Monday, March 23, 2015

NOT A DOCTOR, JUST AN M.D.

In what is presented as a success, the 2015 Match, where medical students become doctors and find out if they will be accepted for residency, is over. It’s over and I am one of the 1,093 U.S. students that was rejected by every place that I interviewed. This year I packed up my family and we traveled across the U.S. in an annual cross-country pilgrimage to interview at residency programs. We couldn’t afford to fly. My husband, my infant son and I drove in a 15 year old station wagon, breaking our change jars to sleep in roach motels so that I would have a chance to give them a better life. It was an exhausting journey followed by an anxious month-long wait to find out where we would be living for the next three years. Instead of a better life, the National Resident Matching Program, Oregon Health and Sciences University and the American Medical Association have left us on the curb with over $400,000 dollars in debt and no way to pay it back. A doctor without a residency is unable to practice anywhere and although I hold the title, this is probably the end of the line for me. I labored and sacrificed ten years for a change in my life and I feel like a part of me has died.


After being rejected from the Match, I got to participate in the Supplemental Offer and Acceptance Program (SOAP), a mop up for the residency remainders where you can’t call the programs but they’ll call you if they want to and usually they don’t. You have a one in four chance of getting anything in what is an operatic drama where you sit by your computer and click refresh on your browser hundreds of times a day until you just know that no one wants you and it’s over (I’m paraphrasing an anonymous posting off of one of the student doctor forums). But not really. At the end, there is the Post-SOAP scramble, the last push to find a spot anywhere. That is when you go through the list of all of the programs in the U.S. and you try and get ahold of anyone from any of those programs and if they answer it’s usually a curt, “we’re full,” followed by a click and a ringtone. This process can take weeks and it is emotionally draining. But you do it anyway and then you get anyone who has any influence from the rotations that you did as a student that is willing to do the same on your behalf. When you’ve exhausted every opportunity in the U.S. you look abroad as far as you can imagine and justify packing up your family to move to Saipan if they will just answer your calls, which they don’t. And that is it, it’s over and you are done.


This year about 41,000 people applied for a little over 30,000 positions. This is an all-time high for applicants, but nowhere near what we need to reach if the U.S. is to keep enough doctors for people to have fair access to care. Whatever you think about the Patient Protection and Affordable Care Act (otherwise known as Obamacare), none of it matters if you can’t actually see a doctor. According to a recent report by the Association of American Medical Colleges, by 2025 we will suffer a shortage of 91,000 doctors. Many doctors are retiring early or just quitting out of frustration with the current situation. Visits are shorter and the wait to get one longer now than ever before. In Oregon it currently takes an average of 13 to 20 days to see a physician (depending on the specialty). If you were sick when you called for an appointment, you had better be cured by the time you get one. Medical schools have responded by pumping up their numbers but residency spots have not corresponded to demand. Even if, like me, you manage to graduate from a top-ranked program like OHSU, a blemish (we call them deficits) on your record means that you will not go on to serve your community and all of your talents and skills will be wasted. The competition is fierce today with a large pool of qualified candidates. I did my best in interviews and I tried to make them understand that I have a genuine desire to practice Family Medicine and focus on under-privileged communities. Not everyone who goes to medical school has the need for a large bank account and a diminutive sports car. Most of us regard this as a calling, a way to serve those who need healing and care. Hour for hour, when your investment in education and training is considered, a physician’s assistant can make more money than a family doctor. A Nurse Practitioner does pretty good too.  I chose to take this path because I wanted the autonomy to make health care choices for my patients and be responsible for their healing as a doctor.


Oregon is not alone in its shortage of physicians. Some states, like Kansas, have circled their wagons and don’t let anyone from outside of their own schools into these precious residency slots because they want to keep their own doctors in their state when they are done with residency. I was able to interview in Kansas due to my MPH at Kansas State University and encountered only Kansas University Medical School graduates during my interview. In Oregon it doesn’t matter where you went to medical school, as long as you fit their profile you will get a coveted spot in the Pacific Northwest (PNW).  U.S. News and World Report rates OHSU as the fifth most expensive medical school in the world. In the world. With the new campus that went up on the South Waterfront tuition is likely to climb. Yet in my case, despite having the recommendation of a Chief of Surgery from OHSU, after I interviewed for the Preliminary General Surgery program I wasn’t even on their list of possible candidates and they had three spots left open at the end of the Match. I want to do Family Medicine but the Surgery Prelim program interviewed me because of the personal recommendation. I would have really enjoyed working there but OHSU wanted anyone but one of their own to fill what is essentially the bottom of the barrel in residencies.


This is because programs are risk averse. Risk averse is code for everyone wants the same thing - perfect test scores, good teeth, fit and possibly sporty. In Klamath Falls, the OHSU rural track program that I interviewed with, they spent more time asking me about what kind of extreme outdoor adventure activities I was into than actually talking about you know, medicine. As a nearly 40 year old mother of two children with some baggage, I don’t think I fit their mold. Oh, and I bombed the USMLE (a test of tests), until I was diagnosed with ADHD and given testing strategies to sit for eight hours a day in a cramped room with bad fluorescent lights. I knew the answers but I had a hard time sitting through an eight hour computer exam.  I passed the two required USMLE exams to enter residency. I went ahead and passed another USMLE test that I normally wouldn’t have to take until the end of my intern year of residency to show what I could do with a little training. Oh, and I went ahead and got an additional degree in Public Health (MPH) just to sweeten the deal.


Failing a test is a big deal for any program to overlook, but my value as a doctor and a student should not be only based on a test that took less than 24 hours of my life. I’ve got ten years of experience as a nurse. Four top-of-their-field doctors that I worked with wrote me strong recommendations and some of them even got on the phone to help me track down a position. I have skills and I’m still eligible to be a doctor in Oregon, I just won’t receive the chance to do an intern year to prove my worth.


You see, I’m a two-time loser. I failed to find a position last year and the further away you get from your graduation, the less attractive you are as a candidate. Programs would rather choose a person who couldn’t get into a U.S. medical school and spent their education in the Caribbean (we call them IMG’s - International Medical Graduates) than a student with a “hyperkinetic disorder”. They might resent this depiction, but I made it into a U.S. program and I’m proud of that. I’ve known for years that I have to work harder than most people to pass tests, but I usually pass them because I’m persistent and smart. I never got an actual diagnosis for ADHD before I took the USMLE tests because of the stigma attached to the condition… that and the $500 dollars that I simply did not ever seem to have. It’s hard enough to be older, poorer, a single mother and of mixed heritage (for the record, until recently I was a single mom  who had raised a happy and healthy now 20 year old daughter). When OHSU cancelled their student diversity program I was a bit shocked, but not surprised. I never realized much benefit from it anyway. I do wonder if my pregnancy while interviewing last year affected their decision. This year I was nursing and despite having a spot-on husband who wanted to take the role of Mr. Mom, it is possible that the family-in-tow affected my career opportunities. No program could ever legally admit to this, but the question does linger. I made plenty of mistakes in school but I did well on my rotations and got decent grades. I didn't seek out help for my testing issues early enough. I needed guidance and I didn't look for it in time.


How did it come to this? Isn’t OHSU the shining beacon on the hill that represents what is good and forward thinking about health care in our state? Portland is the city that works hard on its reputation for being inclusive. Don’t we take care of our own? Not really, not unless you come from money. If someone would have told me that my chances of getting into and succeeding at medical school were based on what my parents did for a living, I wouldn’t even have applied. The Association of American Medical Colleges is well aware of this problem. The average medical student in the U.S. comes from a family in the top 15% of income earners. I come from a poor family. In my family you become a nurse if you want to aspire to a better life. In fact, I was a nurse for 10 years, a pretty good one. My mom was in the military and a nurse before me. I remember being told that nurses can’t be doctors but I didn’t let that hold me back. I might have been wrong. Since it is impossible to work while you are a medical student at OHSU it was unfeasible to maintain my license. I’m not even a nurse anymore.


What can the 1,000 odd U.S. graduates and the 8,000 plus IMG’s do with an M.D. and no residency? Nothing. Not a thing, seriously. Try googling it and you’ll see suggestions such as - go into pharmaceutical and medical equipment sales, consult with corporations, become an entrepreneur or have you thought about research? With the exception of sales (and if you’ve met me, you know my tolerance for salespeople is not high) these other opportunities don’t exist. You can’t go into research unless you’ve done research before you went to medical school. You can’t be an entrepreneur unless you know the first thing about business (or come from money). Consulting is just another term for “I’m unemployed, but I still have a clean shirt to wear in public” unless you have a substantial network. Most people in this position go on to other fields and leave this depressing chapter behind them to start again. Almost no one talks about failing to match. For people like me who didn’t have anything to begin with, the repercussions of the decision to go to medical school is just beginning.


Have you ever been behind on a student loan? Have you ever been behind on a doctor’s burden of student loans when they know that you will never be a doctor? They own you. I will never qualify to buy a house. It’s likely that I’ll always drive a junk car (I would bike everywhere like I did in med school, but I can no longer afford to live in the heart of Portland). While at OHSU I sold plasma to pay my electricity bill. Not once, but many months. I even joined the military to get help, but they kicked me out when they saw my credit score. That actually happens. I joined the Air Force and despite telling them that I have bad credit and was declaring bankruptcy, they swore me in. This was right around when we were pulling out of Iraq (which could just be a coincidence) but Uncle Sam booted me after basic training and asked for their money back (and not in a nice way). It’s hard to know that you won’t be able to pass on a family anything to your children.


Why the bottleneck? If we need more people like me, then why isn’t OHSU and the rest of the medical community filling the gap? Why build more schools when we just need more residents? We’ve been stuck near the same rate since the 1990’s. The World Health Organization estimates that there is a shortage of 4.3 million physicians and nurses worldwide. The story is the same wherever you look. Canadians come here because they can’t get into their own anemic programs. Australians look to New Zealand and the Irish go to the UK if they can but none of those countries have enough residencies to provide for their own needs anymore. It’s spooky. It is harder to get into any program that reciprocates with the U.S. than it is to get into a residency here. This lack of health care providers is not an abstract phenomena. There are real human costs - people die. According to a study by the U.S. Senate SubCommittee on Primary Health and Aging more than 45,000 people die in the U.S. each year. Based on population, thats 563 people in Oregon who die every year because it took them too long to get a doctor’s appointment. Every day there are almost two preventable deaths in Oregon. Because of our under-served rural population that number is probably much higher. Even with all of the public and private funded residencies not one of those doctors goes further East than Klamath Falls or Hood River. The majority of our state sees no benefits from these programs.


At about $45,000 - $52,000 dollars a year for 80 hours a week of work, Medical Residents are a bargain. If you end up in the emergency room late at night, chances are you are seeing a resident. In a hospital you are more likely to see a resident first. At a free-clinic, probably a resident. The workload is legendary and the stress incredible, but we fight for these positions. Why wouldn’t OHSU and Oregon want as many of these as we can get? We can put up or take down billboards that say “Oregon Cares” but it is the doctors, residents, nurses and staff that do the actual caring. I may have a lot to say about OHSU and its politics, but it is a good school and everyone there is dedicated to quality. There are incredible teachers who took their time and energy to make sure that I had the substantial medical knowledge that I need to save your life. OHSU, for the most part, made a strong and positive impression on me. It is a top-ranked school and they’ve built a shiny new building to prove that.

The problem is - what will OHSU do when there are more and more students like me? Most medical schools are increasing their student load, but residencies still fall far behind in capacity. Would fewer people die if I would have been able to get a spot? I can actually say, yes. I would have saved lives. It is what I was trained to do. With more doctors people will get the care when they need it. Instead, I’m scrambling for a place on a subsidized-housing waitlist near felony flats and applying for a SNAP card (food stamps). We’ve blown most of our resources on this eventful journey. I love my family too much to give up. I'll keep calling and applying and working my connections for any chance out there but I’m also going to use my MPH, not my MD, to find any job I can. Chances are something will open up at a rural county in a public health position where I can make $28,000 and a difference. I’ll maintain my dignity this way but this is probably what my student loans will cost a year. I’ve been through worse. Like most overeducated-underpaid Portlanders, I’ll get by somehow - really, I will. Don’t we always?


-S

creative commons licensed - reproduce with author's permission

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  2. When searching for articles about the SOAP, I was hoping for personal stories and found only depressing statistics. Thank you for risking vulnerability and telling your story. I hope others do the same.

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  3. Hey, consider entering General Preventive Medicine and Public Health. You've already got the MPH. This places you for leadership roles in various population-health positions. You'd get paid a hell of a lot more than $28k. It's one of my fields and gives you enormous flexibility for job-finding. Google the various residencies, call them, or contact the ACPM or ABPM and ask for a list of programs.

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    Replies
    1. I went through the list and saw only a handful that do PGY-1 positions but this could be a good recommendation. Certainly worth asking about.

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    2. Also, you could get PGY-1, and have to apply for residency later.

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    3. Look into Meharry Medical College. I know the cycle has passed, but HBCU's tend to be more family oriented anyway. Howard University, Morehouse and Meharry

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  4. It looks like there are some places where you can work as an intern or physician assistant without the match- for example, www.latimes.com/opinion/op-ed/la-oe-0808-caplan-doctor-shortage-20140808-story.html

    Good luck

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    Replies
    1. These licenses currently are not available. According to the MO Medical Licensing Board they may become available sometime in 2017.

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  5. Did you try applying to any branch of the armed forces? They're always in need of more docs. Especially if you're already a med school graduate.

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    1. In the article she states she actually got sworn in, did bootcamp, and then the kicked her out due to her bad credit stemming from her educational debt...

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    2. The armed forces consider you a security threat if you owe too much money.

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    3. I know that you can't get a security clearance while having debt but I have never in my life heard of somebody getting kicked out for having school debt.
      I knew a lot of guys going in with med school loans that were on repayment programs with no problems at all.

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    4. It happened because of prior non-school related debt. I appealed it once and filed bankruptcy shortly afterward but they discharge me before a second appeal.

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    5. On another thread I read that the MATCH percentages are lower than what is put out by the official mouthpieces. When you factor in the no rank list group and the withdrawals the actual statistics for AMGS range from 63 to 75% and for IMG/FMG the number is around 35%. I am a high school math teacher. I did the numbers myself and fact checked the numbers. He was right. The 35% also includes thousands of AMGS that did not make it in the general group set that did match. Despite these catastrophic numbers I am interested in the med school challenge. If I don't match, no worries because the completion of an MD degree will be an achievement and an end in itself. At this point you must begin to get creative. After reading your beautiful article, an idea came to mind. Have you thought of pitching the idea of being a free resident to any hospital or health care setting that would take you? I was wondering why would you be turned down? If residents are a bargain at under 50k/year what about an unpaid resident at 0/year? It's a thought I would pursue if all other options were closed.

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  6. http://www.reddit.com/r/medicine/comments/303m6p/not_a_doctor_just_a_md_failing_to_match_2015/

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  7. Where does the AOA or osteopathic physicians play into this? i.e. competing for M.D residencies

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    1. The generalization is that MD > DO > FMG > IMG.

      However, there are several factors involved. Step scores in particular if good enough can trump this hierarchy. Which is why, justifiably or not, they are considered to be the most important factor in obtaining a residency.

      Other factors such as citizenship, grades, etc all have a role.

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    2. DO>MD>FMG>IMG

      DOs get about 200 more hours of training. Many that do MD programs sit both the COMLEX and USMLE.

      The AOA has increased it's funded residency spots in primary care the last 5 years running (until this year, 2015). They are trying to figure out what is going to happen with the AOA and ACGME merger.

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    3. FMG = IMG ; same thing, different names

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    4. AOA has their own residency programs as well. Although, the ACGME and AOA are merging

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    5. AOA has their own residency programs as well. Although, the ACGME and AOA are merging

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  8. Ugh....

    I failed a course as a MS1 and now I am scared I'll be in your position in 3 years.

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    1. Several people in my med school (PCOM in Philly) class failed at least one or in some cases 2 courses during OMS-I... they remediate the courses, and went on to barely pass the COMLEX, and in some cases the USMLE, and went on to residency. 3 of 10 that I knew that failed a major course (13 credit hour+) went on to become Chief Resident in their programs. A one time failure is not going to prevent you from getting a residency... it is the whole presentation of how you handle your life. ThE residency directors are not looking for perfect people, they are looking for physicians with as little baggage as possible; able to handle debt, able to handle a demanding schedule, able to pass the Step 3, able to manage thier children and their issues... while on the surface the writer of this article looks like everyone was against her, if you look deeper, she has had issues with meeting the demands of life... not a good presentation to a residency director. You will be fine, as long as your personal life does not interfere, or give the perception of interfering with your success in residency training. Good Luck.

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  9. I am an IMG and I have faced the same situation for 3 years. But you have a MPH degree, use it... In any good university hospital there will be many clinical research jobs for which they will love to have you. Try working as an epidemiologist at local or state level. None of these will make you resident, but they will help you pay bills and if you are lucky next year you will be a resident.

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    1. I don't know... what I hear of researchers is that they are paid so little that I believe their salary would literally only cover her monthly student debt payments, without rent. When we started residency, my husband's post-tax take home was exactly equal to our rent plus our student loan payments, and we started at $52,500 back in 2009, which I believe is significantly more than you can make doing post-doc type research :(

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    2. Oh my god which Caribbean? Can you apply for residency again? Or no?

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  10. Thank you for sharing your story - it highlights much of what is wrong with medical education in this country, particularly with the madness of the Match process. As someone who successfully matched into a FM program this year who is passionate about healthcare transformation and compassionate patient care, I am deeply saddened that someone like you - whose perspective we so desparately need in medicine - will be unable to join me. I would have proudly served by your side as an intern, and I hope that someday I will still be able to call you a colleague. Best of luck to you.

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  11. I am so sorry you're going through this. It's not fair and it's not right. You're a beautiful writer and very insightful. Your positive attributes will win out in the end--you never know what the future holds. I wish you the best. As a resident now, I can tell you that someone like you truly deserves a spot. Our system for selecting candidates is broken. I wish you the best, and believe in the end good things happen to good people.

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  12. You're a great writer and your emotions come through. Consider using your experience and indie publishing to help the many people who suffer similar outcomes but don't have the strength to stand and express their feelings.

    There are many things that you can do with your MD outside of medicine. The first step to seeing all of them is to understand medical culture and reboot your brain to see how people turn pain and passion to income.

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  13. I'm sorry for what you're going through. Please look into IBR and Public Service Loan Forgiveness. You would pay only a portion of your salary for 10 years and your loan will be forgiven.

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  14. You need to know that there are other options. The Gary Methodist Hospital in Gary ,Indiana runs a family medicine program that does not participate in the match. It is one of the hospitals that I practice at; I trained at the University of Illinois Hospital and is a very similar place. We practice good quality medicine and take care of a rather complicated patient population. You have to be smart to train here . We have an exceptionally well trained and smart nursing staff. Many of our grads stay here and that is the idea. There is loan forgiveness to practice here. Some without loans go back home You may call me at my office at 219-769-7650 and I will direct you Mary Vanko MD

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  15. So so sorry to read this. My husband was one of the IMG's who didn't match in the 2014 match but was able to scramble post-SOAP into a preliminary position and he got VERY lucky and matched this year into a categorical surgery spot. But I seriously ache for you and what your family is going through. I myself have a 21 mo old daughter and was devastated when my husband didn't match initially. I hope to come back to this blog of yours in the future and see that things have worked out for you. If you want, you can read our story at
    http://thescurlockscene.blogspot.com/2014/03/the-match-soap-reality-of-being-img.html?showComment=1428462087747#c6300753226676772690

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  16. Did you ever consider the fact that there are some IMGs that are way more qualified to fill those positions than US graduates that barely passed Step1? Sorry you had to go through all of these, but matching is a statistical game and your profile didn't fit the bill. Maybe its unfair but that is how it is.

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    1. She is going to be excellent doctor. What is mostly lacking in most doctors that she has passion. Your comment is very unnecessary, You can decide if someone is more qualified based on scores alone.

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    2. Did you know that residency positions are paid for by US TAX DOLLARS? That's right - they are paid for through MEDICARE.

      If US tax dollars are paying for these positions their first priority should be to US Graduates.

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    3. Did you know that residency positions are paid for by US TAX DOLLARS? That's right - they are paid for through MEDICARE.

      If US tax dollars are paying for these positions their first priority should be to US Graduates.

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    4. Even if you got a perfect score on the STEPS, what does it matter? The insurance companies dictate to doctors procedures and medications. All your bookish knowledge is just a hoop you have to get through to practice. The elitist point you make is a non sequitur argument.

      I volunteered at a hospital and poured over hundreds of test results and procedures and medications. The pattern was undeniable. It was as simple as a reducible set of if then statements. The correlation between conditions and prescribtions was firmly established. So many years of medical school training to become an automaton.

      When I asked two of the attendings I knew they confirmed my conclusions. The insurance companies dictate to the doctors what can and can't be done. Their latitude of freedom is severely restricted. They told me the actual day to day used very little of what they learned in med school.

      So the snarly elitist point made that an IMG scoring in the 99th percentile versus a barely passing AMG is non-sequitur. The AMG can do the job just the same when the work consists of a reducible set of if then statements dictated by insurance companies.

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  17. Thank you for sharing. Missouri passed a law last year allowing MDs to practice in rural areas without a residency - the program isn't running yet, but (fingers crossed) they're hoping to get things going (and start accepting applications) by fall 2015. http://www.pr.mo.gov/healingarts.asp

    ReplyDelete
  18. Very interesting post. I just had one question about something you wrote. You said that you were contemplating moving to Saipan, but they never called. Does Saipan have a residency program? I know they have funding for a one month residency rotation through UCSF, but I didn't know they have anything permanent. Thanks.

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  19. This comment has been removed by the author.

    ReplyDelete
  20. The professionals that are salivating ... as he says ... I don't think np's desire such patients as much as they are perhaps better equipped to care for these patients! I get excited when I get consults on patients that the doctors are asking me to manage because they simply have exhausted their tool box ... This is difficult to control symptoms ... and difficult families and psychosocial issues ... as well as undecided families as far as their goals of care. So ... I suppose I salivate at the chance to say -- hey this recommendation is what you need!

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  21. Hi..
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  22. US is being manipulated via economics to be destroyed in under 10 years time. Hence lack of funding and doctors with regards to spots.

    I have heard you can practice as a locum MD in miami, without a residency...

    ReplyDelete
  23. Wao!!! thanks for sharing your incredible story, I am in a similar situation, I would love to make contact with you, my email is khius.o@gmail.com, thanks

    ReplyDelete
  24. Great article.
    I'm applying for my 4th cycle this year.... Went to a Caribbean med school, so I'm in the IMG Boat. I Passed Steps 1, 2, 3 all on the first attempt. I applied to nearly 200 programs last year, and will apply to more this year (adding Pediatrics and Emergency Med into the mix because what else can you do?). Did a few weeks of medical volunteer work in Africa. And I'm really not sure what else to do. I'm really discouraged this year and just looking at the ERAS screen takes all the energy out of me... I'm currently working as a valet because it pays well, and I get to drive cool cars that I probably will never be able to afford... Putting my M.D. to great use, huh?
    Fingers crossed for both of us this year. Good luck and feel free to reach out if you'd like rozario1@gmail.com
    Take care,

    ReplyDelete
    Replies
    1. I am sorry this has happened to you and I hope this year things have gotten better. I am working on a follow-up blog but want to wait until the match to release since I am again waiting to see if I match this year. I have constructed a plan B and C, just in case. I recently was contacted by a graduate student doing research on professionals and unemployment. and he wanted to ask other MDs about their issues with finding a residency. Please PM me if you are interested in talking with him.

      Delete
  25. I have been trying to match the past 4 cycles last year I passed Step 3 and still no interviews. US citizen with lots of experience. My Blog
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    ReplyDelete
    Replies
    1. I am sorry this has happened to you as well. It is very disappointing. I am again waiting to see if I match this year but I have constructed a plan B and C, just in case. Please PM me if you are interested in sharing your story with a graduate student doing research on professionals and unemployment.

      Delete
  26. I love some of your comments. I am a military physician who has been practicing primary care as a flight surgeon for 6 years. I am a DO who scored in the top 5% on steps 1 and 3, have multiple published research papers (google my name), have the respect of all of my subspecialty colleagues, graduated from Walter Reeds PGY1 Neuro internship (didn't match Rads, so I was put into PGY1 Neuro), get over 200 CMEs per year [have made the most of my time as a flight sgn] etc etc. My son became sick with DOCK8 deficiency and I had to put my residency plans on hold. Since he has received his BMT, I have barely gotten a sniff from residency programs I have applied to. I would put my clinical acumen up against any PCP with the same amount of patient care experience

    ReplyDelete
  27. Hi, I hope you are having a fab holiday. Wish you all the best and hope that your journey has a successful happy future. Do let us know how you are keeping.
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    ReplyDelete
  28. As someone that also went unmatched this year it was nice to see someone describe the emotions behind not matching. Often people when they hear about someone going unmatched ask "so what's next?" but the choices are extremely scarce. I enjoyed your commentary about calling programs for a residency position. I remember thinking how strange it was that I was about to have an MD and yet I was begging for a job.

    Maybe it's because we have been burned by the process, but I too see the bottleneck between the number of entering medical students and residency positions. I think this stems from who is footing the bill. At least in Texas, medical schools receive a certain amount of money from the government according to how many students they have. Ever thought why schools are willing to bend over backward to retain a student? Not to mention as students you are paying your way through. On the other hand residency spots are paid for by Medicare and funding for that program has been frozen for a while.

    Though the situation is less than ideal, it is what it is. The best thing as unmatched applicants we can do is give information and insight to others that have to undergo the same situation. Best of luck to you. Keep the faith.

    ReplyDelete
  29. It's been 1 year... Probably, you have already found a solution for your problem... Thank you for sharing with us. I'm proud of your courage.
    I'm doctor in Brazil. The medical school here takes 6 years. Here, we work as doctor before going to residency. So, you are a doctor even without residency training. A generalist.
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    ReplyDelete
  30. Hello Sara, I hope the match has been good for you this year, sincerely hope for better times for you and your little family.

    -a Fellow Portlander-

    ReplyDelete
  31. Dear Sara,

    You are an excellent writer and your story is very moving. I hope that you are successful in the match this year or that one of the other options for obtaining clinical training works out for you.

    ReplyDelete
  32. Hi Sara, I read your incredible story. You've definitely had your share of disappointment. You are a survivor for sure! Knowing the results of the Match came out this week and just wondering if the tides turned in your favor. I know it's likely, they did not, but am curious to know how you are doing. I am someone that had dreams of med school or a career in healthcare, but faced my own share of struggles with health issues from the pursuit of my goals. Hoping someone else wins. Cheers! B. Kennard

    ReplyDelete
  33. You are an excellent writer and your story is very moving. I hope that you are successful in the match this year or that one of the other options for obtaining clinical training works out for you.
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  34. I know several people in the same boat and am trying to raise a little more attention about this terrible situation. I am actively contact legislators, health societies, and the media in my state. Please visit nomatchmd.com and join me!

    ReplyDelete
  35. I went through the same thing as you this year. I'm trying to go back to school but it's so expensive and i can't even get more loans because my previous school debt is already so high. I'm working as a LVN to collect clinical hours to apply for PA school and pay back my debt now. But it was so hard to find a job because they tell me I'm overqualified everywhere i interview.

    ReplyDelete
  36. Have you thought about trying to volunteer at a place with lots of residencies to see if that can help you get in and know the people? Also, you can do income based repayment on your loans. If you get a job and work for a government position or non profit, your loans are forgiven after 10 years. Just some ideas...

    ReplyDelete
  37. Thank you kindly for sharing your story with all of us. I am entering the match again this next year for the 3rd time, hopefully it will be the charm. I only applied to 30 programs last year and did the same the year before. Plan is to apply to different specialties as well. Notwithstanding, let us press on with hopeful expectation while counting our blessings.
    All the best to you.

    ReplyDelete
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  41. I am just thinking that we have to work in it, nothing it was made in a couple of years so we must work hard now. I am also thinking in all those students who want to study in another country and stay in a student acommodattion now with Brexit all it is more difficult

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  45. Sara - Did you match?

    Just read this story. My wife and I are sharing in your pain. She matched the first time but failed her PGY1 in Pediatrics and because they didn't tell her until after March 2016 she had to sit out the entire year. Now we have reapplied to the match, had four solid interviews, and just found out yesterday that we did not match!

    What are you doing with your life? Can we email call each other? We seriously need help and advice from someone who understands this situation.

    ReplyDelete
    Replies
    1. She has been posting on Reddit today and yesterday that she still has not matched after 1 interview this season.

      Delete
    2. My husband graduated with decent scores; good grades in med school but has not matched. He graduated in 2011. He tried 3 x and did not match and eventually have up. Now years later we want to try again except he will be an old grad and inexperienced. So nerve wraking. We would also like to communicate with others ?

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  47. Wow... this is where ND's are lucky they don't need to apply for a residency after graduation to be able to practice :o !

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  73. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to go to the internet and search for cancer cure so that was how I find a ladycalled peter Lizzy she was testifies to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

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  74. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to go to the internet and search for cancer cure so that was how I find a lady called peter Lizzy she was testifies to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

    ReplyDelete
  75. This comment has been removed by the author.

    ReplyDelete
  76. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to make search for cancer cure so that was how I find a lady called peter Lizzy she was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

    ReplyDelete
  77. I am here to testify how great man called Dr_anuge helped me out with herbs and roots which he prepared for me in use of curing herpes. I takes his product (cure) for (14) days before I am to known I was totally cure out of it, and i promised him that i will testify my healing to the whole world about how he cured me which I am very happy I am doing now , dr_anuge also cure all kinds of diseases , HEPATITIS, A,B,C , CANCER, DIABETICS , FRIBLOD,ALL KINDS OF SPELL CAST ,and so much more , please you can get him contacted on his whatsapp or call on 2348164866838 He can also cure following virus
    (1).Herpes
    (2).Cancer
    (3).Hepatitis
    (4).Hiv/aids
    (5).Pcos
    (6).Fibroid

    ReplyDelete
  78. Getting a loan of $100,000 from Global Loan Access at the rate of 2% was really easy and fast. I heard someone talking about Global Loan Access on the internet and I give it a try, it work for me so I'm recommending them to you today if you are seeking to get a loan. Contact them at (globalloanaccess@gmail.com) today.

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  79. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to make search for cancer cure so that was how I find a lady called peter Lizzy she was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

    ReplyDelete
  80. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to make search for cancer cure so that was how I find a lady called peter Lizzy she was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

    ReplyDelete

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  82. My name is Sara Johnson, I live in california U.S.A and i am a happy woman today? I told my self that any Loan lender that could change my Life and that of my family after been scammed severally by these online loan lenders, i will refer any person that is looking for loan to Them. he gave happiness to me and my family, although at first i found it hard to trust him because of my experiences with past loan lenders, i was in need of a loan of $300,000.00 to start my life all over as a single parents with 2 kids, I met this honest and GOD fearing loan lender online Dr. Dave Logan that helped me with a loan of $300,000.00 U.S. Dollars, he is indeed a GOD fearing man, working with a reputable loan company. If you are in need of loan and you are 100% sure to pay back the loan please contact him on (daveloganloanfirm@gmail.com and Call/Text: +1(501)800-0690 ) .. and inform them Sara Johnson directed you.. Thanks. Blessed Be.

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  83. Hello everyone, I'm super excited today. I saw comments from people who had already received a loan from Sabinehelps@gmail.com and then I decided to sign up based on their recommendations. A few hours ago, I confirmed a total of 10,000 euros that I had requested from my own bank account. This is really great news, and I advise anyone who needs a real loan to submit an application via email: sabinhelps@gmail.com or whatsapp her on +79267494861.

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  84. I'm 57 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 57 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 different 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, GINGIVITIS, ERYSIPELAS,STAPHYLOCOCCUS,HEPATITIS A/B, QUICK EJACULATION, IMMUNOTHERAPY, GONORRHEA,SYPHILIS,WAST/BACK PAIN,PELVIC INFLAMMATORY, DICK ENLARGEMENT,HEART DISEASES,TERMINAL ILLNESS,SHIFT IN FOCUS,ATAXIA,COMMON COLD,CROHN'S DISEASES,ALCOHOL SPECTRUM DISORDER,GRAVES DISEASE,HEARING LOSS, INTERSTITIA CYSTITIS,LEUKEMIA,MULTIPLE SCLEROSIS,OBESITY,RABIES,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
  85. Can't still believe that I got cured from Genital Herpes through herbal treatment from Dr Vadi who I met through the internet, I actually couldn't believe it at first because it sounded impossible to me knowing how far I have gone just to get rid of it. Dr Vadi send me his medicine which I took as instructed and here I am living a happy life once again, a big thanks to Dr Vadi, I am sure there are many herbal doctors out there but Dr Vadi did it for me, contact him doctorvadi@yahoo.com , also call or whatsApp him on +2348074133083.  

    ReplyDelete
  86. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to search for cancer cure so that was how I found a lady called Peter Lizzy. She was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kinds of disease and the herbal man's email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister's help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

    ReplyDelete
  87. I am here to give my testimony about Dr Anuge who helped me.. i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by Dr Anuge, 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 remedies on HERPES and I saw comments of people talking about how Dr anuge cured them. When I contacted him he gave me hope and sent Herbal medicine to me that I took for just 2 weeks and it seriously worked for me, my HERPES result came out negative. I am so happy as I am sharing this testimony. My advice to you all who thinks that there is no cure for herpes that is Not true just contact him and get cure from Dr Anuge healing herbal cure of all kinds of sickness you may have like
    (1) CANCER,
    (2) DIABETES,
    (3) HIV AIDS,
    (4) URINARY TRACT INFECTION,
    (5) CANCER,
    (6) IMPOTENCE,
    (7) BARENESS/INFERTILITY
    (8) DIARRHEA
    (9) ASTHMA
    (10)SIMPLEX HERPES AND GENITAL
    (11)COLD SORE
    and mare that are not mentioned here He also cured my friend from cervical cancer. so contact him through his Email address : dranuge@gmail.com or whatsapp him on +234816466838 

    ReplyDelete
  88. Good news this is to everyone out there with different health challenges, as I know there are still a lot of people suffering from different health issues and are therefore looking for solutions. I bring you Good news. There is a man called Dr odion a herbal practitioner who helped cure me from HSV (2), i had suffered from this diseases for the past 5 years and i have spent so much money trying to survive from it. I got my healing by taking the herbal medicine Dr odion sent to me to drink for about 14 days . 3 days after completion of the dosage, I went for a medical checkup and I was tested free from HSV. all thanks to God for leading me to Dr odion who was able to cure me completely from this deadly diseases, I’m sharing this so that other people can know of this great healer called Dr odion because I got to know him through elizabeth who he cured from HIV. I was made to understand that he can cure several other deadly diseases and infections. Don’t die in ignorance or silent and don’t let that illness take your life. Contact Dr odion through his email drodionherbalhome12@gmial.com You can also whatsapp/call him on:+2349019421176 . He cure all forms of disease {1}HIV/AIDS {2}DIABETES {3}EPILEPSY {4} BLOOD CANCER {5} HPV {6} BRAIN TUMOR {7} HEPATITIS {8}COPD{9} SICKLE AND ANAEMIA.etc Be kind enough to share as you received

    ReplyDelete
  89. TESTIMONY ON HOW I GOT MY LOAN FROM A GENUINE FINANCE COMPANY LAST WEEK. Email for immediate response: drbenjaminfinance@gmail.com

    I am Mrs,Leores Jazbel by name, I live in United State Of America, who have been a scam victim to so many fake lenders online between November last year till July this year but i thank my creator so much that he has finally smiled on me by directing me to this new lender who put a smile on my face this year 2020 and he did not scam me and also by not deceiving or lying to me and my friends but however this lending firm is BENJAMIN LOAN INVESTMENTS FINANCE (drbenjaminfinance@gmail.com) gave me 2% loan which amount is $900,000.00 united states dollars after my agreement to their company terms and conditions and one significant thing i love about this loan company is that they are fast and unique. {Dr.Benjamin Scarlet Owen} can also help you with a legit loan offer. He Has also helped some other colleagues of mine. If you need a genuine loan without cost/stress he his the right loan lender to wipe away your financial problems and crisis today. BENJAMIN LOAN INVESTMENTS FINANCE holds all of the information about how to obtain money quickly and painlessly via Call/Text: +1(415)630-7138 Email: drbenjaminfinance@gmail.com

    When it comes to financial crisis and loan then BENJAMIN LOAN INVESTMENTS FINANCE is the place to go please just tell him I Mrs. Leores Jazbel direct you Good Luck.......................

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  90. Thank you for such information. Besides Western medicine, if there is another way to get cure from myriads of serious health problems, then it is Acupuncture Singapore. This is purely natural therapy and performed by the experienced physician with the best care. This is ideal for stimulating the body’s healing abilities. Some common medical conditions treated by acupuncture include pre-menstrual syndrome,

    ReplyDelete
  91. Thank you for such information. Bao Zhong Tang is the premier centre offering TCM Singapore which includesa wide range of therapies as well as medical services.TCM treatment completely focuses on the customization of herbal prescription to suit every person’s needs. Through this treatment, different symptoms are treatable like pain, IBS, infertility, colitis,arthritis,neuropathy, insomnia, stress and depression.

    ReplyDelete
  92. TESTIMONY ON HOW I GOT MY LOAN FROM A GENUINE FINANCE COMPANY LAST WEEK. Email for immediate response: drbenjaminfinance@gmail.com

    I am Mrs,Leores J Miguel by name, I live in United State Of America, who have been a scam victim to so many fake lenders online between November last year till July this year but i thank my creator so much that he has finally smiled on me by directing me to this new lender who put a smile on my face this year 2020 and he did not scam me and also by not deceiving or lying to me and my friends but however this lending firm is BENJAMIN LOAN INVESTMENTS FINANCE (drbenjaminfinance@gmail.com) gave me 2% loan which amount is $900,000.00 united states dollars after my agreement to their company terms and conditions and one significant thing i love about this loan company is that they are fast and unique. {Dr.Benjamin Scarlet Owen} can also help you with a legit loan offer. He Has also helped some other colleagues of mine. If you need a genuine loan without cost/stress he his the right loan lender to wipe away your financial problems and crisis today. BENJAMIN LOAN INVESTMENTS FINANCE holds all of the information about how to obtain money quickly and painlessly via Call/Text: +1(415)630-7138 Email: drbenjaminfinance@gmail.com

    When it comes to financial crisis and loan then BENJAMIN LOAN INVESTMENTS FINANCE is the place to go please just tell him I Mrs. Leores Miguel direct you Good Luck....

    ReplyDelete
  93. Very nice blog, thanks for providing such important information in this blog . The Best acupuncture Singapore is a very effective and safe medicine or treatment. Finding a better place and trained acupuncture Specialist could become a difficult task if you are looking for a sustainable solution to your needs then you should reach directly at Bao Zhong Tang. It’s a famous clinic for acupuncture treatment.

    ReplyDelete
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  95. This is really informative and valuable blog, keep sharing
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  97. Very interesting to article i really appreciate it.
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  98. Herpes in your whole body such as fever blisters, hsv, or roofing shingles you know what it is like to stay with the pain and discomfort that herpes delivers. I don't need to tell you how awesome it would be to find something that works so that you no longer need to fear about stress or outbreak,Dr Itua herbal medicine cure my herpes in two weeks of taking is genuine and natural herbal medicine it has no side effect, The reason I'm writing this is that I promised Dr Itua I will share his herbal work to the world to see Herpes is no more a big deal.also Dr itua can as well cure the following diseases...HIV,Hsv 1/2,Hepatitis B,Breast Cancer, Cervical Cancer,Leukemia Cancer,Lung Cancer,Brain CANCER,Blood Cancer,Prostate CancerDiabetes, Men/Woman Infertility
    Scoliosis,Fibromyalgia,Lottery Spell,Copd,Shingles,Fibroid, Fibromyalgia Liver/Kidney Inflammatory, EpilepsyHpv,Weak Erection,Wart RemoverCold Sore,  Coeliac disease,Alzheimer's diseaseArthritis,Asthma,Allergic  Asthma. Here His Contact E-Mail: drituaherbalcenter@gmail.com
    Whatsapp Phone.+2348149277967.

    ReplyDelete
  99. [ ] I'm here to testify about the great work Dr Osebor did for me. I have been suffering from (HERPES) disease for the past 5 years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago I came across a testimony of one lady on the internet testifying about a Man called Dr Osebor on how he cured her from HIV Virus. And she also gave the email address of this man and advise anybody to contact Dr Osebor for help for any kind of sickness that he would be of help, so I emailed him on ( oseborwinbacktemple@gmail.com ) telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! Well i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as Dr Osebor assured me that i will be cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So 
    - [ ] friends my advise is if you have such sickness or any other at all you can contact Dr Osebor via email. { oseborwinbacktemple@gmail.com }or call or what sapp him on( +2348073245515 )
    - [ ] DR osebor CAN AS WELL CURE THE FOLLOWING DISEASE:-
    - [ ]  HIV/AIDS
    - [ ]  HERPES
    - [ ] CANCER
    - [ ] ALS
    - [ ] cancer 
    - [ ] Diabetes
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  100. Dr. Riaria cured my herpes virus that have been in my body since two years, ever since then my life has been incomplete, I have used so many drugs that was prescribed to me by doctors, but it didn't cure my herpes virus, i was checking for solution on the internet then I miraculously came across Dr. Riaria the powerful herbalist that  can cure herpes infection, then I contacted him through his email, I explained everything to him and he prepared a herbal medicine and sent it to me through FedEx, which I took for 14 days with the instruction he gave me, and when I did a test in the hospital my result came out negative it was the happiest day of my life that am cure from HSV 2,  are you also suffering from same virus or another diseases you can simply contact him via email: drriaria@gmail.com  you can also call or WhatsApp him on: +2349134987375.  

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  102. [ ] I'm here to testify about the great work Dr Osebor did for me. I have been suffering from (HERPES) disease for the past 5 years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago I came across a testimony of one lady on the internet testifying about a Man called Dr Osebor on how he cured her from HIV Virus. And she also gave the email address of this man and advise anybody to contact Dr Osebor for help for any kind of sickness that he would be of help, so I emailed him on ( oseborwinbacktemple@gmail.com ) telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! Well i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as Dr Osebor assured me that i will be cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So 
    - [ ] friends my advise is if you have such sickness or any other at all you can contact Dr Osebor via email. { oseborwinbacktemple@gmail.com }or call or what sapp him on( +2348073245515 )
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  105. its obvious some patients with Herpes Virus are being enslaved to the antiviral and other supplementary Orthodox medicine just to help suppress the virus and not a cure. I have been with the virus since 2015 until I was introduced by a blogger who also narrated her story online on how she was cured of HPV after using Dr ALUDA Herbal Medicine. This is a year and 2 weeks since I was delivered from Herpes VIRUS. All thanks to God for using this Great herbalist to heal me. I have promised to keep telling good things about Dr ALUDA. Please feel free to share Your problems with him and don’t forget to tell him I did refer you to Him. Thanks. email him  Draludaharbalhome @gmail. com He deals with Alzheimer virus, Cancer, HIV, Herpes, Genital, warts,Multiple Fibroids, ALS, HBV, UTI, Virginal infection, Genital, Wart, HPV, Hepatitis A/B, Good luck, HSV,  Cold Sores, Diabetes 1 & 2, Pregnancy, Ex back.

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  106. Nice article, I really appreciate it.
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  108. Happiness is all I see now. I never thought that I would be cured from the HERPES virus again. I have been suffering from a deadly disease (HERPES) for the past 3 years now, I have spent a lot of money going from one place to another, from church to church, hospitals have been my home every day. Constant checks up have been my hobby not until this faithful day, I was searching through the internet, I saw a testimony on how Dr.Kudera helped someone in curing his HERPES disease, quickly I copied his email which is kuderaherbalisthome@gmail.com just to give him a test I spoke to him, he asked me to do some certain things which I did, he told me that he is going to provide the herbal cure to me, which he did, then he asked me to go for medical checkup after some days after using the herbal cure, behold I was free from the deadly disease, he only asked me to post the testimony through the whole world, faithfully am doing it now, please brothers and sisters, he is great, I owe him in return. if you are having a similar problem just email him on ( kuderaherbalisthome@gmail.com ) or you can whatsApp his mobile number on +2348146552606
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    {a1}HIV and AIDS
    {2}Diabetes
    {3}Epilepsy
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    {10}Love Spell
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  111. I'm so Happy to write this article because I know it will help a lot of people who are suffering from Herpes. I am here to testify about the wonderful and most safe cure for herpes . I was positive to the deadly Virus called herpes and I lost hope completely because I was rejected even by my closest friends. I searched online to know and inquire about a cure for herpes and I saw testimony online on how Herbalist called Dr Osamu who cured so many people from Herpes virus and other similar diseases. I decided to contact the great herbalist because I know that nature has the power to heal everything. I contacted him to know how he can help me and he told me never to worry that he will help me with the natural roots and herbs. After 2 days of contacting him, he told me that the cure is ready and he sent it to me via UPS and it got to me after 4 days. I used the medicine as he instructed (morning and evening ) and I got cured. it's really like a dream but I'm so happy that's the reason i decided to also add more comment of Him so that more people can be saved just like me and if you need his help, contact him via Email: dr.osamuherbalremedy@gmail.com or WhatsApp:+2349012406016

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  113. How Can I Ex-plane This, That the study abstract explains that the patient, who saw an herbalist, was suffering from Diabetes, including chronic fever, weight loss, lesions, and diarrhea. But the black seed treatment had impressive and near-immediate results.
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  114. Herpes is a serious and recurring disease which can't be cured through drugs or injections by the American doctors but the best way to deal with Herpes is by taking natural herbs medicine for it, I have read about DR EDAGHONGHON the great herbalist doctor who cure me from herpes with his powerful herbal medicine. I contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs from God! After 2 days of contacting him, he told me that the cure has been ready and he sent it to me via UPS SPEED POST and it got to me after 3 days! I used the medicine as he instructed me (MORNING and EVENING) and I was cured! it's really like a dream but i am so happy! for the people suffering from the following diseases, Cancer, hypothyroidism, Herpes, COPD, HIV, Arthritis, Hpv, Infections,Liver Disease,, Autoimmune Diseases, Parkinson's disease,,Lupus and more should contact him for his herbal medicine because i am a living testimony and i was cured of herpes and his medicine is legit. I sent him what he requested and he sent me his medicine which I took for 3 good weeks and today am out here with a negative result. When I went for the test I was so happy after going through his medication. you can reach him through his email: dr.edaghonghonherbalhome@gmail.com or call whatsapp number:+2349056731866 he will help you out.

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