How Can Government Curb Misdiagnosis

Sharing Is Caring:


How Can Government Curb Misdiagnosis

Nigerian government have a significant role to play in tackling medical errors or misdiagnosis by ensuring good healthcare operational policies, making healthcare affordable and accessible to people to reduce, noting that these measures will help prevent misdiagnosis and wrong treatment.

According to a Professor of Public Health and former National Chairman of the Association of Public Health Physicians of Nigeria, Tanimola Akande stated that when a health condition is misdiagnosed, the patient will be treated wrongly, which could lead to serious complications.

The commonly misdiagnosed health condition in this environment is typhoid because when some people treat malaria and it is not relieved, they diagnose it as typhoid. If some people have a fever with diarrhea and it does not respond to antimalarial, they say it is typhoid.

Another condition that is commonly misdiagnosed is haemorrhoids (Piles) often called Jedijedi in Yoruba language. When people have a stool with mucus, they say they have jedijedi. When the anus of a child is coming out and when the rectum pushes out a little; or if they have haemorrhoids before they pass stool, people call it jedijedi. Also, when some people have backache, they call it jedijedi.

“If you listen to those people with mobile vans advertising their drugs, you will be shocked what they call jedijedi. So, all sorts of concoctions are used for it wrongly. When you misdiagnosed, you will treat wrongly. You will use drugs that are not appropriate for your health condition. Some of the concoctions people use wrongly for treatment have terrible effects on the body.

Tanimola stated further that it is risky to be diagnosed by incompetent healthcare workers, alternative medicine practitioners, and to self-diagnose. Jedijedi is a common term many people use for different medical conditions often having to do with the gastrointestinal tract. It is believed to affect both children and adults as a result of sugary or junky food intakes.

Continuing, he said, If you hear traditional healers talk about all sorts of diseases on the radio, you will just feel like collapsing. And of course, if you don’t know what is wrong with you and you are using the wrong drugs for it, then it will not work.

“Many get unnecessarily injured by using wrong medications and the disease will be getting worse and lead to complications.”

Tanimola, however, noted that medical doctors can also misdiagnose patients when they don’t have the appropriate equipment for the correct diagnosis. This, “though it is not common,” he said.

The physician said the Nigerian government needs to play a big role by making healthcare accessible and affordable to everyone.

If healthcare is affordable to people, they are more likely to use it than patronize quacks. We have to make healthcare accessible to citizens and make it affordable.

In a country like Nigeria, almost everybody is a doctor; they will refuse to see a certified medical practitioner and if they managed to consult one, you will here a statement like, “doctor, I know what is wrong with me, just give me antimalaria drugs make I dey go”. However, people don’t want the stress of queuing up to see a doctor and some people don’t have doctors in their environment but there will be some well-trained cadres of health workers that can diagnose correctly.

Government should make sure that equipment is available in the hospitals and health care facilities. Some health facilities don’t have a sphygmomanometer to check blood pressure while some are not well calibrated to obtain  accurate readings and often time, patient with hypertension are advised to double check their readings to ensure accuracy. So, when somebody says he has BP, and you have not checked if it is due to blood pressure, then you are diagnosing incorrectly.

Also speaking, Dr. Ibraheem Abioye, a Population Health Scientist, said a doctor is more likely to correctly diagnose a case they see frequently. When health conditions are rare, even if that condition is taught in medical school, there is a greater chance that the condition will be misdiagnosed. There is not like an agreed-upon list of most frequently misdiagnosed conditions. It would depend on the setting and context. Essentially, all diseases can be misdiagnosed.

When a doctor review a patient, the doctor identifies their most likely diagnosis, while bearing in mind differential diagnosis that could also be responsible for the patients’ symptoms. Often, the doctor would conduct additional examinations and tests to help them be more confident of their primary diagnosis. “Often, these required tests that are expensive or unavailable, and that limits the extent to which the doctor can confirm their hunch,” he said.

Mr Adeyinka (**see footnote) is a senior driver in Abuja, drove his boss to a meeting and suddenly fell from height and was rushed to the emergency unit at a nearby hospital. On presentation, he was conscious, coughing out blood and in pain. Physical examination, laboratory investigations and Xray reports revealed that he was hypertensive while the X-ray could not detect why he was coughing out blood  until after a CT scan was conducted which showed a mandibular fracture. However, Mr Adeyinka was discharged in a clinically satisfying condition.

Likewise, Mr Akpan ** just returned from the village when his health conditions began to deteriorate. According to him, he claimed that it was a spiritual attack because his pastor told him that his village people want him dead. Akpan held strongly to the prophesy until his colleagues persuaded him to visit a healthcare facility where he was diagnosed of Type-2 diabetes.

Furthermore, Mrs Chinyere ** was experiencing breast pain when she visited a hospital in Portharcourt in the year 2016 and was diagnosed of breast lump. She had excisional biopsy, sample collected was sent to the laboratory for histology. Although, she felt relieved but after 3 months, the symptoms re-occurred, this time it was too late, because she neither return for a follow-up treatment nor have her histology test result reviewed nor the hospital call her attention for a follow-up. Unfortunately, she was suffering a breast cancer according to the reports and passed on few months later.

Not every one is as fortunate as Mr Adeyinka and Akpan. When conditions are rare, and maybe only the most highly experienced people have seen one case before or cared for one case before, even if that condition is taught in medical school, there is a greater chance that the condition will be misdiagnosed. Human factors such as the competence of the clinicians, their state of mind, the extent to which they are fatigued may impact whether they correctly diagnose a thorny case or not.

A clinician who sees 50 patients a day is less likely to correctly diagnose a rare complex insidious disease in the 49th patient they see in a day. Now add to that the possibility that the clinician has been at work for 30 consecutive hours because they were on call the previous day or the chance that they have worked almost 12 hour days for the past 5 days.

Most of these human factors can be fixed with good hospital and government policies. Aside from the medical doctor directly making the diagnosis, there are systems and ancillary staff that are critical to support and lead up to each clinical encounter where the clinician makes the diagnosis for each patient.

For instance, think of it like a choir or an orchestra, if some of the players are playing out of tune or have faulty equipment, it may not become immediately obvious but it would compound, and eventually, it would be clear to the listener that there is fire on the mountain or is it not?

Staff Support may includes competitive living wages so that people do not have to moonlight at other job opening or work double jobs to be comfortable which has become a practice in Nigeria. There should also be opportunities for growth so that people are excited to come to work every day while ensuring that the facilities and equipment are in good working condition all year round and maintained properly. The consequences of misdiagnosis are numerous and costly.

Imagine spending a lot of money treating the wrong diseases, conducting needless procedures, and finding no resolution of the disease, while the patient continues to suffer… how heartbreaking this can be to the patient and loved ones. Then, having to consult new clinicians, new hospitals, additional tests, etc. The cost is substantial – both financial and on the mental toll it exerts on the patients and the society.

According to the World Health Organisation (WHO), all aspects of the diagnostic process are vulnerable to medical error. The WHO stated further that studies of diagnostic error often reveal several root causes in each case. Diagnostic errors are relatively common in primary care, noting that most people will likely experience a diagnostic error in their lifetime. WHO disclosed that a study conducted in a high-income country found that approximately five per cent of adults experienced diagnostic errors in outpatient settings each year, adding that these errors had the potential for severe harm.

A survey of children’s doctors  found that more than one-half reported making a diagnostic error at least once or twice per month and recognized that they made harmful errors at least once or twice a year.

In Nigeria, there may be even greater challenges due to limited access to diagnostic testing resources, a paucity of qualified primary care professionals or specialists and limited record-keeping systems. These factors may contribute to a higher rate of diagnostic errors most especially in primary care.

Delays in diagnosing cancer are also common. About seven per cent of abnormal test results are not communicated to patients, which can lead to a delay in diagnosis, like that of late Mrs Chinyere. Breakdowns in the referral process can also lead to diagnostic errors and delays.

According to the global health body, interventions to reduce medical diagnostic errors have focused on improving the skills and knowledge of healthcare providers as well as addressing systems issues, such as communication, record keeping and test ordering processes.


** (Real name withheld)

Sharing Is Caring:

815 thoughts on “How Can Government Curb Misdiagnosis

  1. Normally I don’t read post on blogs, however I
    wish to say that this write-up very forced me to try
    and do so! Your writing style has been amazed me.
    Thank you, quite great article.

  2. Asking questions are in fact nice thing if you are not
    understanding something totally, except this article presents nice understanding even.

  3. What’s up everybody, here every one is sharing these know-how, thus it’s good to read this
    website, and I used to go to see this webpage daily.

  4. Heya superb blog! Does running a blog similar to this take a large amount
    of work? I have virtually no expertise in programming however I had been hoping to start my own blog in the near future.
    Anyways, if you have any recommendations or techniques for new blog owners please share.

    I know this is off topic however I simply wanted
    to ask. Thanks a lot!

  5. What’s up to every one, since I am actually keen of reading this web site’s post to be updated daily.
    It contains nice information.

  6. Do you have a spam problem on this website; I also am a blogger,
    and I was wondering your situation; many of us have developed some
    nice practices and we are looking to exchange methods with others, be sure to shoot me an email if interested.

  7. I’ve been surfing online more than 4 hours today, yet I never found
    any interesting article like yours. It is pretty worth enough
    for me. Personally, if all web owners and bloggers made
    good content as you did, the net will be much more useful than ever before.

    my web-site – viagra

  8. Today, I went to the beach front with my children. I found a
    sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear
    and screamed. There was a hermit crab inside and it pinched her ear.

    She never wants to go back! LoL I know this is completely
    off topic but I had to tell someone!

  9. Heya i’m for the primary time here. I came across this board and I to find It really helpful & it
    helped me out a lot. I hope to present something back and aid others such as you
    helped me.

  10. I think this is among the most vital information for me.
    And i am glad reading your article. But want to remark on few general things, The site style is perfect, the articles is really great : D.

    Good job, cheers

  11. Regular ports are the perfect option if you intend to bet actual cash, while progressive slots are much better if you intend to have fun as well as have a chance to win big. During reward suits (Random Automatching occasions) the winners of the suit will obtain an added 200 points (Along with the 40 reward factors gained from playing two rounds) while the losers will get the normal 40 factors. Completing a round (win or shed), in an Automatching entrance hall gives the player 20 incentive factors. July 17, 2008. The Plus version, with an added character port was discontinued in Japan on November 18, 2008. Players that mount the expansion can create female characters as well as enter the GENE specific Survival entrance hall. Players that install the development can compete in MEME Survival lobbies and purchase MEME certain camouflage equipment. After purchasing the expansion, gamers can contend in Tournaments, wear SCENE certain camouflage equipment, fight in Outer Outlet, Hazard House, Ravaged Riverfront and Icebound Inferno. Attackers separated these players either to win the match by default or to acquire a benefit.

  12. 6 Capital Partners proved to be a valuable partner in funding our
    project, which they did successfully. This is actually the second project that they
    have funded for us, and we have been impressed with their level of commitment and
    expertise. They have a deep understanding of the industry
    and were able to provide the necessary financial resources to make the project a success.
    Throughout the process, they were professional, responsive
    and easy to work with. We have no doubt that our continued partnership with 6 Capital Partners
    will lead to further success in the future.

  13. I am extremely impressed with your writing skills and also with the layout on your blog.
    Is this a paid theme or did you modify it yourself?
    Anyway keep up the excellent quality writing, it is
    rare to see a great blog like this one nowadays.

  14. May I simply say what a comfort to find someone that truly knows what they
    are discussing on the web. You definitely understand how to bring
    an issue to light and make it important. More people must check this
    out and understand this side of the story. I was surprised that you aren’t more popular given that you
    definitely possess the gift.

  15. I don’t even know how I ended up here, but I thought this
    post was good. I do not know who you are but definitely you’re going to a
    famous blogger if you aren’t already 😉 Cheers!

  16. Write more, thats all I have to say. Literally,
    it seems as though you relied on the video to make your point.
    You definitely know what youre talking about, why waste your intelligence
    on just posting videos to your site when you could be giving us something enlightening to read?

  17. When I initially left a cⲟmment I appear to have clicked the -Ntifу
    me when new comments are addeⅾ- checkbox and now every time a comment is added I reсeive four emails with the samee comment.Is thеre ɑn easy method you can rеmove me from that service?


    Visit my blog Link Macau88

  18. Very great post. I simply stumƅled upon your
    blog and wanted tߋ saʏ thаt I’ve really enjoyed browsing yoᥙr
    blog posts. In any case I’ll be suЬscribing on your
    feed and I amm hoping уou write agaіn soon!

    Feel free to surf to my homepage :: handheld Massager

  19. Wonderful beat ! I would like to apprentice whilst you amend your
    site, how can i subscribe for a blog site? The account helped me a acceptable deal.

    I were tiny bit acquainted of this your broadcast provided shiny clear idea

  20. I do not even know the way I finished up here, however I believed this submit was once good.
    I don’t know who you’re however certainly you are
    going to a well-known blogger in case you are not already.

  21. Write more, thats all I have to say. Literally, it
    seems as though you relied on the video
    to make your point. You clearly know what youre talking about, why waste your intelligence on just
    posting videos to your site when you could be giving us something enlightening to read?

  22. Excellent blog right here! Additionally your web site rather a lot
    up very fast! What host are you the use of? Can I am getting your
    associate link on your host? I desire my website loaded up
    as fast as yours lol

  23. Howdy, i read your blog occasionally and i
    own a similar one and i was just curious if you get a lot of spam responses?
    If so how do you prevent it, any plugin or anything you can recommend?
    I get so much lately it’s driving me crazy so any assistance is very much appreciated.

  24. Undeniably believe that that you said. Your favourite reason appeared to
    be at the internet the easiest thing to take into account of.

    I say to you, I definitely get irked at the same time as other folks consider concerns
    that they plainly do not understand about. You managed to hit the nail
    upon the highest as smartly as outlined out the whole thing with no need side effect ,
    other people can take a signal. Will likely be again to get more.
    Thank you

  25. It is perfect time to make some plans for the future and
    it’s time to be happy. I’ve read this post and if I could I want to suggest you some interesting things
    or suggestions. Maybe you could write next articles referring to this article.
    I wish to read even more things about it!

  26. I like the valuable information you provide in your articles.

    I’ll bookmark your weblog and check again here frequently.
    I am quite certain I will learn many new stuff right here!
    Good luck for the next!

  27. I am truly happy to glance at this weblog posts which contains
    plenty of helpful facts, thanks for providing these kinds
    of data.

  28. While borrower continues reducing his obligation through periodical repayments, credit history automatically improves.
    A better way to take out a personal loan is to
    apply with several lenders so that you can have a choice to make a good decision. What
    better way to reminisce about your childhood than by watching classic Christmas movies.

  29. Группа объявлений Волгоград в телеграм. Постинг частных объявлений бесплатно!
    Рекламные и коммерческие объявления, согласно правил группы.
    Присоединяйся, чтобы не потерять..

  30. you’re actually a good webmaster. The site loading pace is incredible.
    It sort of feels that you’re doing any distinctive trick.
    Furthermore, The contents are masterwork. you have done a magnificent activity on this subject!

  31. What’s Going down i’m new to this, I stumbled upon this I have found It absolutely useful and it has helped me out loads.
    I hope to give a contribution & assist different users like its helped me.
    Good job.

  32. Hey are using WordPress for your site platform?
    I’m new to the blog world but I’m trying to get started and set up my own.
    Do you require any coding expertise to make your own blog?
    Any help would be greatly appreciated!

  33. The other day, while I was at work, my cousin stole my
    iphone and tested to see if it can survive a thirty
    foot drop, just so she can be a youtube sensation.
    My apple ipad is now broken and she has 83 views. I know this is completely off topic but
    I had to share it with someone!

  34. Simply want to say your article is as astounding.
    The clarity to your submit is simply excellent and
    i could assume you are a professional on this subject.
    Fine along with your permission allow me to snatch your RSS
    feed to keep updated with imminent post. Thank you 1,
    000,000 and please carry on the enjoyable work.

    My blog – 바카라쿠폰

  35. I like the helpful information you provide in your articles.
    I will bookmark your blog and check again here regularly.
    I am quite sure I’ll learn many new stuff right here!

    Best of luck for the next!

  36. When I originally commented I clicked the “Notify me when new comments are added” checkbox and
    now each time a comment is added I get four emails with the same comment.
    Is there any way you can remove people from that service?
    Thanks a lot!

    Have a look at my website – 우리카지노

  37. Generally I do not read post on blogs, however I wish to
    say that this write-up very compelled me to try and do
    it! Your writing style has been amazed me. Thanks, very great post.

  38. 해킹 피해 발생시 해킹 피해 해결을 위한 전문가가
    상담을 해드립니다. 중요한 디지털 자산을 지켜드리고 나아가 미래에 발생할 수 있는 위험
    리스크가 생기지 않게 보안의식을 가질수 있게 안내해드립니다.
    또한 포렌식 디지털 증거 수집 및 복구 등, 바이러스 검수 등 업무도 하고 있습니다.

    참새왕 해킹 의뢰 서비스

  39. I was wondering if you ever thought of changing
    the layout of your site? Its very well written; I love what youve got to say.
    But maybe you could a little more in the
    way of content so people could connect with it better.
    Youve got an awful lot of text for only having 1 or two images.
    Maybe you could space it out better?

  40. Hi, Neat post. There’s an issue with your website in internet
    explorer, might test this? IE still is the marketplace chief and a big element of people will omit your fantastic writing because of this

  41. An impressive share! I’ve just forwarded this onto a colleague who has
    been conducting a little homework on this. And he actually bought me breakfast due to the fact that I found it for him…
    lol. So let me reword this…. Thank YOU for the meal!! But yeah, thanx
    for spending time to discuss this subject here on your web page.

  42. Excellent beat ! I wish to apprentice at the same time as you amend
    your site, how can i subscribe for a weblog website? The account aided
    me a applicable deal. I were a little bit familiar of this your broadcast
    provided vivid clear concept

  43. Hi! I could have sworn I’ve visited this website before but after browsing
    through a few of the posts I realized it’s new to me.
    Regardless, I’m definitely happy I came across it and I’ll
    be book-marking it and checking back often!

  44. Do you have a spam issue on this site; I also am a blogger, and I was curious about your situation; many of us have developed
    some nice practices and we are looking to trade techniques with other folks, be sure to shoot me an e-mail if

  45. I’m not sure where you are getting your info, but great topic.

    I needs to spend some time learning more or understanding more.
    Thanks for wonderful information I was looking for this information for my mission.

  46. Хотите научиться открывать клининговую компанию с нуля и стать успешным предпринимателем? Тогда наш обучающий курс – это то, что Вам нужно!
    На курсе Вы познакомитесь с основными этапами создания и развития клининговой компании: от выбора направления деятельности и формирования бизнес-плана до продвижения вашей компании на рынке и организации работы с сотрудниками.

    Вы научитесь оценивать рынок, определять своих конкурентов, анализировать их преимущества и недостатки. Вы также узнаете, как установить цены на свои услуги, продвигаться в социальных сетях и работать с клиентами.

    Кроме того, мы расскажем Вам, как правильно рекламировать свою компанию и создать качественный сайт для привлечения клиентов. Вы получите ответы на вопросы о том, как работать с клиентами и управлять коллективом, а также узнаете проэтику расторжения договоров и подбора новых клиентов.

    В нашей команде представлены профессионалы в области маркетинга и предпринимательства, которые помогут Вам в процессе обучения. Не упустите возможность стать успешным предпринимателем в сфереа!

  47. You are so cool! I don’t believe I’ve truly
    read through something like that before.
    So good to discover someone with some unique thoughts on this
    topic. Really.. many thanks for starting this up.
    This web site is one thing that’s needed on the
    web, someone with a little originality!

    my blog :: lotto

  48. Hey there! Quick question that’s entirely off topic.
    Do you know how to make your site mobile friendly? My weblog looks weird when browsing from my iphone4.
    I’m trying to find a template or plugin that might be able to correct this issue.
    If you have any suggestions, please share. With thanks!

  49. We’re a group of volunteers and starting a new
    scheme in our community. Your website provided us with valuable info to work on. You’ve done an impressive job and our
    entire community will be grateful to you.

  50. Do you have a spam problem on this blog; I also am a blogger,
    and I was wanting to know your situation; we have developed some nice procedures and
    we are looking to exchange methods with other folks, why not shoot
    me an email if interested.

  51. Heya i’m for the primary time here. I came across this
    board and I find It truly useful & it helped me out a lot.
    I hope to offer one thing again and help others such as you helped me.

  52. I believe what you said was very logical. But, what about this?

    suppose you added a little content? I ain’t suggesting your information is not good, but
    what if you added a title that makes people want more?
    I mean How Can Government Curb Misdiagnosis is kinda plain. You ought to look at Yahoo’s front page and
    see how they create article headlines to grab people interested.
    You might try adding a video or a picture or two to get people interested about what you’ve written. Just my opinion, it might make your posts a little livelier.

  53. I am really impressed together with your writing abilities and also with the structure
    to your blog. Is that this a paid subject matter or did
    you customize it yourself? Anyway stay up the excellent high quality writing,
    it is uncommon to see a nice weblog like this one today..

  54. Let me give you a thumbs up man. Can I show my hidden information on amazing
    values and if you want to seriously get to hear and also share valuable info
    about how to make a fortune yalla lready know follow me my fellow commenters!.

  55. Greetings! I’ve been reading your weblog for a long time now and finally got the courage to
    go ahead and give you a shout out from Austin Texas!

    Just wanted to mention keep up the great work!

  56. I will right away clutch your rss as I can’t in finding your email subscription link or newsletter service.
    Do you’ve any? Kindly let me know so that I
    may subscribe. Thanks.

  57. My brother suggested I might like this web site. He was entirely
    right. This post actually made my day. You cann’t imagine simply how much
    time I had spent for this info! Thanks!

  58. Hello! I could have sworn I’ve been to this website before but after browsing through some of the post I realized it’s new to me.
    Nonetheless, I’m definitely glad I found it and I’ll be bookmarking and checking
    back often!

  59. The NHL All-Star Game will kick off on February 4th as
    the most effective players in hockey collect to compete in a
    day of exciting and excitement.

    my homepage: Deana

  60. If your case goes to adjudication, it indicates there are
    inquiries orr challenges that have to be addressed just before your claim can be cleared for payment or denied.

    Feel free to visit my web page 업소알바

  61. I would like to express my thanks to this writer just for bailing me out of such a
    predicament. After researching through the the net and meeting thoughts that were not productive, I figured my entire
    life was done. Living without the presence of solutions
    to the issues you’ve resolved all through your main guideline is a critical case, and the kind that could
    have in a negative way affected my entire career if I had not discovered
    your web site. Your personal competence and kindness in playing with almost everything was important.
    I’m not sure what I would’ve done if I had not come across such a subject like this.
    I can at this time look ahead to my future. Thanks for your time so much
    for your high quality and results-oriented guide.
    I will not think twice to endorse the blog to anyone who needs tips about this matter.

    my web site :: Go90 Keto Review

  62. Hello there, I discovered your website by way of Google whilst searching for a related topic, your web site got here up,
    it looks good. I’ve bookmarked it in my google bookmarks.

    Hello there, just turned into aware of your weblog thru
    Google, and found that it is really informative. I’m going to be
    careful for brussels. I’ll be grateful if you proceed this in future.
    A lot of other folks might be benefited from your writing.

  63. I used to be recommended this website by my cousin. I am now not positive whether this put up is written by way of him as nobody else understand such exact
    about my trouble. You are amazing! Thank you!

  64. What’s upp mates, how iss all, and whaat you desire to say on the topic of this article, in my view its rewally amazing deigned for me.

    Feel free to visit my weeb site – Elke

  65. Excellent beat ! I wish to apprentice while
    you amend your website, how can i subscribe for a blog web site?

    The account aided me a acceptable deal. I
    had been tiny bit acquainted of this your broadcast offered bright
    clear idea

  66. Therefore Bitcoin transactions are verified by validators-called miners-within the community hash rate into the.
    The 2016 documentary the mining community
    now since few Bitcoin miners could be. Anonymous Bitcoin trader you
    a number of years one of the Bitcoin relay community. Hunt down out extra on mix economics psychology
    expertise and solely few folks. Why individuals favor it also can’t be recycled if it’s on your enterprise card.
    Yes you may invest 50 in two days later hackers hacked the
    email. 2014 IEEE Symposium on security seized two financial institution accounts
    had been in it for BTC as authorized tender. Demo trading
    account permits customers to assign worth to BTC exchange charge floats freely.
    2017 more than a BTC 50 reward per block to 3.125 bitcoins BTC first which is.

    I made a protocol is designed to function without
    modification as the block chain. All Bitcoin mining the block chain dimension. Relative mining issue is directly associated to Bitcoin Core at any level
    up until the very finish. Libsecp256k1 for validation as orphan blocks
    that aren’t supported by the technical particulars Bitcoin works.
    The information are gzipped Csvs of unixtime value tradeamount
    for every month with. Tesla mentioned last month.
    Somehow we managed by the miners had a protracted tradition of sustainability using.

  67. Wonderful website. A lot of useful info here. I am sending it to several pals ans additionally sharing in delicious.
    And naturally, thanks for your effort!

  68. Heya this is kind of of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually
    code with HTML. I’m starting a blog soon but have no coding experience so I wanted to get guidance from someone with experience.
    Any help would be greatly appreciated!

  69. I’m amazed, I must say. Seldom do I come across a blog that’s both equally educative and amusing, and without a doubt, you have hit the nail on the head. The problem is an issue that not enough people are speaking intelligently about. Now i’m very happy I stumbled across this in my search for something relating to this.

    Have a look at my page;

  70. Awesome blog! Do you have any recommendations for aspiring writers?
    I’m planning to start my own website soon but I’m a little lost
    on everything. Would you suggest starting with a free platform like WordPress or
    go for a paid option? There are so many choices out there
    that I’m totally confused .. Any suggestions? Cheers!

  71. Aw, this was an incredibly good post. Taking a few minutes
    and actual effort to create a top notch article… but
    what can I say… I procrastinate a whole lot and don’t seem to get anything done.

  72. Hello, Neat post. There’s a problem together with your web site in internet explorer, would check this?
    IE nonetheless is the marketplace chief and a large section of
    people will leave out your great writing because of this problem.

  73. My partner and I absolutely love your blog and find most
    of your post’s to be what precisely I’m looking for. Does one
    offer guest writers to write content for yourself?
    I wouldn’t mind creating a post or elaborating on a number of the subjects you write regarding here.

    Again, awesome weblog!

  74. Magnificent goods from you, man. I have understand your stuff previous to and you are
    just too excellent. I actually like what you’ve acquired here, certainly like what you are saying and
    the way in which you say it. You make it entertaining and you still care for
    to keep it sensible. I can’t wait to read much more from you.
    This is actually a tremendous web site.

  75. Hi there, i read your blog occasionally and i own a similar one and
    i was just curious if you get a lot of spam feedback? If
    so how do you protect against it, any plugin or anything you can recommend?

    I get so much lately it’s driving me mad so any support is
    very much appreciated.

  76. Have you ever thought about publishing an ebook or
    guest authoring on other websites? I have a
    blog based upon on the same subjects you discuss and would really like to have
    you share some stories/information. I know my viewers would
    value your work. If you’re even remotely interested, feel free to send me an email.

  77. You received (2) messages!

    Horny Shriya is waiting for your reply.

    click here to chat with her


    Finding someone special online can be difficult and time-consuming. But subsequent to the right steps, you can make it easier and more enjoyable. This blog declare will allow you once tips and advice on how to find a girl to date online easily and quickly.

    What is online dating?

    Online dating is a platform used by singles to meet potential partners. This can put in dating apps, websites, or social media profiles dedicated solely to dating. There are many types of online dating facilities available, from pardon sites to paid ones. No business which one you choose, the point toward is the same: locate someone special that you border later than and start building a membership together.

    Preparing for Online Dating

    Before diving into the world of online dating, its important that you are prepared for what lies ahead. One of the most important steps in preparing for this process is getting your profile ready for potential matches. You should acknowledge some epoch to make an interesting profile that skillfully reflects who you are and what type of person youre looking for in a relationship. attach information roughly yourself such as your hobbies, interests, career goals, etc., as capably as pictures that undertaking off your personality and style in order to attract potential matches who portion same interests or qualities as yourself.

    Choosing an Online Dating Site

    The adjacent step in finding a girl to date online easily is choosing an commandeer site or app for your needs. when selecting an online dating platform, there are distinct factors that should be taken into consideration, such as safety features (like encryption), addict base size (which affects the likelihood of finding someone compatible), cost (free vs. paid sites), ease of use (simple navigation makes it easier to locate people quickly), etc. Knowing what type of membership youre looking for (e.g., casual hookup vs. long-term commitment) will as well as encourage narrow down your list of options taking into consideration it comes period to choose an app or website okay for meeting girls online easily and quickly.

  78. I think this is among the so much important information for me.
    And i’m glad studying your article. But wanna remark on some general things, The site style is wonderful, the
    articles is truly excellent : D. Good process, cheers

  79. Can I show my graceful appreciation and give true love to really good stuff and if you want
    to have a checkout Let me tell you a brief about how to make a fortune I am always here for yall you know that

  80. Holymoly that’s crazy man! Thank you so much I really appreciate for this man. Can i give out my value to
    change your life and if you want to have a checkout?
    I will definitly share info about how to get connected to girls easily and quick
    I will be the one showing values from now on.

  81. I believe people who wrote this needs true loving because it’s a blessing.
    So let me give back and show true love on change your life and if you
    want to really findout? I will share info about how to find hot girls
    for free Don’t forget.. I am always here for yall.
    Bless yall!

  82. I was curious if you ever considered changing the layout of your blog?

    Its very well written; I love what youve got to say.
    But maybe you could a little more in the way of content so people could connect with
    it better. Youve got an awful lot of text for only having one or 2 images.
    Maybe you could space it out better?