Best case, they get bailed out by market appreciation before the property bleeds them dry.

When leveraging your money, you will see bigger returns with appreciation, but if you can still get a little cash-flow so you're not bleeding money, that's the most ideal situation. 

Note: I know that it is currently bleeding but given the price and fixing it up a bit ,may be a good one.

A year of management will cost you less than what you are about to lose with this one tenant.I dont want to reward her but I need to find a way to stop the bleeding… 

Note: I know that it is currently bleeding  but given the price and fixing it up a bit ,may be a good one.

If you keep forcing yourself to do something that grates on your so much guess what, it's only going to get worse, and it's going to make you a worse person, it will bleed over into other parts of life if it hasn't already. 

If the property is bleeding money every year from repairs, maintenance, or turn over you'll never get ahead.You can tap equity with a HELOC (challenging right now), cash-out refinance into a new loan (much higher rates), 1031 exchange, or sell (tax hit) but the numbers and property condition need to guide this decision.

Yes we are bleeding.

Where can I purchase the medical tools necessary and how do I make an incision that minimizes bleeding. 

So my duplex was vacant for almost a year (could have been more aggressive with finding tenants) and I was let go from my job back in January so I was bleeding for a while.