Thursday 24 October 2013

Subjective Assessment

History of Presenting Condition
  • How long the symptoms have been present
  • Slow or sudden onset
  • Known or unknown cause
  • Progression of symptoms
    • How are they today?
    • Pain scale?
  • Are they seeking treatment elsewhere?
  • Relationship of symptoms
  • Previous injuries
    • How many? Where? Cause? Duration? Recovery? Episode of stiffness?
  • Last hospital admission

Social History
  • In relevance to patient's onset, progression and recovery
  • Patient's perspective and experience
  • Patient's expectations
  • Age
  • Employment
  • Home situation
  • Social and work environment

Yellow Flags
  • Belief that pain is harmful or potentially disabling
  • Fear avoidance and reduced activity levels
  • Low mood and removal from social situations
  • Expectation that passive, rather than active, treatment will help

Symptoms

Area of current symptoms
  • Use of body chart - tick to indicate clear areas
  • If you had to identify your pain to one spot, could you point at it?

Pain
  • Quality
    • Bone = deep, dull nag
    • Muscle = dull ache
    • Nerve root = sharp and shooting
    • Nerve = sharp, bright and lightning like
    • Sympathetic nerve = burning and stinging
    • Vascular = throbbing, diffuse
  • Intensity
    • VAS
  • Timing
    • Pain on waking = inflammatory
    • Pain on rising = mechanical
  • SIN
    • Severity
      • The degree to which symptoms restrict movement and function
    • Irritability
      • The degree to which symptoms increase and reduce with provocation
      • When pain is aggravated, how long does it take to reduce?
    • Nature
      • Night/evening/morning symptoms
  • Depth of pain
  • Constant or intermittent
  • More than one area
    • Linked?
    • Same source?

Abnormal Sensation
  • Paraesthesia = abnormal sensation
  • Allodynia = pain provoked by stimuli that are normally innocuous
  • Analgesia = absence of appreciation to pain
  • Hyperaesthesia = heightened perception to touch

43 comments:

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    ReplyDelete
  13. Thanks Dr, for the herbal remedy. I was tested negative for genital warts for the last four months so I decided to recommend Dr Destiny,a great specialist with wonderful experience. Contact him on his Email: drdestinyspellhome@gmail.com WhatsApp or call +2348105074556 Communication with facebook page: https://web.facebook.com/Doctor-Destiny-106008014979860
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  15. Dr. Ehimare has really made me so much believe in him by getting me cured of Herpes with his herbal medicine. I have been a Herpes virus patient for some time now, I have been running here and there looking for help/cure but none could help. I ran into a testimony by someone who testified how she was cured of a terrible disease by Dr. Ehimare, so I decided to contact the herbal doctor. I explained to him, and he said he can cure me. We started the process and he prepared herbs and sent them to me in my country and gave me directions on how I am to use them. I followed his directions and now To God be the glory he could cure me with his herbal mixture. I really appreciate you Dr. Ehimare for bringing back happiness to my life again. thanks you so much friends that has join me to thank Dr. Ehimare for what he has actually done for me i pray to you all for a good life and property, his contact. Email address drehimare3@gmail.com , via whats-app +1 (267) 691-1087 Thanks Dr. Ehimare for your help in my life and family... and most especially to you Dr. THANKS.

    ReplyDelete
  16. 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 Aba, 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: dr.abaherbalhome@gmail.com or you can call or whatsApp his mobile number on +2348107155060

    ReplyDelete
  17. I'm so Happy to write this article because I know it will help a lot of people who are suffering from Herpes. I am here to testify about the wonderful and most safe cure for herpes . I was positive to the deadly Virus called herpes and I lost hope completely because I was rejected even by my closest friends. I searched online to know and inquire about a cure for herpes and I saw testimony online on how Herbalist called Dr Osamu who cured so many people from Herpes virus and other similar diseases. 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 roots and herbs. After 2 days of contacting him, he told me that the cure is ready and he sent it to me via UPS and it got to me after 4 days. I used the medicine as he instructed (morning and evening ) and I got cured. it's 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, contact him via Email: dr.osamuherbalremedy@gmail.com or WhatsApp:+2349012406016

    ReplyDelete
  18. Hello everyone. Dr. Ehimare. Herbs is a good remedy for herpes Virus , I was a carrier of herpes virus and I saw a testimony on how Dr. Ehimare. cure Herpes Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm HSV 2 Negative after the test, Today i am so happy because i'm free from herpes disease with the help of Dr. Ehimare. Thank God now everything is fine, I'm cured by Dr. Ehimare herbal medicine, I'm very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure.Contact Dr Ehimare via email: Drehimare3@gmail.com call or whatsApp him on+1 (267) 691-1087

    ReplyDelete
  19. I am from California USA I was diagnosed of HERPES Virus in 2016 and I have tried all I can to get cured but all to no avail, until i saw a post in a health forum about a herbalist man who prepare herbal medication 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 herbalist via his email and he prepared a HERPES herbal cure and sent it to me via UPS delivery company service, when i received this herbal cure, he gave me step by directions on how to apply it, when i applied it as instructed, i was totally cured of this deadly virus within 14days of usage, I am now free from the deadly virus called herpes, all thanks to doctor UMA, Contact this great herbal doctor via his email dr.umaherbalcenter@gmail.com call or whatsapp him on his mobile number +2347035619585,
    He also have the herb to cure:
    (1) CANCERS,
    (2) DIABETES,
    (3) HIV/AIDS,
    (4) PENIS ENLARGEMENT,
    (5) PREGNANCY,
    (6) DIABETES,
    (7) EX BACK.

    ReplyDelete
  20. Dr. Ehimare has really made me so much believe in him by getting me cured of Herpes with his herbal medicine. I have been a Herpes virus patient for some time now, I have been running here and there looking for help/cure but none could help. I ran into a testimony by someone who testified how she was cured of a terrible disease by Dr. Ehimare, so I decided to contact the herbal doctor. I explained to him, and he said he can cure me. We started the process and he prepared herbs and sent them to me in my country and gave me directions on how I am to use them. I followed his directions and now To God be the glory he could cure me with his herbal mixture. I really appreciate you Dr. Ehimare for bringing back happiness to my life again. thanks you so much friends that has join me to thank Dr. Ehimare for what he has actually done for me i pray to you all for a good life and property, his contact. Email address drehimare3@gmail.com , via whats-app +1 (267) 691-1087 Thanks Dr. Ehimare for your help in my life and family... and most especially to you Dr. THANKS. 

    ReplyDelete
  21. I got Diagnosed with Herpes, I have be dealing with Herpes for the past 4 years. On till I got review online about natural cure people testifies how DR. Ehimare cure them with his herbal treatment. And I order the treatment, after taking it for 21 days I totally got cured with DR. Ehimare treatment. I'm recommending you diagnosis with herpes should get this treatment and be cured of it you can contact his email address via; drehimare3@gmail. com or you can also call or whatsapp +1 (267) 681-1087Dr. Ehimare also cure the following virus and many more... 1} Cancer 2} Diabetes 3} Hepatitis 4} fibroid 5} herpes 6} Lupus

    ReplyDelete
  22. I've been treating herpes virus for several years with different medications until I saw a post on how a young lady got cured from herpes, Out of desperation I decided to contact him with little or no hope of a solution after taken his herbal medications reluctantly to my biggest surprise I tested negative, God bless you Dr ubarlo drubarlohome@gmail.com or Whatsapp +2348119508814 for his wonderful work

    ReplyDelete
  23. Hi everyone, 2years ago my doctor told me I was diagnosed with HSV2. I was heart broken, How- ever that same years i found a doctor called Dr ubarlo who helped me to cured the virus with natural herbal treatment per- manently. thanks to Dr ubarlo for his natural herbal treatment that eliminated this virus out in my body forever. his contact of him through Instagram page. for any incur- able virus THESE ARE THE DISEASES CURED BY dr ubarlo 1) HERPES 2) HIV / AIDS 3) lupus 4) CANCER 5) EPILEPSY 6) DIABETES 7) ERECTILE 8) CANCER CURE 9) asthma 10) RIGGING EARS 11) Gout 12) pregnancy 13) Hepatitis ABC 14) Weight loss 15) fibroids you can also contact him on his email drubarlohome@gmail.com or Whatsapp +2348119508814

    ReplyDelete
  24. Hello everyone , I want to write a little testimony about the good work of doctor Abolo who cured me from Hsv 1 and 2 for just 2 weeks with his herbal medicine, I never believe I can be normal again and have a good life like others I always regretted the day I got diagnose with the virus, I was lost of hope when my doctor told me there is no cure for it but I keep thinking and thinking about my future, if I can have kids of my own well I am so grateful for my helper who get me cured with his herbal medicine, I go online in search of anything that can help me because I can’t deal with it forever so I found this dr Abolo email on a blog of someone who was cured by him I quickly contact him for help and explain all my pain to him, he told me not to worry about it there is cure for real, I never believe until he send me the herbal medicine when I order for it and I have it within 4 days that is how I took the medicine for 2 week and the following week I go for test just to confirm I was 100% cured from this sickness what a miracle in my life I am so happy right now, you can also get in contact with him if you have such sickness through email address draboloherbalhome@gmail.com or text him on what's app, phone number +2347044725611 and he has remedy to others disease like COLD SORES,HIV/AIDS,DIABETES.CANCER,HIGH BLOOD PRESSURE.HEPATITS.E.T.C I BEG everyone to contact this powerful herba list Dr Abolo and be free from suffering

    ReplyDelete
  25. There is no other way to get the body of herpes virus other than detoxification using natural diet or pure herbs. The health industry is a billion dollars industry - which is why the big pharmaceuticals sued Dr. Sebi the moment he discovered a 1-Week CURE FOR HERPES (Oral and Genital). Most diseases are acquired by what you eat. Even when infected by someone, it thrives because your body is receptive and filled with mucus. No disease can survive in an electric filled body. What you eat will determine how you live, how you behave, and even how it relates to you. Detoxification is the heart of ridding the body of the herpes virus. There is no other way to bring the necessary result. There are three ways to achieve this; Stop putting acidic foods into the body - if possible eat only alkaline diet, Fast daily before eating if possible for a year, Cleanse the body of toxins and acids with Nze Njoku Herbal Formula (Which also increases oxygen to cells). Feed the body with the right nutrients to repair, rebuild, and strengthen it at a cellular level and watch the body heal itself.

    Some may wonder, how long is one expected to maintain such a diet and what herbs can help you achieve all these within few weeks?

    Nze Njoku Herbal Home provides all the
    answers.

    ReplyDelete
  26. Hello everyone , I want to write a little testimony about the good work of doctor Abolo who cured me from Hsv 1 and 2 for just 2 weeks with his herbal medicine, I never believe I can be normal again and have a good life like others I always regretted the day I got diagnose with the virus, I was lost of hope when my doctor told me there is no cure for it but I keep thinking and thinking about my future, if I can have kids of my own well I am so grateful for my helper who get me cured with his herbal medicine, I go online in search of anything that can help me because I can’t deal with it forever so I found this dr Abolo email on a blog of someone who was cured by him I quickly contact him for help and explain all my pain to him, he told me not to worry about it there is cure for real, I never believe until he send me the herbal medicine when I order for it and I have it within 4 days that is how I took the medicine for 2 week and the following week I go for test just to confirm I was 100% cured from this sickness what a miracle in my life I am so happy right now, you can also get in contact with him if you have such sickness through email address draboloherbalhome@gmail.com or text him on what's app, phone number +2347044725611 and he has remedy to others disease like COLD SORES,HIV/AIDS,DIABETES.CANCER,HIGH BLOOD PRESSURE.HEPATIS.E.T.C I BEG everyone to contact this powerful herbal list Dr Abolo and be free from suffering

    ReplyDelete
  27. months ago I felt some pains and I went to the hospital my doc told me I had Herpes about 1 year ago and I need to start the treatment early, he gave me some medicine to be taking and I told him no I’ll not, because I hated taking medicine when I won’t not see cure for the purpose. After I got home I started getting worried searching for strong advice and I found valid natural treatment online a lot of people says they got herpes cure from DR ODUDU and I contacted DR ODUDU that same day I purchase his cure online, after three weeks of taking the herbal treatment i got cured totally. i tested negative all thank to DR ODUDU you can reach out to him through his email: [dr.oduduherbalhome@gmail.com ] or message him on WhatsApp +2348101571054 stay safe and bless you

    ReplyDelete
  28. I panicked when I saw the first sore. The medicines couldn't heal the sores completely, my whole life I was entirely desperate. Till I found the natural permanent cure for herpes through Nze Njoku Herbal Home, I felt like I was born-again. You can get rid of herpes from now on, too
    Reach Nze Njoku Herbal Home on
    nzenjokuherbalhome@gmail.com
    +2349072733661

    ReplyDelete
  29. I grew up with asthma; I suffered sinus and respiratory infections my entire life. I started smoking at 16. When I was in my early 40s, my asthma was becoming increasingly worse. I was diagnosed with COPD at age 47. I am now 55. I quit smoking four years ago. The disease does not improve. My good days were far, i was scared that i wont survive it but i was so lucky to receive a herbal products from my step father who bought it while coming from South Africa for Rugby league, this herbal remedies saved me from this disease, at first it helps fight the symptoms of diseases and i was seeing good outcome, i had to use it for 13 weeks just as they Dr was prescribed and i was totally cure of asthma and COPD, (multivitamincare org ) do not hesitate to purchase from them they deliver across worldwide.

    ReplyDelete
  30. I am very happy today, I have been suffering from herpes since 2015, i have spent a lot on drugs and herbs which has all proved abortive, i have tried all means in life to cure my herpes , but there was no answer until i met Dr David and i contacted him and he prepare medicine for me after I took his medication as he told me, i am now Herpes Negative, i am very very happy, thanks to Dr David for helping my life come back newly again without any form of crisis, i promise to tell your name and good deeds to the whole world.Kindly contact him for cure regarding, HIV, Herpes, Cancer and other deadly diseases. contact him on via drdavidherberhome@gmail.com or whatsApp him on +2348103442287 or Visit his facebook page

    https://www.facebook.com/Dr-David-Herbal-Home-109272270791218/

    ReplyDelete
  31. ! I'm Very Much Excited To Let Ya Know You're A God Sent To My Life.  After Living With HSV - 2 For The Past eight years.  I'm Finally Cured After Using Your Herbal Medicine And The Native Soap.  First Week The Cold Sores In My Genital Area Dried Up And After 3weeks I Got Tested And It Was Absolutely True.  My leg Number Is Now 0.70.1 Just want to Say Thank You Very Much For Restoring Back My Health.  I Promise To Share Your GreatWork To The Whole World That You Are The Best.Thank You So Much Dr Agbonhale Im Gonna Publish Your Medicine To Blog Because It's The Real Deal. Thank You Very Much Herbalist Agbonhale you can contact him via WhatsApp +2349073130326 or email dragbonhaleherbalhome@gmail.com ..

    ReplyDelete
  32. Hi everyone. I am here today to appreciate the good work of Dr Abolo, for helping me curing
    my HSV 1&2 Disease, I contacted the virus from my Partner, i found out she was cheating on me, so i broke up with her, 2 months later i was having symtoms of herpes i went to test myself in the hospital when i was seeing sore on my mouth and Private areas, i was diagnosed of HSV 1&2. i tried using the acyclovir medicine but it didn't help me my condition, i went on a search and found out about the good work of Dr Abolo curing people illness, and so i got his email and i was told how i can get his herbal cure, 3 days later i received his medicine after using it for 2 weeks i was tested again and was confirm negative, today i am totally free. If you are over there looking for solution email: draboloherbalhome@gmail.com or contact him on his whatsapp +2347044725611 and share your own testimony. And He also has herbal cure for the Following DISEASES, eczema, urethra wart, chronic problems. Herpes, Cancer, Als, Hepatitis, Diabetes, HPV ,Infections, ulcer ETC

    ReplyDelete
  33. Hello everyone, sharing this testimony is my greatest happiness also to let every patient know there is cure to get rid of HERPES SIMPLEX VIRUS . I was once a HSV patient for a very long time. I have been taking medications because my doc in Canada told me there is no cure except pills to control it which I have been taking. Until I found a faithful and truthful herbalist who finally cured me with herbal remedy. Everything about the virus was gone, my genital warts I have been trying to remove, they all cleared off. Here is the herbalist information to reach him via : DR.IMOUDUHEALERTEMPLE@GMAIL.COM or whatsapp +2348109609753. DR.IMOUDU is great and very kind to every patient. He also Cure 1.HIV/AIDS 2.HERPES 3 CANCER of all kind 4.ALS 1&2 5.Herpatitis B 6.Diabetes 7.HPV

    ReplyDelete
  34. Herbal medicine is the best ����Greetings I am here to testify how great man called Dr OMO helped me out with herbs and roots which he prepared for me in use of curing my fibroids and Getting pregnant after 8 years of try to conceive with fibroids I takes his product (cure for my fibroid made with herbal medicine Root) for (21) days before I am to known I was totally pregnant after 2months of using dr omo herbs he also have Herbal medical for all types of diseases, and i promised him that i will tell the world about his Great job he ask me to drink from the herbal medicine before meeting my husband I did and after 2months I was pregnant thank you for your great job he can also help you if you have a low sperm count you want to convince a baby fast PCOS ,infections, stomach ulcer, Endometriosis, cancer, yeast infection, fibromyalgia, Gonorrhea, Chronic pain, LUPUS low testosterone, Herpes,BV, blocked fallopian tubes Liver parasites ovarian cysts Arthritis, pile, Crowns and all other type of diseases, breast cancer, Get lost period back, stop period pain, Email : dromo596@gmail.com WhatsApp him on +2349033505260 thank you..Dr Omo. Please help me share and save others God bless you all.......

    ReplyDelete
  35. Hey thегe and Thank you so much for sharing this information. It has very useful. Please keep sharing.If you want more about the best treatment for brain injury Kindly click the link
    best hospital for head injury in coimbatore

    ReplyDelete
  36. Simply the best and genuine doctor I've ever met online. Herbalist Dr. Azu Your herbal medicine is something phenomenal, I'm so glad I ordered and used your herbal exploit. It truly worked for me! I'll keep testifying about your good work & how powerful your herbal medicine is, I just tested Negative for my long term genital herpes and (HSV1) within just two weeks after using the supernatural native herbal medicine from Doc. Azu. God bless you doctor for curing me from herpes disease. I still can't believe that I'm finally cured from herpes disease. All thanks to you doctor, because your medicine works for real and you're so legit. Reach him Via email: dr.azuherbalhome@gmail.com or whats App him today on +2347087313747. I'm so glad to have contacted you for help. I'm cured and I will tell the whole world about your powerful healing remedies.

    ReplyDelete
  37. My mom has COPD/emphysema and has to use oxygen every night while she slept. Her doctors told her she could only hope for it to stabilize but not get any better since she smoked for thirty years of her life. After five years of this, she decided she had nothing to lose and adopted herbal plant solutions after reading Dr. Neil Bernard’s about MULTIVITAMIN HERBAL CURE. Within six months she no longer needed oxygen, and a year later her PC doctor was so surprised that he figured he had somehow misdiagnosed her even though she got a second opinion before investing in the oxygen machine. She lost almost fifty pounds and could finally walk and do yoga which only compounded her progress. The herbal formula has a great improvement in my mom's lung condition and will highly recommend this to anybody suffering from COPD emphysema.Their website is multivitamincare org

    ReplyDelete
  38. it’s a miracle that I am alive today. I encountered herpes virus for good four (4) years, six (6) months and twelve (12) days with my calculations, before I met the great Dr. ODUWA. I am LEOKADIA STELLA Fresno California, United state of America and I was affected with herpes virus. Herpes is a viral infection caused by the Herpes simplex virus, marked by painful, watery blisters in the skin or mucous membrane or on the genitals. This was what I suffered for good four years. I have visited CVS Pharmacy in Fresno for treatment but no improvement. I met Dr. ODUWA online while I was searching for herpes cure. I read a testimony about his work. I give it a try that now becomes a testimony in my life. I contacted Dr. ODUWA via his Email (DR.ODUWASPELLHOME@GMAIL .COM) and he did not respond to me in time and I went back to the same testimony for his mobile number and I called him immediately (+2348070685053) and he responded to my call. He welcomed me as a daughter and I explained my four years' situation to him and he said it is done just as I have contacted him and I believed in him. Dr. ODUWA sent me some herbal medication for herpes cure and he gave me instructions on what to do and I obeyed his instruction. Changes started after three days of applying the herbal medication. I went to the same CVS Pharmacy in Fresno for a test and I was herpes negative. I do not know how to thank Dr. ODUWA for saving my life. To God be the Glory, I am living healthy with my family today. Indeed, Dr. ODUWA is a great man and the only thing he requested from me is to share my Testimony for the world to see for a safe living from herpes viral disease and just as I did. God bless Dr. ODUWA for his good work....contact hm on whatsapp +2348070585053
    contact email/ dr.oduwaspellhome@gmail.com
    wep/ https://myoduwa2blogaddress.blogspot.com
    youtube/ https://youtu.be/qljIDs95XVg

    ReplyDelete
  39. I am from California USA I was diagnosed of HERPES Virus in 2016 and I have tried all I can to get cured but all to no avail, until i saw a post in a health forum about a herbalist man who prepare herbal medication 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 herbalist via his email and he prepared a HERPES herbal cure and sent it to me via UPS delivery company service, when i received this herbal cure, he gave me step by directions on how to apply it, when i applied it as instructed, i was totally cured of this deadly virus within 14days of usage, I am now free from the deadly virus called herpes, all thanks to doctor UMA, Contact this great herbal doctor via his email dr.umaherbalcenter@gmail.com call or whatsapp him on his mobile number +2347035619585
    He also have the herb to cure:
    (1) LOSS OF TASTE AND SMELL,
    (2) DIABETES,
    (3) HIV/AIDS,
    (4) PENIS ENLARGEMENT,
    (5) PREGNANCY,
    (6) DIABETES,
    (7) EX BACK.

    ReplyDelete
  40. I am from California and a few months ago I was confirmed herpes 1 virus positive and ever since then I have been doing research on how I can get rid of the virus, I was lucky to come across aba herbs. I inbox Dr Aba after scrolling through his page, the doctor responded nicely and told me that he is going to ship the cure medications to me via a shipping company, he also said I am going to get cured within two to three weeks! I never doubted him because many have said so much good news about his herbal medicine on every site and everything really went as planned.. His herbal treatments are completely legit and I recommend you contact him on dr.abaherbalhome@gmail.com or WhatsApp his number on +2348107155060.

    ReplyDelete
  41. It’s obvious some patients with herpes are being prescribed the antiviral and other supplementary Orthodox medicine just to help suppress the virus and not a cure. I have been with the virus since 2019 until I was introduced by a blogger who also narrated her story online on how she was cured of Genital Herpes after using Dr Excel Herbal Medicine. All thanks to God for using this Great herbalist to heal me. I have promised to keep telling good things about him. Please feel free to share Your problems with him Know about him on His Website: https://excelherbacure.com You can contact him through his WhatsApp +1 [204] 410-4511

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  42. Natural herbs have treated so many illnesses that drugs and injections can't treat. I've seen the great importance of natural herbs and the wonderful work they have done in people's lives. I read people's testimonies online on how they were treated of HSV, HPV, Herpes, Cancer, Liver diseases, Anxiety, Fever ,diarrhea, aches and pains, sore throat , etc with natural medicine, so I decided to contact Oyama because I know nature has the power to heal anything. Believe it or not. but I am a living testimony. He cured my herpes virus. There is no harm trying natural herbs. Contact Dr text/call via: +2348108264684, For herbs and medications. Or you can also contact through his email; droyamasolutiontemple@gmail.com Anyone going through any of those illnesses listed or STD/STI Hit Doc Oyama up with any of his contact and you will be Free and cured totally. His Natural Herbs are very Effective .

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