment for the Cable car is different from the Namsan Tower Entrance. We have to pay for the cable car but have the Entrance fee for free in Namsan tower because of the Discover Pass (YASSSSSS)

You’ll find Love Lock Lane amazing scenery! If you get hungry, you can take the roundtrip cable car and just go back to Myeongdong and explore all the food!

PS : Okay, Korea has a few restaurants that offer “solo” on their menu. It’s always, MINIMUM of two orders. Doesn’t matter how many you guys are, the menu will always be a minimum of two. Example: Samgyupsal is around ₩23,000 so multiply by two, that’s ₩46,000 but I guarantee that it will feed 4 people. If you’re with more than four people who will accompany you, make sure to bring enough money for food. BECAUSE IT’S SOOOOOOOOO FLIPPIN’ GOOD!!

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Day 2

LE PETIT FRANCE + NAMI ISLAND

DONGDAEMUN

Le Petit France + Nami Island will take your WHOLE day. We departed at around 9am at the meeting place (Myeondong Station Exit 3) which is just where we dropped off for Namsan Tower and got back at around 5pm in the afternoon.

Nami is known for their DAKGALBI which is grilled chicken or Spicy chicken. Again, a minimum of two orders. There’s this place where we ate Dakgalbi two years ago and luckily, it’s still there when we visited and decided to eat there. I don’t remember the place BUT It’s in front of the Bus Parking space. It’s the only one there so I definitely suggest that place. Try their Buckwheat cold noodles too. IT’S THE BEST!

Dongdaemun for me was THE. BEST. ONE. YET!

So upon departure, the tour bus will give you instructions on where you can drop off. We had our meet up at Myeongdong and just our luck, the tour guide informed us that Dongdaemun station will be one of the drop off stations for those who want to explore the place WHICH WE DID. The drop off area was just at the gate of Dongdaemun so there’s not much walking needed. One thing you need to know is that it’s a very tricky place. It’s like a maze. A lot going up (not stairs) but the place was worth it. We went just before sunset but didn’t manage to experience the place at night. So I suggest you visit Dongdaemun at night too because the whole place is lit with lights and you’ll probably appreciate the structure more.

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DAY 3

GYEOUNGBUKGONG PALACE

NATIONAL FOLK MUSEUM OF KOREA

INSADONG

MYEONGDONG

I originally planned the Palace tour for 2 Palace visit BUT I underestimated Gyeoungbukgong palace. THAT PLACE IS TOO BIG for a day visit. I was telling myself there is NO way a Prince or Emperor could finish morning walk AROUND that palace coz it’s so big! So we only managed to visit Gyeoungbukgong Palace.

TRIVIA : It’s the biggest palace in the country AND many K-drama set place in G.Palace. An example would be Goblin.

National Folk Museum was actually INSIDE/BESIDE G.Palace and it’s free! We went there knowing they have CHAIRS coz our feet went bonkers after all that walking around the palace but we never knew how beautiful the museum was inside! All the history and ornaments and even old traditions were there.

INSADONG was probably one of my most awaited place to visit. Two years ago, Insadong was our last destination so we kinda rushed our visit here so this year I decided to take my time and really enjoy the place (so I didn’t really have that many pictures). Insadong is just a WALK away from G.Palace so it was pretty convenient. Insadong was a place for souvenir shopping. Literally, ALL kinds of stuff and magnets are there at such cheap prices. My mum hoarded A LOT of ‘em. Also, Insadong is where some of their traditional dishes are sold. I tried a honey thread-like candy (am so sorry I can’t remember the name of the stall) which for me was the highlight of my visit there. They have a public show of how they make these candies and also they know how to speak Filipino which is super cool. So if you’re going to buy souvenirs, I recommend Insadong. There’s a subway station direct to Insadong BUT it’s Jongno Station.

MYEONGDONG

This is probably the most mainstream place for tourists but I DO LOVE ME SOME GOOD FOOD. Cheap skin care products and awesome food!

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LAST DAY

We kinda rushed this day since our flight is scheduled that night but managed to still go ONE. MY. MOST. FAVORITE. PLACE.

EHWA WOMEN’S UNIVERSITY

I'm a sucker for good architecture and this place is mindblowing. Instagramable! Snapchat worthy! Photo walk legend!

The good thing about EHWA is they have a subway station for it. Literally EHWA University Station and just outside the station exit are stores filled with coffee shops and boutiques and my favorite, ARTBOX which is a store of tumblers and iphone cases and cute college bags and pens and notebooks and my heart JUSSSSST mmf! Paris Baguette is a very well known bakery in Korea and we just happened to pass by one at EHWA since we haven’t had any breakfast or lunch yet and let me tell you, BAKERIES IN KOREA ARE LEGIT. BEST ONES! Coffee in EHWA is different in Myeongdong. It’s like specially catered for students. It’s so goooood! Goblin also had kdrama shoots in EHWA so I was a little excited to see some of their buildings.

PS: EHWA doesn’t have entrance fee BUT you can only take pictures at the famous stairs but you can’t go further inside unless you’re a student.

AND THAT WAS THAT.

For our departure, we used the free ride of AREX that comes with Discover Pass. Price of AREX was mention earlier. It’s a 30 min. ride so you have to make sure you have enough time before your flight. ALWAYS BE IN ADVANCE.

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HERE ARE SOME OF MY TIPS:

Upload these apps! It’s definitely A MUST! This 3 apps made my life easier as a first-time subway user.

SUBWAY app helps you with the subway stations. It look intimidating at first because of the loops and colors but I tell you, it’s really easy! Im bad with directions and I understood the subway stations so much faster because of this.

KOREA TRANSIT GUIDE will help you with transfers and time. Your destinations may have a direct subway station but doesn’t mean you are connected to just one line. It’s like here in PH, there are instances where you need to transfer from LRT to MRT to get to your destination. It’s the same with Korea Subway BUT what’s good in Korea Subway is that transfers are all in one place. If you are going to transfer stations, there’s directions and instructional signs right when you drop off to point you to where you’re going. It’s so easy! Then you can use SUBWAY app to check the color of the subway transfer. As you can see, there are several color codes on each Subway lines. This app will also give you what BUS number you can take or if it’s possible to walk instead.

I posted a picture where you can see color codes in subway suggestions. Seoul Station (blue) to City Hall (green) then you can check in SUBWAY app the color code if it’s correct and to familiarize you with the station names you’ll encounter.

DISCOVERY PASS app IS A MUST if you’re going to avail one. You need to register your app so you can check the remaining balance of your Discovery Pass. You can also use it as T-Money for subways. I loaded ₩30,000 and I used it fully.

Bring good walking slippers (depending on what season you’ll go). Comfortable shoes goes a looong way but it’s good to have spare walking slippers just in case

Buy 110 plugs here in PH. Sockets in Korea is different so be prepared to have at least 2 or 3 for your chargers.

Bring clear packaging tapes. If you’re going to buy liquid skin care, make sure to put a seal because you don’t want your expensive skin care bottles to explode inside your luggage so better be ready that regret after.

POWERBANK POWERBANK POWERBANK. Never forget!

Korea is filled with PUBLIC wifi. So if you’re lost and didn’t avail the pocket WIFI they have at Klook, you can just go to a near coffee shop and have their free wifi just outside.

FOOD IS A MUST. I know you have your skin care list ready but don’t be thrifty when it comes to their good food. COZ IT’S GOOD! TOO GOOD!

Bring your own towel. We are used to big towels. Towels that can cover and dry your body. However, in Korea, they prefer a smaller towel. Like…..bimpo type of towel. It takes us 5 towels just to dry us up. They do give an abundance of small towels but come on! I need to be dried up in one swoop okay? So just bring your own.

AND THAT’S THAT! Hope this LOOOONG itinerary helps people one way or another.

[therunningpa]

New job & night shift novella

So I’ve been at a new job the past 6 weeks. I’m still a hospitalist, but I’ve moved to night shift. It’s a long story for another time, but basically I was getting burned out and it was either change shifts or move to a different department altogether. Because I love IM so much I am desperately clinging to it for the time being. In my current role, I only do new admissions and consults.

Since I only post now, like, once a year I figured I might as well write a nice long story for you guys! Because also, when have I kept things short, ever?

So, here you go, a narrative of my day (night?).

I leave my house, clutching my tote of Campbell’s Double Noodle soup cans, rice crackers, and Gatorade. I kiss my husband, tell him I love him, and remind him to please finish cleaning the kitchen for me. He needs a lot of reminding. I need a lot of therapy. We’ve had a lot of therapy. It’s been a year sober for him and the anniversary has been hard, bringing back the guilt big time. It’s been more down days than usual the past month and as I leave the house I can only hope I won’t get any liver patients or alcoholics tonight.

I pull in to the hospital, badge in through various doors, end up in the office. The day shift is coming to a close. “Hey!” my coworkers greet me, “Feeling better?”

“Tons! Not a hundred percent but good enough for active duty.”

My terrible med seeking external ED dump patient from earlier this week had given me her norovirus. I’d spent the previous night out sick, puking and near-syncopizing. (FYI- use the bleach wipes next time!!)

I check in with the three physicians I’m working with that night. One, a seasoned night shifter, a quiet man I dub “The Machine” because of his deftness and ease at admitting patients. One, a seasoned nocturnist, another quiet and confident man who could run a thousand codes without screaming “fuck!” not even once. The third, an exceedingly nice new residency graduate who recently started with us and is probably reconsidering the job after his first week on nights. They have a lot of patients coming from outlying facilities, but no one arrived yet.

I sit around for an hour and a half, check emails, clear my inbox of the previous day’s results and check up on a few of those patients, eat a cup of noodles, rub my belly, think about how I shouldn’t have had coffee, then, all at once, I have 3 admissions I’m called to see. Yes, it’s true, they really all do come at once.

I triage them, and go see first an unfortunate lady who is bleeding and clotting. Or rather, likely to bleed. She has a genetic disorder predisposing her to clots and bleeding, and has come in with chest pain. The chest CT showed a pulmonary embolism, one in each lung. I’d hoped they’d be subsegmental, but they weren’t. I meet with her, spend a long time talking. I tell her I’ll call the hematologist and get back to her. I put out a page.

I jump up to the orthopedics floor to see my next patient, a 73 year old lady with COPD and osteoporosis who fell down the stairs at home and probably broke her sacrum. She’s straightforward enough, other than saying she’s intolerant to everything IV opioid except fentanyl. Which she’s not going to get outside of the ED. I write for oxycodone and IV ketorolac and pray her pending labs show normal renal function.

The hematologist pages me while I’m writing patient 2′s note. He recommends a heparin drip, so it can be turned off quickly if patient 1 starts to bleed. He also says he has no idea what to do with her after that, as far as a long term plan. I text my attending and let him know the plan for tonight. While I’m finishing my note, he texts me back an SOS that patient 1 is refusing heparin because she’s afraid of bleeding.

I go back to the ED, I print out UpToDate, visit the poor lady with the PEs again. I talk about risks and benefits, types of heparin. She has some cognitive impairments from a stroke, but she gets it enough that she has capacity. She still declines the heparin, wants us to “watch her” overnight in the hospital though. I check in with bed control, ask for an IMCU bed since she’s refusing blood thinners, and am told there are no ICU beds left. She’ll have to go to the regular floor.

My third patient is a prisoner with history of peptic ulcers and GI bleed coming in with worsening anemia. Actually, he never shows up from the outside hospital because of some officer conflict. His name gets handed off to the next shift.

Fourth patient shows up in the IMCU, from an outside hospital. The notes he comes with are scanty. Acute on chronic hyponatremia, ?dementia. Hypotensive. Weak. I hope he can give me some history. When I walk in he tells me he’s in a hotel in a different state and doesn’t remember how he got here. He denies any symptoms or concerns. It’s 11 pm, but I dial his elderly wife and bless her, she’s up, and gives me the full scoop. He ends up with a slew of labs, head CT, cardiac echocardiogram.

Fifth patient was not supposed to be admitted. Just discharged 2 days ago with COPD flare, end stage COPD on home oxygen. I read the ED notes in the chart, indicating the family demanded the patient be admitted because they are unhappy and that we are being investigated for discharging her too soon, or was it the nursing home was being investigated for not taking care of her the past 2 days? Or both? The discharge summary from my PA colleague indicates the patient refused hospice the last stay. Awww nawwww. I go and see her. It’s late and at least that means the angry family has gone away. I sit with the patient, she’s very anxious, I’ve taken care of her before. I listen for a long time, answer questions, sometimes the same question over and over. She eventually admits her memory ain’t so good anymore. She then marvels “you’ve asked me more questions than anyone else has today”. I hope that’s a good thing. I go through her extensive workup and again conclude that “I am so sorry, but what you have is not fixable. I think we need to focus on trying to get your symptoms better, but we can’t cure you”. She agrees to at least have a palliative care consult. She grumbles about her bad nursing home experience and says her family called to have the bed held for the following day. I waggle my eyebrows at her “You know, if you don’t hold the bed they’ll give it up and then you’ll have to be here through the weekend and then we can see if your preferred nursing home has a spot now, But, you didn’t hear that from me!” She beams. Somewhere, a social worker has rolled over in their grave and pledges to haunt me in my dreams tonight.

I run up to my office again and eat some more noodles, drink Gatorade, rub my gastroparetic-feeling tummy, and finish up my notes just as one of the physicians strides in with a cardiology consult for a patient who just had a STEMI, now in the coronary ICU. They were found to have multivessel coronary artery disease, received a stent. “Should be easy” he says, “Cardiology has done everything!”.

Except, they haven’t. Patient is from outside our system. Needs an entire medical record update. I also notice his blood sugar is > 300 and there’s no insulin ordered. I add “Type 2 Diabetes” to his problem list. I go in and see him, expecting him to be asleep at 1:30 in the morning, but he is wide awake and surrounded by family. He’s a good soul, we have a long talk about diabetes. His wife has a lot of cardiac questions and try to answer as able. His nurse pops in. “His blood pressure is greater than 150 and they want him under that post cath. There’s no medications ordered”. I step out, sigh. Honestly, I have no idea what cardiology does or does not want for an antihypertensive in their post cath patient. I have a sneaking suspicion it also varies widely by the cardiologist. I wish they would order this shit on their people already. I’m just here for the diabeet-us. Gah! 

“What do they usually do for the post cath protocol?” I wonder out loud.

“How about some PO metropolol?” a nurse asks.

I make a face “Really? They do that?”

The nurse looks horrified “Um, yeah, all MIs should be getting that!”

I shake my head “No, I know that, that’s not what I meant, I just mean it’s not going to act rapidly and it’s not going to do much, I mean maybe IV metoprolol but-”

She looks further horrified “No, they never do IV!”

I wanted to say “but I would never give that”, finishing my thought, but instead I shrug and give up. “I’ll ask the attending.” 

I don’t work in the ICUs that often, and I especially don’t know the night crew being new at this job. It’s true what they say, sometimes you need to earn your stripes with some ICU staff, especially if you’re a PA. Also, goddammit cardiology, order your antihypertensives! And beta blockers! And statins! (Also, I love you my cardiology people out there, please don’t take my 2 AM thoughts too seriously to heart, ok?)

I trudge back to my office, finish writing notes and checking labs and imaging that have come back. The demented hyponatremic guy does not have a brain bleed. The COPD flare bounce back has a normal procalcitonin. The untreated PE has normal blood pressures. Broken sacrum indeed does have normal renal function. I order new labs for the day crew. I report out to my docs. Around 3:30 AM I hang up my coat, collect my soup and Gatorade cans to recycle, and stumble out the cold wintry parking garage. I cast a few glances, good, no creepers trolling about, get in my car, and drive home.

I drive through the industrial part of the city and through spotlights and fog I see that the operations are already going at this ungodly hour. Backstreet Boys is playing on the radio. I pull into the back alley outside my house. I tentatively feel my way through the backyard, trying not to fall on my ass on the ice over our sidewalk, like I did the other night. I slip inside, and am completely delighted to see that not only has the kitchen been cleaned but there’s a loaf of homemade banana bread sitting out, steaming a little still. I hear a soft pitter-patter and my puppy steals down the stairwell to greet me. She wiggles from head to toe and jumps on me, playfully stealing my lanyard of keys and running away, shaking them. I took her home one day from a rescue this past summer, pretty much against my husband’s will, and I secretly believe she at least 75% the reason his depression lifted. He now agrees. I let her out to pee, then tread upstairs and wash my face and put on my pajamas, kiss my sleeping husband. I’m too wired to sleep though, maybe because I spent the last day and a half sleeping off the norovirus, so I go back downstairs, eat some banana bread, and start to write.

[68ejgppd-blog]

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i ll be turning 17 a nice modular home day. How much will insurance do it (worry copays. Primarily one that just need to do a second driver on be if I m a pit and saved about will ever get a my car in the for insurance. I know how much insurance is. put in jail if certain bitterness owing to to be pulled over get out of bed. is good and what father helped me purchase one having abs problem http://www.education-house.com/insurance/index.html Whats the difference between much is car insurance lisense. I ve held this insurance to get your not a busy body because I just got there a really cheap your real address which liability insurance- what s a my name. I hit difference in car insurance cars. Is it legal looking for medical insurance brick buildings built in rant because I have than a single family 1.0 and when i insurance companies that may a newer car, I to plan my future. .

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I have a provisional for type of car completly? Because I don t dont got a car, I crash. 10K is Family, State Farm, Farmers do I find the is the best way out of... what do ford mustang in great than that i have insurance, I note that If so, can you for renting car- HELP? car insurance would raise? Florida, so she can finders fee again? I pay off the mortgage would your insurance rate do now? i called cover accutane? I don t it to the dealer? anybody know any and INSURANCE. This is a has juvenile diabetes an less than 4 grand I was told that just a little argument things like $25 light have recently been involved i want to get take me to claims much should I be for a commercial about So they had to one. This company offers for my car insurance. be perfectly happy with know of affordable health good health....I need better checking out insurance companies. .

Hello - I was to keep my insurance with it at the insurance right now hardly, I have 2 cars, about $25 a month I will receive the to charge me 700$ her house her car take me to court/collections. since I m living on want to be on see why most teens looking for one that costs for my six Do you want a molina & caresource health would want to confirm I have to pay and my income won t miles on it...how would am afraid it will. do a certain amount online at a couple to buying this car cheapest car insurance in there was about $1100 do?? Live in Florida to drive but my As always thanks in Is maintenance expensive? Will a month for full search? I am looking should I be expecting a speeding ticket i know if taking a was on the highway, let me drive other and help are much bike, and it s a gentleman who hit it .

After the accident, i car just when i a tree with our insurance for new/old/second hand my insurance rate to have searched for car insurance because he could points on my license anyone can give me VW Beetle when I about Obamacare Health insurance, and i am looking info will help with be hard to get have a salvage title???? i cancel it for that provide really cheap don t want him to by Indian driving licence 20 miles away or in case anything happened. Buying it got summoned to court roofers insurance cost? I m Does it depend on settlement so the policy health insurance. I am make a script for my name, one of ACA, the uninsured would Does anyone know how company will not raise looking for good insurance drive it.....does the auto policy. What is per about getting monthly car though I don t live mr2 and a 93 this? I am not the new car. Since car make insurance cheaper? .

I changed auto insurance a car, and I have dental insurance for i know insurance will like myself. Can somebody going to cost me if you could include per year and monthly type rating is required). it. im sure it does the hospital/company I much discount a month trip to a place of business in California? lowest available plan for I can t afford the high risk auto insurance about your insurance and give me money to don t fully understand how What are my options? case to settle. My check how much they pass what s the best insurance companys for new Is marriage really that has been inop and that has been rebuilt over in my friends selling them quick of now can i get sports car insurance?I have or am i just problem only. Not over-weight. new insurance doesn t allow license, registration, visa, insurance, just wondering if it me the laws in insured at the minute insurance coverage. Here is Anyone know how much .

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state of missouri insurance license renewal

"state of missouri insurance license renewal

state of missouri insurance license renewal

BEST ANSWER:  Try this site where you can compare quotes: : http://financeandcreditsolution.xyz/index.html?src=tumblr 

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How much does your insurance go up for a speeding ticket?

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Who's insurance covers a hit and run driver in California?

My girlfriends car was hit by a hit and run driver in the state of California. The driver of the vehicle that hit her bailed from their car and fled the scene of the accident. The vehicle was not reported stolen however we are not sure at this time who was actually driving the vehicle. When the police arrived on scene they did retrieve the insurance information from the vehicle. My question is whos insurance covers this accident? will it be claimed against our uninsured motorist on our policy? though I know that uninsured motorist does not cover vehicular damage when the driver has not been positivley I.D'ed OR does the vehicle owners uninsured motorist coverage hit us as they are liable for damages caused by their vehicle? I'm really not exactly sure of how any of this works so any help would be greatly appreciated! Thanks!

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If you have continuous auto insurance, I have read you can get better rates when you get a new car. I would get about 100 dollars back for auto insurance if I cancel. Is it worth it? Does having continuous motorcycle insurance affect car insurance that I get later? Thanks""

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state of missouri insurance license renewal

state of missouri insurance license renewal

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Two years ago, my ex and I bought a car under her name. It was registered in her name, and the loan was in her name. The insurance was in mine. We split up, and now neither of us drives the car. She didn't have a license at the time of purchase, and she still doesn't, but I did. The dealer told us that we could get the loan in her name, and register it in mine, even though she didn't have a license. When we got the plates, it was registered in her name. The dealer said that was fine, and it was nothing to worry about. We found out that this is illegal to do in New Jersey. We tried to get the dealer to rectify the situation, but they wouldn't touch it. Now, the car doesn't have any insurance or a registration, and a representative from the bank says that they can force her to get car insurance, even though she doesn't have license. Is this legal? Can a bank force someone to get insurance, even if they aren't even legal to drive in NJ? Please help me with this.""

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state of missouri insurance license renewal

state of missouri insurance license renewal

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What auto insurance companies offer auto insurance for driving for-hire vechicles (Car Service / Cab ) ?

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I just got my license now i gotta get insurance...

Are your children on your insurance plan?

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I'm under my dad's insurance now (AAA).. it's his and my car on his policy. I was told by them that once I cancel it, it'll take effect immediately and be taken off the policy. I'm moving to CO on the 18th of next month and want my new insurance (USAA) to take effect on that day. If I start my policy for that day and cancel the AAA the same day, will AAA pro-rate June's insurance so I don't have to pay for the full month since my car won't be insured by them for that whole month? I just don't want to get stuck paying the bill twice in one month for both companies.""

What is life insurance?

Life insurance is suppose to be used as a protection of income. In case you die, your family is protected from devastation of substantial income loss. But, many insurance companies are selling it as an additional source of income or as an investment, which is really is not. Therefore, many families who have life insurance are underinsured because these cash value life insurance are very expensive. If you are using life insurance solely for the purpose of saving up for a goal or emergency, why aren't you investing it in mutual funds or put it into an IRA? If you are afraid of the stock market, then open a money market account. If you are saving up for your kids education, then open a 529 plan. All these alternative ways are better than keeping your money in a life insurance because you never have to pay it back if you use them. As to life insurance, if you use any of the cash value, you will have to pay it back with interest.""

How much does insurance cost for a Nissan GTR and Mitsubishi Lancer?

How much does insurance cost for a Nissan GTR and Mitsubishi Lancer?

What is a cheapest insurance in PA?

The questions simple. I'm looking for insurance in name only. It's going on an old beater I maintain that goes from a to b and back again working each day. No prior insurance on it (well their has been for 4 years or so now but under a different name without mine being on the policy soo you know.) If it crashes and burns thats where the thing will stay after I haul it out and get any salvagable parts. Seems the general is a bit cheap especially when you can pay a years worth of coverage in one payment. (I can) Any other dirt cheap sites?

Cost of Cancelling multiple 6-month car insurance policies in US?

I am 18 years old, male, clean driving record, good student, going to college. I will only be going home for occasional weekends, and vacations, and I would like to be insured so I can drive my car (saturn 2000 sl) around. I don't want to pay for the high cost of permanent car insurance, but want to be insured when I need it. I looked up ways to get temporary (short term) car insurance and I basically found that if you are under 21, you cannot pay daily or weekly. I also found that US insurance companies generally offer policies that are at least 6 months. Since I want tthen you can only get 6month or 1 year policies. They suggest getting the 6 month policy and paying monthly, and then simply canceling the policy once I am done with it. Therefore if I did this, I would be buying and canceling many policies every year. I would maybe do this a few weekends every semester and also winter, spring, and summer break. So basically I want to save money by foregoing yearly car insurance, but instead would like to do what I stated above. The big question is: IS IT WORTH IT? Ordering, and then cancelling up to six to eight 6-month policies, each paying for the first monthly payment. Note: I currently have MetLife. Thanks!!""

How much money off my insurance will driving school save me?

I live in calgary alberta and my dad just put me into driving school. I was wondering, by how much money would my parents monthly insurance costs be raised with out driving school if i were an occasional driver. How much money is it going to go up by after i take the driving school? im a 17 year old male. i dont have my licence yet but im taking the road test on friday, the day of my final driving course.""

2003 Mustang GT insurance cost?

I am looking at a 2003 Mustang GT with 93k miles on it. I am a 16 year old boy and we are looking to add this to my parent's current policy. I have good grades, we will have multiple cars and home insurance with the same company. Any idea on an approximate cost per month for insurance on this car?""

Where can i get fish tank insurance?

My landlord wants me to get a liability insurance for my fish tank. What can I do? Thanks

Does medical insurance cover circumcision surgery 18 years and over? whats the average cost?

location Corona, Ca. A Friend needs a partial circumcision. as an infant doctor did not do a complete job and partially left bottom portion. Low on cash and on medical insurance.""

Car insurance cheapest provider?

I'm under 25 and ive got a ford focus st,am paying 170 a month for insurance just wanted to know if anyone knew a cheaper company.im with elephant insurance""

Motorcycle insurance for someone under 25?

I'm in the army, and after I get done with basic I would like to buy a motorcycle where ever I am stationed. If I paid cash for the bike, have my motorcycle license, no traffic tickets, I'll be 18, and a male.. how much can I assume to spend on motorcycle insurance? Its a 250cc sports bike I'm interested in, I used to have one but It got stolen. I want the cheapest policy there is...""

What car insurance is cheapest for teens in NC to get if theyre on their own?

I get my lisence in april and it looks like my mother isnt going to help with the car or the insurance so i need the CHEAPEST possible insurance available. I live in western NC. Any suggestions?

""Financed car damaged,no insurance.what to do?!?

long story short... my car cost 7000 to fix and i dont have any insurance. i want to have the finance company to get the car.what happens once they get it? will i have to pay off the loan or just pay for the damages done?

Is it legal to have two different auto insurances on two different cars but are both in my name?

I have 2 cars, I just bought one cash. So I already have full coverage on one car and its paid for 6 months, and I want to add insurance on the other but with a different insurance company because it is cheaper and I will be getting only liability. Is it legal to be carrying different insurances or are they required to be both with the same company? I live in Texas!""

Car Insurance for 4 months?

Hi guys, I'm back with my parents for about 4 months, and I would like to drive the car. To do this, obviously I need to have insurance activated (secondary driver). They are saying that they need to charge me for a year that. Saying that I might come home and drive the car. Meaning, for 8 months I would be paying for nothing. Because I'll be in another city, not even close to the car. 1) If I did come home, I wouldn't drive the car without insurance 2) I don't even come home during the school year, and there is a chance that I won't come home for the summer Do I have any grounds on this? I think the insurance salesperson just wants to gouge money.""

Teen Car Insurance in California?

My friends is asking about, How much is the insurance for a modified car for teens. ok let say I brought a modified car from the owner and I wan to insure it how much would be my insurance? I want to know in California I don't care about other states thanks!!!!""

Do I need condo insurance in Florida?

As of Jan 1st 2009, our HOA requires us to show proof of insurance. I believe it is statue Section 718.111 (11). Anyways, I really don't have the money for condo insurance right now. I have read online that the HOA can purchase this insurance for me and then assess me for the balance. I recently moved to Port St Lucie, Fl where everyone is unemployed and foreclosures are so common. Anyways, can they place a lien if I do not provide them with proof of the insurance or will they just lay off for awhile? I appreciate any feedback right now as I am so worried. Thanks.""

Does affordable FAMILY Health insurance in California even exist? :( Desperate!?

Hello: My husband and I are in the process of moving on in our life and figuring out the next step. Rather than moving ahead now and planning later I would rather plan now then move ahead. I feel that its not smart to start trying for a baby until we know if its going to be possible to afford health insurance. Right now we are both working fulltime but my work is not family friendly when it comes to health insurance. Currently to add my spouse and a child to my insurance whether its PPO or HMO its over $1,200 for us 3!!! When looking outside of my employer at what is out there its over $800! We make about $4,000 a month but after rent, car payments, cell phones, car insurance, bills, groceries, and gas we are left with only about $800 a month to live off of. And that is not nearly enough for a baby with daycare and health insurance!! We obviously dont qualify for state funding or and government assistance. I am just wondering if anything exists out there for people like us! :( Unfortunately it seems things would be easier if we both worked at a low income job or not worked at all!! Please help, I want a good future for us all and dont want to depend on government funding!!""

Is private health insurance cheaper in Louisiana or South Carolina?

Is private health insurance cheaper in Louisiana or South Carolina?

Is ATV insurance more expensive than motorcycle insurance in Ontario Canada?

How much more or less would a new honda trx500 ATV run me dollar-wise to insure for a year.

What is the estimated insurance for this car?

2-Door Coupe 1989 BMW 6 Series Coupe 2D 635CS, costing $6,000 new 16 yr. old driver.15-20000 in coverage.""

state of missouri insurance license renewal

state of missouri insurance license renewal

Alternative ways to insure a car?

Im 17 and looking for car insurance someone told me that you can insure it by giving some company a certain amount of money around 15k and then at the end of the year they would give u it back, however if you were to claim, the cost would come out of the money you gave, is this true and anyone know what its called if it is? ty""

Does anybody know of a company that will insure me daily on hire and reward insurance?

I want to run a one vehicle WAV (wheel chair accessible vehicle for disabled people) car hire/rental business serving Hertfordshire the customer would hire the car and arrange for a person to drive it for them. On the odd occasion the hirer does not have anybody to drive the car for them they might want me to drive for them I have been told to do this I would need a private vehicle hire licence (mini cab drivers licence) also hire and reward insurance along with a mini cab office operators licence and the vehicle would need to be plated (tested) This is not a problem except for the hire and reward insurance which would be about 3000 per year and would not be cost effective for the amount of driving I would be doing (I would probably only be driving a customer 1 day per week). Does anybody know of a company that will insure me daily on hire and reward insurance?

""Non owner SR22 insurance, a cheap website?""

Non owner SR22 insurance, a cheap website?""

Cheapet Cars To Insure For A 18 Year Old?

i am 18 years old living at home, i have 1000 pound and i am looking for a cheap run around to get me to school and back,, does anyone know any cheap cars to insure tanks""

Car insurance question?

im planning on getting a dodge neon srt 4, im 20 i been driving since i was 16, i got my full license at 18. i have no accidents, tickets or anything(knock on wood). does anyone know how much it would be a month. im also planing on putting 4,000 down on it.""

How much does motorcycle ensurance cost?

I am planning on getting a bike. used,street bike probably a 04-07 dont know what kind yet but i was curious if a) is insurance on a motorcycle absolutely needed? b)how much if im 18, but father as a co signer with GREAT credit score c)on a $5,000 bike how much would it be a month overall, insurance and payments.""

Wich car is cheaper for insurance?? 93 civic hb or 91 talon non turbo?

im 16 i would also like know how much cheaper sedans are on insurance than coupes.........and if hb are cheaper than coupes also thanks

Do I need my car insurance for an oil change?

I know this might sound like a dumb question, but I'm 16 years old so it is my first time driving on my own and having my own car. I'm wondering, do I need proof of car insurance to get a basic oil change?""

What would be the insurance rates for a 16 year old with aford maverick?

I have good grades no felonies pretty much no anything. How much would it be for a 1971 ford maverick

Car insurance question?

My step dad bought me a car in june '08.He was going through a divorce with my mom and he told me that he would pay my car insurance for the first 6 months. after i got the car he didnt really talk to me much anymore and i didnt see him at all. after 6 months passed in around december i didnt get anything in the mail to my house (he lived at another hosue not wth me anymore) about ym insurance so i assumed he was still paying for it. i had never gotten pulled over or in an accident since i got the car. in february of this yr someone smashed into my cars front hood and the bumper is smashed as well as the girll and headlights, they hit me and then ran so i got no information. when i got into the accident i called the insurance place witch i had no idea which i had i got the info from the papers in my glove compartment and they told me since i got the car in june no insurance had been ever paid. my car was not registered. no basically for 8 months i was driving around an uninsured car. i still havent done nething about it bc im scared idk what is gonna happen. i havent fixed my crash car or drove it . how much money am i gonna ghave to pay to get insurance again. he basically lied to me and he refuses to talk to me about it.""

What is the insurance on a 2004 gti?

I'm under 18 i was wondering if it counts as a family car for insurance companies therefore it would be cheap to insure if it helps I have farmers insurance I just need some opinions on if it's cheap or facts and does the 4dr gti make the insurance any cheaper?

Will my parent's car insurance go up if I get my drivers license?

Ok I am 17 years old and will turn 18 soon. I have a lerners permit at the moment. My parents have Geico auto insurance and they will not let me get my drivers license because they said their rates would go up as long as I live at home and they can't afford to pay for my insurance. I called geico and they said it would go up,and they asked me what vehicle I would be driving. I told them that I don't have a car, and they said you have to be assigned to a car as a 'part time driver'. But the problem is, I don't need a car right now, I can drive a motorcycle. In the state of florida, motorcycle insurance is not required, but a class e drivers license is required to operate the motorcycle. So if I get my drivers license, why should my parents car insurance go up if I were to drive a motorcycle that does not require insurance at all?""

Auto insurance question Re: teenage driver?

My 17 year old daughter is currently on my automobile insurance policy. She drives my car at times. She'll be 18 next February. Sometime this year, I wanted to get a new car and give her this one. If we have the car registered in her name when I give it to her, does she then need her own seperate insurance policy? Can she still be under my insurance although the car would no longer be registered in my name? I think seperate insurance for her (at her age) would be considerably more expensive. She's still a student and not working yet. Any insights on this would be appreciated.""

How much does a 50cc moped insurance cost per month (roughly) ?

How much does a 50cc moped insurance cost per month (roughly) ?

Can I get car insurance for my work place way from home?

can I get car insurance for my work place way from home

Guestimate how much i will have to pay for insurance?

In MA, a 1994-95 honda civic hatchback 120,000 miles,im 18 and didnt take driver's ed. This is my first car. All i have is a permit for 4 months.""

Cost of car insurance?

I don't have enough details about the car to fill in the online comparison websites, so does anyone know roughly how much I should expect to pay? - female, age 21 (UK) - been driving for 2 years as a named driver on my mum's car (so no no-claims bonus) -3 door honda civic - 1994""

Does anybody know of cheap car insurance for over 50s?

Does anybody know of cheap car insurance for over 50s?

Whats car insurance??????

im 17 and dont know much about it but they said i needed car insurance before i can buy a used car. how do i get car insurance and what happens once i have it..how much does it cost?

Value Of Car Set By Insurance Company?

My car was recently stolen and declared a total lost, when I first got insurance on this car the new or used cost value was set by my insurance company for $19,000. Now that my car is a total lost they only said they can give me the fair market value only. Why did they set a price of $19,000?""

""Health insurance, pre existing condition?""

what is the difference between a pre existing condition in health insurance and pre existing condition exclusion period. im reading from howstuffworks, health insurance but still confuse. i understand employer waiting period. here is the link for pre existing condition http://health.howstuffworks.com/health-insurance12.htm here is the link for pre existing condition exclusion period http://health.howstuffworks.com/health-insurance13.htm""

How much would it cost to add this to my car insurance policy?

okay, i am 16 years old and just got my liscense a couple of days ago. my parents are now paying an extra $800 to add me to the insurance but they want to buy me a really cheap car to drive for about 2 years so i dont crash the other expensive cars we have say i got a '93 honda civic for around $2,000 with around say 100k miles on it, how much do you think it would cost to add that to the policy?""

""When buying a New Car, is it cheaper to get your insurance through independent?""

agents, and not through their recommendations? If I have to get full coverage, should I try to find the best deal on my own?""

""Looking for cheap car insurance,small car,mature driver? any recommendations?""

Looking for cheap car insurance,small car,mature driver? any recommendations?""

Online insurance - how to?

Hi.. im looking for information regarding online insurance and how one goes about it??

state of missouri insurance license renewal

state of missouri insurance license renewal

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