Transition From Methadone Help - Arizona

Never Give Up Quitting
Our doctors are on an objective to serve, support, as well as elevate the lives of individuals we serve with Medication- Assisted Treatment (FLOOR COVERING). MAT is taken into consideration one of the most reliable treatment for opioid use disorder by the CDC, SAMHSA, FDA and various other government agencies. We enjoy to report 95% of our people state they have no withdrawal symptoms at 5 days.


OPIOID WITHDRAWAL Arizona
What is Opioid withdrawal?To understandopioid withdrawal, it is necessary to first understand what taking opioids over an extended period of time does to ones body. Taking an opioid everyday for 3 weeks or longer leads to a modification in mind chemistry which can be defined as medicine tolerance. This indicates that with time, more of the medication is needed to accomplish the exact same result (euphoria, pain control, or control or anxiety/depression). Reliance does not always imply dependency nonetheless, which is identified by constantly food craving as well as constantly busying oneself with the requirement to get more of the medicine. If a person who depends on opioids stops unexpectedly, they will likely have both physical and also psychological signs of withdrawal as the body is no longer receiving a drug that it hinges on. One of the most common withdrawal signs are flu- like in nature and also include:
1. Runny nose

2. Muscle pains

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

4. Chills/sweats.

5. Rapid heart beat.

6. Goosebumps on the skin.

7. Anxiety.

8. Lack of ability to sleep.

9. Exhaustion.


There are 2 main ways of going into withdrawal:.

1) All of a sudden stopping all opioid use without tapering down initially (spontaneous withdrawal).

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





The Length Of Time Does Opioid Withdrawal Last?
If you ask any individual that has experienced opioid withdrawal, the response is that it is quite uneasy as well as in some scenarios, life- threatening. Withdrawals can start as early as a couple of hours as well as generally last 3-5 days. However, depending on the extent of addiction and also the kind of drug used, signs might last approximately 3-6 weeks (methadone). A harsh rule of thumb is an onset of signs take place after a couple of times the half-life of the taken out opioid.
Is There Anything to Make Withdrawals Easier?
While the mainstay oftreatment for opioid withdrawal, Buprenorphine/Naloxone (Suboxone), concentrates on pleasing your bodys physical reliance to opioids and also lowering food cravings, we likewise have additional therapy to help ease the various other unpleasant symptoms of withdrawal. Below is a list of signs and symptoms with equivalent therapy medications:.
1) Muscle mass aches, headache- acetaminophen, advil, as well as naproxen.

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

3) Queasiness, vomiting- tigan, and also ondansetron.

4) Diarrhea- loperamide, bismuth subsalicylate.

5) Abdominal cramping- dicyclomine.

6) Lack of ability to sleep (sleeplessness) - diphenhydramine, hydroxyzine, melatonin, trazodone, and doxepin.

7) Stress and anxiety, irritability, restlessness- diphenhydramine, hydroxyzine, and clonidine.


The Household MD Concentrates On Opioid Dependency and Withdrawal Therapy.
We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to help patientsovercome opioid addictionand withdrawal. Get going today by setting up an online check out with one of our board- certified medical professionals. Whether youre in your home, at the office, or on lunch break, weve obtained you covered as well as are right here to make healing very easy. Click here to arrange now!

MEDICATION- ASSISTED TREATMENT Arizona

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

Prior to we start speaking about therapy for opioid addiction, it is very important to understand what is specified as opioid addiction. Opioid addiction is identified by a solid, compulsive urge to consume opioid medicines, even when they are no more medically needed. Opioid addiction remains 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 died from opioid overdose from 1999 to 2020 (21 years).
-More than 75,000 people died from opioid overdose in just this past year ending in April 2021.
-10.1 million individuals misused prescription opioids this past year.
-Overdose deaths including opioid have actually enhanced a minimum of 6 times considering that 1999.

Its clear that opioids have a high potential for triggering addiction in people, also when they are taken as suggested. Although there are multiple roadways torecovery, just one is called one of the most reliable by the CDC as well as authorized by multiple federal firms (FDA, SAMHSA, and other firms), which is Medication- assisted treatment.Medication- assisted therapy( MAT) includes the use of medication, in conjunction with cognitive or behavioral therapy, to offer an alternative strategy to treatingopioid addiction.

Below at The Family MD, we incorporate reducing edge innovation with MAT treatment inScottsdaleArizona.
Although MAT has saved numerous patients from opioid associated issues and fatality, less than 20% of those struggling with opioid dependency have accessibility to it.In addition to geographical restrictions, there is a scarcity of medical professionals that are trained in its application. According to SAMHSA, less than 7 percent of physicians are effectively waivered to deal with opioid dependency. Tele- MAT solutions, like we provide atThe Family members MD, is one means to enhance access to take care of those who may not or else have the ability to do so because of cost, lack of access to or lack of accessibility of prescribing doctors.

The M inMATstands for particular FDA approved medicine that is utilized to lower desires as well as physiologic dependence on opioids. While there are multiple formulas and manufacturers, all of them can be summarized in 3 medications:.
1) Buprenorphine.
2) Methadone.
3) Naltrexone.
The first 2, buprenorphine as well as 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 addiction, probably the very best one for a lot of individuals is buprenorphine/naloxone (Suboxone) as a result of its beneficial account. Since it is just a partial agonist, it protects against the sensations of bliss when taken, decreases cravings at the same time, and discourages IV shot. Consequently, buprenorphine/naloxone (Suboxone) is the only FDA approved treatment that is prescribed at The Family MD. With greater than 95% of people withdrawal cost-free at 5 days, our results are a testimony to our expertise when dealing with opioid dependency. Set up an appointment currently to discuss more just how we can best aid you attain lasting sobriety.


SHIFT FROM METHADONE Arizona.


What is Methadone?

Methadone is just one of 3 medications that is FDA accepted for the therapy of opioid usage.
disorder, as aMedication- assisted treatment( MAT). It is the very first of the floor covering medications (approved in the 1960s) and is one of the most greatly researched.Unlike the various other two medicines that are made use of in floor covering, methadoneis a full opioid agonist, which means it lugs all the threats that any kind of other opioid off the road would have.These consist of bliss, risk of respiratory anxiety, opportunity of overdose, as well as hallucinations to name a few points. Due to this, other floor covering medicines such asSuboxonehave now come to be more liked because of its minimal negative effects account. Scottsdale Arizona.



The Length Of Time Does Methadone Withdrawal Last?

If changing fromMethadoneto an additional floor covering medication, such asSuboxone, it is initially vital to.
reduce the amount of methadone one is on to 30 mg daily for a minimum of one week. As soon as steady on this dose, methadone is discontinued completely as well as suboxone started when mild- moderate withdrawal signs and symptoms begin to set in, which is typically after 36 hrs but may vary depending on addiction extent. After three to 5 days, withdrawal is normally complete and client is now successfully on Suboxone.

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

We offer Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to help clients.
conquered methadone addictionand withdrawal.Get started today by setting up a digital go to with among our board- certified doctors.Whether youre in your home, at the workplace, or on lunch break, weve got you covered and also are below to make recuperation easy.Click below to set up currently.

 

  

How it functions
It is necessary to first stop all methadone usage. You need to wait until you have mild to moderate withdrawal symptoms (normally 12- 72 hrs) before taking your initial dosage of Suboxone. If it is taken too early, it can compel you into precipitated withdrawal, which is both very awkward as well as may be dangerous. Continue as routed by your doctor and thats it. Normally 95% of our individuals do not have any withdrawal signs and symptoms after the very first 5-7 days of beginning Suboxone. You may likewise request extra drug to aid reduce withdrawal signs so that you can continue with your everyday activities (work, institution, and so on) without skipping a beat.

 

TREATMENT FOR NORCO WITHDRAWAL Scottsdale Arizona 

 What is Norco?

Norco is a combination pain drug, including both acetaminophen and hydrocodone. It is used to treat modest to severe discomfort. Hydrocodone, which is the addictiveopioidcontained withinNorco, is stemmed from either codeine or thebaine and it is the most often recommended opioid in the USA. It is usually for short-term discomfort and is regularly utilized as an antitussive (coughing suppressant). When over used, it can additionally be squashed as well as grunted. It takes about 10 to half an hour for you to feel the effects ofNorcowhen taken and also results can last as much as four to 6 hrs. Other brand name which contain both hydrocodone and acetaminophen are Lortab, Vicodin, Lorcet- HD, Hycodan, as well as Vicoprofen.


For How Long Does Norco Withdrawal Last?

The start ofwithdrawal symptomsroughly begins regarding six to twelve hrs after last use. Signs and symptoms generally come to a head around day three and are normally considerably decreased by 7 to ten days. Sometimes it is feasible to last longer than ten days relying on the seriousness of the addiction and also it varies on a situation by case basis.


The Family Members MD Focuses On Norco Dependency and also Withdrawal Treatment

We offerMedication- aided treatmentwith Buprenorphine/Naloxone (Suboxone) to aid patients overcomeNorcoaddiction andwithdrawal. Get going today by setting up an online visit with among our board- accredited physicians. Whether youre in the house, at the workplace, or on lunch break, weve got you covered and also are right here to make healing easy. Go here to schedule currently.





Exactly how it functions
It is very important to first quit all Norco usage. You must wait till you have moderate to moderate withdrawal signs and symptoms (normally 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 uneasy and may be dangerous. Proceed as routed by your medical professional which it. Generally 95% of our people do not have any type of withdrawal symptoms after the first 3-5 days of startingSuboxone. You may likewise request additional medicine to assist ease withdrawal symptoms to ensure that you can continue with your day to day activities (job, institution, etc) without missing a beat.

TREATMENT FOR OXYCODONE WITHDRAWAL Scottsdale Arizona


What is Oxycodone?

Oxycodone is a prescription opioid medicine that was first made in 1916 from thebaine, a component of poppy plant. It is utilized for therapy of modest to severe discomfort and also is known for being extremely habit forming. It typically starts to control discomfort within fifteen minutes as well as can for up to six hrs with the immediate launch solution. It is additionally offered under the brand names Roxicodone as well as OxyContin (which is the prolonged release form), to name a few. The extensive launch form is slowly launched right into the body and supplies all the time pain control. As a result of the slower beginning, it has less potential for abuse contrasted tooxycodonewhich has a quicker start of action.



How Long Does Oxycodone Withdrawal Last?

The start ofwithdrawal symptomsroughly begins concerning 8 to twelve hours after last use. Symptoms usually peak around day 3 and rarely last longer than five to 7 days. As always, there can be a prolonged withdrawal stage depending on the severity of dependency as well as depending upon specific elements.

The Family MD Concentrates On Oxycodone Dependency and also Withdrawal Therapy

We offerMedication- assisted treatmentwith Buprenorphine/Naloxone (Suboxone) to assist individuals overcomeoxycodone addictionandwithdrawal. Get started today by arranging an online visit with one of our board- accredited physicians. Whether youre in the house, at work, or on lunch break, weve got you covered and are here to make healing very easy. Go here to arrange currently.

 

 

Just how it functions
It is very important to first quit all oxycodone use. You have to wait up until you have light to moderatewithdrawal symptoms( usually 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 unpleasant as well as may be dangerous. Proceed as routed by your physician which 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 might additionally ask for added medicine to assist relieve withdrawal signs and symptoms to make sure that you can continue with your everyday activities (job, college, and so on) without skipping a beat.

TREATMENT FOR FENTANYL WITHDRAWAL Scottsdale Arizona


What is Fentanyl?

Fentanyl is an artificial opioid, which indicates that it is created by pharmaceutical business in the lab. It is a very effective opioid and also is about 50- 100 times much more stronger than morphine. As a result of its potency, it is largely being made use of for discomfort administration therapy of cancer individuals. Of note, numerous individuals are not aware they are purchasingfentanyllaced products when they get opioids. Distributors do this since it makes drugs cheaper, raises potency, enhances addicting homes, and also consequently, makes thesefentanyllaced medications extremely unsafe also in little doses. Start to action is 3 to five minutes if used intravenously. Other typical types that it is manufactured in is as a transdermal patch (Duragesic), as a lozenge called lollipops (Aqtic), and also in an injectable form (Sublimaze).



How Much Time Does Fentanyl Withdrawal Last?

The start ofwithdrawal symptomsroughly begins about 6 to twelve hours after last use. Signs and symptoms generally peak around day three and hardly ever last longer than five to seven days. Nevertheless, it might happen depending on the severity of addiction or instance by situation basis.

The Family Members MD Specializes in Fentanyl Addiction as well as Withdrawal Therapy

We offerMedication- helped treatmentwith Buprenorphine/Naloxone (Suboxone) to aid clients overcomefentanyladdiction andwithdrawal. Start today by setting up an online check out with among our board- accredited medical professionals. Whether youre at home, at work, or on lunch break, weve obtained you covered and are right here to make recovery simple. Click on this link to set up currently.





Just how it works
It is essential to initial quit all Fentanyl usage. You have to wait until you have moderate to moderate withdrawal signs (usually 12- 72 hours) prior to taking your first dose ofSuboxone. If it is taken prematurely, it can compel you into precipitated withdrawal, which is both very unpleasant as well as may be dangerous. Continue as guided by your medical professional which it. Normally 95% of our people do not have any withdrawal signs after the first 3-5 days of starting Suboxone. You might likewise request extra medicine to aid ease withdrawal signs so that you can continue with your everyday tasks (job, institution, etc) without skipping a beat.

TREATMENT FOR OXYMORPHONE/OPANA WITHDRAWAL Scottsdale Arizona

 

What is Oxymorphone?

Oxymorphoneis a very potentopioidindicated for the therapy of serious discomfort. It is a lot more commonly recognized asOpanaor Numorphan. It is considerably stronger than morphine and is utilized to treat pain that is unresponsive to other opioid medicines. In 2017, the FDA asked the maker of oxymorphone to eliminate its item from the US market as well as because has been not available in the US. Nonetheless, extended launch oxymorphone formulations are still offered in the United States due to its somewhat lower misuse possibility. The instant release manages pain 5-10 minutes if taking IV, and also after half an hour if taken orally, and afterwards last 3-4 hours. If taking the extended release, pain 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 very important to very first quit all oxymorphone usage. You should wait till you have moderate to modest withdrawal signs (typically 12- 72 hrs) prior to taking your very first dose of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both extremely awkward and also may be dangerous. Proceed as guided by your physician and thats it. Normally 95% of our people do not have anywithdrawalsymptoms after the initial 5-7 days of startingSuboxone. You may additionally request added medicine to aid alleviate withdrawal symptoms to ensure that you can continue with your everyday tasks (work, college, and so on) without missing a beat.

TREATMENT FOR TRAMADOL WITHDRAWAL Scottsdale Arizona

 

What is Tramadol?

When it was originally authorized in 1995, tramadol was ruled out an opiate although its mechanism of activity was similar. Nonetheless, due to all the cases of misuse and also dependency, the FDA eventually marked tramadol as an illegal drug in 2014. Compared with various other controlled substances nevertheless, tramadol has less potential for abuse. Due to this, tramadol is one of the many typical treatments for osteoarthritis and other uncomfortable conditions.


How Much Time Does Tramadol Withdrawal Last?

The onset of withdrawal signs approximately begins regarding thirty- six to seventy- two hours after last usage. Signs typically last 5 to 8 days. As constantly, there can be an extended withdrawal stage depending upon the severity of addiction as well as depending upon private aspects.


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

We offer Medication- assisted treatment with Buprenorphine/Naloxone (Suboxone) to assist clients get over tramadol dependency and also withdrawal. Get going today by setting up an online browse through with one of our board- licensed medical professionals. Whether youre at home, at the workplace, or on lunch break, weve obtained you covered as well as are here to make recuperation easy. Go here to schedule currently.

 

 

How it works

It is essential to first stop all tramadol use. You have to wait up until you have moderate to moderate withdrawal signs and symptoms (generally 12- 72 hrs) prior to taking your first dose of Suboxone. If it is taken prematurely, it can force you right into precipitated withdrawal, which is both really unpleasant and might be dangerous. Proceed as routed by your medical professional and thats it. Usually 95% of our patients do not have any kind of withdrawal symptoms after the very first 3-5 days of beginning Suboxone. You might additionally ask for additional drug to help alleviate withdrawal symptoms to ensure that you can proceed with your everyday activities (job, school, etc) without skipping a beat.TRAMADOL

TREATMENT FOR CODEINE WITHDRAWAL Scottsdale Arizona

 

 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 Scottsdale Arizona

 

 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 Scottsdale Arizona

 
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 Scottsdale Arizona

What is Meperidine?

The brand name variation of Meperidine is called Demerol. It has an abuse prospective comparable to that of morphine, but it ought to not be made use of for therapy of persistent pain. Meperidine ought to only be used in the therapy of acute episodes of severe discomfort because of the threat of seizures from the build-up of meperidine metabolites, particularly normeperidine, if it is made use of long-term. Along with seizures, it can likewise trigger serotonin syndrome if used in mix with specific drugs. It is available in intramuscular, subcutaneous, intravenous, syrup, and tablet kinds.



How Long Does Meperidine Withdrawal Last?

The onset of withdrawal symptoms roughly starts regarding three- twenty 4 hrs after last usage. Symptoms commonly come to a head around 3 days as well as begin to lower in strength after the very first week. Some symptoms might be presented for a prolonged period of time relying on the seriousness of the dependency.

The Household MD Specializes in Meperidine Dependency and Withdrawal Therapy

We provide Medication- assisted therapy with Buprenorphine/Naloxone (Suboxone) to assist patients conquer Meperidine dependency and also withdrawal. Get started today by arranging a virtual go to with one of our board- licensed physicians. Whether youre in your home, at the office, or on lunch break, weve got you covered and also are here to make healing very easy. Visit this site to arrange currently.







How it works

It is important to initial stop all Meperidine usage. You must wait till you have mild to moderate withdrawal signs (generally 12- 72 hours) prior to taking your first dosage of Suboxone. If it is taken prematurely, it can compel you into precipitated withdrawal, which is both extremely uneasy and might be dangerous. Proceed as directed by your doctor and thats it. Normally 95% of our clients do not have any withdrawal signs and symptoms after the first 5-7 days of starting Suboxone. You might likewise request extra drug to help relieve withdrawal signs to ensure that you can continue with your daily activities (job, institution, etc) without skipping a beat.