Soho Pbx World Uncategorized Ask a financial coach: What types of savings buckets should I have?

Ask a financial coach: What types of savings buckets should I have?

Saving Money is hard. We get it. The truth is, most of us never feel like we have “extra” cash lying around that we can just hide away in a savings account. So, if you’re wondering how to start, congratulations. That’s an important first step to creating a budget and savings plan to help you manage your financial future.

GIVE YOUR MONEY A JOB

Look at the money you have and give every dollar a single job. Set money aside money for bills, groceries, gas, energy bills, utilities, and phones—all your monthly expenses. As you track your spending, you’ll see where the money goes and get a clear picture of what’s left for non-monthly expenses.

Paying closer attention to your spending habits will also help you identify spending that may not be necessary or important. Can you unsubscribe from some of those streaming service apps? Do you actually use that gym membership? Are those impulse buys on Amazon really that important? As you dial this nonessential spending in, your savings will increase.

Consider the following groups of expenses when it comes to savings:

THINGS YOU HAVE TO SAVE FOR

These are non-monthly expenses that you know will occur at some point. Some of them are entirely predictable, and others are

 not. Examples of both types include:

Predictable Non-Monthly Expenses:

  • Annual car registration
  • Holiday shopping
  • Annual subscriptions

Unpredictable Non-Monthly Expenses:

  • Car repairs
  • Medical and dental bills
  • Vet bills

THINGS YOU WANT TO SAVE FOR

Now that you’ve covered the essentials, let’s get down to the fun. Start by identifying the Things you want to save for. Consider starting small, like saving for new clothing or tickets to a show you really want to see. But you can start planning for a trip to Paris or a ski vacation in Aspen too. Set up your accounts, and watch the balances grow. Your budget can help you make this happen.

Setting up Your Sub-Accounts

Determining your savings categories will help you budget accordingly so you can track your progress and know where you’re at when you need to access funds to pay a bill or deal with a problem. Consider the following categories to start:

Emergency savings

Ideally, setting aside three to six months of income in case of a job loss or disaster would be great. But it’s a lot. A $1,000 emergency fund is a good place to start but consider aiming higher once you get there.

If you’re risk-averse, a bigger emergency fund category can give you more peace of mind. If you have large financial responsibilities like kids or a house that needs maintenance or repairs, a bigger emergency fund might make sense.

Health and medical savings

Set aside funds to cover copays, uncovered balances, prescriptions, eyeglasses, elective treatments, and other cash outlays that health insurance doesn’t pay in full. Consider a health savings account (HSA) or flexible spending account (FSA). Both are designed to help you cover qualified Medical expenses, but they are different.

What is an HSA?

Designed to cover qualified medical expenses, an HSA can either be sponsored by an employer or opened by an individual. To open an HSA, you must:

  • Be covered under a qualified high-deductible healthcare plan (HDHP)
  • Not be covered by Medicare or any plan that is not a qualified HDHP
  • Not be claimed as a dependent

HSA contribution limits for 2024 are $4,150 for single individuals and $8,300 for families.

What is an FSA?

An FSA also allows you to save for medical expenses, but you don’t need to be enrolled in a high-deductible plan to qualify. Your employer only has to offer an FSA benefit. The FSA contribution limit for 2024 is $3,200 regardless of whether it’s for an individual or a Family..

CAR REPAIR OR NEW CAR SAVINGS

This one’s pretty straightforward. If you own an older car that requires regular maintenance, set aside enough to cover expected repairs, oil changes, tires, wiper blades, etc. Consider setting more aside in case a big repair is necessary. There are reliable estimates for annual car repair costs online. You may also consider setting aside funds for a new car down payment if that’s your goal. Calculate the price and decide what you can afford. The larger the down payment the lower your monthly loan payment will be.

Have a question for our Canopy financial coaches? Sign up for a financial coaching session today by clicking the link below. 

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What is an Audio Video Installer?What is an Audio Video Installer?

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Lumbar Interbody Fusion: A Solution for Lower Back PainLumbar Interbody Fusion: A Solution for Lower Back Pain

Lumbar interbody fusion (LIF) is a surgical procedure aimed at treating chronic lower back pain caused by degenerative spine conditions. This operation fuses two or more vertebrae in the lower back (lumbar spine) to stabilize the spine, relieve pain, and restore function. Here’s a comprehensive look at lumbar interbody fusion, including why it’s done, the types of procedures, and what to expect during recovery.

What is Lumbar Interbody Fusion?

Lumbar interbody fusion is a form of spinal fusion surgery in which the damaged disc between two vertebrae is removed and replaced with a spacer or cage filled with bone graft material. This bone graft promotes the growth of new bone between the vertebrae, eventually fusing them into a single, stable structure. By fusing these vertebrae, lumbar interbody fusion can reduce painful movement and relieve nerve compression.

Conditions Treated with Lumbar Interbody Fusion

Lumbar interbody fusion is often recommended for patients experiencing:

  • Degenerative Disc Disease (DDD): Deterioration of the spinal discs, which can cause pain and instability.
  • Spondylolisthesis: A condition where one vertebra slips over the one below it, causing pain and nerve compression.
  • Spinal Stenosis: Narrowing of the spinal canal, which can compress nerves and cause significant pain.
  • Herniated Discs: When the soft inner part of a disc protrudes, irritating surrounding nerves.
  • Spinal Fractures or Tumors: Conditions that compromise spinal stability and may require fusion to support the spine.

For those who don’t find relief through conservative treatments like lumbar fushion physical therapy, medication, or injections, lumbar interbody fusion may be a viable option.

Types of Lumbar Interbody Fusion Techniques

Several approaches can be used for lumbar interbody fusion, each with its unique access point to the spine:

Anterior Lumbar Interbody Fusion (ALIF): The surgeon accesses the spine from the front (anterior) through an incision in the abdomen. This approach provides a larger space for the bone graft and avoids the spinal nerves directly.

Posterior Lumbar Interbody Fusion (PLIF): Access is gained from the back (posterior), and the damaged disc is removed, followed by inserting the bone graft between the vertebrae. PLIF allows direct access to the spinal canal, though it may involve more muscle disruption.

Transforaminal Lumbar Interbody Fusion (TLIF): This method also involves an incision in the back but approaches the spine at an angle to minimize disruption to muscles and nerves.

Extreme Lateral Interbody Fusion (XLIF) / Lateral Lumbar Interbody Fusion (LLIF): These techniques access the spine from the side. They avoid the major muscles of the back and spinal nerves, often resulting in faster recovery and less post-operative pain.

The choice of technique depends on factors such as the specific condition, spinal anatomy, surgeon expertise, and patient preference.

The Procedure: What to Expect

Preparation: Patients are usually advised to stop certain medications before surgery and may be given specific instructions to ensure a smooth recovery. Imaging studies like MRIs or CT scans will guide the surgeon in planning the operation.

Anesthesia: The procedure is performed under general anesthesia, meaning patients will be asleep and pain-free during surgery.

Surgical Steps: The surgeon removes the damaged disc material, replaces it with a bone graft or synthetic spacer, and may secure the vertebrae with metal plates, screws, or rods to stabilize the spine while fusion occurs.

Closure: The incision is closed, and the patient is transferred to the recovery area. Most LIF procedures take 2-6 hours, depending on the complexity and approach.

Recovery and Rehabilitation

Recovery from lumbar interbody fusion varies by individual, but here’s a general timeline of what to expect:

Hospital Stay: Most patients stay in the hospital for 1-3 days after surgery. During this time, the medical team monitors for complications and manages pain.

Initial Recovery (1-2 Weeks): Patients are advised to avoid heavy lifting, bending, or twisting. Walking is encouraged to prevent blood clots and aid healing.

Physical Therapy: A few weeks after surgery, patients typically start a physical therapy program to regain strength, flexibility, and spinal stability.

Fusion Process (3-6 Months): The bone graft begins to fuse the vertebrae during this period. Activity limitations may remain, and follow-up visits are essential to track fusion progress.

Full fusion may take 6-12 months, with final results varying based on patient age, health, and adherence to post-operative guidelines.

Benefits of Lumbar Interbody Fusion

When successful, lumbar interbody fusion can provide several benefits:

  • Pain Relief: By stabilizing the spine and relieving nerve pressure, fusion surgery can significantly reduce or eliminate chronic back pain.
  • Improved Function: Patients often experience improved mobility and the ability to return to daily activities without pain.
  • Enhanced Stability: Fusion strengthens and stabilizes the spine, reducing the risk of further injury or instability.

Risks and Considerations

As with any surgery, lumbar interbody fusion carries some risks:

  • Infection, Blood Clots, and Nerve Damage: These are common risks for all surgeries and are minimized by careful surgical technique and post-op care.
  • Non-Union: In some cases, the bone graft may not fully fuse, potentially requiring additional surgery.
  • Adjacent Segment Disease: Fusion may increase stress on the vertebrae above or below the fused segment, potentially leading to degeneration in those areas.

Who is a Candidate for Lumbar Interbody Fusion?

Ideal candidates for lumbar interbody fusion are those who:

  • Have a clear, identifiable source of back pain (e.g., disc degeneration, instability).
  • Haven’t found relief with non-surgical treatments.
  • Are in good overall health, without conditions that would impair healing.

Patients should consult with an experienced spine surgeon to determine if lumbar interbody fusion is appropriate and to discuss specific benefits and risks based on their individual case.

Conclusion

Lumbar interbody fusion is a valuable surgical option for patients struggling with chronic lower back pain. While it’s a significant commitment, it can offer lasting pain relief, improved stability, and restored quality of life for those who haven’t benefited from other treatments. If you’re considering lumbar interbody fusion, an in-depth consultation with a qualified spine specialist can help you understand if it’s the right choice and what to expect throughout the recovery process.

SASpine or Surgical Associates in Spine are experienced spine specialists who are committed to improving your quality of life. They are located Houston and if you are looking for Houston Spine Surgeon to help you with your back issues, check them out at https://www.saspine.com/