There are millions of people all over the world who come down with a case of pneumonia each year. In the US alone, there are nearly 120 million cases annually. One common misconception about Pneumonia is that it is a disease in and of itself. The term describes the appearance of multiple symptoms together. This means the underlying cause of Pneumonia can vary significantly, with a common source being the flu. Keep reading to learn more about Pneumonia.

What To Know About Pneumonia And Its Treatment

Since Pneumonia is a collection of symptoms resulting from other conditions, it comes in many forms. When Pneumonia bacterial infection causes pneumonia, antibiotics may be able to help treat it. When Pneumonia is, instead, the result of a virus, there are a limited number of treatments available. This fact is particularly concerning since Pneumonia most commonly occurs in the very old and very young. Some other facts about Pneumonia include:

• It’s An Infection Of The Lungs – This condition results from one or more infections that cause the lungs to fill with fluid. 
• It Affects Vulnerable Patients – Those who are immunocompromised, very young, or very old are those most likely to contract this condition. Over 100 million cases in the US each year are in children under five years of age. 
• It Can Be Deadly – Of those 100 million cases, 10% become severe, with 880,000 deaths. The majority of these deaths are in those under two years of age.
• Hospitalization Is Frequent – Pneumonia rates as the second highest reason people are admitted to the hospital, second only to childbirth. Nearly one million adults are admitted to the hospital with Pneumonia each year, with 5% of these cases ending in the patient’s death.
• Bacterial Pneumonia Can Be Treated – When Pneumonia is the result of a bacterial infection, it’s easier to treat. Antibiotics are often effective in treating the condition and helping patients recover. Viral Pneumonia is much harder to treat.
• Some Pneumonia Can Be Vaccinated Against – Vaccinations can prevent some underlying causes of Pneumonia. This is one reason vulnerable patients should receive yearly flu vaccinations.
• Pneumonia Can Cause Lasting Symptoms – Those who develop Pneumonia can be at higher risk of developing chronic lung conditions. This is especially true for children who develop severe Pneumonia. There can be lasting cardiovascular impacts as well.

Staying Safe From Pneumonia Can Be Challenging

Pneumonia is a persistent condition that can hang on for a long time, even when treated actively. Some patients may struggle with it for as many as eight weeks before they recover fully. Further, the hospital is a common place to contract the condition. Those who are placed on ventilators have a higher risk of developing Pneumonia than those who are not. If you want to know how to protect yourself and your family from Pneumonia, reach out to your physician for guidance.

As health problems continue to rise, urgent care remains an important source of treatment for many non-life-threatening conditions. Nearly 70% of urgent care treatment involves care for the ears, nose, and throat for those who constantly suffer from ENT problems. Most patients under these circumstances will most likely make their first visit to an urgent care facility for excessive snoring, sinus infections, dizziness, and excessive allergies. Below, we will describe some of the various treatments performed for common ENT problems and help you decide whether you should see an urgent care facility or an ENT specialist for treatment.

Why Patients Often Choose Urgent Care For ENT Treatment

More often than not, people with ENT conditions are making more visits to their local urgent care than their primary physicians or ENT specialists. One of the main reasons people often see an urgent care doctor over their specialist is the time and effort it takes to get a referral to an ENT specialist, especially if their symptoms become so prominent to the point where waiting isn’t an option. In the pursuit of care, urgent care practices can treat immediate symptoms that, although not life-threatening, can severely impact one’s quality of life and present an immediate concern. So, what kinds of conditions can an urgent care facility treat? Some common ENT conditions that people see the Urgent Care for include:

• Acute sore throats within the last four weeks
• Acute sinus infection or cold within the last three weeks
• Acute nasal obstruction within the last three weeks
• Acute hoarseness within the last two weeks
• Sore throats
• Coughs and colds
• Allergies
• Lesions or painful sores in your mouth that can heal within a few weeks
• Dizziness with no ear pain or symptoms
• Ear pain with no hearing loss

The symptoms often associated with the conditions above can be a highly unpleasant experience, especially if they cannot be properly managed. What it takes to receive treatment from a specialist can be dauntingly long. Still, at an urgent care facility, patients can find immediate relief that allows them to wait for their specialist referral for an appointment. Urgent care in these circumstances can be an excellent first stop for your ENT concerns, but seeing a specialist for long-term problems such as cholesteatoma and dysphagia will need to be seen by a specialist as they can present health concerns that impact your life significantly.

Types of ENT Treatment Found At Urgent Care

ENT treatments at urgent care facilities are most often for acute cases. The symptoms come on suddenly or occur frequently enough to be treated as a one-time instance of the condition easily. However, chronic, reoccurring symptoms need to be seen by a specialist as they can properly diagnose the condition and help provide you with the treatment you need. Some common treatments found in urgent care for acute ENT conditions can include

• Hearing aids
• Sore throat prescriptions
• Sinus infection treatment
• Mild ear pain treatment
• Stronger allergy medication
• Prescriptions for vertigo
• and more!

If you are suffering from any symptoms associated with an ENT condition that present immediate but non-life-threatening circumstances to your health, make sure to visit your local urgent care facility for treatment. Through your local urgent care team, they’ll provide you with the care you need and help redirect you to a specialist if necessary.

There have been countless ongoing studies on its effectiveness since the COVID vaccine was introduced. One thing has become abundantly clear as a result. The vaccines have been proven to be effective and safe and the most important step anyone can take towards controlling the pandemic. Every newly vaccinated person counts as one less person likely to contract and spread the disease. With fewer people contracting COVID, there are also fewer opportunities for it to mutate. For nearly a year and a half, the vast majority of those being vaccinated have been adults or over the age of 12. Relatively recently, however, it has been declared safe for those aged five and over.

How To Create a Stress-Free Vaccination For Your Child

Many children express a general concern about seeing their medical practitioner. It’s not unusual for children to specifically be afraid of receiving an injection. Whether your child is one of those who are skittish about doctor visits or not, it can help to prepare them for their vaccination visit. There’s a lot of information out there about the shot itself, and the vaccine in particular. By preparing your child for their visit you can ensure that they know what to expect. Consider taking a few of the following steps prior to the day of their appointment:

• Communicate With Your Child: If your child is presently in school, they’ve likely been exposed to a lot of information about the vaccine. Unfortunately, not all of this information is likely to be true. Some of their encounters may have been encouraging them and trying to set their worries at ease. Others may have been less positive, with classmates sharing negative experiences or trying to get them riled for their visit. Sitting down and speaking frankly with your child can help soothe their worries and straighten out any confusion.
• Be Honest – It’s essential that your child knows they can trust the information you share with them. Even if you’re concerned about their reaction, it’s best to be honest with them about what to expect. This allows them to mentally prepare and builds an environment of trust and communication with your child. Let them know that they can expect to feel a quick poke that may sting a little. They may also feel some soreness afterward.
• Work With Them – Give your child choices when it comes to getting their vaccine. Ask them which arm they’d prefer to get the shot in. Let them pick out their clothes for the day and bring a favorite stuffie. They’ll learn they can share their opinions with their doctor in the future and to be an active patient.

Great Lessons For A Great Future

Beyond preparing them for their vaccination, these tips set a great precedent for the future. They’ll know they can speak to you about their concerns and expect honest answers. They’ll also learn to be engaged in their health care and that they have choices when it comes to treatment. Most of all, they’ll learn not to be afraid of doctor visits in years to come.

As summer arrives, more people will be going outside to enjoy the beautiful weather and sunshine, and with the Covid-19 pandemic turning into an endemic, many are beginning to make travel plans and explore the great outdoors without much worry. However, it is also a time when insects come out of hiding, and while most insects are harmless and may leave behind minor bites, some can be devastating and even deadly. Below, we’ll give you a quick summary of what to look for when identifying bug bites and help give you some ways to identify and take action if worse comes to worst. 

What To Look For From Biting and Stinging Bugs

During the spring and summer months, insects come out of their hibernation or diapause in search of food and restore back their energy reserves for their reproductive seasons. Because of this, high amounts of activity from insects such as mosquitos, horseflies, wasps, bees, and other insects come around to do their buggy business. For us, it often results in nasty bites, annoying buzzing, and just general irritation from these creatures. However, while many of these insects are important for the environment and their ecosystems, it’s important to be aware of any bites or irritations that occur after being outside. 

Most insects and bugs tend to leave bites that cause redness, swelling, some mild tenderness, and itching and can easily be treated with anti-itch creams and antibiotics. However, other insects such as wasps and bees need a little more consideration, as some can leave behind their stingers, which can continue to produce venom due to the leftover venom sack. People with allergic reactions to wasps and bees would need to pay attention to allergic reaction symptoms, including hives, breathing problems, nausea, abdominal cramps, and intense swelling. 

Dangerous Bugs To Watch Out For This Summer

In cases where allergic reactions happen, it’s important to call 911 and use EpiPens if you have one immediately. It’s also particularly important to look out for certain insects and arachnids out in the wild, especially if you plan on camping for long periods. These insects include: 

• Black Widow:  A fully developed black widow is approximately half an inch in length. Common markings include the iconic red hourglass on the belly, along with red spots located on the top and bottom of their abdomen. Bites from black widows can cause vomiting, fever, nausea, abdominal pain, and chills and can eventually lead to death if not treated.
• Brown Recluse:  Larger than the black widow, these spiders measure about 1 inch in length. They come in a scope of colors from yellowish-tan to a darker brown and typically have a violin marking on their abdomen. Their bites are insidious, starting to cause pain about 8 hours after the initial bite. These bites will then begin to blister, leaving an ulcer once they have cleared. These ulcers are vectors for infection and require cleaning and care to avoid their becoming infected.
• Ticks: Ticks are parasitic arachnids that feed on the blood of mammals, birds, and even reptiles. They’re about 3 to 5 mm in length and are often found in wooded areas. One of the biggest threats these insects pose is that when attached, they have the potential to spread Lyme disease, an incurable bacterial infection that can easily spread to the joints, heart, and nervous system. 
• Asian Giant Hornets: These wasp-looking creatures tend to murder hives of over 30,000 honeybees in mere hours due to their ferocity. In 2019, this type of hornet was spotted in North America and can sting dozen times if threatened. Their venom is more toxic than domestic bees and wasps and can be deadly if you’re allergic. 

If you’re ever experiencing rashes or severe reactions to an insect bite, call poison control immediately, and their emergency medical teams will be able to get you the treatment you need.

While it’s true that our memory can become less reliable as we age, severe memory loss isn’t inevitable. Every individual experiences gradual memory loss in a different way. Some have trouble remembering specific words; others experience momentary memory lapses, such as being unable to find their keys. However, these are generally harmless and short-lived inconveniences. Serious memory loss involves forgetting where you are, how you got there, or who the people around you are. Thankfully, the majority of memory lapses are harmless, so how do you stop them from getting worse?

Understanding Age-Related Memory Loss

There are numerous elements that can be involved with a worsening memory. The good news is some of them are treatable and even avoidable. The underlying causes in these cases can be as simple as sleep deprivation or needing more vitamin B-12. Taking certain types of medication may produce memory errors for as long as you take them. Alternatives to these medications are often available, and not every patient will experience the same memory problems. Overindulgence in alcohol or street drugs can also be a relevant factor in memory loss, with effects that are potentially reversible.

Some causes of memory loss may be permanent or difficult to recover from, such as:

• Cancer treatments
• Lack of oxygen to the brain, often due to brain damage
• Some forms of seizure
• Emotional trauma
• Thyroid Dysfunction
• Migraine
• Head injury

Each of these can potentially result in lasting memory problems or loss. Another thing to know about our memory is that it happens in two stages. Short-term memory, which tracks the last 30 seconds, and long-term memory, which commits anything past that mark to storage. It’s possible to experience health problems that affect one or both of these types of memory. There has even been a medical case where someone completely lost their long-term memory. While they remembered everything up to the point of the responsible event, they could never commit anything to memory after that.

Thankfully, cases like these are exceedingly rare. While our short and long-term memory can both become less reliable over time, there are ways to slow this process. A good diet, plenty of sleep, and moderation in our vices are good places to start. You can also commit to taking multivitamins on a daily basis.

How Can Multivitamins Help?

A three-year-long study was conducted where one set of participants was instructed to take a daily vitamin. The other set, the control set, did not take these vitamins. Over a period of three years, the results were staggering. Rather than a slight improvement in memory retention being found in those taking the multivitamin, there was an astounding 60% improvement. While more study is necessary to understand how it supports our ability to remember the past, this was an amazing breakthrough.

If you’d like to find more ways to preserve your memory for years to come, speak to your physician. They can suggest proper dietary and lifestyle changes that will help improve your overall health and your ability to remember events for years to come.

There are many things that spring to mind when someone mentions going to the ER. Did they get a burn? A sting? Have a heart attack? Did they break a bone? Were they in a car accident? These are all common things that people will head to the ER for. One form of injury we don’t often think about is those involving the ear, nose, and throat. The most common forms of ENT injury seen at the ER are nose bleeds and fractures to the orofacial area (mouth, jaw, and face). Epiglottitis and peritonsillar abscesses also occasionally make an appearance. 

Common ENT Injuries Seen At The ER

• Sudden Hearing Loss – If you experience sudden hearing loss, there’s something clearly wrong. Trouble hearing properly may be the result of something simple, such as a build-up of fluid or wax in the ear. However, it can also be the result of something more serious such as nerve deafness. Facial paralysis, dizziness, and tinnitus are common symptoms that appear alongside hearing loss. 
• Nosebleeds – Nose bleeds are a common occurrence, and they may occur for any number of reasons. The majority of the time, a visit to an ER or even Urgent Care will be unwarranted. Generally, all that’s needed is to pinch the nose for 15 minutes, and the bleeding will stop. If this doesn’t work, however, it’s time for a visit to Urgent Care or the ER.
• Facial & Nasal Fractures – More than any other ENT injury, fractures and breaks to the nasal bone (the bridge of your nose) are common. Other types of fracture that Urgent Care and ER offices see are breaks of the eye socket, the cheekbone, or jaw. Regardless of which bone is broken, it calls for a visit to the ER.
• Tonsils & Adenoids – The discomfort and swelling caused by tonsillitis may not seem like a life-threatening condition, but it’s not safe to take that for granted. Strep throat, one of the common diseases behind tonsillitis, can cause a high fever and will not pass without antibiotics. More concerningly, the swelling of your tonsils may be the result of an abscess. These pockets of infection, known as peritonsillar abscesses, form behind the tonsil and must be drained and treated with antibiotics. Left untreated, they have the potential to pass the infection into your bloodstream, causing sepsis.
• Breathing Problems – Severe asthma, pneumonia, pulmonary embolism, influenza, and heart failure can all be sources of breathing difficulty. It’s also possible for this complication to be the result of a tumor or foreign body in the airway itself. Any difficulty with breathing should be addressed by a professional immediately.

See Your Physician For Any ENT Emergency

Any time you experience a medical emergency of any kind, a trip to the Urgent Care or ER is warranted. They’ll be able to address any immediate health concerns and stabilize you until you can see a primary care physician. While ENT emergencies aren’t common, they do need to be taken seriously. Don’t take a risk with your life; get to your Urgent Care immediately for any non-life-threatening medical emergency.

While car accidents can be quite serious, the majority of them amount to what appear to be minor fender benders. A trip to the hospital may largely seem unnecessary, even when soreness sets in the next day. No matter how inconsequential your accident may seem, it’s possible you didn’t escape unscathed. Some symptoms may be immediately apparent, while others may not appear for a day or two. It may startle you to learn that it’s possible that there are other injuries lying in wait that may not show any symptoms at all. They can persist and cause problems for years to come if not treated properly.

Prevent Lasting Injury After An Accident With These Tips

It’s an unfortunate truth of surviving an auto accident that you may have experienced invisible injuries that will cause you issues years down the road. These injuries may be hard to detect, taking months or even years to present with symptoms. Spinal misalignments in the back and neck may disguise themselves as sore muscles or a stiff back. Following these four tips can help you ensure that you address all the injuries you sustained during the accident, even the hidden ones.

• Seek Care Immediately – Regardless of whether your accident results in you going to a hospital, you should seek medical care. Fatigue, muscle aches, headaches, and other seemingly “minor” injuries are often shrugged off by those who’ve been in an accident. Unfortunately, these can indicate injuries to the spine, soft tissues, and of course whiplash. Weeks or months can pass before the injury presents with more serious symptoms.
• See Your PCP or Urgent Care First – As soon as the next day you should get yourself into Urgent Care. Sooner, if possible. Either way, follow up with your PCP as soon as possible. This will do two things that may benefit you. First, it will ensure that your PCP is keeping eye on any developing symptoms. Second, it will create a record of care in the event that more serious symptoms develop. This can be valuable if you are seeking recompense of your medical costs from an insurance company.
• Speak Honestly With Your Provider – As you’re receiving care, be sure to be honest and thorough with your provider. You need to let them know all the symptoms you’ve experienced, the circumstances of your accident, and when the symptoms began. A thorough medical history should also be provided if they aren’t your PCP.
• Be Inquisitive – Don’t just ask questions, ask LOTS of questions. Your health and safety are of eminent concern to your medical care provider. Asking plenty of questions helps you advocate for yourself and be an involved patient. Be certain to be clear about your experiences and symptoms, and insist on their being taken seriously. An engaged patient is certain to get the care they need.

These four tips will provide you with a solid foundation to get the care you need after an auto accident. It bears repeating that the care you receive following the accident can impact any recompense you receive from an insurance company. A full and comprehensive treatment plan should be developed to ensure that all aspects of the care needed are covered.

Act Quickly To Get Appropriate Care After Auto Accidents

When it comes to surviving an auto accident, so much hinges on getting care quickly. Even if your injuries aren’t life-threatening, the full extent of them may not manifest for weeks or even months. Seek help from your PCP or Urgent Care immediately afterward!

The idea of A.I. potentially replacing physicians sounds like something 50 years into the future, but many scientists and healthcare experts believe that A.I. may soon be entering into practice. A.I. may soon be working alongside physicians, and for urgent care practices, the integration of A.I. technology may help provide urgent care with better accuracy than ever before. Most of the medical community is optimistic about the use of A.I., and all have different visions of what the future will appear as for people everywhere. It’s right now unclear what the future of A.I. will look like, but with the various technologies we currently have in place, the concept of A.I. may not be so far off.

Our Current A.I. Technologies In Healthcare

Our outlook for A.I. technology comes with some great advancements for the healthcare industry, but it also comes with some debates about how A.I. will be used. One of the biggest benefits cited by experts is that it could provide greater access to underprivileged communities and lower healthcare costs. It can also potentially reduce the risk of medical errors, supply more healthcare services for those in emergency care facilities and outpatient practices, and free overworked physicians from the stressors of their careers.

However, there are also some potential downsides with A.I. in healthcare. The idea of data collections and privacy issues may become even more of a concern with the conception of A.I. Alongside that, A.I. could potentially overlook the needs of underserved communities and create biases based on collected data, resulting in failures to provide services for those in need. With that, it can also misdiagnose conditions and categorize conditions incorrectly based on preceding information.

Right now, we can’t know for certain how A.I. will be used. So, what technologies do we have now that may eventually be its predecessors? In order to provide more insight into A.I., the healthcare industry has technologies that apply A.I. techniques, including:

• Machine-Learning: Machine learning technology is a form of artificial intelligence that uses data and algorithms to uncover data insights used to improve industries. This type of technology within the healthcare industry investigates trends to provide better measures for patient care. Data science uses algorithms to classify and predict information based on data for businesses to answer questions about future healthcare problems.
• Deep-Learning: Although similar to machine learning, deep learning works with automating processes through raw forms of data, such as sounds and images, with performing tasks. Deep learning works to be more accurate than machine learning and doesn’t require as much human intervention, and some examples of this are voice recognition technology and imaging analytics for diagnosis.

How Urgent Care Works With A.I. Technology

As many healthcare practices are working on using A.I. at their practices, urgent care practices may potentially benefit from these types of services by providing faster means of analytics and diagnosis for various conditions. Temperature monitors, on-screen interfaces, and even telemedicine may also help improve the outlook of A.I. in urgent care, and while these systems still require improvements, they’re highly worth exploring if it means healthcare can be improved.  

The medical industry is constantly being modernized to meet the needs of today’s patients, and today’s technology plays a huge part in that advancement. Right now, our smartphones exceed the ability of what was once considered advanced over 30 years ago, among many devices that people would only think of in science fiction. Nowadays, the expanse into artificial intelligence has been making its way into the medical industry, and the latest studies have been stating that eventually, AI will play a huge role in diagnosis and treatment.

Personalized Medicine and The Introduction of Artificial Intelligence

New forms of medicine are being introduced, and one of the trending terms being used today to expand on patient’s care is “personalized medicine.” This type of medicine, also called precision medicine, tailors the medicines used to the patient and take into consideration things such as medical history, lifestyle, and the patient’s genetics, and are thus used to create treatment plans suited to the patient’s care. However, one of the biggest challenges for medical practitioners is how to handle personalized care. Altogether, it’s a daunting task and often lacks efficiency.

Artificial intelligence has the potential to accomplish these goals faster and more efficiently, which can provide immense benefits for patients needing personalized care. For instance, patients needing chronic care management for a traumatic spinal injury will need extensive, long-term treatment until their symptoms or condition subsides, and through the use of artificial intelligence, that patient can receive their treatments and care more effectively without having to rely on the waiting lists and other factors that may interfere with their treatment. Overall, AI has the potential to do many things, including:

• Processes large volumes of data effectively
• Identify and track patterns within data
• Recommend treatment options based on collected data
• Project anticipated outcomes from suggested treatments

These systems also have the ability to identify health risks before they become too severe and make connections using the patient’s medical data to provide preventative care. AI-powered precision medicine can become a possibility, but it will take a slew of revamping infrastructure to be able to integrate these new systems into today’s medical practices. Almost every part of the medical industry, from academic organizations to pharmaceutical companies, will need to take part in this initiative. However, today’s AI is still considered primitive by many researchers, and we still have a long way to go before we can begin thinking about advancing forward.

What To Expect In The Future of Medical Care

Once this type of technology advances far enough, it will provide huge advancements in the healthcare industry. Right now, we’re already seeing the works of telemedicine work their way into offices due to the onset of the Covid-19, which has already helped many reduce costs and disease spread. Sooner or later, technologies like artificial intelligence will make their way into practices, and hopefully, with the introduction of this technology, we’ll see more improvements in the healthcare industry and patients’ health.

When 2020 came and passed, many urgent care centers saw a massive increase in the number of visits due to the demand for Covid-19 symptomatic care, including the need for testing and vaccinations. At least half of the influx of patients seeking this type of care were new visitors, and because of this increased demand, urgent care centers have become a viable alternative for treatment in comparison to primary care centers and hospitals. As more urgent care centers continue to expand on their services from emergency to primary care, many patients often still face considerable challenges as the Covid-19 pandemic continues, thus leading to questions about how urgent care facilities can care for patients under these turbulent conditions.

To answer this, we’re here to give you a brief update on what guidelines are used to help keep patients safe and healthy during the pandemic and expand on how urgent care centers work to create a place for on-demand care.

The Urgent Care Industry and On-Demand Care

Visit volumes during the pandemic rose significantly over the past few years due to the high demands for Covid-19 related care. The pandemic has given urgent care clinics the opportunity to serve patients as a go-to option for Covid-related care, with a 58% increase in volume and about 70 million Covid-19 tests administered nationwide. Because of these record-breaking numbers, the urgent care industry has grown significantly since then, but the majority of this growth has come from single visits from new patients rather than multiple, repeating visits with ongoing patients.

These drastic changes in the healthcare industry have led many urgent care clinics to focus their efforts on retaining new patients as returning visitors. Strategic marketing efforts by these clinics have also led to standardization for Covid-19 protocols. These protocols, established by organizations such as the CDC, work to help keep patients safe during their single visits and multiple visits to these clinics and work to create exceptional experiences for patients needing healthcare.

The advancement of healthcare technology combined with these procedures has made urgent care clinics highly valuable assets in today’s industry, and even with unpredictable patient flows, urgent care clinics operate through these methods to help new patients gain treatment:

• Telehealth Services: Telehealth services, including video calls, texting, and phone calls, have been able to help reduce the spread of Covid-19 overall, helping patients assess their symptoms and remove scheduling barriers for tests, vaccines, and other treatments.
• Software Solutions: Texting software solutions, appointment organization methods, and other virtual methods for clinic management have helped enhance engagement with patients, making the scheduling process easier and creating more streamlined workflows.
• Detection and Disinfecting Solutions: Temperature scanners, wearing masks, hand sanitizer, and on-site screenings, many urgent care clinics have taken to these methods to care for episodic health problems and other immediate concerns faced by patients, all while reducing the spread of the virus to provide medical care.

Commitment To Safety and Health in Urgent Care

By following the CDC guidelines, these methods work to reduce not only infection rates but also manage non-Covid related health problems to meet these demands. The best way to find out about your urgent care centers and their protocols is to contact them today to learn more.