This week a radiologist's campaign to become a US senator was thrown into controversy by reportedly 'gruesome' x-rays he posted on Facebook. In a filmed interview, journalist Tim Carpenter confronted Milton Wolf with x-rays and comments he posted on Facebook several years ago. Despite claiming the x-rays were shared for educational purposes, it seems clear that the images, including one of a gunshot decapitation, were mainly intended as entertainment. 

I'll leave you to judge the specifics of Wolf's actions for yourself (some aspects I personally don't condone), but my interest in this issue is more broad.

As a website built upon collaborative contributions, Radiopaedia.org contains many 'entertaining', 'confronting', 'gruesome' and downright 'WTF' medical images that serve little educational purpose. And yet these images contain no patient identifiers and abide by HIPAA guidelines. I myself have contributed medical images of such nature to this site and as social media editor i have overseen the sharing of some of these images across our social media network - and yes, they usually prove very popular! 

Just yesterday, journalist Caleb Garling published a piece about Radiopaedia in the San Francisco Chronicle, clearly inspired by the 'bizarre' nature of some of our images. With the Radiopaedia site and social media network rapidly expanding, I expect mainstream media exposure like this will only increase, placing the site's content more and more in the realm of the general public. 

And so for a site that primarily aims to educate health professionals, is the publication of occasional images of 'questionable' clinical value appropriate? Is it just a little harmless fun? Is it right for the public to be shown or have access to these images? Or should we as radiologists and other health professionals enforce upon ourselves a degree of professionalism beyond that of simply maintaining patient confidentiality? 

I'd be very interested to hear your thoughts on the issue. My personal philosophy has always been that as long as what I am sharing or saying brings no harm, then exposing others to the quirkier or squirmier sides of radiology is not a terrible thing. But perhaps with the new popularity of Radiopaedia, a more considered approach is required on my part. 

Related...

 

Dr Andrew Dixon is a Radiologist at the Alfred Hospital in Melbourne, Australia. He is social media editor for Radiopaedia.org, and among other things, has founded the successful Radiology Signs project on Facebook, Tumblr and Twitter and the Radiology Channel on YouTube.  

NB: Opinions expressed are those of the author alone, and are not those of his employer, or of Radiopaedia.org

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Comments

  • Chad 1st Mar 2014 16:55 UTC

    As an educator myself, I depend on sites like Radiopaedia to offer new/interesting cases that I share with my students. Some are for "entertainment" purposes, but a majority are used to help the students "open" their eyes to the pathology being presented.

    Some of the "entertaining" cases are used with the junior students to help them think "outside the box" on how they would achieve the image; especially on trauma patients. I feel the general public does not truly understand our field/profession. We're just button pushers, right? That's why the ASRT has started their new campaign in educating the public about radiology.

    You have provided a disclaimer. Maybe make it bigger, bolder, or even the only thing on your home page to enter the website (just a thought). Whatever you decide to do, I will continue using and sharing the information. Keep up the good work.

    Moving Forward,
    Chad

    • Andrew Dixon1st Mar 2014 21:04 UTC

      Good point Chad - such images definitely help capture the attention and imagination of our students. Thanks for commenting.

  • Giovanni Battaglia1st Mar 2014 23:24 UTC

    In Italia queste persone le chiamiamo teste di cazzo. Se vuoi posso fare la traduzione. ..

    • Andrew Dixon1st Mar 2014 23:37 UTC

      Giovanni' comment according to google translate: "In Italy we call these people morons. If you want I can do the translation. .."

  • Andrew Murphy1st Mar 2014 23:39 UTC

    At my hospital there has been a huge push against the sharing of any images out side of the work site. Everything reached an almighty halt, when an image of a FB in a penis ended up on social media.
    This resulted in an all out phone ban during work hours, with hospital policy quoted to staff members regarding the use of mobile phones and sharing of images.
    The general idea that was voiced to me was, " if you asked the patient, do you think they would be happy with you sharing that image?" .
    I don't fully agree with this, as I too am in the same mind about de-identified images. Just some food for thought.

    • Andrew Dixon2nd Mar 2014 02:45 UTC

      Thanks Andrew. The "if you asked the patient do you think they would be happy" approach is not an unreasonable thought process, but unfortunately it is subjective. What I think a patient would be happy about might be signifcantly different to what someone else thinks. What I worry about is when this kind of thought process is used to justify a blanket ban on sharing any medical images online, which I am in doubt would stifle education if adopted globally, to the great detriment of patient care.

    • Matt Skalski2nd Mar 2014 04:42 UTC

      I second the opinion that although this makes sense, it is dangerous to apply as a blanket thought process. If this were the case, patients should also have to approve the use of their imaging in textbooks and journals as well (like is required for photographs of them), as those are also available to the public. Should that information not be available to teach doctors and others because a patient might be uncomfortable with the use of their images? I think the public benefit outweighs the nearly non-existent risk of someone identifying the images and associating them with someone specific.

  • Maria Elena Misu2nd Mar 2014 20:03 UTC

    I think we have to differentiate between imaging shown to med students/doctors/medical professionals for educational purposes, especially those meant to be humourous (or "humerous" in this case?), and those posted simply to shock/surprise people (whom I see mostly as laymen).

    Radiopaedia posts images of rare diseases or disfigurements or even of (gruesome) injuries on FB and Tumblr, but for us medical professionals you're a source of information and education and everyone contributing is very careful to conceal and protect the privacy of the patient whose imaging they use. For me, this site is like a database for common and rare diseases/cases and often my no 1 source if I have to look up something at work quickly and don't want to hit the books.

    However, posting gruesome images on your private FB for the world to see - and maybe even write a "haha, look at that guy's all but severed head" kind of comment, is not only unethical, it can also be deeply disturbing for non-medical people stumbling over your posts. Such images could even be considered triggering for some people. And what is the poster's gain apart from receiving horrified comments or comments making fun of the patient shown? And it's not only radiology images that are being posted online. I recently saw close-ups of PAD limbs with mummified feet and disgusting open and infected sores posted on FB. I'm not squeamish, but those pictures still made me lose my appetite. Why is there such a need to expose other people to gore like that?

    Btw, I told my fellow SpRs about this site and now everyone is using it and talking about your cases of the day/the week. Even our consultants are impressed.

  • Gerry Gardner 11th May 2014 10:10 UTC

    Last year I had to endure a talk during Clinical Governance from our Caldicott guardian who suggested that we should not be using images, even if all identifying information is removed, that may be likely to identify a patient by pathology! The example given was we should not use X-rays ,in teaching, of a person who had one leg amputated as this may identify them!
    At this point I walked out as they are obviously taking things way too far and have no real conception of how they are potentially endangering the learning process.
    I do cringe when coming across awful images on social media sites (but it doesn't stop me viewing them) and feel some level of 'moderation' should be used by site owners if the images are for shock value only. I have 2 young children who now have internet access and it is a constant worry what kind of 'education' they will stumble across when my back is turned.

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  • morgan reed1st Aug 2019 05:00 UTC

    I want to share a testimony of how Dr UDI herbal mixture cream saved me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing ,and i was also having weak erection problem i had so many relationship called off because of my situation, i have used so many product which i found online but none could offer me the help i searched for Which was very painful and then i saw some few testimonies about this herbal specialist called Dr UDI and decided to email him on so I gave his herbal product a try. i emailed him and he got back to me and we discussed, he gave me some comforting words and encouraged me also ans then gave me his herbal pills and cream for Penis Enlargement Within 1 week of it, i began to feel the enlargement of my penis, " and now it just 2 weeks of using his products my penis is about 10 inches longer and am so happy contact Dr UDI via ([email protected]) Via whatapp on this number +2348051243538

  • mark sala26th Aug 2019 02:29 UTC

    I would like to let all know that the size of your Penis really matters in your relationship or marriage. I got married to my wife about 1 month after we met on a photo studio, we lived happily for the first 3 months of our marriage until i and my wife started having quarrels at home because i couldn't satisfy her on bed with my little penis. Actually my penis was very small, it measured about 4.5 inch long on erection and i am 51 years old. My wife said it was forbidden by the women of this world. My wife started sleeping with other men outside. Sometimes i will return from work without finding my wife at home and whenever i call or ask her where she was, she will always snub at me and sometimes just tell me to go get a larger dick. All this continued for a long time and it hurt me so much that i was at the edge of breaking up on the marriage till when i read about a doctor called DR.Moses Buba. online. I never thought i could smile and be in a happy marriage again if not for the help of DR.Moses Buba. I got the doctors Emails:([email protected] ) on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream which i use for just 8 days and i began to feel the enlargement of my penis, and without surgery. This went on for a little period of about 10 days and to my surprise my wife keeps screaming that she love my big dick now. Now my wife no longer cheat on me, and my penis is now about 10.5 inches long on erection and off course very large round. And now my wife uses breasts, hips and bums enlargement. I and my wife are very happy for the help rendered to me by DR.Moses Buba, and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:( [email protected] ) OR WHATSAPP +2349060529305, you can even contact me to know my result or see it with your eye on whats-app or you can call me +886981036185

  • mark sala10th Sep 2019 08:14 UTC

    I would like to let all know that the size of your Penis really matters in your relationship or marriage. I got married to my wife about 1 month after we met on a photo studio, we lived happily for the first 3 months of our marriage until i and my wife started having quarrels at home because i couldn't satisfy her on bed with my little penis. Actually my penis was very small, it measured about 4.5 inch long on erection and i am 51 years old. My wife said it was forbidden by the women of this world. My wife started sleeping with other men outside. Sometimes i will return from work without finding my wife at home and whenever i call or ask her where she was, she will always snub at me and sometimes just tell me to go get a larger dick. All this continued for a long time and it hurt me so much that i was at the edge of breaking up on the marriage till when i read about a doctor called DR.Moses Buba. online. I never thought i could smile and be in a happy marriage again if not for the help of DR.Moses Buba. I got the doctors Emails:([email protected] ) on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream which i use for just 8 days and i began to feel the enlargement of my penis, and without surgery. This went on for a little period of about 10 days and to my surprise my wife keeps screaming that she love my big dick now. Now my wife no longer cheat on me, and my penis is now about 10.5 inches long on erection and off course very large round. And now my wife uses breasts, hips and bums enlargement. I and my wife are very happy for the help rendered to me by DR.Moses Buba, and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:( [email protected] ) OR WHATSAPP +2349060529305, you can even contact me to know my result or see it with your eye on whats-app or you can call me +886981036185 or You can go through is website https://bubaherbalmiraclemedicine.wordpress.com/

  • mark sala26th Jan 2020 23:50 UTC

    Hello everyone , i am here to give my testimony about a herbal doctor called sabo, I was heartbroken because i had very penis, not nice to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the internet about this specialist called Dr, sabo and decided to email him on his email i saw on the internet,([email protected]) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal product for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend Jane, i was surprised when she said that she is satisfied with my sex and i have got a large penis.
    Am so happy, thanks to Dr sabo I also learn that Dr sabo also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr.sabo now for help on his email via ([email protected]) or call his mobile line +2348074412569 Thanks and may God bless You.

  • mark sala28th Jan 2020 03:17 UTC

    Hello everyone , i am here to give my testimony about a herbal doctor called sabo, I was heartbroken because i had very penis, not nice to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the internet about this specialist called Dr, sabo and decided to email him on his email i saw on the internet,([email protected]) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal product for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend Jane, i was surprised when she said that she is satisfied with my sex and i have got a large penis.
    Am so happy, thanks to Dr sabo I also learn that Dr sabo also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr.sabo now for help on his email via ([email protected]) or call his mobile line +2348074412569 Thanks and may God bless You.

  • steve17th Sep 2019 12:57 UTC

    There are still real herbal doctors out there, despite the fact that there are lot of scammers out there that claim to be doctors, I got my penis enlarged with the help of Dr. Okpoko, and he also provided remedy for me which cured me from premature ejaculation and erectile dysfunction, I haven't been able to satisfy my wife since I got married, until I decided to check online on the internet if I could get help to my problem, so luckily I met his email address on one of the site I checked, I saw where his email was posted with a testimonial of how he help cured a guy from erectile dysfunction, so I decided to contact him and explain to him my own present predicament, and he promised to help me out, I thought he was trying to take advantage of me and just get my money because I have lost a lot of money in the past trying to get over this problem, but to my greatest surprise, he actually provided a solution for me as we agreed, after he received money from me to get the items he used in preparing the remedy he sent to me,
    if there is anyone here that need remedy to erectile dysfunction, premature ejaculation or anyone that need penis enlargement, kindly contact him on his email address and be a happy man and make your wife or girl friend happy as well
    his email address is
    adamokpoko @ gmail . com or whatsApp him on +2348151731392

    he also has cure to various diseases such as cancer, herpes, leukemia, kidney problems, diabetes and lots more,
    THANK YOU FOR READING

  • michael jack24th Sep 2019 05:31 UTC

    Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,MOSES Buba and decided to contact him on his email: [email protected]) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend JOY, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr MOSES Buba  I also learn that Dr MOSES Buba also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr MOSES Buba  now for help on his email ( [email protected] ). for any further question you can call me or message me on my cell phone number +1(845)4742852 i really want to share your good work Dr Moses Buba cause you are kind and your herbal product help me bring back  my wife and she now enjoys me .i never believe in you till i got my result to be honest after Dr A  make me lost my money he stole from me and i never receive any product from him after i paid him $2000 he block me  but yours was different  ,once again thanks so much i will forever be Grateful 

    ........./////////////

  • michael jack26th Sep 2019 01:19 UTC

    Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,MOSES Buba and decided to contact him on his email: [email protected]) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend JOY, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr MOSES Buba  I also learn that Dr MOSES Buba also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr MOSES Buba  now for help on his email ( [email protected] ). for any further question you can call me or message me on my cell phone number +1(845)4742852 i really want to share your good work Dr Moses Buba cause you are kind and your herbal product help me bring back  my wife and she now enjoys me .i never believe in you till i got my result to be honest after Dr A  make me lost my money he stole from me and i never receive any product from him after i paid him $2000 he block me  but yours was different  ,once again thanks so much i will forever be Grateful 

  • michael jack26th Sep 2019 01:20 UTC

    Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,MOSES Buba and decided to contact him on his email: [email protected]) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend JOY, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr MOSES Buba  I also learn that Dr MOSES Buba also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr MOSES Buba  now for help on his email ( [email protected] ). for any further question you can call me or message me on my cell phone number +1(845)4742852 i really want to share your good work Dr Moses Buba cause you are kind and your herbal product help me bring back  my wife and she now enjoys me .i never believe in you till i got my result to be honest after Dr A  make me lost my money he stole from me and i never receive any product from him after i paid him $2000 he block me  but yours was different  ,once again thanks so much i will forever be Grateful 

    ,.

  • michael jack26th Sep 2019 01:27 UTC

    Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,MOSES Buba and decided to contact him on his email: [email protected]) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend JOY, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr MOSES Buba  I also learn that Dr MOSES Buba also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr MOSES Buba  now for help on his email ( [email protected] ). for any further question you can call me or message me on my cell phone number +1(845)4742852 i really want to share your good work Dr Moses Buba cause you are kind and your herbal product help me bring back  my wife and she now enjoys me .i never believe in you till i got my result to be honest after Dr A  make me lost my money he stole from me and i never receive any product from him after i paid him $2000 he block me  but yours was different  ,once again thanks so much i will forever be Grateful  .,,,,,,,,,,,,,,,,,,,,,,

  • michael jack28th Sep 2019 03:22 UTC

    Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,MOSES Buba and decided to contact him on his email: [email protected]) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend JOY, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr MOSES Buba  I also learn that Dr MOSES Buba also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr MOSES Buba  now for help on his email ( [email protected] )or WHATSAPP him +2349060529305 . for any further question you can call me or message me on my cell phone number +1(845)4742852 i really want to share your good work Dr Moses Buba

  • michael jack4th Oct 2019 06:12 UTC

    Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,MOSES Buba and decided to contact him on his email: [email protected]) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend JOY, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr MOSES Buba  I also learn that Dr MOSES Buba also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr MOSES Buba  now for help on his email ( [email protected] )or WHATSAPP him +2349060529305 . for any further question you can call me or message me on my cell phone number +1(845)4742852 i really want to share your good work Dr Moses Buba cause you are kind and your herbal product help me bring back  my wife and she now enjoys me

  • mark sala25th Oct 2019 04:01 UTC

    Hello everyone , i am here to give my testimony about a herbal doctor called sabo, I was heartbroken because i had very small penis, not nice to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the internet about this specialist called Dr, sabo and decided to email him on his email i saw on the internet,([email protected]) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal product for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend Jane, i was surprised when she said that she is satisfied with my sex and i have got a large penis.
    Am so happy, thanks to Dr sabo I also learn that Dr sabo also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr sabo now for help on his email via ([email protected]) or call his mobile line +2348074412569 Thanks and may God bless You.

  • Jacob Maddison11th Dec 2019 06:28 UTC

    WITH THE HELP OF  DR PERFECT ENLARGEMENT CREAM MY PENIS GROW  FROM 3 INCHES TO 9 INCHES YOU CAN ON EMAIL AT [email protected]

    Hello everyone I have to give my testimony about a herbal doctor called Dr Perfect. I was heartbroken because I had a very small penis not good enough to satisfy a woman, I have been in so many relationships but they were cut off because of my situation, I have used so many products prescribed by the doctor but none could render me the help I was looking for, so I decided to search online for solution and I saw a lot of comments about this specialist called Dr Perfect on how he helped people with small penis, cancer and others so I decided to give his herbal product a try, I messaged him on WhatsApp and replied me back, he gave me some comforting words we talked on how i can receive the product and he sent me his herbal product for penis enlargement, within 1 week of using it I began to feel the enlargement of my penis, now it just two weeks of me using his products my penis is about 9 inches longer, and I settle things with my girlfriend I was surprised when she said that she is satisfied with my performance in bed and am happy that i have a big penis now all thanks to Dr Perfect feel free to contact Dr Perfect at [email protected] or WhatsApp him +1(256)251-3614 and get your enlargement cream 

  • Jacob Maddison11th Dec 2019 06:28 UTC

    WITH THE HELP OF  DR PERFECT ENLARGEMENT CREAM MY PENIS GROW  FROM 3 INCHES TO 9 INCHES YOU CAN ON EMAIL AT [email protected]

    Hello everyone I have to give my testimony about a herbal doctor called Dr Perfect. I was heartbroken because I had a very small penis not good enough to satisfy a woman, I have been in so many relationships but they were cut off because of my situation, I have used so many products prescribed by the doctor but none could render me the help I was looking for, so I decided to search online for solution and I saw a lot of comments about this specialist called Dr Perfect on how he helped people with small penis, cancer and others so I decided to give his herbal product a try, I messaged him on WhatsApp and replied me back, he gave me some comforting words we talked on how i can receive the product and he sent me his herbal product for penis enlargement, within 1 week of using it I began to feel the enlargement of my penis, now it just two weeks of me using his products my penis is about 9 inches longer, and I settle things with my girlfriend I was surprised when she said that she is satisfied with my performance in bed and am happy that i have a big penis now all thanks to Dr Perfect feel free to contact Dr Perfect at [email protected] or WhatsApp him +1(256)251-3614 and get your enlargement cream 

  • mark sala15th Dec 2019 00:22 UTC

    I would like to let all know that the size of your Penis really matters in your relationship or marriage. I got married to my wife about 1 month after we met on a photo studio, we lived happily for the first 3 months of our marriage until i and my wife started having quarrels at home because i couldn't satisfy her on bed with my little penis. Actually my penis was very small, it measured about 4.5 inch long on erection and i am 51 years old. My wife said it was forbidden by the women of this world. My wife started sleeping with other men outside. Sometimes i will return from work without finding my wife at home and whenever i call or ask her where she was, she will always snub at me and sometimes just tell me to go get a larger dick. All this continued for a long time and it hurt me so much that i was at the edge of breaking up on the marriage till when i read about a doctor called DR.Moses Buba. online. I never thought i could smile and be in a happy marriage again if not for the help of DR.Moses Buba. I got the doctors Emails:([email protected] ) on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream which i use for just 8 days and i began to feel the enlargement of my penis, and without surgery. This went on for a little period of about 10 days and to my surprise my wife keeps screaming that she love my big dick now. Now my wife no longer cheat on me, and my penis is now about 10.5 inches long on erection and off course very large round. And now my wife uses breasts, hips and bums enlargement. I and my wife are very happy for the help rendered to me by DR.Moses Buba, and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:( [email protected] ) OR WHATSAPP +2349060529305  Am thankful to the doctor for helping me.

  • Michael Dale17th Dec 2019 20:25 UTC

    Hello every one out there, My name is Michael Dale am here to testify of the wonderful work Dr James has done for me with is herbal medicine, in the past years i have being going through hard times in any relationship am into, because of the small size of my penis which was not big enough to satisfy a woman, so which always end up in series of breakup in my relationship with women,because of this i have tried so many drugs to enlarge my penis but did not work out, then i decided to search online for solution to my problem and than came across so many testimony on how Dr James have helped them find solution to their problems,so i contacted him on his email and told him about my small penis and ejaculation issue, he told me not to worry that he will help me be a real man again, i did not believe he can help me but i gave him a try,he told me what to do and then send me his herbal cream and medicine which i used and it worked for me,now am a happy man,he also have medicine for herpes,hepatitis,diabetes,back pain. 
    you can contact him on his email on([email protected]). or through is whatsapp+2348106467120  This will be the end of your sexual problems and other problems

  • mark sala18th Dec 2019 07:58 UTC

    I would like to let all know that the size of your Penis really matters in your relationship or marriage. I got married to my wife about 1 month after we met on a photo studio, we lived happily for the first 3 months of our marriage until i and my wife started having quarrels at home because i couldn't satisfy her on bed with my little penis. Actually my penis was very small, it measured about 4.5 inch long on erection and i am 51 years old. My wife said it was forbidden by the women of this world. My wife started sleeping with other men outside. Sometimes i will return from work without finding my wife at home and whenever i call or ask her where she was, she will always snub at me and sometimes just tell me to go get a larger dick. All this continued for a long time and it hurt me so much that i was at the edge of breaking up on the marriage till when i read about a doctor called DR.Moses Buba. online. I never thought i could smile and be in a happy marriage again if not for the help of DR.Moses Buba. I got the doctors Emails:([email protected] ) on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream which i use for just 8 days and i began to feel the enlargement of my penis, and without surgery. This went on for a little period of about 10 days and to my surprise my wife keeps screaming that she love my big dick now. Now my wife no longer cheat on me, and my penis is now about 10.5 inches long on erection and off course very large round. And now my wife uses breasts, hips and bums enlargement. I and my wife are very happy for the help rendered to me by DR.Moses Buba, and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on his Email:( [email protected] ) OR WHATSAPP +2349060529305  Am thankful to the doctor for helping me.

  • mark sala18th Dec 2019 08:00 UTC

    I would like to let all know that the size of your Penis really matters in your relationship or marriage. I got married to my wife about 1 month after we met on a photo studio, we lived happily for the first 3 months of our marriage until i and my wife started having quarrels at home because i couldn't satisfy her on bed with my little penis. Actually my penis was very small, it measured about 4.5 inch long on erection and i am 51 years old. My wife said it was forbidden by the women of this world. My wife started sleeping with other men outside. Sometimes i will return from work without finding my wife at home and whenever i call or ask her where she was, she will always snub at me and sometimes just tell me to go get a larger dick. All this continued for a long time and it hurt me so much that i was at the edge of breaking up on the marriage till when i read about a doctor called DR.Moses online. I never thought i could smile and be in a happy marriage again if not for the help of DR.Moses on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbs cream which i use for just 8 days and i began to feel the enlargement of my penis, and without surgery. This went on for a little period of about 10 days and to my surprise my wife keeps screaming that she love my big dick now. Now my wife no longer cheat on me, and my penis is now about 10.5 inches long on erection and off course very large round. And now my wife uses breasts, hips and bums enlargement. I and my wife are very happy for the help rendered to me by DR.Moses Tuba, and i want to say a big thanks to Doctor for the help. You can contact the Doctor now on WHATS-APP +2349060529305  Am thankful to the doctor for helping me.

  • mark sala20th Dec 2019 14:09 UTC

    Hello everyone , i am here to give my testimony about a herbal doctor called sabo, I was heartbroken because i had very penis, not nice to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the internet about this specialist called Dr, sabo and decided to email him on his email i saw on the internet,([email protected]) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal product for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend Jane, i was surprised when she said that she is satisfied with my sex and i have got a large penis.
    Am so happy, thanks to Dr sabo I also learn that Dr sabo also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr.sabo now for help on his email via ([email protected]) or call his mobile line +2348074412569 Thanks and may God bless You.

  • kensteve19th Jan 2020 00:45 UTC

    Hello friends,
    I'm a little ashamed to tell such a story. But I would like to share with you a great resource. I've had problems since my sexual organ was too small. I've been worried about this and tried to rectify the situation by means of pumps and tablets. Because of the tablets, which I ordered, I had complications and I was in the hospital for some time after that I gave up trying to increase my penis. But once I found Dr adam herbal cream. My first result was: plus 3 centimeters after 2weeks of usage. If you want to know more details and how you can enlarge your penis bigger, I recommend you to contact Dr adam today, email address [email protected] or add him on whatsapp line +2348151731392.  

  • Mark jane24th Dec 2019 12:25 UTC

    I am , here to testify,I can’t stop thanking DR
    Ehijator for this Great thing that he has done in my life, I am so
    grateful to him, i was suffering from HIV virus for
    11years,when i contacted Dr ehijator after reading the wonderful
    testimony that people has been sharing about him. I have
    being on medication and trying looking for cure to my ailment.
    I went through internet doctors and i contacted a
    Tradomedical/Traditional doctor named, Dr ehijator for help. He
    give me all his rules and regulations,that if he cured me that I
    should write about him on internet site and that is what I’m
    doing now. He assure me that he will cure me with his herbal
    medicine which he really did, and I’m now completely cured
    from HIV virus. What will i say rather than thanking him for
    saving me. Why suffering in silence when there is remedy to
    your diseases.Dr ehijator also specialize in curing the following
    disease:
    *HIV/Aids
    *Kidney failure
    *Arthritis
    *Diabetes
    *Hepatitis
    *penis enlargement
    *Hypertension
    *Stroke
    *Obesity
    *Infertility/Impotency
    *Cancer
    *Eye Problem
    *Skin Problem
    *Fibroid Tumor
    *Ulcer
    *Prostate Problem
    *Asthma
    *Weight Management
    *Gonorrhea/Staphylococcus
    *Candidie
    *Low sperm can
    *Weak erection
    *Weak ejaculation
    *Pile
    *Elephantiasis
    *Skin Infection
    *Paralysis e.t.c
    *If you want your ex back.
    *If you always have bad dreams.
    *Herpes
    *Hpv
    *If you want to be promoted in your office. For more
    information contact Dr ehijator via email:([email protected]
    you can also call him on his mobile number or what'app
    +2349039447158

  • LUCY mike27th Dec 2019 00:16 UTC


    I will forever be indebted to the great Doctor TAKUTA for fixing my broken marriage after my husband left me for his mistress for 3 months. I never believed in spells until my friend introduced me to him. At first, I was skeptical about him because I heard a lots about false spell casters but I put my doubts behind me for i was desperate to get my husband back and I did according to what he instructed me to do. Now my husband is back just within 48 hours of contacting him. I'm living happily with my husband again after 6 months of divorce and I will not rest till he's known all over the world. He's also specialize in money spells, lottery spells, sickness spells E.T.C. Get connected with Doctor Takuta now, his email is [email protected] or WhatsApp on +27788634102

  • Michael Carey3rd Jan 2020 07:33 UTC

    Hello everyone, my name is Michael Carey i am here to say a big thank you to Professor Oseamuyi who helped me enlarge my penis.i have never had a happy relationship in my life because of my inability to perform well due to my small penis, due to frustration,i went online in search of solution to ending my predicament and than i came across testimony on how Professor Oseamuyi has helped them, so i contacted him and he promised to help me with penis enlargement,i doubted at first but i gave him a trial and he sent me the product which i used according to his prescription and in less than a week,i saw changes in my penis and it grow to the size i wanted and since then,i am now a happy man and no lady complains again about my penis.if you also need the services of my doctor,you can also contact him on his [email protected] com or his whataspp is +2348078665168     

  • Michael Carey3rd Jan 2020 07:33 UTC

    Hello everyone, my name is Michael Carey i am here to say a big thank you to Professor Oseamuyi who helped me enlarge my penis.i have never had a happy relationship in my life because of my inability to perform well due to my small penis, due to frustration,i went online in search of solution to ending my predicament and than i came across testimony on how Professor Oseamuyi has helped them, so i contacted him and he promised to help me with penis enlargement,i doubted at first but i gave him a trial and he sent me the product which i used according to his prescription and in less than a week,i saw changes in my penis and it grow to the size i wanted and since then,i am now a happy man and no lady complains again about my penis.if you also need the services of my doctor,you can also contact him on his [email protected] com or his whataspp is +2348078665168     

  • Brian Ferguson7th Feb 2020 01:58 UTC

    I am from New Zealand I want to share a testimony of how Robinson.buckler herbal mixture and cream saved me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can't make love to my wife and my penis was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i cant even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr.Sikama herbal mixture cream have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is now 8 inches and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed. can contact him ([email protected] yahoo . com)
    BREAST ENLARGEMENT, BREAST LIFT & PENIS ENLARGEMENT, Thanks for the Enlarging my penis sir, you indeed save my marriage...

  • steven terry8th Feb 2020 02:00 UTC

    It my privilege to say thanks to Dr.Imoudu for his herbal product he provide for me and today my sexual life is healthy and balance am living up to my wife expectation. For the past 11 years i have been struggling with my penis issue I have a very small penis like 2.6 inc. I have spent a lot of money on it but no product work for me, until i took this product from Dr.Imoudu just within few weeks i got 8.5 inches penis size, if your penis is 4.2 cm and want to get it reach 10.3 inches or more you can contact Dr.Imoudu for his products on his email: [email protected] And you can also WhatsApp +2348109609753. so if you have any problem
    HIV
    HERPES
    CANCER
    ALS
    HEPATITIS B
    DIABETIC
    COPD
    you can contact him, i also want you to be free contact DR Imoudu with the email attach to my post [email protected]

  • steven terry8th Feb 2020 02:01 UTC

    It my privilege to say thanks to Dr.Imoudu for his herbal product he provide for me and today my sexual life is healthy and balance am living up to my wife expectation. For the past 11 years i have been struggling with my penis issue I have a very small penis like 2.6 inc. I have spent a lot of money on it but no product work for me, until i took this product from Dr.Imoudu just within few weeks i got 8.5 inches penis size, if your penis is 4.2 cm and want to get it reach 10.3 inches or more you can contact Dr.Imoudu for his products on his email: [email protected] And you can also WhatsApp +2348109609753. so if you have any problem
    HIV
    HERPES
    CANCER
    ALS
    HEPATITIS B
    DIABETIC
    COPD
    you can contact him, i also want you to be free contact DR Imoudu with the email attach to my post [email protected]

  • Christopher Alex10th Feb 2020 09:05 UTC

    [email protected] my dear readers around the globe, it is a great privilege to tell you about this great man who helped me over come the tragedy in my relationship, and how his herbal medicine help me too. My relationship became so complicated to a stage that I was scared of losing my wife to another, lasting long in bed was a problem and I knew deep down in my that my wife was not happy about it. Sometimes when I asked for sex the way she would act before the sex I noticed it was because I was not satisfying her, when she needed it more I hard already come and it was not the best. So I needed to find solution that was how I came in contact with DR OISE he really changed my sex life and ever since then life has been fun because my wife now love me more than she used to, all thanks to DR OISE for this great thing he did for me.. If you ever need help of any kind sickness like DIABETES.. HERPES.. you can visit DR OISE for solution [email protected] or what's app +2348121847014...

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Publication date: 1st Mar 2014 11:21 UTC

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