Monday, June 24, 2019

Stories of Flight: Trauma and mental health among forcibly displaced and conflict-affected refugee populations in Uganda


Hazar H. Khidir, M.D. 
Resident in PHS Emergency Medicine Residency
PGY 2

June 18, 2019

“There are so many princes here” Doddy, a community health worker in Nakivale, relayed to me. We stood under a corrugated tin-roofed gazebo on the premises of Nakivale Health Centre Number III in Uganda. He points to a man standing across the dusty courtyard between the health centers wards. This man, a refugee who had lived in Nakivale for many years, was once the son of a powerful chief in the Congo. He had a privileged life by international standards with material wealth,  a high-quality private school education, trips to the United States as a child. Everything changed when his father died and a rival Congolese community group seized power. He lost all his material possessions and was forced to leave, fearing that conflict with the new community group would result in loss of his life, too. Though he has half siblings in the United States, he could not ask for their help. With no other social supports, his migration took him to Nakivale. After many years alone in the refugee camp, he turned to substance use for comfort.

I had just met Doddy a few minutes before. He came to the health center with a kind-appearing couple that he brought for a medical check-up. They recently made it to Nakivale in the past year from the Democratic Republic of Congo. The couple were happily married and had eight children. They migrated to Nakivale to escape political violence. The husband had been kidnapped by a local rebel militia group and was taken to the group’s secluded base in the bush. He was forced into servitude and underwent disturbing physical and sexual violence. He managed to reunite with his family and they all fled the DRC together. He came to the clinic requesting HIV testing. He abstained from intimacy since reuniting with his wife due to fears that he had contracted HIV during his assault. He recounted each traumatic incident with complete composure and no betrayal of his emotion, speaking to the health worker calmly and politely. Next to him, his wife wept silently for him.

Doddy left for a home visit within the settlement. Soon after, a smiling, tall, dark-skinned Ethiopian walked up to greet me. He informed me that he worked as an Amharic translator at the health center. When I asked how he had come to Nakivale, he explained that he was born in Ethiopia and belonged to the Anuak Tribe. As an ethnic minority within Ethiopia, his tribe had endured persecution time and again through the booms and busts of civilizations in the region, serving as slaves during the Abyssinian Empire to freedom but second class citizenry under a brief period of British rule to de facto servitude after the Ethiopian government regained authority of the region. In the 1970s, when he was relatively young, both his parents were killed during a forcible eviction of his tribe from their land in the Gambella region of Ethiopia. He was able to flee to South Sudan with a few of his siblings. He lived in a refugee camp in South Sudan until four years ago when violence erupted between the South Sudanese government and anti-governmental rebels. During an escalation in the conflict, rebels opened fire at the refugee camp, killing a few refugees. He made a one month and ten day journey crossing the northern Ugandan border and traversing hundreds of miles to the southwestern region of the country to reach Nakivale settlement. He made the journey with one of his brothers. One of his children and few of his siblings stayed in South Sudan. Somewhere along the journey, through an experience that I was too reluctant to inquire about, he was separated from his daughter. He has been unable to contact or gather any information about her since he fled South Sudan.

24 comments:

  1. God bless Dr. USELU for his marvelous work in my life, I was diagnosed of HERPES SIMPLEX VIRUS since 2018 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. USELU , 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 within 3 days. I took the medicine as prescribed by him and 2weeks later  i was cured from HERPES contact him via email (dr.uselucaregiver@gmail.com) once again thanks to you Dr. USELU cure the flowing virus, contact his email or add him on whatsapp (+2349019328641) cancer cure
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    ReplyDelete
    Replies
    1. I WILL CONTINUE TO POST THIS, I'm so happy to share this testimony thank you Dr.idowu  am so happy i never believed i will be herpes negative again despite all i passed through Dr.idowu you are truly God sent, am so happy that am negative again thank you Dr idowu.email him
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      If you have any problem like
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      Delete
    2. I WILL CONTINUE TO POST THIS, I'm so happy to share this testimony thank you Dr.idowu  am so happy i never believed i will be herpes negative again despite all i passed through Dr.idowu you are truly God sent, am so happy that am negative again thank you Dr idowu.email him
      (Dr.idowuherbalhome@gmail.com)
      If you have any problem like
      *Herpes 1/2,
      *HIV/Aids,
      *Hepatitis a,b,c,
      *Breast cancer/cancer,
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      *Penis enlargament/ass,
      WhatsApp him via (+2348052789941)
      Please give him a try ,no harm in trying ok....   

      Delete
  2. I WILL CONTINUE TO POST THIS, I'm so happy to share this testimony thank you Dr.idowu  am so happy i never believed i will be herpes negative again despite all i passed through Dr.idowu you are truly God sent, am so happy that am negative again thank you Dr idowu.email him
    (Dr.idowuherbalhome@gmail.com)
    If you have any problem like
    *Herpes 1/2,
    *HIV/Aids,
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    *Ex back, 
    *Penis enlargament/ass,
    WhatsApp him via (+2348052789941)
    Please give him a try ,no harm in trying ok....

    ReplyDelete
  3. I WILL CONTINUE TO POST THIS, I'm so happy to share this testimony thank you Dr.idowu  am so happy i never believed i will be herpes negative again despite all i passed through Dr.idowu you are truly God sent, am so happy that am negative again thank you Dr idowu.email him
    (Dr.idowuherbalhome@gmail.com)
    If you have any problem like
    *Herpes 1/2,
    *HIV/Aids,
    *Hepatitis a,b,c,
    *Breast cancer/cancer,
    *Marriage,
    *Pregnancy problem,
    *Ex back, 
    *Penis enlargament/ass,
    WhatsApp him via (+2348052789941)
    Please give him a try ,no harm in trying ok....

    ReplyDelete
  4. Hello am Janet Lopz from USA, i just want to say a very big thanks to Dr Macaulay for saving my soul from dieing of Herpes Virus,i have being suffering  from this Herpes Virus for two years now, i saw Dr Macaulay email address on a comment of someone who he has helped i was so encourage with the testimony been shared, i took the man email address and also contacted him for help he replied me and ask for some of my details which i provided and also ask for some useful Materials Needed for the herbal herbs which also did not cost me much, i provided all he needed from me to God be blessed this Dr prepared a parcel and send it to me followed with the instruction on how to take the herbal herbs medicine for 14 days. So surprisingly after taking the herbal herbs i went to the hospital for checkup to my greatness surprise my result came out (negative),i will never stop sharing my testimony of how i was cured from my Herpes Virus by Dr Macaulay you can also write him for any type of help you may need (Via:Dr.Macaulayherbalhome@yahoo.com) here his whatsapp mobile number (+2348113717132) for help.........................

    ReplyDelete
  5. i just got rid of my herpes virus ,the medicine really helpful am now free from herpes virus ,if you need his email -[Dr.idowuherbalhome@gmail.com} or his whatsapp assisted {+2348052789941}...is a helpful ,no side effect ,give a try ,no harm in trying ,ok....... i just got rid of my herpes virus ,the medicine really helpful am now free from herpes virus ,if you need his email -[Dr.idowuherbalhome@gmail.com} or his whatsapp assisted {+2348052789941}...is a helpful ,no side effect ,give a try ,no harm in trying ,ok.......   

    ReplyDelete
  6. I WILL CONTINUE TO POST THIS, I'm so happy to share this testimony thank you Dr.idowu  am so happy i never believed i will be herpes negative again despite all i passed through Dr.idowu you are truly God sent, am so happy that am negative again thank you Dr idowu.email him
    (Dr.idowuherbalhome@gmail.com)
    If you have any problem like
    *Herpes 1/2,
    *HIV/Aids,
    *Hepatitis a,b,c,
    *Breast cancer/cancer,
    *Marriage,
    *Pregnancy problem,
    *Ex back, 
    *Penis enlargament/ass,
    WhatsApp him via (+2348052789941)
    Please give him a try ,no harm in trying ok....   

    ReplyDelete
    Replies
    1. Good day viewer, I am Nurse Sonia kuffin from Austria . It has happened the way you said it will sir. Daddy am very happy today for your help in my life, doctor Chukwu Madu herbal home you cured me finally from Herpes virus, I was infected with this deadly virus in the year 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 CHUKWU MADU HERBALHOME 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 delivery company. I took the medicine as prescribed by him and 11 days later i tested negative for HERPES, Dr.CHUKWU MADU truly you are great,It's Good for herpes patient to please read my testimony becuase People think herpes is really a minor skin irritation,herpes has a long term effects on health and The stigma attached to this virus by ignorant people is ridiculous. do you need his help also? Why don't you contact him through his email (dr.chukwumaduherbalhome@gmail.com) .
      or call him on +2347030936239.
      DOCTOR CHUKWU MADU CAN AS WELL CURE THE FOLLOWING VIRUS:-
      1. HIV/AIDS .
      2. HERPES .
      3. CANCER .
      4. Hepatitis B AND C.
      5. Diabetes.
      6. Athrux,
      7. hydrophobia
      8.hpv .
      9 pregnancy spell and bring back your ex back .
      10 scabies .
      He cures any kind if viruses and diseases.

      Delete
  7. I WILL CONTINUE TO POST THIS, I'm so happy to share this testimony thank you Dr.idowu  am so happy i never believed i will be herpes negative again despite all i passed through Dr.idowu you are truly God sent, am so happy that am negative again thank you Dr idowu.email him
    (Dr.idowuherbalhome@gmail.com)
    If you have any problem like
    *Herpes 1/2,
    *HIV/Aids,
    *Hepatitis a,b,c,
    *Breast cancer/cancer,
    *Marriage,
    *Pregnancy problem,
    *Ex back, 
    *Penis enlargament/ass,
    WhatsApp him via (+2348052789941)
    Please give him a try ,no harm in trying ok....   

    ReplyDelete
  8. I already gave up on ever getting cured of HSV2 because i have tried many treatment none of them worked out for me i have gone to different hospital they always tell me same thing there is no cure for herpes when i came across a post about Dr RAZOR on the internet from a lady called Angela[USA] i contacted him and he reassured me of the effectiveness of his herbal medicine and he sent me thy medication after he promised to guide me, i took the medication according to the way he instructed, within 18 days i started having some changes in me and i went to the medical hospital for check up and i was confirmed herpes negative. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under 18 days i was totally freed from #Herpes. i want to say a very big thank you to DR RAZOR for what he has done in my life. You can leave him a message on email drrazorherbalhome@gmail.com and also WhatsApp him +2349065420442..
    He might as well be able to get rid of
    1...ALS CURE/DIABETES CURE/EPILESY/HPV CURE/LUPUS/HEPATITIS/CANCER/GOUT

    ReplyDelete
  9. I already gave up on ever getting cured of HSV2 because i have tried many treatment none of them worked out for me i have gone to different hospital they always tell me same thing there is no cure for herpes when i came across a post about Dr RAZOR on the internet from a lady called Angela[USA] i contacted him and he reassured me of the effectiveness of his herbal medicine and he sent me thy medication after he promised to guide me, i took the medication according to the way he instructed, within 18 days i started having some changes in me and i went to the medical hospital for check up and i was confirmed herpes negative. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under 18 days i was totally freed from #Herpes. i want to say a very big thank you to DR RAZOR for what he has done in my life. You can leave him a message on email drrazorherbalhome@gmail.com and also WhatsApp him +2349065420442..
    He might as well be able to get rid of
    1...ALS CURE/DIABETES CURE/EPILESY/HPV CURE/LUPUS/HEPATITIS/CANCER/GOUT

    ReplyDelete
  10. Hello everyone i am very delighted that i recently got cured of herpes virus. I have been battling with this disease for over 4 years now, ever since i got diagnosed of the virus i have been using medical pills and therapies to suppress the virus. But inside of me i needed the Virus gone cause my health was deteriorating, So  i went on to the internet to search on how one could get cured from this virus, when i came across some testimonies on how herbalist razor has helped them get rid of Herpes virus, Hiv/aids, Cancer. I copied out his details (email ; drrazorherbalhome@gmail.com) and Whatsapp number +2349065420442) as provided by the testifiers on a blog site. But before that i was so skeptical, i knew there are so many herbal doctors on the internet,i needed the one who can help me get through this Herpes Virus completely with his herbal Remedy. I got in contact with doctor Razor,and i explained my problem to him and he promised to help me, which he actually did. I got my medication in the US sent by doctor razor and he instructed me on how i was to take it for 18 days. After the said 18 days i went for medical check up and the doctors ran some test on me and told me i was Herpes Negative, i was amazed and dumb-folded, so i had to go back home, i noticed my health for some months, i didn't have any outbreaks nor symptoms of the virus, but i went to another hospital after 2 months to conduct another test and the same result. I will be forever grateful to you doctor Razor and I will make sure the world gets to know about your herbal exploits sir. Reach doctor razor on his email : drrazorherbalhome@gmail.com or whatsapp/call his cell on +2349065420442

    ReplyDelete
  11. Good day viewer, I am Nurse Sonia kuffin from Austria . It has happened the way you said it will sir. Daddy am very happy today for your help in my life, doctor Chukwu Madu herbal home you cured me finally from Herpes virus, I was infected with this deadly virus in the year 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 CHUKWU MADU HERBALHOME 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 delivery company. I took the medicine as prescribed by him and 11 days later i tested negative for HERPES, Dr.CHUKWU MADU truly you are great,It's Good for herpes patient to please read my testimony becuase People think herpes is really a minor skin irritation,herpes has a long term effects on health and The stigma attached to this virus by ignorant people is ridiculous. do you need his help also? Why don't you contact him through his email (dr.chukwumaduherbalhome@gmail.com) .
    or call him on +2347030936239.
    DOCTOR CHUKWU MADU CAN AS WELL CURE THE FOLLOWING VIRUS:-
    1. HIV/AIDS .
    2. HERPES .
    3. CANCER .
    4. Hepatitis B AND C.
    5. Diabetes.
    6. Athrux,
    7. hydrophobia
    8.hpv .
    9 pregnancy spell and bring back your ex back .
    10 scabies .
    He cures any kind if viruses and diseases.

    ReplyDelete
  12. Six weeks previously, I had attended my primary care doctor (PCD) with dysuria and was treated for a urinary tract infection, however, symptoms persisted. Several days later I noticed an acute onset of bilateral vulvar blisters. I was clinically diagnosed with genital herpes and commenced taking valacyclovir 500 mg bd for one week as instructed by my  PCD. The blisters resolved within five days, however, I developed burning and exquisite sensitivity to touch in both inner thighs and in my left buttock extending down my left leg and including the sole of my left foot and toes. I found that at times, I was unable to walk and sit. So returned to her PCD who told me to continue taking valacyclovir for another week, however, the burning persisted. And I knew this was never going to cure me. I sorted for Natural Herbs And Gos so good i came across doctor razor's Details,I contacted him and we spoke and he assured me everything is going to be permanently fine. Few days after I reached out to him he sent me herbal medicine to take for 18 days. after completing the dosage for 18 days. I started noticing some changes in my Genital Area. so i told the herbalist about it, he asked me to go for a medical test, which i did. Lo and behold, My PCD was surprised to see my result out Negative,. I was overwhelmed with joy, I waited for 2 weeks to make sure the Virus was not laying dormant in my Nerve Cells, So i went for another test After the two months, And it had the same Negative result. I am forever indebted to you Doctor Razor. If you are having hard times with this same virus or you do know of anyone with herpes virus, i kindly recommend you to him. Email drrazorherbalhome@gmail.com
    WhatsApp or Call his cell phone +2349065420442..,.

    ReplyDelete
  13. Hello everyone here, Am Lady bar Patricia Covenupa. from Bronx,New York United States.I want everyone to know how grateful i am after the restoration of my marriage with the help of a spell caster called Dr CHUKWU MADU. He is great and unique,i saw people testifying about Doc.Chukwu and i told him my problems and he cast a love spell that brought my husband back to me after he has cheated and wanted a divorce after 3 years of our marriage. Dr CHUKWU MADU is there to respond to your relationship problems and other human activities like, email him at dr.chukwumaduherbalhome@gmail.com
    Whatsapp Number +2347030936239
    1.Bringing back your ex lover to you. (penis Enrlargment)

    2.Spell to win Lottery ( Herpes CURE Cure all types of disease) 

    3.He cure all types of human diseases. HEPATITIS B

    4.He cast a spell to get a good job with high income.

    5.He cast a pregnacy spell(friutfulness of the worm)

    6.He cast a spell of promotion in your working place.

    7.He cast a spell of protection,
    etc.
    Contact him directly on his active Email address him at dr.chukwumaduherbalhome@gmail.com
    Whatsapp Number +2347030936239

    ReplyDelete
  14. TO EVERYONE BATTLING WITH HERPES INFECTION ,I want to quickly drop my life story on how a specialized healer called DR RAZOR cured me from HERPES virus, A good man who have used his herbal roots and herbs to cure all kind of deadly disease. I was infected with HERPES virus and I never thought HERPES virus could be cured,but with the medication DR RAZOR sent to me i was cured,I saw his email on web page by a patient he has cured from HERPES,who dropped the email and phone contact of the doctor.I really thank FLORENCE for sharing her testimony on how she was cured When I contacted him he prepared the herbal medication for my HERPES cure and send it to me via DHL And i got cured within 18 days of using the herbal medicine,Contact him through E-MAIL drrazorherbalhome@gmail.com or for easy communication you can WHATSAPP/CALL him via his mobile number +2349065420442. He can Also cure Infections like :HSV 1 & HSV 2ASTHMADIABETESEPILEPSYCANCERINFERTILITYSTAPHYLOCOCCUS.BARRENNESSHIV /AIDSHEPATITIS B Kidney?

    ReplyDelete
  15. GOD BLESS DR KELECHUKWU HERBAL HOME FOR THE WONDERFUL WORK HE HAS DONE IN MY LIFE,INDEED YOU ARE GOD SENT.I have been suffering from Herpes virus for 6 years and i was told by my doctor that it has no cure.After years of believing that herpes has no cure i finally came across some comments on the Internet,about how Dr.kelechukwu has cured lots of people with his herbal medication, i gave him a trial at first but when I got the herbal medication, i used it as prescribed.after 3weeks i went to my doctor for check up,to my greatest surprise i tasted nagative.this is how i was cured permanently from herpes virus.God bless Dr kelechukwu herbal home for bringing back happiness in my life again.you the true Dr..feel free to reach him via his mail at drkelechukwu2@gmail.com or whatsApp him +2348077365216He also cureHIVCANCERHPVHERPES 1&2
    HEPATITIS e.t.c

    ReplyDelete
  16. GOD BLESS DR KELECHUKWU HERBAL HOME FOR THE WONDERFUL WORK HE HAS DONE IN MY LIFE,INDEED YOU ARE GOD SENT.I have been suffering from Herpes virus for 6 years and i was told by my doctor that it has no cure.After years of believing that herpes has no cure i finally came across some comments on the Internet,about how Dr.kelechukwu has cured lots of people with his herbal medication, i gave him a trial at first but when I got the herbal medication, i used it as prescribed.after 3weeks i went to my doctor for check up,to my greatest surprise i tasted nagative.this is how i was cured permanently from herpes virus.God bless Dr kelechukwu herbal home for bringing back happiness in my life again.you the true Dr..feel free to reach him via his mail at drkelechukwu2@gmail.com or whatsApp him +2348077365216He also cureHIVCANCERHPVHERPES 1&2
    HEPATITIS e.t.c

    ReplyDelete
  17. GOD BLESS DR KELECHUKWU HERBAL HOME FOR THE WONDERFUL WORK HE HAS DONE IN MY LIFE,INDEED YOU ARE GOD SENT.I have been suffering from Herpes virus for 6 years and i was told by my doctor that it has no cure.After years of believing that herpes has no cure i finally came across some comments on the Internet,about how Dr.kelechukwu has cured lots of people with his herbal medication, i gave him a trial at first but when I got the herbal medication, i used it as prescribed.after 3weeks i went to my doctor for check up,to my greatest surprise i tasted nagative.this is how i was cured permanently from herpes virus.God bless Dr kelechukwu herbal home for bringing back happiness in my life again.you the true Dr..feel free to reach him via his mail at drkelechukwu2@gmail.com or whatsApp him +2348077365216He also cureHIVCANCERHPVHERPES 1&2
    HEPATITIS e.t.c

    ReplyDelete
  18. I want to use this medium to let everyone know that Herpes Simplex Virus has a complete and Permanent cure and that Dr Razor Herbal Medicine is the solution. I was Diagnosed with Herpes Virus type 1 in January 16, 2015, I have made several Research Hoping to see a true Cure or Healer, Fortunately for me i saw on a blog site how Dr Razor has been saving different lives and marriages with his herbal medicine, At first i did not believe but on a second thought, i decided to give him a try, I contacted him and he assured me of a cure, he prepared the herbal medication for me, which i took for 18 days, he told me to go for a medical check up, could you believe that i was confirm Herpes type 1 Negative after the test, and i went to a different hospital and it was also Negative, I became very happy and decided to write my appreciation article about this Good man. If you are battling with this same Infection or you know of a person who is infected with any disease like Herpes, HIV, Cancer, Syphilis, Hepatitis A,B,C, all types of Cancer, Gonorrhea, life's problems that you might have etc. kindly Reach out to Doctor Razor on Email : drrazorherbalhome@gmail.com. Whatsapp/Call him on +2349065420442. You can Also Visit His website : https://drrazorherbalhome.wixsite.com/drrazorherbalhome . My Sincere Gratitude to you Sir, God will surely Keep you safe from harms way. Please share so Other lives can be saved

    ReplyDelete
  19. God bless Dr. USELU for his marvelous work in my life, I was diagnosed of HERPES SIMPLEX VIRUS since 2018 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. USELU , 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 within 3 days. I took the medicine as prescribed by him and 2weeks later i was cured from HERPES contact him via email (dr.uselucaregiver@gmail.com) once again thanks to you Dr. USELU cure the flowing virus, contact his email or add him on whatsapp (+2348132015009) cancer cure
    diabetes cure
    ringing ear
    herpes cure
    warts cure
    HPV cure
    HIV cure
    get your ex back
    pregnancy herbal medicine
    Hepatitis  

    ReplyDelete
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    Email: babadoctorobodubuspiritualhome@gmail.com

    ReplyDelete
  21. I still don’t know the right words to express my gratitude to this great man Dr. Aba. After been diagnosed of HERPES SIMPLEX VIRUS in 2months ago, i was given so many health prescription and advice with no improvement, I totally lost hope, until i found testimonies of Great Dr. aba online research and on Facebook, Like anybody would be, I was very skeptical about contacting him, but i later did and he opened up to me and told me what was involved and he started the remedies for my health. Thank God, I was cured from herpes by the herbal medication I received from him. I never thought that herpes can be cured from the bottom of my heart. I'm truly grateful, i pray you have a long life so you can help many more people on earth with your herbal medical support, You can Email him via email dr.abaherbalhome@gmail.com or for easy and fast communication you can also call or add him on whats-app with this mobile number +2348107155060, one thing i love most about DR aba is honestly, and he is very polite with his patience, everything he told me was what he did, and his herbal medicine are very affordable.      

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