You, or a loved one, were recently admitted to the hospital with a hip fracture. Following the diagnosis it is normal to have questions and concerns. The following patient information was developed to help you better understand hip fractures: the different types, treatment options, risks, recovery and future fracture prevention.
Types Of Hip Fractures
Review of your recent x-ray or CAT scan confirmed that you have a fracture of your hip. There are three common broad categories of hip fractures based on the location of the fracture
- Femoral neck fractures (sub capital, transcervical),
- Intertrochanteric fractures, and
- Subtrochanteric fractures.
Less common are the subtrochanteric fractures, greater trochanter fracture, and less trochanter fracture. Pictures of each of these fractures are illustrated in the figure to the right. The location of the fracture, and whether or not the fracture is displaced, or separated, can effect the recommended treatment.
Treatment Options And Risks
Surgery may be suggested as a treatment option. Surgical repair or replacement is sometimes suggested for femoral neck and intertrochateric fractures. While surgery has risks, there are also risks associated with laying immobilized for long periods including: blood clots, atelectasis (lung scarring), pneumonia, bed sores, urinary tract infections, and muscle wasting. While the surgical risks include those of immobilization, you are able to get up and start moving after surgery, thereby reducing some of the risk associated with prolonged bed rest.
We will attempt to reduce these risks before, during and following surgery. You will be given antibiotics to help reduce the risk of infection at the time of surgery. You will be wearing compression stockings to reduce the risk of blood clots in your legs. Following surgery we will also begin an injectable medication to reduce your risk of blood clots.
The type of procedure the doctor recommends for you is based upon your fracture type, age, activity level, prognosis for recovery, and other illness you have. These treatment options are summarized below.
Femoral Neck Fractures
- Cannulated Screw Fixation: If the fracture leaves the bone well aligned, and the surgery can be performed in a timely manner, screws may be placed across the fracture site to hold the bone in place while it heals. This is done through a small incision where a guide wire is passed. Over this guide wire, screws are placed hence the term cannulated screw fixation.
- Hemiarthroplasty: Literally, this means partial hip replacement. If the fracture is displaced (or separated) it will sever the blood supply to the head portion of your femur. In this case a partial hip replacement may be recommended. The head and neck of the femur are removed and replaced with a brand new ball placed into the middle of your thighbone.
- Total Hip Replacement: If you are a candidate for a partial hip replacement, but in addition you have known arthritis of your hip, a complete hip replacement may be recommended. The cup, or socket, of your pelvis is replaced with new ball and socket replacement.
Intertrochanteric And Subtrochanteric Fractures
- Open Reduction Internal Fixation: A compression screw is inserted up the femoral neck and into the femoral head. This is either cross linked through a large nail that extends down the inside of the femur or to a plate that runs down the side of the femur and is attached using screws.
Greater Or Lesser Trochanter Fractures
Surgical treatment is typically not necessary. If you have a fracture of the greater trochanter the doctor may ask you to be non-weight bearing for a period of time, followed by a progression of gradual weight bearing. With stress, these fractures can extend to become an intertrochanteric fracture.
Hospital stay following a hip surgery is generally 3 days. Occasionally this will extend slightly longer. The nurse and therapist with review precautions that you may have. If your hip was partially or totally replaced you will be warned of hip precautions. These will extend 6 weeks postoperatively. During the first postoperative day, you will begin therapy and take a few steps to sit up in a chair next to your bed. You will be receiving antibiotics and IV pain medication as needed. We will begin your daily injections to prevent blood clots. On the second postoperative day, you will continue therapy and walk a bit further. You will likely switch to oral pain medication. We will continue your daily injections to prevent blood clots. On the third day you will continue therapy, typically walking a few steps prior to discharge. We will continue your daily injections to prevent blood clots.
Following discharge from the hospital it will be important that you have someone to help you until you are independent. We estimate a minimum of a 3-week period. Many patients prefer to go to rehab during this time. This is recommended for safety reasons and allows patients to have daily therapy in a gym type setting. If you plan to go home with a family member or friend, you need 24-hour care for this 3-week period. You will be required to give yourself an injection to prevent blood clots once daily for at least the first 5 days after discharge. Home care (therapy) can be arranged to come into the house approximately 2-3 times per week.
You can take steps to prevent a future fracture by treating the underlying cause of your fracture.
- Get Tested for Osteoporosis: If you have not been tested for osteoporosis with a DEXA test, within the past 24 months, please discuss this with your doctor. We can schedule this test to be performed in the next 6-8 weeks at our office. (Due to positioning, it is typically not recommended sooner following hip surgery.) Knowing what your bone density is can allow steps to be taken to reduce a future fracture.
- Stop Smoking and do not drink excessively.
- Fall Proof Your Home: Keep home well lit and free of hazards that may cause you trip/slip and fall.
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Dental X-Rays Are Safe, Here’s Why !
One of the most common things done at a routine dental visit is having x-rays. It’s those x-rays that allow the dentist to take a closer look at the overall health of your teeth to detect damage and disease affecting the roots and bones of your mouth, and to look for any possible cavities – things that aren’t visible during a routine visual exam. Sounds good, right? But then we cover you in a heavy vest and ask pregnant women to forgo x-rays which prompts lots of questions from our patients about dental x-ray safety. So, let’s talk about it!
The worrisome part about digital dental xray machines is the exposure to radiation. Radiation is a scary term, but the reality is that we are exposed to radiation in our everyday lives, not just during x-rays. Radiation is measured in units called rems. The doses in the medical world are so small, they are measured in millirems, or “mrem” which is just one thousandth of a rem. Below are some examples of amounts of radiation we’re exposed to in our everyday lives*:
- Airport scan is 0.001 mrem.
- Eating a banana is 0.01 mrem.
- Natural radiation in the human body is 0.04 mrem.
- Average flight from New York to Los Angeles is 4 mrem.
- Average chest x-ray is 10 mrem
- Average mammogram is 40 mrem.
- Annual cosmic radiation living in Denver is 50 mrem.
- An average (full body) CT scan is 1000 mrem.
On average, you can expect to be exposed to somewhere between 200-360 mrem throughout a year, far below the fatal level which is one million mrem.
Dental X-Ray Safety
So how much radiation are you exposed to with dental x-rays? Just a little – a digital dental x-ray averages 0.4 mrem, and a film dental x-ray averages 0.6-0.9 mrem. Flying cross-country exposes a person to a far higher amount of radiation than digital or film dental x-rays!
While dental x-rays do expose patients to a small dose of radiation, that dose is so small the benefits outweigh the harmful effects. Dental x-rays equip the dental team with much needed information about your teeth and gums, information that can’t be seen by the naked eye. When we cover you with a vest and ask pregnant women to forgo x-rays for one visit, it’s not because the x-rays are dangerous, it’s simply an effort to expose you to as little radiation as possible in your lifetime. So, the next time your dentist tells you it’s time for x-rays, don’t worry, they really are safe!
Now that you better understand dental x-ray safety, there’s no excuse to avoid the dentist. Call us and get you next check-up scheduled. We are here to help you have the best health you can achieve, starting with oral health. Find a dentist near you today or call us at 877-662-9235 for questions or to get scheduled today!
15 FAQ’s About Las Vegas Vacations
People travelling to Las Vegas for the first time, or return visitors, can be a bit overwhelmed with all that Las Vegas and its surrounding areas have to offer. So many questions arise as to where to get cheap hotels in Vegas, what age are you allowed to drink, what’s the weather like in Vegas, what should I pack, what hotels accept pets, how can I see Vegas on a budget, how much does a limousine cost from the airport.
Unfortunately it can be difficult to find all the answers to these questions in one place.
Q. How much does it cost to rent a limousine from McCarran airport?
A. Las Vegas Limousines have some great rates for travellers who want to experience a limousine for a very cheap rate. They can be contacted at (702) 7361419. Their current rates are $4.50 each person one way to Strip hotels and $6.00 for each person travelling downtown one way.
Q. What is the average temperature in Las Vegas?
A. Las Vegas has 320 days, on average, sunshine, every single year and an incredibly low 4.19 inches or rainfall. The temperature in January ranges from 56F(13C) to 33F(1C) and in July between 75F(24C) and 105F(41C).
Q. Is there a number I can call to find out Nevada road conditions?
A. There is a toll free number to call – 18776876237. You can also go to the website. To check California road conditions call 1-800-427-7623 or 916-445-7623.
Q. How old must you be to gamble?
A. 21 years of age.
Q. Can I use my cell phone when I am gambling?
A. Cell phones are not permitted when you are live gambling – like roulette, craps, blackjack, etc. There are no exceptions to this rule and you will be told quite firmly by casino staff to turn off your phone.
Q. How can I find out if my hotel offers a shuttle service from the airport?
A. Visit Here. Where can I find out information about Hoover Dam?
A. You can get maps and driving instructions at this website.
Q. Obviously I want to do a bit of gambling while I’m in Vegas and hopefully not lose all my money. Is there anywhere I can go to to learn some gambling strategies before I go?
A. Look at these websites:
Q. Is there a way of finding out what my taxi rate should be from the McCarran airport?
A. There should is. Visit http://taxi.state.nv.us/FaresFees.htmQ. Where can I get the best rewards on my slot card?
A. One way is by going to Harrahs and registering for their player card as their slot card is good there and also Flamingo, Ballys, Paris, Rio, Caesars and other casinos outside of Nevada. Another way is by going to MGM/Mirage and joining their players club as their slot card is good also at Luxor, Excalibur, New York New York, Mandalay Bay, Monte Carlo, Bellagio, Mirage, TI, Circus Circus and also other ones in Nevada.
Q. Are there any interactive maps of Las Vegas?
A. Yes. Visit here to see interactive maps.
Q. Where can I find the current temperatures in Vegas in real time?
A. Visit here to find temperatures in Vegas. Where can I find out what is happening in Las Vegas this week?
A. Go here
Q. Where can I find some pictures of the Las Vegas Strip all in one place?
A. Visit Here
Q. How can I find out what shows and headliners are going to be in Las Vegas when I’m there?
A. Visit Here
Also Read: 5 ATTRACTIONS YOU MUST SEE IN LAS VEGAS
Also Read: Must See Attractions On The Las Vegas Strip
Things Caregivers Need To Know About Seniors With Dementia
People living with dementia are the only ones who really understand what it’s like to live with their form of the disease, whether it’s Alzheimer’s or another type such as frontotemporal (FTD) or Lewy body (LBD).
Sadly, the ability to communicate becomes compromised by dementia. That being said, care partners can, if we take the time to search out the meaning behind their words or actions, continue to improve the care provided. Here are some tips that can help you.
I can read your body language and tone of voice
I may not always understand the meaning of your words, but I know what you are saying. I can read your jerky body language, the impatient tone of your voice, and your irritated facial expressions. Although you may tell me nice things, your words are hard to believe when your body and voice indicate that you are annoyed, angry, or resentful.
I think you’re stealing
I can’t find something that I’m sure I placed in a certain spot. I may have moved it myself, but I don’t remember. All I know is that I can’t find what I want, so my mind tells me someone must have taken it. That someone is probably the person who is with me the most. I accuse you of stealing because I don’t understand why whatever I want is not where I think it will be. I need you to understand that this is the disease, not me, so please forgive me for causing you so much pain.
Don’t talk too fast but don’t treat me like a child
If you can slow down your speech and use simpler sentences I’ll be better able to understand what you are telling me. I’m asking you to not overdo this, though, by talking to me like I’m a child. That’s worse than having you talk too fast. Just slow down a little bit and try to simplify sentence structure so that I don’t need to keep more than one thought in mind at a time. I still won’t understand all of your words but this will help me a lot.
Your tone of voice upsets me
You’ve been arguing with your sister about politics, so I think that you’re mad. If you’re mad, you might be mad at me and that scares me because I depend on you. I know that this back and forth is something that you’ve always enjoyed, and I used to jump right in, but now the tone of voice sounds angry and I become afraid. Please remember that if I’m sitting with you I need to keep things a bit more relaxed. Voices that sound angry or even impatient, whether or not they are, can upset me.
I hurt but can’t tell you where or why so I act out
If I’m upset, or what they call aggressive, remember how bad my arthritis was even 10 years ago. Just because I can’t tell you where I hurt, or even why doesn’t mean that my pain has stopped. Sometimes the only thing I can do is what they call “act out,” which is a term I hate, by the way. I’m trying to tell you in the only way that I can that I hurt. Please try to help by ignoring my bad behavior while you try to determine how to address my pain.
My fingers need to do something because that calms me down
I’m not trying to be difficult when I take the tissue box and pull out all the tissues. When I sit and tear up those tissues I’m doing what I need to do. It’s something that I can’t help. Some people call this fidgeting, but I think that I’m trying to use my tools, or maybe I just need to get rid of energy. If they need to label this as a “behavior,” well, I don’t like that but I can live with it. However if you can just give me something to keep my fingers busy I won’t be so destructive.
I’m frightened because nothing is familiar
I might even be in the same home where nothing has changed for decades because you are so wonderful that you keep things the same for me. Still, nothing seems familiar. Then, I might even ask you to take me home. I might seem upset for no reason and lash out at you when you try to help. I might cry. Please be patient. As with other difficult “behaviors,” which, again, is another term I really don’t like, I can’t help it. I’m trying. Really, I am. Please help me feel safe and then I can calm down.
You won’t understand my world but you can try
My world is my truth. If you try to understand the feelings behind my words and actions both of us will have an easier time. This is called validation. Why wouldn’t I want people to validate my feelings? Don’t you want that, too? I’m really not so different from you. It’s just that I can’t explain things clearly anymore. If you really listen to me, and watch my own body language, you’ll be better able to help me. Helping me helps us both have a better day.
You are wonderful and I love you
Please understand that I know that you are trying your best. Taking care of someone like me is very hard. Even if I can’t remember your name or that you are my wife or brother or friend, I still love you to the end of the earth. I know that I’m so fortunate to have you and I appreciate what you have done and what you are doing now. I give you a hard time because I can’t help it. Again, it’s the disease, not me. You are my world and I love you even if the word I say is hate.
Safe Tree Stump Removal: 5 Effective Strategies
There are 5 basic methods for tree stump removal. Once a tree is cut down, the remainder of the trunk and the roots will eventually die and begin to decay, but that can take time you don’t want to waste. You may have several good reasons for wanting to eliminate the stump as soon as possible, but removing a tree stump is no easy task.
TIP: A popular method of stump removal involves hooking the stump up to a pickup truck and driving like crazy. Bad idea! This method has been known to seriously damage cars while leaving stumps basically intact.
1. Chemical Tree Stump Removal
There are several chemical products available at home garden centers that assist in and hasten the rotting of a dead tree stump. Most products make use of potassium nitrate to expedite the decomposition process. Chemical fertilizers high in nitrogen produce bacterial growth that will facilitate the gradual decay, which makes the stump become easier to remove. In each case, holes are drilled into the stump with a large diameter drill bit, filled with the chemical mixed with water, and left to work over time (usually weeks or months). After the chemical has taken effect and the stump has become soft and mulchy, use an axe and/or a pickaxe to break up and remove the stump. If using a chemical stump remover, it’s very important to keep children and pets away from the stump while the chemicals do their work.
2. Mechanical Removal With a Tree Stump Grinder
Wearing proper safety gear is very important when attempting to remove a tree stump manually or with heavy machinery. Wear long sleeves, long pants, eye protection, and steel toe boots! A mechanical tool known as a tree stump grinder can be used to remove tree stumps. It consists of a toothed circular cutting blade that grinds or chops away the stump, breaking it into small chips. Before using a tree stump grinder, remove any rocks and debris from around the stump. Then use a chain saw to remove the bulk of the stump by cutting it as close to the ground as possible. The grinder is worked from side to side, removing 3-inch sections of the stump with each pass. This method is best when you have multiple tree stumps to be rid of. You can rent the machine at a garden supply store, or pay a landscaper to take the stumps out on a price-per-stump basis. If your stump is very large, you may be forced to hire a landscaper. Rented tree stump grinders are not usually big enough to tackle huge projects.
3. Manual Removal
If the tree stump is not too big and you intend to dig it out manually, do not attempt to remove the entire stump and all of its roots intact. This is time-consuming and unnecessary. Begin by digging a trench around the perimeter of the stump and expose as many roots as possible. If you can do so without damaging the cutting blade, cut through the major roots with an axe or a circular saw. Use a pickaxe to loosen the soil around the stump, working your way around the stump and prying it loose from all sides until it comes free. Do not dig the trench too close to the stump! The wider your circle, the more room you have for maneuverability. This method is best used on trees with shallow root systems, such as maples and willows.
4. Removal With Fire
One common way to eliminate large tree stumps is to literally burn them out. Drill holes into the stump with a large diameter drill bit, fill the holes with kerosene or fuel oil (never gasoline), and wait for it to soak in thoroughly, about a week to 2 weeks. Drop one match into each hole and wait. The stump will smolder for days, and eventually you will be left with a charred hole. It is important to keep children and pets away from the smoldering stump. This method is best used for small stumps or in conjunction with another method. For example, if you have stump left behind after a chemical or manual removal.
Be sure to check your local fire codes before using this method or you may get fined.
5. Natural Removal
There is another alternative method for tree stump removal—doing nothing at all. Once a tree is cut down the stump will begin to decompose. It can simply be left in the ground to rot. This is a viable option if the stump is not too large in diameter. Covering the stump with fertilizer, soil or mulch will help to generate the fungus and bacteria that causes decay. In time the stump will reach the point where it can easily be extracted from the ground with minimal effort.
TIP: If you don’t like the look of your stump while you wait for it to decay, put a planter right over the top and plant something else inside. You might even forget it is there!
Hiring Tree Cutting and Removal Services
When looking for tree removal services, you shouldn’t just hire the first company that comes up in an online search. This type of work is highly technical. In the wrong hands, it can result in serious problems. The same thing goes for hiring a tree cutting company. Without the right training and experience, an arborist or tree cutting professional could butcher your tree and leave it in really bad shape. Learn more about how to find the best services for your tree removal, stump removal or grinding, tree cutting or tree trimming needs.
Information to Know about Any Tree Service
When spring and summer come around, tree owners need to have maintenance done on their trees to ensure new growth and prevent any damage to the home or backyard. While some are willing to take on the responsibility themselves, it’s sometimes easier and safer to hire professional services to do the job, especially when it might mean felling a tree and removing stumps. However, it’s hard to decide which service to hire as there are always at least 10 in the city to choose from. So here are the essentials all tree owners should take into consideration when hiring any kind of tree service.
It’s easy for someone to buy a small amount of equipment and bill themselves as a tree cutting professional. To ensure that you get the highest level of service possible, you should stick with established companies and hire a company that has a proven track record. Ask for references and follow up on them. Make sure that the tree removal company is licensed and insured as well. There are plenty of honest, experienced companies out there, but there are also plenty of dishonest ones so you should never just take a company’s word for it.
Get Down to Specifics
Each person’s needs are different, so you should ask plenty of questions before hiring a company to perform tree cutting or removal services for you. For example, ask about the following things:
- Pricing – This is a big deal, and the way in which a company charges for its services depends on a number of different things. Some companies’ fees are based on tree height while others charge hourly rates. Some companies charge extra for travel, so make sure to ask about that as well. See our Tree Removal Cost Guide for more information.
- What’s Included? – Always find out what’s included with your tree removal or cutting service. Some companies will cut down your tree, chop its trunk into manageable sections and even haul them away for you. Others will leave the trunk where it lies, and you will have to handle it yourself. In some instances, a company may offer to do extra work but charge more for it. Get all of this on paper before proceeding.
- Extras – It’s often worth it to pay a little more to have extra work done. After cutting down a tree, for example, a company may offer a discounted price to grind away the stump. It’s something you’ll probably need to do later anyway, and you might be able to get the work done for less by having it handled at the same time. Some tree removal companies will also chip up your branches and either haul them away or leave them for you to use.
Tree removal is hard work. It’s not something that should be handled by inexperienced people. If you want the landscaping of your home to look as nice as possible, you should invest the extra money in hiring a tree cutting company. It may cost more, but it will be done in a safe and effective way.
Information on Hiring a Tree Removal Service
Tree removal is a major process that tree owners have to do every now and again when a tree has died during the winter, gotten infested with pests or becomes a danger to the home or public right of way. It’s one of the most expensive tree care services to pay, averaging anywhere from $560 to $800. As such, you want to be sure and only pay for the service and not additional costs in lawn repair, fence repair or home repairs because it was done incorrectly. Consider this imperative information when hiring tree removal professionals.
Questions to Ask a Tree Removal Service
You should always ask a professional tree removal service questions before hiring them. Moreover, these should be questions you pose to at least three or four tree removal services to gauge their work history, expertise and how much you’re going to pay for each company’s services. By asking these questions, you will get the best service from the most qualified pro in the shortest amount of time without endangering your home, property or family members.
Here are the essential questions you should ask tree removal service pros:
- Can they provide a copy of their license and insurance? If the professional isn’t willing to show you these, it should be an immediate red flag and you should hang up the phone. All tree removal service professionals should have both of these documents to show they’re certified by the state to practice their professional and to protect their team in case of injury.
- Do they have a list of references? Even if you found them online or in the phone book, ask for references. Knowing they did a good job on other people’s homes will give you peace of mind and reinforce they’re the right person for the job.
- Will they be able to give you an estimate? Every company you call should be able to give you a detailed estimate of how much tree removal will cost based on what you tell them. You will also need to ask them how much stump removal will cost, whether it’s included with the cost of the tree being taken down or separate.
- How long will the tree removal process take? Part of the tree removal process estimate is the length of time it will take. By asking every company how long they say they’ll take, you can find out which is the shortest. It’s also why asking for references is important, though. They can confirm if the quoted time and price given to them by the pro was accurate for their job as well.
- What kind of equipment will they use to remove the tree? They should be bringing out equipment like axes, grinders (for the stump, if needed), chainsaws, safety gear, trucks and so on. Listen for items like that to be listed off when you ask the question. If it sounds like they’re missing paramount equipment, then you should reconsider using their service for your tree removal.
- Are they asking for money down? If they ask for any money down before the job, hang up the phone. Homeowners should never pay for the service before the job is done.
After calling all four of these tree removal businesses and getting these answers, tree owners need to look into them a little bit more before settling on a service. Check their websites to see how professional they are, and see if they have ratings and reviews or recommendations from past tree owners who used their service. Look at review services to see what others have said about them. See if any of your neighbors have used their services before. Make sure you get a service you can really trust, as you don’t end up in a situation where the tree could potentially fall on your home or in the yard and ruin your flower beds, lawn or the fence.
Information on Hiring a Tree Cutting Service
Although many tree owners may consider tree cutting to be the removal of entire limbs or branches from trees, tree cutting is actually the removal of a tree from its stump by chainsaw. Tree cutting is a very dangerous process as a result, with wood chips flying everywhere and branches strewn out across the lawn for children and pets to potentially get injured. So tree owners need to take steps when hiring a tree cutting service to ensure that their families and property are safe throughout the process.
Tree Cutting Service FAQ
Akin to tree removal service questions, there are many similar questions that tree owners should ask tree cutting services–at least three–before they consider hiring them. These include questions like:
- Can they provide a copy of their license and insurance?
- Do they have a list of references?
- How long will the tree cutting process take?
- Will they be able to give you an estimate?
Tree owners should especially ask ahead of time about safety equipment and gear that the tree cutting service has to fell the tree. Chainsaws are a paramount item in the tree cutting process, which means that the tree cutting team should have hard hats, gloves, safety suits, boots, headphones and safety goggles to protect them against the debris of the tree. Tree owners should also ask about the stump and whether the tree cutting service will be willing to remove it afterwards. They might have to pay extra for the service, as tree cutting does not including cutting down to the roots at first to remove the tree.
Once again, do not put money down before the service is rendered. This could lead to tree owners never having the tree removed and being scammed in the process. Also, ask about whether or not they will remove the debris in addition to the tree afterwards, as it could be problematic for tree owners otherwise to clean up the yard and handle all the excess branches and wood chips. Consider having a contract signed between both parties to ensure the work is carried out correctly.
How Tree Cutting & Removal are Related
Tree cutting and removal are related jobs because tree cutting is one method by which trees are felled. Chainsaws are popular in arborist circles for quickly getting a tree trunk severed and pulled down. There are also axes and other types of saws available to tree service companies for removal. Tree cutting involves the complete removal of limbs and branches from the tree, rendering it bare before the tree is felled. That’s not always the case with tree removal, depending on the size and girth of the tree along with other factors. However, tree cutting always involves the removal of the tree afterwards although not always the stump, which sets them apart in the field of tree services.
Information on Tree Trimming Services
Because trees and shrubs can be impacted by environmental conditions like pests, diseases and climate changes, they often need care and maintenance to keep them in their healthiest condition to survive. That’s why tree owners need to have their trees trimmed and pruned on a regular basis throughout the spring and summer. While some tree owners might be enthusiasts who know how to prune and trim their trees, some might not be sure and accidentally prune their branches too much or make their shrubs too bare. That’s why tree trimming services are around to help.
However, it’s important to trim down the number of services to hire on your list from 10 to 3 or 4. So here are some crucial factors tree owners need to know and pose to tree trimming services when narrowing down the list.
Common Questions to Ask Tree Trimming Services
Any tree trimming or pruning service should be able to provide information about their business and the job, including:
- Detailed cost estimate
- Time estimate for the trimming job
Tree trimming services should also be able to answer questions about their business and the their team, related to their techniques and their background. They should be able to tell a homeowner if:
- They are certified by the International Society of Arboriculture (ISA)
- They are a Tree Care Industry Association (TCIA) Accredited Business
- They use spikes on their shoes when climbing trees to trim them (they should not have to do this)
- They do topping (removing living sections of the tree off the top of it) during the trimming or pruning process (they should not ever do this!)
- They will dispose of the limbs and branches after completing the job.
- They do background checks on their teams.
- They will sign a contract detailing the work to be done in the estimated amount of time for the quoted amount.
Trimming Near Power Lines
If your trees and shrubs are near power lines, it might be easier and cheaper for you to call up the power company than a tree trimming service. Many power companies will not charge to come out and trim trees near the power lines, as it is safer for them to cut near the power lines than for an arborist to do it and potentially cause a power outage for the neighborhood. Many arborists will not even trim trees that are near power lines. Check where your tree is located and if the branches are within reach of a power line. If it’s touching a power line or within a foot or two of a power line, it’s worth calling your power company and asking them what the best course of action is before calling a tree trimming service.
The Best Season for Tree Trimming & Pruning
Many tree owners consider spring and summer as the best time for tree trimming and pruning. However, it doesn’t hurt to double check and ask tree trimming services about whether or not it’s the right time for trimming and pruning when you call them. They will be able to advise you and ensure your tree stays healthy and continues to grow. That’s why they’re certified and have been in the field.
Things To Do In Cocoa Beach This Fall
Cocoa Beach is a Florida city south of Cape Canaveral Air Force Station. It’s a gateway to the Kennedy Space Center Visitor Complex, which has rockets and iconic artifacts.
The city is known for its beach and surf breaks. The Florida Surf Museum traces the sport’s local history, and nearby Cocoa Beach Pier has eateries and shops. The maritime forest at oceanfront Lori Wilson Park attracts assorted birdlife as well.
Want to know more about vacation packages in Cocoa Beach and fun things to do in Cocoa Beach? Here’s your list of the best Cocoa Beach attractions and activities for the whole family to enjoy.
Park Yourself by the Shore
You’ll find one of the area’s loveliest escapes at Lori Wilson Park. Aside from its clean, wide beach, thick with golden-hued sand, the park boasts free parking. Remember to wander the nature trail while you’re there, as well. It winds into a maritime hammock, lush with live oak, palmetto and greenery. You’ll feel like civilization is a world away.
Ride a Wave
Cocoa Beach is renowned for its calm, consistent waves. That, combined with the fact the water is shallow enough to simply wade out past the breakers, makes it an ideal place to learn to surf. You can take a lesson, rent a board, or bring your own. It’s one of the best places to surf in the state, making it one of the top things to do in Cocoa Beach.
Explore the Cocoa Beach Pier
The Cocoa Beach boardwalk stretches 800 feet over the Atlantic Ocean. Besides giving you a swell view of the beach, it’s brimming with shops, restaurants and boutiques. Don’t miss noshing on a juicy fish sandwich at the Atlantic Ocean Grille.
Discover Ron Jon Surf Shop
This iconic Ron Jon Surf Shop is the world’s largest surf shop, encompassing 52,000 square feet. The store, which is one of the top Cocoa Beach attractions, is open 24 hours a day, and offers everything you could possibly need for the beach lifestyle, including bikinis, surf boards, clothing and sports gear. With its fish tanks, glass elevators and flowing waterfalls, it’s worth discovering even if you don’t feel like shopping.
Fat Kahuna’s Beach Side Grille boasts breezy outdoor seating and a gorgeous ocean view. Or escape indoors into a cool, air-conditioned paradise complete with soft background Hawaiian music, a wraparound bar and fullscreen television, featuring non-stop surf footage. Shark tacos, anyone?
Enjoy a nature tour kayaking the Thousand Islands with Adventure Kayak or Fin Expeditions. You’ll see manatee, dolphin, and many species of birds while paddling through tropical mangroves.
Fun in the Sun
Take your pick from leisurely or extreme adventures at 321 Kiteboarding and Watersports. They offer stand-up paddle board and kayak rentals as well as kitesurfing and surfing lessons.
Munch on Lunch
If you have time for a beach lunch, make it Coconuts on The Beach. The location, smack-dab on the Atlantic, is a ten. But the view isn’t all Coconuts offers. Sink your teeth into a Fish Reuben, fish tacos, or fish ‘n chips, and make sure to try the sweet potato fries. Wash it down with an icy beach drink or a pina-colada smoothie.
Roll into Space
Space Coast Segway Tours invites you to experience the fun and adventure of riding a Segway through sunny Port Canaveral. You’ll snag an up-close-and-personal look around Ron Jon Cape Caribe resort and explore areas by the Ocean and the Port. You may catch a full view of the cruise ships or even a manatee in the locks.
Conquer the Half Pipe
Cocoa Beach Skate Park is lovingly described by teens as ‘sick,’ and it’s one of their favorite things to do in Cocoa Beach. The park, a friendly, inexpensive haven for kids, boasts two deep bowls and a half pipe, in addition to a grassy area and bleachers where parents can relax.
Compra La Casa de Tus Sueños en Orlando, FL Cerca a Disney World
¿Te imaginas tener una linda casa en Orlando, Florida muy cerca de Disney? Si tienes hijos, este sería todo un sueño. Poder disfrutar en cualquier momento del año uno de los parques más grandiosos del mundo y vivir en una de las mejores zonas de Estados Unidos con un clima espectacular, puede parecer un sueño difícil de cumplir, pero no es así. La compra de casas en Orlando cada día es más accesible. En este post te daré unos consejos para que puedas adquirir cualquiera de las hermosas casas en Orlando que estén disponibles en el mercado.
¿Por Qué Comprar Casas En Orlando?
1. Ubicación Perfecta
Como lo dijimos, el clima, el lugar, la cultura y los servicios que ofrece Orlando lo convierten en una de las ciudades más paradisíacas y visitadas del mundo. Un excelente lugar tanto para la familia como para una pareja joven.
Aunque no lo creas, las casas en Orlando pueden ser mucho más accesibles que en otras partes de los Estados Unidos.
3. El Tamaño
Además de precios excepcionales y accesibles puedes, puedes conseguir casas en Orlando de gran tamaño y bien cuidadas.
En Florida podrás encontrar 600km o más de playas, siendo muchas de estas importantes y conocidas como South beach. ¿Imaginas una casa donde la playa te quede a una hora o menos?.
5. El clima
Esta es la zona soleada de los Estados Unidos y durante todo el año, las casas en Orlando disfrutan de una temperatura de 20 grados como media. Ni muy frío ni muy caliente, es perfecto.
6. Costo de vida más económico.
Al comprar una casa en Orlando disfrutas del mar, el clima, una casa grande, Disneyland y además el costo de vida es más barato estando por debajo de la media. ¿Qué más se puede pedir?
7. Ahorro De Servicios
Las Casas en Orlando tienen sistema de ahorro energético de electricidad, lo que significa que también ahorrarás en tus gastos mensuales.
Esta zona del país suele ser muy segura y se puede llevar una vida placentera y tranquila.
9. Actividades de Ocio
No solo existe DisneyLand, puedes disfrutar del golf, la pesca, una divertida vida nocturna entre otras cosas en esta magnífica ciudad.
Orlando es el sueño de todos los turistas, ¿por qué no vivir en la ciudad soñada? La compra de casas en Orlando hoy es más accesible que nunca. No te pierdas la oportunidad de adquirir tu vivienda.
Consejos Para la Compra de Casas En Orlando Florida.
- Busca siempre un agente que tenga licencia, ellos te podrán asesorar en todo el proceso legal y bancario que necesites.
- Compara precio, tamaños y zonas de las casas de Orlando antes de hacer la compra. Hay mucha variedad y puedes encontrar una más grande o más bonita mucho más económica.
- Verifica que la casa cumpla tus necesidades de vida diaria: transporte, servicios públicos o privados, escuelas, etc.
- Revisa los aspectos legales de la vivienda.
- Ten todos tus documentos necesarios para la compra a mano.
- Busca una entidad bancaria que te ofrezca un crédito accesible y seguro.
Con estos consejos estás listo para comenzar tu búsqueda, recuerda que un buen asesor te ayudará en el proceso de compra, y si aún no me crees, siempre puedes comenzar viendo la oferta en internet y descubre por ti mismo las oportunidades que puedes tomar.
Visit: Buying A Home First Time
Cinco lugares para visitar en Orlando, FL
La ciudad de Orlando, FL es un gran destino turístico dentro de los Estados Unidos debido a la asombrosa cantidad de increíbles parques temáticos que posee, por lo que, si se va de visita a esta ciudad, sea que se hospeda la familia en un hotel o en una casa en Orlando, hay una serie de lugares que no pueden perderse de conocer, siendo evidentemente todos ellos, parques temáticos. A continuación, se presentarán 5 parques temáticos que no pueden dejar de visitarse al ir a vacacionar a la ciudad de Orlando, FL:
Walt Disney World
El parque temático más grande del mundo y el ícono de los parques temáticos. Pensar en Orlando es pensar en Walt Disney World. En este lugar deben dejarse atrás las preocupaciones de la vida adulta y permitirse envolver en la magia que trae consigo Disney. Una experiencia inolvidable para toda la familia aguarda en este lugar, sobre todo si se va con la compañía de niños con un rango de edad entre 3 a 8 años ya que estos podrán sacarle provecho al máximo a esta magnífica e inolvidable experiencia.
Al tratarse del parque temático más grande y emblemático del mundo, es también el que mayor cantidad de público maneja, por lo que suelen haber largas colas para acceder a las atracciones, por lo que valdría la pena pagar un poco más por un fast past, el cual permite disfrutar de las atracciones sin hacer esas interminables colas.
Visit: Compra De Casas En Orlando
Universal Studios Orlando
El segundo parque temático más emblemático del mundo. Este parque permite vivir la experiencia a todos aquellos amantes del cine de disfrutar de atracciones y actividades como en sus películas favoritas. Muchas de las instalaciones están ambientadas en escenarios característicos de diversas películas, por lo que, si se es amante de los parques temáticos y del cine, este es el lugar ideal para visitar. Se requieren de al menos dos días bien planificados para disfrutar completamente de la experiencia.
Epcot, por sus siglas en inglés de Experimental Prototype Community of Tomorrow o Prototipo de Comunidad Experimental del Mañana. Se trata del segundo parque temático más grande en el interior del Walt Disney World Resort. Está orientado en la cultura internacional y la innovación tecnológica, aunque inicialmente estaba pensado en ser un modelo de una ciudad del futuro.
Posee una gastronomía muy variada y un excelente sitio de esparcimiento para jóvenes y adultos.
Sea World Orlando
Ideal para los amantes de los parques acuáticos. Además de tratarse de un parque temático, también se trata de un zoológico marino. Posee gran cantidad de montañas rusas acuáticas y numerosas atracciones que exploran de forma maravillosa el mundo acuático.
El Mundo embrujado de Harry Potter
Asombroso parque temático dedicado al extenso y fantástico mundo del mago de Hogwarts, Harry Potter. Un lugar asombroso donde la magia se hace realidad y diversos escenarios de la saga de películas se vuelven palpables, siendo el más emblemático el castillo de Hogwarts.
Sin duda alguna, Orlando tiene muchos fantásticos sitios para visitar y disfrutar de un viaje en familia muy especial.
Compra casas nuevas en Orlando, FL
Adquirir una casa es parte importante en la vida de las personas, y es una decisión que debe ser pensada con calma y analizada con todas sus ventajas y desventajas, estableciendo mentalmente que la vivienda que se está adquiriendo va a ser el sitio en el que se va a residir por al menos un período de tiempo de 2 a 5 años. Orlando, FL suele ser un destino turístico importante en los Estados Unidos y un sitio clave para invertir y adquirir una vivienda.
¿Casa nueva o Casa usada?
Es bien sabido que en líneas generales cualquier artículo o propiedad usada suele ser más económica que una nueva. Varios factores influyen en esa decisión, principalmente el presupuesto de la persona que decide adquirir una vivienda. Los precios de la mayoría de las casas nuevas en Orlando, FL va desde $200.000 hasta $500.000, y este precio va aumentando según la ubicación de la misma, ya que a medida que éstas se encuentran más cerca de algún parque temático como el de Disney World, su precio va aumentando considerablemente.
Una casa nueva, aunque sea más costosa que una casa previamente usada, tiene evidentemente una serie de ventajas importantes, entre ellas la garantía de propiedad la cual no suele haberla en aquellas casas que ya han sido usadas, además, otra ventaja muy importante es que las casas nuevas se construyen con alta eficacia eléctrica lo que permite abaratar los costos del servicio de electricidad mientras que aquellas casas usadas no. Aunque una casa nueva sea mucho más costosa es una mejor inversión que la que se puede hacer al comprar una casa vieja o usada.
Visit: Compra De Casas En Orlando
Otros factores que influyen en la compra de una casa
Una vez se ha establecido un presupuesto con el que se cuenta para comprar una casa en Orlando lo siguiente es elegir en que parte de la ciudad se vivirá ya que eso suele afectar también el coste.
El comprador debe averiguar cuáles son los sitios de interés cercanos, la seguridad de la zona, el tipo de vivienda que se desea adquirir tomando en cuenta la cantidad de personas que van a vivir en dicha casa, y si el inmueble por todas esas características le conviene o no según su estilo de vida ya establecido.
Es muy importante siempre al comprar una vivienda no tener una única opción, si no varias, de forma que antes de realizar cualquier tipo de compra se puedan visitar varias casas, preferiblemente en un lapso de varios días si las opciones son muchas. A medida que se van descartando opciones es ideal que aquellas opciones que se han mantenido sea una cantidad no mayor a 3 casas, para que, al momento de decidir la compra definitiva de alguna de las propiedades, las mismas puedan visitarse una última vez en un mismo día.
En definitiva, lo más recomendable antes de adquirir una vivienda es pedir la asesoría de un agente de bienes raíces que son expertos en este tema y sabrán orientar adecuadamente a los compradores.
Tres Motivos Para Comprar Una Casa Vacacional en Orlando, FL
Las casas vacacionales son una excelente opción a la hora de elegir un sitio en donde hospedarse durante un viaje, en especial si se trata de un viaje largo y si se está en compañía de esos seres queridos. La ciudad de Orlando en Florida posee una gran cantidad de parques temáticos llenos de horas y horas de entretenimiento y diversión por lo que puede que en una sola visita no sea suficiente para conocer todo, por tanto, si tú y tu familia son de los que regularmente viajan a Orlando, te presentamos tres motivos para comprar una casa en Orlando:
Vacaciones en familia
Tener un lugar a donde llegar siempre es fundamental, y hay mayor seguridad si dicho lugar es propio. Las casas vacacionales en Orlando son ideales para viajes familiares con una duración mayor a 1 semana donde se desee un ambiente similar al habitual en casa, pero con ese toque de algo diferente, por lo que, si eres de los que quiere disfrutar de unas buenas y merecidas vacaciones familiares, esta es una excelente idea.
Visit: Compra De Casas En Orlando
Cocina completamente equipada
Dentro de los diversos gastos que implica un viaje vacacional, uno de ellos es la comida, lo cual se convierte en un tema difícil sobretodo en viajes largos donde es poco rentable comer toda una familia en la calle por más de una semana. Disponer de una cocina totalmente equipada permite ahorrar una cantidad importante de dinero durante el viaje, bien sea en los almuerzos o durante la visita a los parques temáticos. Si se trata de un viaje largo es en definitiva la opción más rentable ya que siempre será más económico ir al supermercado y cocinar en la casa que comprar comida en la calle constantemente.
Disponibilidad los 365 días del año
Por último y no por ello menos importante, la mayor ventaja en definitiva de comprar una casa en Orlando es la de poder disponer de ella en cualquier momento. Éste tipo de propiedad es muy cotizada por la comodidad que representa por lo que las reservaciones de las mismas suelen hacerse incluso con un año de antelación cuando éstas se van a alquilar, pero si se compra la vivienda estará disponible en cualquier fecha del año, bien sea una temporada alta o baja, y por la cantidad de semanas que se desee.
De igual forma, una manera de sacarle provecho durante las fechas en las cuales no se está utilizando es alquilarla a otras familias que deseen también disfrutar de unas vacaciones en Orlando, de esta forma puede mantenerse la estructura en condiciones idóneas ya que estaría generando un ingreso que a la larga podría ayudar a recuperar parte de la inversión hecha.
En conclusión, si tú y tu familia son amantes de los parques temáticos de Orlando, FL y quieren disfrutar de sus vacaciones fuera, pero con las comodidades necesarias como si estuviesen en su hogar, comprar una casa en Orlando es realmente una excelente inversión a corto, mediano y largo plazo.
Best Injury Lawyers In Port Orange
When you undergo a serious injury, the results are often permanent in some way or form. Whether that means a lifelong limp, a persistent cough, or even just a phobia of the situation that landed you up injured. It’s this kind of permanence that worries most people, but there is another problem that’s almost as serious, and that’s the question of representation.
Personal injury representation can mean the difference between a by-the-numbers court case and (hopefully) payout, and a travesty, where you lose money on top of your injuries. You need representation, and representation you can trust.
Join us today, as we bring you three of the top personal injury lawyers currently in operation in the Port Orange area.
Ward T. Berg
Ward T. Berg, P.A. makes your personal significant injuries their business. Because the nature of these injuries is that they can occur without any outward signs, pain and suffering are often similarly unmeasurable. With their free consultation services, Ward T. Berg offers comprehensive physical injury services, investing their time and resources into each case. Utilizing their extensive industry experience with a focus on this, Ward T. Berg conducts work that earns them their reputation as the best personal injury lawyer in New Smyrna Beach.
Politis & Matovina
Established in 1993, Politis & Matovina has been representing the citizens of Central Florida for more than two decades. From auto accidents to compensation for lost wages and even wrongful death cases, personal injury representation at Politis & Matovina runs the gamut of legal offerings and does it very well indeed.
Brian R. Toung
When a person is seriously injured in an accident resulting from carelessness, they need representation to help them cope with the struggles they’ll experience as a result. Brian R. Toung is a skilled, compassionate personal injury attorney who has been representing Daytona Beach clients since 1983.
Top Personal Injury Lawyers In Port Orange
Personal injury is an unpleasant business. There’s the issue of the injury itself, as well as the fallout and lasting effects these injuries usually bring. But few things can measure up to the legal and financial responsibilities these issues bring with them.
With today’s article on the best injury lawyers in Port Orange, you’ll be prepared when the day comes that you need representation.