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Houston Psychiatry Tips

Your Family Psychiatrist is a trusted resource for individuals searching for mental health answers in the Houston area. Here we cover a wide range of topics such as how to find a psychiatrist and the benefits of psychotherapy. Our articles help you understand mental illness, substance abuse treatment, and what to expect when working with licensed mental health professionals. 

Physician Burnout - Information and Treatment

5/16/2023

35 Comments

 
Treat Physician Burnout

​Physician burnout
is a world-wide phenomenon that has increased during recent decades. Various sources report that roughly half of physicians display burnout symptoms. This article looks beyond past burnout stereotypes to its global definition, associated signs, and contributors. Assessment resources and methods are presented and discussed.

Although article content touches on the overall risks burnout presents within healthcare systems, the primary focus is on those physicians at risk for and suffering because of burnout’s toll. Heightening awareness of this occupational phenomenon is required to identify and research solutions, particularly by linking contributors with systems and organizational function.

Burnout Basics
The history of burnout dates back to the 1970s and 80s when Freudenberger described a set of symptoms as “burn-out.” Christina Maslach with the Maslach burnout inventory has provided further discussion and study of this phenomenon, including its occurrence among medical personnel. Regardless of occupation, Maslach and colleagues describe three definitions, or indicators, of burnout, those being:
  • Emotional exhaustion,
  • Depersonalization, and
  • Low personal accomplishment.

Each of these three definitions is associated with various signs discussed in burnout literature and included in the World Health Organization (WHO) description. It notes that burnout is an occupational phenomenon that is listed in the International Classification of Diseases (ICD). The ICD-11 has added detail to the definition provided in the ICD-10. The updated definition includes signs found throughout burnout literature, such as:
  • Energy depletion,
  • Mental distancing from work, often with associated cynicism, and
  • Reduction in professional efficacy.

WHO makes particular note that burnout is not a medical condition. Rather, it refers specifically to phenomena in the occupational context and is not appropriate for application to other areas of one’s life. This point is especially vital when considering burnout contributors, much as occurs in this article’s primary section.

Various relatively current sources indicate the rate of reported and/or assessed burnout at almost 1 in every 2 physicians. In a 2019 report, 44% of more than 15,000 physicians in at least 30 specialties reported to Medscape that they feel burned out. This reflects a steady increase since 2013.

Levels of burnout across specialties range from 28 to 54%. Women are more likely than men to report burnout with data comparisons of 50 to 39%, although males accounted for 60% of survey respondents. Self-report of burnout, as applied in the Medscape report, has been noted to have an accuracy rate 72% of the time when compared with the Maslach Burnout Inventory. Although this is older data, it is worthy of consideration given the proportion of physicians reporting burnout at an increasing rate.

Burnout: Its Definition and How It’s Assessed    This article’s opening paragraphs provided burnout definitions presented by Maslach and the WHO as part of an overview discussion. Burnout assessment involves expanded discussion of its definition with particular emphasis on how it is described by those living with feelings associated with burnout.  

Definition Overview
Although emotional exhaustion has been noted to be a primary burnout indicator, others report that depersonalization is more likely associated with negative outcomes. These physicians have high cynicism scores, reflective of being detached and uncaring. Those who score high in emotional exhaustion report feeling over-extended as well as physically and emotionally drained. A high inefficacy score is related to physicians having diminished confidence and doubting that their work matters. It is reported that healthcare burnout researchers omit low personal accomplishment, replacing it with job satisfaction measures.

Burnout Assessment
The National Academy of Medicine (NAM) provides information about valid and reliable instruments for measuring burnout and other related factors. The page links to sources that offer additional guidance for organizations. It presents the most commonly used assessment as being The Maslach Burnout Inventory (MBI) that assesses the three areas noted above and measurement of workplaces factors that may be contributing to burnout.

Mind Garden offers the MBI and other assessments. The Maslach Burnout Toolkit for medical personnel includes, as part of its survey, items that measure work environment factors that may contribute to burnout. The entire assessment, including workplace and individual measures, can be completed in about 30 minutes. Discussion presented by the NAM and other researchers indicate successful use of a limited number of MBI queries to improve response rates.

Woven within discussion in the resources presented thus far are burnout contributors. Given that about half of physicians report regular feelings of burnout, there is compelling need to examine contributing factors. Doing so leads to inquiry that ultimately can provide solutions.

Burnout: The Burden of Contributors
This article examines contributors that are systems and/or organizational in origin. Doing so is well supported in medical burnout literature, including resources cited here. Consider that burnout among physicians is double that of other American workers, even with controls applied.

At times, this discussion seems personal. That is because loss of sleep, financial concerns, and extended work hours are just that—very personal. As are concerns about depression, coping mechanisms, and work/life imbalance.

The 2019 Medscape report asked respondents to report on what contributed most to burnout. Almost 60% indicated this to be too many bureaucratic tasks including charting and paperwork. The next highest ranked at 34% was too much time at work, followed by increases in technology use such as EHRs/EMRs at 32%, and lack of respect from administrators and colleagues at 30%.

Burnout’s root causes noted above are affected by organizational structure and functionality. Consider how healthcare organizations and systems affect these contributors:
  1. Lack of power/control: Physicians who have historically served in leadership roles that guide clinical decisions have had to relinquish these to administrators. This power shift toward business models causes concerns that the focus is now on money, rather than on optimum patient care and physician satisfaction.
    • There is a notable increase of burnout for those who spend less than 20% of their work effort on personally meaningful endeavors.
  2. QI programs: “Quality Improvement“ (QI) programs that require more paperwork,  another bureaucratic, busy-work burden for physicians. It fulfills a requirement rather than encouraging professional systems in which physicians develop their own QI strategies by listening to patients to continually enrich practice expertise. 
    • From the same report noted in item 1, there is burnout increase due to “clerical burden.”
  3. Inefficient workflow: Clinical functions should be stream-lined to benefit the medical professionals providing patient care by having non-medical tasks efficiently handled by staff. This approach frees time to see more patients, increase revenue, and allow you to do the most enjoyable part of medicine – seeing patients.
  4. Electronic medical records (EMR’s) were designed to increase productivity and efficiency though that has not come to fruition. Moving through numerous pages or screens to complete an encounter is neither efficient nor satisfying.  
    • These are regularly cited as a burden, including the task of physician order entry with computers.
  5. Staff shortcomings: Physicians are caring individuals who believe staff are trustworthy and able to complete tasks efficiently. Regardless of cause, when an employee does not meet job expectations, it is time to document their behavior and have a personal discussion about short-comings. Inability to improve needs to result in termination.
  6. The 2019 Medscape study noted lack of respect from patients as a 16% cause of physician burnout. This can cause practitioners to feel abused and powerless, especially considering the added effects of those 30% of physicians who reported burnout due to lack of respect from employers, colleagues, and staff.
  7. Lack of leadership training: There has been a recent rise in physicians starting a private practice. Although taking this step can be stressful, it is very rewarding to design a clinic around your needs and those of your patients. Once the clinic is up and running, many physicians run into issues that require a firm handle on leadership, financial, legal, and marketing skills. Think too of how lack of physician leadership training limits workplace functionality without fully accessing the decision-making capacity of bright, caring professionals.

It is particularly relevant to consider all of the above in relation to reports that organizations that offer physicians control over workplace issues result in higher professional satisfaction and less stress.

Other burnout contributors are associated with workload and workplace culture. Added to these are a physician culture that would benefit from shorter shifts, heightened peer support, and reversal of blame. Until workplace factors improve, these contributors to burnout will continue:
  1. Skipping lunch: Physicians may habitually skip lunch or eat a snack while charting to complete documentation and catch up due to workload and workplace inefficiencies. If the workplace culture condones this practice, physicians sacrifice their deserved breaks and mealtime.
  2. 50+ hour work weeks: The 2019 Medscape survey notes that burnout reporting increases with number of hours worked. Emotional exhaustion sets in, particularly as practitioners sacrifice their personal and family needs. Towards the end of a 60-hour week, physicians wonder how many others lack the mental stamina to maintain their high level of work.  Each additional hour of work and night or weekend call increases burnout risk by 3 to 9%. Think of how quickly that adds up.
  3. High Debt is common among physicians due to extended education that is expensive and not sufficiently relieved by loan forgiveness incentives. There is then the draw to accept added hours to meet financial obligations, adding to the catch-22 of burnout. 
  4. Neglecting sleep at the end of a long day or week is tempting in order for physicians to spend time with family, friends, or participating in a hobby. Balancing these with household responsibilities leaves physicians stretched thin and sleep suffering. Sleep deprivation and exhaustion affect the quality of patient care and an overall drop in mood/patience.
  5. Ignoring one’s own advice. It is fascinating to listen to physicians complaining about their patients not following preventive care tips and healthy habits when they themselves aren’t doing so either. If patients take the advice, so should physicians. Caring for self and monitoring one’s own health are hallmarks of wellness.
  6. Vitamin D deficiency. The evidence supporting vitamin D deficiencies and depression is mixed, yet everyone should get some quality time outdoors. Enjoying the sunlight and getting outside is quite refreshing. Consider the value of workplaces that encourage all staff to get outside to enjoy and appreciate nature and soak up some vitamin D.
  7. Charting on weekends is unpaid work. Apparently there are healthcare settings in which physicians save their charting for the weekends. The idea of procrastinating on documentation and then trying to remember what was done days ago is likely associated with job dissatisfaction and workplace issues. 
  8. Under-utilization of other professionals such as attorneys and accountants. Physicians have invested over a decade achieving an education to be excellent physicians. They know patient care, yet have not learned about tax laws, investing, home repair, and the basics of contracts. Unless physicians outsource these tasks to improve work/life balance by enjoying off-time, burnout concerns will continue.

This article’s broad discussion of physician burnout prompts a number of questions about workplace factors, the effects of burnout on patient outcomes, and how to transform healthcare systems. Each contributor to physician burnout holds answers on how to improve systems, from education to documentation, on behalf of physicians, those they care for, and those who care for these noble practitioners. As noted on one of the Mind Garden physician burnout solutions pages, “In order to fully remedy and prevent burnout, solutions must focus on organization change—not personal change.”  
 
Request Dr. Jared Heathman for speaking engagements on physician burnout.  Contact our office at 281-849-4080 with your information for further details.
 
References 
Dyrbye, L. N., Shanafelt, T. D., Sinsky, C. A., Cipriano, P. F., Bhatt, J., Ommaya, A.,…Meyers, D. (2017). Burnout among healthcare professionals: A call to explore and address this unrecognized threat to safe, high-quality care. Retrieved from https://medschool.ucsd.edu/som/hear/resources/Documents/Burnout-Among-Health-Care-Professionals-A-Call-to-Explore-and-Address-This-Underrecognized-Threat.pdf
 
Kane, L. (2019). Medscape national physician burnout, depression & suicide report, 2019.
 
Mind Garden. (2018). Maslach burnout tool for medical personnel. Retrieved from https://www.mindgarden.com/documents/Maslach-Burnout-Toolkit-for-Medical-Personnel-Intro-Sheet.pdf
 
Mind Garden. (2019). Physician burnout solutions. Retrieved from https://www.mindgarden.com/content/34-physician-burnout-solutions#horizontalTab1
 
National Academy of Medicine. (2020). Action collaborative on clinician well-being and resilience. Retrieved from https://nam.edu/initiatives/clinician-resilience-and-well-being/
 
Ostrov, B. F. (2018). Stanford’s chief wellness officer aims to end physician burnout. Retrieved from https://californiahealthline.org/news/stanfords-chief-wellness-officer-aims-to-prevent-physician-burnout/
 
Stehman, C. R., Testo, Z., Gershaw, R. S., & Kellogg, A. R. (2019). Burnout, dropout, suicide: Physician loss in emergency medicine, Part I. Western Journal of Emergency Medicine, 20(3): 485-494. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526882/
 
West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2018). Physician burnout: Contributors, consequences, & solutions. Journal of Internal Medicine, 283(6): 516-529. Retrieved from https://onlinelibrary.wiley.com/doi/full/10.1111/joim.12752
 
World Health Organization. (2019). Burn-out an “occupational phenomenon”: International Classification of Diseases. Retrieved from https://www.who.int/mental_health/evidence/burn-out/en/
35 Comments
Martha Jecorick
12/9/2024 08:17:36 am

DR. OSATO`S CURE FOR HERPES1&2 - A NATURAL WAY TO GET HERPES1&2 CURED. If you have been looking for ways to naturally get rid of the herpes simplex virus from your body totally, then you are welcome to read further. Let's face reality here, you have tried so many counter drugs and you are confused, weak and angry because nothing seems to work. Good News For you my friend.... Yes, I came with good news that will liberate you from the pains and stress of herpes outbreak, you will get total cure from this virus using Dr. Osato Herbal Methodology. Who is Dr. Osato? You may ask. Dr. Osato is a herbalist and a naturalist. He researched and identified some herbs and established a unique methodology to healing the human body using Herbal medicine that was confidently entrenched in his over 30 years of experience. According to him, he has the cure for so many diseases/virus like GENITAL HERPES, HIV, CANCER, HPV, HSV1&2, GENITAL WART, SHINGLES, VAGINAL INFECTION and so many more. You can reach Dr Osato on his email: [email protected] or WhatsApp +2347051705853. You can also contact him through his website: https://osatoherbalcure.wordpress.com I am using this medium to inform everyone how to get treated of herpes using Dr Osato recommended Herbal methodology.

Reply
Veronica Hadidh
5/15/2025 01:54:38 am

I want to thank Doctor O.WATER for the Herbal medicine he gave to me and my daughter, i was suffering from HIV and Herpes simplex outbreaks all over my genital, when i gave birth to my daughter and that was how my daughter got the sickness indirectly from me, but to God be the glory that i am healed with the herbal medicine that Doctor O.WATER gave to me. I want to use this medium to tell everyone that the solution to our sickness has come, so i will like you to contact this great healer on his email address: [email protected] and Whatsapp +2349050205019. I am really happy today that i and my daughter are cured of HIV and herpes, we are now negative after the use of his herbal medicine, my specialist doctor confirm it. once more i  say a big thank to you Doctor O.WATER for your healing hands upon my life and my daughter.

Reply
Kathleen Dunham
5/25/2025 12:43:21 am

It is so unfortunate that the FDA and big pharma ban a lot of natural cures for CANCER just to make money.
I am a very private person, especially when it pertains to my health! I decided to share my story to give others hope and inspiration.
2 years ago, my now 21-year-old daughter was diagnosed with stage 4 cancer that metastasized to her bones. She had one round of oral chemo, which resulted in chemo toxicity. Her heart and kidneys were severely damaged. She couldn’t walk or talk without coughing and was rushed to the hospital numerous times with dangerously low blood pressure. I gave up on the doctors; I decided to stop all medical treatment and look for alternatives. I ended up researching natural herbs, which led me to contact a herbalist, Dr.Water. He offered me some herbal products, which I gave to my daughter, and her health rapidly improved. A few days after she finished the treatment, we did a scan, and it confirmed that she was cancer-free and her bones were healing. I was overjoyed; it was like a miracle. It’s been over a year now, and she is perfectly healthy. No antibiotics, no probiotics; she only takes a few natural supplements that Dr. Water directed us to buy.
Natural herbs can be a perfect alternative to so many health conditions out there, but we seem to neglect them. Feel free to share my story, and here is Dr.Water's contact: +2349050205019 and [email protected].
Extra thanks to Dr. Hamza Shazam and Dr. Terry Marcelino for their guidance throughout my journey!
Thank you to Jimmy Philip Sacchetti for reaching out to me!
Thank you to my family and friends for their love and support, and many thanks to Dr. Water, who saved my daughter's life!!! I love you all.

Mariano Suarez
5/25/2025 01:04:01 am

I was diagnosed of HSV (Herpes) few years ago and my doctor told me there was no permanent cure for the disease. I was given medication to slow down the progress of the virus. At the initial stage it was not so bad till it progressed to a stage were i had difficulties going about my daily activities because i constantly felt pains in my penis, and around my genital were i had these blisters. I was totally devastated and i was even ashamed to complain to anyone. I saw a publication about a doctor called Dr.Water, and from what i read, he was using herbal medicines to cure illnesses like HERPES, Human papillomavirus, ALS, Diabetes, HIV, and so on. I opted to contacted him via email, after a few dicussion, i ordered for his medicine. He prepared the medicine and shipped it to me. When i received the herbal medicine, I took it according to his instructions. After using it as instructed, few weeks later i went to the hospital to have a blood test and the test came out negetive. To my greatest surprise, i was cured of this stubborn virus just by using a simple herbal product.
That is why i am here sharing my testimony as much as i can to create as much awareness as possible so that people can also benefit and be cured too. contact him for help, via his email: {[email protected]} or WhatsApp (+2349050205019). this is my persona email: [email protected], you add me on hangout

Lili Buyana
5/25/2025 12:58:46 am

I have suffered with human papilloma virus (HPV) ever since I was a child but it's only been the last few years I discovered that I have genital warts. So I started looking for a way to get cured permanently from this deadly virus, because it just won't stop popping up around my genital organ. I visited so many gynecologists in search for a solution but it never worked out. So I started searching for a cure to my genital warts online. Few month ago I came across a site where a lady was sharing a testimony about Dr.Water, about how he had cured herpes virus and different diseases with natural herbs, so I decided to give it a try. I email the Doctor and he told me how I was going to get the remedy, so I did as he instructed. Few days later I received the remedy and I started taking the herbs as instructed by the Doctor. I was shocked two weeks after, when i noticed that the warts were all gone. I want to a gynecologist over and he ran some tests on me and told me that I was free from genital warts or HPV or condyloma. So I decided to let the world know how I was cured from genital warts by Dr.Water. You can reach Dr.Water through his email: [email protected] Or WhatsApp/ +2349050205019 if you also want cure for your warts, herpes, HIV/AIDS or any disease listed below, also contact Dr.Water:
1, Night sweats
2, Lesions on your tongue or mouth
3, Weight loss
4, Frequent fever
5, Persistent Diarrhea
6, Skin rashes
7, Tiredness
8, Swollen lymph glands
9, Pneumonia
10, Memory loss
11, Depression
12, Swelling of the lymph glands
13, Red, brown, pink spots on the skin, mouth, nose, or eyelids
14, Sores of the mouth, anus, or genitals

Reply
Rachelle Hollie
1/9/2025 04:15:39 pm

I want to thank Dr Osato for curing me from HSV-2 with his herbal medication. All the symptoms of herpes are completely gone from my body and it's been over 3yrs now since i got cured from herpes with Dr Osato herbal medicine and my result still shows Negative and my doctor confirmed with me that I am totally cleared from herpes. I just want to let you all know that Dr Osato herbs cures herpes completely from the body and you can contact him for the cure if you are suffering from HIV/AIDS, HERPES-1 & 2, HPV AND CANCER. You can contact Dr Osato on his email: [email protected] or WhatsApp him on +2347051705853 to get the herbal product and get rid of the virus away from your body. Dr Osato is real and a great herbalist who can help you from your illness. His website is https://osatoherbalcure.wordpress.com or you can message him on his facebook page: https://www.facebook.com/Dr-Osato-Herbal-Cure-106002928040920

Reply
Noel Patricio
1/11/2025 01:37:51 am

A Life-Changing Experience, Dr Kachi A Testimony of Gratitude

I would like to share an extraordinary experience that has transformed my life. I came across a remarkable testimony online forum about a powerful and renowned spell caster, Dr. Kachi. At the time, I was skeptical because I had never encountered anything related to magic or spell casting before. However, the story of Dr. Kachi's work resonated with me, and I decided to give it a chance. For years, my family and I struggled financially, and despite my best efforts, I never had luck winning the lottery. I loved playing, but winning seemed impossible. Everything changed when I connected with Dr. Kachi, who provided me with a winning lottery number through a powerful spell. In just 24 hours, I was able to play the lottery and won the Lotto 6/49 prize, a remarkable $68 million cash prize, on September 27th in the Gold Ball Draw. This incredible win has completely changed my life and the financial well-being of my entire family. After 10 years of trying unsuccessfully, I am now living my dream life. I am beyond grateful to Dr. Kachi for his assistance, Dr. Kachi has truly been a blessing to me and my loved ones. I encourage anyone who is interested to reach out to Dr. Kachi for guidance. his website https://drkachispellcaster.wixsite.com/my-site or email [email protected]. Also reach him text or call +1 (209) 893-8075.Thank you once again, Dr. Kachi, for making my dreams come true.

Reply
Rachelle Hollie
1/20/2025 07:54:52 am

I want to thank Dr Osato for curing me from HSV-2 with his herbal medication. All the symptoms of herpes are completely gone from my body and it's been over 3yrs now since i got cured from herpes with Dr Osato herbal medicine and my result still shows Negative and my doctor confirmed with me that I am totally cleared from herpes. I just want to let you all know that Dr Osato herbs cures herpes completely from the body and you can contact him for the cure if you are suffering from HIV/AIDS, HERPES-1 & 2, HPV AND CANCER. You can contact Dr Osato on his email: [email protected] or WhatsApp him on +2347051705853 to get the herbal product and get rid of the virus away from your body. Dr Osato is real and a great herbalist who can help you from your illness. His website is https://osatoherbalcure.wordpress.com or you can message him on his facebook page: https://www.facebook.com/Dr-Osato-Herbal-Cure-106002928040920

Reply
Lilian Jose
1/31/2025 07:53:08 am

I want to use this opportunity to testify of the marvelous work of Dr. Odunga and how he has helped me in curing my sickness and bringing happiness into my life. I can really vouch for Dr. Odunga in herbal treatment. I was suffering from Cervical Cancer and infected with HPV 16. I used to have incessant bleeding and there was nothing I could do until a childhood friend introduced me to Dr. Odunga Remedies. I spoke with him and ordered his recommended medication which was delivered to me through DHL. Immediately I began using the herbal medicine, within a  week I couldn't feel any pain. It took me 2 weeks to finish the medicine and afterwards I was completely cured. I highly recommend that you contact him to help you at his email [email protected] OR What'sApp/Call him at +2348167159012

He is 100% reliable to help you too.

Reply
James Turley
2/5/2025 04:07:55 am

I was really stressed by Erectile dysfunction issues and had consulted Dr Moses Buba. He gave us a thorough consultation and the medicines were equally effective. In a couple of weeks there was big improvement in me and we are very pleased with the progress. We cannot thank Dr Moses Buba enough. Highly recommended.you can reach him via Email [email protected] WhatsApp +2349060529305. you can also reach on his Facebook page ; https://www.facebook.com/profile.php?id=61559577240930 / website page https://bubaherbalmiraclem.wixsite.com/website

Reply
Martha Jecorick
2/22/2025 10:08:10 am

DR. OSATO`S CURE FOR HERPES1&2 - A NATURAL WAY TO GET HERPES1&2 CURED. If you have been looking for ways to naturally get rid of the herpes simplex virus from your body totally, then you are welcome to read further. Let's face reality here, you have tried so many counter drugs and you are confused, weak and angry because nothing seems to work. Good News For you my friend.... Yes, I came with good news that will liberate you from the pains and stress of herpes outbreak, you will get total cure from this virus using Dr. Osato Herbal Methodology. Who is Dr. Osato? You may ask. Dr. Osato is a herbalist and a naturalist. He researched and identified some herbs and established a unique methodology to healing the human body using Herbal medicine that was confidently entrenched in his over 30 years of experience. According to him, he has the cure for so many diseases/virus like GENITAL HERPES, HIV, CANCER, HPV, HSV1&2, GENITAL WART, SHINGLES, VAGINAL INFECTION and so many more. You can reach Dr Osato on his email: [email protected] or WhatsApp +2347051705853. You can also contact him through his website: https://osatoherbalcure.wordpress.com.  I am using this medium to inform everyone how to get treated of herpes using Dr Osato recommended Herbal methodology

Reply
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2/28/2025 04:49:34 am

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Noel Patricio
3/1/2025 11:46:33 am

A Life-Changing Experience, Dr Kachi A Testimony of Gratitude

I would like to share an extraordinary experience that has transformed my life. I came across a remarkable testimony online forum about a powerful and renowned spell caster, Dr. Kachi. At the time, I was skeptical because I had never encountered anything related to magic or spell casting before. However, the story of Dr. Kachi's work resonated with me, and I decided to give it a chance. For years, my family and I struggled financially, and despite my best efforts, I never had luck winning the lottery. I loved playing, but winning seemed impossible. Everything changed when I connected with Dr. Kachi, who provided me with a winning lottery number through a powerful spell. In just 24 hours, I was able to play the lottery and won the Lotto 6/49 prize, a remarkable $68 million cash prize, on September 27th in the Gold Ball Draw. This incredible win has completely changed my life and the financial well-being of my entire family. After 10 years of trying unsuccessfully, I am now living my dream life. I am beyond grateful to Dr. Kachi for his assistance, Dr. Kachi has truly been a blessing to me and my loved ones. I encourage anyone who is interested to reach out to Dr. Kachi for guidance. his website https://drkachispellcaster.wixsite.com/my-site or email [email protected]. Also reach him text or call +1 (209) 893-8075.Thank you once again, Dr. Kachi, for making my dreams come true.

Reply
micheal pevet
3/8/2025 03:05:14 am

NATURAL WAY TO GET HERPES1&2 CURED. If you have been looking for ways to naturally get rid of the herpes simplex virus from your body completely, then you are welcome to read further. Let's face reality here, you have tried so many counter drugs and you are confused, weak and angry because nothing seems to work. Good News For you my friend.... Yes, I came with good news that will liberate you from the pains and stress of herpes outbreak, you will get total cure from this virus using Dr. MOSES BUBA Herbal Methodology. Who is Dr. MOSES BUBA? You may ask. Dr. MOSES BUBA is a herbalist and a naturalist. He researched and identified some herbs and established a unique methodology to healing the human body using Herbal medicine that was confidently entrenched in his over 30 years of experience. According to him, he has the cure for so many diseases/virus like GENITAL HERPES, HIV, DIABETES, CANCER, HPV, HSV1&2, GENITAL WART, SHINGLES, VAGINAL INFECTION and so many more. You can reach Dr MOSES BBUBA on his email: [email protected] / WhatsApp +2349060529305 . You can also contact him through his website: https://bubaherbalmiraclem.wixsite.com/website. Facebook page : https://www.facebook.com/profile.php?id=61559577240930 . I am using this medium to inform everyone how to get treated of herpes using Dr MOSES BUBA recommended Herbal methodology.

Reply
Bella James
3/9/2025 04:25:59 pm

FAST EFFECTIVE WAY TO GET CURED FROM HERPES VIRUS

Hello! I’m very excited to share what worked for me to everyone. I’m completely cured from my HSV1&2 with the use of natural medicine. I have used Oregano oil, Coconut oil, Acyclovir, Valacyclovir, Famciclovir and some other products/supplements and it hasn’t helped ever since I was diagnosed. I got outbreaks frequently and was completely devastated and I went online for a possible cure and how to get rid of Herpes. On a fateful day after taking my bath, I took my phone and was going through some research, I bumped into a testimonial of a Herbs doctor { Dr Awase } who cures diverse diseases/viruses with Herbal medication. I was hopeful but also doubted the claim. But after a while I thought “what do I have to lose?” so I decided to reach out. He prepared a cure using roots and herbs which I steadily took for 14days as prescribed by him. I am quite glad I decided to reach out because I am totally cured from Herpes after a medical checkup was done by my Dr. So I’ve decided to make a quick testimony for anyone out there who is probably suffering from an illness they can’t handle to reach out to Dr Awase. He specializes in curing lots of illnesses such as HIV, ENDOMETRIOSIS, PCOS, OVARIAN CYST, INFERTILITY, HEPATITIS A,B,C and lots more. I’m here to let you all know that you can also be cured just like me and you don’t have to live with any sort of illness for the rest of your life. To reach out, Contact him via WhatsApp below or Email

WhatsApp +2349074997110

Email:- dr.awaseherbalhome@gmail. com

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alvinlees
4/1/2025 01:03:05 pm


This is amazing! the spells work.
Thank to Dr Excellent for restoring my broken marriage in 11hours after 2 months of separation. My husband left me and moved to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr. Excellent for any kind of spiritual problems or any kind of spell or relationship problems he is capable of making things right for you with no side effect. Don't miss out on the opportunity to work with the best spell caster. Here his contact. Call/WhatsApp him at: +2348084273514 "Or email him at: [email protected] , His website:https://drexcellentspellcaster.godaddysites.com

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sonshine jojo
4/28/2025 08:37:47 pm

Do you know that there is a great herbal doctor who can cure any deadly disease like herpes, hiv/aids, cancer, syphilis, madness, hepatitis b, STD e.t.c. well my main purpose of writing this to the whole world is about the great deeds CHIEF DR PAPAJO did for me. I was diagnosed with HSV in 2012, ever since then I have
been taking medications till I met doctor CHIEF DR PAPAJO. though i never believed in Herb medicine, i saw many testimonies on how he cured so many people and i decided to contact him through his email, and with his whatsAPP (+2348110096692) and he told me that he would require some items to prepare a herbal medicine for me and i sent him the money he needed cus i promised myself to do anything to get cured and so lucky he sent he fulfilled His part of the agreement he purchase the items and he prepared the medicine for me and he told me how i will be taking it. He asked me to have faith and believed in him which I did, after taking the medicine he asked me to go get a check-up, whenI did the check-up I was tested HSV Negative. All thanks to CHIEF DR PAPAJO. if you are suffering from any disease like the herpes virus or other std and you need a way
I advise you to kindly contact him via his email on [email protected]. you can also be fast and use WhatsApp +2348110096692.

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Tom Chau
5/5/2025 07:52:55 pm

I want to use this opportunity to testify of the marvelous work of Dr. GUBA and how he has helped me in curing my sickness and bringing happiness into my life. I can really vouch for Dr. GUBA in herbal treatment. I was suffering from Cervical Cancer and infected with HPV 16. I used to have unusual vaginal bleeding and painful urination. There was nothing I could do until a childhood friend introduced me to Dr. GUBA Remedies. I spoke with him and ordered his recommended medication which was delivered to me through DHL. Immediately I began using herbal medicine, and within a week I couldn’t feel any pain. It took me 2 weeks to finish the medicine and afterwards I was completely cured. I highly recommend that you order your herbal medication through Chief Dr. GUBA. Contact his email [email protected] OR What’sApp/Call him at (+2348162388034 )

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John Moses link
5/6/2025 02:32:24 pm

I want to use this opportunity to testify of the marvelous work of Dr. GUBA and how he has helped me in curing my sickness and bringing happiness into my life. I can really vouch for Dr. GUBA in herbal treatment. I was suffering from Cervical Cancer and infected with HPV 16. I used to have unusual vaginal bleeding and painful urination. There was nothing I could do until a childhood friend introduced me to Dr. GUBA Remedies. I spoke with him and ordered his recommended medication which was delivered to me through DHL. Immediately I began using herbal medicine, and within a week I couldn’t feel any pain. It took me 2 weeks to finish the medicine and afterwards I was completely cured. I highly recommend that you order your herbal medication through Chief Dr. GUBA. Contact his email via: [email protected] or WhatsApp: + 234 816 238 8034 or website: https://drgubahealingherbs.wixsite.com/guba-healing-herbs

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Wendy Gunn
5/14/2025 05:25:36 pm

LORD MEDUZA IS THE BEST SPELL CASTER ONLINE

It's an honor to share my testimony with the world. You merit all the accolades that mention you. Lord Meduza has been a gift to me since our meeting online. He is the only one that knows everything about creating spells. I adore him immensely for his kindness, compassion, integrity, and the support he offers to everyone who interacts with him. Without Lord Meduza, I wouldn’t have survived this difficult situation. His magic turned me into a Lottery winner of £177 Million Pounds, transforming my entire life into something beautiful and extraordinary. The numbers he provided for the lottery were transformative, elevating me from grass to grace, and I want to express my eternal gratitude to him. Thank you, sir, for being a source of help to those in need. Anyone who reads this article and requires assistance can reach him through his Email: [email protected] or WhatsApp +18079072687 as he is unmatched in crafting spells.

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KIARA HAHN
5/18/2025 07:41:48 am

How I Got My Ex Back with the Help of a Spell Caster +2349161779461
Hello everyone, my name is Kiara Hahn from California. I want to share my story about a powerful spell caster named Dr. Jakuta. I was heartbroken when my fiancé left me without warning, and I spent the last month feeling confused, guilty, and devastated. Desperate for help, I searched online for relationship advice and found Dr. Jakuta, who has helped many people with their relationship problems. I reached out to him, and he promised to bring my fiancé back to me within 72 hours. After following his instructions, my fiancé surprisingly showed up at my doorstep, apologized, and now we're living happily together again. If you're having relationship issues, you can contact Dr. Jakuta at
Email: [email protected]
WhatsApp: +2349161779461

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Jasmine Acosta
5/19/2025 11:34:03 am

I have had Human Papillomavirus (HPV) for 3 months now. I have searched for cures everywhere. I have spent more  money on the disease to make sure that it got cured. I was searching online on facebook, I got a review on how Dr Onokun cured People with herbs. So I ask him for help and the way he talks to me I believe in the medicine because other people are getting cured completely and I order the medication. I got it and I applied it on this disease. Within 14 days I was cured from the HPV thanks to herbal medication Dr Onokun send to me. If you need help he will be able to help you get rid of the Diseases, Vist his website: http://onokunherbs.com or http://Facebook.com/naturaltreatmentcenter1

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NELS KATE
5/20/2025 12:36:15 am

I have been suffering from Herpes for the past 1 years and 8 months, and ever since then i have been taking series of treatment but there was no improvement until i came across testimonies of Dr. UMA on how he has been curing different people from different diseases all over the world, then i contacted him as well. After our conversation he sent me the medicine which i  took according .to his instructions. When i was done taking the herbal medicine i went for a medical checkup and to my greatest surprise i was cured from Herpes. My heart is so filled with joy. If you are suffering from Herpes or any other disease you can contact Dr. UMA today on this Email address: [email protected] or whatsapp +2347035619585.

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Nate Gift
5/31/2025 08:31:22 am

My fiance broke up with me last week i was so sad I changed completely, I wasn’t eating and i wasn’t talking to anybody, I cried a lot,I was so depressed and stressed out that I was scared I’m going to end up in the hospital because of all the stress and depression until one day i search online on getting love tips because I Love & care about him deeply and I just want us to be together as a couple again and I want us to last forever then i found a powerful spell caster Called Dr. Masako that he solved so many relationship problem…… so i contacted him and explain every thing to him, then Dr. Masako told me he will come back to me between 17hrs after he cast spell on him never believe it until my fiance called me on the phone and told me he want us to come back and live happily together forever , Am so happy now that Dr. Masako help me bring my fiance back to me. Thanks so much Dr. Masako he can also help you… His 100% guaranteed, Email him at [[email protected]] you can Visit his website; https://doctormasako2.wixsite.com/drmasakospelltemple  WhatsApp +2349047144277

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Kate Hilton
6/8/2025 05:41:52 am

Do you find your problem hard for you? Are you finding it difficult looking for a reliable herbal healer to cure your cancer? I say this because I have been helped by Lord Krish Spiritual in restoring happiness into my life. My mother has been sick with Stage 4 Melanoma Cancer which nearly took the life of my mother. I was sad because of this sickness and I didn't know what to do to save my mother's life. I would never have met Lord Krish if my friend had not introduced him to me by telling me about a spell caster who has helped so many people worldwide. I contacted Lord Krish at [email protected] and within 3 days, I received herbal medicine from him through a courier and I used it on my mother. Within a week, mother was cured and healed. I would advise anyone out there to Contact Lord Krish at [email protected] and meet him to help you

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magriet dennis
6/9/2025 10:30:57 pm

Get rid of all kinds of Herpes and virus infections, Diabetes, Hepatitis A B C, Menopause and HIV with Natural Roots and Herbs, i was once infected with HERPES and after using Dr UMA Herbal Medicine for couple of weeks i couldn't trace it anymore, i even went for checkup and my test came out Negative. Get your cure today from this wonderful herbalist, Dr. UMA.
You can also reach doctor UMA on WhatsApp
+2347035619585 or Email [email protected].

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NELS KATE
6/9/2025 11:09:30 pm

I have been suffering from Herpes for the past 1 years and 8 months, and ever since then i have been taking series of treatment but there was no improvement until i came across testimonies of Dr. UMA on how he has been curing different people from different diseases all over the world, then i contacted him as well. After our conversation he sent me the medicine which i  took according .to his instructions. When i was done taking the herbal medicine i went for a medical checkup and to my greatest surprise i was cured from Herpes. My heart is so filled with joy. If you are suffering from Herpes or any other disease you can contact Dr. UMA today on this Email address: [email protected] or whatsapp +2347035619585.

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Glenn Michael
6/9/2025 11:54:11 pm

I will keep referring you Dr Guba for the great things you've done in my life most especially the natural roots and herbs that cured me off HSV2 completely with no side effects using your meds...keep on the good work sir. Contact him  an email via: [email protected] or WhatsApp: + 234 816 238 8034 or website: https://drgubahealingherbs.wixsite.com/guba-healing-herbs

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Athony Isak
6/10/2025 02:56:00 pm

My heart is so filled with joy. If you are suffering from Erectile dysfunction or any other disease you can contact Dr. Moses Buba on this [email protected] or His website : https://www.facebook.com/profile.php?id=61559577240930 .website page https://bubaherbalmiraclem.wixsite.com/website
. For more information from me reach me via WhatsApp : +44 7375 301397

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magriet dennis
6/11/2025 05:01:07 pm

Get rid of all kinds of Herpes and virus infections, Diabetes, Hepatitis A B C, Menopause and HIV with Natural Roots and Herbs, i was once infected with HERPES and after using Dr UMA Herbal Medicine for couple of weeks i couldn't trace it anymore, i even went for checkup and my test came out Negative. Get your cure today from this wonderful herbalist, Dr. UMA.
You can also reach doctor UMA on WhatsApp
+2347035619585 or Email [email protected].

Reply
Max Rene
6/12/2025 05:21:58 pm

I was really stressed by Acid reflux issues with my newborn and had consulted Chief Dr Guba. He gave us a thorough consultation and the medicines were equally effective. In a couple of weeks there was big improvement in my son and we are very pleased with the progress. We cannot thank Chief Dr Guba enough. Highly recommended an email via: [email protected] or WhatsApp: +2348162388034 or website: https://drgubahealingherbs.wixsite.com/guba-healing-herbs

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frances tony
6/30/2025 04:47:06 pm

I thought the physicians says there is no cure for HSV 2!!! I am telling you today that DR.UMA cure HSV 2 with his herbal medicine and once you get cured you are cured forever it is never reversible, I have been suffering for this deadly disease called HSV 2 for more than 2years and I lost all hope because my doctor says there is no cure for HSV 2. Brethren I saw a testimony on the internet on how DR.UMA cure HSV, Hapatitis etc with his herbal medication and an email and watsapp to contact him was also displayed, I thought this was a joke but I decided to contact him and he replied telling me not to worry that my problem is over . DR.UMA sent me a herbal medication to drink for one month but only 2weeks I feel strange and I went to my doctor and he confirmed me negative. He can help you too. Contact him via [email protected] WhatsApp +2347035619585. He is capable of curing AUTISM, HERPES, HPV, HSV1&2, HEPATITIS A B C, and DIABETES.

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david sutter
7/1/2025 01:02:10 am

I already gave up on ever getting cured of HSV2 because i have try many treatment none of them work out for me i have gone to different hospital they always tell me the same thing there is no cure for herpes, when i came across a post about Dr UMA in the net from a lady called Angela i contacted her and she reassured me with his 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 free from Herpes. i want to say a very big thank you to DR UMA for what he has done in my life. feel free to leave him a message on email [email protected] or also Whats-app him +2347035619585.. he also cure all this 1.HIV 2.HIV HPV 3 .ALS 4. BED WETTING DIABETES.,

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Nora Jackson
7/1/2025 06:15:10 pm

I've been attempting to expand my wine business in my hometown in White Plains. For the past 7 years, I do play the lottery in my spare time, but on this blessed day I came across an article about Lord Meduza's spell to win the lottery. I contacted Lord Meduza to see if it would work and after I agreed to his terms and conditions for completing the task for me, he performed his magical powers for me and within 48 hours, he provided me with the numbers I needed to play the lottery, and I followed his directions. I found out at the store that I was the winner of a $105 million jackpot. For a moment I felt uncertain but I looked again and I saw it was real. As I speak to you, My level has been elevated from grass to grace and I've come to know that life is more spiritual and with the Lord Meduza spell, you can actually win the lottery.. Please assist me in thanking him and his contacts are listed as follows;

WhatsApp: +1 (807) 907-2687
Email: [email protected]

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frances tony
7/11/2025 11:43:33 pm

I thought the physicians says there is no cure for HSV 2!!! I am telling you today that DR.UMA cure HSV 2 with his herbal medicine and once you get cured you are cured forever it is never reversible, I have been suffering for this deadly disease called HSV 2 for more than 2years and I lost all hope because my doctor says there is no cure for HSV 2. Brethren I saw a testimony on the internet on how DR.UMA cure HSV, Hapatitis etc with his herbal medication and an email and watsapp to contact him was also displayed, I thought this was a joke but I decided to contact him and he replied telling me not to worry that my problem is over . DR.UMA sent me a herbal medication to drink for one month but only 2weeks I feel strange and I went to my doctor and he confirmed me negative. He can help you too. Contact him via [email protected] WhatsApp +2347035619585. He is capable of curing AUTISM, HERPES, HPV, HSV1&2, HEPATITIS A B C, and DIABETES.

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