Thursday, July 20, 2017

Approach To A Patient With Chronic Obstructive Pulmonary Disease (COPD)



Chronic obstructive pulmonary disease (COPD) is characterized by chronic airflow limitation due to impedance to expiratory airflow, mucosal edema, infection, bronchospasm and bronchoconstriction due to decreased lung elasticity.

Smoking is the main cause, but others are chronic asthma, α-1 antitrypsin deficiency and chronic infection (eg bronchiectasis).

History
Exertional dyspnoea, cough, and sputum are usual complaints.
Ask about:
• Present treatment including inhalers, steroids, antibiotics, theophyllines, nebulizers, opiate analgesia, and home O 2 treatment.
• Past history: inquire about previous admissions and co-morbidity.
• Exercise tolerance: how far can they walk on the flat without stopping? How many stairs can they climb? Do they get out of the house?
• Recent history: ask about wheeze and dyspnoea, sputum volume and color. Chest injuries, abdominal problems and other infections may cause respiratory decompensation.
• Read the hospital notes: have there been prior ICU assessments? Has the respiratory consultant advised whether ICU would be appropriate?

Examination

  • Examine for dyspnoea, tachypnoea, accessory muscle use, and lip-pursing.
  • Look for hyperinflation (‘barrel chest’) and listen for wheeze or coarse crackles (large airway secretions). 
  • Cyanosis, plethora (due to secondary polycythaemia) and right heart failure (cor pulmonale) suggest advanced disease. 
  • Look for evidence of hypercarbia: tremor, bounding pulses, peripheral vasodilatation, drowsiness, or confusion.
  • Check for evidence of other causes of acute dyspnoea, particularly: asthma, pulmonary edema, pneumothorax , Pulmonary embolism. Remember that these conditions may co-exist with COPD.

Investigations
• SpO 2 , respiratory rate, pulse rate, BP,  Temperature , and peak flow (if possible).
• Chest X ray (look for pneumothorax, hyperinflation, bullae, and pneumonia).
• ECG.
• ABG (or capillary blood gas), documenting the FiO 2 . Use pCO 2 to guide O 2 therapy.
• CBC, U&E, glucose, theophylline levels and, if pneumonia is suspected and/or pyrexial, blood cultures, CRP, and pneumococcal antigen.
• Send sputum for microscopy and culture if purulent.

Treatment

  • Give O 2 — remember that hypercapnoea with O 2 is multifactorial. The aim is to maintain SpO 2 88–92 % without precipitating respiratory acidosis or worsening hypercapnoea . 
  • If the patient is known to have COPD and is drowsy or has a documented history of previous hypercapnoeic respiratory failure, give FiO 2 of 28 % via a Venturi mask and obtain ABG. Titrate up the FiO 2 with serial ABG sampling until the minimum FiO 2 that achieves SpO 2 88–92 % .
  • Reduce inhaled oxygen concentration if SpO 2 > 92 % .

Give bronchodilators and steroids
• Give nebulized salbutamol 5mg or terbutaline 5–10 mg.
• Consider adding nebulized ipratropium 0.5mg.
• Use O 2 driven nebulizers unless the patient has hypercapnoeic, acidotic COPD, in which case use nebulizers driven by compressed air, supplemented by O 2 via nasal prongs at 1–4 L/min.
• Give steroids (eg prednisolone 30 mg PO stat or IV hydrocortisone 100 mg).

Other drug treatments
• Give antibiotics (eg amoxicillin, tetracycline, or clarithromycin) if the patient reports increased purulent sputum, or there is clinical evidence of pneumonia and/or consolidation on chest X ray.
• Consider IV aminophylline or salbutamol if there is an inadequate response to nebulized bronchodilators.
• Consider naloxone if the patient is taking an opioid analgesic that may cause respiratory depression.

42 comments:

  1. COPD is a obstructive lung disease.It occurs breathing problems.It becomes worsen over time.People who have this disease need to take consultant for copd treatment

    ReplyDelete
    Replies
    1. Eleven months ago I was diagnosed with chronic obstructive pulmonary disease (COPD). I have had asthma all my life. I have just been to the doctors and seen a senior nurse who has told me I no longer have this lung conditions because Total Cure Herbal Foundation has given me a good health while using their prescription. My breathing is totally great and I don't feel I need the COPD inhaler anymore,i actually found the herbal foundation on guessbook i managed to give a try on the their herbs which totally save me from this chronic disease..Id like for you to give a try also by contacting them on
      https://totalcureherbalfou5.wixsite.com/herbal/contact Totalcureherbalfoundation@gmail.com.

      Delete
    2. My twin sister was diagnosed with COPD few years ago. She was on a trial for some months. It turned out that the drug she was given was not a placebo, but the real thing and it was working. Then they pulled the plug on it saying it was not viable! So. they got her on another trial, that trial also was cancelled after a while. 2017 I ordered COPD herbal remedy from Best Health Herbal Centre online and they shipped it to me. She only used the COPD herbal remedy for 5 weeks, all her symptoms disappeared, she stopped wearing oxygen and my family doctor confirmed her, COPD free now. Is almost 5 months now, no more COPD. Please fellow oxygen user's or COPD patients, don't hesitate to purchase this incredible product via email : chiefdrlucky@gmail.com .Whats App or call +2349065398067

      Delete
    3. I have been sick with bronchitis and a sinus infection for about 6 to 7 weeks now. I have been to the doctors twice and the emergency room. I have been put on three different antibiotics, prednisone, an albuterol inhaler, and I take herbal health remedies foundation OTC cold medications. I am no longer coughing a lot and have terrible coughing fits. Then I sound like someone with emphysema. I will cough until I throw up but the doctors don't really have any new treatments for me, after trying out herbal health remedies foundation now am better. Contact: info@herbalhealthremediesfoundation.com or Website:http://herbalhealthremediesfoundation.com

      Delete
    4. Do anyone still doubt natural herbs? I’ve seen the great importance of natural supplements and the wonderful work Dr Edidia has done in my husband life.
      I was looking for chronic obstructive pulmonary disease COPD treatments for my husband who was 72yrs old, my husband has COPD and cancer, his condition was very critical which i was very afraid that will not survive it.
      His white blood count was very low right now and his doctors are planning on starting some chemo or other treatment soon.. I don't believe he will last long if he does this.. His COPD is getting worse even though he hasn't smoked in 30 years. so i decided to come online to see if there will be better alternative, during my research i saw a lady post about doctor Dr Edidia who has power over deadly disease, so i decided to contact him because i really do not care about what my husband was talking in all i want for him is for him to get well for me because he was all i have, my husband took the remedies that he send to us through UPS as he told us and few weeks later my husband stop to notice that symptoms of his disease are begging to leave him so he went back to his Dr and he was told he no longer has those diseases.
      My husband is totally free of COPD and cancer if not for doctor Edidia who help us rid this problem there is a possibility that my husband wouldn't be alive today.
      their contact info (dredidiaherbalhome@gmail.com or whatsapp +2349074505296 visit his website
      http://dredidiaherbalhome.weebly.com/

      Delete
    5. Do anyone still doubt natural herbs? I’ve seen the great importance of natural supplements and the wonderful work Dr Edidia has done in my husband life.
      I was looking for chronic obstructive pulmonary disease COPD treatments for my husband who was 72yrs old, my husband has COPD and cancer, his condition was very critical which i was very afraid that will not survive it.
      His white blood count was very low right now and his doctors are planning on starting some chemo or other treatment soon.. I don't believe he will last long if he does this.. His COPD is getting worse even though he hasn't smoked in 30 years. so i decided to come online to see if there will be better alternative, during my research i saw a lady post about doctor Dr Edidia who has power over deadly disease, so i decided to contact him because i really do not care about what my husband was talking in all i want for him is for him to get well for me because he was all i have, my husband took the remedies that he send to us through UPS as he told us and few weeks later my husband stop to notice that symptoms of his disease are begging to leave him so he went back to his Dr and he was told he no longer has those diseases.
      My husband is totally free of COPD and cancer if not for doctor Edidia who help us rid this problem there is a possibility that my husband wouldn't be alive today.
      their contact info (dredidiaherbalhome@gmail.com or whatsapp +2349074505296 visit his website
      http://dredidiaherbalhome.weebly.com/

      Delete
    6. Do anyone still doubt natural herbs? I’ve seen the great importance of natural supplements and the wonderful work Dr Edidia has done in my husband life.
      I was looking for chronic obstructive pulmonary disease COPD treatments for my husband who was 72yrs old, my husband has COPD and cancer, his condition was very critical which i was very afraid that will not survive it.
      His white blood count was very low right now and his doctors are planning on starting some chemo or other treatment soon.. I don't believe he will last long if he does this.. His COPD is getting worse even though he hasn't smoked in 30 years. so i decided to come online to see if there will be better alternative, during my research i saw a lady post about doctor Dr Edidia who has power over deadly disease, so i decided to contact him because i really do not care about what my husband was talking in all i want for him is for him to get well for me because he was all i have, my husband took the remedies that he send to us through UPS as he told us and few weeks later my husband stop to notice that symptoms of his disease are begging to leave him so he went back to his Dr and he was told he no longer has those diseases.
      My husband is totally free of COPD and cancer if not for doctor Edidia who help us rid this problem there is a possibility that my husband wouldn't be alive today.
      their contact info (dredidiaherbalhome@gmail.com or whatsapp +2349074505296 visit his website
      http://dredidiaherbalhome.weebly.com/

      Delete
    7. Do anyone still doubt natural herbs? I’ve seen the great importance of natural supplements and the wonderful work Dr Edidia has done in my husband life.
      I was looking for chronic obstructive pulmonary disease COPD treatments for my husband who was 72yrs old, my husband has COPD and cancer, his condition was very critical which i was very afraid that will not survive it.
      His white blood count was very low right now and his doctors are planning on starting some chemo or other treatment soon.. I don't believe he will last long if he does this.. His COPD is getting worse even though he hasn't smoked in 30 years. so i decided to come online to see if there will be better alternative, during my research i saw a lady post about doctor Dr Edidia who has power over deadly disease, so i decided to contact him because i really do not care about what my husband was talking in all i want for him is for him to get well for me because he was all i have, my husband took the remedies that he send to us through UPS as he told us and few weeks later my husband stop to notice that symptoms of his disease are begging to leave him so he went back to his Dr and he was told he no longer has those diseases.
      My husband is totally free of COPD and cancer if not for doctor Edidia who help us rid this problem there is a possibility that my husband wouldn't be alive today.
      their contact info (dredidiaherbalhome@gmail.com or whatsapp +2349074505296 visit his website
      http://dredidiaherbalhome.weebly.com/ or
      https://dr-edidia-herbal-home.business.site/

      Delete
    8. Am Susan Rodrick by name, i was diagnosed with Herpes for 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 mrs amber post on how Dr Emmanuel saved him from the VIRUS with herbal medicine i contacted Dr Emmanuel on WhatsApp at +2348140073965 or email address: nativehealthclinic@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 through courier service and told me how to use it,after 14days of usage I went to see the doctor for test ,then the result was negative,am the happiest woman on earth now. this testimony is real.thanks to Dr Emmanuel God bless you. you can also reach him on his whatsApp number +2348140073965

      Delete
    9. Herpes is a serious and recurring disease which can't be cured through drugs or injections by the American doctors but the best way to deal with Herpes is by taking natural herbs medicine for it, I have read about DR OKOSUN the great herbalist doctor who cure me from herpes with his powerful herbal medicine. 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 SPEED POST and it got to me after 3 days!
      i used the medicine as he instructed me (MORNING and EVENING) and i was
      cured!
      its really like a dream but i am so happy! for the people suffering from the following diseases, Cancer, hypothyroidism, Herpes, COPD, HIV, Arthritis, Hpv, Infections,Liver Disease, Autoimmune Diseases, Parkinson's disease,Lupus and more should contact him for his herbal medicine because i am a living testimony and i was cured of herpes and his medicine is legit. i sent him what he requested and he sent me his medicine which i took for 3 good weeks and today am out here with negative result. when i went for test i was so happy after going through his medication. you can reach him through his email drokosun55@gmail.com or  whatsapp number:+2348124363791  

      Delete
    10. This is real take it serious, who will believe that a herb can cure HERPES DISEASE in my body, i never believe that this will work i have spend a lot when getting drugs from the hospital to keep me healthy, what i was waiting for is death because i was broke, one day i hard about this great man who is well know of HIV,cancer and herpes cure, i decided to email him, unknowingly to me that this will be the end of the HERPES DISEASE, he prepare the herb for me, and give me instruction on how to take it, at the end of the week which was seven days,he told me to go to the hospital for a check up, and i went surprisingly after it the doctor confirm me cure from HERPES disease I thought it was a joke, i went to other hospital the doctor there also confirm me cure from HERPES disease then i took my friend who was also HERPES patient to the Doctor after the taking of the herbs she was also confirm cure from HERPES disease .please I want every one with this virus to be free, that is why am dropping his email address,(drodukuherbalhealingcentre@gmail.com or his whatsap contact +2348124765093) you can visit his website https://drodukuherbalhealingcentre.weebly.com
       https://dr-oduku-herbal-healing-centre.business.site i want you to email him he is a great man. thank you for saving my life, and I promise I will always testify for your good work. you can also reach me clararose2128@gmail.com

      Delete
    11. This is real take it serious, who will believe that a herb can cure HERPES DISEASE in my body, i never believe that this will work i have spend a
      lot when getting drugs from the hospital to keep me healthy, what i was
      waiting for is death because i was broke, one day i hard about this great
      man who is well know of HIV,cancer and herpes cure, i decided to email him,
      unknowingly to me that this will be the end of the HERPES DISEASE, he
      prepare the herb for me, and give me instruction on how to take it, at the
      end of the week which was seven days,he told me to go to the hospital for a
      check up, and i went surprisingly after it the doctor confirm me cure from
      HERPES disease I thought it was a joke, i went to other hospital the doctor
      there also confirm me cure from HERPES disease then i took my friend who
      was also HERPES patient to the Doctor after the taking of the herbs she was
      also confirm cure from HERPES disease .please I want every one with this
      virus to be free, that is why am dropping his email address,(drodukuherbalhealingcentre@gmail.com or his whatsap contact +2348124765093)
      you can visit his website https://dr-oduku-herbal-healing-centre.business.site
      or his blogs page
      https://drodukuherbalhealingcentre. blogspot.com/
      https://drodukuherbscure.blogspot.com/

      i want you to email him he is a great man. thank you for saving my life, and I promise I
      will always testify for your good work. you can also reach me clararose2128@gmail.com

      Delete
    12. Dr Oduku herpes treatment is one of the most effective home remedies for herpes which has the ability to kill the herpes virus permanently. I found out I had herpes 4 years ago. My first outbreak was definitely the worst thing I ever experienced. The bumps and blisters were swollen and red. I had a doctor give me Valtrex but I take the generic. I had to take the Valtrex 1 gram a day for about a week and I had another doctor prescribe me Acyclovir but that gave me the worst headaches ever, so I stopped taking it.after 2 year all that prove abortive the herpes was still there,
      Since I was first diagnosed I have about 2 outbreaks a month. I have been able to cope with this by having supportive family and friends who look out for me,though it wasnt easy for me, one day i read a post by someone testifying about Dr  Oduku that she was cured totally using his herbal product, i decided to gave it a try, I contacted him as instructed in the testimony. i made request for the herbal medicine, he actually did send it to me and gave me the instruction on how i will use it,
      The good news is this, i went to the hospital after the medication for test as instructed by Dr Oduku, i was tested negative, i was suprised finding out that am now herpes virus negative against my former result which was positive, Am happy to let the whole world know that today am free from this herpes disease,
      no more outbreak, no more cold sores, excruciating pains, i will advice anyone reading this message  and needed a cure for herpes as well should please contact this Great Dr Oduku on drodukuherbalhealingcentre@gmail.com or WhatsApp +2348124765093

      Visit his website: https://drodukuherbalhealingcentre.weebly.com

      https://dr-oduku-herbal-healing-centre.business.site

      https://drodukuherbscure.blogspot.com/

      Dr Oduku is the best herbal doctor.


      Here is my private e-mail tracylee688@gmail.com you can also get in touch with me.

      Delete
    13. I sincerely want to thank herbal health remedies foundation for using their product to cure my Parkinson's disease, since 3 years, I have been diagnosed with Parkinson's disease and it has been giving me challenges, I was so perplexed cause i have been taking several drugs to be cured but every of my effort was in vain, one morning i was browsing through the internet then i saw several testimonies about people cured from Parkinson's disease and immediately i contacted them and i got reply how i can purchase the product, i used the herbal remedy for 6 weeks without levodopa and all his symptoms was completely reversed, now i am happy and cured from Parkinson's disease. I recommended this Parkinson's herbal remedy for all Parkinson's Patient on his Email: info@herbalhealthremediesfoundation.com or Visit Website: http://herbalhealthremediesfoundation.com

      Delete
    14. This is real take it serious, who will believe that a herb can cure HERPES DISEASE in my body, i never believe that this will work i have spend a
      lot when getting drugs from the hospital to keep me healthy, what i was
      waiting for is death because i was broke, one day i hard about this great
      man who is well know of HIV,cancer and herpes cure, i decided to email him,
      unknowingly to me that this will be the end of the HERPES DISEASE, he
      prepare the herb for me, and give me instruction on how to take it, at the
      end of the week which was seven days,he told me to go to the hospital for a
      check up, and i went surprisingly after it the doctor confirm me cure from
      HERPES disease I thought it was a joke, i went to other hospital the doctor
      there also confirm me cure from HERPES disease then i took my friend who
      was also HERPES patient to the Doctor after the taking of the herbs she was
      also confirm cure from HERPES disease .please I want every one with this
      virus to be free, that is why am dropping his email address,(drodukuherbalhealingcentre@gmail.com or his whatsap contact +2348124765093)
      you can visit his website https://dr-oduku-herbal-healing-centre.business.site
      or his blogs page
      https://drodukuherbalhealingcentre. blogspot.com/
      https://drodukuherbscure.blogspot.com/

      i want you to email him he is a great man. thank you for saving my life, and I promise I
      will always testify for your good work. you can also reach me clararose2128@gmail.com

      Delete
    15. NATURAL HERBS FOR CURING HIV, HERPES, HPV, HSV1&2, CANCER AND DIABETES

      I just experience the wonders of Dr Ohunyom herbs. God will continue to bless you Dr Ohunyom more abundantly for the good work you are doing in peoples life by curing them from different type of diseases. I will keep on testifying about your good work. I was diagnosed of herpes 6 months ago and my doctor told me that there is no cure. I did not believe him and i keep my faith up hoping that one day i will be cured from this horrible disease. One day i saw a post on HIV forum about a herbal doctor called Dr Ohunyom on how he cure people from diseases with his herbs and i quickly contact Dr Ohunyom on his email and explain my problem to him and he told me not to worry that he is going to cure me and truly he prepared the cure and send it to me through UPS and gave me instructions on how to take it. After two weeks of taken the herbal cure, i went to my doctor for checkup and my result show Negative and my doctor told me that there is no trace of herpes in my body and the virus is completely gone from my body. Everybody at the clinic rejoice with me and they all ask for Dr Ohunyom contact. You can contact Dr Ohunyom on his email:drohunyom@gmail.com or WhatsApp him on +2349060579973.and He also have herbs medicine to cured the following diseases; eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer  ETC

      Delete
    16. I'm so exited to share my testimonies about the Good Work of Dr. Udebhu who get me cured from herpes simplex virus (HSV1&2) with his herbs, I never thought that I will live on earth before the year runs out. I have been suffering from herpes, I had spent a lot of money going from one Hospital to another looking for way to get rid of this disease, the hospital have been my home everyday residence. Constant checks up have been my hobby not until this faithful day, I was searching
       through the internet, I saw a testimony on how Dr.Udebhu helped someone in curing his herpes disease using his healing
       Herbs, quickly I copied his email just to give him a test I spoke to him, he told me that he is going to provide the herbal cure to me, which he
      did, after i receive his herbs and i take it as instructed i was cure permanently from herpes my herpes disease was gone. so I decided to share my testimony, that nothing is impossible with God, God use a man to healed me. No matter what you are passing through, no matter how deadly the sickness is and no matter what the situation is God that did mine is still going to do yours, people suffering from herpes, brain tumor, kidney disease, pcos, AIDS, ALS,copd, asthma, athritis,herpes, Cancer,Hpv, any kind of disease, you can rich him now via ? Gmail address: drudebhuherbalhome@gmail.com or whatsapp +2349051254152


      Delete
    17. I was positive to the deadly virus called HERPES and i lost hope because i
      was out casted and rejected even by my closet friends.
      i searched on-line to know and enquirer about cure for HERPES and i read
      someone testimony on how he was cured from HSV-2 so i decided to contact
      the same herbalist Call Dr Osagie 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 SPEED POST and it got to me after 3 days!
      i used the medicine as he instructed me (MORNING and EVENING) and i was
      cured!
      its really like a dream but i am so happy!
      thats the reason i decided to also add more comment of Him so that more can
      be saved just like me!
      and if you need his help, you can email him on drosagieherbalcentre627@gmail.com
       or whatsapp +2348160530032
      here is the Dr website https://drosagieherbalcentre627.weebly.com/

      Delete
    18. I was positive to the deadly virus called HERPES and i lost hope because i
      was out casted and rejected even by my closet friends.
      i searched on-line to know and enquirer about cure for HERPES and i read
      someone testimony on how he was cured from HSV-2 so i decided to contact
      the same herbalist Call Dr Osagie 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 SPEED POST and it got to me after 3 days!
      i used the medicine as he instructed me (MORNING and EVENING) and i was
      cured!
      its really like a dream but i am so happy!
      thats the reason i decided to also add more comment of Him so that more can
      be saved just like me!
      and if you need his help, you can email him on drosagieherbalcentre627@gmail.com
       or whatsapp +2348160530032
      here is the Dr website https://drosagieherbalcentre627.weebly.com/

      Delete
  2. I was diagnosed with COPD 5 years ago and was taking Spiriva and Advair plus nose sprays to slow down progression. My symptoms have always been shortness of breath, and dizziness. I am a 54 year old female. the Spiriva wasn’t really working and I could not tolerate them for long due to severe side effects, so this year our family doctor started me on Natural Herbal Gardens COPD Herbal mixture, We ordered their COPD herbal treatment after reading alot of positive reviews, i am happy to report with the help of Natural Herbal Garden natural herbs I have been able to reverse my symptoms using herbs, my symptoms totally declined over a 9 weeks use of the Natural Herbal Gardens COPD natural herbal formula. My COPD is totally reversed! Their official web page is www . naturalherbalgardens . com After the herbal treatment I also finally was able to give up smoking after 20 years. I ‘m thankful to nature

    ReplyDelete
    Replies
    1. Dr Oduku herpes treatment is one of the most effective home remedies for herpes which has the ability to kill the herpes virus permanently. I found out I had herpes 4 years ago. My first outbreak was definitely the worst thing I ever experienced. The bumps and blisters were swollen and red. I had a doctor give me Valtrex but I take the generic. I had to take the Valtrex 1 gram a day for about a week and I had another doctor prescribe me Acyclovir but that gave me the worst headaches ever, so I stopped taking it.after 2 year all that prove abortive the herpes was still there,
      Since I was first diagnosed I have about 2 outbreaks a month. I have been able to cope with this by having supportive family and friends who look out for me,though it wasnt easy for me, one day i read a post by someone testifying about Dr  Oduku that she was cured totally using his herbal product, i decided to gave it a try, I contacted him as instructed in the testimony. i made request for the herbal medicine, he actually did send it to me and gave me the instruction on how i will use it,
      The good news is this, i went to the hospital after the medication for test as instructed by Dr Oduku, i was tested negative, i was suprised finding out that am now herpes virus negative against my former result which was positive, Am happy to let the whole world know that today am free from this herpes disease,
      no more outbreak, no more cold sores, excruciating pains, i will advice anyone reading this message  and needed a cure for herpes as well should please contact this Great Dr Oduku on drodukuherbalhealingcentre@gmail.com or WhatsApp +2348124765093

      Visit his website: https://drodukuherbalhealingcentre.weebly.com

      https://dr-oduku-herbal-healing-centre.business.site

      https://drodukuherbscure.blogspot.com/

      Dr Oduku is the best herbal doctor.


      Here is my private e-mail tracylee688@gmail.com you can also get in touch with me.

      Delete
  3. Eleven months ago I was diagnosed with chronic obstructive pulmonary disease (COPD). I have had asthma all my life. I have just been to the doctors and seen a senior nurse who has told me I no longer have this lung conditions because Total Cure Herbal Foundation has given me a good health while using their prescription. My breathing is totally great and I don't feel I need the COPD inhaler anymore,i actually found the herbal foundation on guessbook i managed to give a try on the their herbs which totally save me from this chronic disease..Id like for you to give a try also by contacting them on
    https://totalcureherbalfou5.wixsite.com/herbal/contact Totalcureherbalfoundation@gmail.com.

    ReplyDelete
  4. I was diagnosed with emphysema in 2008, I have to be on oxygen 16 hours minimum. I have 27% lung function. I have lost count of the times that I have been hospitalized. I worked full time, but found it was getting too much for me, so i decided to find a better solution to get rid of the disease totally,during my research i came across https://totalcureherbalfou5.wixsite.com/herbal/contact Totalcureherbalfoundation@gmail.com which i purchase the products from them, the tremendous cure has successful stop this disease from progression and gradually alleviate all symptoms which including chest pressure, shorts of breath.this herbal formula really saved my life after several years of pains but now im fully cured.

    ReplyDelete
  5. My twin sister was diagnosed with COPD few years ago. She was on a trial for some months. It turned out that the drug she was given was not a placebo, but the real thing and it was working. Then they pulled the plug on it saying it was not viable! So. they got her on another trial, that trial also was cancelled after a while. 2017 I ordered COPD herbal remedy from Best Health Herbal Centre online and they shipped it to me. She only used the COPD herbal remedy for 5 weeks, all her symptoms disappeared, she stopped wearing oxygen and my family doctor confirmed her, COPD free now. Is almost 5 months now, no more COPD. Please fellow oxygen user's or COPD patients, don't hesitate to purchase this incredible product via email : chiefdrlucky@gmail.com .Whats App or call +2349065398067

    ReplyDelete
  6. I have been sick with bronchitis and a sinus infection for about 6 to 7 weeks now. I have been to the doctors twice and the emergency room. I have been put on three different antibiotics, prednisone, an albuterol inhaler, and I take herbal health remedies foundation OTC cold medications. I am no longer coughing a lot and have terrible coughing fits. Then I sound like someone with emphysema. I will cough until I throw up but the doctors don't really have any new treatments for me, after trying out herbal health remedies foundation now am better. Contact: info@herbalhealthremediesfoundation.com or Website:http://herbalhealthremediesfoundation.com

    ReplyDelete
  7. I have been diagnosed with COPD (chronic obstructive pulmonary disease) and my doctor has given me Seebri Breezhaler, it's an inhalation powder 44 micrograms. I take it once a day in the morning. It's a great help to breathing, it's a new medicine on test, 10 out of 10 from me! But still yet i was told it has no cure for it. I was fed up to nearly take my life until my son saw a post of a lady who testify that there's a cure for copd and she was diagnosed with this disease for 8 years before she came arrow a website of an Africa clinic. Which provide natural herbal herbs to cure copd and she purchase it through online. My son purchase their copd herbal remedy on my behalf and give it to me to use with the instructions given on how to apply it, when i applied it as instructed i was totally cured of this deadly disease within 12 weeks of usage. I advise whosoever reading my testimony should visit www.solutionhealthherbalclinic.com and seek for your solution, You also can email at solutionsherbalclinic@gmail.com.

    ReplyDelete
  8. I have been diagnosed with COPD (chronic obstructive pulmonary disease) and my doctor has given me Seebri Breezhaler, it's an inhalation powder 44 micrograms. I take it once a day in the morning. It's a great help to breathing, it's a new medicine on test, 10 out of 10 from me! But still yet i was told it has no cure for it. I was fed up to nearly take my life until my son saw a post of a lady who testify that there's a cure for copd and she was diagnosed with this disease for 8 years before she came arrow a website of an Africa clinic. Which provide natural herbal herbs to cure copd and she purchase it through online. My son purchase their copd herbal remedy on my behalf and give it to me to use with the instructions given on how to apply it, when i applied it as instructed i was totally cured of this deadly disease within 12 weeks of usage. I advise whosoever reading my testimony should visit www.solutionhealthherbalclinic.com and seek for your solution, You also can email at solutionsherbalclinic@gmail.com.

    ReplyDelete
  9. Do anyone still doubt natural herbs? I’ve seen the great importance of natural supplements and the wonderful work Dr Edidia has done in my husband life.
    I was looking for chronic obstructive pulmonary disease COPD treatments for my husband who was 72yrs old, my husband has COPD and cancer, his condition was very critical which i was very afraid that will not survive it.
    His white blood count was very low right now and his doctors are planning on starting some chemo or other treatment soon.. I don't believe he will last long if he does this.. His COPD is getting worse even though he hasn't smoked in 30 years. so i decided to come online to see if there will be better alternative, during my research i saw a lady post about doctor Dr Edidia who has power over deadly disease, so i decided to contact him because i really do not care about what my husband was talking in all i want for him is for him to get well for me because he was all i have, my husband took the remedies that he send to us through UPS as he told us and few weeks later my husband stop to notice that symptoms of his disease are begging to leave him so he went back to his Dr and he was told he no longer has those diseases.
    My husband is totally free of COPD and cancer if not for doctor Edidia who help us rid this problem there is a possibility that my husband wouldn't be alive today.
    their contact info (dredidiaherbalhome@gmail.com or whatsapp +2349074505296 visit his website
    http://dredidiaherbalhome.weebly.com/

    ReplyDelete


  10. TESTIMONY ON HOW I BECAME INSTANT MILLIONAIRE WITH THE HELP OF ILLUMINATI Hello viewers, i want to use this opportunity to thank DR ODUCKAYAMUD who finally helped me to become a full member of the Great Illuminati Brotherhood and now i am living my life in happiness. I was once indigent and lived my life in extreme poverty, the standard of living became so poor and low that I even thought of killing myself, I was deeply strangled up by poverty and I had no body to help me, to eat was a problem to me and my family. Until I met with a great generous man by name DR ODUCKAYAMUD who told me there would be no need for me to die and he introduced me into the world of riches and fame. He told me to get my membership form which i did, and he told me to get ready for my initiation day and that all new members will be given a certain reward of $100,000 USD cash on my initiation day, i was so happy. so i was initiated to the Illuminati world and few days later i was awarded a contract worth of millions of Dollars, in my business i am doing very well right now, I used just 200 dollar to get this beg amount of money and I did exactly what i was ask to do and today the story has change, i have up to $800,000000 USD in my bank account, I am a living testimony, my dream and all the wealth, fame, success and riches, i have ever desired is been made a reality. All the same thanks DR ODUCKAYAMUD who made my dreams a reality by helping me become a member of the great illuminate.YOU CAN COUNTACT HIM ON oduckayamud49@gmail.com or oduckayamud49@yahoo.com and also be a happy man like me because we are not getting any younger.his a life changer YOU CAN ALL REACH HIM ON WhatsApp number (+2347059232579)

    ReplyDelete
  11. 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 com 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
  12. Am Susan Rodrick by name, i was diagnosed with Herpes for 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 mrs amber post on how Dr Emmanuel saved him from the VIRUS with herbal medicine i contacted Dr Emmanuel on WhatsApp at +2348140073965 or email address: nativehealthclinic@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 through courier service and told me how to use it,after 14days of usage I went to see the doctor for test ,then the result was negative,am the happiest woman on earth now. this testimony is real.thanks to Dr Emmanuel God bless you. you can also reach him on his whatsApp number +2348140073965

    ReplyDelete
  13. I sincerely want to thank herbal health remedies foundation for using their product to cure my Parkinson's disease, since 3 years, I have been diagnosed with Parkinson's disease and it has been giving me challenges, I was so perplexed cause i have been taking several drugs to be cured but every of my effort was in vain, one morning i was browsing through the internet then i saw several testimonies about people cured from Parkinson's disease and immediately i contacted them and i got reply how i can purchase the product, i used the herbal remedy for 6 weeks without levodopa and all his symptoms was completely reversed, now i am happy and cured from Parkinson's disease. I recommended this Parkinson's herbal remedy for all Parkinson's Patient on his Email: info@herbalhealthremediesfoundation.com or Visit Website: http://herbalhealthremediesfoundation.com

    ReplyDelete
  14. I have been suffering from (HERPES) disease for the last four years and had constant pain, especially in my knees. During the first year, I had faith in God that I would be healed someday.This disease started to circulate all over my body and I have been taking treatment from my doctor, a few weeks ago I came on search on the internet if I could get any information concerning the prevention of this disease, on my search I saw a testimony of someone who has been healed from (Hepatitis B and Cancer) by this Man Dr. Silver and she also gave the email address of this man and advise we should contact him for any sickness that he would be of help, so I wrote to Dr. Silver telling him about my (HERPES Virus) he told me not to worry that I was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later I started experiencing changes all over me as the Dr. assured me that I have cured, after some time i went to my doctor to confirmed if I have been finally healed behold it was TRUE, So friends my advice is if you have such sickness or any other at all you can email Dr. Silver (drsilverhealingtemple@gmail.com) sir I am indeed grateful for the help I will forever recommend you to my friends!!! with your lovely Email Address ( drsilverhealingtemple@gmail.com or whatsapp him on +2348123877102

    ReplyDelete
  15. 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
  16. I'm 59 years old and female. I was diagnosed a couple of months ago with COPD and I was beyond scared! My lung function test indicated 49% capacity. After having had flu a year ago, the shortness of breath, coughing and chest pains continued even after being treated with antibiotics. I've been smoking two packs a day for 36 years. Being born without a sternum caused my ribs to be curled in just one inch away from my spine, resulting to underdeveloped lungs. At age 34 I had surgery and it was fixed. Unfortunately my smoking just caused more damage to my already under developed lungs. The problem was having is that I enjoy smoking and don't want to give up! Have tried twice before and nearly went crazy and don't want to go through that again. I saw the fear in my husband and children's eyes when I told them about my condition then they start to find solution on their own to help my condition.I am an 59 now with moderately severe COPD emphysema which I know was from my years of smoking. I started smoking as a teen in high school when smoking was socially acceptable. I remember when smoking was permitted in hospitals. It was not known then how dangerous cigarettes were for us, and it seemed everybody smoked, i was able to get rid of my COPD lung condition through the help of total cure herbal foundation my husband bought, totalcureherbsfoundation .c om has the right herbal formula to help you get rid and repair any lung conditions and cure you totally. I wish anybody who starts smoking at a young age would realize what will eventually happen to their bodies if they continue that vile habit throughout their lives.

    ReplyDelete
  17. HOW I GOT MY EX HUSBAND BACK WITH THE HELP OF REAL AND EFFECTIVE SPELL FROM DR Osasu My name is Olivia Jayden, I never thought I will smile again, My husband left me with two kids for one year, All effort to bring him back failed I thought I'm not going to see him again not until I met a lady called Jesse who told me about a spell caster called Dr. Osasu , She gave me his email address and mobile number and I contacted him and he assured me that within 48hours my husband will come back to me, In less than 48hours my husband came back started begging for forgiveness saying it is the devils work, so I'm still surprise till now about this miracle,i couldn't conceive but as soon as the spell was cast,i became pregnant and gave birth to my third child,if you need any assistance from him you can contact him via:email: drosasu25@gmail.com Or WhatsApp or call him now:
    +2347064365391 . Dr.Osasu also cures: 1. HIV / AIDS 2. HERPES 1/2 3. CANCER 4. ALS (Lou Gehrig’s disease) 5. Hepatitis B

    ReplyDelete
  18. NATURAL HERBS FOR CURING HIV, HERPES, HPV, HSV1&2, CANCER AND DIABETES

    I just experience the wonders of Dr Ohunyom herbs. God will continue to bless you Dr Ohunyom more abundantly for the good work you are doing in peoples life by curing them from different type of diseases. I will keep on testifying about your good work. I was diagnosed of herpes 6 months ago and my doctor told me that there is no cure. I did not believe him and i keep my faith up hoping that one day i will be cured from this horrible disease. One day i saw a post on HIV forum about a herbal doctor called Dr Ohunyom on how he cure people from diseases with his herbs and i quickly contact Dr Ohunyom on his email and explain my problem to him and he told me not to worry that he is going to cure me and truly he prepared the cure and send it to me through UPS and gave me instructions on how to take it. After two weeks of taken the herbal cure, i went to my doctor for checkup and my result show Negative and my doctor told me that there is no trace of herpes in my body and the virus is completely gone from my body. Everybody at the clinic rejoice with me and they all ask for Dr Ohunyom contact. You can contact Dr Ohunyom on his email:drohunyom@gmail.com or WhatsApp him on +2349060579973.and He also have herbs medicine to cured the following diseases; eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer  ETC

    ReplyDelete
    Replies
    1. So surprise when i found that HSV 1&2 could be cured with Dr Ohunyom herbal remedy, this disease almost destroy my face, and my mouth with sores. i took many traditional medicine here in United state, but none could work. even visited my mother village in South africa still couldn't find a cure, but i was so surprise that after contacting Dr Ohunyom. And after done discussing with him i was cured with his herbal in 2 weeks. i confirmed his good work by my test result, do not delay to contact this true healer. Dr Ohunyom is able to help you in any challenges, HIV AIDS, HEPATITIS B, COLD SORES, CANCER, DIABETES, HEART DISEASE, BRAIN TUMOR, ACUTE BRONCHITIS And so many more. For more details Call or what app: +2349060579973 or Email: drohunyom@gmail.com.and  He also have herbs medicine to cured the following diseases; eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer  ETC 

      Delete
  19. NATURAL HERBS FOR CURING HIV, HERPES, HPV, HSV1&2, CANCER AND DIABETES

    I just experience the wonders of Dr Ohunyom herbs. God will continue to bless you Dr Ohunyom more abundantly for the good work you are doing in peoples life by curing them from different type of diseases. I will keep on testifying about your good work. I was diagnosed of herpes 6 months ago and my doctor told me that there is no cure. I did not believe him and i keep my faith up hoping that one day i will be cured from this horrible disease. One day i saw a post on HIV forum about a herbal doctor called Dr Ohunyom on how he cure people from diseases with his herbs and i quickly contact Dr Ohunyom on his email and explain my problem to him and he told me not to worry that he is going to cure me and truly he prepared the cure and send it to me through UPS and gave me instructions on how to take it. After two weeks of taken the herbal cure, i went to my doctor for checkup and my result show Negative and my doctor told me that there is no trace of herpes in my body and the virus is completely gone from my body. Everybody at the clinic rejoice with me and they all ask for Dr Ohunyom contact. You can contact Dr Ohunyom on his email:drohunyom@gmail.com or WhatsApp him on +2349060579973.and He also have herbs medicine to cured the following diseases; eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer  ETC

    ReplyDelete
  20. I'm so exited to share my testimonies about the Good Work of Dr. Udebhu who get me cured from herpes simplex virus (HSV1&2) with his herbs, I never thought that I will live on earth before the year runs out. I have been suffering from herpes, I had spent a lot of money going from one Hospital to another looking for way to get rid of this disease, the hospital have been my home everyday residence. Constant checks up have been my hobby not until this faithful day, I was searching
     through the internet, I saw a testimony on how Dr.Udebhu helped someone in curing his herpes disease using his healing
     Herbs, quickly I copied his email just to give him a test I spoke to him, he told me that he is going to provide the herbal cure to me, which he
    did, after i receive his herbs and i take it as instructed i was cure permanently from herpes my herpes disease was gone. so I decided to share my testimony, that nothing is impossible with God, God use a man to healed me. No matter what you are passing through, no matter how deadly the sickness is and no matter what the situation is God that did mine is still going to do yours, people suffering from herpes, brain tumor, kidney disease, pcos, AIDS, ALS,copd, asthma, athritis,herpes, Cancer,Hpv, any kind of disease, you can rich him now via ? Gmail address: drudebhuherbalhome@gmail.com or whatsapp +2349051254152


    ReplyDelete
  21. I'm 59 years old and female. I was diagnosed a couple of years ago with COPD and I was beyond scared! My lung function test indicated 49% capacity. After having had flu a year ago, the shortness of breath, coughing and chest pains continued even after being treated with antibiotics. I've been smoking two packs a day for 36 years. Being born without a sternum caused my ribs to be curled in just one inch away from my spine, resulting to underdeveloped lungs. At age 34 I had surgery and it was fixed. Unfortunately my smoking just caused more damage to my already under developed lungs. The problem was having is that I enjoy smoking and don't want to give up! Have tried twice before and nearly went crazy and don't want to go through that again. I saw the fear in my husband and children's eyes when I told them about my condition then they start to find solution on their own to help my condition.I am an 59 now who was diagnose COPD emphysema which I know was from my years of smoking. I started smoking in school when smoking was socially acceptable. I remember when smoking was permitted in hospitals. It was not known then how dangerous cigarettes were for us, and it seemed everybody smoked but i was able to get rid of my COPD lung condition through the help of total cure herbal foundation my husband bought, totalcureherbsfoundation .c om has the right herbal formula to help you get rid and repair any lung conditions and cure you totally with their natural organic herbs,it class products at affordable prices. Purchase these medicines and get the generic medicines delivered in USA, UK & Australia,I wish anybody who starts smoking at a young age would realize what will eventually happen to their bodies if they continue that vile habit throughout their life.

    ReplyDelete
  22. Wow! this is Amazing! Do you know your hidden name meaning ? Click here to find your hidden name meaning

    ReplyDelete