Category Home Improvement

Erie Shingles is a painful rash that causes blisters. It can lead to serious complications, including long-term nerve pain called postherpetic neuralgia.

You can get shingles at any age, but it’s more common in people over 60. It’s also more likely if your immune system is weak due to medical conditions or medicines like steroids or chemotherapy.

Shingles (or herpes zoster) is a painful skin rash caused by the varicella-zoster virus, the same one that causes chickenpox. After you get chickenpox as a child, the virus stays in a part of your nervous system called the dorsal root ganglia for the rest of your life. But sometimes, the virus reactivates and travels along nerve pathways to your skin, causing shingles. It’s most common in people over 50, but anyone who’s had chickenpox can later develop shingles.

When it happens, a shingles rash is a stripe of fluid-filled blisters that wraps around one side of your body or face. The most serious type of shingles is ophthalmic shingles, which can cause permanent vision loss if it occurs near the eye. Shingles around the eye are a medical emergency, and you should seek care immediately.

Signs of shingles include pain or a tingling feeling in a limited area of your body, usually on one side. This is followed by a red rash with small, fluid-filled blisters. The rash is most noticeable on your trunk but can appear on the face or legs. The blisters can be itchy but aren’t contagious.

Typically, a physical exam and your medical history are enough for your doctor to make the diagnosis. But they may swab your rash to collect fluid for laboratory testing. In addition, a simple blood test can show if you have the herpes zoster virus in your body.

You can also receive the herpes zoster vaccine (Shingrix) to help protect against shingles. The vaccine is recommended for adults over 50 who have had chickenpox or who carry the herpes zoster virus. It’s not a cure for shingles, but it can lessen the severity and length of symptoms and reduce your risk of complications, such as postherpetic neuralgia.

Because of the increased risk of complications, especially in people over 60, doctors recommend you get a shingles vaccine if you have a weakened immune system due to cancer, chemotherapy, AIDS or another illness. It’s also recommended if you’re pregnant or breastfeeding. You can find out if you are eligible for the vaccine by speaking to your healthcare provider.

Symptoms

The first signs of shingles are pain, tingling, or itching in a certain area of the skin. Then red blotches and fluid-filled blisters appear. These usually scab over within 7 to 10 days. The rash usually happens around the chest and abdomen, but it can be on the face or genitals. Pain often gets worse after the blisters appear. But the pain usually goes away a few weeks after the rash fades. Sometimes people develop a fever, headache, chills, and stomach upset. In rare cases, a person can have the pain of shingles without the rash. This is called herpes zoster nerve pain syndrome (HSNP).

If the rash is near the eyes, you may have problems with vision and hearing. In rare cases, herpes zoster can cause a complication that looks like brain inflammation (called encephalitis). You may also have a bacterial infection of the rash and blisters (called impetigo or cellulitis).

Shingles is most common in adults over 50. It’s also more likely to happen if your immune system is weak, because of illness, a medical condition such as cancer, or certain medications including corticosteroids. It’s also more likely to happen in children if the mother had shingles or chickenpox during pregnancy.

It’s important to get treatment right away. Your doctor will give you medicine to stop the virus from spreading and reduce your pain. You may also need to take antiviral medicines and pain relievers for a while. If you’re pregnant and get shingles, your doctor will talk to you about whether it’s safe for both you and your baby.

A vaccine is available to help prevent shingles and the painful complications that can occur from it. The CDC recommends that healthy adults over 50 get the vaccine, Shingrix. Ask your doctor if you can get the vaccine. If you do, you’ll get two doses of the vaccine at different times. It isn’t effective for kids under 19 years old. But it’s possible that the vaccine might work for older kids and adults who have a weakened immune system. This includes people with HIV infection or AIDS, transplant recipients, and those who have had chemotherapy or radiation therapy.

Treatment

A vaccine against the varicella zoster virus can prevent or lessen shingles and related pain. Most people who get shingles have only one attack, but it can come back, especially in those with weakened immune systems. If you have a rash, cover it up to avoid spreading the virus to others. Home and over-the-counter treatments can help reduce the symptoms of shingles. These include cool compresses, calamine lotion and oatmeal baths. Pain relievers, including acetaminophen or ibuprofen, may also be helpful. Getting treatment early can decrease the severity of symptoms and speed healing.

Usually, symptoms start with itching or tingling sensations in an area of skin on one side of the body. This is followed by redness of the skin and fluid-filled blisters that later scab over. A fever, chills and a general feeling of unwellness may also occur. Some people also experience a headache or a stomach upset.

Pain medicine, such as acetaminophen or NSAIDs, can help with the pain of shingles. Your doctor can prescribe a stronger pain medication if necessary. Antiviral medications are important to take as soon as the rash appears. These include acyclovir (Zovirax), valacyclovir (Valtrex) and famciclovir (Famvir). These medications help to shorten the illness and decrease how painful it is.

Other medicines, such as corticosteroids or steroid creams, can help reduce swelling and inflammation of the skin, but aren’t very effective in treating the pain of shingles. Lidocaine patches, available over-the-counter or by prescription, can reduce nerve pain for up to 12 hours. Capsaicin cream, which is applied directly to the rash, can also be used for pain. However, do not apply this cream near your eyes.

Some people with shingles develop a burning pain in the area where the rash was, called postherpetic neuralgia (PHN). PHN is usually the worst in adults over 60 and can last for years after the rash has gone away. Medicine to treat PHN is very effective and can significantly reduce the intensity of the pain. Medications that work to block the pain signals in the brain, such as tricyclic antidepressants (TCAs), are the most common medications that are prescribed.

Prevention

Shingles is caused by the same virus that causes chickenpox. Once you’ve had chickenpox, the varicella zoster virus goes into your nerve tissues and stays there for the rest of your life — sometimes, years later, it “wakes up” and travels along the nerve fibers to your skin and causes shingles (also known as herpes zoster).

It’s most common in people over 50, but it can happen in any age group or any person who has a weakened immune system, such as from illness or chemotherapy.

The first symptoms of shingles are pain and burning, usually on one side of the body and along a particular area of skin called a dermatome. Then a rash appears, which can be red or dark pink depending on your skin tone. It’s more often seen on the back or chest, but you can get it anywhere else, even inside your mouth. The CDC says if you have shingles in your mouth, it can make eating painful or difficult and could affect your sense of taste.

Usually, the rash is small groups of fluid-filled blisters. The blisters will eventually dry up and form scabs, which clear within a few weeks. But the nerve pain that follows can last much longer, up to a year. This is known as postherpetic neuralgia and can be very severe.

You can’t avoid getting shingles, but you can protect yourself from complications by seeking treatment quickly. That’s especially important if you’re pregnant. There’s evidence that shingles can increase your risk of miscarriage, and the more painful and widespread your rash is, the more likely it is to cause serious complications, including permanent nerve damage.

There are antiviral drugs you can take to shorten the duration and severity of your shingles. And you can get a shingles vaccine. The CDC recommends all adults who’ve had chickenpox get two doses of the varicella vaccine, or a shingles vaccine approved by the FDA called Shingrix. You can also get the vaccine if you’re over the age of 50, and if you have a weakened immune system due to an illness or cancer treatment.

A general contractor (GC) helps you bring your home construction project to life. A quality GC can save you time, money, and headaches by troubleshooting issues and steering the building process to stay within your budget, design plans, and dreams.

They excel at transparent communication, recognizing the challenges of urban construction projects and realistically conveying potential hurdles to clients. They also prioritize safety and proactively mitigate hazards on job sites. Visit Our Website to learn more.

Whether they’re building a new home or renovating an existing one, general contractors plan and execute projects. They turn the designs and renderings of architects, engineers, and interior designers into real-world construction. This requires a deep understanding of the construction process and excellent organizational skills. They also need to be able to anticipate risks and other obstacles that could affect the project’s outcome.

Before the work starts, a GC will create a budget for the entire project. This will include the price of labor, materials, tools and equipment, and any other necessary expenses. This will allow the GC to provide a cost estimate to clients and subcontractors. They will also determine the project schedule and timeline, and create a contingency plan for any unexpected delays.

A GC will also hire and manage trade contractors, or subcontractors, to perform the actual work. These skilled professionals specialize in specific construction trades, like electrical, plumbing, and framing. Typically, the GC will subcontract out portions of a larger job to subcontractors to increase their efficiency and reduce overall costs.

Once construction is complete, a GC will perform the project closeout tasks that will allow them to hand the building over to the client. This includes securing lien waivers and ensuring that all payments are made. They will also organize all project documentation and make it available to everyone who needs it. The right construction software can help GCs streamline their processes and improve daily reporting, saving time and money.

Scheduling

Once the planning phase is complete, general contractors begin scheduling and managing construction. This process involves defining a timeline for the project, assigning resources and identifying dependencies. It is also important to manage risk during this stage. This includes ensuring that materials and equipment are delivered on-site as needed, as well as addressing any disputes that may arise during the construction process.

It is important for general contractors to clearly delegate responsibilities and trust their teams to execute them without micromanagement. This approach is more cost-effective and productive than trying to control every aspect of the project. In addition, it is easier to monitor performance and identify areas for improvement in the future.

When a schedule is developed, it’s critical to communicate it with all stakeholders. This will ensure that everyone is on the same page and understands expectations. It will also help them avoid common construction problems such as cost overruns and delays.

One of the best ways to make scheduling a breeze is to use free contractor scheduling software. This will save you time and money by automating tasks like reminders for clients or invoicing, and it can be used on mobile devices to access information even when on the go. Ideally, it should also include security features such as two-factor authentication and cloud storage options to keep your data secure from hackers or other threats.

Budgeting

Managing budgets for construction projects is an important skill for general contractors. They must keep track of all the costs associated with the project, including design fees, permit costs, labor and material costs, and project-related business expenses such as vehicle and equipment rentals. They also need to leave room in the budget for unforeseen costs. To achieve this, they need to monitor expense reports and invoices on a regular basis, comparing actual expenses to the projected budget plan. Using an expense management system can help them streamline this process and make it easier to identify potential issues.

One of the most common mistakes that general contractors make is underestimating how much the project will cost. This can cause problems down the line, especially when the project’s schedule is delayed. The best way to avoid this is to create a clear estimate of the project’s cost at the beginning. This will prevent any misunderstandings with the project owner and will ensure that the work is performed within the agreed upon price.

Having a clearly defined budget will also allow a GC to effectively manage subcontractors and laborers. It will help them understand what they are expected to do and how long they can take to complete a task. It will also help them manage change orders and communicate their reasons for requesting changes with the project manager and project owner.

Contract Negotiation

Contract negotiations are a major part of how general contractors find and work on new construction projects. They must be able to negotiate contracts that are fair and profitable for both themselves and the project owners. A successful contract provides the best opportunity to create a long-term, productive relationship with a client and to gain future business or referrals.

The right time to negotiate a contract is when both parties are ready to discuss terms openly and in good faith. This requires adequate preparation and the availability of all relevant data, including market trends, legal requirements, and other important contextual information. It is also beneficial if both parties are willing to compromise and are looking for mutually agreeable terms.

During the preconstruction phase, it is essential for the general contractor to conduct constructability reviews at each budget milestone. This will ensure that the design matches what can be built. This prevents costly changes from arising as the project progresses. It is also important for the GC to review and negotiate key contract provisions affecting risks, such as indemnification clauses.

A common risk on construction projects is the change in scope of work. Having an experienced team of people on board to help with risk assessment, planning and scheduling can prevent change orders from derailing the schedule or increasing costs. It is important for the GC to clearly communicate the risk shifts to everyone on the project and to provide clear mitigation strategies.

Managing Subcontractors

Subcontractors are independent entities hired to perform specialized work on construction projects. They are not considered employees by any means and are typically responsible for their own payroll, business insurance and taxes. A general contractor oversees these individuals ensuring they are operating efficiently, following established safety protocols and completing tasks as agreed upon.

A GC must identify any potential project risks or challenges and devise effective risk mitigation strategies. They also communicate regularly with trade partners and provide updates on progress, changes or delays to keep everyone apprised of issues and opportunities for collaboration. For example, a GC may use pull planning, which involves all stakeholders and trades in the planning process to align individual goals and improve overall project success.

In the final phase of project close-out, a GC carefully inspects the work of each subcontractor and will issue change orders if the results are below expectations. They may also review invoices or payment requests from the subcontractors and ensure they are submitted in accordance with established terms and milestones.

It is important to have clear communication channels between the GC, subcontractors and any temporary workers who are working on the project. This will help establish a team spirit and boost productivity by encouraging collaborative problem-solving. It is also a great way to manage the overall cost of the project. Keeping everyone informed about new developments and unexpected challenges will prevent them from deviating from the planned timeline and causing costly delays.

Managing Employees

A skilled general contractor prioritizes open communication with their clients and sets realistic expectations for project timelines and costs. They also recognize the unique challenges posed by construction projects in large cities like NYC, such as tight spaces and busy schedules, and effectively convey these risks to their clients. A general contractor should have strong organizational skills to manage staff, oversee a project, and keep the client updated on progress.

Before hiring a general contractor, ask them to provide references from past clients. This will give you an idea of their level of professionalism and how well they get along with others. In addition, it’s a good idea to check that they are fully licensed in your state or city. You can do this by searching their name in a database.

Experienced contractors know what new technology to use on a job site and are familiar with current industry trends. They can also quickly and accurately identify issues in their work and resolve them. They can also help their teams stay safe by ensuring that workers wear the proper safety gear and follow all relevant guidelines.