The Process

Consult with an addiction specialist in the privacy of your own home

Meperidine Withdrawal Help - Iowa

Never Stop Giving Up
Our medical professionals are on a goal to offer, assistance, as well as raise the lives of individuals we serve with Medication- Assisted Therapy (MAT). MAT is taken into consideration the most effective therapy for opioid use problem by the CDC, SAMHSA, FDA as well as other government companies. We are happy to report 95% of our clients state they have no withdrawal signs and symptoms at 5 days.


OPIOID WITHDRAWAL Iowa
What is Opioid withdrawal?To understandopioid withdrawal, it is essential to initially understand what taking opioids over an extended period of time does to ones body. Taking an opioid everyday for three weeks or longer results in an adjustment in mind chemistry which can be specified as drug resistance. This indicates that gradually, even more of the medicine is required to achieve the same result (bliss, pain control, or control or anxiety/depression). Reliance does not necessarily imply dependency nevertheless, which is characterized by continuously desire and constantly preoccupying oneself with the demand to obtain more of the medicine. If someone that depends on opioids stops all of a sudden, they will likely have both physical and emotional signs and symptoms of withdrawal as the body is no longer getting a drug that it depends on. The most common withdrawal signs are flu- like in nature as well as include:
1. Runny nose

2. Muscle aches

3. Indigestion, queasiness, vomiting, looseness of the bowels

4. Chills/sweats.

5. Fast heart beat.

6. Goosebumps on the skin.

7. Anxiousness.

8. Inability to rest.

9. Fatigue.


There are two main methods of entering into withdrawal:.

1) Instantly quiting all opioid usage without tapering down initially (spontaneous withdrawal).

2) Taking an opioid villain like naloxone (contained in suboxone) or naltrexone prematurely (precipitated withdrawal).





For How Long Does Opioid Withdrawal Last?
If you ask any person who has experienced opioid withdrawal, the answer is that it is rather uncomfortable and in some conditions, life- harmful. Withdrawals can start as early as a few hrs and also normally last 3-5 days. Nonetheless, depending upon the seriousness of addiction and the type of drug used, signs and symptoms might last approximately 3-6 weeks (methadone). A harsh rule of thumb is a start of symptoms occur after two to three times the half-life of the taken out opioid.
Exists Anything to Make Withdrawals Easier?
While the mainstay oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), focuses on satisfying your bodys physical dependence to opioids as well as minimizing food cravings, we likewise have extra treatment to help ease the other undesirable signs and symptoms of withdrawal. Below is a checklist of signs and symptoms with matching treatment medications:.
1) Muscular tissue aches, headache- acetaminophen, advil, and also naproxen.

2) Muscle mass spasm- cyclobenzaprine, baclofen, and also methocarbamol.

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

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Abdominal cramping- dicyclomine.

6) Failure to sleep (insomnia) - diphenhydramine, hydroxyzine, melatonin, trazodone, and doxepin.

7) Anxiousness, irritability, restlessness- diphenhydramine, hydroxyzine, and clonidine.


The Household MD Specializes in Opioid Addiction and also Withdrawal Therapy.
We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to help patientsovercome opioid addictionand withdrawal. Get going today by scheduling a virtual go to with among our board- certified medical professionals. Whether youre in the house, at the office, or on lunch break, weve obtained you covered and are below to make recuperation simple. Click here to schedule currently!


MEDICATION- ASSISTED TREATMENT Iowa

 
At the Family members MD, our company believe there are multiple roadways that lead from addiction to recovery
What is Medicine Assisted Therapy (MAT)?

Before we start talking about treatment for opioid dependency, it is important to understand what is defined as opioid addiction. Opioid dependency is identified by a strong, compulsive urge to take in opioid drugs, even when they are no more medically called for. Opioid dependency continues to be at epidemic levels in the U.S and also the numbers are only expected to climb. Right here are some quick facts:

-More than 263,000 individuals passed away from opioid overdose from 1999 to 2020 (21 years).
-More than 75,000 individuals passed away from opioid overdose in simply this previous year ending in April 2021.
-10.1 million individuals misused prescription opioids this previous year.
-Overdose deaths entailing opioid have actually increased at the very least 6 times because 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, just one is called the most efficient by the CDC and accepted by several government companies (FDA, SAMHSA, and also various other firms), which is Medication- assisted treatment.Medication- assisted therapy( MAT) includes using medication, together with cognitive or behavioral therapy, to give an alternative method to treatingopioid addiction.

Here at The Family members MD, we combine reducing edge modern technology with floor covering treatment inDavenportIowa.
Although MAT has saved numerous clients from opioid associated problems and also fatality, less than 20% of those dealing with opioid dependency have accessibility to it.In enhancement to geographical restraints, there is a lack of doctors that are learnt its application. According to SAMHSA, less than 7 percent of doctors are effectively waivered to treat opioid addiction. Tele- MAT services, like we provide atThe Household MD, is one method to improve accessibility to take care of those who might not otherwise have the ability to do so because of set you back, lack of access to or absence of accessibility of recommending physicians.

The M inMATstands for certain FDA authorized medicine that is used to lower desires and also physiologic dependancy on opioids. While there are numerous formulas as well as producers, every one of them can be summed up in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The initial 2, buprenorphine and methadone, are both partial and full opioid agonists specifically, whereas naltrexone is an opioid villain. While all 3 are authorized for treatment of opioid addiction, probably the best one for a lot of patients is buprenorphine/naloxone (Suboxone) as a result of its desirable profile. Considering that it is just a partial agonist, it avoids the sensations of euphoria when taken, decreases desires at the very same time, and also dissuades IV injection. Therefore, buprenorphine/naloxone (Suboxone) is the only FDA approved treatment that is suggested at The Family MD. With more than 95% of individuals withdrawal complimentary at 5 days, our outcomes are a testimony to our experience when managing opioid addiction. Schedule an appointment currently to discuss more just how we can best help you accomplish lasting sobriety.


TRANSITION FROM METHADONE Iowa.


What is Methadone?

Methadone is just one of 3 medicines that is FDA authorized for the treatment of opioid usage.
problem, as aMedication- assisted therapy( FLOOR COVERING). It is the initial of the floor covering medications (authorized in the 1960s) and also is the most greatly researched.Unlike the various other 2 medicines that are utilized in floor covering, methadoneis a complete opioid agonist, which implies it carries all the threats that any other opioid off the street would certainly have.These include euphoria, threat of breathing depression, possibility of overdose, and hallucinations among other things. Because of this, other MAT drugs such asSuboxonehave now come to be more favored because of its marginal negative effects profile. Davenport Iowa.



How Long Does Methadone Withdrawal Last?

If changing fromMethadoneto another floor covering medication, such asSuboxone, it is first essential to.
reduce the amount of methadone one is on to 30 mg daily for at least one week. When steady on this dose, methadone is terminated entirely and suboxone began as soon as mild- moderate withdrawal signs begin to set in, which is normally after 36 hrs but might differ depending on dependency intensity. After 3 to 5 days, withdrawal is usually total and also individual is currently successfully on Suboxone.

The Family Members MD Concentrates On Methadone Addiction as well as Withdrawal Therapy.

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid people.
overcome methadone addictionand withdrawal.Get began today by arranging an online see with one of our board- certified doctors.Whether youre at home, at work, or on lunch break, weve obtained you covered and also are right here to make healing easy.Click right here to arrange now.

 

  

Exactly how it works
It is necessary to initial quit all methadone use. You should wait up until you have moderate to moderate withdrawal signs (typically 12- 72 hours) prior to taking your first dosage of Suboxone. If it is taken too early, it can compel you into precipitated withdrawal, which is both really uncomfortable and might threaten. Proceed as guided by your doctor which it. Generally 95% of our clients do not have any kind of withdrawal signs and symptoms after the very first 5-7 days of beginning Suboxone. You might also ask for extra drug to assist ease withdrawal symptoms so that you can proceed with your everyday activities (job, school, etc) without avoiding a beat.


 

TREATMENT FOR NORCO WITHDRAWAL Davenport Iowa 

 What is Norco?

Norco is a combination discomfort medicine, consisting of both acetaminophen and hydrocodone. It is used to treat moderate to severe pain. Hydrocodone, which is the addictiveopioidcontained withinNorco, is derived from either codeine or thebaine and also it is one of the most often prescribed opioid in the United States. It is typically for short term discomfort as well as is frequently used as an antitussive (cough suppressant). When over used, it can additionally be squashed and also grunted. It takes around ten to thirty minutes for you to feel the results ofNorcowhen taken and impacts can last up to 4 to 6 hrs. Other brand name that contain both hydrocodone and acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, as well as Vicoprofen.


The Length Of Time Does Norco Withdrawal Last?

The start ofwithdrawal symptomsroughly starts concerning six to twelve hrs after last usage. Signs normally peak around day 3 and are usually considerably decreased by seven to ten days. Sometimes it is feasible to last longer than ten days relying on the intensity of the addiction and also it differs on a case by case basis.


The Family Members MD Concentrates On Norco Dependency as well as Withdrawal Therapy

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to aid individuals overcomeNorcoaddiction andwithdrawal. Begin today by scheduling an online check out with among our board- certified doctors. Whether youre in the house, at the office, or on lunch break, weve obtained you covered and are here to make healing easy. Click here to arrange now.





Exactly how it works
It is important to very first quit all Norco use. You need to wait till you have mild to moderate withdrawal signs and symptoms (generally 12- 72 hours) prior to taking your first dosage of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both really uncomfortable and may threaten. Continue as guided by your medical professional which it. Generally 95% of our individuals do not have any type of withdrawal signs after the first 3-5 days of startingSuboxone. You might additionally ask for added drug to aid ease withdrawal signs and symptoms so that you can proceed with your day to day activities (work, institution, and so on) without avoiding a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL Davenport Iowa


What is Oxycodone?

Oxycodone is a prescription opioid drug that was initially made in 1916 from thebaine, a component of poppy plant. It is utilized for therapy of modest to serious discomfort as well as is understood for being highly habit forming. It usually starts to control pain within fifteen minutes and can for as much as 6 hrs with the instant launch solution. It is also sold under the brand names Roxicodone and also OxyContin (which is the extensive release kind), to name a few. The prolonged launch type is slowly launched right into the body and supplies all the time pain control. Because of the slower beginning, it has less potential for abuse compared tooxycodonewhich has a quicker beginning of action.



How Much Time Does Oxycodone Withdrawal Last?

The onset ofwithdrawal symptomsroughly begins regarding 8 to twelve hours after last usage. Signs and symptoms usually come to a head around day three as well as hardly ever last longer than 5 to seven days. As constantly, there can be an extended withdrawal stage depending on the severity of addiction and also relying on individual variables.

The Family Members MD Specializes in Oxycodone Dependency as well as Withdrawal Therapy

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to help individuals overcomeoxycodone addictionandwithdrawal. Begin today by setting up a virtual see with one of our board- licensed physicians. Whether youre at home, at the workplace, or on lunch break, weve got you covered and also are right here to make recuperation very easy. Click on this link to set up currently.

 

 

Exactly how it functions
It is important to very first stop all oxycodone usage. You have to wait up until you have moderate to moderatewithdrawal signs and symptoms( usually 12- 72 hours) prior to taking your very first dose of Suboxone. If it is taken prematurely, it can compel you into precipitated withdrawal, which is both very uneasy as well as might threaten. Continue as guided by your physician and thats it. Typically 95% of our patients do not have any kind of withdrawal signs after the very first 3-5 days of starting Suboxone. You may likewise ask for added drug to aid reduce withdrawal symptoms to make sure that you can proceed with your everyday activities (work, institution, etc) without missing a beat.

THERAPY FOR FENTANYL WITHDRAWAL Davenport Iowa


What is Fentanyl?

Fentanyl is a synthetic opioid, which means that it is developed by pharmaceutical firms in the lab. It is a very effective opioid as well as has to do with 50- 100 times much more stronger than morphine. As a result of its strength, it is mostly being used for pain administration treatment of cancer clients. Of note, numerous customers are uninformed they are purchasingfentanyllaced products when they acquire opioids. Distributors do this because it makes medications less expensive, raises effectiveness, raises habit forming buildings, and because of this, makes thesefentanyllaced drugs very unsafe also in little dosages. Start to action is 3 to five minutes if used intravenously. Other typical kinds that it is made in is as a transdermal patch (Duragesic), as a lozenge called lollipops (Aqtic), and in an injectable type (Sublimaze).



How Long Does Fentanyl Withdrawal Last?

The onset ofwithdrawal symptomsroughly starts about 6 to twelve hrs after last usage. Signs commonly peak around day 3 as well as hardly ever last longer than five to 7 days. Nonetheless, it might take place depending on the seriousness of dependency or instance by situation basis.

The Family MD Concentrates On Fentanyl Addiction and also Withdrawal Therapy

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to help individuals overcomefentanyladdiction andwithdrawal. Begin today by arranging an online see with one of our board- accredited medical professionals. Whether youre at home, at the workplace, or on lunch break, weve obtained you covered as well as are below to make recuperation easy. Click here to schedule now.





Just how it works
It is essential to initial stop all Fentanyl use. You should wait up until you have mild to moderate withdrawal signs and symptoms (usually 12- 72 hours) prior to taking your very first dosage ofSuboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both really unpleasant as well as may threaten. Proceed as directed by your medical professional and thats it. Generally 95% of our people do not have any kind of withdrawal symptoms after the first 3-5 days of starting Suboxone. You might also ask for extra drug to assist relieve withdrawal signs to make sure that you can proceed with your daily activities (work, college, etc) without missing a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Davenport Iowa

 

What is Oxymorphone?

Oxymorphoneis a very potentopioidindicated for the therapy of extreme pain. It is extra generally known asOpanaor Numorphan. It is substantially stronger than morphine and also is utilized to treat pain that is unresponsive to other opioid medicines. In 2017, the FDA asked the supplier of oxymorphone to eliminate its product from the United States market as well as because has been not available in the US. Nonetheless, prolonged launch oxymorphone formulations are still offered in the United States because of its slightly reduced abuse capacity. The prompt launch manages discomfort 5-10 mins if taking IV, and after thirty minutes if taken orally, and afterwards last 3-4 hours. If taking the prolonged release, discomfort control lasts 12 hours.

 

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 important to very first quit all oxymorphone use. You need to wait until you have light to moderate withdrawal signs and symptoms (typically 12- 72 hours) prior to taking your very first dose of Suboxone. If it is taken prematurely, it can compel you into precipitated withdrawal, which is both really unpleasant and also might threaten. Proceed as guided by your medical professional which it. Normally 95% of our clients do not have anywithdrawalsymptoms after the first 5-7 days of startingSuboxone. You may additionally ask for additional medicine to help ease withdrawal signs so that you can proceed with your day to day activities (job, institution, and so on) without missing a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Davenport Iowa

 

What is Tramadol?

When it was initially authorized in 1995, tramadol was not considered an opiate despite the fact that its mechanism of action was comparable. Nevertheless, due to all the situations of abuse as well as dependency, the FDA eventually marked tramadol as an illegal drug in 2014. Compared with various other abused substances however, tramadol has less possibility for misuse. Due to this, tramadol is one of the numerous typical treatments for osteoarthritis as well as various other agonizing problems.


How Long Does Tramadol Withdrawal Last?

The start of withdrawal signs and symptoms approximately starts concerning thirty- six to seventy- 2 hrs after last use. Symptoms normally last five to 8 days. As always, there can be an extended withdrawal stage relying on the intensity of dependency as well as relying on private aspects.


The Family MD Focuses On Tramadol Dependency as well as Withdrawal Therapy

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to aid clients conquer tramadol addiction and withdrawal. Get started today by arranging an online see with one of our board- certified medical professionals. Whether youre in your home, at the office, or on lunch break, weve got you covered as well as are right here to make healing simple. Go here to schedule currently.

 

 

How it works

It is necessary to very first quit all tramadol usage. You should wait until you have light to modest withdrawal symptoms (typically 12- 72 hours) prior to taking your first dosage of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both really uncomfortable and also may threaten. Proceed as directed by your physician and thats it. Normally 95% of our individuals do not have any withdrawal symptoms after the initial 3-5 days of starting Suboxone. You may likewise ask for extra medicine to assist ease withdrawal signs and symptoms so that you can continue with your everyday activities (work, college, etc) without skipping a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Davenport Iowa

 

 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 Davenport Iowa

 

 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 Davenport Iowa

 
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 Davenport Iowa

What is Meperidine?

The brand name variation of Meperidine is called Demerol. It has an abuse prospective similar to that of morphine, however it needs to not be made use of for therapy of chronic discomfort. Meperidine should just be made use of in the treatment of severe episodes of extreme discomfort due to the danger of seizures from the accumulation of meperidine metabolites, namely normeperidine, if it is used long-term. Along with seizures, it can likewise trigger serotonin disorder if made use of in combination with specific medications. It is available in intramuscular, subcutaneous, intravenous, syrup, and also tablet types.



The Length Of Time Does Meperidine Withdrawal Last?

The beginning of withdrawal signs and symptoms approximately begins regarding three- twenty four hrs after last use. Symptoms commonly peak around 3 days and also start to lower in strength after the initial week. Some signs and symptoms might be presented for a long term time period depending on the extent of the dependency.

The Family MD Specializes in Meperidine Dependency as well as Withdrawal Therapy

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid patients get over Meperidine addiction as well as withdrawal. Begin today by arranging a digital go to with one of our board- certified doctors. Whether youre at home, at work, or on lunch break, weve got you covered and are here to make recovery simple. Go here to arrange currently.







Exactly how it works

It is necessary to initial quit all Meperidine usage. You must wait up until you have moderate to modest withdrawal signs and symptoms (normally 12- 72 hours) prior to taking your initial dosage of Suboxone. If it is taken too early, it can compel you into precipitated withdrawal, which is both extremely uneasy and also might threaten. Continue as directed by your medical professional which it. Usually 95% of our individuals do not have any withdrawal signs and symptoms after the initial 5-7 days of starting Suboxone. You may likewise request added medicine to help reduce withdrawal signs to ensure that you can proceed with your everyday tasks (job, college, etc) without missing a beat.