Saturday, 27 April 2013

The biopsychosocial model of disease

The biopsychosocial model of disease existed in my notes... an excuse to get out the colouring crayons and draw a diagram, but ultimately another collection of facts that needed to be digested then regurgitated in the summer exams, something to be fitted in around learning about the important stuff - the science.
But the biopsychosocial model has come alive for me recently, now I realise what an impact the later two components, psychological and social, can have on patients.


In the 1977 paper in Science, George Engel introduced the biopsychosocial model:
"The dominant model of disease today is biomedical, and it leaves no room within it's framework for the social, psychological and behavioural dimensions of illness. A biopsychosocial model is proposed that provides a blueprint for research, a framework for teaching and a design for action in the real world of health care."

Following some conversations on Twitter recently and from my own experience at medical school and now as a patient, I wanted to explore my thoughts on this model.



Twitter, in the wonderful way it does, recently introduced me to the Disabled Medic blog, which among many other great posts, has also explored the biopsychosocial model, and I would recommend a read. 

The biopsychosocial model shows the influence that emotions and social circumstances have on physical health, which is important. But while conversations about the model focus on the way it can be used by healthcare professionals (very important!), it needs emphasising that the model can provide a framework for patients to look at/after themselves. The model highlights the psychological and social causes of disease, but more optimistically, it can show that there are a range of treatments for disease, from the medical to the social and psychological. A diagnosis of a long-term health conditions is often simultaneous with loss of control. There are limitations to the success of medications, treatments and surgeries. And in receiving these, we are relatively passive as patients, no matter how engaged we are. The biopsychosocial model looks at our biological, psychological and social needs, and how these factors influence our overall health. Establishing that these factors affect our health is only the first step. As patients, when psychological and social factors are brought in to the equation, it becomes clear that we ourselves have some power to help ourselves. By framing our health in this more holistic way, as patients we are not as powerless as suggested by the medical model. Through self-management we can make positive changes to our own psychological and social situations, which can in turn benefit our physical biological health.

To return to the traditional ground of the model - healthcare professionals....
One strength of the model is that it places psychology side beside its (generally considered) more superior counter-part, biology. I hope that by seeing the biopsychosocial model in action, physicians can appreciate the detrimental psychological impact of a diagnosis, and the assumption of "it is all in the mind" can fall by the way side. By integrating all three elements, the model shows that neither is independent of the others, so it can't be all in the mind, because other factors, biological or social, will be involved to some degree.

For me personally, the biopsychosocial model makes me look at what a 'life' is. One of the attractions of medicine is saving lives. Without getting too deeply into philosophy or ethics, I just want to explore for a second what saving a life really means for me, as a patient. I still believe that A&E staff heroically save lives. But I have come to realise that a life is more than a swiggly line on a heart rate monitor. My counsellor has been just as heroic in saving my life, through addressing my emotions. My life is now something I can live, rather than endure. With saving lives being a key (and honourable) motivation among medical staff, it is important that we can allow them to save lives as often as possible, and in many different ways. It may not always be through emergency treatment in resuscitation, but if we embrace the biopsychosical model, they can save lives in many more ways.

When there is a limit to the effectiveness of the biological approaches to an ill person, and they can't be returned to the land of the healthy, medical science becomes unstuck. Within the biopsychosocial model, the issue of doctors not being able to do anything is slightly less. As I mentioned in my post about making the transition from medical student to patient, I went to medical school because I wanted to make people better. But I was only being taught one way to make people better - drugs and surgery. If we really embraces the biopsychosocial model, doctors could make a difference, even if their standard tools of drugs aren't available because they could turn to psychological and social support. This isn't to say that all clinicians have to be counsellors or social workers - far from it. But an awareness and appreciation of their contribution to the management of a patient is important, as well as an understanding of the basic principles and skills such as motivational interviewing.

In 2013, I don't think I can talk about social in this context without mentioning social media. It was not was Engel originally meant in 1977, but social media has become a vital social tool for patients to manage their health. Ignoring anxieties and postural problems associated with sitting at a screen seeing everyone else's photo-shopped lives, it is undeniable that social media is a big and good resource that can empower patients to take responsibility and manage their own health. To see the best examples in action, take a look at Michael Seres and his blog, Being a Patient Isn't Easy to see a whole new meaning to the social in biopsychosocial!

I am still very grateful for the biological expertise of my medical team. Don't get me wrong - it's a good place to start and I wouldn't be here writing this post today if it wasn't for the biological support. But with chronic illness, when you are past the dramatic relapses, the biological isn't enough.... 
The biology has allowed me to live, but its the psychological and social support I have received that has allowed me to live.


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182 comments:

  1. Brilliant piece of writing as always

    ReplyDelete
    Replies
    1. Thank you!
      Made easier with such good social (media) examples to include! :)

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  2. Anya
    Powerful and true.
    The model you describe and live brings us closer to our nature - we are complex and our energy and vitality, our well being depends on the relationship between body mind and heart (and I would add spirit) In our work on releasing compassion we focus primarily on the power of self compassion as we ask people to think about a question:-

    what do you think and feel about the way you care for yourself?

    and we encourage the listener not to interrupt. This simple question can be very painful as many of us do not care well for ourselves and it is only in the stillness that we encounter our wounded selves.

    I struggle myself with the vigilance needed to take care of myself - I have discovered a simple writing practice (I call it here i am) - i light a candle twice a day, follow my breath and then write for 5 minutes about whatever arises 'in the now' - this means i am never more than a few hours from myself which somehow keeps me safe and in tune with what self compassion and care is for me.

    I wonder if you have seen the vision of the amazing people behind FutureHealth in Brighton?

    Here I am, writing to you!

    Thank you

    Andy

    ReplyDelete
  3. I think this is a wonderful, thoughtful and interesting post - and brings up many ideas for me around how we utilise the illness trajectory to ensure that we give people the best "life-saving" care possible (and enable them to save their own lives, too) at the right times. You are so right that life is not about only surviving, but about being able to live, and this really struck me:"with chronic illness, when you are past the dramatic relapses, the biological isn't enough" - to close the loop, if the social and the psychological aren't also looked after, the relapses come around again all too soon... the biological is impacted on by the social and psychological and each three inter-relate and are interdependent.

    Really integrating a biopsychosocial model into healthcare offers a more holistic way to interpret what "health" is and what "illness" is, but also offers a clearer way to think about working together - social care, psychologists, IAPT, primary care and secondary care, in a way that honours the need to fit care to the person's life and their experiences of illness at the specific instance in time and also over time - you can plan to engage with self-management activities (and learn meditation techniques or pick up social activities) when your tablets are sorted and you're on a more even part of your trajectory, and when you're really unwell, you can use your positivity, and your social connections to give you the strength to pull through and endure - whilst you receive the medical care needed. They inter-relate and can thus improve the outcomes of interventions of each kind by providing resources for the person to help them engage and live through any problems they have.

    Thanks for a wonderful post

    Cheryl

    ReplyDelete
    Replies
    1. Thank you! Your comment was really interesting to read!

      Delete
  4. hi is there any way I could reference this for a uni assignment?

    ReplyDelete
    Replies
    1. Hi, I'm delighted to hear it is useful for your uni assignment! There are various ways you can reference blogs in the way you would normally reference academic articles - try this > https://www.citethisforme.com/cite/blog
      Good luck with your assignment!
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  5. Can I use the above figure for teaching purpose. You will be fully acknowledged. Thank you.

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  6. Of course, as long as you credit my blog and provide a link,
    Many thanks, and hope the teaching goes well.

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  7. This comment has been removed by the author.

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  8. Nice work but it would be nice to get references

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  9. Hi Anya,
    In the 21st Century 'biopsychosocial' is imho no longer sufficient to account for - understand disease, recovery, well-being, research, public engagement, self-care, interdisciplinary and integrated care (I could go on).

    A model is needed which includes the POLITICAL care (knowledge) domain and Hodges' health careeer model is open, free, easy to understand and yet is quite powerful.

    The blog below includes diverse examples of how the model can be applied plus related content. There is also a bibliography. I am studying the model at Lancaster University in Technology Enhanced Learning another blog theme:

    http://hodges-model.blogspot.co.uk/

    Kind regards to all,
    Peter Jones
    @h2cm

    ReplyDelete
  10. Hi Anya,
    In the 21st Century 'biopsychosocial' is imho no longer sufficient to account for - understand disease, recovery, well-being, research, public engagement, self-care, interdisciplinary and integrated care (I could go on).

    A model is needed which includes the POLITICAL care (knowledge) domain and Hodges' health careeer model is open, free, easy to understand and yet is quite powerful.

    The blog below includes diverse examples of how the model can be applied plus related content. There is also a bibliography. I am studying the model at Lancaster University in Technology Enhanced Learning another blog theme:

    http://hodges-model.blogspot.co.uk/

    Kind regards to all,
    Peter Jones
    @h2cm

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  89. I am very happy today to share this amazing testimony on how Dr. idahosa the herbal doctor was able to cure me from my HIV Virus with his herbal medicine. I have been a HIV patient for almost 8 months now and have tried different methods of treatment to ensure that I am cured of this terrible disease, but none worked for me, so I had to leave everything to God to handle as I was a Christian who had faith that one day God would intervene in my life, yet I felt so sad and desperate as I was losing almost everything due to my illness, A few months ago while I was surfing the internet I saw different recommendation about Dr idahosa on how he have been using his herbal Medicine to treat and cure people, these people advice we contact Dr. idahosa for any problem that would help immediately, I contacted Dr idahosa and I told him how I got his contact and also about my disease, after some time Dr. idahosa told me to have faith that he would prepare for me a medication of herbal herbs, he told me I would take this medicine for a few weeks and also asked my home for home address so as possible for him to submit the drug for me, so my good friends after all the process and everything Dr idahosa actually sent me the medicine, I took it as I was directed by Dr. idahosa, after a few weeks passed, while on Dr.idahosa medication I began to experience changes in my body, I had to call my doctor at the hospital for some blood test after test my hospital doctor told me that I was no longer with the Hiv virus and my blood is pretty good, I can not even believe this, Friends well today i am Hiv Free and i want everyone to know that there is a cure for Hiv for those who will contact Dr idahosa after reading my testimony, you can kindly contact Dr. idahosa in (dridahosasolutioncenter@gmail.com) or call his WhatssaAp number +2348134261542, God bless you all ...

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  96. It was during my research on HIV/Herpes that I stumbled upon the Hiv/Herpes information; information which is quite easy to find when doing a search for STD on google. I was into conspiracy at the time thought of HIV/Herpes Cured' being a conspiracy was something Ignorance though,I found pretty interesting about herbal medicine. I asked questions about the Herbal cure's on official HIV/Herpes websites and I was banned for doing so by moderators who told me that I was parroting Hiv/Herpes propaganda. This reinforced my belief that there is a cure for Hiv/Herpes Then i found a lady from germany name Achima Abelard Dr Itua Cure her Hiv so I send him a mail about my situation then talk more about it and send me his herbal medicine I drank for two weeks.And today I'm Cured no Hiv/Herpes in my life,I searched for Hiv/Herpes groups to attempt to make contact with people in order to learn more about Hiv/Herpes Herbal Cure's I believed at this time that you with the same disease this information is helpful to you and I wanted to do the best I could to spread this information in the hopes of helping other people.That Dr Itua Herbal Medicine makes me believes there is a hope for people suffering from,Parkinson's,Alzheimer’s disease,Bechet’s disease,Crohn’s disease
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    Dementia.,Hiv_ Aids,Herpes,Inflammatory bowel disease ,Copd,Diabetes,Hepatitis,I read about him online how he cure Tasha and Tara,Conley,Mckinney and many more suffring from all kind of disease so i contacted him . He's a herbal doctor with a unique heart of God, Contact Emal..info@drituaherbalcenter.com / drituaherbalcenter@gmail.com Phone or whatsapp..+2348149277967.

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  98. Greetings to you all, i am here today on this forum giving a life testimony on how Dr Idahosa has cured me from Hiv Virus, i have been stocked in bondage with this virus for almost 2years now, i have tried different means to get this sickness out of my body i also heard there was no cure to the virus, all the possible ways i tried did not work out for me, i do have the faith that i was going to be cured one day, as i was a strong believer in God and also in miracles, One day as i was on the internet i came across some amazing testimonies concerning how Dr Idahosa has cured different people from various sickness with his Herbal Herbs Medicine, they all advised we contact Dr Idahosa for any problem, with that i had the courage and i contacted Dr Idahosa i told him about my Sickness, He told me not to worry that he was going to prepare some Herbal Medicine for me, after some time in communication with Dr Idahosa, he finally prepared for me some herbs which he sent to me and he also gave me prescriptions on how to take them, My good friends after taking Dr Idahosa Herbs for some weeks i started to experience changes in me and from there, I noticed my Hiv Virus was no longer in my body, as i have also gone for test, Today i am fit and healthy to live life again, I am so happy for the good work of Dr Idahosa in my life, Friends if you are having any types of disease problem kindly email Dr Idahosa on { dridahosasolutioncenter@gmail.com} or call his WhatsApp number on +2348134261542 God Bless you Sir.

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  104. My husband was diagnosed with MND ALS (amyotrophic lateral sclerosis) when he was 69 years old 6 years ago. The Rilutek (riluzole) did very little to help him. The medical team did even less. His decline was rapid and devastating. The psychological support from the medical center was non-existent and if it were not for totalcureherbsfoundation .c om and the sensitive cure of their herbal formula he would have been not been alive today,there was significant improvement in the first 4 weeks of usage that gave us hope that he will be alive,His doctor put him on riluzole, letting us know there was no cure until we gave try on total cure herbal supplement that cure him totally from this disease after 15 weeks of his usage. There is nothing positive about cure ALS condition except for their herbal treatment .

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  105. , WOW WHO WILL EVE BELIEVE THAT I WILL BE THIS HAPPY TODAY, AFTER MANY YEARS OF PAIN LIVING WITH HIV VIRUS. MY NAME IS STEPHEN LIVE IN UNITED KINGDOM. IT ALL HAPPEN FEW YEARS BACK WHEN I DISCOVERED THAT MY SYSTEM IS NO LONGER FUNCTIONING WELL, SO I DECIDED TO GO FOR MEDICAL CHECKUP ALL TO DISCOVERED THAT I HAVE BEEN LIVING WITH HIV POSITIVE VIRUS AND I NEVER NOTICE IT FOR A VERY LONG TIME. AT THIS PARTICULAR POINT OF TIME I WANTED TO GIVE UP MY LIFE, BUT WHEN I WENT THROUGH THE INTERNET TO READ MORE ABOUT HIV VIRUS, I FOUND OUT THAT THIS VIRUS IS DISGUSTING BOTH INTERNAL AND EXTERNAL. GOD SO HAVE IT THAT I HARD ABOUT THIS SIMPLE WONDERFUL AND GOD SENT HERBAL DR CALLED DR AKHIGBE THE SAME DAY I WANTED TO GIVE UP EVERYTHING BECAUSE I FEEL LIFE WAS NO LONGER IMPORTANT TO ME, MANY THINGS HAPPENED BUT TO CUT THE STORY SHORT, I AM HIV NEGATIVE NOW, AND EVER SINCE I WAS CURED THERE IS NO OUTBREAK EVERYTHING HAS GONE BACK TO NORMAL AND I BELIEVE AM THE HAPPIEST PERSON ON EARTH TODAY. DR AKHIGBE NEVER ASK ME TO TESTIFY FOR HIM, I DECIDED TO DO THIS MY WAY SO THAT AS MANY THAT WILL BELIEVE AND CONTACT HIM WILL BE FREE FROM THIS DEADLY DISEASE. THIS VIRUS IS SPREADING EVERYDAY SO LET PUT OUR HANDS TOGETHER TO SAVE LIFE. BUT I KNOW MANY ARE YET TO DISCOVERED THAT THEY ARE LIVING WITH THIS VIRUS. I BELIEVE THIS IS THE MOST CRITICAL VIRUS, YOU CAN LIVE WITH IT FOR MANY YEARS AND YOU WILL NEVER NOTICE IT. WELL AM SO HAPPY TODAY ESPECIALLY WHEN MY LOST LOVE IS BACK AND WE ARE GETTING MARRIED SOON. SO MY DEAR LADIES AND GENTLEMEN LET PUT OUR HANDS TOGETHER TO SAVE AS MANY WE CAN BY SHARING THIS TESTIMONY SO THAT THOSE THAT DONT HAVE THE OPPORTUNITY TO CURE THEIR DISEASE WILL BE CURED AND BE HAPPY FOREVER, SO YOU CAN CONTACT HIM THROUGH HIS EMAIL ADDRESS, WHATSAPP NUMBER AND WEBSITE AS FOLLOWED. drrealakhigbe@gmail.com +2348142454860. http:drrealakhigbe.weebly.com

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    DIABETES
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    PREGNANCY PROBLEM
    HERPES
    ALS
    CANCER

    CONTACT HIM TODAY AND YOUR LIFE WILL NEVER REMAIN THE SAME AGAIN, AM PROUD OF YOU DR AKHIGBE

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  106. Hello my dear viewers,I want the world to celebrate with me on this numerous testimony, i never believe i could ever get rid of this horrible disease until one fateful day,my story and appreciation goes to Dr.Akuza the powerful great doctor that help me to cure my HIV/AIDS disease from my life,he is truly a truthful man with high herbs power's he uses on saving people's life, just a few days back i came in contact with Dr.Akuza emails which many individuals have testify so much about of his kind work, so i decided and contacted him quickly because the disease was almost at the last minute of taking my life, i have tried all remedies from several physicians from hospitals but none could help me apart from Dr.Akuza who finally cure my HIV/AIDS disease, i was amazed and overwhelmed when the doctor confirmed me negative in the same hospital i have been before,i wish to anyone that is sick today and want healing to please contact this doctor on his Email akuzasolutionhome@gmail.com so if you have any problem HIV, HERPES, CANCER, ALS,HEPATITIS B, DIABETIC, call or whatsapp him on +2349035850834

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  107. HOW I WAS CURE FROM HERPES WITHIN 14DAYS WITH THE HELP OF DR SAMBOLA
    HERBAL MEDICINE CONTACT DR SAMBOLA VIA https://drsambolaherbalhomr.weebly.com/

    I am so Happy to be writing this article in here, i am here to explore blogs forum about the wonderful and most safe cure for HERPES SIMPLEX VIRUS.I was positive to the Virus called HERPES and i lost hope completely because i was rejected even by my closet friends. i searched online to know and inquire about cure for HERPES and i saw testimony about DR SAMBOLA online on how he cured so many persons from Herpes Disease so i decided to contact the great herbalist because i know that nature has the power to heal everything. i contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs from God! after 2 days of contacting him, he told me that the cure has been ready and he sent it to me via FEDEX or DHL and it got to me after 4 days! i used the medicine as he instructed me (MORNING and EVENING) and i was cured! its really like a dream but i'm so happy! that's the reason i decided to also add more comment of Him so that more people can be saved just like me! and if you need his help,contact his Email: (drsambolaherbalhome@gmail.com) You can contact him +2348168259521 or WhatsApp him +2348168259521 He also have the herb to cure difference cure for any sickness (1) HERPES,
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  108. 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.

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  110. I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr movo and decided to contact him on his email: {drmovo.supernaturalherbalmedic@gmail.com} so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend JOY, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr movo I also learn that Dr movo also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr movo now for help on his email:{drmovo.supernaturalherbalmedic@gmail.com} or whatsapp +2347061865209.

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  121. Hello to those reading this wonderful testimony i got this email from a school friend who i lost her contact (oyimeanelisiramen@gmail.com), we met in a shop-rite few months ago so we exchange number and reunite our friendship again and i open up to her that i was diagnosed with herpes virus as a best friend in school years back, so luckily her mum was also diagnosed and were able to put an end by flushing it out with the help of DR Isiramen herbal native medicine within 14 days and she sent me the email address of the DR Isiramen who help her mum, immediately without been ashamed i contacted him and explain how the herpes started and how it spread on my body each an everyday, DR Isiramen wrote back and told me not to worried that he is going to cure me if only i can follow his instructions wish i did for my virus to leave me. Thanks to my dear friend (Kate) i never new she we be the one God will use to deliver me from all this pain and temptation i was going through. my fellow Americans let love and cherish each other because you don't know who will be your helper tomorrow. my good saved me and today i am totally free from herpes virus i will advice you to reach DR Isiramen now so that you can get cure before this Christmas (oyimeanelisiramen@gmail.com) or WhatsApp +2{34}8117963221 thanks once again DR Isiramen God bless you and your family.

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  123. I want to share a testimony of how Dr UDI herbal mixture cream saved me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing ,and i was also having weak erection problem i had so many relationship called off because of my situation, i have used so many product which i found online but none could offer me the help i searched for Which was very painful and then i saw some few testimonies about this herbal specialist called Dr UDI and decided to email him on so I gave his herbal product a try. i emailed him and he got back to me and we discussed, he gave me some comforting words and encouraged me also ans then gave me his herbal pills and cream for Penis Enlargement Within 1 week of it, i began to feel the enlargement of my penis, " and now it just 2 weeks of using his products my penis is about 10 inches longer and am so happy contact Dr UDI via (drudiherbalhome@gmail.com) Via whatapp on this number +2348051243538 or you visit his website
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  128. I am here to testify how great man called DR EDES helped me out with herbs and roots which he prepared for me in use of curing herpes. I took his product (cure) for (14) days before I was totally cure out of it, and i promised him that i will testify my healing to the whole world about how he cured me which I am very happy I am doing now. Dr Edes also cure all kinds of diseases , HEPATITIS, CANCER, DIABETICS , FRIBLOD,ALL KINDS OF SPELL CAST ,and so much more. you can contact on his whatsapp on +2348151937428 or email him via dredeshome@gmail.com.
    He can also cure following virus
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    visit his website on; www.edesherbalhome.webs.com

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  129. I am here to testify how great man called DR EDES helped me out with herbs and roots which he prepared for me in use of curing herpes. I took his product (cure) for (14) days before I was totally cure out of it, and i promised him that i will testify my healing to the whole world about how he cured me which I am very happy I am doing now. Dr Edes also cure all kinds of diseases , HEPATITIS, CANCER, DIABETICS , FRIBLOD,ALL KINDS OF SPELL CAST ,and so much more. you can contact on his whatsapp on +2348151937428 or email him via dredeshome@gmail.com.
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    visit his website on; www.edesherbalhome.webs.com

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  130. My husband was diagnosed with MND ALS (amyotrophic lateral sclerosis) when he was 69 years old 6 years ago. The Rilutek (riluzole) did very little to help him. The medical team did even less. His decline was rapid and devastating. The psychological support from the medical center was non-existent and if it were not for totalcureherbsfoundation com and the sensitive cure of their herbal formula he would have been not been alive today,there was significant improvement in the first 4 weeks of usage that gave us hope that he will be alive,His doctor put him on riluzole, letting us know there was no cure until we gave try on total cure herbal supplement that cure him totally form this disease after 15 weeks of his usage.
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  138. I almost gave up on ever getting cured of HIV VIURS because i have try many treatment none of them work out for me i have go to different hospital they always tell me same thing there is no cure for HIV when i came across a post about Dr OSAGIE, in the net from a lady called Angela i contacted him and he reassured me with him herbal medicine which i took according to the way he instructed, that how i was cured. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under two weeks i was totally fee from #HIV V`IURS i want to say a very big thank you to DR OSAGIE for what he has done in my life. feel free to leave him a message on email his email: (drosagiesolutiontemple@gmail.com OR
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  139. Here is a great herbal doctor who cured me of Hepatitis B. his name is Dr. Imoloa. I suffered Hepatitis B for 11 years, I was very weak with pains all over my body my stomach was swollen and I could hardly eat. And one day my brother came with a herbal medicine from doctor Imoloa and asked me to drink and I drank hence there was no hope, and behold after 2 week of taking the medicine, I started feeling relief, my swollen stomach started shrinking down and the pains was gone. I became normal after the completion of the medication, I went to the hospital and I was tested negative which means I’m cured. He can also cure the following diseases with his herbal medicine...lupus, hay fever, measles, dry cough, diabetics hepatitis A.B.C, mouth ulcer, mouth cancer, bile salt disease, fol ate deficinecy, diarrhoea, liver/kidney inflammatory, eye cancer, skin cancer disease, malaria, chronic kidney disease, high blood pressure, food poisoning, parkinson disease, bowel cancer, bone cancer, brain tumours, asthma, arthritis, epilepsy, cystic fibrosis, lyme disease, muscle aches, cholera, fatigue, muscle aches, shortness of breath, alzhemer's disease, acute myeloid leukaemia, acute pancreatitis, chronic inflammatory joint disease, inflammatory bowel disease, Addison's disease back acne, breast cancer, allergic bronchitis, Celia disease, bulimia, congenital heart disease, cirrhosis, fetal alcohol spectrum, constipation, fungal nail infection, fabromyalgia, (love spell) and many more. he is a great herbalist man. Contact him on email; drimolaherbalmademedicine@gmail.com. You can also reach him on whatssap- +2347081986098.

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