Brief Answer:
Feeling of Dying with antihypertensive medicines / Under Evaluation

Detailed Answer:
Brief Ans-Feeling of Dying with antihypertensive medicines / Under Evaluation

Hi Dear !! Thanks for your query to HCM.

Read your queries(all those in the Past as well as this Present one) and reviewed it with your health concerns.

You seem to be hypochondriac with obsession of Death/ or dying feel.

Please check up with your psychiatrist for Schizo- traits,which could be causing this obsession in your case.

In My opinion,when you have lived for last 10 yrs,you are not going to die at 63, and are going to live till 90 plus years.

Just remove this wrong concept inside of your mind , which would require anti-schizo treatment from Psychiatrist.

Just follow the drugs from PSYCHIATRIST, as you don't have any other ailment which could predispose you to early death in this case.

Don't worry. You are not going to die , as you feel that you did not attend your fainting attacks few times in the past. Just be confident in your self , that you are not going to die young, it's just an obsession you have right now.

Hope this would help you to plan further treatment with your doctors there.

Welcome for any further query in this regard, if need be.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS.

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Brief Answer:
Think positive and things will Change for YOU immediately ...!!

Detailed Answer:
Brief Ans-Think positive and things will Change for YOU immediately ...!!

Hi Dear !! Thanks for the updates query from You.

-My Opinion-
Based on facts of your query updates , in My opinion you would reach easily reach 80s or even more active years of life, as you have a strong desire to live for more years like any NORMAL human being.

Just take any event in life positively and don't get too attached to it. Don't be so attached to any event, just take it as part of any bodie's life.

Event of death of your father and unattended fainting attacks, has not affected till now and would not cause early death either. In your case, as god has given good health to you and good life of a head teacher.

You seem to be from a good professional background. Life is full of events and one has to take his/her life positively and just forget the odds.

You seem to be very sensitive and take things very deep and get attached to these events, being very sensitive.

-Change your Way of thinking and Don't get attached to events .....things will change for YOU....!!
As far as your health and life years for your body,I don't find any reason in your body to lead to early death like your father, Just forget about the fear/obsession of having death like your father.

So also just forget about the unattended fainting attacks, as you have been living successfully living all these 10 yrs without any actual death.

You have good living to come in next 20 yrs and just enjoy life, go for break travels and plan time to good things which you enjoy.

If any food / or person is creating negative thoughts, just avoid them .

Be with good people and good surrounding and good food -most important, as all these daily interacting elements affect ones life very strongly, by causing positive or negative effects in ones body-chemistry.

So just your inner mind with good food and good thoughts. Remove thoughts which create negative things , which make your life miserable.

Try to live with good thoughts, and just live feeling as a good Head teacher, as you had lived in those days.

Best guide is one's self mind. Give the mind better self suggestions,which would definitely change You and your existing and coming 20 yrs at-least. I am hopeful , that you would not need any medicines and even doctors after some time.

Don't be dependent on doctors even,as their knowledge and their drugs may not suit you some time,in persons like you.As is case with the lady assistant's suggestion of your doctor.

Be positive thinker and take life as a challenge and enjoy it with all the positiveness,which you are full of in your self and your body.

-General but Important Suggestions for YOU...!!

Take help from a good Doctor, who could be your family doctor also.
Just don't disturb your body chemistry by drugs / by events which occur in your life.

Try to be low on medicines, as they may disturb your body and mind also.
Be on Good life style,as you already seem to be.

Be with good Food/ 30 minutes walk / Jog / Running would keep you fit to take the life positively whole day.

Or else keep Me updated, whenever you need and feel insecure, I would help you 24x7 to keep you health in coming years.

Live for your own self and don't get stuck with negative events in life...should be your Way of Life.

And this positive attitude of living of Yours, is going to go a long way to keep you healthy for coming 20 /30 yrs of your life.

-Plan Suggested to deal with your health issue-

Just take supportive treatment from a good Psychiatrist doctor,as suggested from your Gp doctor.His help is needed till you come out positively out of this negative obsession attitude ONLY.

........So just Enjoy the life with good things which you feel so,as you are a good professional teacher.

Hope this would help you to plan further joyful living in coming 20/ 30 yrs or even more also..!!

Do keep Me updated if needed 24x 7 by direct question for any help you need.

Welcome for any further query in this regard, if need be.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS.

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Brief Answer:
Just Consider treating High blood pressure and thyroid to reduce sweating.!

Detailed Answer:
Brief- Ans-Just Consider treating High blood pressure and thyroid to reduce sweating....!

Hi Dear! Thanks for the exact expression for your loss of confidence,but these are based on wrong assumptions, as explained here under by ME.

Before reading My detailed answer below to your updated query and difficulties you expressed, I would give you the exact plan for you to come out of this fiasco for you-

a-Cause of Current sweating and fear of dying is -
Very Low Blood pressure Currently .
But the fainting you had earlier- in the past-are from a very high blood pressure you had at that time- from high anxiety and insecurity from early death felt from you due to early death of your father.

b-The dying feeling and depression- is from -low tissue perfusion due to very low blood pressure currently. So Consult your Physician doctor and reduce doses of your anti-hypertensive drugs.
Besides this Your thyroid function needs to be kept normal, as it is now.

Any surge in anxiety would disturb thyroid balance and may cause shoot up in blood pressure or

c-Discuss with your psychiatrist doctor, and Try to revise doses of your anti-anxiety drugs,as they add up to low blood pressure and to orthostatic hypotension,which may cause sweating / palpitations and fear of death feeling.

d-Besides this recheck your TSH/T3/T4 blood tests and control thyroid functions and adjust thyroxine doses accordingly from your Physician.Else unwanted high doses of thyroxine with euthyroid functions could also cause complaints of sweating and palpitations and feeling of early death.

e-Only concentrating on anxiety and its treatment by CBT or Psychotherapy from Psychotherapists,may miss all the above basic and important causes, as you are know case of High Blood Pressure / Thyroid hypo-function / and anxiety.

f-Try to live normally and create confidence with your son and people around that you have come of dying fear, for which-your family members are worried and so your doctors are worried.

After reading your expressive abilities, I feel you are quiet normal but for wrong assessments for reason of anxiety and depression, which may be missing important attentions to your bodily high blood pressure and thyroid hypo-function or hyper function in the past- which is still may be cause. For this you need to plan strict control on their drug treatment dosages,with help of your regular Physician and endocrinologist.

g-Psychiatrist and Physicians regular checks and Supports-till you come out of early death fear- on your own
Counselling with Psychiatrist and Physician team of doctors, and to regular checks and control of medicines dosages to control anxiety / high blood pressure / low blood pressure / hypertensive surges / or low blood pressure states, need to be controlled meticulously in your case to control sweating and feel of death-which is your bodies indicator and signal , which need to be respected by Yourself as patient with your attending doctors team.

h-Meticulously following replies to your updated queries(that is-Q-3) in last reply from YOU....

Q-3-a-I UNDERSTAND WHAT YOU ARE SAYING, BUT WHEN I WAS A HEAD TEACHER WHICH IS TEN YEARS AGO NOW I REALLY THOUGHT I WOULD LIVE TO MY 80'S OR 90'S LIKE THE OTHERS IN MY FAMILY.

Ans-3-a-Its good that you have thought to live to your 80’s/ 90’s like the others in Your Family.

Q-3-a-1- BUT SOMETHING BAD HAPPENED TO ME TEN YEARS AGO AND I LOST MY JOB, MY PARTNER. MY FAMILY AND MY CONFIDENCE. –

Ans-a-1-Dear,Exactly these-4 reasons-are the causes of Your all anxieties and neurotic-depression- as you lost these 4 assets which you had.

Q-3-a-2-I KEEP WONDERING IF I HAD GONE TO MY DOCTOR WHEN I FELT FAINT A FEW XXXXXXX ES IF I WOULD STILL BE RUNNING MY SCHOOL.

Ans-a-2-Dear,You should not get attached and entangled to such negative assumptions.
The cause of these fainting, is not yet known to you from Your doctors and is causing great anxiety to You-as found from your submitted facts.

In My opinion –these faintings seems to be caused from High Blood pressure, which you got at that time from all these 4 losses you had at that time.

You seem to have low BP readings with medicines, which might be causing this low blood pressure, which could be the main cause of depression you have from all these 4 losses you had.

I would suggest you to check up with your Physician and get the doses reviewed and reduced, so as to adjust your blood pressure in the normal range for your age.

I would reassure you, that those unattended fainting attacks have not caused any damage to your body.

Main reason for your anxiety-is fear of early death- as it happened with your father who died at 52 yrs age.

But you are now 63,and still living normally (after 13 yrs age), that is for last 50 yrs after that massive loss, you are still living. Then why to fear for the early death-only because you did not attend to your those 2-3 fainting events?

Dear are YOU getting this exact reasoning? If you understand this basic explanation, you should stop Worrying on –anxiety for early death.

Thus I can reassure you those 2-3 fainting events which you did not attend, have not caused any damage to your brain / or there was no damage caused to your body, which is causing you to die early.

So just Don’t Worry of early death.

If you accept this reality and stop worrying for early death and convince to your Son Simmonds that You have discharged that fear of early death, Your son would accept you to live with them and thus you can live with your Son and go to his house for caring your grandson.

The loneliness of the support living arrangements / the insecurity from the loss of your family, your partner, your teaching job and loss of your SELF-Confidence,is really killing you.

You just have to throw this fear out of Your Mind and start enjoying your life with your son and grandson, which you are missing very much.

But for this change, you need to come out of this fear of early death which is creation of wrong assumptions related to your non-attendance of 2-3 fainting attacks- as told by one of your doctors.
You need to prove to your son ,that Now you don’t worry about the fear of early death. Also You need to prove by your acts to your son, that You are now normal and want to live / enjoy living with your son and grand son and help your daughter in law to help her in caring of your grandson.

Q-3-b-ALSO BOTH MY G.P.AND MY PSYCHIATRIST SAYS THEY DON'T KNOW WHAT IS WRONG WITH ME. SO HOW CAN I FEEL POSITIVE,

Ans-3-b-Just forget what your GP and Your physiotherapist-when expert doctors like Me and others , are there with YOU to reassure you, that there is nothing wrong in your body, which would cause early death for you.

Who is more expert and knowledgeable ? I have 36 yrs of clinical experience and might have helped out many cases like you as experienced doctors.

All this wrong assumptions are from the loneliness and insecurity –created from-ANXIETY with DEPRESSION-which you suffer from due to 4 losses –from loss of your partner, your family, your good job, and your self confidence.

And all this is caused from your assumptive fear of early death only because you assume that the unattended 2-3 fainting events have caused this –Anxiety and depression and all non-sens talking and behavior –which made you to lose your partner, your job, your family and your self-Confidence.

I shall reassure that,No body in the world is going to cause danger to your life, as you have doctors like Me and others on HCM and there around you.
So just forget what your GP and Physio did not know what’s wrong with You.
Here in above I explained what is wrong with You and how you have to come out of this.

Hope this would give your more strength to go out for your Movies, and go out to help your daughter in law to help her in caring your grandson, and if you do all this on your own, all people around you would give you support and you would come out of this dejected loneliness in support living arrangements.

Q-3-c-ONE DOCTOR TOLD ME I HAD NOT GOT LONG TO LIVE AND THEN RETRACTED IT WHEN MY BROTHER WENT TO SEE HIM. –

Ans-3-c-Why to give importance and get attached with this event, when he has retracted on his statement and wrong opinion, which he gave earlier.Just forgive and forget him

Q-3-d-ONE DOCTOR SAID BECAUSE I DIDN'T GO TO THE G'P WHEN I FELT FAINT SHE DIDN'T KNOW WHAT WOULD HAPPEN TO ME.

Ans-3-d-AS explained earlier just forget what this GP said, as explained by Me earlier above.This fainting could be from very high blood pressure from extreme anxiety and insecurity from loss of your job, your partner, your confidence,because of wrong assumptions of yours that you are to die early because of these Wrong opinions from one of your GP. Just forget it and forgive her and live normally, when expert doctors like Me are giving reassurance repeatedly that you are not going to die early at all.

Q-3-e-SO IT IS HARD TO HAVE CONFIDENCE.

Ans-3-e-Thus your conclusion is wrong as its based on wrong assumptions. And hence You should not loose your Confidence, which is Most Important ability of human mind, which gives way to live in such situations to all the human beings on this planet -EARTH.

So Dear, LIVE WITH NEW CONFIDENCE HERE AFTER and HENCE FORTH.

Hope you should cool down,if care with low/high blood pressure / your low/high thyroid functions,with help of your doctors there.

Hope this would help you to plan further joyful living till your 80's/ 90's yrs or even more also..!!

Do keep Me updated if needed 24 x 7 by direct question for any help you need.

Welcome for any further query in this regard, if need be.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS.

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Brief Answer:
I do agree With You ...But follow this to help you come out NORMALLY....!!

Detailed Answer:
Brief Ans-I do agree With You ...But follow this to help you come out NORMALLY....!!

Hi Dear !!Thanks for your last updates.
Read and reviewed these updates in context to your health concerns.

Thanks for updating on the missing links in the story. I would try to reply to your health concerns in that context herewith as under.

Please take up these suggestions in the positive spirit, as they are done to understand how to resolve with your health issues with help of your attending doctors there around you.

Please find question based answers as follows, which would summarize the comprehensive solutions to your health issue submitted till now-

Q-4-a-
Q-4-a-1-one mistake you have made about the timing of the fainting spisodes. they didn't happen after my losses. and therefore caused the fainting episodes.

I was running my school quite happily. I had been to all the well woman clinics and was a healthy woman. then after ten years of running my school I felt faint a few times. usually for every aliment I went to the doctor so I am cross with myself that I didn't then. I believed the deputy head that I should walk around in the fresh air.

I was fine for 8 years after that and had a new partner and all seemed well. then after that 8 years I started getting ill.

Ans-4-a-1-I would hereby tell you the cause of the fainting attacks, which was missed till now by almost every doctor you consulted.

-Cause of Your few times Fainting attacks after initial happy 8 yrs of your school running.
In My opinion, based on exactly these facts submitted herewith in your query, the un-noticed blood pressure you had during that time seems to be the cause of fainting attacks, after which you started anti-hypertensive medicines from your doctors.

Could you exactly tell is it correct / or tell Me exactly when anti blood pressure drugs were started for you-after fainting attacks or –after you were in mental hospital?
Q-4-a-2-I started saying silly things like I had broken my back and that I had been set up for a murder and that I was dying. my partner put me in a mental hospital where they did electrical treatment on me. after a while my partner left me.

Ans-4-a-2-Dear Could you tell Me exactly when anti blood pressure drugs were started for you-after fainting attacks or –after you were in mental hospital?

IF you can specify, please do it from your records.

This is very important as,very high blood pressure from stressed relations / or from acute stress of living ,could cause –Hypertensive Encephalopathy- which could cause all these silly talks like broken back –which could be from very high pressure, which might be causing angina with accompanied back ache at that time.

Very high blood pressure(Malignant Hypertension) with spert / or surge of Hyperthyoridism (Thyroid Storm)from stressed living at that time- could be the cause of such delusionary talks like you described, and this could have caused dying feel you started getting from that time?So just confirm whether the thyroid medicines were started before / or after Mental hospital ECT therapy.

So just check when the anti-thyroid treatment was started for you? When the thyroid function tests were done first? What was the report of it-whether Hyperthyroidism or Hypothyroidism?

Q-4-a-3-for ten years now I have believed I am dying ending up in another mental hospital-

Ans-4-a-3-Is this 10 yr period in mental hospital, was after your partner left? Whether you were on anti-blood pressure medicines during this 10 yrs period?Whether thyroid imbalance (Hyperthyroid / or / Hypothyroid state)was detected during these 10 yrs? These are very important clinical facts – to find out the state of your anxiety neurosis with accompanied depression –from the break up with your partner and loss of your job before that-as high stress from these losses could have caused your blood pressure disturbances, leading to the dying feel you had since then.

Q-4-a-4- and then six years ago here in supported accommodation still with the belief I am dying.

Ans-4-a-4-Is this the period –it appears , which was with undetected high blood pressure and with undetected hyperthyroid/ or hypothyroid state, which could been caused by your high anxiety and depression during these years, from loss of your job as head-teacher, then loss of your self confidence , and then loss of your partner and loss of your family as well before that?

These are the missing clinical facts ,which if found could explain as to why and for which exact reason, you had dying fear –mostly from un-noticed very high blood pressure ? with or without hyperthyroid(With high blood pressure) / or hypothyroid state(with low blood pressure), both causing delirious talks and cause sweating with accompanied anxiety and depression.
All these clinical missing links need to be researched ,so as to find what exactly is the medical cause accompanied with your hyperanxiety and depression, which caused dying feeling since age of 13, when your father died early at 52 yrs of his age.

Q-4-a-5-my worse fear from when I was 13 was to die young like my dad but no one else in the family had died young and while I was runn ing my school I felt secure.

Q-4-a-6-but once I was ill I have thougt that I have bought an early death on myself and whats more that I could have prevented it by sticking to my strict doctor rountine and seeing the doctor when I was faint,-

Ans-4-a-6-From above 2 facts in 4-a-5 / 4-a-6 submitted- it seems that you were well off- till you were running your school. But you were not well and was taken to this illness of early death feel, after loosing your job as teacher. It seems that exactly during this period –you were having undetected very high blood pressure- which has laid to fainting attacks from very high blood pressure with delirious talks during that phase of period in your life.It might have been accompanied and complicated by hyperthyroid (high blood pressure)/hypothyroid(low blood pressure) which both could cause dying feeling with sweating- from very high blood pressure or from very low blood pressure.

You seem to have missed this diagnosis from your non-attendance, which really lead to your long mental disability with derlirous talks which lead to your loss of your teaching job, and that has lead to loss of your partner / and loss of your family, which all occurred due to loss of your self confidence to live-mainly due to the fear of financial insecurity with fear psychosis ?with ? undetected high blood pressure and hyper/or hypo- thyroid dysfunction-which was not detected at that time, please confirm question/ reply wise correlation of the causative explanation, and correct if anything in wrong in it.

But Dear this is all past now and still you have survived of all this acute episode of –stress related high anxiety with hyperthyroid related high blood pressure / or hypothyroid related low blood pressure and nothing has happened to you, but the after effects of this mental disability from protracted anxiety and depression is the virtue by which your are in supportive arrangements away from your son and daughter in law.

Q-4-a-7-I believe that if I had seen the doctor I would have XXXXXXX still running my school and still had my partner. I have lost my boys who I had such a good rapport with. the youngest has gone to live near his dad who left when he was little and never bothered with them. he isn't in touch with me. I have no phone number for him he blocks my emails and won't read any letters I send. XXXXXXX the married one is not supportive either and I have hardly seen the children. I have lost everything precious to me because I missed one time in seeing the doctor. I am scared. it certainly doesn't help when the doctors at the practice are negative with me. they say most people see their doctor when they feel faint and as I said it was so out of character for me not to go. I have wrecked my own life.

Ans-4-a-7- But Dear this is all past now and still you have survived of all this acute episode of –stress related high anxiety with hyperthyroid related high blood pressure / or hypothyroid related low blood pressure and nothing has happened to you, but the after effects of this mental disability from protracted anxiety and depression is the virtue by which your are in supportive arrangements away from your son and daughter in law.

And now if you want to come out of this nothing has been lost now also as you are alive and could start now, with new confidence and zeal to correct and come out of this financial and social/familial insecurity,which kept you in supportive living arrangements,which makes the matter worst for you, mentally and so you cant come out of this supportive living arrangements.

I do agree with You,that for this- You need to continually have support from Your doctors- who would treat your medical high or low blood pressure- surges, so that your dying feel is controlled totally.And this would give you able and strong body machine to come out of this fiasco of vicious cycle of –resultant mental depression and physical inability to prove your self so that your people around- like your doctors / your both the sons and simmon’s wife would start believing in you as normal individual.

So make your comprehensive efforts-And I do agree with you that – You would need medical treatments causing or caused from or accompanied with your protracted anxiety and depression,which has been your destinies creation ,which you have to resolve by the plan of suggestions given in My last reply.

Q-4-a-8- it is okay for you to say forget what they say but when the social workers say the same thing and my psychiatric doctor, or counselor, how can I hope I will get better?

Ans-4-a-8-AS explained I do agree with You that its very difficult time for you to face everybody as nobody is ready to believe in you. But by simultaneously correcting medical causes with supportive treatments for anxiety from psychiatric doctor, You can come out of this VICIOUS CIRCLE, which YOU HAVE TO BREAK and so I suggest to follow the way out given in My last reply and which I repeat and reassure you to follow on its execution, so that You would come out of this fiasco.

Q-4-b-1-also you said I am living normally which I am not. I spend days and days in my room. I didn't go to my son' s wedding because I was scared I would die on the plane. they both know I am not living a normal life like I used to. this is certainly not normal. I am a patient here when I used to be happily running a school. no one suggests I have a future,

Ans-4-b-1-Dear, I do agree with you after detailed understanding of your problems,that this current time is not normal living for you. But if you correct it by good self driven efforts to correct it with medicinal controls of your mind and blood pressure and thyroid related problems as suggested above herewith and as suggested in My last reply-this would give you strength to convince people around you( like psychiatrist counselor/ social worker/ psychiatric doctors , who if convinced)would convince your son simmon / your partner and your younger son with him / your daughter in law, thereby you will get lost family security and a cause for useful and self confident and self respected living in time to come.

So hence I urge you to make efforts to come out of this inactive state of your mind YOURSELF and with your own efforts,which would reduce all the medicinal dependence and would bring all your precious people near to YOU very soon.

Q-4-b-2- I have had regular blood tests and my thyroid medication adjusted accordingly. also with my blood pressure. I am on tablets and my blood pressure is checked regularly. it is normal.

Ans-4-b-2-Dear,I want to review your medical records by Myself .
Please update Me the latest –Blood tests-for hemoglobin /
and for Blood Sugars /
and for thyroid and list of thyroid medicines with its doctors script to review your dosages if need be .

Also dear update Me your latest- Blood Pressure readings for last 5 days and for last 4 weeks –average bp recordings-Which I would study and would suggest you, if any changes to be made accordingly.

What is your diet- now? Is it with high salts / spices ? How about your sleep -for 8 hrs or not?Is the sleep with many dreams? are the dreams fearful and what are the dreams you get ? …So all these basic data would need to be assessed to give you further suggestions

Q-4-b-3- I am so frightened all the time.
Ans-Do you get any palpitation? Or do you have a shortness of breath? Or are you mentally fearful, for the insecurity reasons/or for what reasons ?

Give Me updates question/ reply wise so as to comprehensively guide and suggest on your solutions for your case.

Q-4-b-4-I am on 5 anti anxiety tablets in the mornings , one at lunch time and another four in the evening. you say not to take too much medication but I have no choice.

Ans-I don’t mean as you learnt it .I mean that over drugging may lead to more orthostatic low blood pressure,which would increase your fear for death with many drugs interacting,which are usually given to resolve your complicated and inter-related health complaints by your doctors to help you out.

So I mean to say, that if your dying feel increases, You should request your attending doctors to reduce and review dosages given to you, to reduce the side effects which You observe and suffer from.

Its such a complicated phenomenon to treat a case like your’s .Everything said and done is to be monitored closely like the manner from experts Like Me and others,for you to come out as NORMAL for everybody around YOU- your social workers, hospital staff, your psychiatric counselor, your psychiatric doctor- who would then convince your lost family members, that you are now NORMAL and can live them –with or without medicines in time to come.

That is what I mean to say by not taking too much medications.

I would remind You, in My last reply I insisted on caring your medical conditions meticulously, which could be missed or attended casually , which may create problems for your early recovery.

Q-4-b-5- if I don't take them I am put into hospital. no wonder I feel like I have no future.

Ans-4-b-6-Dear I do agree with You, that till the time your mental and bodily ailments are resolved You would need support from doctors care/ attendance. But you should come out fast on the lines suggested above, for you to be amongst your precious family members, which would be a great strength for you to live.

Q-4-b-6-also I came to terms with my dad's death a long time ago,

Ans-4-b-6-I feel really happy to that you are coming to terms of realities and not to take them seriously. This gives Me strength to say that time is not long, that You would prove yourself NORMAL to all around you in the supportive living arrangements and to all the medical and paramedical staff around you and there by go to your lost family members Very Soon…….!!

Hope all these detailed replies would give you more strength to prove you to be NORMAL individual to be accepted by all the people of the society and your family members too, very soon…..!!
Welcome for any further query in this regard, Which I would love to help you out in the best possible way ,as expert doctor from HCM, attending to YOUR health issues.

Good Day !!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS.

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