Thursday, September 9, 2010

Interstitial Lung Disease

Today we saw some really interesting cases including:

*Ascites: check out a previous post with evidence-based physical exam findings here.

*Clubbing: also discussed, with evidence-based exam findings at this link.

One patient we saw had terrible interstitial lung disease. These are confusing conditions. Here's an approach as to the underlying etiology:

Systemic Diseases: ILD is found commonly in Sarcoidosis and Collegen Vascular Diseases - the prototype being Scleroderma. Remember, ILD is not so common in SLE or Rheumatoid arthritis.

Exposures: these are classically divided into organic and inorganic exposures:

  1. Organic: aka "Hypersensitiviy Pneumonitis". Think about bird fanciers lung, cheese washers lung, farmers lung, and many many more.
  2. Inorganic: aka "Pneumoconiosis". This includes dust from asbestos, silica, and coal.
Drugs: Exposure to alkylating chemotherapeutic agents (eg. bleomycin), but also commonly used drugs like amiodarone, methotrexate, nitrofurantoin, and sulfa medications are also implicated in ILD.

Idiopathic: This is a strange category with bizarre acronyms. It doesn't help that there are old and new acronyms, and that both are used frequently. The diagnosis is usually based on histology.
  1. Usual Interstitial Pneumonia (UIP), also known as Interstitial Pulmonary Fibrosis (IPF) - this is perhaps the most common idiopathic ILD.
  2. Acute Interstitial Pneumonia (AIP), also known as the 'Hamman-Rich Syndrome'. Just like IPF above, but more rapid.
  3. Cryptogenic Organising Pneumonia (COP), but if the underlying etiology is known, you will hear it called Bronchiolitis Obliterans and Organising Pneumonia (BOOP). There is lots of granulation tissue in the small airways here.
  4. Others: Desquamative Interstitial Pneumonia (DIP), Lymphocytic Interstitial Pneumonia (LIP), Non-specific Interstitial Pneumonia (NSIP)....oy vey...
Other Rare Causes of ILD: Alveolar hemorrhage, Pulmonary Alveolar Proteinosis, and my personal favorite, Pulmonary Infiltrates with Eosinophilia (PIE). mmmmmh.....pie. And Lymphangioleiomyomatosis (LAM).

Mimickers of ILD: Pneumocystis Carini Pneumonia, Lymphangitic carcinomatosis, and once in a while, good ol' congestive heart failure.

Links: A good review of Idiopathic Pulmonary Fibrosis can be found at this link.

47 comments:

  1. I am 74 years old. Two years ago I noticed that I was finding it harder to walk in the hills, after 3 months my condition suddenly worsened, following an xray and a MRI scan I was diagnosed with Idiopatic Pulmonary Fibrosis (IPF). I start taking a corticosteroid and Pirfenidone, even with these medications i still remain very breathless when climbing the 15 steps to our front door, i wake up at night coughing persistently and hacking for hours. In July 2016, my neighbour Nicholas Quale referred me to NewLife Herbal Clinic, he had initially purchased Lymphoma herbs from them. I purchased their Pulmonary fibrosis herbal remedy and immediately commenced usage, i use the remedy for about 9 weeks and my condition greatly improved for good, all symptoms including breathlessness, tiredness, shortness of breath, coughing etc are gone, i did another scan, the result was unbelievable, my lungs are repaired, visit www.newlifeherbalclinic.weebly.com or email newlifeherbalclinic@gmail.com

    ReplyDelete
    Replies
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    4. After having a persistent cough for over a year, I was diagnosed with COPD
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  2. I smoked for 20 years, October 2014 i was diagnosed of Emphysema I may have had it for 6 months to 1 year prior to diagnosis. It started with a dry cough, shortness of breath, and fatigue. A chest x-ray confirmed it and I was placed on corticosteroids. my doctor told me there is no permanent cure for the disease, i was given bronchodilators to help me relax my bronchiolar muscles, I managed on with the disease till a friend told me about a herbal clinic from johannesburg who sell herbal medicines to cure all kind of lung related diseases including emphysema, I spoke to few people who used the treatment here in USA and they all gave positive responses I contacted this herbal clinic via there email and made purchase of the emphysema herbal medicine, i received the herbal medicine through DHL within 5 days, when i received the herbal medicine i applied it as prescribed and was totally cured of emphysema within 7 weeks of usage, the symptoms reduced till i even forgot i had emphysema, i went back to my doctor for diagnosis with spirometry and he confirmed i was free from the disease, contact this herbal clinic via there email healthherbalclinic@gmail.com or website on www.healthherbalclinic.weebly.com

    ReplyDelete
  3. I was told I had emphysema in 1987 when I was 45 years old. I smoked for 30 years, but quit smoking as soon as I was told that I had COPD. Quitting smoking was the hardest thing I ever did. But I knew I would die if I didn't. My health was getting so bad that I needed oxygen 24/7 and was down to 92lbs. Thankfully, in 1999 I got lung volume reduction surgery. It saved my life. I no longer needed oxygen and was able to climb stairs, dance, and travel the world. That good fortune lasted for almost 13 years. I am now back on oxygen 24/7 and can't climb stairs, dance or travel the world. i searched for alternative treatment Online i was introduced to Health herbal clinic by a friend here in the United states she told me they have successful herbal treatment to Emphysema and other lungs diseases. I spoke to few people who used the treatment here in USA and they all gave a positive response, so i immediately purchased the COPD herbal formula and commenced usage, its totally unexplainable how all the symptoms totally dissapeared, my cough was gone and i no longer experience shortness of breath(dyspnea), contact this herbal clinic via their email Info@ healthherbalclinic. net Or website www. healthherbalclinic. net Herbs are truely gift from God

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  5. I was diagnosed with Idiopathic pulmonary fibrosis. After a two-week stay in the hospital, I was home with oxygen. I was still coughing badly, breathless and my chest pain was ongoing. I had a heart attack six months ago. I'm 62, female, and no longer working. I lost 36 pounds in 1 month as my coughing causes me to vomit non-stop! I was so tired. My blood pressure has always been high; it averages at 193/88, I was on minimum daily dosage prednisone (7.5 mg), azathioprine and N-Acetyl. They put me on 6 liters of oxygen and steroids. The pulmonary doctor told me that I was going to die and said there was nothing he could do for me,I started on Health Herbal Clinic IPF Herbal formula treatment in June 2017, i read alot of positive reviews on their success rate treating IPF disease through their Herbal formula and i immediately started on the treatment. Just 7 weeks into the Herbal formula treatment I had great improvements with my breath and my chest pain was no more. I am unbelievably back on my feet again, this is a breakthrough for all Pulmonary Fibrosis sufferers, visit Health Herbal Clinic official website www. healthherbalclinic. net or email info@ healthherbalclinic. net.

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  6. I have had emphysema for about five years. I was on oxygen during the day but not at night. I could go about two hours without the oxygen, and then I need it. I had a converter in the house and oxygen tanks for when I go shopping, etc. I am 64 years old and in relatively good health. The doctor said it was caused by a combination of smoking, dust here in Vegas, and 30 years of smog in California. I believed I will always need the oxygen to breathe. I quit smoking 15 years ago. But the damage has been done. January 2017 my pulmonologist and I decided to go with natural treatment and was introduced to Green House Herbal Clinic natural organic Emphysema Herbal formula, i had a total decline of symptoms with this Emphysema Herbal formula treatment. Visit Green House Herbal Clinic official web-site ww w. greenhouseherbalclinic. com. The infections, shortness of breath, fatigue, dry cough and other symptoms has subsided.  I am very pleased with this treatment. I breath very well now and exercise regularly, sometimes i totally forget i ever had Emphysema, I am thankful to nature, the medics failed. Share with friends!!

    ReplyDelete

  7. I was diagnose of Chronic Obstructive Pulmonary Disease (COPD) 2 years ago, my family doctor told me there is no cure but it can only be controled. Ever since then i have been running heather scepter looking for a solution to my problem because i was going to lose my Job if i dont get better, until i ran into this online testimony of Mrs Stacey who have been cured of COPD by this herbal clinic in Africa (Astoria Herbal Clinic), i immediately contacted them via their email (astoriashrine@gmail.com), to God be thy glory i bought this COPD herbal remedy and was cured within 3 weeks of usage, at last this is a break through for all COPD patients contact this herbal clinic via their email astoriashrine@gmail.com or whasapp +2349051441669

    ReplyDelete


  8. I was diagnosed with Idiopathic pulmonary fibrosis. After a two-week stay in the hospital, I was home with oxygen. I was still coughing badly, breathless and my chest pain was ongoing. I had a heart attack six months ago. I'm 62, female, and no longer working. I lost 36 pounds in 1 month as my coughing causes me to vomit non-stop! I was so tired. My blood pressure has always been high; it averages at 193/88, I was on minimum daily dosage prednisone (7.5 mg), azathioprine and N-Acetyl. They put me on 6 liters of oxygen and steroids. The pulmonary doctor told me that I was going to die and said there was nothing he could do for me,I started on Health Herbal Clinic IPF Herbal formula treatment in June 2017, i read alot of positive reviews on their success rate treating IPF disease through their Herbal formula and i immediately started on the treatment. Just 7 weeks into the Herbal formula treatment I had great improvements with my breath and my chest pain was no more. I am unbelievably back on my feet again, this is a breakthrough for all Pulmonary Fibrosis sufferers, visit Health Herbal Clinic officialemail bantespelltemple@gmail.com or whasapp +23459073543

    ReplyDelete
  9. Natural Herbs and herbal supplements are known as effective  Emphysema Herbal Treatment  to get rid of mucus and there are effective herbal mixtures of these ingredients you can purchase in natural herbal supplement formulas.

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  11. God bless Dr.okosun for his marvelous work in my life, I was diagnosed of HIV since 2015 and I was taking my medications, I wasn't satisfied i needed to get the HIV out of my system, I searched about some possible cure for HIV i saw a comment abou how he cured HIV with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine through UPS SPEED POST. I took the medicine as prescribed by him and 5days later i was cured from HIV, Dr.okosun truly you are great, do you need his help also? Why don't you contact him through you can also reach him on phone:+2347060571038 or hem On that very email dr.okosunspellalter@gmail.com
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  12. I have been casting spells for many years and I have helped many people, I might be able to help you too. I am honest, and I genuinely care for all the clients who choose me to cast a spell for them.


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  13. This is the most wonderful thing i have ever experienced. I visited here online on the 17 june and i saw a marvelous testimony of Tracie Aldana from United States on the forum about the good works DR.tunde I never believed it, because have never heard anything about such miracle before. No body would have been able to convince me about it not until DR.tunde did a marvelous work for me that restored my mairage of 4 years by getting back my husband back i just as i read on the internet. I'm carolina peter I was truly shocked when my husband knelt down pleading for forgiveness to accept him back. I am really short of words to use to show my appreciation to DR.tunde For his a God sent to me and my entire family for divine restoration of my mariage. Contact him now for any kind of help via Email:babatundesolutioncentre1@gmail.com or you can contact his whatsapp mobile line +2348143581382 Also specialise in treating all kinds of illness, HERPES VIRUS, HEPATITIS B, CANCER, BRAIN DISEASE, PREGNANCY, DIABETIES AND MORE.

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  16. This is the most wonderful thing i have ever experienced. I visited here online on the 17 June and i saw a marvelous testimony of Tracie Adana from United States on the forum about the good works DR.tunde I never believed it, because have never heard anything about such miracle before. No body would have been able to convince me about it not until DR.tunde did a marvelous work for me that restored my marriage of 4 years by getting back my husband back i just as i read on the internet. I'm Carolina peter I was truly shocked when my husband knelt down pleading for forgiveness to accept him back. I am really short of words to use to show my appreciation to DR.tunde For his a God sent to me and my entire family for divine restoration of my marriage. Contact him now for any kind of help via Email:babatundesolutioncentre1@gmail.com or you can contact his whats app mobile line +2348143581382 Also specialize in treating all kinds of illness, HERPES VIRUS, HEPATITIS B, CANCER, BRAIN DISEASE, INFERTILITY, DIABETES AND MORE.

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  17. I was cured of HIV with the used of natural herbs. My name is celina jolly and am from US. I love herbs so much. Most times, injection and drugs are just a waste of time. I was cured 8 months ago, i suffered from HIV for 13 yrs but with the help of Dr.Aire herbal medicine, i was cured within few weeks of drinking the herbs he sent to me through courier delivery service. This same doctor also cured my Aunty from herpes, as soon as i heard she had herpes, i quickly refer her to Dr.AIre and she was cured too after drinking his herbs.I have referred more than 15 persons to Dr.AIre and they were all cured from their various illness. Have you taken herbs before?. You have spent so much money on drugs,injections,surgeries etc and yet you have no good result to show for it. Contact Dr. Aire now, he is a herbalist doctor, i assured you of a cure if you drink his natural herbs. Dr.Aire have herbs that cures Hiv, Herpes, diabetics, asthma, hepatitis, HBP, STD, cancer, chronic, etc. Contact Dr Aire through his Email address on: drairehome@gmail.com or WHATSAPP/CALL him on+2347036740271 . Please share the good news to other people once you are cured

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  18. This is the most wonderful thing i have ever experienced. I visited here online on the 17 June and i saw a marvelous testimony of Tracie Adana from United States on the forum about the good works DR.tunde I never believed it, because have never heard anything about such miracle before. No body would have been able to convince me about it not until DR.tunde did a marvelous work for me that restored my marriage of 4 years by getting back my husband back i just as i read on the internet. I'm Carolina peter I was truly shocked when my husband knelt down pleading for forgiveness to accept him back. I am really short of words to use to show my appreciation to DR.tunde For his a God sent to me and my entire family for divine restoration of my marriage. Contact him now for any kind of help via Email:babatundesolutioncentre1@gmail.com or you can contact his whats-app mobile line +2348143581382 Also specialize in treating all kinds of illness, HERPES VIRUS, HEPATITIS B, CANCER, BRAIN DISEASE, PREGNANCY, DIABETES AND MORE.

    ReplyDelete
  19. I am not sure of the cause of COPD emphysema in my case. I smoked pack a day for 12 or 13 years, but quit 40 years ago. I have been an outdoor person all my adult life. Coughing started last summer producing thick mucus, greenish tint to clear. I tried prednisone and antibiotics, but no change. X-rays are negative, heart lungs and blood and serum chemistries all are normal. I have lung calcification from childhood bout with histoplasmosis. I am 75 years old and retired.My current doctor directed me to totalcureherbsfoundation .c om which I purchase the COPD herbal remedies from them ,they are located in Johannesburg, the herbal treatment has effectively reduce all my symptoms totally, am waiting to complete the 15 weeks usage because they guaranteed me total cure.

    ReplyDelete
  20. I am from USA, I was diagnosed of Emphysema (COPD) in 2017 and I have tried all possible means to get cured, i even visited pulmonologist but all to no avail, until i saw a post in a health forum about a herbal doctor from Africa who prepare herbal medicine to cure all kind of diseases including Emphysema, at first i doubted if it was real but decided to give it a try, when i contacted this herbal doctor via his email he sent me the Emphysema herbal medicine through courier service, when i received this herbal medicine, he gave me step by instructions on how to apply it, when i applied it as instructed i was totally cured of this deadly disease within 12-14 days of usage, if you are suffering of this diseases you can as well Contact this great herbal doctor via his email solutionsherbalclinic@gamil.com or visit their website at www.solutionhealthherbalclinic.com

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  21. Thanks to Dr.ODUMA who help me in getting pregnant after 8years of trying to conceive.my marriage have been hell for 8years,because i was enable to conceive.people call me all kind of names.one day i was searching on google,how can i get pregnant,when i saw a great testimony giving by a lady how Dr.ODUMA help her after 12years of barriness.i said to myself let me give it a try and see what will happen,but to my greatest suprise after contacted him and told him about my pregnancy problem.he did a pregnancy spell on me and me some herb medicine which i took,truly in 8 weeks time i conceive of triplet and since then me and my partner is living happily together in our home with three kids.if you have a problem like me before you can kindly contact him via email:odumaspelltemple0@gmail.com or cell phone +2349067801825

    ReplyDelete
  22. I am not sure of the cause of COPD emphysema in my case. I smoked pack a day for 12 or 13 years, but quit 40 years ago. I have been an outdoor person all my adult life. Coughing started last summer producing thick mucus, greenish tint to clear. I tried prednisone and antibiotics, but no change. X-rays are negative, heart lungs and blood and serum chemistries all are normal. I have lung calcification from childhood bout with histoplasmosis. I am 75 years old and retired.My current doctor directed me to totalcureherbsfoundation .c om which I purchase the COPD herbal remedies from them ,they are located in Johannesburg, the herbal treatment has effectively reduce all my symptoms totally, am waiting to complete the 15 weeks usage because they guaranteed me total cure.

    ReplyDelete
  23. Hello, my name is Michelle scott , I want to share my testimony with all of you. dr.Ofeimuediale; gave me the possibility to start my new and happy life with Steve. The commitment and Marriage spells worked beyond my imagination. I am now happily married to shaka after a terrible heartbreak with my Ex lover. Contact dr.Ofeimuediale now on Email: drfeimuediale00@gmail. or whatsapp him on his private line +2349035061905 thank your sir. 

    ReplyDelete
  24. Hi, I'm Linda . After being in a relationship with Anderson for years, broke up with me, I did everything possible to bring him back but all was in vain, wanted him back because of the love I have for him, I begged everything, I made promises but he refused. I explained my problem to my friend and she suggested that I should contact a caster of spells that could help me cast a spell to bring him back, but I am the type that never believed in spell, I had no choice but to try, I contacted, the caster of spells, and he told me that there was no problem that everything will be okay before three days, that my ex will return to me before three days, he released the love spell and surprisingly in the second day, it was about 4 p. m. My ex called me, I was so surprised, and answered the call and all he said was that he was sorry for everything that happened that he wanted to return to me, that he loves me so much. I was so happy and went to him that was how we started living together happily again. Since then I have made promise that anybody I know that have a relationship problem it would be helpful to that person if i recommend him, as the only sorcerer, real and powerful that helped me with my own problem. His email: solutioncentre911@gmail.com you can send an e-mail or whatsapp +2348123606590 if you need his assistance in your relationship or in any other cases like.

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    ReplyDelete
  25. Ever since my husband got me divorced for the past 2 years, i v'e not been my self. I was reviewing some post of how i could get back my husband then, i saw a testimony shared by Marina Choas from SWEDEN about a spell caster named Dr. tunde. I contacted Marina Chaos to confirm about how Dr. tunde helped her and she clarified everything to me of how he helped her and that gave me the courage to get in touch with Dr. tunde for help. Dr. tunde assured me that my days of sorrows will be over within 48hours after he has finished with his work. I followed his instructions he gave to me because i had the believe, faith, hope and trust in him. Verily i say to you today that i and my husband are back together and i can proudly say and testify to the world of what Dr. tunde did for me. Contact him today via E-mail:(babatundesolutioncentre1@gmail.com) OR call him or whatsapp him  +2348143581382 if you seek his help.   Also specialize in treating all kinds of illness, HERPES VIRUS, HEPATITIS B, CANCER, BRAIN DISEASE, INFERTILITY, DIABETES AND MORE

    ReplyDelete
  26. Hello I'm From Memphis Tennessee, USA I feel so joyful today because of the help Dr Sunny has rendered to me for getting my Husband back with his spell. I have been married for 4 years and it has been so terrible because my husband was cheating on me and was seeking for a divorce. But when i came across Dr Sunny Email, on the internet posted by a lady, i decided to get in touch with him and i explained my situation to him and then seek his help but to my greatest surprise he told me that he will help me with my case for there is no problem without a solution. Here i am celebrating because my Husband is back home and am really enjoying my marriage, what a great celebration. i will keep on testifying on the internet because Dr Sunny is truly a real spell caster. Why not contact Dr Sunny now if you are facing any challenges in your relationship life. Email solutioncentre911@gmail.com Also specialize i1) love Spell
    2) Spells divorce
    3) Spells of marriage
    4.) pregnancy problems
    contact this great man if you have a problem for a lasting solution Through Email: solutioncentre911@gmail.com

    ReplyDelete
  27. I want to let the world know about Doctor Osasu the Great spell caster that brought back my husband to me when i thought all hope was lost. Doctor Osasu used his powerful spell to put a smile on my face by bringing back my man with his spell, at first i thought i was dreaming when my husband came back to me on his knees begging me to forgive him and accept him back and even since then he loves me more than i ever expected so i made a vow to my self the i will let the World know about Doctor Osasu because he is a God on earth. Do you have problems in your relationship ? have your partner broke up with you and you still love and want him back ? Do you have problem with your finance ? or do you need help of any kind then contact Doctor Osasu today for i give you 100% guarantee that he will help you just as he helped me. Doctor Osasu email is: drosasu25@gmail.com or add him on whasapp +2347064365391

    ReplyDelete
  28. I want to let the world know about Doctor Osasu the Great spell caster that brought back my husband to me when i thought all hope was lost. Doctor Osasu used his powerful spell to put a smile on my face by bringing back my man with his spell, at first i thought i was dreaming when my husband came back to me on his knees begging me to forgive him and accept him back and even since then he loves me more than i ever expected so i made a vow to my self the i will let the World know about Doctor Osasu because he is a God on earth. Do you have problems in your relationship ? have your partner broke up with you and you still love and want him back ? Do you have problem with your finance ? or do you need help of any kind then contact Doctor Osasu today for i give you 100% guarantee that he will help you just as he helped me. Doctor Osasu email is: drosasu25@gmail.com or add him on whasapp +2347064365391

    ReplyDelete
  29. Hello I'm From Atlanta, USA I feel so joyful today because of
    the help Dr Sunny has rendered to me for getting my Husband back with his love
    spell. I have been married for 4 years and it has been so terrible because
    my husband was cheating on me and was seeking for a divorce. But when i
    came across Dr Sunny Email, on the internet posted by a lady, i decided to
    get in touch with him and i explained my situation to him and then seek his
    help but to my greatest surprise he told me that he will help me with my
    case for there is no problem without a solution. Here i am celebrating
    because my Husband is back home and am really enjoying my marriage, what a
    great celebration. i will keep on testifying on the internet because Dr
    Sunny is truly a real spell caster. Why not contact Dr Sunny now if you
    are facing any challenges in your relationship life. Email
    (solutioncentre911@gmail.com) or whats app Dr on (+2349056393169) his Also specialize in
    1) love Spell
    2) Spells divorce
    3) Spells of marriage
    4) Busines spell
    5)Healing spell
    6) pregnancy problems
    contact this great man if you have a problem for a lasting solution Through
    Email: solutioncentre911@gmail.com

    ReplyDelete
  30. HOW DR. UNEME brought back my ex lover unemespellben@gmail.com
    Am DONNA, am from UK. After been in a relationship with my Boyfriend for 1 year now and we were planning to get married soon and all of a sudden he left me for another girl. of a truth, I really love this guy and never can I imagine life without him. I further tried all my best to get him back but all my effort to get him back in my life did not work out. It was on this faithful day, I came across some Testimonies on a website about this great spell caster called (Dr. UNEME) any persons claimed that he help them to renew their relationship and bring their ex lover back, I had to contact him because he was my last hope. I contacted him through his email and he assured me that in three days time my boyfriend is going to leave the other girl and come back to me and it was a very great surprise to see my boyfriend coming back to me after three days the spell was done. I am so very happy today that he came back to me and i achieved this with the help of Dr UNEME I equally want to use this opportunity to Tell/Advice to as many who need their ex back, if you need his help you can Contact him through
    EMAIL: unemespellben@gmail.com WHATSAPP HIM @ +2348143813120


    Thank You Once Again Dr.UNEME

    ReplyDelete
  31. Hello I'm From Memphis Tennessee, USA I feel so joyful today because of the help Dr Sunny has rendered to me for helping me to get my Husband back with his spell. I have been married for 4 years and it has been so terrible because my husband was cheating on me and was seeking for a divorce. But when i came across Dr Sunny Email, on the internet posted by a lady, i decided to get in touch with him and i explained my situation to him and then seek his help but to my greatest surprise he told me that he will help me with my case for there is no problem without a solution. Here i am celebrating because my Husband is back home and am really enjoying my marriage, what a great celebration. i will keep on testifying on the internet because Dr Sunny is truly a real spell caster. Why not contact Dr Sunny now if you are facing any challenges in your relationship life. Email solutioncentre911@gmail.com Also specialize i1) love Spell
    2) Spells divorce
    3) Spells of marriage4) Penis enlargement 5) Pregnancy problems6) Healing spell
    contact this great man if you have a problem for a lasting solution Through Email: solutioncentre911@gmail.com

    ReplyDelete
  32. I WANT TO LET THE WORLD KNOW ABOUT THE MIGHTY SPELL CASTER DR OKEKE ODIN WHO HELPED ME BROUGHT BACK MY HUSBAND BACK HOME TO MY KIDS. I WAS MARRIED TO MY HUSBAND WILLIAM SCOTCH FOR SEVEN YEARS AND WE LIVED HAPPILY TOGETHER UNTIL A CERTAIN DAY HE JUST WOKE UP FROM SLEEP TO TELL ME THAT HE DOES NOT LOVE ME ANY MORE. AT FIRST I TAUGHT IT WAS A JOKE BUT WITH TIME I BECAME TO SEE THAT HE WAS SERIOUS.WE ALREADY HAVE TWO KIDS TOGETHER AND I WAS ALREADY PREGNANT FOR MY THIRD BABY. SO A DAY CAME WHEN HE JUST ARRANGED HIS BAGS AND SAID HE WAS LEAVING THE HOUSE FOR GOOD AND NOT LONGER INTERESTED IN THE RELATIONSHIP. I FOUND OUT THAT HE WAS IN LOVE WITH ANOTHER GIRL AND THEY BOTH TRAVELED OUT OF THE STATE. AS I WAS READING THROUGH THE INTERNET ABOUT DIVORCE, I READ ABOUT THIS GREAT SPELL CASTER DR OKEKE SO I CONTACTED HIM FOR HELP. HE TOLD ME NOT TO WORRY THAT IN JUST 48 HOURS, THAT MY HUSBAND WAS GOING TO COME BACK. I NEVER BELIEVED HIM UNTIL THE FOLLOWING DAY WHEN MY HUSBAND CAME TO THE HOUSE ASKING FOR MY FORGIVENESS. NOW WE ARE HAPPY TOGETHER WITH OUR KIDS AND THE EVIL WOMAN THAT CAUSE THE PROBLEM IN MY MARRIAGE WAS SENT AWAY BY MY HUSBAND. YOU CAN CONTACT DR OKEKE TODAY TO SAVE YOUR MARRIAGE OR RELATIONSHIP REACH HIM ON HIS (writelovespell@gmail.com) or reach him on whatsAp on +2348140443360 HE IS THE BEST SPELL CASTER AND SOLUTION TO ALL YOUR PROBLEMS AND PREDICAMENTS

    ReplyDelete
  33. All thanks to the might spell caster Dr okeke am Lisa Steven i can't believe I got my husband back to me again. with the help of Dr okeke spell I had read some stuff about Dr.okeke how he help people restore there marriage or relationship before i contact him he said he will help me bring him back to me I never wanted to believe him because of what I went through of those fake people who claims to be spell caster but i didn't know that all those great stuff I read about Dr okeke were so real and accurate until i got my ex back, after Dr okeke asking for my picture and my husband picture after some time Dr okeke call me and told me my husband is coming back home within 2days it was like a joke to me but i was so surprise that my husband who lift me about 5months ago came back to me within 2days asking for my forgiveness After getting my ex back i taught it wise to share my testimony and the good work of Dr okeke with every one on this website I know most people will not believe this testimony because of those fake people online who claims to be a spell caster well am telling the world now there are still real and truthful spell caster and Dr okeke is one of the best and true spell caster i have ever see contact Dr okeke today your problem will be solved Dr okeke is real and truthful spell caster that rebuild any broken relationship or marriage with love spell. Do feel free to Contact Dr okeke via email:( writelovespell@gmail.com.) or reach him on WhatsApp (+2348140443360) he the solution to your problem and predicament

    ReplyDelete
  34. My father was diagnosed with ALS in the summer of 2013;  His initial symptoms were quite noticeable. He first experienced weakness in his right arm and his speech and swallowing abilities were profoundly affected. We all did our best to seek help for this disease no medications they prescribe worked ,we were all scared we might lost him due to his condition, as he had been his brother's caregiver a few years earlier for the same disease before he past. doctor recommend nuatural treatment from total cure herbal foundation for his ALS we have no choice to give a try on natural organic treatment ,this herbal cure has effectively reverse my father condition ,losing his balance which led to stumbling and falling stop  after the completing the herbal supplement which include his weakness in his right arm and his speech, home remedies from totalcureherbsfoundation.com is the best although their service is a little bit expensive but it worth it, they save lives.

    ReplyDelete
  35. My name is Giovanni, am feeling so much better now after Dr. Raymond
    healed me of corona virus with the help of a spell. it really hurt to have
    lost my mother and wife to this virus before meeting this great healer, i
    am so happy to have survive this deadly virus. A friend of mine Lee from
    China told me how this great Dr. Raymond healed two of his Daughter with a
    spell, so I decided to contact him immediately for help. I did as he
    instructed and now am healed completely. What a magnificent experience with
    Dr Raymond. I will not stop sharing these testimonies until each patients
    recovered. Thanks to the great Dr. Raymond for restoring my health. Contact
    him via:
    Email> swiftspellcast@gmail.com
    WhatsApp> +2348118116281

    He also solve issues listed below
    (1)HIV/AIDS
    (2) Herpes Virus
    (3) Body care
    (4) Bring back my Ex
    (5) Divorce spell.
    (6) Do you want to get rich?
    (7) You want your husband / wife to be yours forever?
    (8) Do you need financial assistance?
    (9) Are you cheated and want to Recover lost money?
    (10) Cancer treatment and various diseases
    (11) You want to stop divorce
    (12) Commercial protection
    (13) Looking for a job
    (14) Do you want to be promoted in the office?
    (15) Do you want children?
    (16).Spiritual protection
    if you need to resolve any of these issues today, please contact the
    solution temple ...

    ReplyDelete
  36. HOW DR. UNEME brought back my ex lover unemespellben@gmail.com
    Am DONNA, am from UK. After been in a relationship with my Boyfriend for 1 year now and we were planning to get married soon and all of a sudden he left me for another girl. of a truth, I really love this guy and never can I imagine life without him. I further tried all my best to get him back but all my effort to get him back in my life did not work out. It was on this faithful day, I came across some Testimonies on a website about this great spell caster called (Dr. UNEME) any persons claimed that he help them to renew their relationship and bring their ex lover back, I had to contact him because he was my last hope. I contacted him through his email and he assured me that in three days time my boyfriend is going to leave the other girl and come back to me and it was a very great surprise to see my boyfriend coming back to me after three days the spell was done. I am so very happy today that he came back to me and i achieved this with the help of Dr UNEME I equally want to use this opportunity to Tell/Advice to as many who need their ex back, if you need his help you can Contact him through
    EMAIL: unemespellben@gmail.com WHATSAPP HIM @ +2348143813120


    Thank You Once Again Dr.UNEME

    ReplyDelete
  37. I was diagnosed of herpes virus, I have tried all possible means to get cure but all my effort proved abortive, until a friend of mine introduced me to a herbal doctor called Dr Agaba, who prepare herbal medicine to cure all kind of diseases including herpes virus (Herpes), when i contacted this herbal doctor via email, he sent me herpes virus herbal medicine via courier service, when i received the herbal medicine he gave me step by step instructions on how to apply it, when i applied it as instructed i was totally cured from the virus within 3 weeks of usage. Contact this great herbal doctor today to get your cure. 
    Via Email: Dragabasolutionhome@gmail.com or WhatApp: +2349074536486

    ReplyDelete
  38. After years of working in construction and smoking cigarettes,I was diagnosed with COPD and pulmonary fibrosis. As my illness progressed, I found myself  relying on supplemental oxygen around the clock. Even getting out of bed became a challenge.My doctors and specialists recommended a lung transplant, but after researching the pros and cons of such a drastic procedure, I decided to try something less invasive. I contacted multivitamin herbal cure cape town for organic natural treatment you can search for them on google. Following the COPD and pulmonary fibrosis herbal treatment procedure , my lung function has improved dramatically after my first four weeks of the herbal formula .My quality of life has gotten a lot better. I was amazed that I could breathe without any dead air. I no longer need oxygen and look forward to continued improvement because a specialist told me already I have a 99% chance of getting my condition totally due to the herbal treatment effectiveness . If you or someone you love has COPD, pulmonary fibrosis or another chronic lung disease, and would like to see improvements like mine they even guarantee me totally cure once the treatment is done , their website is multivitamincare .org Call (or SMS) them : +1 (786) 544-5148 they will put you through on the herbal process .

    ReplyDelete

  39. My husband was diagnosed with early onset Parkinson's disease at 57.his symptoms were shuffling of feet,slurred speech, low volume speech, degradation of hand writing, horrible driving skills, right arm held at 45 degree angle, things were tough for me, but now he finally free from the disease with the help of total cure ultimate health home, he now walks properly and all symptoms has reversed, he had trouble with balance especially at night, getting into the shower and exiting it is difficult,getting into bed is also another thing he finds impossible.we had to find a better solution for his condition which has really helped him a lot,the biggest helped we had was ultimatehealthhome they walked us through the proper steps,am highly recommended this ultimatehealthhome@gmail.com to anyone who needs help.

    ReplyDelete
  40. I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
    liver already present. I started on antiviral medications which
    reduced the viral load initially. After a couple of years the virus
    became resistant. I started on HEPATITIS B Herbal treatment from
    ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
    treatment totally reversed the virus. I did another blood test after
    the 6 months long treatment and tested negative to the virus. Amazing
    treatment! This treatment is a breakthrough for all HBV carriers.

    ReplyDelete
  41. Genuine and Amazing service on how to get back your ex. To whom it may concern, After spending hours searching the internet about how to get my lover back i was glad that i contacted Dr Akhigbe spell caster Without wasting much time i would like to write out the details of Dr Akhigbe whose details has done a lot of people a huge favor, you can contact him on drakhigbespellhome7@gmail.com. Or WhatsApp him on +2349021374574

    ReplyDelete
  42. I am out today to let the world know about this great man from Africa he is a good man and his spell work 💯 % according to your heart desire contacts him today and get your problem Solved because when I contacted him I thought it won't work but at last am with my husband today and with my kids all thanks to Dr Okosun you are indeed a great man God bless you' you can contact him via what's app +2348133974847 or Okosunspelltemple33@gmail.com

    ReplyDelete