Meperidine Withdrawal Help - Illinois

Never Quit Stopping
Our physicians get on a mission to serve, support, and elevate the lives of people we serve via Medication- Assisted Treatment (FLOOR COVERING). MAT is taken into consideration one of the most effective therapy for opioid use condition by the CDC, SAMHSA, FDA as well as various other government agencies. We more than happy to report 95% of our patients state they have no withdrawal signs and symptoms at 5 days.


OPIOID WITHDRAWAL Illinois
What is Opioid withdrawal?To understandopioid withdrawal, it is essential to first understand what taking opioids over an extended period of time does to ones body. Taking an opioid daily for three weeks or longer leads to a change in brain chemistry which can be defined as drug resistance. This suggests that in time, more of the drug is required to accomplish the exact same outcome (ecstasy, discomfort control, or control or anxiety/depression). Reliance does not always mean addiction however, which is identified by frequently desire as well as continuously preoccupying oneself with the requirement to get more of the drug. If someone that hinges on opioids stops suddenly, they will likely have both physical as well as emotional signs of withdrawal as the body is no more getting a medication that it depends on. The most usual withdrawal signs are flu- like in nature and include:
1. Runny nose

2. Muscular tissue aches

3. Indigestion, nausea or vomiting, throwing up, looseness of the bowels

4. Chills/sweats.

5. Quick heartbeat.

6. Goosebumps on the skin.

7. Stress and anxiety.

8. Lack of ability to sleep.

9. Exhaustion.


There are 2 main means of going into withdrawal:.

1) Suddenly stopping all opioid use without tapering down initially (spontaneous withdrawal).

2) Taking an opioid antagonist like naloxone (consisted of in suboxone) or naltrexone too early (precipitated withdrawal).





How Much Time Does Opioid Withdrawal Last?
If you ask any individual that has actually experienced opioid withdrawal, the solution is that it is fairly uncomfortable and in some scenarios, life- threatening. Withdrawals can start as early as a couple of hrs and normally last 3-5 days. However, relying on the seriousness of dependency and also the type of drug used, signs and symptoms may last as much as 3-6 weeks (methadone). A rough general rule is a start of signs take place after 2 to 3 times the half-life of the withdrawn opioid.
Is There Anything to Make Withdrawals Easier?
While the pillar oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), concentrates on satisfying your bodys physical reliance to opioids and also minimizing yearnings, we likewise have extra therapy to aid ease the other undesirable signs of withdrawal. Below is a list of signs with corresponding treatment medications:.
1) Muscle pains, headache- acetaminophen, advil, and naproxen.

2) Muscular tissue spasm- cyclobenzaprine, baclofen, as well as methocarbamol.

3) Nausea or vomiting, vomiting- tigan, and also ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

6) Inability to rest (sleeping disorders) - diphenhydramine, hydroxyzine, melatonin, trazodone, and also doxepin.

7) Anxiety, irritation, restlessness- diphenhydramine, hydroxyzine, and also clonidine.


The Family Members MD Specializes in Opioid Dependency and also Withdrawal Treatment.
We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to assist patientsovercome opioid addictionand withdrawal. Begin today by setting up a virtual go to with among our board- accredited doctors. Whether youre in the house, at the office, or on lunch break, weve obtained you covered and also are right here to make recovery very easy. Click on this link to arrange now!

MEDICATION- ASSISTED TREATMENT Illinois

 
At the Household MD, our team believe there are numerous roads that lead from addiction to recuperation
What is Medicine Assisted Treatment (MAT)?

Before we begin speaking about treatment for opioid dependency, it is necessary to recognize what is specified as opioid dependency. Opioid dependency is characterized by a strong, uncontrollable impulse to eat opioid medications, even when they are no longer clinically required. Opioid dependency remains at epidemic degrees in the U.S and the numbers are only expected to climb. Here are some quick facts:

-More than 263,000 people passed away from opioid overdose from 1999 to 2020 (21 years).
-More than 75,000 individuals passed away from opioid overdose in simply this past year finishing in April 2021.
-10.1 million individuals misused prescription opioids this past year.
-Overdose deaths entailing opioid have actually raised at least 6 times considering that 1999.

Its clear that opioids have a high capacity for creating addiction in individuals, even when they are taken as suggested. Although there are multiple roads torecovery, only one is referred to as one of the most effective by the CDC and accepted by numerous government firms (FDA, SAMHSA, as well as other companies), which is Medication- assisted treatment.Medication- assisted treatment( MAT) entails making use of medication, combined with cognitive or behavior modification, to supply a holistic method to treatingopioid dependency.

Here at The Family members MD, we integrate cutting side technology with floor covering therapy inAuroraIllinois.
Although MAT has actually saved numerous clients from opioid related complications and also fatality, much less than 20% of those dealing with opioid addiction have access to it.In enhancement to geographical restrictions, there is a scarcity of medical professionals that are learnt its application. According to SAMHSA, less than 7 percent of physicians are efficiently waivered to deal with opioid dependency. Tele- floor covering solutions, like we offer atThe Family MD, is one way to boost accessibility to look after those that might not or else have the ability to do so as a result of set you back, lack of accessibility to or lack of availability of suggesting doctors.

The M inMATstands for details FDA accepted medication that is made use of to reduce cravings as well as physiologic dependence on opioids. While there are multiple formulas as well as suppliers, every one of them can be summarized in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The first 2, buprenorphine and methadone, are both partial as well as complete opioid agonists respectively, whereas naltrexone is an opioid villain. While all three are approved for therapy of opioid dependency, perhaps the best one for the majority of individuals is buprenorphine/naloxone (Suboxone) as a result of its desirable account. Given that it is only a partial agonist, it avoids the sensations of bliss when taken, minimizes food cravings at the same time, and dissuades IV shot. Therefore, buprenorphine/naloxone (Suboxone) is the only FDA approved therapy that is suggested at The Family members MD. With more than 95% of individuals withdrawal complimentary at 5 days, our outcomes are a testimony to our experience when managing opioid dependency. Set up a consultation now to go over additional exactly how we can best help you accomplish long lasting sobriety.


TRANSITION FROM METHADONE Illinois.


What is Methadone?

Methadone is among 3 medications that is FDA accepted for the therapy of opioid usage.
condition, as aMedication- assisted therapy( FLOOR COVERING). It is the first of the MAT medicines (authorized in the 1960s) and also is one of the most greatly researched.Unlike the various other two drugs that are utilized in floor covering, methadoneis a complete opioid agonist, which indicates it lugs all the risks that any various other opioid off the road would have.These include bliss, risk of respiratory clinical depression, opportunity of overdose, and also hallucinations to name a few points. Because of this, various other MAT medicines such asSuboxonehave now come to be a lot more liked due to its marginal negative effects profile. Aurora Illinois.



How Long Does Methadone Withdrawal Last?

If changing fromMethadoneto another MAT medication, such asSuboxone, it is first vital to.
reduce the quantity of methadone one is on to 30 mg daily for a minimum of one week. When steady on this dose, methadone is ceased totally as well as suboxone started as soon as mild- moderate withdrawal signs and symptoms start to embed in, which is generally after 36 hrs however might vary depending upon addiction seriousness. After three to 5 days, withdrawal is generally complete and individual is currently efficiently on Suboxone.

The Household MD Focuses On Methadone Dependency and also Withdrawal Treatment.

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help clients.
overcome methadone addictionand withdrawal.Get began today by setting up an online see with among our board- accredited doctors.Whether youre in the house, at work, or on lunch break, weve obtained you covered and are below to make recovery easy.Click here to schedule now.

 

  

Exactly how it works
It is important to very first quit all methadone use. You need to wait until you have light to modest withdrawal signs (typically 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can require you into precipitated withdrawal, which is both extremely uneasy as well as might be dangerous. Continue as routed by your physician and thats it. Typically 95% of our patients do not have any withdrawal symptoms after the initial 5-7 days of beginning Suboxone. You may also request added drug to assist alleviate withdrawal signs to make sure that you can continue with your day to day tasks (work, college, and so on) without skipping a beat.

 

TREATMENT FOR NORCO WITHDRAWAL Aurora Illinois 

 What is Norco?

Norco is a mix discomfort medicine, containing both acetaminophen as well as hydrocodone. It is utilized to treat modest to severe discomfort. Hydrocodone, which is the addictiveopioidcontained withinNorco, is originated from either codeine or thebaine and also it is one of the most frequently prescribed opioid in the United States. It is usually for short term discomfort and is often made use of as an antitussive (cough suppressant). When over used, it can additionally be crushed as well as grunted. It takes around ten to thirty minutes for you to feel the results ofNorcowhen taken as well as results can last as much as four to six hrs. Various other brand name which contain both hydrocodone and acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, and also Vicoprofen.


The Length Of Time Does Norco Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts about six to twelve hrs after last usage. Signs and symptoms generally peak around day three as well as are usually substantially decreased by seven to 10 days. Occasionally it is feasible to last longer than 10 days depending on the seriousness of the dependency and also it differs on a situation by case basis.


The Family MD Focuses On Norco Addiction and Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to assist patients overcomeNorcoaddiction andwithdrawal. Get going today by scheduling a digital browse through with among our board- licensed medical professionals. Whether youre at home, at work, or on lunch break, weve obtained you covered and are below to make healing very easy. Visit this site to set up now.





How it works
It is essential to first quit all Norco usage. You have to wait until you have light to moderate withdrawal signs (normally 12- 72 hours) before taking your first dosage of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both really uneasy as well as might be dangerous. Proceed as directed by your doctor and thats it. Generally 95% of our clients do not have any kind of withdrawal symptoms after the very first 3-5 days of startingSuboxone. You may likewise request added medication to assist ease withdrawal signs and symptoms so that you can proceed with your everyday activities (job, college, etc) without missing a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL Aurora Illinois


What is Oxycodone?

Oxycodone is a prescription opioid drug that was first made in 1916 from thebaine, an ingredient of poppy plant. It is made use of for therapy of modest to severe pain and also is recognized for being extremely addictive. It commonly starts to regulate pain within fifteen mins as well as can for approximately six hrs with the prompt release formulation. It is also marketed under the trademark name Roxicodone as well as OxyContin (which is the prolonged release type), to name a few. The prolonged launch kind is slowly released right into the body and gives all the time pain control. Because of the slower beginning, it has much less potential for misuse contrasted tooxycodonewhich has a quicker start of activity.



How Long Does Oxycodone Withdrawal Last?

The start ofwithdrawal symptomsroughly begins regarding eight to twelve hrs after last use. Symptoms commonly peak around day three and rarely last longer than five to seven days. As always, there can be a long term withdrawal phase depending upon the intensity of addiction as well as depending on individual factors.

The Family MD Concentrates On Oxycodone Dependency and Withdrawal Therapy

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patients overcomeoxycodone addictionandwithdrawal. Start today by scheduling a digital check out with among our board- licensed physicians. Whether youre at home, at work, or on lunch break, weve got you covered and are right here to make recuperation very easy. Click on this link to schedule now.

 

 

Just how it works
It is important to first stop all oxycodone use. You need to wait up until you have moderate to moderatewithdrawal symptoms( normally 12- 72 hours) prior to taking your initial dose of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both really uncomfortable and also might be dangerous. Proceed as routed by your doctor which it. Normally 95% of our people do not have any type of withdrawal signs and symptoms after the initial 3-5 days of starting Suboxone. You might likewise request extra drug to assist relieve withdrawal signs so that you can proceed with your day to day tasks (work, college, etc) without missing a beat.

TREATMENT FOR FENTANYL WITHDRAWAL Aurora Illinois


What is Fentanyl?

Fentanyl is a synthetic opioid, which suggests that it is produced by pharmaceutical firms in the laboratory. It is a really effective opioid and has to do with 50- 100 times extra stronger than morphine. Because of its potency, it is largely being made use of for discomfort management treatment of cancer cells individuals. Of note, many individuals are uninformed they are purchasingfentanyllaced items when they acquire opioids. Distributors do this since it makes medications cheaper, raises potency, boosts habit forming residential properties, and therefore, makes thesefentanyllaced medications incredibly dangerous also in tiny doses. Onset to activity is three to five minutes if made use of intravenously. Various other common types that it is made in is as a transdermal patch (Duragesic), as a lozenge called lollipops (Aqtic), and also in an injectable type (Sublimaze).



How Much Time Does Fentanyl Withdrawal Last?

The start ofwithdrawal symptomsroughly begins concerning 6 to twelve hours after last usage. Signs and symptoms generally come to a head around day 3 as well as hardly ever last longer than 5 to seven days. Nevertheless, it might happen relying on the intensity of dependency or case by instance basis.

The Family Members MD Specializes in Fentanyl Dependency and also Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to help clients overcomefentanyladdiction andwithdrawal. Start today by scheduling a digital check out with one of our board- accredited physicians. Whether youre in your home, at the office, or on lunch break, weve obtained you covered as well as are right here to make recuperation very easy. Go here to arrange now.





Exactly how it works
It is necessary to initial quit all Fentanyl use. You have to wait up until you have moderate to modest withdrawal signs (typically 12- 72 hours) prior to taking your initial dose ofSuboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both very awkward as well as may be dangerous. Continue as directed by your physician and thats it. Generally 95% of our people do not have any type of withdrawal signs and symptoms after the initial 3-5 days of beginning Suboxone. You may also ask for extra medication to help ease withdrawal symptoms to ensure that you can proceed with your daily tasks (work, institution, etc) without skipping a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Aurora Illinois

 

What is Oxymorphone?

Oxymorphoneis a very potentopioidindicated for the treatment of extreme discomfort. It is much more generally recognized asOpanaor Numorphan. It is significantly stronger than morphine and also is made use of to deal with pain that is unresponsive to other opioid medicines. In 2017, the FDA asked the producer of oxymorphone to eliminate its item from the US market and since has actually been not available in the US. Nevertheless, extended release oxymorphone formulas are still offered in the US due to its a little reduced abuse possibility. The immediate launch regulates discomfort 5-10 minutes if taking IV, as well as after half an hour if taken by mouth, and after that last 3-4 hours. If taking the prolonged launch, discomfort control lasts 12 hrs.

 

How Long Does Oxymorphone/Opana Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four to forty eight hours after last use. Symptoms typically intensify at two to five days and peak during the first week.
 

The Family MD Specializes in Oxymorphone Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome oxymorphone addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

How it works

It is necessary to first quit all oxymorphone use. You should wait until you have mild to modest withdrawal signs (normally 12- 72 hours) prior to taking your very first dosage of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both extremely unpleasant and may be dangerous. Proceed as directed by your physician which it. Usually 95% of our people do not have anywithdrawalsymptoms after the first 5-7 days of startingSuboxone. You may also ask for added medication to assist alleviate withdrawal symptoms to make sure that you can proceed with your day to day tasks (job, institution, etc) without missing a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Aurora Illinois

 

What is Tramadol?

When it was originally approved in 1995, tramadol was not considered an opiate despite the fact that its system of action was comparable. However, as a result of all the situations of abuse as well as dependency, the FDA eventually marked tramadol as a dangerous drug in 2014. Compared with various other controlled substances however, tramadol has much less potential for misuse. As a result of this, tramadol is just one of the lots of usual treatments for osteo arthritis and various other agonizing problems.


The Length Of Time Does Tramadol Withdrawal Last?

The start of withdrawal signs and symptoms roughly begins regarding thirty- six to seventy- two hours after last usage. Signs typically last 5 to eight days. As constantly, there can be an extended withdrawal phase relying on the extent of dependency as well as depending on private aspects.


The Family Members MD Concentrates On Tramadol Dependency and also Withdrawal Therapy

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to assist individuals get over tramadol dependency as well as withdrawal. Get started today by scheduling a digital visit with among our board- accredited medical professionals. Whether youre in your home, at work, or on lunch break, weve obtained you covered and also are here to make recovery simple. Visit this site to schedule now.

 

 

How it works

It is very important to very first stop all tramadol use. You must wait till you have mild to modest withdrawal signs and symptoms (normally 12- 72 hrs) before taking your initial dose of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both extremely uncomfortable as well as may threaten. Continue as routed by your doctor and thats it. Generally 95% of our people do not have any type of withdrawal signs and symptoms after the very first 3-5 days of starting Suboxone. You may additionally request extra medication to help ease withdrawal symptoms to ensure that you can continue with your day to day activities (work, college, and so on) without missing a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Aurora Illinois

 

 What is Codeine?

Codeine is an opiate that is commonly found is prescription- grade cough suppressants. Tylenol 3, a popular painkiller, is codeine combined with acetaminophen. Because codeine- based cough syrups are less regulated that some other opiates considered to be more dangerous (Such as morphine and oxycodone), it is relatively easy to start getting and abusing it. Once ingested, codeine is converted into morphine in the body, thus producing similar effects but to a lesser degree.  

 

 How Long Does Codeine Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four hours after last use. Symptoms typically intensify at one to three days and peak during the first week. The final phase of codeine withdrawal can last anywhere from one week after last dose and can linger for months.

The Family MD Specializes in Tramadol Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome tramadol addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

How it works

It is important to first stop all methadone use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous.  Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .

TREATMENT FOR MORPHINE WITHDRAWAL Aurora Illinois

 

 What is Morphine?

Morphine is considered the classic opioid analgesic with which other painkillers are compared. It is a non- synthetic narcotic that is derived from opium and has a high potential for abuse. Traditionally morphine was almost exclusively used by injection, but the variety of pharmaceutical forms that it is marketed as today supports its use by oral and other routes of administration.  

 

How Long Does Morphine Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four hours after last use. Symptoms typically intensify at one to three days and peak during the first week.

The Family MD Specializes in Morphine Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome morphine addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

 

 

How it works

It is important to first stop all morphine use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous. Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .

TREATMENT FOR HYDROMORPHONE WITHDRAWAL Aurora Illinois

 
What is Hydromorphone?

Hydromorphone, also commonly known as dilaudid, is an opioid medication used to treat severe pain. It is a semi- synthetic opioid that is derived from morphine, however it is 2-8x more potent than morphine. It has higher addictive potential because of its shorter duration to onset and causes greater sedation. It is used to treat pain that is not controlled by other opiate medications.  

 

 How Long Does Hydromorphone Withdrawal Last?

The onset of withdrawal symptoms roughly starts about four to eight hours after last use. Symptoms typically intensify and peak at one to two days. After three days the symptoms should start to subside and are generally resolved after the first week.

The Family MD Specializes in Hydromorphone Addiction and Withdrawal Treatment

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to help patients overcome hydromorphone addiction and withdrawal. Get started today by scheduling a virtual visit with one of our board- certified doctors. Whether you’re at home, at work, or on lunch break, we’ve got you covered and are here to make recovery easy. Click here to schedule now.  

 

  

How it works

It is important to first stop all hydromorphone use. You must wait until you have mild to moderate withdrawal symptoms (generally 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very uncomfortable and may be dangerous. Continue as directed by your doctor and that’s it. Generally 95% of our patient’s do not have any withdrawal symptoms after the first 5-7 days of starting Suboxone. You may also request additional medication to help ease withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without skipping a beat .
 

TREATMENT FOR MEPERIDINE WITHDRAWAL Aurora Illinois

What is Meperidine?

The trademark name variation of Meperidine is called Demerol. It has an abuse possible similar to that of morphine, however it must not be used for therapy of chronic pain. Meperidine ought to just be made use of in the treatment of acute episodes of severe discomfort as a result of the danger of seizures from the accumulation of meperidine metabolites, particularly normeperidine, if it is made use of long-term. Along with seizures, it can additionally trigger serotonin disorder if used in mix with certain drugs. It is offered in intramuscular, subcutaneous, intravenous, syrup, and tablet forms.



The Length Of Time Does Meperidine Withdrawal Last?

The start of withdrawal signs and symptoms about begins about three- twenty four hrs after last use. Signs commonly peak around three days and also start to decrease in strength after the initial week. Some symptoms may exist for an extended period of time depending on the seriousness of the addiction.

The Household MD Focuses On Meperidine Dependency and also Withdrawal Treatment

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help people get over Meperidine addiction and withdrawal. Start today by arranging a virtual visit with one of our board- licensed medical professionals. Whether youre at home, at work, or on lunch break, weve got you covered as well as are here to make healing simple. Visit this site to arrange now.







Exactly how it works

It is essential to initial quit all Meperidine usage. You should wait up until you have moderate to moderate withdrawal signs (typically 12- 72 hrs) before taking your very first dosage of Suboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both really uncomfortable and might be dangerous. Continue as guided by your physician and thats it. Usually 95% of our patients do not have any withdrawal symptoms after the very first 5-7 days of starting Suboxone. You may also ask for extra medicine to aid alleviate withdrawal signs and symptoms to make sure that you can continue with your everyday activities (work, institution, etc) without skipping a beat.