As in Incident command...

IC established!
We'll have several different sections reporting in - recent research, local topics, or highlighting areas of the Sponsor Hospital Council of Greater Bridgeport protocols.

*** Keep in mind - this website does not replace your protocols, and these posts do not reflect SHCGB or Bridgeport Hospital policies. This is a place to discuss research, controversies, or discuss possible future protocols. When in doubt, check your current protocols through the official source.

Wednesday, July 25, 2012

COPD: Is EMS Killing Patients with Oxygen? (2)

The Tasmanian Study
Disclosure - the lead author used to be my partner. We were both medics at the same two agencies (volunteer and hospital) in New Hampshire. He never seemed to run out of energy, and it doesn't seem like that's changing!

And since we're talking about Tasmania, we might as well get this out of the way...

Dr. Austin at work.
Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial was well done, especially for EMS research. It's unfortunate that the bar is so low in our corner of health care research, but Austin et al. are working to change that.

The study utilized an EMS service that covered both rural and urban settings, but transported to only one hospital. Paramedics were supposed to identify patients with "breathlessness and a history or risk of COPD," and enroll those patients that they suspected of having an acute exacerbation of COPD.

Most of the treatment was the usual stuff - salbutamol (aka albuterol), ipratropium, dexamethasone, etc. CPAP was not available. The only difference had to do with how oxygen got delivered.

Prior to treatment, patients were randomized to receive either titrated oxygen, delivered by nasal cannula to maintain a sat around 90%, or high-flow oxygen, administered by NRB mask.  Transports lasted an average of 45 minutes, and then the folks in the ED treated as they saw fit.

Before we look at the results, you have to understand two huge issues:
  • Only about half of the patients had pre-existing COPD, as judged by a pulmonologist. There's no description of what the rest had. Perhaps many of them had a new diagnosis of COPD, while others where actually pneumonia or CHF with wheezing.
  • There were a lot of protocol violations: 56% of the titrated-oxygen group got high-flow oxygen, while 21% of the high-flow group didn't get high-flow.

With those facts in mind, they found:



Note how the results are broken down by all patients versus only those patients with previously confirmed COPD. The most important result is that there's a 5% difference in mortality for all of the patients.

So, what's the problem? It seems to be pretty clear evidence that paramedics should be withholding oxygen in suspected COPD exacerbations, but there are a few reasons why we should be cautious in using these results on the streets tomorrow.

1. The results seem almost too remarkable to be true.
They show 5% increase in mortality between the high-flow and the titrated oxygen groups.  That's a "number needed to harm," or NNH, of 20. In other words, for every 20 patients you give a NRB to, 1 will die.

That's a really high number! Usually you have to do a lot of work in medicine to show that kind of effect. For example, you have to treat 20 STEMI patients with aspirin and streptokinase (versus placebos) to save one life.

And you know all that fuss about rushing the STEMI patient into the cath lab? We have to treat 50 STEMI patients with angioplasty (versus thrombolysis), to save 1 life.

Given this context, the result almost seems "too good to be true." Given that there is little randomized controlled data out there with similar results, and given the good-quality data that conflicts with it (as with the ICU studies described in the prior post), it is reasonable to be skeptical about the conclusions, and await validating data.

2. The oxygen therapy was brief.
The intervention only lasted during transport, on average about 45 minutes. Compare that with the Gomersall study in my last post, where patients in the ICU received higher levels of oxygen for 2 days. While certain brief EMS interventions can have important long-term consequences (defibrillation anyone?), the onus is on the authors to make the case that it was solely the EMS intervention that differed between the two treatment groups. They concede that it was difficult to isolate the effect of the EMS intervention, and state that:
"Unfortunately, collection of data on in-hospital management was beyond the scope of the study, so we cannot dissect the effect of prehospital and in-hospital oxygen administration."

3. Paramedics don't treat "confirmed" COPD
Although withholding oxygen in the cases of "confirmed" COPD looked very effective, the unfortunate truth is that paramedics apparently misidentified half of the patients as COPD.

Now, this may not be entirely true. Some of the "non-confirmed" cases may have been a first-time COPD attack, and the medics were spot on. Or, perhaps some of the cases were actually, say, CHF, or pulmonary emboli. We aren't given any data on what this sizeable subgroup was ultimately diagnosed with.

Remember, though, that most other causes of hypoxia are treated with oxygen. With that in mind, we are left to consider the effect on mortality for the patients who did not have COPD. It does not seem likely that their treatment was improved by leaving them hypoxic.

By the way, this is the same reason you don't treat "hyperventilation" with a paper bag. Seriously, you aren't doing that, are you?

"Med control, we have a problem."

4. There was no difference in rates of mechanical ventilation.
In general, it's hard to show a difference in mortality for any given therapy, because deaths are far less frequent than other bad events. For instance, you need to treat 13 patients in CHF with non-invasive positive pressure ventilation (NIPPV) to prevent 1 death, but you only have to treat 8 patients to prevent an intubation (figures from The NNT).

In fact, we also know that NIPPV cuts the rate of mortality of COPD exacerbations by about 42%, but drops the intubation rate more, by 52%.

So it's kind of odd to see this profound difference in mortality, but no difference in the rates of mechanical ventilation. Similarly, there's no difference in the average length of hospital stay here, another sensitive measure of the effectiveness of a therapy.

5. Oxygen is not the issue.
Ultimately, the study is not asking a relevant question. We know that COPD is primarily an issue of impaired ventilation, and that NIPPV is the treatment of choice for severe exacerbations, along with steroids, bronchodilators, and antibiotics.

In a way, designing a study that only looks at levels of oxygen delivery in COPD exacerbation is sort of like designing a CHF study that only focused on fluid restriction, but didn't use nitroglycerin or NIPPV.

Yes, it would probably show a benefit of fluid restriction, but that's not the problem!

The Bottom line
  1. Suppressing the "hypoxic drive" is a rare entity, and concern for it should not drive management.
  2. Withholding oxygen could be very dangerous if you are wrong about the diagnosis.
  3. Treat bad COPD with bronchodilators, steroids, antibiotics, NIPPV, and, if hypoxic below their baseline, oxygen. Intubate PRN.
  4. We're looking forward to more high-quality studies from Tasmania!

51 comments:

  1. I think it's an area that needs serious study. As does the question of whether we should used compressed air (21% O2) or compressed O2 to drive the nebulizer.

    The question I would ask is, which of those treatments is better? Or is there no difference at all?

    I'd also like to know if the patient's O2 sat and ETCO2 were monitored during the study. O2 sat by itself is not particularly informative, but with ETCO2 I at least have found it much easier (although not perfect) to differentiate CHF vs. COPD or Asthma.

    Does Oxygen help COPD patients? In and of itself it might, especially if they are hypoxie (duh), but the question to me at least is if Oxygen itself is a good treatment.

    I'm not sure the Tasmanian study looked at that, but someone should.

    ReplyDelete
    Replies
    1. thank to doctor Emmanuel,I am from USA, I was diagnosed of Emphysema
      (COPD) in 2015 and I have tried all possible means to get cured, i even
      visited phonologist but all to no avail, until i saw a post in a health
      forum about a herbal doctor from Africa who prepare herbal medicine to cure
      all kind of diseases including Emphysema, at first i doubted if it was real
      but decided to give it a try, when i contacted this herbal doctor via his
      email he sent me the Emphysema herbal medicine through courier service,
      when i received this herbal medicine, he gave me step by instructions on
      how to apply it, when i applied it as instructed i was totally cured of
      this deadly disease within 12-14 days of usage, if you are suffering of
      this diseases you can as well Contact this great herbal doctor via his
      email traditionalherbalhealingcentre@gmail.com > or call him at +2348110857969......

      Delete
    2. MUST READ: HOW I GOT CURED FROM MY HERPES VIRUS)
      Hello, My name is Elizabeth, I was diagnosed of Herpes in 2014 and I have tried all possible means to get cure but all to no avail, until i saw a post in a health forum about a herbal doctor from West Africa ( Dr Emmanuel ) who prepare herbal medicine to cure all kind of diseases including Hiv virus, at first i doubted if it was real but decided to give it a try, when i contact this herbal doctor via his email, he prepared a herbal medicine and sent it to me , when i received this herbal medicine, he gave me step by instructions on how to apply it, when i applied it as instructed, i was cured of this deadly virus Herpes within a week of usage I am now free from the virus, i was tasted negative. Contact this great herbal doctor via his email: traditionalherbalhealingcentre@gmail.com or call +2348110857969 when you contact him, make sure you tell him that I referenced you and Good Luck.

      Delete
    3. God bless Dr.Edidia for his marvelous work in my life,my name is rose
      sharon I was diagnosed of HERPES since 2012 and I was taking my
      medications, I wasn't satisfied i needed to get the HERPES out of my
      system, I searched about some possible cure for HERPES i saw a comment
      about Dr edidia how he cured HERPES with his herbal medicine, I contacted
      him and he guided me. I asked for solutions, he started the remedy for my
      health, he sent me the medicine through UPS SPEED POST. I took the medicine
      as prescribed by him and 14 days later i was cured from HERPES, Dr.edidia
      truly you are great, do you need his help also? Why don't you contact him
      through dredidiaherbalhome@gmail.com and you can also contact me to
      know more about him on my email rosesharon915@gmail.com DOCTOR EDIDIA
      CAN AS WELL CURE THE FOLLOWING DISEASE:- 1. HIV/AIDS 2. HERPES 3. CANCER
      4. ALS 5. Hepatitis B 6. Diabetes 7. Athrux, 8. trypophobia 9.hpv 10 pregnacy spell and bring back your ex back 11 scabies

      Delete
    4. Am Shantel Williams by name,based in USA, So Happy to express the way Dr BAWADA Cured my Genital warts disease that i have suffered for so many years.i have search for help in different places but none of them were able to help.one evening after work i went online and behold i saw testimony of Dr BAWADA herbal help in the lives of so many. i wrote to him on his email and he told me that my stress is over that once i receive his herbal medicine and use it in 2 weeks my disease will be cured.that was how i received his medicine and after using it for 2 weeks i went to my doctor and i was tested negative. so happy to be cured by the awesome herbal remedy of Dr BAWADA.and he can cure any types of disease HERPES..HIV..HEPATITIS B...ALS..DIABETICS..THANKS YOU SIR CONTACT his email: drbawadasolutionhome@gmail.com or his Mobile:+2348110156066 or his website: http://drbawadasolutionho.wixsite.com/drbawada

      Delete
    5. God bless Dr.Edidia for his marvelous work in my life,my name is rose
      sharon I was diagnosed of HERPES since 2012 and I was taking my
      medications, I wasn't satisfied i needed to get the HERPES out of my
      system, I searched about some possible cure for HERPES i saw a comment
      about Dr edidia how he cured HERPES with his herbal medicine, I contacted
      him and he guided me. I asked for solutions, he started the remedy for my
      health, he sent me the medicine through UPS SPEED POST. I took the medicine
      as prescribed by him and 14 days later i was cured from HERPES, Dr.edidia
      truly you are great, do you need his help also? Why don't you contact him
      through dredidiaherbalhome@gmail.com or whatsapp him with +2349074505296 and you can also contact me to know more about him on my email rosesharon915@gmail.com DOCTOR EDIDIA CAN AS WELL CURE THE FOLLOWING DISEASE:- 1. HIV/AIDS 2. HERPES 3. CANCER
      4. ALS 5. Hepatitis B 6. Diabetes 7. Athrux, 8. trypophobia 9.hpv 10 pregnacy spell and bring back your ex back 11 scabies 12. STD.

      Delete
    6. thank to doctor Emmanuel,I am from USA, I was diagnosed of Emphysema
      (COPD) in 2015 and I have tried all possible means to get cured, i even
      visited phonologist but all to no avail, until i saw a post in a health
      forum about a herbal doctor from Africa who prepare herbal medicine to cure
      all kind of diseases including Emphysema, at first i doubted if it was real
      but decided to give it a try, when i contacted this herbal doctor via his
      email he sent me the Emphysema herbal medicine through courier service,
      when i received this herbal medicine, he gave me step by instructions on
      how to apply it, when i applied it as instructed i was totally cured of
      this deadly disease within 12-14 days of usage, if you are suffering of
      this diseases you can as well Contact this great herbal doctor via his
      email traditionalherbalhealingcentre@gmail.com > or call/whatsapp him at +2348110857969.......

      Delete
    7. I am so grateful to Dr Osuma for curing me off my Herpes virus 1. I was diagnosed with Herpes virus 1 in 2014 and i was was dying slowly every day and gradually losing hope of life by the day, I had took a lot of drugs to cure it but all to no help my doctor gave up on me and i was dying. I did not loose hope, i sought the Internet and i read a lot of testimonies about Dr Osuma and his herbs i took a bold step and made contact with him via email: drosumaherbalhome@gmail.com and he prepared and delivered my medical Herbs i started treatment in MID 2015 and i had a test on the herpes and i was Cured totally within 3 weeks of using the meds i am so ecstatic at this moment. i am so grateful to you Dr Osuma you can contact him on email or Cell Phone: +27603722807 were i purchased from. He will also help you cure all other disease like CANCER, DIABETES HPV ETC And God Bless You Dr Osuma.

      Regards
      Becky

      Delete
    8. God bless Dr.Edidia for his marvelous work in my life,my name is rose
      sharon I was diagnosed of HERPES since 2012 and I was taking my
      medications, I wasn't satisfied i needed to get the HERPES out of my
      system, I searched about some possible cure for HERPES i saw a comment
      about Dr Edidia how he cured HERPES with his herbal medicine, I contacted
      him and he guided me. I asked for solutions, he started the remedy for my
      health, he sent me the medicine through UPS SPEED POST. I took the medicine
      as prescribed by him and 14 days later i was cured from HERPES, Dr.edidia
      truly you are great, do you need his help also? Why don't you contact him
      through dredidiaherbalhome@gmail.com or whatsapp him with +2349074505296 and you can also contact me to know more about him on my email rosesharon915@gmail.com DOCTOR EDIDIA CAN AS WELL CURE THE FOLLOWING DISEASE:- 1. HIV/AIDS 2. HERPES 3. CANCER
      4. ALS 5. Hepatitis B 6. Diabetes 7. Athrux, 8. trypophobia 9.hpv 10 pregnacy spell and bring back your ex back 11 scabies 12. STD.

      Delete
    9. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are David Clara I’m a citizen of United Kingdom, My younger sister was sicking of breast cancer and her name is David Sandra I and my family have taking her to all kind of hospital in UK still yet no good result. I decided to go to the internet and search for cancer cure so that was how I find a lady called peter Lizzy she was testifies to the world about the goodness of a herbal man who has the root and half to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in UK, he told me
      That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com

      Delete
    10. This Testimonial needs to be broadcasted to every single American and to the World at large. keeping it from them is unacceptable. The worse day of my life was being told by my doctor that I had herpes type-2. It felt like I'd just received a life sentence. For the next five years I lived in a state of constant depression because everything felt so hopeless. I am so incredibly fortunate that I found this email: dr.ehigiehomeofsolution@gmail.com. I'm still in shock that the treatment protocol he shared with me actually works. Not only did I remove all traces of the herpes virus using his Root,Herbs and Healing Oil, I did it in 17 days. It seems so simple and in a lot of ways, I guess it is simple. Since that time, I have rediscovered my self. Shockingly it was a lot less expensive than I had envisaged. Against my doubts, it proves potent. But the important thing I've been 100% herpes free for a full two years now and its all thanks to DR. EHIGIE. You've given me my life back and I'll be forever grateful. Contact Dr. EHIGIE on: dr.ehigiehomeofsolution@gmail.com.OR whataspp him on +2348163023000,I wish you all luck in your decision. As for me, am a living testimony of Dr.EHIGIE prowess in herbal medicine.

      Delete
  2. Natural Herbs for Emphysema Herbal Treatment without any side effect and safe & effective treatment with these herbs go on Natural Herbs Clinic.

    ReplyDelete
  3. I smoked for thirty years, then over a dozen years ago, I thought I had come down with a very bad case of pneumonia. After my wife nagged me for a week, I finally saw the doctor. I was diagnosed with severe COPD. They were amazed that I had waited so long, years in fact, before going to a doctor over it. They gave me three years tops before it killed me. That was thirteen years ago and I am still living. I don't do much, because I no longer have the ability. I can no longer walk, am always hooked up to an oxygen air line, and my body is starting to shut down. There are times that I can't remember my wife's name, even though we have been married for nearly forty years. Truth be told, there are times that I truly wish I had died years ago when I could still walk, talk, play with my grandkids, but GOD decided that it might be better for me to live a bit longer. My wife asks me, when I am having a bad day, if I want to go to the hospital. I always decline, reminding her that I do not want to die in the hospital, but to die at home with the people that I love most. Hospitals can no longer do anything good for me. Even Duke Hospital admits that they do not know why I am still living. GOD purpose will eventually be known until i found testimonies of Great Dr. Lusanda in an online research and on Facebook, Like anybody would be, I was very skeptical about contacting him, but i later did email him and he started the remedies for my health. Thank God, i am cured from COPD by the herbal medication I received from him. I never thought that COPD can be cured, from the bottom of my heart I’m truly grateful,i pray you have long life so you can help many more people on earth with your herbal medical support. Contact Lusanda today, Email: Drlusandaherbal@gmail.com or website on www.drlusandaherbal.weebly.com

    ReplyDelete
  4. I smoked for 20 years, October 2014 i was diagnosed of Emphysema my doctor told me there is no permanent cure for the disease, i was given bronchodilators to help me relax my bronchiolar muscles, I managed on with the disease till a friend told me about a herbal doctor from South Africa who sell herbal medicines to cure all kind of diseases including emphysema, I contacted this herbal doctor via his email and made purchase of the emphysema herbal medicine, i received the herbal medicine through DHL within 5 days, when i received the herbal medicine i applied it as prescribed and was totally cured of emphysema within 18-20 days of usage, the symptoms reduced till i even forgot i had emphysema, i went back to my doctor for diagnosis with spirometry and he confirmed i was free from the disease, contact this herbal doctor via his email drlusandaherbal@gmail.com or website on www.drlusandaherbals.weebly.com

    ReplyDelete
  5. A must Read.

    This was how i cure my COPD God bless Dr.Uzaba for his marvelous work in my life, I was diagnosed of COPD since 2013 and I was taking my medications, I wasn't satisfied i needed to get the COPD out of my system, I searched about some possible cure for COPD i saw a comment about Dr. Uzaba , how he cured COPD with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine through UPS SPEED POST. I took the medicine as prescribed by him and 14 days later i was cured from COPD ,thank you Spiritual Uzaba Temple you can email him
    Spiritualuzabatemple@gmail.com or call +2349031695243

    Name :Mr Alexander Francisco

    ReplyDelete
  6. I was diagonose of Emphysema in 2010 and Chronic Obstructive Pulmonary Disease (COPD) 3 years ago, our family doctor told me there was no cure but it can only be controled. Ever since then i have been running heather scepter looking for a solution to my problem because i was going to lose my Job if i dont get better, until i ran into this online testimony of Dr Lusanda who have been curing people of COPD with his herbal remedy i immediately contacted him via their email, to God be thy glory i bought this COPD herbal remedy and was cured within 3 weeks of usage, at last this is a break through for all COPD/emphysema patients contact this herbal clinic via their email drlusandaherbal@drlusandaherbal.com or website on www.drlusandaherbal.com

    ReplyDelete
  7. thank to doctor Emmanuel,I am from USA, I was diagnosed of Emphysema
    (COPD) in 2015 and I have tried all possible means to get cured, i even
    visited phonologist but all to no avail, until i saw a post in a health
    forum about a herbal doctor from Africa who prepare herbal medicine to cure
    all kind of diseases including Emphysema, at first i doubted if it was real
    but decided to give it a try, when i contacted this herbal doctor via his
    email he sent me the Emphysema herbal medicine through courier service,
    when i received this herbal medicine, he gave me step by instructions on
    how to apply it, when i applied it as instructed i was totally cured of
    this deadly disease within 12-14 days of usage, if you are suffering of
    this diseases you can as well Contact this great herbal doctor via his
    email traditionalherbalhealingcentre@gmail.com > or call him at +2348110857969......

    ReplyDelete
  8. thank to doctor Emmanuel,I am from USA, I was diagnosed of Emphysema
    (COPD) in 2015 and I have tried all possible means to get cured, i even
    visited phonologist but all to no avail, until i saw a post in a health
    forum about a herbal doctor from Africa who prepare herbal medicine to cure
    all kind of diseases including Emphysema, at first i doubted if it was real
    but decided to give it a try, when i contacted this herbal doctor via his
    email he sent me the Emphysema herbal medicine through courier service,
    when i received this herbal medicine, he gave me step by instructions on
    how to apply it, when i applied it as instructed i was totally cured of
    this deadly disease within 12-14 days of usage, if you are suffering of
    this diseases you can as well Contact this great herbal doctor via his
    email traditionalherbalhealingcentre@gmail.com > or call him at +2348110857969......

    ReplyDelete
  9. I was diagnosed of COPD in July 2014. I was on Albuterol Nebs and levalbuterol to ease the situation as i constantly go out of breath when talking or when walking, I was adviced for Lung Volume reduction surgery (LVRS) because my both upper lobes of the lungs were affected, i was making preparation for this surgery when a friend of mine told me about a traditional herbal doctor called doctor Abumere who prepares herbal medicine to cure all kind of diseases including COPD disease, When i contacted Dr Abumere his email and bought the herbal medicine I received the herbal medicine through courier service in 3days, when i received this herbal medicine i used it as prescribed and was totally cured of COPD within 18-20 days of usage, he is able to cure any kinds of disease such as 1. Diarrheal Diseases,2. HERPES 1/2,3. CANCER,4. ALS (Lou Gehrig’s disease),5. Herpatitis B,6.chronic pancreatitis,7.Emphysema,8.COPD (Chronic Obstructive Pulmonary Disease),9.asthma,10.Acute angle-closure Glaucoma,11.CHRONIC PANCREATITIS,12. Preterm Birth contact Dr Abumere via his email: abumereherbalcentre@gmail.com.

    ReplyDelete
  10. MUST READ: HOW I GOT CURED FROM MY HERPES VIRUS)
    Hello, My name is Elizabeth, I was diagnosed of Herpes in 2014 and I have tried all possible means to get cure but all to no avail, until i saw a post in a health forum about a herbal doctor from West Africa ( Dr Emmanuel ) who prepare herbal medicine to cure all kind of diseases including Hiv virus, at first i doubted if it was real but decided to give it a try, when i contact this herbal doctor via his email, he prepared a herbal medicine and sent it to me , when i received this herbal medicine, he gave me step by instructions on how to apply it, when i applied it as instructed, i was cured of this deadly virus Herpes within a week of usage I am now free from the virus, i was tasted negative. Contact this great herbal doctor via his email: traditionalherbalhealingcentre@gmail.com or call +2348110857969 when you contact him, make sure you tell him that I referenced you and Good Luck.

    ReplyDelete
  11. I can’t believe this. A great testimony that i must share to all HERPES patient in the world i never believed that their could be any complete cure for HERPES or any cure for HERPES,i saw people’s testimony on blog sites of how DR losa prepare herbal cure and brought them back to life again. i had to try it too and you can,t believe that in just few weeks i started using it all my body stop gradually and i had to leave without the HERPES DRUGS the doctor gave to me. Right now i can tell you that few months now i have not had any pain,delay in treatment leads to death. Here is his email:dr.losaherbalhome@gmail.com his WHATSAPP number is +2348162760778 or call +2348162760778 he also
    special on cureing
    1...HERPS CURE
    2...ALS CURE
    3..HIV CURE
    4.EPILESY
    5...PROMOTION IN THE OFFICE
    6...LOVE SPEEL
    7>>EX BACK



    I can’t believe this. A great testimony that i must share to all HERPES patient in the world i never believed that their could be any complete cure for HERPES or any cure for HERPES,i saw people’s testimony on blog sites of how DR losa prepare herbal cure and brought them back to life again. i had to try it too and you can,t believe that in just few weeks i started using it all my body stop gradually and i had to leave without the HERPES DRUGS the doctor gave to me. Right now i can tell you that few months now i have not had any pain,delay in treatment leads to death. Here is his email:dr.losaherbalhome@gmail.com his WHATSAPP number is +2348162760778 or call +2348162760778 he also
    special on cureing
    1...HERPS CURE
    2...ALS CURE
    3..HIV CURE
    4.EPILESY
    5...PROMOTION IN THE OFFICE
    6...LOVE SPEEL
    7>>EX BACK

    ReplyDelete
  12. I smoked for thirty years, then over a dozen years ago, I thought I had come down with a very bad case of pneumonia. After my wife nagged me for a week, I finally saw the doctor. I was diagnosed with severe COPD. They were amazed that I had waited so long, years in fact, before going to a doctor over it. They gave me three years tops before it killed me. That was thirteen years ago and I am still living. I don't do much, because I no longer have the ability. I can no longer walk, am always hooked up to an oxygen air line, and my body is starting to shut down. There are times that I can't remember my wife's name, even though we have been married for nearly forty years. Truth be told, there are times that I truly wish I had died years ago when I could still walk, talk, play with my grandkids, but GOD decided that it might be better for me to live a bit longer. My wife asks me, when I am having a bad day, if I want to go to the hospital. I always decline, reminding her that I do not want to die in the hospital, but to die at home with the people that I love most. Hospitals can no longer do anything good for me. Even Duke Hospital admits that they do not know why I am still living. GOD purpose will eventually be known until i found testimonies of Great Dr. Lusanda in an online research and on Facebook, Like anybody would be, I was very skeptical about contacting him, but i later did email him and he started the remedies for my health. Thank God, i am cured from COPD by the herbal medication I received from him. I never thought that COPD can be cured, from the bottom of my heart I’m truly grateful,i pray you have long life so you can help many more people on earth with your herbal medical support. Contact Lusanda today, Email: drlusandaherbal@gmail.com or website on www.drlusandaherbal.com

    ReplyDelete
  13. Am Shantel Williams by name,based in USA, So Happy to express the way Dr BAWADA Cured my Genital warts disease that i have suffered for so many years.i have search for help in different places but none of them were able to help.one evening after work i went online and behold i saw testimony of Dr BAWADA herbal help in the lives of so many. i wrote to him on his email and he told me that my stress is over that once i receive his herbal medicine and use it in 2 weeks my disease will be cured.that was how i received his medicine and after using it for 2 weeks i went to my doctor and i was tested negative. so happy to be cured by the awesome herbal remedy of Dr BAWADA.and he can cure any types of disease HERPES..HIV..HEPATITIS B...ALS..DIABETICS..THANKS YOU SIR CONTACT his email: drbawadasolutionhome@gmail.com or his Mobile:+2348110156066 or his website: http://drbawadasolutionho.wixsite.com/drbawada

    ReplyDelete
  14. Emphysema can also be hereditary. Emphysema Natural Treatment improve health naturally, viably and securely. The reality of the situation is that the Herbal Supplements properties of herbs have been " proven " when you widen the criteria of what is acknowledged as the standard of proof.

    http://www.herbs-solutions-by-nature.com/Emphysema.php

    ReplyDelete
  15. Am Success Puga from USA. I can’t believe this. A great testimony that i must share to all HERPES patient in the world i never believed that their could be any complete cure for HERPES or any cure for HERPES,i saw people’s testimony on blog sites of how DR Ekpiku prepare herbal cure and brought them back to life again. i had to try it too and you can,t believe that in just few weeks i started using it all my pains stop gradually and i had to leave without the HERPES DRUGS the doctor gave to me. Right now i can tell you that few months now i have not had any pain,delay in treatment leads to death. Here is his email:ekpikuspellhomeofgrace@hotmail.com or ekpikuspellhomeofgrace@gmail.com his WHATSAPP number is +2348073673757
    DOCTOR Ekpiku CAN AS WELL CURE THE FOLLOWING DISEASE:-

    1. HIV/AIDS
    2. HERPES
    3. CANCER
    4. ALS
    5. Hepatitis B
    6. Parkinson

    ReplyDelete
  16. thank to doctor Emmanuel,I am from USA, I was diagnosed of Emphysema
    (COPD) in 2015 and I have tried all possible means to get cured, i even
    visited phonologist but all to no avail, until i saw a post in a health
    forum about a herbal doctor from Africa who prepare herbal medicine to cure
    all kind of diseases including Emphysema, at first i doubted if it was real
    but decided to give it a try, when i contacted this herbal doctor via his
    email he sent me the Emphysema herbal medicine through courier service,
    when i received this herbal medicine, he gave me step by instructions on
    how to apply it, when i applied it as instructed i was totally cured of
    this deadly disease within 12-14 days of usage, if you are suffering of
    this diseases you can as well Contact this great herbal doctor via his
    email traditionalherbalhealingcentre@gmail.com > or call/whatsapp him at +2348110857969.......

    ReplyDelete
  17. I was diagnosed of COPD in July 2016. I was on Albuterol Nebs and levalbuterol to ease the situation as i constantly go out of breath when talking or when walking, I was adviced for Lung Volume reduction surgery (LVRS) because my both upper lobes of the lungs were affected, i was making preparation for this surgery when a friend of mine told me about a traditional herbal doctor called doctor Ayes who prepares herbal medicine to cure all kind of diseases including COPD disease, When i contacted Dr Ayes his email and bought the herbal medicine I received the herbal medicine through courier service in 3days, when i received this herbal medicine i used it as prescribed and was totally cured of COPD within 18-20 days of usage, he is able to cure any kinds of disease such as 1. Diarrheal Diseases,2. HERPES 1/2,3. CANCER,4. ALS (Lou Gehrig’s disease),5. Herpatitis B,6.chronic pancreatitis,7.Emphysema,8.COPD (Chronic Obstructive Pulmonary Disease),9.asthma,10.Acute angle-closure Glaucoma,11.CHRONIC PANCREATITIS,12. Preterm Birth contact Dr Abumere via his email: iraborayes@gmail.com

    ReplyDelete
  18. I have been suffering from (HERPES SIMPLEX VIRUS) disease for the past two years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago i came on search on the internet if i could get any information concerning the prevention of this disease, on my search i saw a testimony of someone who has been healed from (HERPES SIMPLEX VIRUS) by this Man Dr Aba and she also gave the email address: dr.abaherbalhome@gmail.com of this man and advise we should contact him for any sickness that he would be of help, so i wrote to Dr. Aba telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as the Dr assured me that i have cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So friends my advise is if you have such sickness or any other at all you can email:: dr.abaherbalhome@gmail.com or whatsApp his number on +2348107155060

    ReplyDelete
  19. BE CAREFUL HERE MANY OF THE DOCTORS HERE ARE SCAM,MOST TESTIMONIES OF MOST SPELL CASTER HERE MUST BE IGNORE.BECAUSE THEY ARE SCAM I MEAN REAL SCAM WHICH I WAS A VICTIM.I GOT RIPPED OF THREE THOUSANDS DOLLARS BY 4 CASTERS BECAUSE I WAS SO ANXIOUS TO GET MY WIFE BACK AFTER SHE LEFT ME FOR ALMOST 2 YEARS WITH OUR 4 YEARS OLD SON JERRY,, I HAVE PAID OVER $3000 ON SPELL CASTING AND COURIER AND NOTHING HAVE WORK FOR ME UNTIL ONE FAITHFUL DAY I GOT IN CONTACT WITH MADAM SOLUTION WHO DID WHAT I CALLED MAGIC BECAUSE I CONTACTED HER ON FRIDAY AND AFTER GIVEN HER MY DETAILS AND $245 FOR THE SPELL CASTING MY WIFE CALLED ME ON SUNDAY AND NOW WE ARE BACK TOGETHER AGAIN IF YOU NEED SIMILAR HELP THEN CONTACT HER NOW VIA EMAIL AT (magic.lovespel@reincarnate.com)

    ReplyDelete
  20. I am Susan, i live in Maharashtra in India, i was diagnosed with hepatitis b for 6years ago i lived in pain with the knowledge that i wasn't going to ever be well again, i contacted so many doctors on this issue and all was in vial, because i was determined to get my life back so one day i saw a post about Dr Ekpiku who cure all manners of diseases, including hepatitis b, I contacted him via email: ekpikuspellhomeofgrace@hotmail.com and made purchase of the hepatitis Vaccine, i received the Vaccine through DHL within 3 days, when i received the Vaccine i applied it as prescribed and i was totally cured of hepatitis b within few's days of usages, i went back to my doctor and he confirmed that i was negative.I was free curable cured from the disease, am so happy now, Viewers contact Dr Ekpiku via email: ekpikuspellhomeofgrace@gmail.com.

    ReplyDelete

  21. I have been suffering from (HERPES) disease for the last 6 years without hope for cure and i was miserable until early this year i was checking on new developments and cure then i found out how Prophet Omowele has cursed herpes and various diseases via his powers of prayer. I Contacted him immediately via email; prophetomowele@yahoo.com which i saw on the post and i explain my situation to him and he prayed for me and told me what to do, for the interception and i believed him and i did exactly what he asked me to do and a week later the herpes symton had disappeared and i went to hospital for clarity purpose the result shows that i,m NEGATIVE and now i,m completely free of genital herpes praise be to Almighty God for using Prophet Omowele to cure my herpes after 6 years of miserable pain and today im a living testimony as well and for his urgent response to your problem call or WhatsApp his personal number +2347037477662 and you can also reach Prophet Omowele via his facebook; https://web.facebook.com/profile.php?id=100014729112376&fref=nf he is truly a Prophet sent by God to bring happiness and joy to his people

    ReplyDelete

  22. Medical scientists have discovered a new way to battle HIV AIDS by using a man called Dr itua
    MY NAME IS Greg Thomas.I SAW A COMMENT ON POSITIVE BLOGS AND I WILL LOVE TO TELL EVERY BODY HOW MY STATUS CHANGES TO NEGATIVE and i got cured,
    AND AM NOW A LIVING WITNESS OF IT AND I THINK ITS A SHAME ON ME IF I DON'T SHARE THIS LOVELY STORY WITH OTHER PEOPLE INFECTED WITH THIS DEADLY VIRUS.
    HIV HAS BEEN ONGOING IN MY FAMILY, I LOST BOTH PARENTS TO HIV. AND IT IS SO MUCH PAIN I'VE NOT BEEN ABLE TO GET OVER..
    AS WE ALL KNOW MEDICALLY THERE IS NO SOLUTION TO IT..AND MEDICATION IS VERY EXPENSIVE..SO SOMEONE INTRODUCED ME TO A HERBAL PRACTITIONER IN AFRICA..
    I HAD A JOB THERE TO EXECUTE SO I TOOK TIME TO CHECK OUT ON HIM.I SHOWED HIM ALL MY TESTS AND RESULTS..
    I WAS ALREADY DISORGANIZED WITH HIV AND IT WAS ALREADY TAKING ITS TOWL ON ME..
    I HAD SPENT THOUSANDS OF DOLLARS SO I DECIDED TO TRY HIM OUT ALTHOUGH I DID'NT BELIEVE IN IT,
    I WAS JUST TRYING IT OUT OF FRUSTRATION? AND AFTER 14 DAYS, HE TOLD ME TO GO FOR A MEDICAL TEST.
    AND YOU WON'T BELIEVE THAT 5 DIFFERENT DOCTORS CONFIRMED IT THAT AM NEGATIVE..IT WAS LIKE A DREAM,,I NEVER BELIEVE HIV HAS CURE..AM NOW NEGATIVE,,
    AM A LIVING WITNESS..I DON'T KNOW HOW TO THANK THIS MAN? I JUST WANT TO HELP OTHERS IN ANY WAY I CAN..
    I HAVE JOINED MANY FORUMS AND HAVE POSTED THIS TESTIMONIES AND ALOT OF PEOPLE HAS MAIL AND CALLED THIS MAN ON PHONE AND AFTER 14 DAYS THEY ALL CONFIRMED NEGATIVE..
    BBC NEWS TOOK IT LIVE AND EVERY EVERYBODY SAW IT AND ITS NOW OUT IN PAPERS AND MAGAZINES THAT THERE IS A HERBAL CURE FOR HIV AND ALL WITH THE HELP OF THIS MAN,,
    IF YOU WISH TAKE IT OR NOT..GOD KNOWS I HAVE TRIED MY BEST. ABOUT 28 PEOPLE HAVE BEEN CONFIRMED NEGATIVE THROUGH THE HERBAL CURE OF DR ITUA
    AND THEY SEND MAILS TO THANKS ME AFTER THEY HAVE BEEN CONFIRMED NEGATIVE,,THIS MAN IS REAL..DON'T MISS THIS CHANCE,,HIV IS A DEADLY VIRUS,,GET RID OF IT NOW..
    If there is anyone who has similar problem and still looking for a way out, his email still remains drituaherbalcenter@gmail.com or call or whatsapp him on +2348149277967
    DOCTOR ITUA CAN AS WELL CURE THE FOLLOWING DISEASE:-
    1. HIV/AIDS

    2. HERPES
    3. CANCER
    4. ALS
    5. Hepatitis B
    6. Diabetes
    Thanks Moderators

    ReplyDelete
  23. EXPERIENCED HACKER FOR HIRE.....WE SPECIALIZE IN HIGH GRADE UNLOCKING,PHONE TRACKING,DATABASES HACK,CODE ENCRYPTION,UNTRACEABLE IP,WEBSITES HACK,BANK TRANSFERS,CREDITS CARD HACK,CLEARING OF CRIMINAL RECORDS,EMAIL ADDRESS HACKING,COMPANY RECORDS HACKING. WE CAN EVEN PUT YOUR NAME IN THE KINGDOM OF HEAVEN.
    CONTACT ASAP ON hackass099@gmail.com
    SERIOUS MINDED PEOPLE SHOULD CONTACT....

    ReplyDelete
  24. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are David Clara I’m a citizen of United Kingdom, My younger sister was sicking of breast cancer and her name is David Sandra I and my family have taking her to all kind of hospital in UK still yet no good result. I decided to go to the internet and search for cancer cure so that was how I find a lady called peter Lizzy she was testifies to the world about the goodness of a herbal man who has the root and half to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in UK, he told me
    That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com

    ReplyDelete
  25. Hello Friends i am so glad to write this article today to tell the world how Dr Oboite cured my HPV virus that have been in body since five years ago, ever since then my life has been in complete,i have used so many drugs that was prescribed to me by several doctors,but it didn't cure my HPV VIRUS neither did it reduce the pain, i was checking for solution on the internet then miraculously came across Dr Oboite the powerful herbalist that cure HPV INFECTION,then i contacted his email, i explained everything to him and he prepared a herbal cure and send it to me that was how i got cured from HPV disease totally after receiving his herbal medicine, so my friends viewers why waiting and be suffering with this HPV virus when there is someone like Dr Oboite that can cure any disease HIV/ CANCER/ HEPATITIS C VIRUS,HERPES VIRUS,ALS VIRUS. you can contact his via: droboiteherbalcurehome@gmail.com or whatapps, call +2348054265852.

    ReplyDelete
  26. hello everybody i am steller javania, i am here today to gives out testimony on how i and my husband was cure on SHV 1 and 2 me and my husband has be with this virus over since 1 year and 2 months, we have be going true difference medication just to see we are cured of it' but still yet nothing sits to happens we have be buying difference drugs on it but nothing sits to change. we where not comfortable with this virus it make me more sick when ever i see then on me and on my husband body' they has be very suborn most time and it get me so sad and sick when ever it get it-chins and pi-chins me. it has spreading allover my body and my husband body. we have tried all we can just to see that we have finally getting cure. one day we where advice by our medical doctor to switch to herbal remedy to see if there could be any help and then that was when i search for herbal remedy and how i could get it, and Luckily i saw a great post of silver sandy Philip who was also sick of this same HSV over since 2 years and how it was cure of it by DR.ODUDU HERBAL TRADITIONAL CURE TREATMENT. i was very very happy to see the wonderful publish on the website, i pick up the email and save it then i discussed it with my husband and with our medical doctor, so we all decided to give a try. that was when we contact him and i explained to him, and he reply by asking when we are needing the treatment and explained about the taking of the medication to us, so that was when will switch to his treatment and get it and also go with the taking of the medication according it was being explain to us, and now as i am publishing this post me and my husband has be confirmed cure and very well healthy. DR.ODUDU has be so good to my family. for those who are sick you can also get reach to him and also get cure on your virus. email dr.oduduherbalhome@gmail.com dr.oduduherbalhome massage him on facebook here https://web.facebook.com/DR.ODUDUHERBALHOME/?fref=ts whasaap call here +2348101571054 thanks everybody for your time of reading.

    ReplyDelete
  27. I've had COPD disease over 4 years. I tried everything, of course I went to the doctors about a hundred times.I lost hope and I wept all day, but one day I was surfing the internet I found Dr.Oba,I contacted him and he guided me. I asked him for the medicine and he started the remedies for my health. Thank God, now everything is fine, I’m cured by Dr.Oba herbal medicine, I’m very thankful to Dr. Oba and you can contact him via email (dr.obaherbalhome@hotmail.com.com) or visit his website on (drobaherbs.webs.com)

    ReplyDelete
  28. drituaherbalcenter@gmail.com call him on this number +2348149277967
    HE ALSO CAPABLE OF THE FOLLOWING................
    1...HIV CURE
    2...ALES CURE
    3..HERPES CURE
    4.EPILEPSY
    5...PROMOTION IN THE OFFICE
    6...LOVE SPELL
    7..EX BACK

    ReplyDelete
  29. I am Henry from U.S.A, I was diagnosed of HIV disease (disease) in 2011 and I have tried all I can to get cured but all to no avail,my life was gradually coming to an end, until i saw a post in a health forum about a herbal doctor from Africa call DR.ovia who prepares herbal medicine to cure HIV/ and all kind of diseases including,herpes,MND,Epilepsy,Leukemia,Asthma, Cancer,Gonorrhea,hepatitis,and different kind of diseases,at first i doubted if it was real but decided to give it a try,when i contact this herbal doctor email,he prepared an HIV herbal portion and sent it to me via courier service,when i received this herbal portion, he gave me step by step instructions on how to apply it, when i applied it as instructed,i was cured of this deadly disease within 7 days,I could not walk or talk understandably before but after i took the herbal medicine as he instructed i regained strength in my bones and i can talk properly like before,I am now free from the deadly disease, all thanks to
    Dr ovia of his good-work.if you are at there passing through any disease Contact this
    great herbal doctor via email;
    dr.oviaspiritualherbaltemple@gmail.com or you can add him up on what-app +2348135858735,

    ReplyDelete
  30. On 11/ January / 2016 i came across a comment and an opportunity that has totally changed my life ( Dr Osojo ), This man is the reason of my living in this world, i lost hope of living when i was confirmed COPD positive and since i have searched for a cure, but all my Hope came Alive when Dr Osojo sent me a herbal cure medicine for the cure of my disease COPD, Now its a great testimony to tell the world that am finally CURED OF COPD Disease. This Dr Email are dr.osojoherbalcureofalldisease@gmail.com and dr.osojoherbalcureofalldisease@hotmail.com you can also get to him for help and am sure he will surely help you.
    confirm me on elfredapat@gmail.com

    ReplyDelete
  31. On 11/ January / 2016 i came across a comment and an opportunity that has totally changed my life ( Dr Osojo ), This man is the reason of my living in this world, i lost hope of living when i was confirmed COPD positive and since i have searched for a cure, but all my Hope came Alive when Dr Osojo sent me a herbal cure medicine for the cure of my disease COPD, Now its a great testimony to tell the world that am finally CURED OF COPD Disease. This Dr Email are dr.osojoherbalcureofalldisease@gmail.com and dr.osojoherbalcureofalldisease@hotmail.com you can also get to him for help and am sure he will surely help you.
    confirm me on elfredapat@gmail.com

    ReplyDelete
  32. Hey Dr Ekpiku is real and he's powerful herbal treatment..After been in pain and sorrow for over 6 years it was Dr Ekpiku that cured me from Herpes Simplex Virus, I got infected with Herpes Simplex Disease in 2011 and I have visited several herbalists, spiritualists and pastors for cure me but all was in avail, my world was gradually coming to an end until i saw a post in a health forum about a herbal medicine from Africa who have and herbal medicine to cure all kinds of deadly diseases including Walter,HIV AIDS, ALS, HPV, MND, Epilepsy, Leukemia, Asthma, Cancer, Gonorrhea,Hepatitis B etc, at first i doubted if it was real but decided to give it a try, when i contact this herbalist via his email,ekpikuspellhomeofgrace@gmail.com he prepared a herbal medicine portion and sent it to me via DHL Delivery when i received this herbal medicine portion, he gave me step by step instructions on how to apply it, when i applied it as instructed, i was cured of this deadly disease within 2 weeks, I am now Herpes Negative.his email: ekpikuspellhomeofgrace@hotmail.com all thanks to Dr Ekpiku. Contact this great herbalist called Dr Ekpiku or or whatapps, call +2348073673757. or text me on +13103598621.

    ReplyDelete



  33. Hello my fellow Americans please let show love to each others because we are all one, i suffered herpes virus many years ago, and i have been to different hospitals still yet the herpes virus spread each an everyday. one day i came across MrPARDESHI SHYAAM HARI PARDESHI from New York sharing how he was cured from this herpes virus totally, i have know option than to contact the man called Dr ORIERE that help her put an end to the herpes virus within 14 days and also explain my problem to him. He also help me by preparing a native herbal medicine that flush the herpes virus from my body system and the one on my skin clear at once after using the native cream he also prepared for me. , my advice to those that is passing through this problem don’t be ashame to contact and share your problem well to Dr ORIERE because i also believe he can put an end to your situation within 14 days please Americans let unite together to make sure we put an end to this herpes virus please share this testimony to those that also need help and if you want to be free without any virus email him direct now on droriere@gmail.com or call and whatsapp him on +2348073461145
    He is also specialise in
    1.HERPES
    2. LOTTERY WINNING SPELL
    3. HPV
    4. GET YOUR EX BACK
    5. HPV VIRUS
    6. BED WETTING
    7. PREGNANCY SPELL
    8. CANCER
    9. HIV AIDS
    10.ALS

    ReplyDelete
  34. I have been suffering hardship from HERPES VIRUS
    since 7 years now, and i happen to have 2 kids for my
    husband, and now we cannot proceed to have another
    kids all because of my disease and now i have do all
    what a human like i and my husband can do just to get
    my disease healed, i have went to several places to seek
    for help not even one person could ever help, until i melt
    a comment on the daily news paper that was
    commented by Desmond about how this powerful
    traditional doctor help him get cured of the disease
    (HERPES) " my fellow beloved" i firstly taught having a
    help from a spiritual traditional healer was a wrong idea,
    but i think of these, will i continue to stress on these
    disease all day when i have someone to help me save
    my life?" so i gather all my faiths and put in all interest to
    contact him through his Email address at
    drokougbospelltemple@gmail.com so after i have mailed
    him of helping get my disease cured, he respond to me
    fast as possible that i should not be afraid, that he is a
    truthful and powerful doctor which i firstly claimed him to
    be. So after all set has been done, he promise me that i
    will be healed but on a condition that i provide him some
    items and obeyed all his oracle said. I did all by
    accepting his oracles fact and only to see that after
    some weeks of taking his herbal medicine i notice some
    changes in my body system and i went for check up the
    day he ask me to go for check up to confirm if the
    sickness was still there,to my greatest surprise i could
    not find any sickness in my body i was first shocked and
    later arise to be the happiest woman on earth after i have
    concluded my final test on the hospital by my doctor that
    i am now HERPES Negative. My papers for check are
    with me and now i am happy and glad for his miraculous
    help and power. With these i must tell everyone who
    might seek for any help, either for HERPES cure or much
    more to contact him now at these following email now,
    Email: drokougbospelltemple@gmail.com " or you
    message him on his via whatsApp at+2349031111198 thank you so much for your immediate cure of my
    disease, i must say a big thanks for curing my disease, i
    owe you in return. Thanks and be blessed.

    ReplyDelete
  35. I was cured of HIV with the used of natural herbs. My name is Marie and am from US. I love herbs so much. Most times, injection and drugs are just a waste of time. I was cured 8months ago, i suffered from HIV for 13yrs but with the help of DR. Baba Ogu herbal medicine, i was cured within few weeks of drinking the herbs he sent to me through courier delivery service. This same doctor also cured my Aunty from herpes, as soon as i heard she had herpes, i quickly refer her to Dr. Baba Ogu and she was cured too after drinking his herbs.I have referred more than 15 persons to Dr. Baba Ogu and they were all cured from their various illness. Have you taken herbs before?. You have spent so much money on drugs,injections,surgeries etc and yet you have no good result to show for it. Contact Dr. Baba Ogu now, he is a herbalist doctor, i assured you of a cure if you drink his natural herbs. Dr Baba Ogu have herbs that cures Hiv, Herpes, diabetics, asthma, hepatitis,HBP, STD, cancer, chronic, etc. He is also a spell caster, he can cast a spell to bring back your EX lover. Contact Dr. Baba Ogu through his Email address on: drbabaogu@gmail.com or WHATSAP/CALL him on +2348137291215. Share the good news to others once you are cured. Thank you.

    ReplyDelete
  36. I was haven herpes 2 on my private part. I have had them for about 2 and a bit years. I am so scared what my mates are going to says if there should fined out i have herpes on my private part and due to the virus my girlfriend broke up with me. I have been to the Doctors 9 times to get it treated. They all come back. I have been using Tee Tree Oil and Wartner (You freeze them at home) and they seem to be keeping the smaller herpes small but they can't seem to treat the larger ones. They don't get any bigger, but then they can't shrink as much. They get smaller a little part at a time. At least they are getting smaller! As soon as I see a new herpes appearing, then I treat it. At the moment I have been using Tee Tree twice a week and then using Wartner every 2 weeks. I was wondering if there was any other information about how to get rid of it. I am only a teenager and I hate it most when it get pi-chins me to scratch it, it get sweets when scratching it most times! I want to get rid of it so bad! DR.OBA website has been a huge help and has helped me realize a lot more about me and my family of genital herpes! so that was when i switch for natural remedy to see if there could be any help by herbal remedy, i search and i saw a great posts by Sarah devise adebayo ehijactor and shanttel Merritt on about the great herbal doctor that get them rid of there disease infection. and this great herbal doctor was called DR.OBA so that was when i contacted him for my own treatment and he prepared me some herbs which i takes for some couples of days, and i take it as he says before i am to no me and my family was perfectly cure for it and never experience it again. please friends if you have herpes virus and you really wants to get rid of it, please contact this great DR.OBA for herbal treatment and you will get rid of it. EMAIL. drobaspellhome902@gmail.com

    cell phone contact +2348154692747
    his whatsapp contact is +2348154692747


    THANK TO YOU ALL FOR YOUR TIME OF READY MY TESTIMONY AND MOST ESPECIALLY YOU DR. OBA I PRAY TO GOD TO NEVER LET ME AND MY FAMILY FORGET YOU IN OUR LIFE'S

    ReplyDelete
  37. Are you in need of a loan? Do you want to pay off your bills? Do you want to be financially stable? All you have to do is to contact us for more information on how to get started and get the loan you desire. This offer is open to all that will be able to repay back in due time. Note-that repayment time frame is negotiable and at interest rate of 3% just email us creditloan11@gmail.com

    ReplyDelete
  38. i was suffering from EMPHYSEMA disease for the past 2 years ago and ever since i have been passing through serious agony in my life, i have done series of tests and taking drugs to be cure but unfortunate for me i still carry this deadly infection inside of me,i will love to say i was so lucky to have came across DR ABUMERE several testimony online people testifying series of how they were totally cure of EMPHYSEMA through his herbal medicine on his email: abumereherbalcentre@gmail.com i contacted his email and explain my situation to him and he accepted to help me cure my EMPHYSEMA disease,i followed his instruction and indeed he prepare a herbal medicine for me and after i receive the herbal medicine he told me how to apply the herbal medicine and after 2 weeks of usage i did the test again and i was confirmed negative now am free. you can email him:abumereherbalcentre@gmail.com.

    ReplyDelete
  39. I was cured of HIV with the used of natural herbs. My name is Marie and am from US. I love herbs so much. Most times, injection and drugs are just a waste of time. I was cured 8months ago, i suffered from HIV for 13yrs but with the help of DR. Baba Ogu herbal medicine, i was cured within few weeks of drinking the herbs he sent to me through courier delivery service. This same doctor also cured my Aunty from herpes, as soon as i heard she had herpes, i quickly refer her to Dr. Baba Ogu and she was cured too after drinking his herbs.I have referred more than 15 persons to Dr. Baba Ogu and they were all cured from their various illness. Have you taken herbs before?. You have spent so much money on drugs,injections,surgeries etc and yet you have no good result to show for it. Contact Dr. Baba Ogu now, he is a herbalist doctor, i assured you of a cure if you drink his natural herbs. Dr Baba Ogu have herbs that cures Hiv, Herpes, diabetics, asthma, hepatitis,HBP, STD, cancer, chronic, etc. He is also a spell caster, he can cast a spell to bring back your EX lover. Contact Dr. Baba Ogu through his Email address on: drbabaogu@gmail.com or WHATSAP/CALL him on +2348137291215. Share the good news to others once you are cured. Thank you

    ReplyDelete
  40. I was cured of HIV with the used of natural herbs. My name is Marie and am from US. I love herbs so much. Most times, injection and drugs are just a waste of time. I was cured 8months ago, i suffered from HIV for 13yrs but with the help of DR. Baba Ogu herbal medicine, i was cured within few weeks of drinking the herbs he sent to me through courier delivery service. This same doctor also cured my Aunty from herpes, as soon as i heard she had herpes, i quickly refer her to Dr. Baba Ogu and she was cured too after drinking his herbs.I have referred more than 15 persons to Dr. Baba Ogu and they were all cured from their various illness. Have you taken herbs before?. You have spent so much money on drugs,injections,surgeries etc and yet you have no good result to show for it. Contact Dr. Baba Ogu now, he is a herbalist doctor, i assured you of a cure if you drink his natural herbs. Dr Baba Ogu have herbs that cures Hiv, Herpes, diabetics, asthma, hepatitis,HBP, STD, cancer, chronic, etc. He is also a spell caster, he can cast a spell to bring back your EX lover. Contact Dr. Baba Ogu through his Email address on: drbabaogu@gmail.com or WHATSAP/CALL him on +2348137291215. Share the good news to others once you are cured. Thank you

    ReplyDelete
  41. I"m Mc Jery united states Pennsylvania,i smoked for 30 years, then over a dozen years ago, I thought I had come down with a very bad case of pneumonia. After my wife nagged me for a week, I finally saw the doctor. I was diagnosed with severe COPD. They were amazed that I had waited so long, years in fact, before going to a doctor over it. They gave me three years tops before it killed me. That was 13 years ago and I am still living. I don't do much, because I no longer have the ability. I can no longer walk, am always hooked up to an oxygen air line, and my body is starting to shut down. There are times that I can't remember my wife's name, even though we have been married for nearly forty years. Truth be told, there are times that I truly wish I had died years ago when I could still walk, talk, play with my grandkids, but GOD decided that it might be better for me to live a bit longer. My wife asks me, when I am having a bad day, if I want to go to the hospital. I always decline, reminding her that I do not want to die in the hospital, but to die at home with the people that I love most. Hospitals can no longer do anything good for me. Even Duke Hospital admits that they do not know why I am still living. GOD purpose will eventually be known until i found testimonies of Great Dr. Abumere in an online research and on Facebook, Like anybody would be, I was very skeptical about contacting him, but i later did email him and he started the remedies for my health. Thank God, i am cured from COPD by the herbal medication I received from him. I never thought that COPD can be cured, from the bottom of my heart I’m truly grateful,i pray you have long life so you can help many more people on earth with your herbal medical support. Contact Abumere today, Email: abumereherbalcentre@gmail.com

    ReplyDelete