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Thursday, June 26, 2014

For better pain control, add a benzo? (Part 2 - Chest pain)

In my last post, I reviewed a recent study that demonstrated that adding a benzodiazapine (or "benzo") to morphine didn't seem to help in treating traumatic pain, and may increase the rate of side effects. But what about atraumatic pain? Specifically, what about chest pain?

Well, at least chest pain from suspected cardiac ischemia...

You can probably skip the ECG in this case.
So, could adding Ativan or Versed help when treating chest pain?

Background
There are some good reasons to think that controlling anxiety, and not just pain, would help in the treatment of patients with acute coronary syndrome, and especially STEMIs. For example, anxiety during an MI can cause an increased heart rate, and thus worsen oxygen demand, and so potentially worsen the cardiac ischemia. 

So, if we give beta-blockers to address this issue, why not treat the problem right at the root?  

A review from 2003 looked over the basic science, a few small clinical trials, and also the side effect profile of using diazepam or similar agents in acute or subacute ACS. The conclusion was pretty enthusiastic about using benzos, describing the potential risk-benefit ratio as very favorable.
"In conclusion, the authors disagree on whether the chief benefit of adding
benzodiazepines is tasting great, or in being less filling."
The studies they reviewed, however, were small, had conflicting results, and didn't apply to EMS very well. Fortunately, our Swedish friends stepped up to the plate, and conducted a randomized prehospital trial to answer this question.
 
The Study
Methods
The authors of Anxiolytics in patients suffering a suspected acutecoronary syndrome: multi-centre randomised controlled trial inEmergency Medical Service studied if adding midazolam (Versed) to standard analgesia (morphine) could help patients with chest pain. The study included EMS systems from across the Swedish region of Västra, including 500 prehospital personnel, 60 ambulances and one EMS boat.

"Squad 51 responding 11:33. KMG365"
The “usual” dose of morphine was 5 mg, while midazolam was given in 0.5 mg boluses until a total of 1-2 mg had been given. The primary outcome was the pain level at 15 minutes after the decision to give analgesia. 

Results 
After looking at the 1763 patients enrolled in the trial, they found.... no difference. Even when they looked at the subset of 599 patients who turned out to have real ACS diagnosed in the hospital, there was no benefit to adding a benzo for pain relief. 



The addition of midazolam seemed to reduce the heart rate and blood pressure to a statistically significant degree, but the clinical effect was pretty minimal.

Unfortunately, the benzo-getting patients more often became drowsy (or “dozy,” per the authors' language), much like in the trauma patients in my prior post.

Limitations
Yes, the study could have been done better. Many potential patients were not enrolled, and we don't know if they were different from the enrolled folks. Many of the secondary endpoints were vaguely defined, and not based on the patients' self-report. For example, the degree of anxiety, unlike pain, was judged by EMS personnel.

Lastly, while the trial was randomized, the EMS personal were not blinded to the study drug. In other words, EMS knew who got midazolam, and who didn't. This could have introduced some bias in the results (although I would expect it only would have made the midazolam group report better pain relief).

The Bottom Line
This trial may have had some shortcomings, but it did not suggest a clinically significant role for benzos in treating chest pain of suspected cardiac origin. So, we don't have to figure out a way to add a "B" into MONA!


43 comments:

  1. I am bold enough among many others to state that there is now a potent cure to this sickness but many are unaware of it. I discovered that I was infected with the virus 3 months ago, after a medical check-up. My doctor told me and I was shocked, confused and felt like my world has crumbled. I was dying slowly due to the announcement of my medical practitioner but he assured me that I could leave a normal life if I took my medications (as there was no medically known cure to Herpes). I went from churches to churches but soon found that my case needed urgent attention as I was growing lean due to fear of dying anytime soon. In a bid to look for a lasting solution to my predicament, I sought for solutions from the herbal world. I went online and searched for every powerful trado-medical practitioner that I could severe, cos I heard that the African Herbs had a cure to the Herpes syndrome. It was after a little time searching the web that I came across one Dr Itua(A powerful African Herbal Doctor), who offered to help me at a monetary fee. I had to comply as this was my final bus-stop to receiving a perfect healing. My last resolve was to take my life by myself, should this plan fail. At last it worked out well. He gave me some steps to follow and I meticulously carried out all his instructions. Last month, to be precise, I went back to the hospital to conduct another test and to my amazement, the results showed that negative,Dr Itua Can As Well Cure The Following Desease…Cancer,Hiv,Herpes, Hepatitis B,Liver Inflammatory,Diabetis,Fribroid, Dercum,Get Your Ex Back, You can free yourself of this Herpes virus by consulting this great African Herbal Doctor via this e-mail: drituaherbalcenter@gmail.com or call and whatsapp him on +2348149277967 He will help you and his herb medication is sure. he has the cure on all disease .You can talk to me on INSTAGRAM..tashamoore219....

    ReplyDelete
    Replies
    1. Hello viewers all over the globe I am Caroline from USA, I have been suffering from HPV virus for the past 2 years now, I have went to several hospitals taking different treatment from doctors but still yet no improvement, I have done research on internet seen different testimony how some people get cured but I don’t believe does testimony again because of what happened to me I have contacted so many doctors online, they all ask for is money I was scammed by 3 different doctors over $2000 still yet I was not cured so I tell a friend of mine about my problem she tells me to contact dr oso that his very good in healing people with his medicine that she was cured from herpes by this some Dr oso I don’t believe her on thing she showed me her results on how was cured she gives me his Email few weeks later I contacted him and tell him about my problem he tell me not to be worried that his going to prepare the medicine and send to me through EMS delivery so after some days I received the medicine and I was take it as he Instructed me few weeks later I go for check up to no if I’m finally cured, could you believe me when the results come out I was negative I jump up I was very happy. Please my dear friends if you have any kind of diseases or virus please contact Drosohaberhome@gmail.com/ dr.osoherberhome1@outlook.com or WhatsApp +2348162084839. you can email me to for more info about dr oso . toddcaroline79@gmail.com. Thank you so much Dr oso I’m forever great full please my dear friends don’t believe on does comment online they all fake doctors. only Dr oso I see real. Please beware of scammers.

      Delete

    2. I was depressed when doctor told me that I have been diagnosed with Herpes disease… I thought about my Family, I know my Family will face a serious problem when I'm gone, I lost hope and I wept all day, but one day I was searching the internet I found Dr.ezomo contact number. +2349069171173 I called him and he guided me. I asked him for solutions and he started the remedies for my health. Thank God, now everything is fine, I'm cured by Dr.ezomo herbal medicine, I'm very thankful to Dr.ezomo and very happy with my hubby and family. email him on dr.ezomorootandherbals@gmail.com or you can also reach him through WhatsApp number+2349069171173
      He can also cure so many sickness
      {1}HIV And AIDS
      {2}Diabetes
      {3}Epilepsy
      {4}Blood Cancer
      {5}HPV
      {7}ALS
      {8}Hepatitis

      Delete
    3. Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,OLU and decided to contact him on his email: Drolusolutinthome@gmail.com) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OLU I also learn that Dr OLU also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OLU now for help on his email (Drolusolutionhome@gmail.com) or add him on whatsapp line +2348140654426




      Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,OLU and decided to contact him on his email: Drolusolutinthome@gmail.com) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OLU I also learn that Dr OLU also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OLU now for help on his email (Drolusolutionhome@gmail.com) or add him on whatsapp line +2348140654426

      Delete
    4. Hello, everyone! I,m here to explore blogs and forum about the wonderful and most safe cure for (Herpes Virus).
      I was positive to the deadly virus called herpes and i lost hope because i was out casted and rejected even by my closet friends.
      i searched on-line to know and enquirer about cure for Herpes and i read someone testimony on how he was cured from Herpes so i decided to contact the same herbalist because i know that nature has the power to heal everything.
      i contacted him to know how he can help me and he told me never to worry that he will heal me with the natural herbs from God!
      after 2 days of contacting him, he told me that the cure has been ready and he sent it to me via DHL and it got to me after 3 days!
      i used the med as he instructed me (MORNING and EVENING) and i was cured!
      its really like a dream but i am so happy!
      thats the reason i decided to also add more comment of Him so that more can be saved just like me!
      and if you need his help, you can email him on nativehealthclinic@gmail.com or whatsapp +2348140073965
      I,m neme amber and you can get intouch with me via nemeamber@gmail.com..

      Delete
  2. 6 months ago I was diagnosed with COPD with 55-60% lung capacity. My doctor just said all the crying , stomping your feet will not change it so just accept it and basically patted me on the back and sent me home to die. I was devastated and was afraid to do anything. I stopped riding my bike, I was afraid to do anything that would cause any exertion. It consumed my thoughts with every breath and the fear of what to expect was almost more than I could deal with. So I couldn't get myself all time I decided to find a herbal cure online and I came acrose Doctor Itua on how he cure several people suffering from Hiv, and Herpes I gave him a call on this Number +2348149277967 also chat on whatsapp he gave me all the details about the cure i paid him for the medicine after 5 working days i receieve my herbal medicine ,I use it for two weeks that is how I get Cured and today I'm living healthy and fine I give him thanks also promise him to testify about his work,He Can also cure the following deseases..Copd,Herpes,Hiv,Hepatitis,diabetes,
    Contact...drituaherbalcenter@gmail.com

    ReplyDelete
  3. I would like to let all know that the size of your Penis really matters in your relationship or marriage. I got married to my wife about 1 month after we met on a photo studio, we lived happily for the first 3 months of our marriage until i and my wife started having quarrels at home because i couldn't satisfy her on bed with my little penis. Actually my penis was very small, it measured about 4.5 inch long on erection and i am 39 years old. My wife said it was forbidden by the women of this world. My wife started sleeping with other men outside. Sometimes i will return from work without finding my wife at home and whenever i call or ask her where she was, she will always snub at me and sometimes just tell me to go get a larger dick. All this continued for a long time and it hurt me so much that i was at the edge of breaking up on the marriage till when i read about a doctor called DR.OMOHAN. online. I never thought i could smile and be in a happy marriage again if not for the help of DR.OMOHAN. I got the doctors Emails:(dromohanherbalmedicine@gmail.com ) on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream which i use for just 8 days and i began to feel the enlargement of my penis, and without surgery. This went on for a little period of about 10 days and to my surprise my wife keeps screaming that she love my big dick now. Now my wife no longer cheat on me, and my penis is now about 10.5 inches long on erection and off course very large round. And now my wife uses breasts, hips and bums enlargement. I and my wife are very happy for the help rendered to me by DR.OMOHAN , and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:( dromohanherbalmedicine@gmail.com ) Am thankful to the doctor for helping me.
    his whataspp number +2348164816038

    DOCTOR OMOHAN CAN AS WELL HELP THE FOLLOWING PROBLEMS
    1. HIV/AIDS SPELL
    2. HERPES SPELL
    3. CANCER SPELL
    4 IF YOU WANT YOUR EX LOVER BACK SPELL
    5 IF YOU NEED A BABY SPELLhim to solve
    6 LOW SPERM COUNT SPELL
    get all your problem solve. No problem is too big for him to solve.

    ReplyDelete
  4. Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the internet about this specialist called Dr, OLHIA and i decided to contact him on his website i saw on the internethttp://olihawonderfulherbs.webs.com/ so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend Ella, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OLIHA I also learn that Dr OLIHA also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OLIHA now for help on his email {oliha.miraclemedicine@gmail.com} or whats app him number: +2349038382931

    ReplyDelete
  5. Greetings to you all, i am andrew joy,i am broadcasting about how Dr udo saved my life, i was infected with Genital Herpes for A year, my medical Dr told me that there i no total cure and i began to take pill to sustain my self. One day i went to see my medical doctor and i saw a lady who was extremely happy and i asked to know the reason of her happiness and she told me that she was infected with simplex HERPES disease and a herbal doctor called Dr udo cured her with herbal medicine, i did not believe so i asked my medical doctor to know if she was truly confirmed Herpes positive before, and my medical doctor told me yes that a miracle just happened so i asked her to give me the details of the dr so i could ask him if he could also cure mine and she gave me Dr udo Email: udoherbalhome@gmail.com I contacted him that very evening and i explained my problem to him and he prepared a medicine and send to me, when i received the medicine he told me how to take it for a period of days and i took it exactly as he said and went for a medical test i was surprise to see my test result as herpes negative. I am so happy, my family and friends that rejected me are back, thank you God. I guarantee you that Dr udo has solution to all kind of problem if you are facing any stress you can contact him via email udoherbalhome@gmail.com or whatsAPP him +2347031128033

    ReplyDelete
  6. Hello Everybody,
    My name is Mrs Sharon Sim. I live in Singapore and i am a happy woman today? and i told my self that any lender that rescue my family from our poor situation, i will refer any person that is looking for loan to him, he gave me happiness to me and my family, i was in need of a loan of $250,000.00 to start my life all over as i am a single mother with 3 kids I met this honest and GOD fearing man loan lender that help me with a loan of $250,000.00 SG. Dollar, he is a GOD fearing man, if you are in need of loan and you will pay back the loan please contact him tell him that is Mrs Sharon, that refer you to him. contact Dr Purva Pius,via email:(urgentloan22@gmail.com) Thank you.

    ReplyDelete
  7. Hello viewers all over the globe I am Caroline from USA, I have been suffering from HPV virus for the past 2 years now, I have went to several hospitals taking different treatment from doctors but still yet no improvement, I have done research on internet seen different testimony how some people get cured but I don’t believe does testimony again because of what happened to me I have contacted so many doctors online, they all ask for is money I was scammed by 3 different doctors over $2000 still yet I was not cured so I tell a friend of mine about my problem she tells me to contact dr oso that his very good in healing people with his medicine that she was cured from herpes by this some Dr oso I don’t believe her on thing she showed me her results on how was cured she gives me his Email few weeks later I contacted him and tell him about my problem he tell me not to be worried that his going to prepare the medicine and send to me through EMS delivery so after some days I received the medicine and I was take it as he Instructed me few weeks later I go for check up to no if I’m finally cured, could you believe me when the results come out I was negative I jump up I was very happy. Please my dear friends if you have any kind of diseases or virus please contact Drosohaberhome@gmail.com/ dr.osoherberhome1@outlook.com or WhatsApp +2348162084839. you can email me to for more info about dr oso . toddcaroline79@gmail.com. Thank you so much Dr oso I’m forever great full please my dear friends don’t believe on does comment online they all fake doctors. only Dr oso I see real. Please beware of scammers.........

    ReplyDelete
  8. My name is Mira Emma , i am from New York City. I was suffering from HIV disease for over 4 years, i was hopeless until one of my friend directed me to a man called Dr Udi, she said he cures the sickness and also said he has also helped her friend, i never believed her but after alot of talk, i decided to give him a try, just few days ago i contacted him and he told me what to do which i did and he cast a spell for me and told me to go for a test which i also did and when the result came out i was surprised to see that i am negative. I am proud to tell you the i am the most happiest person on earth I Give thanks to Dr Udi.. If you are having any problem and you need help, You can contact him with his email drudiherbalhome@gmail.com or Whatapp: +2348051243538.

    ReplyDelete
  9. Hello everyone i am HELEN JACK from USA i want to tell the word of a great man who help me cure my HIV I was once suffering from HIV and i spent a lot of money contacting
    several doctors all round the world for cure but no avail until i came
    in contact with this powerful Man called Dr.ovoko who cured me from
    HIV with his Powerful herbal medication, He sent the Herbs to me via
    D.H.L and i got it in just 2 days and i followed his prescription on
    how to use the herbal medicine and it worked perfectly. Now i am HIV
    Negative when i did a test in the hospital, Dont doubt it. please if
    you are contacted with any form of Deadly Diseases.
    Contact Dr.ovoko on his mail Drovokospelltemple77@gmail.com
    And his Direct whatsapp number +2347063915230 THANK YOU FOR READING

    ReplyDelete
  10. I am John Danilla from UK( northern ireland), i want to share a
    testimony on how a powerful spell caster cured my HIV disease, i was
    diagnosed of this disease, in the year 2009, last week i saw a testimony on
    Dr.Akioya on how he cured an HIV patient, so i contacted him through phone
    call and he asked me to email him, which idid, so he told me that all my
    problems is over and then he decided to do an healing spell spell for me so
    after he finished it, he told me to wait for just 24 hours and then i
    should go for a test, so i really did as he had said, so my greatest
    surprised when i went to the hospital to go for an HIV test, the Medical
    doctor diagnosed that, i am now HIV negetative at first i was amazed and
    now i have come to realise that this spell caster Dr. Akioya is a very
    powerful one and a real spell caster. So viewers of this should please join
    me in my celebration for i am the happiest man on earth today and if you
    want to contact him, you can do this via his email
    (drakioya17spellhome@gmail.com or call him or whatsapp him
    +2348105257464.

    ReplyDelete
  11. Hello everyone!! I was diagnosed of Genital Herpes Simplex Virus (HSV) in 2016 and I have tried all possible means to get cured, i even visited Some Hospital where they gave me some drugs like Famvir, Zovirax and Valtrex which are very expensive but all to no avail, until i saw a post in a health forum about a herbal doctor OLUTA from West Africa who prepare herbal medicine to cure all kind of diseases including Herpes Simplex 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 sent me a herbal medicine through UPS delivery 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 14 days of usage, if you are suffering of this diseases you can as well Contact this great herbal doctor via his email; dr.olutaspellcaster@gmail.com or call or whatsapp Dr OLUTA on this +2349065326267? HIV/AIDS,DIABETES,CANCER,HEPATITIS ABC,DARIA,Chronic, Arthritis. God bless you sir....

    ReplyDelete
  12. I am John Danilla from UK( northern ireland), i want to share a
    testimony on how a powerful spell caster cured my HIV disease, i was
    diagnosed of this disease, in the year 2009, last week i saw a testimony on
    Dr.Akioya on how he cured an HIV patient, so i contacted him through phone
    call and he asked me to email him, which idid, so he told me that all my
    problems is over and then he decided to do an healing spell spell for me so
    after he finished it, he told me to wait for just 24 hours and then i
    should go for a test, so i really did as he had said, so my greatest
    surprised when i went to the hospital to go for an HIV test, the Medical
    doctor diagnosed that, i am now HIV negetative at first i was amazed and
    now i have come to realise that this spell caster Dr. Akioya is a very
    powerful one and a real spell caster. So viewers of this should please join
    me in my celebration for i am the happiest man on earth today and if you
    want to contact him, you can do this via his email
    (drakioya17spellhome@gmail.com or call him or whatsapp him
    +2348105257464.

    ReplyDelete
  13. I am so happy, i never believe i will be this happy again in life, I was working as an air-hoster ( cabby crew ) for 3years but early this year, i loose my job because of this deadly disease called Herpes virus (HSV), I never felt sick or have any symptom, till all workers were ask to bring their doctors report, that was how i got tested and i found out that am HSV positive that make me loose my job, because it was consider as an STD and is incurable disease, i was so depress was thinking of committing suicide, till i explain to a friend of mine, who always said to me a problem share is a problem solved, that was how she directed me to Dr Isibor, that was how i contacted him and get the medication from this doctor and i got cured for real, I just went back to my work and they also carry out the test to be real sure and i was negative. Please contact this doctor if you are herpes positive or any STD diseases his email is: drisiborspellhome@gmail.com or you can call or whatsApp his mobile number on +2348107855231.

    ReplyDelete
  14. Hello everyone I want to appreciate the great work of Dr. Ehoh , I have been diagnose of herpes simplex virus for years,I’ve lost all hop and that there is no cure and I have been taken medicine to sustain myself till I got to know about Dr. Eboh through a friend who he cured of Hiv. I contacted him and he sent me his herbal remedy which I took as he directed me to do for some days and I went to the hospital after consuming his Herbal medicine and I was confirmed Herpes Negative after years of pains and suffering , it is indeed a miracle, his web site https://holycurecenter.wordpress.com is a great man, I have heard so much about how he hashelp lot of people, if you have any issue you can contact him for help.via: holycurecenter@gmail.com or add him on whatsapp +2348053823815.you can contact me for more information via: holycurecenter@gmail.com

    ReplyDelete
  15. I was hurt and heart broken when my husband left me with two kids for one year, All effort to bring him back failed I thought I'm not going to see him again not until I met a lady called Jesse who told me about a spell caster called Dr.Oku, She gave me his email address and mobile number and I contacted him and he assured me that within 28 hours my husband will come back to me, In no less than 28hours my husband came back started begging for forgiveness saying it is the devils work, so I'm still surprise till now about this miracle,i couldn't conceive but as soon as the spell was cast,i became pregnant and gave birth to my third child(Michelle) if you need any assistance from him you can contact him via:email; okutemple@gmail.com , you can also call him or add him on Whats-app: +2347053113465 and tell him I referred you to him

    ReplyDelete
  16. I was hurt and heart broken when my husband left me with two kids for one year, All effort to bring him back failed I thought I'm not going to see him again not until I met a lady called Jesse who told me about a spell caster called Dr.Oku, She gave me his email address and mobile number and I contacted him and he assured me that within 28 hours my husband will come back to me, In no less than 28hours my husband came back started begging for forgiveness saying it is the devils work, so I'm still surprise till now about this miracle,i couldn't conceive but as soon as the spell was cast,i became pregnant and gave birth to my third child(Michelle) if you need any assistance from him you can contact him via:email; okutemple@gmail.com , you can also call him or add him on Whats-app: +2347053113465 and tell him I referred you to him

    ReplyDelete
  17. I was hurt and heart broken when my husband left me with two kids for one year, All effort to bring him back failed I thought I'm not going to see him again not until I met a lady called Jesse who told me about a spell caster called Dr.Oku, She gave me his email address and mobile number and I contacted him and he assured me that within 28 hours my husband will come back to me, In no less than 28hours my husband came back started begging for forgiveness saying it is the devils work, so I'm still surprise till now about this miracle,i couldn't conceive but as soon as the spell was cast,i became pregnant and gave birth to my third child(Michelle) if you need any assistance from him you can contact him via:email; okutemple@gmail.com , you can also call him or add him on Whats-app: +2347053113465 and tell him I referred you to him

    ReplyDelete
  18. Greetings to every one that is reading this testimony. I was HERPES positive for 5years and all the means i tried for treatment was not helpful to me, but when i came on the Internet i saw great testimony about DR omohan on how he was able to cure someone from HERPES, and any disease this person said great things about this man, and advice we contact him forany problem that DR omohan can be of help, well i decided to give him a try, he requested for my information which i sent to him, and he told me he was going to prepare for me a healing portion, which he wanted me to take for days, and after which i should go back to the hospital for check up, well after taking all the treatment sent to me by DR omohan i went back to the Hospital for check up, and now i have been confirmed HERPES Negative, friends you can reach DR omohan on any treatment for any Disease, reach him on Email (dromohanherbalmedicine@gmail.com) whatsapp number (+2348164816038)

    ReplyDelete
  19. I was depressed when doctor told me that I have been diagnosed with Herpes disease… I thought about my Family, I know my Family will face a serious problem when I'm gone, I lost hope and I wept all day, but one day I was searching the internet I found Dr.ezomo contact number. +2349069171173 I called him and he guided me. I asked him for solutions and he started the remedies for my health. Thank God, now everything is fine, I'm cured by Dr.ezomo herbal medicine, I'm very thankful to Dr.ezomo and very happy with my hubby and family. email him on dr.ezomorootandherbals@gmail.com or you can also reach him through WhatsApp number+2349069171173
    He can also cure so many sickness
    {1}HIV And AIDS
    {2}Diabetes
    {3}Epilepsy
    {4}Blood Cancer
    {5}HPV
    {7}ALS
    {8}Hepatitis

    ReplyDelete

  20. My name is Oscar ,All thanks goes to Dr. OSUKO for saving my marriage from toning apart.i feel so grateful and only have good words about a powerful spell caster named DR.OSUKO who helped me bring back my wife. We had been apart for 4 months, at first I was thinking if I was doing the right thing by contacting a spell caster, but I so much love my wife and won't give her up for anything in this world. I decided to contact osukospelltemple@gmail.com through his mail address I found on several testifiers messages online,and I told him about my situation, he laughed and told me my wife will be back to me in the next 48 hours. I felt it wasn't going to happen at first until my wife called me and was so eager to have me back more than anything on earth.. Now we are together and she cant do without me,and both of us are happy. I feel so happy sharing this testimony because there was no negative act attached to his work. His work was smooth and fast. Thanks to DR.OSUKO for bringing back happiness to my life. I swear with my life that DR.OSUKO is a man to trust and take your problems to. You can contact him on his e-mail if you really truly want your love back.: osukospelltemple@gmail.com,,,

    ReplyDelete
  21. I'm giving a testimony about Dr.JEKWU the great Herbalist, he has the cure to all manner of diseases, he cured my herpes simplex virus, though I went through different website I saw different testimonies about different spell casters and herbalist, I was like: 'Many people's have the herpes simplex virus cure why are people still suffering from it?' I though of it, then I contact Dr.JEKWU via email, I didn't believe him that much, I just wanted to give him a try, he replied my mail and Needed some Information about me, then I sent them to him, he prepared it (CURE) and sent it to me through Airfreight Online Courier Service for delivery, he gave my details to the Courier Office, they told me that 2-3 days I will receive the parcel and i took the medicine as prescribed by him and I went for check-up 2 week after finishing the medicine, I was tested herpes simplex virus negative, if you are herpes simplex virus patient do me a favor by you contacting him and I assure anyone who is suffering it,your problem will never remain the same again you will be cured.also Dr.JEKWU help my sister husband to cure his HIV/AIDS he was suffering from it for the past 3 years, After he {cure} my herpes simplex virus, then my sister heard about it, she went home to tell her husband about Dr.JEKWU then her husband email him and explain his problem to him, he also prepare herbal medicine and he use Airfreight courier service to sent him the herbal medicine and he instruct him on how he will be using it for 14 days, That on the 15 days of it, he should go and check his self in the hospital and he did as he was instructed by Dr.JEKWU to GOD be the glory he was cure of his HIV/AIDS which he was suffering from for the past 3 years thanks to the great man we will ever remain grateful to you sir indeed might work you did in our families. When you contact him, make sure you tell him that I refer you.. contact him via: jekwulovespelltemple@gmail.com or whats-app his telephone number +1(320) 313-2035

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  22. i m 'here to testify aboutm the great work Dr udo did for me. I have been suffering from (HERPES) disease for the past 3 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 across a testimony of one lady on the internet testifying about a Man called Dr udo on how he cured her from Herpes Simplex Virus. And she also gave the email address of this man and advise anybody to contact him for help for any kind of sickness that he would be of help, so I emailed him telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! Well 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 Dr udo assured me that i will be 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 contact Dr udo via email udoherbalhome@gmail.com You can also call or whatsApp his telephone number +2347031128033. Thanks once again Dr udo

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  23. I don't know where to start from because i am overwhelmed. I never thought I will be healed of HIV virus and genital warts these Diseases have affected my life in many way and I have lost so every thing including my job in the course of finding solutions to these illnesses. I wish to share to those living with hiv virus and genital warts and those suffering from various diseases not to give up because i never knew i will one day be healed and fine . My faith got back after reading from those who got healed after consulting Dr OBA for his herbal medicines I worriedly contacted this great Doctor on drobaspellhome902@gmail.com. He gave me hope that i will be totally healed after the treatment,I did all he requested and sent me his prepared medicines with the instructions of how to use it to my surprise, in the third week, I was noticing great changes in my body system and the warts totally disappeared though i still did not believe until i was confirmed both HIV and GENITAL warts absolutely Negative. Please if you are living with any disease it is my advise you write Dr OBA for his medicines he is actually a wonderful man and Godsent he is kind and very straight forward. His Email is drobaspellhome902@gmail.com . His Whatsapp is +2348159753628

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  24. Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,OLU and decided to contact him on his email: Drolusolutinthome@gmail.com) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OLU I also learn that Dr OLU also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OLU now for help on his email (Drolusolutionhome@gmail.com) or add him on whatsapp line +2348140654426





    Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,OLU and decided to contact him on his email: Drolusolutinthome@gmail.com) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OLU I also learn that Dr OLU also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OLU now for help on his email (Drolusolutionhome@gmail.com) or add him on whatsapp line +2348140654426

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  28. Please read and also contact Dr.JEKWU if you need a powerful love spell to fix your broken relationship.....

    I got a divorce from my husband when I was six months pregnant with my second child. We had been arguing and quarreling nonstop since the day our first child was conceived, no love nor trust from him anymore so he divorced me. And all these whiles, I have been trying all different means to get him back, I also tried some different spell casters here in the United States, but none of them could bring Richard back to me. It was only Dr.JEKWU who guaranteed me an urgent 48 hours spell casting, and he assure me that my husband will be with me again. I am writing to offer my thanks and deep gratitude to you for keeping your promises, and for using your gifted and great powers to bring him back home. I was thrilled to know that you are specialized in reuniting Lovers. Thank you Sir, for helping me through the worst times of my life, for being such a great spell caster, and for giving me a love spell that has brought me so much joy in my marriage. My husband is back and promise never to leave me again. If you doubt his ability, trust me. You should take a chance. It pays off in ways you could never even imagine. If you are their right now and you need a powerful and urgent love spell to bring back your ex kindly contact Dr.JEKWU right now he is the only answer to restore your broken relationship or marriage. jekwulovespelltemple@gmail.com

    ReplyDelete

  29. My name is Oscar ,All thanks goes to Dr. OSUKO for saving my marriage from toning apart.i feel so grateful and only have good words about a powerful spell caster named DR.OSUKO who helped me bring back my wife. We had been apart for 4 months, at first I was thinking if I was doing the right thing by contacting a spell caster, but I so much love my wife and won't give her up for anything in this world. I decided to contact osukospelltemple@gmail.com through his mail address I found on several testifiers messages online,and I told him about my situation, he laughed and told me my wife will be back to me in the next 48 hours. I felt it wasn't going to happen at first until my wife called me and was so eager to have me back more than anything on earth.. Now we are together and she cant do without me,and both of us are happy. I feel so happy sharing this testimony because there was no negative act attached to his work. His work was smooth and fast. Thanks to DR.OSUKO for bringing back happiness to my life. I swear with my life that DR.OSUKO is a man to trust and take your problems to. You can contact him on his e-mail if you really truly want your love back.: osukospelltemple@gmail.com,,,

    ReplyDelete
  30. HOW I CURE MY CANCER....... my wife has been suffering from thyroid cancer which was confirmed to be stage four, the doctor told me there was little he could do since she wasn’t responding to treatment but a friend of mine came to our rescue by ordering this cannabis oil from Kabaka which she said has been helping some patient fight against cancer of various types so we decided to give it a chance, so far my wife is improving perfectly very well and presently she can walk around the house all by herself. I felt its necessary i let others who are suffering from this acute disease that once you have a good cannabis oil it can really give one a sound second chance of living. by chance if you happen to be in need of this cannabis oil you can contact Kabaka who supplied I and my wife with this email: kabakatemple@outlook.com add him on whatapp +2348114801221

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  31. hello everyone here i want to tell the whole world about DR AKIOYA herbal mixture product ...Dr AKIOYA penis enlargement herbal product in Africa.This is the only Male Penis Enlargement product has been used by men around the world like USA,CANADA,AUSTRALIA,BELGIUM,SWEDEN,GERMANY,UK,SINGAPORE,MALAYSIA AND SO MANY MORE supplement that has been PROVEN to-enlarge your penis – safely, quickly, and importantly – PERMANENTLY.Full DR AKIOYA Penis Enlargement product when used will Increase in penis length by 1-5 inches Increase in penis width by 20%helps in preventing Premature Ejaculation.Achieved longer, rock hard erections All gains in penis length and width are 100% permanent Full AKIOYA Penis Enlargement product is also:100% Herbal, 100% Safest with no side effect and its of two types I have the one for enlargement and for reduction and your advised to use it by message 100% Satisfaction and Money Back Guarantee. DR.AKIOYA, About my products i have herbal product and oil 100% Permanent Guaranteed resulting it on your body where you feel you want to reduce or enlarge which will help you to be strong and you get the desirable size you want-within 3-5 days and when you get your desirable size you are advised to stop using it and the results you gain will remain permanent We also do deliveries all over AFRICA, and worldwide so i would like to know first when do you need the product.for more information call or whatsapp Dr.AKIOYA +2348105257464 or call +2348105257464 email DrAkioya17spellhome@gmail.com
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    ReplyDelete
  32. Its a pleasure for me to write this testimony about how i got my Genital Herpes cured a month ago. i have been reading so many comments of some people who were cured from various diseases by Dr IMAFIDON but i never believed them. I was hurt and depressed so I was too curious and wanted to try DR. IMAFIDON then i contacted him through his email when i contact him, he assured me 100% that he will heal me, i pleaded with him to help me out. My treatment was a great success, he healed me just as he promised. he sent me his medication and ask me to go for check up after one weeks of taking the medication. i agreed with him i took this medication and went for check up a , to my greatest surprise my result was negative after the treatment, i am really happy that i am cured and healthy again. I have waited for 3 weeks to be very sure i was completely healed before writing this testimony. I did another blood test one week ago and it was still Herpes negative. so i guess its time i recommend anyone going through Herpes HSV-1 or HSV-2, HIV, HPV, Hepatitis B, Diabetes, Cancer reach him through Email drimafidon0@gmail.com OR add on whatsapp +2348100649947

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  33. Am here to testify of the miraculous work of a great traditional doctor called DR. Osasu..I have been suffering from herpes since last 2 years with my Husband but today I am happy that am cure from it with the herbal medicine made by Dr. Osasu the great healer, I was browsing the Internet searching for help when I came across a testimony shared by someone on how Dr. Osasu cure her from Herpes Disease. I quickly contacted him to get the cure and today i am now free from the Virus, I am so much happy today that we have someone like this great healer out there, so' people out there kindly contact this great doctor on his email address please sir keep your good work cause there are people out there who is in need of your healing medicine .once more contact him now +2347064365391 Dr. Osasu can prepare Herbal medicine for all kind of disease. HIV. CANCER. HEPATITIS B .DIABETES. COLD SORES. Syphilis. HBV, HPV, STD's And many more. contact Dr. JOHN to get your CURED EMAIL>> drosasu25@gmail.com OR CONTACT WHATSAPP +2347064365391

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  34. Am here to testify of the miraculous work of a great traditional doctor called DR. Osasu..I have been suffering from herpes since last 2 years with my Husband but today I am happy that am cure from it with the herbal medicine made by Dr. Osasu the great healer, I was browsing the Internet searching for help when I came across a testimony shared by someone on how Dr. Osasu cure her from Herpes Disease. I quickly contacted him to get the cure and today i am now free from the Virus, I am so much happy today that we have someone like this great healer out there, so' people out there kindly contact this great doctor on his email address please sir keep your good work cause there are people out there who is in need of your healing medicine .once more contact him now +2347064365391 Dr. Osasu can prepare Herbal medicine for all kind of disease. HIV. CANCER. HEPATITIS B .DIABETES. COLD SORES. Syphilis. HBV, HPV, STD's And many more. contact Dr. JOHN to get your CURED EMAIL>> drosasu25@gmail.com OR CONTACT WHATSAPP +2347064365391

    ReplyDelete
  35. HOW I GOT MY EX HUSBAND BACK WITH THE HELP OF REAL AND EFFECTIVE SPELL FROM DR Osasu
    My name is Rosemarie Williams, I never thought I will smile again, My husband left me with two kids for one year, All effort to bring him back failed I thought I'm not going to see him again not until I met a lady called Jesse who told me about a spell caster called Dr. Osasu , She gave me his email address and mobile number and I contacted him and he assured me that within 48hours my husband will come back to me, In less than 48hours my husband came back started begging for forgiveness saying it is the devils work, so I'm still surprise till now about this miracle,i couldn't conceive but as soon as the spell was cast,i became pregnant and gave birth to my third child,if you need any assistance from him you can contact him via:email: drosasu25@gmail.com Or WhatsApp or call him now: +2347064365391

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  36. Hello, everyone! I,m here to explore blogs and forum about the wonderful and most safe cure for (Herpes Virus).
    I was positive to the deadly virus called herpes and i lost hope because i was out casted and rejected even by my closet friends.
    i searched on-line to know and enquirer about cure for Herpes and i read someone testimony on how he was cured from Herpes so i decided to contact the same herbalist because i know that nature has the power to heal everything.
    i contacted him to know how he can help me and he told me never to worry that he will heal me with the natural herbs from God!
    after 2 days of contacting him, he told me that the cure has been ready and he sent it to me via DHL and it got to me after 3 days!
    i used the med as he instructed me (MORNING and EVENING) and i was cured!
    its really like a dream but i am so happy!
    thats the reason i decided to also add more comment of Him so that more can be saved just like me!
    and if you need his help, you can email him on nativehealthclinic@gmail.com or whatsapp +2348140073965
    I,m neme amber and you can get intouch with me via nemeamber@gmail.com..

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  39. Greetings to the general public, i want to give a testimony about how i was cured of HIV/AIDS disease by a Doctor UDI I was browsing through the Internet searching for remedy or latest treatment on HIV and i saw many comment of people talking about how Doctor UDI cured their HIV/AIDS. I Was scared because i never believed in the Internet but i was convince to give him a try because i having no hope of been cured of HIV/AIDS so i decided to contact him with his email that was listed on the comment ( drudiherbalhome@gmail.com ) when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, am a free person now without problem, my HIV result came out negative. I pray for you Dr UDI God will give you everlasting life, you shall not die before your time for being a sincere and grate man. Am so happy today, you can also contact him if you have any problem Email: ( drudiherbalhome@gmail.com )) tel or via what-app: +2348051243538

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