Moving to a new place can be nerve racking experience or a pleasant Best Moving Options in Pretoria one. It basically depends on how you choose it to be. Moving and packing go hand in hand and how you pack ultimately determines how your moving in experience to a new place finally concludes. You should focus on making things smoother rather than doing everything at the eleventh hour. Steps like getting together packing tools like padding, tapes, boxes, markers etc., cleaning the house for important items, and making reservations with the movers should be taken well before time. Similar steps which should be taken care of well in advance are discussed below –
Gather All the Goods and Items
Gather all the goods and items you need to pack in one place. It often happens that Need Help Moving important things are left behind and that is something you would not like when you are amidst unpacking in your new house/office.
Ready the Supplies and Boxes
Before you actually start packing your stuff, you need to make sure that you have all the pre-requisites such as boxes of different sizes, markers, duct tapes, and padding tools. It is very important that you have these in place before you start packing as it can be a real inconvenience getting these things later on.
Prepare Important Paperwork for the Move
Prepare a proper paperwork wherein you would have a detailed list of things that need to pack as well as the things that you have packed. It would come in very handy once you start unpacking.
Start Packing in Advance
It is always advised to start the packing process in advance. It not only saves you precious time but also reduces the hassles in the end. The lesser the hassles, Home Removalists the lesser the errors and mistakes. Even the best movers would advise you to do the same.
Use Proper Padding
Simply packing things is not enough. You need to make sure that you make proper provisions for the protection of the things you have packed. Proper padding is also important because you never know what is going to happen to your goods and how are they going to be treated. Sudden and uncertain accidents may damage your goods for good. It is thus, always advised to provide proper protection to your packed items. This can be done by bubble wraps or old and used clothes. You can even use Thermocol to add more protection to delicate items.
Take Pictures of Electronic Set-Ups
Electronic set ups can be hard to put back the same way as they were set up before. It often happens that people are unable to set up electronics the exact same way after they have moved into a new place. It is therefore highly recommended that you take photographs of such complicated electronic set ups so that you can late refer to these pictures while setting up again in your new house/office.
Pack in Separate Boxes
While packing your stuff, it is important that you use different boxes and that too of various sizes. It is imperative to do so as this will help you a lot while you unpack. Packers and movers would advise you the same as it is very convenient to unpack different things from different boxes as compared to unpacking everything from one single box.
Pack on An “Open – First” Basis
Last but definitely not the least, always pack your stuff as per ’Open – First” basis. While you pack, always put in stuff which you will need last. This way, when you start unpacking, you will get your hands on things that you need immediately.
Several Autoimmune DisordersDid you know there are more than 80 yypes of autoimmune disorders? No, I promise not to list all of them. I will briefly cover the more common autoimmune diseases that I haven’t written about in the past. I have recently written about Rheumatoid Arthritis, Sjogren’s Disease and several hubs on Lupus so you can read detailed information on those diseases. In the normal person, the body’s immune response protects them from invading diseases and infections. In a person with an autoimmune disorder things have gone haywire. Your body doesn’t recognize invaders from your healthy tissue, so your white blood cells or T cells attack healthy organs. They can virtually affect every part of your body. These diseases usually attack women, particularly African-American and Native-American women. Many autoimmune disorders have similar symptoms, which makes diagnosis that much more difficult. Often this process is frustrating as your first symptoms are fatigue, muscle aches and low fever. The diseases sometimes flare-up and sometimes go into remission. Most autoimmune diseases affect women more often than men, with higher percentages for Afro-Americans and Native-Americans people. Celiac DiseaseCeliac disease is another autoimmune disease characterized by an inappropriate immune response to dietary proteins found in wheat, rye, barley (gluten and gliadin). This response leads to inflammation of the small intestine and to damage and destruction of the villi that line the intestinal wall. These villi are projections (small folds) that increase the surface area of the intestine and allow nutrients, vitamins, minerals, fluids, and electrolytes to be absorbed into the body. When the villi are destroyed, the body is much less capable of absorbing food and begins to develop symptoms associated with malnutrition and malabsorption. When the body is exposed to the gluten and gliadin proteins, it forms antibodies that recognize and act against not only the grain proteins, but also against constituents of the intestinal villi. As long as the patient continues to be exposed to the proteins, he will continue to produce these auto-antibodies. Celiac disease is most prevalent in those of European descent, probably inherited, can affect anyone at any age. It is thought to be an inherited tendency that is triggered by an environmental, emotional, or physical event.. The possible symptoms include: abdominal pain and distension anemia bleeding tendency bloody stool bone and joint pain changes in dental enamel diarrhea fatigue greasy foul-smelling stools oral ulceration, weakness weight loss. Children with this disease may experience delayed growth and development. It is estimated that 1 in 133 people in the U. S. have celiac disease but only 3% have been diagnosed. Patients with celiac disease must follow a lifelong gluten-free diet.. Once all forms of wheat, rye, and barley have been removed from the diet the patient improves. It is important to detect and treat celiac disease as soon as possible, especially in young children. Celiac disease should be considered in infants who are not thriving, since foods with gluten are common and celiac auto-antibodies may begin to develop shortly after a child switches from milk to solid foods. In most cases the patient can lead a normal life by adhering to the diet. SclerodermaThis is in a group of rare, progressive diseases that involve hardening and tightening of the skin and connective tissues — the fibers that provide the framework and support for your body. Localized scleroderma affects only the skin. Systemic scleroderma also harms internal organs, such as the heart, lungs, kidneys and digestive tract. Scientists estimate that about 250 people per million have some form of scleroderma. The most prevalent signs of this disease include Raynaud’s phenomenon, Gastroesophageal reflux disease (GERD) which in addition to acid reflux you may have trouble absorbing nutrients, and skin changes which may include swollen fingers and hands, thickened patches of skin, particularly on the fingers; and tight skin around the hands, face or mouth. The skin will appear shiny because it is so tight. I have a friend with this disease and she must wear a restrictive binding on her left arm from the top to her wrist, which means she always wears long sleeves. That’s not much fun living in Florida. This disease affects not only your skin but also your blood vessels and internal organs; there are sub-categories defined by what area of the body is being attacked. One is called CREST and results from an overproduction and accumulation of collagen in body tissues. Native Americans get this disease 20 times more often than the general population, and it is more common with Afro-Americans as well. It occurs 4 times more often in women than men. While there is no known cause exposure to silica dust, common in coal mines and rock quarries, some industrial solvents such as paint thinners and certain chemotherapy drugs may exacerbate the disease. There is no cure and treatment is typically the same as that for lupus patients, corticosteroids, Plaquenil, and anti-inflammatory medications. PolymyositisThis is another uncommon connective tissue disease which is characterized by muscle inflammation and progressive weakness, particularly in skeletal muscles which control movement, involving those closest to the trunk of the body first. It most commonly occurs in 30-50 year old people. Signs usually develop gradually over weeks or months. The weakness is symmetrical; affecting both the left and right sides of your body, and tends to gradually worsen. Polymyositis is in a group of diseases or disorders of the muscles called inflammatory Periods of remission are possible. Treatment to strengthen muscles should start early as there is no cure. Other symptoms may include difficulty swallowing, speaking, mild joint or muscle tenderness, fatigue and shortness of breath. Treatment is corticosteroids, (which often start at very high doses then taper down), Cytoxan, cyclosporine and sometimes intravenous therapy of Immunoglobulin containing healthy antibodies from blood donors. There are several investigation drugs also being tried at the present time. These patients will need physical and speech therapy, plus a dietetic assessment. Raynaud’s DiseaseRaynaud's disease is a condition that causes some areas of your body — such as your fingers, toes, tip of your nose and your ears — to feel numb and cool in response to cold temperatures or stress. In Raynaud's disease, smaller arteries that supply blood to your skin narrow, limiting blood circulation to affected areas. It is more common in cold climates and also affects women more than men. This disease frequently is present along with other autoimmune diseases. During an attack of Raynaud's, affected areas of your skin usually turn white at first. Then, the affected areas often turn blue, feel cold and numb, and your sensory perception is dulled. As circulation improves, the affected areas may turn red, throb, tingle or swell. There are two type of Raynaud’s disease; primary and secondary. The secondary is considered the more serious disease and usually appear after 40 years of age. The causes of this disease are numerous; other autoimmune diseases, carpal tunnel syndrome, repetitive trauma, smoking, chemical exposure and certain medications including some blood pressure treatments Juvenile Rheumatoid ArthritisIts It is the most common type of arthritis of those under 16 years of age, affecting 50,000 in the U. S. It’s a chronic condition causing joint swelling, inflammation, pain, swelling, redness and stiffness. I t may also affect the eyes and internal organs. About 1/5th of patients have an enlarged spleen. There are 3 categories: Pauciarticular- about 50% of the cases are this type and most common in girls under 8 years old Polyartifular – about 30% of the cases and it affects 5 or more joints, especially in the hands and feet. Systemic – about 20% have this type and if affect both joints and internal organs. These children may have frequent fevers and rashes that come and go rapidly. Doctors diagnosis this disorder once a patient has had the symptoms for at least 6 weeks. These symptoms may include morning stiffness, limping, reluctance to move an affected joint, joint pain and swelling. Patients with systemic JRA may have intermittent fever, rash, swollen lymph nodes, and in some cases liver, spleen, (very rarely) lung involvement and eye inflammation. The cause of this autoimmune disease is also unknown. It tendency may be inherited but is believed to that a triggering event is required for it to emerge. Several types of blood tests and x-rays are done to aid diagnosis. There is no cure so treatment is to relieve the discomfort of the symptoms. It is a heart breaking disease to see children suffer. Autoimmune PancreatitisThe term "autoimmune pancreatitis" was first used in Japan in 1995 to describe a newly recognized form of chronic pancreatitis. Since then, Mayo Clinic has played a major role in identifying, describing and treating the disorder in the United States. Mayo Clinic researchers have identified 2 types of this disease including one that can develop as young as 12 years of age. It is diagnosed from several test with the most accurate being a core biopsy. Symptoms of autoimmune pancreatitis often improve dramatically after a short course of corticosteroids. But relapses are common, and some patients require additional or long-term therapy. Multiple Sclerosis This is a chronic autoimmune disease that affects the central nervous system. It causes Inflammation and the destruction of myelin. Myelin surrounds nerve fibers and acts like insulation on a wire preventing “short-circuits” that divert a nerve signal from having its desired effects. The “demyelination” process interferes with nerve impulse transmission, affects muscular control, and causes a variety of sensory, motor, and psychological symptoms. Again the cause is unknown but it is thought to be an autoimmune process triggered by a virus, environment factors and it has a genetic predisposition The first symptoms usually occur between ages 20-40. It affects women more frequently than men, is more common in Northern European Caucasians. It important to manage the symptoms of multiple sclerosis, as well as, treating the disease before permanent damage causes symptoms. Interferon, corticosteroids and several other medications are used. Wegener’s GranulomatosisThis is another uncommon autoimmune disease that affects about 1 in 20,000 people. Again there is no known cause or cure. Symptoms are due to inflammation that can affect many tissues in the body, including blood vessels (vasculitis), which makes it a very serious disease. It affects the upper (sinuses and nose), and lower (lungs), respiratory system and frequently involves the kidneys, lungs, eyes, ears, throat, skin and other body organs. Other symptoms include nasal membrane ulcerations and crusting, saddle-nose deformity, inflammation of the ear with hearing problems, inflammation of the eye with sight problems, cough (with or without the presence of blood), pleuritis, (inflammation of the lining of the lung), rash and/or skin sores, fever, lack of energy, weakness, fatigue, loss of appetite, weight loss, arthritic joint pain, night sweats, and blood in urine which may or may not be indicated by a change in urine color. Diagnosis is established by clinical and laboratory findings such as the ANCA blood test, other blood and urine tests, x-rays, and tissue biopsy. Treatment varies based on patient symptoms and disease activity. Corticosteroids and Cytoxan are the initial treatments, then Methotrexate or Azathioprine. Graves DiseaseGraves’ disease is the most common cause of overactive thyroid gland. It is caused by an auto-antibody that acts like thyroid-stimulating immunoglobulin which cause the thyroid to produce excessive hormones. It is usually seen in women over 20 and may cause symptoms and signs such as weight loss, increased appetite, hand tremors, heat sensitivity, sweating, nervousness, and in some patients, protruding eyes. Patients often have a higher heart rate and an enlarged thyroid (goiter).Radioactive iodine uptake in measured amounts is swallowed and considered a critical component for treatment. I had a friend with this disease and they finally "killed" her thyroid as she didn't respond to treatment. The symptoms made her miserable in the meantime. There Are So Many More DiseasesMy intent was to give you an overview of some of the better known autoimmune diseases. If you have one of the disease I'm sure you know a good deal more about it than what I wrote, but if you have symptoms maybe one of these descriptions will help you. Of course, you want to be seen by a doctor and remember your symptoms are real, not in your head as many of us were told before we got a diagnosis. Living with a chronic illness isn't easy but it is certainly better when you get it diagnosed and find out what you can do to improve your health. There is so much literature available on the internet, in books and I linked several hubs from other authors from Hub-pages that may be of help. I wish you all to be in the best of health!
Different types of gallbladder diseasesDo you think you might have gallbladder disease? I had it for years before my suspicions were confirmed. I knew I fit the standard profile or the four “Fs” – fat, forty, female, and fair (white). I had also had several children but hadn’t breastfed, which made me an even more likely candidate. My gallbladder symptoms were rather vague. They included some pain, but it wasn’t severe. The worst part of the disease was that I just felt bad much of the time. Once the problem was identified, I was ready to get that sucker out! The physician who performed my gallbladder removal was an old schoolmate, so I felt completely comfortable with him, and we joked around a lot. I tried to talk him into letting me have the organ after the surgery. He asked me what I was going to do with it, and I told him I wanted to use it for shark bait. He didn’t give me my gallbladder, and I never could understand why not. After all, it was mine, and I was paying for the gall bladder surgery! GallbladderThe human gallbladder (or gall bladder, as it sometimes appears in search engines) is located just under the liver, in the upper right part of the abdomen. The gallbladder is a sac-like organ, typically about three inches long, and it’s capable of holding a little less than two ounces of bile. Bile, an acidic fluid, is produced by the liver and is concentrated and stored in the gallbladder. When we consume foods that contain fat, a message is sent to the gall bladder to squirt bile into the duodenum, which is the first section of the small intestine. Bile helps the body break down and digest fats. Gallbladder disease Most people associate gallbladder disease only with gallstones. You can, however, have gall bladder disease without having gallstones. I did. When I first began to have pain in my gallbladder region, I ignored it for a long time. Since it persisted, I finally went to the doctor. He ordered an ultrasound, which revealed no gallstones. I left the office, without a clue as to what was causing my pain. When the gallbladder symptoms persisted, I returned to my doctor. He ordered another ultrasound, and again, no gallstones were found. I convinced him that something was going on with my liver or gall bladder, so he sent me to our local hospital for more tests. There, I had a gallbladder function test. For this, I was injected with a synthetic fat, and the technician watched my gallbladder on a screen to see how the organ was functioning. My doctor’s nurse called with the results. My gallbladder was functioning at 1%! In other words, it was “dead,” even though I had no gallstones. There are several types of gallbladder disease. Cholelithiasis is the term used when gallstones have formed in the biliary tract, and cholecystitis is when the gallbladder is inflamed, usually due to gallstones. Choledocholithiasis is when gallstones are blocking the bile ducts. Cholangitis is the inflammation of the bile duct, often caused by an infection. Cholestasis is the term used when the flow of bile is significantly reduced or completely obstructed. Acalculous biliary dyskinesia is the term used for a gallbladder that doesn’t function properly, in the absence of gallstones. Obviously, I had the latter. My doc sent me to a surgeon, and my gallbladder surgery was scheduled. Gallbladder symptoms – gallbladder attack Gall bladder symptoms can vary from person to person. I usually experienced an almost constant nagging pain, but many people have a sudden onset of gallbladder symptoms, which is often called a gallbladder attack. My gallbladder symptoms included pain just beneath my ribcage on the right side, along with a full feeling. A gall bladder attack, on the other hand, might include more severe pain and vomiting. Gallbladder symptoms might also include fever, diarrhea, and/or chills. Gallbladder pain might also be felt under the breast bone or in the back, under the shoulder blades. A gallbladder attack can be triggered by different foods with different people, but foods high in fat are the usual culprits. Sometimes an attack can be caused by seemingly no reason at all. An episode might last less than an hour, or it could last for several hours. I know people who suffered extreme gallbladder pain and excessive vomiting. For others, like me, the symptoms can be vague and hard to pinpoint. Gallstones Gallstones are fairly common, but most people don’t realize they can be life-threatening. The stones are formed in the gallbladder and might be as small as grains of sand or almost as large as a hen egg. Gallstones vary in composition and color. They might consist of cholesterol, bilirubin, phosphate, calcium, or a combination of these materials. Gallstones range in color and might be green, pale yellow, brown, or almost black. Gallstones that obstruct the bile ducts can cause pancreatitis or ascending cholangitis, both of which can result in death. Gallbladder surgery – gallbladder removal The term for gallbladder surgery is cholecystectomy, and there are two basic types – open and laparoscopic. Gall bladder surgery – the open version - used to be terrible, as the patient was practically “sawn in half” and had to stay in the hospital for several days. Nowadays, however, gallbladder removal is often done laparoscopically, with just three or four small incisions in the abdomen. Thankfully, my gall bladder removal was done in the second manner I described. My gallbladder surgery took only a few minutes, and as soon as I recovered from the general anesthesia, I was allowed to go home. I had four incisions, but only one really caused me pain – the one in my upper right abdomen. It didn’t hurt all the time, but when I used my abdominal muscles to get up or to lie down, that incision hurt. You don’t realize how much you use those muscles until they’re compromised in some way. I never did have to take any pain meds, however, even though I was prescribed some narcotics after my gall bladder surgery. This was just before Christmas vacation from school, so I was off for several days to recover. It didn’t take long, though, for me to be better than new! In fact, just a couple of days after my gallbladder removal, I hosted a huge Christmas party. I felt better than I had in years, as that constant gnawing pain and the general sense of not feeling well were both eliminated – forever. Well, I still have other aches and occasional illnesses, but they’re not associated with my gallbladder. If you think you might have gallbladder disease, please get it checked out. I wish I had done so sooner. Having gallbladder surgery was one of the best decisions I’ve ever made.
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