The Process

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

Meperidine Withdrawal Help - Wisconsin

Never ever Give Up Giving Up
Our doctors are on a mission to offer, assistance, and also elevate the lives of people we serve through Medication- Aided Treatment (MAT). MAT is considered the most efficient treatment for opioid usage condition by the CDC, SAMHSA, FDA and other federal agencies. We enjoy to report 95% of our patients state they have no withdrawal symptoms at 5 days.


OPIOID WITHDRAWAL Wisconsin
What is Opioid withdrawal?To understandopioid withdrawal, it is essential to initially comprehend what taking opioids over a long period of time does to ones body. Taking an opioid everyday for three weeks or longer results in an adjustment in brain chemistry which can be defined as drug resistance. This indicates that gradually, even more of the medication is required to accomplish the exact same outcome (ecstasy, pain control, or control or anxiety/depression). Dependence does not always imply addiction nonetheless, which is defined by constantly desire and also continuously busying oneself with the requirement to get more of the medicine. If a person that hinges on opioids stops all of a sudden, they will likely have both physical and mental symptoms of withdrawal as the body is no longer receiving a drug that it is dependent on. The most usual withdrawal symptoms are flu- like in nature as well as include:
1. Drippy nose

2. Muscular tissue pains

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

4. Chills/sweats.

5. Fast heart beat.

6. Goosebumps on the skin.

7. Anxiousness.

8. Failure to sleep.

9. Fatigue.


There are 2 primary ways of entering into withdrawal:.

1) Unexpectedly stopping all opioid usage without tapering down first (spontaneous withdrawal).

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





How Long Does Opioid Withdrawal Last?
If you ask anybody that has experienced opioid withdrawal, the solution is that it is quite awkward as well as in some situations, life- threatening. Withdrawals can start as early as a couple of hours and also normally last 3-5 days. Nevertheless, relying on the seriousness of dependency and also the sort of substance abuse, symptoms may last up to 3-6 weeks (methadone). A harsh guideline is a beginning of symptoms occur after a couple of times the half-life of the taken out opioid.
Is There Anything to Make Withdrawals Easier?
While the pillar oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), focuses on satisfying your bodys physical reliance to opioids and decreasing cravings, we likewise have extra therapy to assist reduce the other undesirable signs of withdrawal. Below is a list of signs and symptoms with matching therapy medications:.
1) Muscle mass aches, headache- acetaminophen, advil, as well as naproxen.

2) Muscle mass spasm- cyclobenzaprine, baclofen, as well as methocarbamol.

3) Nausea, vomiting- tigan, and ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

6) Failure to rest (insomnia) - diphenhydramine, hydroxyzine, melatonin, trazodone, as well as doxepin.

7) Anxiety, impatience, restlessness- diphenhydramine, hydroxyzine, as well as clonidine.


The Family MD Focuses On Opioid Addiction as well as Withdrawal Treatment.
We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to help patientsovercome opioid addictionand withdrawal. Get started today by setting up an online go to with one of our board- accredited doctors. Whether youre in your home, at work, or on lunch break, weve obtained you covered and are right here to make healing easy. Visit this site to schedule currently!


MEDICATION- ASSISTED TREATMENT Wisconsin

 
At the Family MD, our team believe there are multiple roadways that lead from dependency to recovery
What is Medication Assisted Therapy (FLOOR COVERING)?

Prior to we start talking about therapy for opioid dependency, it is important to know what is defined as opioid dependency. Opioid addiction is characterized by a strong, uncontrollable desire to take in opioid drugs, even when they are no more medically called for. Opioid dependency remains at epidemic levels in the U.S and also the numbers are just anticipated 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 people passed away from opioid overdose in just this previous year ending in April 2021.
-10.1 million people misused prescription opioids this previous year.
-Overdose deaths including opioid have actually increased a minimum of 6 times considering that 1999.

Its clear that opioids have a high capacity for creating dependency in individuals, also when they are taken as suggested. Although there are multiple roads torecovery, just one is described as the most efficient by the CDC and approved by numerous government agencies (FDA, SAMHSA, and other agencies), and that is Medication- assisted treatment.Medication- assisted treatment( MAT) entails the use of medication, together with cognitive or behavior modification, to provide a holistic technique to treatingopioid dependency.

Below at The Family members MD, we combine reducing edge technology with floor covering therapy inGreen BayWisconsin.
Although floor covering has actually saved countless clients from opioid relevant issues and also fatality, less than 20% of those experiencing opioid dependency have accessibility to it.In addition to geographic constraints, there is a shortage of medical professionals that are learnt its application. According to SAMHSA, less than 7 percent of doctors are effectively waivered to treat opioid addiction. Tele- floor covering services, like we provide atThe Household MD, is one way to enhance access to take care of those that might not otherwise be able to do so as a result of set you back, absence of access to or lack of availability of recommending doctors.

The M inMATstands for specific FDA approved medication that is utilized to lower yearnings and physiologic dependence on opioids. While there are numerous formulas as well as manufacturers, all of them can be summarized in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The first two, buprenorphine as well as methadone, are both partial as well as full opioid agonists respectively, whereas naltrexone is an opioid antagonist. While all three are authorized for treatment of opioid dependency, maybe the most effective one for most clients is buprenorphine/naloxone (Suboxone) as a result of its desirable profile. Given that it is just a partial agonist, it prevents the sensations of bliss when taken, reduces food cravings at the very same time, as well as prevents IV shot. For this reason, buprenorphine/naloxone (Suboxone) is the only FDA accepted treatment that is suggested at The Family members MD. With greater than 95% of people withdrawal cost-free at 5 days, our outcomes are a testimony to our competence when handling opioid addiction. Arrange an appointment now to talk about further just how we can best aid you attain enduring soberness.


TRANSITION FROM METHADONE Wisconsin.


What is Methadone?

Methadone is among 3 medicines that is FDA approved for the treatment of opioid usage.
condition, as aMedication- assisted treatment( MAT). It is the first of the floor covering medications (authorized in the 1960s) and also is one of the most greatly researched.Unlike the various other 2 drugs that are utilized in floor covering, methadoneis a full opioid agonist, which indicates it lugs all the threats that any kind of other opioid off the street would have.These include bliss, danger of breathing clinical depression, possibility of overdose, and hallucinations among other points. Due to this, other MAT medications such asSuboxonehave currently end up being more favored because of its very little side effect account. Green Bay Wisconsin.



For How Long Does Methadone Withdrawal Last?

If switching over fromMethadoneto one more floor covering medication, such asSuboxone, it is first crucial to.
reduce the amount of methadone one is on to 30 mg daily for at least one week. As soon as steady on this dose, methadone is terminated totally as well as suboxone started once mild- moderate withdrawal symptoms begin to set in, which is usually after 36 hours however may vary relying on addiction extent. After three to 5 days, withdrawal is usually total as well as client is currently efficiently on Suboxone.

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

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help patients.
conquered methadone addictionand withdrawal.Get started today by scheduling an online see with among our board- certified doctors.Whether youre in the house, at work, or on lunch break, weve got you covered as well as are below to make recovery easy.Click right here to set up now.

 

  

Just how it works
It is necessary to first quit all methadone usage. You need to wait till you have mild to moderate withdrawal signs (typically 12- 72 hours) before taking your very first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both very unpleasant as well as might threaten. Proceed as directed by your physician and thats it. Generally 95% of our individuals do not have any kind of withdrawal signs after the first 5-7 days of starting Suboxone. You may likewise ask for extra medicine to aid ease withdrawal signs so that you can proceed with your daily activities (job, school, etc) without avoiding a beat.


 

TREATMENT FOR NORCO WITHDRAWAL Green Bay Wisconsin 

 What is Norco?

Norco is a combination pain medication, including both acetaminophen and hydrocodone. It is used to deal with moderate to serious pain. Hydrocodone, which is the addictiveopioidcontained withinNorco, is originated from either codeine or thebaine and it is one of the most often suggested opioid in the United States. It is usually for short term pain and also is often made use of as an antitussive (cough suppressant). When over used, it can also be crushed and grunted. It takes about 10 to thirty minutes for you to feel the effects ofNorcowhen taken and results can last up to four to 6 hours. Various other trade names which contain both hydrocodone and also acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, as well as Vicoprofen.


How Long Does Norco Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts about six to twelve hrs after last use. Signs normally peak around day 3 and are normally significantly decreased by seven to 10 days. Occasionally it is possible to last longer than 10 days relying on the intensity of the dependency and also it varies on a case by situation basis.


The Family Members MD Focuses On Norco Addiction and also Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to help clients overcomeNorcoaddiction andwithdrawal. Get started today by scheduling an online browse through with among our board- certified physicians. Whether youre at home, at work, or on lunch break, weve obtained you covered and also are here to make healing very easy. Visit this site to schedule currently.





Just how it functions
It is important to initial quit all Norco usage. You have to wait till you have moderate to modest withdrawal signs (generally 12- 72 hrs) prior to taking your initial dose of Suboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both very uneasy as well as may threaten. Proceed as guided by your doctor and thats it. Normally 95% of our patients do not have any kind of withdrawal signs and symptoms after the initial 3-5 days of startingSuboxone. You may likewise request added medication to assist ease withdrawal symptoms so that you can continue with your day to day tasks (work, school, etc) without skipping a beat.

THERAPY FOR OXYCODONE WITHDRAWAL Green Bay Wisconsin


What is Oxycodone?

Oxycodone is a prescription opioid medication that was initially made in 1916 from thebaine, an ingredient of poppy plant. It is used for therapy of modest to serious discomfort and also is known for being extremely addictive. It usually starts to manage discomfort within fifteen minutes and also can for approximately six hrs with the instant launch formula. It is likewise offered under the trademark name Roxicodone as well as OxyContin (which is the extended launch type), among others. The extended release type is slowly released right into the body and supplies around the clock pain control. As a result of the slower beginning, it has much less capacity for misuse contrasted tooxycodonewhich has a quicker onset of activity.



How Long Does Oxycodone Withdrawal Last?

The start ofwithdrawal symptomsroughly begins regarding eight to twelve hours after last usage. Signs and symptoms generally come to a head around day 3 as well as rarely last longer than five to seven days. As constantly, there can be a prolonged withdrawal phase depending upon the seriousness of dependency and also relying on individual elements.

The Family Members MD Focuses On Oxycodone Addiction as well as Withdrawal Treatment

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to assist patients overcomeoxycodone addictionandwithdrawal. Get going today by scheduling an online go to with among our board- accredited physicians. Whether youre in your home, at the workplace, or on lunch break, weve obtained you covered and are here to make healing simple. Click on this link to set up currently.

 

 

Exactly how it functions
It is important to first quit all oxycodone use. You must wait until you have mild to moderatewithdrawal signs and symptoms( typically 12- 72 hours) prior to taking your first dose of Suboxone. If it is taken prematurely, it can compel you right into precipitated withdrawal, which is both very uneasy and might be dangerous. Continue as directed by your doctor and thats it. Usually 95% of our individuals do not have any withdrawal signs and symptoms after the very first 3-5 days of starting Suboxone. You might also ask for added medicine to aid reduce withdrawal symptoms to ensure that you can continue with your daily activities (work, school, etc) without missing a beat.

THERAPY FOR FENTANYL WITHDRAWAL Green Bay Wisconsin


What is Fentanyl?

Fentanyl is a synthetic opioid, which implies that it is created by pharmaceutical firms in the lab. It is an extremely effective opioid and also is about 50- 100 times much more stronger than morphine. As a result of its strength, it is mainly being used for discomfort monitoring treatment of cancer people. Of note, many customers are uninformed they are purchasingfentanyllaced items when they acquire opioids. Distributors do this because it makes drugs cheaper, boosts effectiveness, raises addictive buildings, and consequently, makes thesefentanyllaced drugs extremely hazardous also in little dosages. Start to activity is three to five minutes if used intravenously. Various other usual forms that it is made in is as a transdermal patch (Duragesic), as a lozenge called lollipops (Aqtic), and in an injectable type (Sublimaze).



The Length Of Time Does Fentanyl Withdrawal Last?

The beginning ofwithdrawal symptomsroughly starts regarding six to twelve hours after last use. Signs usually peak around day 3 as well as rarely last longer than 5 to seven days. Nevertheless, it might take place depending upon the extent of addiction or instance by instance basis.

The Family Members MD Concentrates On Fentanyl Addiction as well as Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid people overcomefentanyladdiction andwithdrawal. Start today by setting up a digital go to with one of our board- licensed physicians. Whether youre at home, at the office, or on lunch break, weve got you covered as well as are here to make recuperation simple. Visit this site to schedule currently.





How it works
It is important to initial stop all Fentanyl usage. You should wait up until you have moderate to modest withdrawal signs and symptoms (normally 12- 72 hrs) before taking your initial dosage ofSuboxone. If it is taken too early, it can compel you right into precipitated withdrawal, which is both very unpleasant and also might threaten. Continue as routed by your medical professional and thats it. Normally 95% of our individuals do not have any type of withdrawal symptoms after the first 3-5 days of beginning Suboxone. You may likewise request extra medication to help ease withdrawal signs and symptoms so that you can continue with your everyday activities (job, institution, and so on) without skipping a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Green Bay Wisconsin

 

What is Oxymorphone?

Oxymorphoneis a highly potentopioidindicated for the treatment of serious pain. It is more typically known asOpanaor Numorphan. It is dramatically stronger than morphine as well as is used to deal with discomfort that is less competent to various other opioid drugs. In 2017, the FDA asked the manufacturer of oxymorphone to eliminate its product from the US market and also since has been inaccessible in the United States. However, prolonged release oxymorphone solutions are still offered in the United States as a result of its slightly reduced misuse potential. The instant release regulates pain 5-10 minutes if taking IV, and also after half an hour if taken orally, and then last 3-4 hours. If taking the extended 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 important to initial stop all oxymorphone use. You need to wait up until you have light to modest withdrawal symptoms (generally 12- 72 hrs) prior to taking your very first dosage of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both extremely uncomfortable as well as might threaten. Proceed as guided by your physician which it. Usually 95% of our individuals do not have anywithdrawalsymptoms after the very first 5-7 days of startingSuboxone. You may likewise ask for added medication to help reduce withdrawal symptoms to make sure that you can continue with your day to day tasks (work, college, etc) without missing a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Green Bay Wisconsin

 

What is Tramadol?

When it was at first accepted in 1995, tramadol was not considered an opiate even though its device of action was similar. Nevertheless, as a result of all the situations of abuse and addiction, the FDA ultimately assigned tramadol as a dangerous drug in 2014. Compared with various other illegal drugs nevertheless, tramadol has much less potential for abuse. Due to this, tramadol is just one of the several usual treatments for osteoarthritis and also other uncomfortable conditions.


How Long Does Tramadol Withdrawal Last?

The onset of withdrawal symptoms about begins about thirty- six to seventy- two hours after last usage. Signs and symptoms generally last 5 to eight days. As constantly, there can be a prolonged withdrawal phase relying on the severity of addiction and relying on specific variables.


The Family Members MD Specializes in Tramadol Addiction as well as Withdrawal Treatment

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to assist patients conquer tramadol dependency as well as withdrawal. Get going today by setting up a digital check out with one of our board- certified doctors. Whether youre in the house, at the office, or on lunch break, weve obtained you covered as well as are here to make healing very easy. Click on this link to set up now.

 

 

How it works

It is important to very first quit all tramadol usage. You must wait till you have light to moderate withdrawal signs and symptoms (generally 12- 72 hours) prior to taking your first dose of Suboxone. If it is taken too early, it can require you into precipitated withdrawal, which is both very uneasy and may be dangerous. Continue as guided by your doctor which it. Typically 95% of our people do not have any type of withdrawal signs and symptoms after the very first 3-5 days of beginning Suboxone. You may additionally ask for extra medication to aid alleviate withdrawal symptoms to make sure that you can proceed with your daily activities (work, college, and so on) without missing a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Green Bay Wisconsin

 

 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 Green Bay Wisconsin

 

 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 Green Bay Wisconsin

 
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 Green Bay Wisconsin

What is Meperidine?

The trademark name variation of Meperidine is called Demerol. It has an abuse prospective similar to that of morphine, yet it should not be utilized for therapy of chronic discomfort. Meperidine ought to only be used in the therapy of intense episodes of severe discomfort as a result of the danger of seizures from the buildup of meperidine metabolites, particularly normeperidine, if it is used long term. In addition to seizures, it can additionally create serotonin syndrome if used in combination with certain drugs. It is offered in intramuscular, subcutaneous, intravenous, syrup, and also tablet forms.



How Long Does Meperidine Withdrawal Last?

The onset of withdrawal symptoms about starts concerning three- twenty four hours after last use. Signs commonly peak around 3 days as well as begin to decrease in strength after the first week. Some symptoms may be presented for an extended period of time depending on the seriousness of the addiction.

The Household MD Specializes in Meperidine Dependency and Withdrawal Therapy

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid individuals get over Meperidine addiction and withdrawal. Begin today by arranging an online see with one of our board- accredited doctors. Whether youre in your home, at the workplace, or on lunch break, weve obtained you covered and are below to make healing simple. Click here to schedule currently.







How it works

It is necessary to initial stop all Meperidine usage. You need to wait till you have light to moderate withdrawal signs and symptoms (typically 12- 72 hours) before taking your first dose of Suboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both extremely unpleasant as well as may be dangerous. Continue as routed by your medical professional and thats it. Generally 95% of our individuals do not have any kind of withdrawal signs and symptoms after the initial 5-7 days of starting Suboxone. You may likewise ask for extra medicine to aid relieve withdrawal signs so that you can proceed with your everyday tasks (job, institution, and so on) without skipping a beat.