Monday, March 30, 2020

Clinical Use of Ultrasound at a High Altitude Clinic in Nepal



Bryan Jarrett, M.D. 
Wilderness Medicine Fellow, 
Massachusetts General Hospital Department of Emergency Medicine
PGY4
06/29/2019

Performing a right upper quadrant ultrasound to evaluate for
biliary pathology 
Bedside ultrasound in the emergency department has become a standard supplement to traditional imaging such as x-rays and CT. It is now becoming a primary imaging modality when these more traditional methods are unavailable, especially as we realize the breadth of pathologies ultrasound can diagnose. I recently returned from three months working at a clinic in a remote region of Nepal run by the Himalayan Rescue Association. Pheriche is a small town which sits at approximately 14,000 ft altitude on the trek into the Khumbu valley to Everest Base Camp, and sees approximately 600 to 800 patients each Spring and Fall season. The closest small hospital is in Kunde, a town north of Namche approximately one or two day’s walk away, and has x-ray and ultrasound capabilities. The closest CT scanner is in Kathmandu, a few hours by helicopter or 4 days of hiking and a plane flight away.

I had the privilege of bringing along a Sonosite M Turbo ultrasound provided by their global health division as well as the new ultra-portable Butterfly IQ handheld ultrasound. Through the use of these ultrasounds, I was able to greatly improve clinical care and diagnostic certainty in this remote clinic without access to other imaging modalities.
Lung ultrasound is a very sensitive modality
to detect interstitial pulmonary, such as that
seen in high altitude pulmonary edema (HAPE)

Over the course of the spring 2019 season I performed 83 clinical ultrasounds on 75 patients, which represented 14.4% of our total number of patients. Thirteen of these ultrasounds changed management, 2 improved procedures, and 48 improved diagnostic certainty by providing a useful positive or negative result. The most common ultrasounds performed were pulmonary or lung studies, as more than 30 percent of our patients had respiratory tract infections. Other common modalities included cardiac echocardiograms, obstetric, musculoskeletal, and abdominal ultrasound. As an advocate for training in and access to this incredibly useful diagnostic tool, it was amazing to observe its benefits in a remote environment where it really shines.


Patient with peritonsillar abscess receiving nebulized
lidocaine before drainage guided by ultrasound imaging
before and afterwards. 
One interesting case in which ultrasound proved useful was in a young man who came in with unilateral throat pain. He had what clinically appeared to be a peritonsillar abscess which usually requires either needle aspiration or incision and drainage. The major risk of this procedure is damage to the carotid artery which lies behind the tonsils, sometimes perilously close within a centimeter or two. Thanks to the small linear probe covered in a sterile glove, we were able to visualize the abscess as well as the carotid, and assure that our drainage would stay well away from this critical vessel. Granted, an experience ear, nose, and throat surgeon would usually do this without ultrasound guidance, but they would also have the close back-up of a nearby operating room if anything were to go wrong, a contingency we did not have. Ultrasound in this case made this procedure much safer for the patient and much more comfortable for the providers, and we were able to confirm afterwards with repeat imaging that we had removed as much as possible from the abscess. He felt significantly better after draining 17 cc of purulent material and happily continued towards Everest Base Camp the following day.


36 comments:

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    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
      (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....

      Delete
    2. Good day to all viewer online am so happy sharing this great testimony on how i was checking for solution in the internet then miraculously i came Across Dr.idowu the powerful herbalist that Cure Numerous individuals Herpes simplex Virus,so I contacted him base on the testimonies I?m seeing about him on the internet, I was cured too by him, kindly contact him actoday through his email he can help you email ; {dr.idowuherbalhome@gmail.com} and so he can cure types of diseases like,HEPATITIS B,DIABETICS,CANCER,HPV,LOW SPERM CAM HIV/STDS FIBROSIS LOST OF WEIGHT .. all thank to you Dr idowu for your kindly help in my life his whatsapp  number +2348052789941.{+2348052789941} if you have any problem you can contract him immediately save life pls ,yours health is urs  wealth ,is not  fake pls ,give him a trial ..thanks  you dr,idowu onces again,thanks you .

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    3. Human PapilomaVirus (HPV) Cure Found By Dr Sayo If you're wondering why am here or why am doing this!, i just want to show appreciation to God, and i want other persons who is suffering from this deadly illness, ( Herpes, Coronary Artery Disease (Ischemic Heart Disease), Hiv/AID, Stroke, Trachea, Bronchus, and Lung Cancers, Diarrhea Diseases, Diabetes Mellitus, Dengue, Rota-virus, Other STD and others ) maybe because of ignorance. if you see this don't ignore, i was a victim of hpv, some one introduced him to me, i wrote him, told him what i was going through,  i was not too sure he could help, because i seen other persons, or post but no good outcome, he told me he could help, like others, i got the medicine or the herb whatever you may want to call it, he didn't even charge me a lot, to God i didn't want to use it, but i did, to God be the glory am the one sending this post today in good health and sound mind, ..smile.. i seek for him, i didn't mind the distance so i could show appreciation, i meet with Dr Sayo he didn't ask for anything, all he said is, 'It's God doing. I saw him treat people with different situation and problem maybe worse than yours, tell others. so am telling you today, don't ignore this, if you see this post, tell the next person who you think might need this. contact him,on email (sayoherbalhealer@gmail.com) check his FB page:  https://www.facebook.com/Sayo-Herbal-Healer-100145798345000/ OR visit his websites website; http://sayoherbalhealer.website2.me/  check blog: https://sayoherbalhealer.blogspot.com/

      Delete
    4. Human PapilomaVirus (HPV) Cure Found By Dr Sayo If you're wondering why am here or why am doing this!, i just want to show appreciation to God, and i want other persons who is suffering from this deadly illness, ( Herpes, Coronary Artery Disease (Ischemic Heart Disease), Hiv/AID, Stroke, Trachea, Bronchus, and Lung Cancers, Diarrhea Diseases, Diabetes Mellitus, Dengue, Rota-virus, Other STD and others ) maybe because of ignorance. if you see this don't ignore, i was a victim of hpv, some one introduced him to me, i wrote him, told him what i was going through,  i was not too sure he could help, because i seen other persons, or post but no good outcome, he told me he could help, like others, i got the medicine or the herb whatever you may want to call it, he didn't even charge me a lot, to God i didn't want to use it, but i did, to God be the glory am the one sending this post today in good health and sound mind, ..smile.. i seek for him, i didn't mind the distance so i could show appreciation, i meet with Dr Sayo he didn't ask for anything, all he said is, 'It's God doing. I saw him treat people with different situation and problem maybe worse than yours, tell others. so am telling you today, don't ignore this, if you see this post, tell the next person who you think might need this. contact him,on email (sayoherbalhealer@gmail.com) check his FB page:  https://www.facebook.com/Sayo-Herbal-Healer-100145798345000/ OR visit his websites website; http://sayoherbalhealer.website2.me/  check blog: https://sayoherbalhealer.blogspot.com/

      Delete
    5. Hi Friends i am so glad to writing this article today to tell the world how Dr Emmanuel cured my HSV VIRUS,i have been detected with HSV-1 AND HSV-2 since five years ago, ever since then my life has been in complete bizarre and agony,i have used so many drugs that was prescribed to me by several doctors,but it didn't cure my HSV VIRUS neither did it reduce the pain,until a certain i was checking for solution in the internet,then miraculously came across Dr Emmanuel the powerful herbalist that cure numerous individuals HSV-1 AND HSV-2 INFECTION,i explained everything to him and prepared a cure that cure my HSV-1 AND HSV-2 disease totally after receiving his herbal medicine, so my friends viewers why wait and be suffer when there is someone like Dr Emmanuel that can cure any disease HIV/ CANCER/ HEPATITIS B VIRUS, you can contact his via E-mail: Nativehealthclinic@gmail.com IG:  or WHATSAPP +2348140073965 GOD BLESS YOU ALL?       

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    6. HERPES CURE....THIS IS REAL ! TAKE TIME TO READ

      TESTIMONY OF HOW I GOT CURED FROM GENITAL HERPES SIMPLEX VIRUS WITHIN 14DAYS[with Herbal Traditional medicine]

      Hello Everyone out there, I'm Toshia Cook, from Texas USA. I am here to give my testimony about a Herbalist called Dr SAYO, who helped me in my life. I was infected with HERPES SIMPLEX VIRUS 2 in 2010, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was at the river side thinking where I could get solution. so a lady walked to me asking me why I was so sad and i opened up all to her telling her my problem, she told me that she could help me out, she introduced me to a doctor who uses herbal medication to cure HERPES SIMPLEX VIRUS 2 and gave me his email, so i mailed him. He told me all the things I needed to do and also gave me instructions, which I followed properly. Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him via: (sayoherbalhealer@gmail .com)

      He also have a herbal cure for HIV,
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      ASTHMA,
      IMPOTENCE,
      BARENESS/INFERTILITY ...

      CURE YOUR SELF FROM THAT ILLNESS TODAY,DON'T SPREAD YOUR INFECTION OR DISEASES TO OTHER PEOPLE.
      Contact him today and you will have a testimony...Good luck  

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    7. Do anyone still doubt natural herbs? I've seen the great importance of natural herbs and the wonderful work they have done in people's lives. I wonder why people still spend their money on injections and drugs each time they are sick. Natural herbs can cure all kinds of illness including herpes, diabetes, asthma, HIV, HSV1&2, hepatitis, HPV etc. I've seen it with my own eyes. I was cured from Herpes and HPV and my aunt and her husband were cured from Hiv too by DR. Chukwu madu herbs. He uses natural herbs to cure different kind of virus. Dr. CHUKWU,prove to the world that natural herbs can cure all illness and he cured countless people using herbs. I know is hard to believe but am a living testimony. I was diagnose of Herpes and HPV in 2016 and i believe there is cure even when the doctors said there is no cure yet. I strongly believe in herbs and i came across a comment on a blog written by Lisa Pierre, saying she was cured from HERPES by Dr. CHUKWU MADU and i contacted his herbal hom on the email that was provided on the comment and order one for myself and he send it to me through UPS and gave me instructions on how to use it and after i finish taken it i went for checkup and the result shows am Herpes and HPV NEGATIVE. The doctor said that the virus is completely gone from my body. There is no harm trying herbs it work perfectly and it has no effect. You can contact Dr. CHUKWU MADU to get yours.. His email is dr.chukwumaduherbalhome@gmail.com.
      WhatsApp +2347030936239.

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    8. HERPES CURE....THIS IS REAL ! TAKE TIME TO READ

      TESTIMONY OF HOW I GOT CURED FROM GENITAL HERPES SIMPLEX VIRUS WITHIN 14DAYS[with Herbal Traditional medicine]

      Hello Everyone out there, I'm Toshia Cook, from Texas USA. I am here to give my testimony about a Herbalist called Dr SAYO, who helped me in my life. I was infected with HERPES SIMPLEX VIRUS 2 in 2010, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was at the river side thinking where I could get solution. so a lady walked to me asking me why I was so sad and i opened up all to her telling her my problem, she told me that she could help me out, she introduced me to a doctor who uses herbal medication to cure HERPES SIMPLEX VIRUS 2 and gave me his email, so i mailed him. He told me all the things I needed to do and also gave me instructions, which I followed properly. Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him via: (sayoherbalhealer@gmail .com) OR Contact Sayo by check FB Page https://www.facebook.com/Sayo-Herbal-Healer-100145798345000/ check blog: https://sayoherbalhealer.blogspot.com/  

      He also have a herbal cure for HIV,
      CANCER,
      ASTHMA,
      IMPOTENCE,
      BARENESS/INFERTILITY ...

      CURE YOUR SELF FROM THAT ILLNESS TODAY,DON'T SPREAD YOUR INFECTION OR DISEASES TO OTHER PEOPLE.
      Contact him today and you will have a testimony...Good luck  
















      HERPES CURE....THIS IS REAL ! TAKE TIME TO READ

      TESTIMONY OF HOW I GOT CURED FROM GENITAL HERPES SIMPLEX VIRUS WITHIN 14DAYS[with Herbal Traditional medicine]

      Hello Everyone out there, I'm Toshia Cook, from Texas USA. I am here to give my testimony about a Herbalist called Dr SAYO, who helped me in my life. I was infected with HERPES SIMPLEX VIRUS 2 in 2010, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was at the river side thinking where I could get solution. so a lady walked to me asking me why I was so sad and i opened up all to her telling her my problem, she told me that she could help me out, she introduced me to a doctor who uses herbal medication to cure HERPES SIMPLEX VIRUS 2 and gave me his email, so i mailed him. He told me all the things I needed to do and also gave me instructions, which I followed properly. Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him via: (sayoherbalhealer@gmail .com) OR Contact Sayo by check FB Page https://www.facebook.com/Sayo-Herbal-Healer-100145798345000/ check blog: https://sayoherbalhealer.blogspot.com/  

      He also have a herbal cure for HIV,
      CANCER,
      ASTHMA,
      IMPOTENCE,
      BARENESS/INFERTILITY ...

      CURE YOUR SELF FROM THAT ILLNESS TODAY,DON'T SPREAD YOUR INFECTION OR DISEASES TO OTHER PEOPLE.
      Contact him today and you will have a testimony...Good luck  





      Delete
  2. I want to give a testimony on how I got cured from Herpes Virus. Few months back I was having some symptoms . I went to see my doctor and many blood tests was done on me, later on I was told I had Herpes. My doctor told me that there's no cure for Herpes I felt bad, I went online searching for a possible cure for Herpes Virus, I saw a post of DR RAZOR a herbal doctor that cured someone from Herpes. I contacted him and told him how I'm feeling he said his herbal medicine can cure me. He sent me the medicine via DHL Courier Service and I received the medicine some days after he sent it, i took the medicine as prescribed by him. Before the completion of the medication the symptoms stopped. I went to the doctor and carried out another blood test, surprisingly I was Negative. I haven't had any symptoms anymore, you can contact him via whatsapp/call +2349065420442 or you can Email: drrazorherbalhome@gmail.com.THANK YOU DR RAZOR AM GRATEFUL FOREVER

    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
      (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....

      Delete
  3. I want to give a testimony on how I got cured from Herpes Virus. Few months back I was having some symptoms . I went to see my doctor and many blood tests was done on me, later on I was told I had Herpes. My doctor told me that there's no cure for Herpes I felt bad, I went online searching for a possible cure for Herpes Virus, I saw a post of DR RAZOR a herbal doctor that cured someone from Herpes. I contacted him and told him how I'm feeling he said his herbal medicine can cure me. He sent me the medicine via DHL Courier Service and I received the medicine some days after he sent it, i took the medicine as prescribed by him. Before the completion of the medication the symptoms stopped. I went to the doctor and carried out another blood test, surprisingly I was Negative. I haven't had any symptoms anymore, you can contact him via whatsapp/call +2349065420442 or you can Email: drrazorherbalhome@gmail.com.THANK YOU DR RAZOR AM GRATEFUL FOREVER

    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
      (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....

      Delete
    2. Good day to all viewer online am so happy sharing this great testimony on how i was checking for solution in the internet then miraculously i came Across Dr.idowu the powerful herbalist that Cure Numerous individuals Herpes simplex Virus,so I contacted him base on the testimonies I?m seeing about him on the internet, I was cured too by him, kindly contact him actoday through his email he can help you email ; {dr.idowuherbalhome@gmail.com} and so he can cure types of diseases like,HEPATITIS B,DIABETICS,CANCER,HPV,LOW SPERM CAM HIV/STDS FIBROSIS LOST OF WEIGHT .. all thank to you Dr idowu for your kindly help in my life his whatsapp  number +2348052789941.{+2348052789941} if you have any problem you can contract him immediately save life pls ,yours health is urs  wealth ,is not  fake pls ,give him a trial ..thanks  you dr,idowu onces again,thanks you .

      Delete
  4. 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
    diabetes cure
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    Hepatitis     

    ReplyDelete
  5. 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
  6. Good day to all viewer online am so happy sharing this great testimony on how i was checking for solution in the internet then miraculously i came Across Dr.idowu the powerful herbalist that Cure Numerous individuals Herpes simplex Virus,so I contacted him base on the testimonies I?m seeing about him on the internet, I was cured too by him, kindly contact him actoday through his email he can help you email ; {dr.idowuherbalhome@gmail.com} and so he can cure types of diseases like,HEPATITIS B,DIABETICS,CANCER,HPV,LOW SPERM CAM HIV/STDS FIBROSIS LOST OF WEIGHT .. all thank to you Dr idowu for your kindly help in my life his whatsapp  number +2348052789941.{+2348052789941} if you have any problem you can contract him immediately save life pls ,yours health is urs  wealth ,is not  fake pls ,give him a trial ..thanks  you dr,idowu onces again,thanks you .

    ReplyDelete
  7. I am so Happy to be writing this article in here, i am here to explore blogs forum about the wonderful and most safe cure for HERPES SIMPLEX VIRUS . I was positive to the deadly Virus called HERPES and i lost hope completely because i was rejected even by my closet friends. I made researched online to know and inquire about cure for HERPES and i saw Doctor Razor testimony online on how he was cured so many persons from Herpes Disease. so i decided to contact the great 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 help 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 UPS and it got to me after 4 days! i used the medicine as he instructed me and i was cured! its really like a dream but i'm so happy! that's the reason i decided to also add more comment of Him so that more people can be saved just like me! and if you need his help You can reach him on Email : (drrazorherbalhome@gmail.com)

    ReplyDelete
  8. I am so Happy to be writing this article in here, i am here to explore blogs forum about the wonderful and most safe cure for HERPES SIMPLEX VIRUS . I was positive to the deadly Virus called HERPES and i lost hope completely because i was rejected even by my closet friends. I made researched online to know and inquire about cure for HERPES and i saw Doctor Razor testimony online on how he was cured so many persons from Herpes Disease. so i decided to contact the great 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 help 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 UPS and it got to me after 4 days! i used the medicine as he instructed me and i was cured! its really like a dream but i'm so happy! that's the reason i decided to also add more comment of Him so that more people can be saved just like me! and if you need his help You can reach him on Email : (drrazorherbalhome@gmail.com)

    ReplyDelete
  9. Human PapilomaVirus (HPV) Cure Found By Dr Sayo If you're wondering why am here or why am doing this!, i just want to show appreciation to God, and i want other persons who is suffering from this deadly illness, ( Herpes, Coronary Artery Disease (Ischemic Heart Disease), Hiv/AID, Stroke, Trachea, Bronchus, and Lung Cancers, Diarrhea Diseases, Diabetes Mellitus, Dengue, Rota-virus, Other STD and others ) maybe because of ignorance. if you see this don't ignore, i was a victim of hpv, some one introduced him to me, i wrote him, told him what i was going through,  i was not too sure he could help, because i seen other persons, or post but no good outcome, he told me he could help, like others, i got the medicine or the herb whatever you may want to call it, he didn't even charge me a lot, to God i didn't want to use it, but i did, to God be the glory am the one sending this post today in good health and sound mind, ..smile.. i seek for him, i didn't mind the distance so i could show appreciation, i meet with Dr Sayo he didn't ask for anything, all he said is, 'It's God doing. I saw him treat people with different situation and problem maybe worse than yours, tell others. so am telling you today, don't ignore this, if you see this post, tell the next person who you think might need this. contact him,on email (sayoherbalhealer@gmail.com) check his FB page:  https://www.facebook.com/Sayo-Herbal-Healer-100145798345000/ OR visit his websites website; http://sayoherbalhealer.website2.me/  check blog: https://sayoherbalhealer.blogspot.com/

    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. 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
  12. I Want To Appreciate Dr.OYAGU for his great deeds, I Was Diagnosed With type 2 Herpes Virus Last year,And i Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr.OYAGU Cure Herpes Virus I Decided To Contact Dr.OYAGU I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health.He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I No That There Are So Many People That Have The Same Herpes Virus Please contact Dr OYAGU To Help You Too,And Help Me To Thank Dr.OYAGU For Cure Me, I’m Cured By Dr. OYAGU Herbal Medicine,His Contact Email:oyaguherbalhome@gmail.com

    Or Cell Whatsapp Number +2348101755322 thank you

    ReplyDelete
  13. 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
  14. My Sincere Gratitude to Dr Razor, I was infected with HERPES SIMPLEX VIRUS 2 November 13 2018, I went to many hospitals for cure but there was no solution, I was confused because the medical drugs has become my daily food, but i decided to sort after Natural Herbs. One day I sat beside the pool, Browsing and thinking where I could get a solution to end this my predicament. I saw a blog on how Dr Razor cured people with his herbal medicine, i did not believe but i just decided to give him a try, Visit Doctor's Razor's Website : https://drrazorherbalhome.wixsite.com/drrazorherbalhome .I contacted him and he prepare the herbs for me which i took, and he instructed me to go for check up, after the test i was confirmed herpes negative, i am so happy. If you have any problem or you are also infected with any disease, kindly contact him now with his Email: drrazorherbalhome@gmail.com or call +2349065420442This testimonial serves as an expression of my gratitude.
    He also have a herbal cure for COLD SORE,
    SHINGLES,
    CANCER(Cannabis Oil),
    HPV,
    ASTHMA,
    IMPOTENCE,
    BARENESS/INFERTILITY ..
    Contact him on this email: drrazorherbalhome@gmail.com , or call his cell phone number on +2349065420442

    ReplyDelete
  15. 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
  16. Irrespective of receiving daily oral or future injectable depot therapies, these require health care visits for medication and monitoring of safety and response. If patients are treated early enough, before a lot of immune system damage has occurred, life expectancy is close to normal, as long as they remain on successful treatment. However, when patients stop therapy, virus rebounds to high levels in most patients, sometimes associated with severe illness because i have gone through this and even an increased risk of death. The aim of “cure”is ongoing but i still do believe my government made millions of ARV drugs instead of finding a cure. for ongoing therapy and monitoring. ARV alone cannot cure HIV as among the cells that are infected are very long-living CD4 memory cells and possibly other cells that act as long-term reservoirs. HIV can hide in these cells without being detected by the body’s immune system. Therefore even when ART completely blocks subsequent rounds of infection of cells, reservoirs that have been infected before therapy initiation persist and from these reservoirs HIV rebounds if therapy is stopped. “Cure” could either mean an eradication cure, which means to completely rid the body of reservoir virus or a functional HIV cure, where HIV may remain in reservoir cells but rebound to high levels is prevented after therapy interruption.Dr Afrid Herbal Medicine makes me believes there is a hope for people suffering from,Parkinson's disease,Schizophrenia,Cancer,Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity
    Syndrome Fibrodysplasia Ossificans Progressiva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Sclerosis,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Hiv_ Aids,Herpes,Inflammatory bowel disease ,Copd,Diabetes,Hepatitis,I read about him online how he cure Tasha and Tara so i contacted him on drafridherbalhome@gmail.com even talked on whatsapps +2349057260738 believe me it was easy i drank his herbal medicine for two weeks and i was cured just like that isn't Dr Afrid a wonder man? Yes he is! I thank him so much so i will advise if you are suffering from one of those diseases please do contact him he's a nice man.

    ReplyDelete
  17. NATURAL HERBS AND VEGANS CURE FOR Herpes 1&2 THAT WORK FAST WITHIN 14 DAYS WITH DR ELINFOH HERBAL MEDICINE, I saw so many testimonies about Dr ELINFOH a great HERBAL DOCTOR that will help you CURE and give you the rightful health to live a joyful life, i didn't believe it at first, but as the pain got worsen and my life was at risk after using lots of ARV drugs from the hospital and no changes so i decided to give a try to Dr Elinfoh I contacted him also and told him i want a cure for Herpes , he gave me advice on what i must do and he deliver it to me in my home address i gave him and i got the medicine which i use according to his instruction, and today i must say I am so grateful to this man Dr Elinfoh for curing me from Herpes and for restoring me back to my normal health and a sound life and i am making this known to every one out there who have been trying all day to be cured from Herpes or any sickness should not waste more time just contact him with his details below, believe me this is the only way to get cured from Hepres , this is the real solution we all have been searching for. Do not waste more time contacting him today for you can also leave a sound and happy life. contact info below. Email: (drelinfohherbalhome@gmail.com ) or WhatsApp or Call him on: +2348110492072. and you can as well contact him on other issues you are having like*HEPATITIS B*DIABETICS*CANCER*ALS*HERPES*BODY REDUCTION*BREAST ENLARGEMENT*FIBROD*CANCER*PREGNANCY MISCARRIAGE*Relationship issues etc.. ** Neoplasms*Cardiovascular Disease (CVD)
    *Chronic Respiratory Diseases
    * Mental and Behavioral Disorders
    *Alzheimer’s Disease
    Email: (drelinfohherbalhome@gmail.com).

    ReplyDelete
  18. Traditional Herbal doctor Sayo Cure HSV-2 Disease
    I want to thank Dr Sayo for helping me with his Herbal Medicine that cure my HSV-2 Disease completely.i have been living with HSV-2 Disease for the past 3yrs. i was so happy when i found DrSayo blogs: how Dr Sayo help people in the world.to cure HSV, with Herbal Medicine he Cured My HSV -2 Negative after using the Herbal Medicine Dr Sayo sent to me. I give thanks to God and healed completely. you are the best Traditional Herbal doctor in the world Dr Sayo, Contact Doctor Sayo Email (sayoherbalhealer@gmail. com) OR Contact Sayo by check FB Page https://www.facebook.com/Sayo-Herbal-Healer-100145798345000/  check website; http://sayoherbalhealer.website2.me/  check blog: https://sayoherbalhealer.blogspot.com/     He also have the herb to cure difference cure for any sickness
    (1) HERPES,
    (2) DIABETES,
    (3) HIV&AIDS,
    (4) URINARY TRACT INFECTION,
    (5) HEPATITIS B,
    (6) IMPOTENCE,
    (7) BARENESS/INFERTILITY
    (8) DIARRHEA
    (9) ASTHMA...  

    ReplyDelete
  19. I was diagnosed of herpes in 2017 and I 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 Africa who prepare herbal medicine to cure all kind of diseases including herpes 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 i bought the herpes herbal medicine and received it through DHL within 7 days and used it as prescribed, i tested negative to hepatitis b virus within 3 weeks of usage, Do not loose hope too soon contact him If you need his help you can Email him wealthylovespell@gmail.com for easy and fast communication you can also call or add him on whats-app with this number +2348105150446 and i am confident he will help you too.

    ReplyDelete
  20. Do anyone still doubt natural herbs? I've seen the great importance of natural herbs and the wonderful work they have done in people's lives. I wonder why people still spend their money on injections and drugs each time they are sick. Natural herbs can cure all kinds of illness including herpes, diabetes, asthma, HIV, HSV1&2, hepatitis, HPV etc. I've seen it with my own eyes. I was cured from Herpes and HPV and my aunt and her husband were cured from Hiv too by DR. Chukwu madu herbs. He uses natural herbs to cure different kind of virus. Dr. CHUKWU,prove to the world that natural herbs can cure all illness and he cured countless people using herbs. I know is hard to believe but am a living testimony. I was diagnose of Herpes and HPV in 2016 and i believe there is cure even when the doctors said there is no cure yet. I strongly believe in herbs and i came across a comment on a blog written by Lisa Pierre, saying she was cured from HERPES by Dr. CHUKWU MADU and i contacted his herbal hom on the email that was provided on the comment and order one for myself and he send it to me through UPS and gave me instructions on how to use it and after i finish taken it i went for checkup and the result shows am Herpes and HPV NEGATIVE. The doctor said that the virus is completely gone from my body. There is no harm trying herbs it work perfectly and it has no effect. You can contact Dr. CHUKWU MADU to get yours.. His email is dr.chukwumaduherbalhome@gmail.com.
    WhatsApp +2347030936239.

    ReplyDelete
  21. Am Laura Mildred by name, i was diagnosed with Herpes 4 years ago i lived in pain with the knowledge that i wasn't going to ever be well again i contacted so many herbal doctors on this issue and wasted a large sum of money but my condition never got better i was determined to get my life back so one day i saw Mr. Morrison Hansen post on how Dr. Emu saved him from Herpes with herbal medicine i contacted Dr. Emu on his Email: Emutemple@gmail.com we spoke on the issue i told him all that i went through and he told me not to worry that everything will be fine again so he prepared the medicine and send it to me and told me how to use it, after 14 days of usage I went to see the doctor for test,then the result was negative, am the happiest woman on earth now thanks to Dr. Emu God bless you. Email him at: Emutemple@gmail.com Whats-app or Call him: +2347012841542

    ReplyDelete
  22. Do You Need A Powerful Africa Native Doctor? I Mean A Spiritual Herbalist
    With Great Spirit Connected To Ancestors. Call or WhatsApp +2349058774809 Dr Obodubu Monday Is A High Voodoo Priest Master. He is a Spell Caster, Native
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    ReplyDelete
  23. Do You Need A Powerful Africa Native Doctor? I Mean A Spiritual Herbalist
    With Great Spirit Connected To Ancestors. Call or WhatsApp +2349058774809 Dr Obodubu Monday Is A High Voodoo Priest Master. He is a Spell Caster, Native
    Doctor, Spiritual Herbalist, Powerful Sickle cell Healer, Spiritual
    Astrologer, Psychic Reader, Multi Guru, Witch Doctor, Priest Of Africa
    Money Ritual.
    Have You Been To Native Doctor to Native Doctor Without Any Solution To
    Your Problems Or Rather Add To it? Have You Been To Place To Place In View
    Of A Powerful Native Doctor That Can Solve All Your Predicament, You Must
    Understand That There Is A Native Doctor That Supersede All Native Doctor
    Among All Native Doctor, If You Are In Search Of A Powerful Native Doctor
    With Great Spiritual Powers, Then You Must Be In Search Of A Native Doctor
    That Derives Power From The Marine World. That Is The Spirituality Of The
    Greatest Africa Native Doctor Obodubu.
    Dr Obodubu Is Recognized All Over The World Of Marine Kingdom, As One
    Of The Top Fortunate And Most Powerful Native Doctor Of Charms Casts From
    The Beginning Of His Ancestors ship Until Now Dr who lives Strong
    Among All Other Native Doctors, There Have Never Been Any Form Of
    Impossibility Beyond The Control Of Dr Obodubu. It Doesn't Matter The
    Distance Of The Person With The Problems Or Situation, All You Have To Do
    Is Believe
    In The Native Obodubu charms Casts That Works, He Always
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    If You Need Any Spiritual Help On Any of These:
    Get Your Lover Back
    Fruit Of The Womb
    Fibroid
    Business Boom
    Financial Breakthrough
    Get Rich Without Ritual WhatsApp +2349058774809
    Do As I Say
    Bad Dream
    Promise And Fail
    Epilepsy
    Spiritual Attack
    Land/Court Case
    Mental Disorder
    Political Appointment
    Visa Approval
    Cancer
    Examination Success
    Spend And Get Back
    Good Luck
    Natural Health
    Hypertension
    Diabesity (Diabetic+Obesity
    Stroke
    Sickle Cell
    Impotency
    Win Court Case
    Promotion At Work
    Commanding Tone
    Protection Ring
    Marriage Success
    Love Ring
    Favour Ring
    Recover Lost Glory
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    Travel Success Ring
    Job Success
    Lotto/Pool Win And Many More.
    Make Haste To Call or WhatsApp Dr Obodubu Monday +2349058774809. Or Mail Him to
    babadoctorobodubuspiritualhome@gmail.com For Spiritual Problem Today And
    You Will Surely
    Get Solution To All Your Predicament.
    Email: babadoctorobodubuspiritualhome@gmail.com

    ReplyDelete
  24. My ex-husband and I had always managed to stay friendly after our divorce in February 2017. But I always wanted to get back together with him, All it took was a visit to this spell casters website last December, because my dream was to start a new year with my husband, and live happily with him.. This spell caster requested a specific love spell for me and my husband, and I accepted it. And this powerful spell caster began to work his magic. And 48 hours after this spell caster worked for me, my husband called me back for us to be together again, and he was remorseful for all his wrong deeds. My spell is working because guess what: My “husband” is back and we are making preparations on how to go to court and withdraw our divorce papers ASAP. This is nothing short of a miracle. Thank you Dr Emu for your powerful spells. Words are not enough. here is his Email: emutemple@gmail.com or call/text him on his WhatsApp +2347012841542

    He is also able to cast spell like 1: Lottery 2: Conceive 3: Breakup 4: Divorce 5: Cure for all kinds of diseases and viruses.

    ReplyDelete
  25. Battling with any health related issues or infection is not the end of your life, why not contact a herbal practitioner for cure dr Maggi has herbal remedies and permanent solution for all your health related problems.I recommend him to you today only because i have also used his herbal medicine and it worked perfectly on my health problem, you can actually save yourself from giving your hard earned money to Scammers if only you can contact dr Maggi today for genuine and Permanent cure herbal products . Pls help share this post to save yourself and your loved ones.Dr Maggi specializes in these areas,Permanent herbal supplements for anxiety and depression,HIV/AIDS, Diabetes, Epilepsy, Blood, Cancer, HPV, ALS, herpes etc. Email: drmaggiherbalhome@gmail.com also call or whatsApp him on +19179796387

    ReplyDelete