Moving to a new place can be nerve racking experience or a pleasant Best Removal Companies in Sandton 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 Furniture In My Home 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, Need Help Moving Furniture In My Home 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.
Dealing with the side effectsPainkillers do two things to do: dry you out (dehydrate) and constipate you. The first is relatively easy to deal with (drink more water); the latter is almost impossible to deal with. Try stool softeners and laxatives, and maintain a very high fiber diet. Unfortunately, in my case, I did these things and still stayed "stopped up" most of the time. You can build up a dependency on stool softeners and laxatives, so don't use them for more than a week or so. An enema might be necessary if you really need relief after a few days, but you can build up a dependency on them, too, so be careful. A herniated disc is one of the most grueling pains to deal with, because it's truly unrelenting and sometimes insurmountable no matter what you do, even with the toughest painkillers available. I had an L5-S1 herniation a few years ago, and it took almost 5 months for me to get surgery (a discectomy) approved and scheduled; in the meantime I was up just about every night with pain, and daytime wasn't a whole lot better. This is my advice on how to deal with the pain, with respect to painkillers and other strategies. Keep in mind that I'm not a doctor, and I'm simply relating my own experience. You should consult with your doctor about what sort of pain relief program to start. During the course of my herniated disc experience, I tried just about every analgesic available. My general advice is: take painkillers before you start to feel intense pain--most narcotics work better at preventing an onslaught of pain than diminishing it once it's on full-strength never up your dose as a step - work up very, very gradually according to your needs. Keep in mind the painkillers do not completely eliminate the pain - they just bring it down to a manageable level. if you wake up in the middle of the night in pain, try walking around before taking a painkiller. I would grab a book, magazine, iPod or my laptop computer (I'm not joking!) pace back and forth for about 30-45 minutes before taking a painkiller. Then, the pain will have subsided enough to allow the painkiller to work. Distract, distract, distract. Try anything - everything - to get your mind off the pain. I guess this depends on your personal philosophy, but with a pain like sciatic pain from a herniated disc, I've found that concentrating on the pain does absolutely nothing except remind you you're feeling miserable! I became a big fan of comedies and engrossing scifi dramas. Beyond painkillers Here are a few tips that worked for me: walk, walk, walk - even simple pacing usually helps reduce pain; try walking before taking painkillers if the pain is especially intense lie on a couch with your legs lifted up onto the armrest. This tends to feel better than lying down completely flat. avoid sitting on anything soft. Sit on completely rigid seats (like flat wood). stand as much as possible, and gently rock if your legs start to get tired. (Just ignore those that think you look like a crackhead!) 1. OTC painkillersAdvil (ibuprofen) or Aleve (naproxen sodium) do well if the pain is very mild. Note, you can not take these if you're gearing up for a spinal injection or surgery. You can try Tylenol (acetominophen) but I found it not to work too well on its own. 2. Vicodin (hydrocodone + acetominophen)Vicodin is the next step up from the OTC painkillers. It lasts about 4 hours, and hits its peak of pain relief at the 1.5-2 hour point. Keep in mind that it is a narcotic, like all those below, so you shouldn't drive a vehicle or make any important decisions while under vicodin.Vicodin is composed of hydrocodone and acetominophen, and states the proportion of both ("5/325" means 5mg hydrocodone and 325 mg acetominophen). Acetominophen is toxic to the liver, so you should never exceed 4000 mg of it per day (or approximately 12 pills containing 325 mg each), but I would suggest keeping it below that.Keep close track of how many pills you are taking per day. When you start getting to the 10-pill-per-day point, ask your doctor for something stronger. 3. NorcoNorco is effectively the next level up from Vicodin, with a higher relative dosage of hydrocodone vs acetominophen than Vicodin. For example, while Vicodin might be 10/660 (meaning 10mg hydrocodone and 660mg acetominophen), a comparable Norco dosage might be 10/325, or 10mg hydrocodone and only 325mg acetominophen. The lower acetominophen allows you to take a higher painkilling dosage of hydrocodone. In terms of the way it makes you feel, it just feels like a stronger version of Vicodin. If Vicodin was working for you, but you have to step up your analgesic level, then Norco is the next obvious step. 4. Percocet (oxycodone)A similar opioid narcotic to hydrocodone, but considerably stronger, oxycodone is also mixed with acetominophen to make Percocet (OxyContin is the time-release version without the acetominophen; because it doesn't have the acetominophen to prevent overdosing of oxycodone, OxyContin is highly addictive and my doctor said he almost never prescribes it anymore). The dosages I took of Percocet were 5/325 and 10/325 before surgery. I was taking more than 12 pills of the 10/325 dosage on the day before surgery, so I would say this is the medicine of last resort. There is one more option - morphine - but I personally found it to not work as well. (A morphine IV drip would, probably, but the time-release pill, Kadian, did not) My treatment historyIf you want to read what I went through with respect to treatment (including cortisone injections and a discectomy), please read my hub on herniated disc treatment options. What didn't work as well for meThese painkillers didn't work too well for me, but YMMV so you might want to ask your doctor about them if you're in a lot of pain. Apparently some of these modalities work wonderfully for people with certain pain patterns. 5. Kadian (time-release morphine)This did not work well for me - I felt high but in pain - but is a popular painkiller for a badly herniated disc so it's apparently often prescribed.I personally don't like the feeling of being high at all - I guess I'm a control freak over my brain function! - but I will say the high is not a particularly pleasurable one. Please don't take that as a challenge!But if it ends up working for you, ask your doctor for a coupon card for this - I didn't even have to pay a copay for it, since I had $50 per month covered by Kadian. 6. Dilaudid (hydromorphone)This painkiller is supposed to last longer than the typical 4-hour window of vicodin/norco/percocet, but I found it to, like Kadian, not work all that well for the pain. It's supposed to be especially effective for nerve pain, and was supposed to allow me to sleep through the night without waking up. Didn't do that for me. 7. Ultram (tramadol) Ultram didn't work as well at managing pain, either. Ironically, it's supposed to help with neuralgia (nerve pain). I was given free samples by my doctor.
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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