The Process

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

Online Suboxone Doctors Help - Nevada

Never ever Stop Quitting
Our physicians get on an objective to serve, assistance, as well as elevate the lives of individuals we offer with Medication- Helped Therapy (MAT). Floor covering is thought about one of the most reliable treatment for opioid usage condition by the CDC, SAMHSA, FDA as well as other federal agencies. We more than happy to report 95% of our clients state they have no withdrawal signs at 5 days.


OPIOID WITHDRAWAL Nevada
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 day-to-day for three weeks or longer results in a change in brain chemistry which can be specified as medication tolerance. This indicates that in time, more of the drug is needed to achieve the same outcome (euphoria, pain control, or control or anxiety/depression). Reliance does not always mean addiction however, which is defined by frequently desire and also continually preoccupying oneself with the demand to acquire more of the drug. If someone who hinges on opioids quits all of a sudden, they will likely have both physical and psychological signs and symptoms of withdrawal as the body is no more obtaining a drug that it hinges on. One of the most typical withdrawal signs are flu- like in nature as well as include:
1. Dripping nose

2. Muscle aches

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

4. Chills/sweats.

5. Quick heartbeat.

6. Goosebumps on the skin.

7. Anxiety.

8. Failure to rest.

9. Tiredness.


There are 2 major ways of entering into withdrawal:.

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

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





For How Long Does Opioid Withdrawal Last?
If you ask anybody that has experienced opioid withdrawal, the solution is that it is rather unpleasant as well as in some scenarios, life- threatening. Withdrawals can start as early as a few hrs and also generally last 3-5 days. Nonetheless, depending on the extent of addiction and the sort of drug used, signs might last up to 3-6 weeks (methadone). A harsh general rule is a start of symptoms take place after two to three times the half-life of the taken out opioid.
Is There Anything to Make Withdrawals Easier?
While the essential oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), focuses on pleasing your bodys physical dependancy to opioids as well as minimizing yearnings, we also have additional treatment to help minimize the various other unpleasant signs and symptoms of withdrawal. Below is a checklist of signs and symptoms with corresponding treatment medications:.
1) Muscle mass aches, headache- acetaminophen, ibuprofen, as well as naproxen.

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

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

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Stomach cramping- dicyclomine.

6) Lack of ability to rest (sleeping disorders) - diphenhydramine, hydroxyzine, melatonin, trazodone, and doxepin.

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


The Family MD Specializes in Opioid Addiction and Withdrawal Treatment.
We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to assist patientsovercome opioid addictionand withdrawal. Start today by scheduling a virtual check out with one of our board- licensed doctors. Whether youre in the house, at work, or on lunch break, weve obtained you covered as well as are right here to make recuperation easy. Go here to schedule now!


MEDICATION- ASSISTED TREATMENT Nevada

 
At the Household MD, our team believe there are numerous roads that lead from dependency to recovery
What is Medicine Assisted Treatment (FLOOR COVERING)?

Prior to we start talking about therapy for opioid addiction, it is necessary to recognize what is specified as opioid dependency. Opioid addiction is identified by a solid, compulsive urge to take in opioid medications, even when they are no longer clinically needed. Opioid addiction stays at epidemic degrees in the U.S and the numbers are just anticipated to climb. Right here are some fast facts:

-More than 263,000 individuals died from opioid overdose from 1999 to 2020 (21 years).
-More than 75,000 individuals died from opioid overdose in just this previous year finishing in April 2021.
-10.1 million individuals misused prescription opioids this past year.
-Overdose fatalities involving opioid have actually increased a minimum of 6 times considering that 1999.

Its clear that opioids have a high possibility for creating addiction in people, even when they are taken as recommended. Although there are several roadways torecovery, only one is referred to as one of the most reliable by the CDC and also authorized by multiple government agencies (FDA, SAMHSA, as well as various other companies), and that is Medication- assisted treatment.Medication- aided therapy( MAT) entails making use of medicine, along with cognitive or behavioral therapy, to provide an all natural strategy to treatingopioid dependency.

Here at The Household MD, we incorporate cutting edge technology with MAT therapy inHendersonNevada.
Although floor covering has actually conserved countless individuals from opioid relevant complications as well as death, much less than 20% of those dealing with opioid dependency have accessibility to it.In addition to geographical constraints, there is a lack of medical professionals that are trained in its application. According to SAMHSA, much less than 7 percent of physicians are efficiently waivered to deal with opioid dependency. Tele- MAT solutions, like we offer atThe Family members MD, is one means to improve access to care for those that might not or else have the ability to do so due to cost, absence of access to or absence of accessibility of prescribing doctors.

The M inMATstands for details FDA approved drug that is used to lower food cravings as well as physiologic dependence on opioids. While there are numerous formulas and manufacturers, every one of them can be summed up in three medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The initial 2, buprenorphine and also methadone, are both partial and full opioid agonists specifically, whereas naltrexone is an opioid villain. While all three are authorized for treatment of opioid dependency, maybe the best one for many people is buprenorphine/naloxone (Suboxone) due to its positive account. Since it is only a partial agonist, it stops the sensations of bliss when taken, lowers cravings at the exact same time, and dissuades IV shot. Consequently, buprenorphine/naloxone (Suboxone) is the only FDA approved treatment that is suggested at The Household MD. With higher than 95% of individuals withdrawal complimentary at 5 days, our results are a testimony to our expertise when managing opioid addiction. Schedule a visit now to review additional how we can best aid you achieve lasting soberness.


CHANGE FROM METHADONE Nevada.


What is Methadone?

Methadone is just one of three medications that is FDA accepted for the therapy of opioid usage.
condition, as aMedication- assisted treatment( FLOOR COVERING). It is the initial of the MAT medications (accepted in the 1960s) and is the most heavily researched.Unlike the other 2 medicines that are used in MAT, methadoneis a full opioid agonist, which means it carries all the dangers that any type of various other opioid off the street would certainly have.These include ecstasy, threat of breathing depression, possibility of overdose, and also hallucinations among other things. As a result of this, other floor covering medications such asSuboxonehave currently end up being extra chosen because of its marginal side effect account. Henderson Nevada.



For How Long Does Methadone Withdrawal Last?

If switching fromMethadoneto another MAT medication, such asSuboxone, it is initially essential to.
lower the quantity of methadone one is on to 30 mg daily for at the very least one week. As soon as steady on this dosage, methadone is discontinued completely and also suboxone began when mild- moderate withdrawal symptoms begin to embed in, which is typically after 36 hrs but might vary depending upon addiction extent. After three to five days, withdrawal is generally full and also patient is now successfully on Suboxone.

The Family MD Focuses On Methadone Dependency as well as Withdrawal Treatment.

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to assist individuals.
gotten over methadone addictionand withdrawal.Get started today by scheduling an online browse through with among our board- accredited doctors.Whether youre at home, at the office, or on lunch break, weve got you covered and are below to make recovery easy.Click right here to schedule currently.

 

  

Exactly how it functions
It is very important to first quit all methadone use. You need to wait till you have mild to moderate withdrawal signs and symptoms (normally 12- 72 hrs) before taking your very first dose of Suboxone. If it is taken too early, it can require you right into precipitated withdrawal, which is both extremely awkward and might threaten. Proceed as guided by your medical professional and thats it. Normally 95% of our clients do not have any withdrawal symptoms after the initial 5-7 days of starting Suboxone. You might likewise request extra drug to aid ease withdrawal signs and symptoms to ensure that you can proceed with your everyday tasks (job, institution, and so on) without skipping a beat.


 

TREATMENT FOR NORCO WITHDRAWAL Henderson Nevada 

 What is Norco?

Norco is a combination pain medication, including both acetaminophen and hydrocodone. It is utilized to treat modest to serious discomfort. Hydrocodone, which is the addictiveopioidcontained withinNorco, is derived from either codeine or thebaine and it is one of the most regularly recommended opioid in the United States. It is generally for short term discomfort and is frequently made use of as an antitussive (coughing suppressant). When mistreated, it can also be squashed and snorted. It takes about ten to thirty minutes for you to feel the impacts ofNorcowhen taken and also impacts can last approximately four to 6 hrs. 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 onset ofwithdrawal symptomsroughly begins about six to twelve hours after last usage. Signs and symptoms normally peak around day 3 as well as are usually considerably reduced by seven to 10 days. In some cases it is possible to last longer than 10 days depending upon the extent of the dependency and it varies on a situation by case basis.


The Household MD Specializes in Norco Addiction and Withdrawal Therapy

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid individuals overcomeNorcoaddiction andwithdrawal. Begin today by scheduling an online check out with one of our board- licensed doctors. Whether youre in your home, at the office, or on lunch break, weve got you covered and are right here to make healing simple. Click on this link to arrange currently.





Exactly how it works
It is necessary to first quit all Norco usage. You should wait until you have moderate to modest withdrawal signs (generally 12- 72 hrs) prior to taking your first dose of Suboxone. If it is taken too early, it can force you into precipitated withdrawal, which is both extremely awkward as well as may threaten. Proceed as directed by your medical professional and thats it. Generally 95% of our patients do not have any withdrawal signs and symptoms after the very first 3-5 days of startingSuboxone. You might likewise request additional medicine to aid alleviate withdrawal signs and symptoms so that you can proceed with your day to day tasks (work, school, etc) without avoiding a beat.

THERAPY FOR OXYCODONE WITHDRAWAL Henderson Nevada


What is Oxycodone?

Oxycodone is a prescription opioid medication that was first made in 1916 from thebaine, an active ingredient of poppy plant. It is utilized for treatment of moderate to severe pain and is understood for being very habit forming. It generally starts to regulate pain within fifteen minutes as well as can for up to six hrs with the immediate release formulation. It is additionally marketed under the trademark name Roxicodone and OxyContin (which is the extensive release kind), to name a few. The extended launch type is gradually released into the body and also gives all the time discomfort control. Because of the slower onset, it has much less potential for abuse contrasted tooxycodonewhich has a quicker onset of action.



For How Long Does Oxycodone Withdrawal Last?

The onset ofwithdrawal symptomsroughly begins concerning eight to twelve hours after last use. Signs and symptoms typically come to a head around day 3 as well as hardly ever last longer than five to seven days. As constantly, there can be a long term withdrawal stage depending on the seriousness of dependency and relying on individual aspects.

The Family MD Concentrates On Oxycodone Addiction and also Withdrawal Treatment

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to aid clients overcomeoxycodone addictionandwithdrawal. Get started today by arranging an online check out with one of our board- licensed doctors. Whether youre in your home, at the office, or on lunch break, weve got you covered and also are here to make recuperation simple. Visit this site to arrange currently.

 

 

Just how it works
It is essential to initial stop all oxycodone use. You have to wait until you have moderate to moderatewithdrawal signs( normally 12- 72 hours) before taking your initial dose of Suboxone. If it is taken prematurely, it can force you into precipitated withdrawal, which is both really awkward and may be dangerous. Proceed as routed by your physician and thats it. Typically 95% of our patients do not have any type of withdrawal signs after the first 3-5 days of starting Suboxone. You might additionally ask for additional medicine to help relieve withdrawal symptoms so that you can continue with your day to day activities (work, school, etc) without missing a beat.

THERAPY FOR FENTANYL WITHDRAWAL Henderson Nevada


What is Fentanyl?

Fentanyl is a synthetic opioid, which suggests that it is produced by pharmaceutical firms in the lab. It is a very powerful opioid and also is about 50- 100 times a lot more stronger than morphine. Due to its strength, it is mostly being used for pain monitoring treatment of cancer cells individuals. Of note, lots of users are not aware they are purchasingfentanyllaced items when they buy opioids. Distributors do this due to the fact that it makes drugs cheaper, raises potency, raises habit forming residential properties, and because of this, makes thesefentanyllaced medications extremely harmful even in small doses. Onset to action is three to five mins if used intravenously. Other common types that it is produced in is as a transdermal spot (Duragesic), as a lozenge called lollipops (Aqtic), as well as in an injectable type (Sublimaze).



For How Long Does Fentanyl Withdrawal Last?

The start ofwithdrawal symptomsroughly starts about 6 to twelve hours after last usage. Symptoms typically peak around day three as well as hardly ever last longer than five to 7 days. Nonetheless, it may take place relying on the severity of dependency or instance by case basis.

The Household MD Specializes in Fentanyl Dependency and also Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to help clients overcomefentanyladdiction andwithdrawal. Get going today by setting up a digital see with among our board- accredited physicians. 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. Click on this link to set up now.





Just how it functions
It is essential to first stop all Fentanyl use. You must wait till you have mild to moderate withdrawal signs (normally 12- 72 hours) before taking your very first dose ofSuboxone. If it is taken too early, it can require you right into precipitated withdrawal, which is both very unpleasant and also might be dangerous. Continue as routed by your physician and thats it. Usually 95% of our clients do not have any kind of withdrawal signs after the very first 3-5 days of starting Suboxone. You might additionally request added medicine to assist ease withdrawal symptoms to make sure that you can continue with your day to day tasks (work, school, and so on) without missing a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Henderson Nevada

 

What is Oxymorphone?

Oxymorphoneis a very potentopioidindicated for the therapy of extreme discomfort. It is a lot more typically known asOpanaor Numorphan. It is considerably more powerful than morphine as well as is used to treat pain that is unresponsive to various other opioid medicines. In 2017, the FDA asked the supplier of oxymorphone to remove its item from the US market as well as considering that has been inaccessible in the United States. Nevertheless, expanded release oxymorphone formulas are still readily available in the United States due to its slightly lower misuse potential. The prompt release manages pain 5-10 mins if taking IV, and after 30 minutes if taken orally, and after that last 3-4 hrs. If taking the prolonged launch, pain 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 essential to very first quit all oxymorphone use. You have to wait until you have light to modest withdrawal symptoms (typically 12- 72 hrs) prior to taking your initial dosage of Suboxone. If it is taken too early, it can force you right into precipitated withdrawal, which is both extremely uneasy and may be dangerous. Proceed as guided by your medical professional which it. Typically 95% of our individuals do not have anywithdrawalsymptoms after the first 5-7 days of startingSuboxone. You might additionally ask for extra drug to aid ease withdrawal signs and symptoms to make sure that you can proceed with your day to day tasks (job, institution, and so on) without skipping a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Henderson Nevada

 

What is Tramadol?

When it was originally authorized in 1995, tramadol was not considered an opiate even though its system of action was similar. Nevertheless, due to all the instances of misuse as well as addiction, the FDA ultimately marked tramadol as an illegal drug in 2014. Compared to other abused substances nevertheless, tramadol has much less possibility for abuse. Due to this, tramadol is one of the lots of typical therapies for osteoarthritis and various other excruciating conditions.


How Long Does Tramadol Withdrawal Last?

The start of withdrawal signs approximately begins regarding thirty- 6 to seventy- two hours after last use. Signs normally last 5 to eight days. As constantly, there can be a long term withdrawal phase relying on the seriousness of addiction and relying on individual elements.


The Household MD Concentrates On Tramadol Dependency as well as Withdrawal Treatment

We provide Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to aid individuals get rid of tramadol dependency and also withdrawal. Get started today by scheduling a virtual go to with one of our board- certified medical professionals. Whether youre in the house, at the workplace, or on lunch break, weve got you covered and also are below to make recovery easy. Click on this link to set up currently.

 

 

How it works

It is important to first quit all tramadol use. You should wait up until you have light to modest withdrawal signs (typically 12- 72 hrs) before taking your first dose of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both very uncomfortable as well as might be dangerous. Proceed as guided by your doctor and thats it. Normally 95% of our patients do not have any kind of withdrawal signs after the initial 3-5 days of beginning Suboxone. You might additionally request added medication to aid relieve withdrawal signs to ensure that you can proceed with your day to day activities (job, institution, and so on) without missing a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Henderson Nevada

 

 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 Henderson Nevada

 

 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 Henderson Nevada

 
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 Henderson Nevada

What is Meperidine?

The brand name variation of Meperidine is called Demerol. It has an abuse potential similar to that of morphine, but it needs to not be made use of for therapy of persistent discomfort. Meperidine ought to just be made use of in the treatment of acute episodes of severe discomfort because of the risk of seizures from the accumulation of meperidine metabolites, particularly normeperidine, if it is made use of long-term. In addition to seizures, it can also cause serotonin syndrome if made use of in mix with specific drugs. It is offered in intramuscular, subcutaneous, intravenous, syrup, and tablet kinds.



How Much Time Does Meperidine Withdrawal Last?

The onset of withdrawal signs and symptoms approximately begins regarding three- twenty four hrs after last usage. Signs normally come to a head around 3 days and start to decrease in intensity after the first week. Some signs and symptoms may be presented for a prolonged time period relying on the seriousness of the addiction.

The Household MD Specializes in Meperidine Dependency and also Withdrawal Therapy

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to assist people get over Meperidine addiction and withdrawal. Start today by arranging a virtual visit with one of our board- certified doctors. Whether youre in the house, at work, or on lunch break, weve got you covered as well as are right here to make recovery simple. Go here to set up currently.







How it functions

It is essential to initial quit all Meperidine use. You have to wait up until you have mild to modest withdrawal signs and symptoms (usually 12- 72 hours) prior to taking your very first dosage of Suboxone. If it is taken too early, it can require you into precipitated withdrawal, which is both extremely uncomfortable and might threaten. Continue as directed by your physician and thats it. Generally 95% of our clients do not have any withdrawal signs after the first 5-7 days of starting Suboxone. You might additionally request added medication to assist alleviate withdrawal signs and symptoms to make sure that you can continue with your daily activities (work, institution, etc) without missing a beat.