Living With Chronic Pain in Recovery
Living with chronic pain in recovery can feel like a minefield, especially if the pain is relatively new and you've experienced it while sober. While many people become addicted to drugs after being exposed medically, others may need pain relief while sober. Taking opioids for more than a day or two is not safe for people in recovery. Yet longer-term pain may remain; it's not something that improves as you stay sober longer. People with chronic illnesses need solutions that help them stay sober and improve their quality of life.
Treating Chronic Pain Without Opioids
Chronic pain typically can come from various conditions, from nerve damage from long-term drug use to pain from injuries, accidents, and illnesses that didn't heal. Many people in recovery live with chronic diseases. Sometimes that means they live with chronic pain, too.
When left untreated, chronic illness can significantly impact the quality of life of an individual. In the past, opioids, such as morphine and oxycodone, were considered the go-to treatment for severe pain. Today, many doctors are better educated and choose a multi-pronged approach to minimize harm.
Here are some potential options:
- Non-Opioid Medications: Various non-opioid medications can treat chronic pain, including nonsteroidal anti-inflammatory drugs such as aspirin, acetaminophen, and certain antidepressants and anticonvulsants. Many of these can be combined to create adequate pain relief options.
- Opioid Rotation or MAT: If a person with addiction is already on opioid medication for chronic pain, their doctor may consider switching them to a different opioid with a lower risk of abuse potential. Often, this means that they can use MAT options such as buprenorphine.
- Behavioral Therapy: Cognitive-behavioral therapy (CBT) and mindfulness-based stress reduction (MBSR) can help individuals with addiction learn new coping mechanisms for managing chronic pain.
- Physical Therapy: Physical therapy can help individuals with chronic pain increase their physical activity, strengthen their muscles, and improve their flexibility, all of which can help reduce pain and improve overall function.
- Complementary and Alternative Therapies: Some people may benefit from complementary and alternative therapies such as acupuncture, massage, and chiropractic care to manage their chronic pain. These treatments can help reduce pain and improve the overall quality of life.
Buprenorphine For Chronic Pain Management
Buprenorphine, while also used in Medication-Assisted Treatment, is a medication that can help with pain management in a few different ways. First, it is a partial opioid agonist, meaning it can produce some pain-relieving effects as other opioids but with a lower risk of addiction and fewer side effects.
Buprenorphine also has a ceiling effect, meaning it cannot produce any additional pain relief after a specific dose, making it safer to use than other opioids. Buprenorphine works as an antagonist at receptor sites in the brain, which means it can block other opioids from binding and therefore reduce the risk of overdose.
Buprenorphine has been shown to positively affect mood, making it helpful to people who live with chronic pain and struggle with depression. A qualified healthcare provider should only prescribe buprenorphine, and patients should follow their provider's treatment plan carefully. Not every health plan will offer it, and you may not qualify for it. Speak with your healthcare providers to learn more.
Low-Dose Naltrexone for Chronic Pain Management
In pain management, low-dose naltrexone (LDN) has been studied as a potential therapy for conditions such as fibromyalgia, neuropathic pain, and chronic fatigue syndrome. It is thought to work by modulating the immune system and reducing inflammation, which may contribute to chronic pain.
Naltrexone is no longer considered experimental. However, not all health insurance companies will cover it, and not all treatment centers offer it. Naltrexone used for chronic pain rather than opioid use disorder is considered off-label and may not covered by health insurance.
In addition to medication-based treatment, integrative approaches like physical therapy, cognitive-behavioral therapy, and mindfulness-based interventions can help reduce chronic pain without relying on opioids.
Sober Living Can Help
People with chronic pain or no pain can become addicted to opioids. If you live with opioid use disorder, and need treatment for chronic pain, work closely with your doctor to try non-addictive treatment options.
The past three years have been different for many people, especially those who have been using drugs and have found recovery. Isolation, uncertainty, and even closures of vital services such as Medication-Assisted Treatment during the COVID-19 crisis left people scrambling to get the healthcare they needed. As a result, sober living temporarily stopped accepting new clients, but sadly, many people in other care situations found themselves without a place to go. Sober living, however, continues to provide safety and focus on clients' well-being during uncertain times.
Sober living is an essential tool for people in recovery. For many people now getting sober, the responsibility, community, and accountability a sober home can provide can help them build a strong recovery foundation.
Increased Drug Use, Overdoses in the Pandemic Era
The pandemic changed how people used and acquired drugs.
Economic hardship, a stumbling economy, and the fears of the pandemic caused much uncertainty. At the same time, the illicit drug supply chain was cut off in many ports. As a result, people had to look for new ways to get high. Often, this meant dealing with drug dealers on social media who may have added fentanyl to their products.
Uncertainty and economic hardship are often causes of increased substance use. In addition, people who were isolated or working at home often used substances out of loneliness or boredom.
These factors led to a wave of overdoses in 2020 and 2021, with over 92,000 lives lost to overdose. It was the largest number to date, 21,000 more than in any previous year. Moreover, the numbers increased the following year, with 53,000 dead in the first six months of 2021 alone.
Sober Living Homes Help Build Stability
There's never been a better time to get sober – there is increased access to treatment and more options available than ever. Many people are now picking up the pieces to begin to heal from this era in their lives. Sober living can help create a stable, safe living situation for you to focus on yourself.
Sober homes can also provide the following, depending on the program:
- Structure and Routine: Uncertainty can lead to stress and anxiety, triggering a relapse if you don't have the proper tools in place. A sober living home can help provide a structured environment and daily routine. Depending on the home, that may include support groups, individual counseling, and recreational activities. This structure allows residents to stay focused on their recovery goals and avoid relapse.
- Accountability: In a sober living home, residents are accountable to their peers and staff. This accountability provides a powerful motivation to stay sober. When you know people are counting on you to stay sober, this can help you make better decisions. You are accountable for your actions - and your actions are important to others, too!
- Support and Community: A sober living home provides a supportive community of individuals. Your peers are working towards the same goal of staying sober. You have a community to turn to if you need it. This can be vital during uncertain times when feelings of isolation and loneliness can trigger substance use.
- Safe and Sober Environment: A sober living home provides a safe and therapeutic living environment. While this environment is sometimes free from some of the triggers of the outside world, there are rules to follow that keep everyone safe. This can be particularly important during uncertain times when stress and anxiety may be heightened.
A sober living home can provide a stable and supportive environment to help you stay sober, even during uncertain times. You can begin to rebuild your life in recovery through structure, accountability, support, and a safe environment.
Learn More About Sober Living
If you or somebody you know is considering a sober living situation, we're here to help. We offer safe facilities, access to amenities, healthy meals, and other help to stay on track while you learn to stay sober long-term. Get in touch to learn more about how we can help you learn to thrive as a newly sober individual.
Many people struggle with withdrawal symptoms even after their initial 90 days, which is the typical period of time to expect withdrawal symptoms. As a person's substance use moves further into the past, they may not initially notice that they still have some issues. However, many people struggle with PAWS in their first few years of recovery, especially if their drug of choice is an opioid. Without understanding the cause of their symptoms, it can be very frustrating and even detrimental.
Post-acute withdrawal syndrome (PAWS) is a term used to describe persistent withdrawal symptoms that occur after the acute withdrawal period has ended. While people who use any substance may struggle with PAWS, it's commonly associated with opioid use. It can last for months or even years after an individual has stopped using opioids. PAWS can significantly hinder recovery and long-term sobriety without education and treatment. It can be incredibly frustrating for a newcomer to recovery to cope with PAWs for months or even years into sobriety.
Acute Withdrawal vs. Post-Acute Withdrawal
Opioids are highly addictive substances that can cause physical dependence. People who use opioids regularly have a body that has adapted to the presence of the drug. When they don't have it regularly, they can experience intense withdrawal symptoms. The acute withdrawal period typically begins within a few hours of the last dose. It can last for several days to a week. Symptoms of opioid withdrawal can include muscle aches, agitation, anxiety, insomnia, and abdominal cramps.
PAWS occurs after the acute withdrawal period. It is diagnosed by persistent symptoms such as fatigue, irritability, anxiety, depression, and sleep disturbances. These symptoms can persist for weeks, months, or even years and can be challenging to manage. Additionally, PAWS can increase the risk of relapse, as some individuals may turn back to using opioids to relieve their symptoms.
Effective management of PAWS is crucial for long-term recovery from opioid addiction. Treatment options for PAWS may include medication-assisted treatment (MAT), behavioral therapies, and holistic approaches such as nutrition and exercise. Individuals in recovery need a healthcare professional or addiction specialist to help develop a personalized treatment plan that addresses their specific needs and helps to support their journey to long-term sobriety.
Nutrition in Post-Acute Withdrawal
Many treatment centers provide a holistic approach to treatment and recovery. However, nutrition can be essential in post-acute withdrawal syndrome (PAWS) and recovery from substance abuse. Here are some ways that nutrition can help:
1. Replenishing nutrients: Substance abuse can deplete the body of essential nutrients, and a healthy diet can help to replenish these stores.
2. Stabilizing blood sugar: Substance abuse can cause fluctuations in blood sugar levels, contributing to cravings and mood swings. A balanced diet that includes complex carbohydrates, healthy fats, and lean proteins can help to regulate blood sugar and improve mood stability.
3. Supporting the brain and nervous system: The brain and nervous system are particularly vulnerable during recovery, and adequate nutrition is necessary for their proper function. Consuming foods rich in vitamins and minerals such as B vitamins, omega-3 fatty acids, and magnesium can help to support the brain and nervous system during recovery.
4. Boosting energy: PAWS can cause fatigue and lack of energy. Proper nutrition can help increase energy levels and support overall physical health.
It is important to note that everyone's nutritional needs are different. Therefore, consult a healthcare professional or registered dietitian for personalized recommendations if you suffer from any health condition.
Living With PAWS in Recovery
A healthy lifestyle is essential for sobriety. Living with PAWS means taking care of yourself and learning to cope with life, even when you experience symptoms of it.
Many people experience PAWs and find relief with assistance. If you or somebody you love is experiencing longer-term anxiety, cravings, sleep issues, or other symptoms, it's essential to seek help. A medical professional can help rule out other disorders as well.
Many people in recovery also live with mental health disorders, which may have previously been masked due to substance use. Both of these disorders can cause challenges for people in recovery. You deserve to be treated for all your illnesses and live your best life.
Therapy and treatment groups can also help you work through the challenges of PAWS in daily life.
Consider Sober Housing
If you're looking for a sober housing situation that offers support, structure and community, our houses may be for you! We offer a safe environment in a vibrant, thriving recovery community. Call us to learn more about your options.
Addiction Is a treatable disease, and trust-building with loved ones is integral to the healing process. For some couples, it makes sense to seek couples therapy and strengthen their relationship. Couples therapy offers a space and time for romantic partners to work on their issues with a facilitator.
People who struggle with substance use disorder often have trouble in their relationships. After all, addiction is a disease of the brain. As a person becomes dependent on a substance, the way they act and think may change. The brain is focused on making its reward system happy rather than being a reasonable and responsible family member.
Why Couples Therapy?
Addiction is a disease that can leave much damage in its wake. It’s hard for partners and other loved ones to watch as somebody spirals out of control. They may try to help their partner only to be “shut out” or lied to.
Addiction is a family disease, and everyone in the addicted person’s life is affected by it. For some families, many false notions of stigma are still attached to the idea of addiction. People may be hurt or overwhelmed when their loved one admits there’s a problem.
Families, love, and emotions are complex. Addiction recovery helps the addicted person begin to rebuild their lives and stay sober. Therapy helps everyone adjust to the new changes and find ways to build trust together. A therapist can help facilitate difficult conversations about commitment, fears, sadness, anger, and past hurts that must be addressed.
Addiction Education In Couple’s Therapy
It’s essential to seek out a therapist that understands and works with families who live with a person with substance use issues. Many treatment centers and sober living communities have access to therapy for couples to work together.
Educating family members is also a big part of family therapy. Understanding that addiction is a disease of the brain, but it’s treatable is essential. Families need education about addiction's physical, mental, and emotional effects. They also need to learn more about recovery in general.
Couples may have experienced financial issues, job loss, arrests, and other wreckage. Sorting through and acknowledging the hurt with a professional can help couples build a healthier relationships.
Consider A Sober Living Community Post-Treatment
For many people, even married couples, treatment is just the beginning of a long journey toward long-term sobriety. After treatment, a sober living home can offer the community and support structure to start living life in early recovery. Learn more about your housing options by contacting us at 760-216-2077.
Contingency management, a type of behavioral therapy, is an unusual but highly effective treatment for people who live with substance use disorder. In programs that use contingency management, people who participate agree to stay sober. They receive positive reinforcement when they do so successfully and meet specific goals the program sets. Typically, this type of reinforcement is in the form of monetary compensation, gift cards, or even prizes. Sometimes these programs will also do the same for awarding privileges within a treatment facility. (Usually, all participants are regularly drug-tested to ensure compliance and honesty.)
Who Is Contingency Management For?
Contingency management is often a good fit for people who experience multiple challenges. Substance use disorder does not discriminate, and many people who live with dual diagnoses find motivation within programs using this model.
People addicted to multiple substances may find contingency management helps them become more committed to their treatment plans. Contingency management helps people stay sober and comply with treatment plans. In California, people addicted to methamphetamine successfully completed treatment programs that used contingency management.
Contingency management is also used in therapy for people with mental health disorders who want to work on their goals.
What Kinds Of Behavior Is Rewarded In Contingency Management?
People who participate in the therapy may be rewarded for taking specific actions which help them begin and maintain their recovery. People may earn rewards for good attendance, adhering to their medications, staying sober, attending 12-step meetings, and other aspects of their treatment.
For most people in outpatient treatment, many actions may need to be taken. People who are on probation, for example, may also be rewarded for working towards other goals such as applying for jobs or going back to school. They may need to balance going to therapy and twelve-step meetings as well as work.
The treatment helps people stick to a vital routine focused on recovery. Motivation and rewards can help people stay centered in recovery and feel good about themselves.
Sober Living and Housing
Sober living homes often combine both recovery and independence. People living in these homes share the same goals and can work toward being responsible and sober together. There are both community responsibilities as well as opportunities to bond and grow. Learn more about our peaceful, sober-focused communities by calling us at 760-216-2077.
People who live with substance use disorder are more prone to developing an addiction that’s not drugs. There are many reasons that this can happen, and they all still come down to the disease of addiction.
What Kinds Of Behaviors Can Become Addictive?
Addiction involves both obsession and compulsion. Your brain and body craved alcohol or drugs before you got sober. It will recognize when an activity boosts feel-good chemicals such as serotonin. People who live with substance use disorder may be involved in activities that, while not healthy, feel hard to stop thinking about or doing.
These feelings are compulsive, like an addiction; when you do an activity or use a substance repeatedly, the brain's reward center will still be activated. You may follow your innate drive to “get more” of that feeling, leading to very unhealthy results.
Activities that can be compulsive or addictive:
- Binging/Purging food
- Caffeine Consumption
- Vaping/smoking cigarettes
- Extreme sports
- Sexual activity
- Watching pornography
As you can see from the list, not all the activities that are addictive would be considered “bad” in moderation. Productive activities like work are great in moderation. But if your life surrounds your job, you may be throwing yourself into a whole new addiction cycle. Risk-taking behavior like speeding or skydiving also releases a lot of feel-good endorphins, which is why so many people engage in them.
Exercising once a day or every few days is healthy, but spending hours running or lifting weights could cause muscle injury and exhaustion. Drinking a cup of coffee once a day may be fine for your health, but if you find yourself living off of coffee, your health could be affected.
The Dangers Of New Addictions
When you become addicted to something besides substances, you’re in relapse mode. New addictions can bring back old behavior patterns, such as lying or minimizing your behavior. You may start to think there are other parts of recovery that you can cut corners from.
Lying about your addiction or falling into other old behavior patterns, such as minimizing your behavior, can be a trigger for relapse. Staying honest with yourself means reaching out when you realize your new addiction is a problem. You are powerless over your addiction, but you have the power to ask for help.
With a sponsor or therapist, you can start looking at your triggers and begin to abstain from compulsive behaviors. There are many healthier coping mechanisms that you can begin to do. Mindfulness, talk therapy, and meditation are just a few tools available.
You’re a human being, and you’re allowed to make mistakes. Don’t get high or drunk no matter what. Your recovery matters!
Consider Sober Living
Learning to live a sober lifestyle is an important part of your first steps in recovery! A sober living situation is often an excellent launchpad for people new to recovery. You can be around peers with similar goals as you begin to plot your next chapter of life. Learn more about sober housing by calling us at 760-216-2077.
People who live with substance use disorder often have other behavior and health problems that need to be treated. Insomnia is a frequent complaint when people stop using alcohol or drugs. Some people only experience it while they are in withdrawal. For other people, sleep issues like insomnia can be persistent. Why is this?
Sleep Disturbances In Recovery
You may also experience other sleep issues, such as nightmares or trouble falling asleep if you have insomnia. While it may be disturbing, it’s a natural occurrence and often thought to result from long-term detoxing as your body rewires your brain. Some people have trouble falling asleep, while others may wake up feeling wide awake in the middle of the night.
People with alcohol use disorder may have more trouble falling asleep than others. Almost 25% of people who have an alcohol problem have sleep issues. People with opioid use disorder also have trouble sleeping during their first year sober as their body adjusts to life without substances. Dreams like drug dreams or dreams about past trauma can also disturb sleep.
Sleep Is Important
A lack of sleep can cause significant issues for people in recovery and should not go unaddressed. When you don’t sleep, your body and mind have trouble recovering and preparing for the next day. Lack of sleep can make you more susceptible to accidents or infections. For many people, insomnia causes additional stress that makes people more vulnerable to relapse.
Sleep is important to emotional and physical healing. Try to give yourself at least 8 hours to sleep every night.
Addressing Insomnia And Sleep Problems
Most people begin to sleep better after their first few months sober, but others may suffer from a sleep disorder. Sleeping disorders can be treated through cognitive behavioral therapy, meditation, and relaxation exercises.
Behavioral changes may help a person establish a new sleep routine. Limiting activities in bed such as reading or “doomscrolling” can help signal to your body that it is time to rest. Establishing a simple nightly routine such as brushing your teeth, writing your gratitude list, and going to bed can also help prepare your mind and body to relax. Over-the-counter remedies for sleep can be a trigger for drug use. Don’t try to solve a sleep disorder on your own.
If you’re desperate for sleep, seek professional help. A medical doctor or psychiatrist can help you determine the best course of treatment for sleep issues.
Consider Sober Living
If you are newly sober and looking for a safe, recovery-focused home full of community, sober living may be right for you. Learn more about how it works by calling 760-216-2077.
Relapse is common for people early in recovery. Emotions are raw, new feelings and experiences may be intimidating, and some triggers may make people feel like using. It’s well known that addiction is common among people who have experienced trauma. When this trauma, such as early childhood abuse or sexual assault, goes unaddressed, it causes a wound that can affect a person’s entire life.
Unaddressed trauma is a well-known relapse trigger for people who struggle with a substance use disorder. It’s common for people in early recovery to have symptoms of anxiety, depression, or even PTSD when they get sober. Research shows that people who have been diagnosed with PTSD are more likely to relapse when they experience symptoms of the disorder.
Why Is Trauma A Relapse Trigger?
When you have experienced trauma, either in your childhood or as an adult, you probably adapted your life to survive. Some people shut down and go numb in the face of anxiety, while others self-medicate to make themselves feel numb. The emotions, physical sensations, and even dreams surrounding the trauma can make a person feel like they are reliving it repeatedly.
Newcomers to recovery feel a roller coaster of emotions during and after detox. These emotions may be related to things that happened today or long ago. Trauma, hurt, and shame often rears their head in people who live with PTSD. Angry and frightened outbursts can also occur occasionally when people feel like they’re in the grip of a traumatic situation again.
The intense emotions surrounding trauma can make a person want to do anything to escape their feelings, quickly leading to using their drug of choice again.
Working On Understanding Trauma
Trauma is something that people in the addiction profession watch for in addicted persons. Therapy, medication, if needed, and self-care are all important ways to begin healing from the pain of past trauma. In treatment and therapy, you will start new relationships and practice trusting yourself and others again.
Being reminded of trauma may make you feel shameful or afraid. Trauma is nothing to be ashamed of; if somebody hurt you or something happened to you, it’s not your fault. Acknowledging the pain and hurt is essential to recovery. Shame is a normal reaction, but as you will learn, feelings aren’t facts.
In recovery, you will learn to love yourself and feel comfortable in your skin again. Healing from the trauma of the past takes time and willingness. Treatment can offer a safe space for you to begin the healing journey. The journey starts with deciding to stay clean.
Staying clean will mean learning to love yourself again and working on healing your self-defeating thoughts and behaviors. Working through the trauma will help you understand how it affects you today. If you need help getting help for your trauma, reach out and ask.
Sober Living Options
Trauma-informed therapy and recovery can help you thrive even when you feel your past traumas are overwhelming.
Recovery is available to everyone! Sober living offers a safe, structured environment to continue your healing journey and focus on recovery. Learn more about what we offer by calling us at 760-216-2077.
Why do people who are sober have drug dreams? Many people in recovery from addiction discover that they dream more lucidly when sober for a while. However, one widespread phenomenon that sober people experience is dreams where they are using drugs again. These drug dreams can be frightening and disturbing. They can also bring up a desire to get high. All of the feelings you have about these types of dreams are valid. Learning about why you have dreams where you use drugs can help you walk through your fears and handle your feelings.
Drugs Were A Big Part Of Your Life
One reason you will have dreams about drugs is that when you have been addicted, you have spent a lot of time dedicated to your addiction. Getting and using your substance of choice was a priority. You spent a lot of time with your addiction. This time in your life doesn’t magically disappear, even when you have been sober for a while. No one knows precisely why we dream at all, but our dreams seem to depict fears and unresolved problems typically.
Even when you’re concentrating on being sober, you are still aware that you were once addicted to drugs. So your mind may bring it up to you every now and then.
Talking About Your Drug Dreams
Drug dreams are normal but can trigger many feelings to sort through. How do you feel when you wake up from a dream about getting high? Do you feel scared, angry, or upset? Remind yourself, first; it was just a dream. You can’t control your dreams, even if they make you feel guilty or upset.
Talking to your sponsor or therapist about dreams you have can be helpful. Some people like to keep dream journals to understand their dreams more thoroughly. However, making sure you talk about your feelings when you dream about substance use is essential.
One Day At A Time
Every day sober, you’re getting better, one day at a time. However, you may be going through an intense time in your recovery if you’re having recurring dreams about drugs. Don’t be afraid to seek professional help if these dreams are causing you regular anxiety or are interrupting your sleep. In addition, you can learn relaxation techniques that may help you dream more calmly.
Join A Recovery Home Community
Many people find that they’re interested in spending more time with others in recovery once they're sober. Sober living homes offer community and lifestyle for newly sober people. While there is structure, there is also freedom and assistance while you work your recovery program a day at a time.
Learn more about what our sober living programs have to offer at 760-216-2077.
Recovery is a beautiful journey full of possibility. If you’re new to recovery but have begun to string together a few months sober, congratulations! Many people end up on a “pink cloud” full of hope and excitement when they first get sober. During this time, optimism reigns. You may feel like you can do everything better; you’re a better employee, better friend, and a happier, more productive person in general. You may want to catch up with everything – and end up overwhelmed. Recovery burnout is real, but it’s preventable.
So how can you prevent burnout while still living a healthy and productive life in recovery?
Manage Your Time to Prevent Burnout
When you get sober, a lot of your daily time is available. After all, you put a lot of effort and time into using substances. Managing your time by setting reminders and having a to-do list can help you stay focused on daily goals. Scheduling your time may come naturally, or you may want to write a daily schedule. There are plenty of planners that can help you decide what to do with your time daily or weekly.
In recovery, you’ll spend your time in therapy, with 12-step groups, and also live life on its terms. These are things you’ll schedule weekly. You’ll also probably have a work schedule at some point and then, of course, plan time for meals and sleep.
Scheduling all work and no play can help you get closer to burning out. Instead, you need to take time for things you enjoy and time to decompress from your daily stresses. This is where self-care is essential.
Self-Care As A Burnout Preventative
Scheduling self-care into your day is important. For example, do you have 15 spare minutes to go for a walk? Or maybe you’re ready to treat yourself to a haircut before your 12-step meeting this weekend?
Find the gaps in your schedule to spend time just enjoying life. Listen to your favorite music for 15 minutes a day. Read a good book. Or take a whole Sunday afternoon to binge-watch your favorite television show with a recovery friend.
Learning self-care is a daily process. You probably didn’t set aside time to be kind to yourself or nurture yourself when you were using substances. Self-care is a way for you to practice kindness to yourself daily.
Consider Sober Living
Many people find that they can prevent burnout when they’re around others in recovery. Sober living is an exciting, rewarding way to connect with others as you continue to move forward in life, substance-free. Learn more about our sober living programs by calling us at 760-216-2077.