Sunday, January 1, 2017

PQI #5: How to Calculate COPD or Asthma in Older Adults Admission Rate

Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term used to describe progressive lung diseases including emphysema, chronic bronchitis, refractory (non-reversible) asthma, and some forms of bronchiectasis. This disease is characterized by increasing breathlessness.

COPD affects an estimated 30 million individuals in the U.S., and over half of them have symptoms of COPD and do not know it. Early screening can identify COPD before major loss of lung function occurs.

Most cases of COPD are caused by inhaling pollutants; that includes smoking (cigarettes, pipes, cigars, etc.), and second-hand smoke.

Fumes, chemicals and dust found in many work environments are contributing factors for many individuals who develop COPD.

Genetics can also play a role in an individual’s development of COPD—even if the person has never smoked or has ever been exposed to strong lung irritants in the workplace.

How To Calculate Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate


Numerator
Discharges, for patients ages 40 years and older, with either
•a principal ICD-CM diagnosis code for COPD (excluding acute bronchitis); or
•a principal ICD-CM diagnosis code for asthma; or 
•a principal ICD-CM diagnosis code for acute bronchitis and any secondary ICD-CM diagnosis codes for COPD (excluding acute bronchitis).
ICD-9-CM    Description
491.0    Simple chronic bronchitis
491.1    Mucopurulent chronic bronchitis
491.20    Obstructive chronic bronchitis without exacerbation
491.21    Obstructive chronic bronchitis with (acute) exacerbation
491.8    Other chronic bronchitis
491.9    Unspecified chronic bronchitis
492.0    Emphysematous bleb
492.8    Other emphysema
494.0    Bronchiectasis without acute exacerbation
494.1    Bronchiectasis with acute exacerbation
496.    Chronic airway obstruction, not elsewhere classified
    ICD-9-CM Code in Antcipated version 4.6 *
491.22    Obstructive chronic bronchitis with acute bronchitis
ICD-10-CM    Description
J41.0    Simple chronic bronchitis
J41.1    Mucopurulent chronic bronchitis
J41.8    Mixed simple and mucopurulent chronic bronchitis
J42.    Unspecified chronic bronchitis
J43.0    Unilateral pulmonary emphysema [MacLeod's syndrome]
J43.1    Panlobular emphysema
J43.2    Centrilobular emphysema
J43.8    Other emphysema
J43.9    Emphysema, unspecified
J44.0    Chronic obstructive pulmonary disease with acute lower respiratory infection
J44.1    Chronic obstructive pulmonary disease with (acute) exacerbation
J44.9    Chronic obstructive pulmonary disease, unspecified
J47.0    Bronchiectasis with acute lower respiratory infection
J47.1    Bronchiectasis with (acute) exacerbation
J47.9    Bronchiectasis, uncomplicated

Exclude cases:
•transfer from a hospital (different facility)
•transfer from a Skilled Nursing Facility (SNF) or Intermediate Care Facility (ICF)
•transfer from another health care facility
•with missing gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing), principal diagnosis (DX1=missing), or county (PSTCO=missing)

Denominator
Population ages 40 years and older in metropolitanarea or county. Discharges in the numerator are assigned to the denominator based on the metropolitan area or county of the patient residence, not the metropolitan area or county of the hospital where the discharge occurred. 

37 comments:

  1. My grandma had Parkinson's disease, she is about 80 years old it was detected 7 years ago. Right now it's getting more difficult to live for her, because of stiff muscles she can't even move. L-dopa and carbidopa medicines are given, but won"t give much relief. She can"t eat food and the skin is damaging forming ganglia. This is may be the last stage of disease.. nothing was really working to help her condition. Finally she started on parkinson's herbal formula i purchased from Health Herbal Clinic, i read alot of positive reviews from other patients who used the parkinson's herbal treatment. she used the herbal remedy for 7 weeks, its effects on parkinson's is amazing, all her symptoms gradually faded away, she feed very more freely by herself now! (Visit www. healthherbalclinic. weebly. com or email at healthherbalclinic@ gmail. com) I recommend this parkinson's herbal formula for all Parkinson's Patients.

    ReplyDelete
    Replies
    1. I was diagnosed of Emphysema (copd)9 months ago which affected my breathing badly, my doctor advice me for Lungs Volume reduction surgery (LVRS) because my both upper lobes of the lungs were involved, i was making preparation for this when a friend of mine told me about a herbal doctor from Africa, doctor ODUWA who prepares herbal medicine to cure all kind of diseases including Emphysema, i contacted Dr ODUWA via his email and he sent me Emphysema herbal medicine via courier service, when i received this herbal medicine i applied it as instructed and was totally cured of Emphysema within 10 days of usage, i never had to go for the surgery again as i was totally free from emphysema, all thanks to Dr ODUWA, contact Dr ODUWA via his email dr.oduwaspellhome@gmail.com

      Delete
    2. greetings frank from usa I was been cured from my COPD if you want a cure whatsapp me for usa whatsapp
      +18638882192 for more information
      Thanks to Dr for his good work I never believe that I we cure, I was
      COPD positive over 3 year now before I came across a comment about how
      Dr Osama cure COPD and herpes disease but when I saw it i have it in mind
      that he cant cure COPD I just decided to give it a try I contact him that
      night luckily to me he replied me, and i hold on to see the work of Dr
      Osama if he is saying the
      truth he ask for some details about me i gave him all he needed and I
      waited to see his reply to my problem after all, he told me to go for check
      up and I went for COPD test I cant believe I was negative,am so happy and
      grateful to God for using Dr Osama to cure me, that is the reason why i
      decided to write this wonderful testimony of our i was cured, i recommend
      Dr. Osama to you all around the world,contact me on his you can also reach
      me through WhatsApp +18638882192 me for more information
      Dr Osama Dr email Osamaomos52@gmail.comfor helping you at this young age if
      you need help contact can also cure 1.hisproblems
      2. CANCER,
      3. HIV/AIDS
      UNABLE TO GET PREGNANT
      4. HERPES
      5. CANCER
      6. ALS
      7. Hepatitis B
      8. Diabetes
      9. Genital herpes
      10.COPD ,,,;;

      Delete
    3. greetings frank from usa I was been cured from my COPD if you want a cure whatsapp me for usa whatsapp
      +18638882192 for more information
      Thanks to Dr for his good work I never believe that I we cure, I was
      COPD positive over 3 year now before I came across a comment about how
      Dr Osama cure COPD and herpes disease but when I saw it i have it in mind
      that he cant cure COPD I just decided to give it a try I contact him that
      night luckily to me he replied me, and i hold on to see the work of Dr
      Osama if he is saying the
      truth he ask for some details about me i gave him all he needed and I
      waited to see his reply to my problem after all, he told me to go for check
      up and I went for COPD test I cant believe I was negative,am so happy and
      grateful to God for using Dr Osama to cure me, that is the reason why i
      decided to write this wonderful testimony of our i was cured, i recommend
      Dr. Osama to you all around the world,contact me on his you can also reach
      me through WhatsApp +18638882192 me for more information
      Dr Osama Dr email Osamaomos52@gmail.comfor helping you at this young age if
      you need help contact can also cure 1.hisproblems
      2. CANCER,
      3. HIV/AIDS
      UNABLE TO GET PREGNANT
      4. HERPES
      5. CANCER
      6. ALS
      7. Hepatitis B
      8. Diabetes
      9. Genital herpes
      10.COPD

      Delete


    4. Am jeremiah, I am testifying about a great hebal man that cured my wife of hepatitis B and liver cirhosis. his name is Dr oniha. My wife was diagnose of hepatities two years ago, i almost spent all i had then, until i saw dr oniha recommendation online, and i call him, then he told me how to get the herb. You can call him on +2347089275769 or email him at dronihaspell@yahoo.com

      Delete


    5. Am jeremiah, I am testifying about a great hebal man that cured my wife of hepatitis B and liver cirhosis. his name is Dr oniha. My wife was diagnose of hepatities two years ago, i almost spent all i had then, until i saw dr oniha recommendation online, and i call him, then he told me how to get the herb. You can call him on +2347089275769 or email him at dronihaspell@yahoo.com

      Delete
  2. The last thing I will ever do is to believe on MEDICAL drugs intense of COPD , I am Anne Chris, New Zealand. I want to appreciate the great work of Dr Abumere, I have been diagnose of COPD for a period of 3years,I’ve lose all hope that there is no cure and I have been taken medicine to sustain myself till I got to know about Dr Abumere through a friend who cured of Chronic obstructive pulmonary . I contacted them by via email>abumereherbalcentre AT gmail DOT com and Medicine sent to me, which I took as prescribed for some period of days and I went to the hospital after consuming the medicine and I was confirmed Negative after 3 years of being positive, it is indeed a miracle honestly,you can contact theri email or visit their website on www DOT abumereherbalcentre DOT simplesite DOT 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

    ReplyDelete
  4. ALL THANKS TO DR WILLIAMS WITH HIS HERBAL PORTION I WAS CURED FROM COPD.
    I found more Courage, Happiness and Faith in me, when I contacted Dr williams over the issue I have on me on ground, But all thanks goes to God Almighty for using the great healer called Dr williams to heal me, and it has been six months from now and I have been free from this diseases. My Names are johnson kate, Living in the u s now, I was diagnosed positive of COPD since Two Years Ago now, and I have tried all my possible best I can to get rid of it, but nothing is working out, I have spend hell, spend all my savings but nothing work out, and I even stop smoking and taking alcohol drinks, I have been directed and advise in different types/aspect of cures still yet no changes, One faithful morning, when I was listening to the news at the TV set, and Later on they switch to COPD discussion, and I was really interested in it, I focus my mind listening and a man came and started sharing a testimony about a particular doctor called Dr. williams, he said this man has helped thousands of people out there and people still do run to him for help and this has make him 30yrs of experienced in curing people from different diseases and God has been helping him, they showed the contact of this great Dr and I quickly copied everything out and contact him immediately, I send all my information's to him and after three days, i received a parcel from him containing the medicine/cure and I was told to use it for Just a month, and I greatly use it and God be all the Glory, I am now negative and I have gone to the hospital many times without numbers, and the Doctor confirmed I am clean and OK, all thanks to Dr. williams for his miraculous Healing.
    I am giving his contact today so that if you also reading this testimony of mine and you are still in the same problem, that you should not have anything to worry about, just contact him today Via his email address drwilliams098765@gmail.com for advice and for his product
    Thanks and Remain Bless

    ReplyDelete
  5. I've had emphysema for four years. I was taking Spiriva and Advair. I started with oxygen at night, and later all day long. Nothing seems to help. The minute I start to walk around the breathing gets bad. Even the oxygen doesn't seem to help.I smoked for approximately four years, from age 18 to age 22. I am now age 66 plus. I had for some time now noticed having difficulty catching a deep breath. Never in my wildest dreams did it cross my mind that I may develop a serious lung disease, but here I was with a serious case of COPD. I am only writing this to inform others that nothing was really working to help my condition.I went off the Spiriva (with the doctor’s knowledge) and started on Emphysema herbal formula i ordered from Health Herbal Clinic, my symptoms totally declined over a 5 weeks use of the Emphysema disease natural herbal formula. i am now almost 68 and doing very well, my lungs are totally repaired!! Visit there website www. healthherbalclinic. net or email Info@ healthherbalclinic. net

    ReplyDelete
  6. My dad was diagnosed of Emphysema (COPD) in 2014 and we have tried all possible means to get cured, we even visited pulmonologist but all to no avail, until i saw a post in a health forum about a herbal doctor from joburg who prepare herbal medicine to cure all kind of diseases including Emphysema, at first i doubted if it was real but we 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 us step by instructions on how to apply it, three weeks later my dad went back for test and he was informed that he was free from this deadly disease.
    Here are the information to contact this doctor abumereherbalcentre @ gmail. com OR http: // abumereherbalcentre . com

    ReplyDelete
  7. I was not really having a problem breathing at first. My throat was burning; I thought I had strep throat. I had pain in my neck, and there was swelling around my collar bone. The first doctor I went to said he did not know why there was swelling. He gave me antibiotics and told me that if the swelling was not better to come back in two weeks. I went back in two weeks and he said he did not know what was wrong. Since I do not have insurance, I went to a hospital emergency room, and they said I have COPD.The disease does not improve. My "good days" are far and few these days. My dad and his dad died from this. I am only writing this to inform others that nothing was really working to help my condition.I started on COPD herbal formula i ordered from Health Herbal Clinic,i read reviews from other previous patients who used the herbal formula, my symptoms totally declined over a 5 weeks use of the COPD natural herbal formula. i am now doing very well, my lungs are totally repaired!! Visit there website www. healthherbalclinic. net

    ReplyDelete
  8. I was diagnosed of Emphysema (copd)9 months ago which affected my breathing badly, my doctor advice me for Lungs Volume reduction surgery (LVRS) because my both upper lobes of the lungs were involved, i was making preparation for this when a friend of mine told me about a herbal doctor from Africa, doctor ODUWA who prepares herbal medicine to cure all kind of diseases including Emphysema, i contacted Dr ODUWA via his email and he sent me Emphysema herbal medicine via courier service, when i received this herbal medicine i applied it as instructed and was totally cured of Emphysema within 10 days of usage, i never had to go for the surgery again as i was totally free from emphysema, all thanks to Dr ODUWA, contact Dr ODUWA via his email dr.oduwaspellhome@gmail.com

    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.

    ReplyDelete
  10. I was diagnosed with COPD with 55-60% lung capacity. My doctor just said all the crying , stomping your feet will not change it so just accept it and basically patted me on the back and sent me home to die. I was devastated and was afraid to do anything. I stopped riding my bike, I was afraid to do anything that would cause any exertion. It consumed my thoughts with every breath and the fear of what to expect was almost more than I could deal with. So I couldn't get myself all time I decided to find a herbal cure online and I came acrose Doctor Itua on how he cure several people suffering from Hiv, and Herpes I gave him a call on this Number +2348149277967 also chat on whatsapp he gave me all the details about the cure i paid him for the medicine after 5 working days i receieve my herbal medicine ,I use it for two weeks that is how I get Cured and today I'm living healthy and fine I give him thanks also promise him to testify about his work,He Can also cure the following deseases..Copd,Herpes,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Parkinson's Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,disease,Schizophrenia,Cancer,Scoliosis,Fibromyalgia,Hiv,Hepatitis,diabetes,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Asthma.Contact...drituaherbalcenter@gmail.com..Whatsapp Number...+2348149277976

    ReplyDelete
  11. I was diagnosed with COPD with 55-60% lung capacity. My doctor just said all the crying , stomping your feet will not change it so just accept it and basically patted me on the back and sent me home to die. I was devastated and was afraid to do anything. I stopped riding my bike, I was afraid to do anything that would cause any exertion. It consumed my thoughts with every breath and the fear of what to expect was almost more than I could deal with. So I couldn't get myself all time I decided to find a herbal cure online and I came acrose Doctor Itua on how he cure several people suffering from Hiv, and Herpes I gave him a call on this Number +2348149277967 also chat on whatsapp he gave me all the details about the cure i paid him for the medicine after 5 working days i receieve my herbal medicine ,I use it for two weeks that is how I get Cured and today I'm living healthy and fine I give him thanks also promise him to testify about his work,He Can also cure the following deseases..Copd,Herpes,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Parkinson's Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,disease,Schizophrenia,Cancer,Scoliosis,Fibromyalgia,Hiv,Hepatitis,diabetes,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Asthma.Contact...drituaherbalcenter@gmail.com..Whatsapp Number...+2348149277976

    ReplyDelete
  12. I am John Danilla from UK( northern ireland), i want to share a
    testimony on how a powerful spell caster cured my HIV disease, i was
    diagnosed of this disease, in the year 2009, last week i saw a testimony on
    Dr.Akioya on how he cured an HIV patient, so i contacted him through phone
    call and he asked me to email him, which idid, so he told me that all my
    problems is over and then he decided to do an healing spell spell for me so
    after he finished it, he told me to wait for just 24 hours and then i
    should go for a test, so i really did as he had said, so my greatest
    surprised when i went to the hospital to go for an HIV test, the Medical
    doctor diagnosed that, i am now HIV negetative at first i was amazed and
    now i have come to realise that this spell caster Dr. Akioya is a very
    powerful one and a real spell caster. So viewers of this should please join
    me in my celebration for i am the happiest man on earth today and if you
    want to contact him, you can do this via his email
    (drakioya17spellhome@gmail.com or call him or whatsapp him
    +2347019562805.

    ReplyDelete


  13. Am jeremiah, I am testifying about a great hebal man that cured my wife of hepatitis B and liver cirhosis. his name is Dr oniha. My wife was diagnose of hepatities two years ago, i almost spent all i had then, until i saw dr oniha recommendation online, and i call him, then he told me how to get the herb. You can call him on +2347089275769 or email him at dronihaspell@yahoo.com

    ReplyDelete
  14. i was diagnosed with ALS. my symptoms progressed quickly. son i was having difficulty breathing, swallowing and even walking short distance. With the help of DR JUDE HERBAL FORMULA, i have been able to reserve my symptoms using his herbs formula which i feel has made the most difference. it reserved my ALS. visit DR JUDE NATURAL HERBAL MEDS on blog
    [drjudenaturalherbs. blogspot. com] or reach him directly on email, [drjuderobert@gmail.com]

    ReplyDelete
  15. I had COPD for 9 years. My first symptoms were dry cough, chest tightness and shortness of breath. My first chest x-ray only showed bronchitis. Finally I went to a pulmonologist and was diagnosed with COPD.i have used all the medication yet they don’t work, last year December I was told by a formal emphysema patient to use totalcureherbalfoundation@gmail.com herbal treatment which I really did,i was surprise the herbal products effectively get rid of my COPD totally. When you get where you cannot breathe it may be too late. Good luck to each and every one that will be trying their herbal treatment .

    ReplyDelete
  16. 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
  17. 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.

    ReplyDelete
  18. 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 .

    ReplyDelete
  19. I am not sure of the cause of COPD 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
  20. I was haven herpes 2 on my private part. I have had them for about 2 and a bit years. I am so scared what my mates are going to says if there should fined out i have herpes on my private part and due to the virus my girlfriend broke up with me. I have been to the Doctors 9 times to get it treated. They all come back. I have been using Tee Tree Oil and Wartner (You freeze them at home) and they seem to be keeping the smaller herpes small but they can't seem to treat the larger ones. They don't get any bigger, but then they can't shrink as much. They get smaller a little part at a time. At least they are getting smaller! As soon as I see a new herpes appearing, then I treat it. At the moment I have been using Tee Tree twice a week and then using Wartner every 2 weeks. I was wondering if there was any other information about how to get rid of it. I am only a teenager and I hate it most when it get pi-chins me to scratch it, it get sweets when scratching it most times! I want to get rid of it so bad! DR.ONOKUN website has been a huge help and has helped me realize a lot more about me and my family of genital herpes! so that was when i switch for natural remedy to see if there could be any help by herbal remedy, i search and i saw a great posts by Sarah devise adebayo ehijactor and shanttel Merritt on about the great herbal doctor that get them rid of there disease infection. and this great herbal doctor was called DR.ONOKUN so that was when i contacted him for my own treatment and he prepared me some herbs which i takes for some couples of days, and i take it as he says before i am to no me and my family was perfectly cure for it and never experience it again. please friends if you have herpes virus and you really wants to get rid of it, please contact this great DR.ONOKUN for herbal treatment and you will get rid of it. EMAIL. dronokunherbalcure@gmail.com 

    ReplyDelete
  21. 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
  22. HOW I GOT CURED FROM HIV VIRUS BY GREAT HEALER CALLED DOCTOR IDAHOSA
    Good news to everyone, I am here to testify of the great work Dr idahosa did in my life with the help of his herbal traditional medicine. I have been suffering from HIV since 2016 and ever since then I have been looking for solutions on how to cure it. I have being to different hospitals but I discovered none of them was working out for me that I was just wasting money. So I decided to live everything to God, then I was taking my medications to sustain my life and reduce the pains. So on this particular Sunday morning after coming back from service I sat down and began to ask myself questions, then my phone rang behold it was my Brother calling which I answered the call and he started telling me that a friend of his who has been suffering from same HIV VIRUS has just been cured by Dr idahosa the herbal medicine man. Then I was over whelmed, even though I was a little bit confused so he encourage me to also give Dr idahosa a trial and see for myself then I told he to help me get his contact and forward them to me, So immediately he got the contact of Dr idahosa and send them to me, immediately I contacted Dr idahosa and he told me everything I needed to do to enable me get the herbs for my medications and immediately i did that which he instructed me to do without wasting anytime. And here I am today sound and healthy without any symptoms of HIV or any sickness in my body system. And he also told me that there is no sickness on this planet earth that doesn’t have a cure that with the help of natural herbs he can cure any sickness or disease you can ever think off. So if you are suffering from HIV VIRUS or any other sickness or disease and you need a cure you can also contact Dr idahosa with this Email Address at (dridahosasolutioncenter@gmail.com) or add him on whatsapp +2348134261542 so you can also receive your healing and share your testimony, God bless you all.

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

    Or Cell Whatsapp Number +2348101755322 thank you .....

    ReplyDelete
  24. 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.

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  25. 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. 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
  26. i want to inform the public how i was cured of HERPES Simplex Virus by a Doctor called Dr.EBHOTA. i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Doctor EBHOTA cured them. I Was scared because i never believed in the Internet but i was convince to give him a try because i was having no hope of been cured of HERPES so i decided to contact him on his email, i searched his email on net and i saw a lot of people testifying about his goodness. when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, am a free person now without problem, my HERPES result came out negative. You can contact him on
    his Email: drebhotasolution@gmail.com or whatsapp him on +2348089535482 and get all your problem solved.
    1Sickness of any kind
    2 Help to CURE Hepatitis B, HIV/AIDs CANCER and BIPOLAR
    3 Divorce, Breakup problem and To Re-unit
    4 Pregnancy problem
    5 Financial problem and Job promotion
    6 To get a good and rich life partner
    7 To Lose your wath
    8 to enlargement of pennis
    9. CANCER
    10. ALS (Lou Gehrig's disease)
    11 Hepatitis B
    12 chronic pancreatic
    13 emphysema
    14 COPD (chronic obstructive pulmonary disease)   

    ReplyDelete
  27. My father was born with asthma in his later years he suffered from COPD and emphysema. His doctor told him if he get the flu or really sick that could be the end. He  have been nearly gone many times, why is he still here I am not sure maybe God. It is a hard life to live and I always hope that someday someone will figure out a cure not until my family found www. totalcureherbsfoundation. com remedies that gradually cure and relief this lung conditions after several weeks of the dosage . I always think it is not taken as seriously as it should be ever since my father use the natural herbal medication from that company his condition and the breathing system and all that has been extremely reversed to normal .

    ReplyDelete
  28. 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  Dr Akhigbe   total cure herbal medicine. my husband saw his testimony on the internet he used his powerful medicine to cured differents diseases. we contacted his email   [drrealakhigbe@gmail.com}   He has the right herbal formula to help you get rid and repair any lung conditions and others diseases, will cure you totally and permanently with his natural organic herbs,We received the medicine through courier delivery service. 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.
    Dr Akhighe also cured diseases like, HERPES, DIABETES, HIV/AIDS, COPD, CANCER,ASTHMA,STROKE,LUPUS,JOINT PAIN,CHRONIC DISEASES,PARKINSON DISEASES,TUBERCULOSIS,HIGH BLOOD PRESSURE,BREAST INFECTION,WOMEN SEXUAL PROBLEM, ERYSIPELAS,STAPHYLOCOCCUS,HERPATITIS A/B, QUICK EJACULATION,GONORRHEA,SYPHILIS,WAST/BACK PAIN,PELVIC INFLAMATORY, DICK ENLARGEMENT,HEART DISEASES,TERMINAL ILLNESS,SHIFT IN FUCUS,ATAXIA,COMMON COLD,CROHN'S DISEASES,ALCOHOL SPECTRUM DISORDER,GRAVES DISEASE,HEARING LOSS, INTERSTITIA CYSTITIS,LEUKEMIA,MULTIPLE SCLEROSIS,OBESITY,RABIS,SCOLIOSIS,INFLUENZA, POLIO,JACOB,ETC. If you are out there looking for your cure please  contact  dr Akhigbe  by his email    drrealakhigbe@gmail.com     or contact his whatsapp number   +2349010754824
    God bless you Dr Akhigbe for your good hand work on my life

    ReplyDelete

  29. Am tracy by name,from Germany, i was diagnosed with Herpes for 6years 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 neme amber post on how Dr Abumere saved him from the VIRUS with herbal medicine i contacted Dr Abumere on his email address: doctorabumrer6@gnail.com or WhatsApp +2349021975055 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 18days 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 Abumere God bless you..

    ReplyDelete
  30. Hello everybody, I just want to give this great testimony to the whole public about a great man who helped me out of a serious illness. I have had HSV-1 AND HSV-2 VIRUS for good 2 years now and I was almost going to the end of my life due to the illness. All I have in my mind is, let me just give up because life is not interesting for me any longer and i also pray that God should accept my soul when ever I’m gone luckily for me, my kid sister run to me that she found a doctor in the INTERNET who can cure HSV-1 AND HSV-2 VIRUS. She helped me out with everything, the man asked for my details so he can prepare herbal medicine for me. After he was done consulting on my details he told me how my medicine will be prepare, after he was done preparing my medicine he sent me my medication and after using it for 7 days i later started noticing something different in my blood so I went for my HSV-1 AND HSV-2 VIRUS test and I was tested Negative, I’m so happy that I can say I’m not patient of HSV-1 AND HSV-2 anymore. If you have HSV-1 AND HSV-2 or any sickness,HIV/AID,HPV,CANCER,HEPATITS B DIABETITS ALS,PENIS ENLARGEMNT please for your safety, contact DR.VADI VIA email address (doctorvadi@yahoo.com) or whats APP number +2348074133083

    ReplyDelete
  31. I started on COPD Herbal treatment from Ultimate Life Clinic, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Life Clinic via their website www.ultimatelifeclinic.com . I can breath much better and It feels comfortable!

    ReplyDelete
  32. Rhonda S.’s COPD made her feel short of breath and like she was constantly dragging. While her inhalers helped some, she just didn’t feel like herself anymore.
    After having life-threatening pneumonia, she knew something had to change. A friend of hers mentioned multivitamin herbal formula restoration treatment, so Rhonda did
    some research and decided to receive treatment at the multivitamin herbal cure. “I started to feel better almost right away,” Rhonda said.
    And, along with feeling better, she began to do things she couldn’t do before treatment. Now, Rhonda can take showers, work in her flower garden, and she enjoys having more energy. It’s with a great deal of hope, Rhonda says, “I feel more like myself.”
    Like Rhonda, you can breathe easier and bring normal life back within reach. If you or someone you love has a chronic lung disease and would like more information, contact us today by calling (+1 (956) 758-7882 to visit their website multivitamincare .org

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