Sunday, May 23, 2010

Is Practice Fusion’s “Free” EHR for Real?

As I was writing three recent blogs, I kept pondering these questions: Is Practice Fusion, Inc, a San Francisco-based company offering a “free” EHR to physicians an example of “disruptive innovation”? After all, its EHR appears to be simpler, more convenient, more affordable, and intuitively easier to use than other EHRs– the criteria usually applied to disruptive innovations. Does it signal a “breakthrough” towards a decentralized technology deployable at the site of care? How can Practice Fusion offer its EHR for “free”? What triggered this “breakthrough”?

When all is said and done, I believe this “breakthrough,” if it is that, is not attributable to new EHR software or hardware, but to a new revenue model. Or you might say, it is a “fusion” of all three of these elements.

Here is how Ryan Howard, CEO of Practice Fusion, explains this model,

‘Our revenue model works in a few different ways. We monetize transactions from our partners. We do some lead generation. So if the doctors are looking for a billing service, for example, we have a billing service that they can use. We do some advertising to the physicians: different health care services, insurance companies, device manufactures and pharmaceuticals as well.”

If you think about it, Practice Fusion has adopted and modified the revenue model that has made Google so successful, namely gathering revenues from online advertising and lead generation tied to “free” access by users. It does not require physicians to install new hardware and software, but to off-load what they need in an EHR to the Internet using their existing office computers.

The beauty of it is, of course, is that you can use your own computer and somebody else – people and businesses who want access to physicians to sell them products – pays the freight for the EHR.

In other words, someone else, not physicians, is paying the bill. According to Howard,

“The product is provided to physicians fully subsidized. It’s not a “take now, pay later” or get half of the product now and then pays for the rest of it. Every feature that’s included with the product in any capacity is offered at no cost, so it’s truly free. It’s offered with support, training, and hosting. It’s the only totally free model on the market.”

Back to my recent posts for context.

• On May 22, in “Will Innovation Save America’s Health Care?” I wondered out load whether innovations from largely web-based technologies and systems would save us from Europe’s fate- the crushing cost and ensuing debt of unsustainable social welfare programs.

• On May 21, in “EHR ‘Inevitability’ and the Physician ‘Waiting Game,’“ I questioned whether EHR systems were ready for prime time, and I implied physicians were right in waiting for useful, affordable, and intuitively and clinical compatible systems.

• On May 20, in “EHRs – Size of Physician Market, Numbers Sold, By Whom, Comprehensiveness of Systems,” I reprinted an article by Chris Thorman of Software Advice, on the scope, players, and nature of the EHR market.

In the May 20 blog, I shared a chart showing EHR vendors and number of physician users.

Vendor Physician Users Practices Served

Epic 45,000
AllScripts 40,000
eClinicalWorks 40,000
GE Centricity 35,000
NextGen 35,000
SOAPWare 30,000
Practice Fusion 18,500
Eclipsys 11,000
Sage Health 10,000 .
Greenway Medical 6,000

On May 21, I received the following email from Emily Peters, Director of Communications for Practice Fusion,

“Hi Dr. Reece,

“I’ve been closely following your blog coverage this week about market share, innovation and Practice Fusion.”

“We do see some element of the “waiting game” that you described with physicians, but much less than even just six months ago. Practice Fusion now serves about 40,000 users and 2 million patients across the country – making us, not only the fastest growing EMR community, but also one of the largest.

Before that on May 13, I had read a podcast interview with Ryan Howard, CEO of Practice Fusion, in which he said, “We just broke 15,000 users.”

I have no reason to question or challenge these physician user figures, which bespeak of explosive growth. But I can ask: how could one EHR company grow so fast?

Maybe it’s simply a matter of timing, namely, the physician market is primed and ready to get into the EHR game. Maybe it’s the marketing magic of the word “free.” Maybe it’s because Practice Fusion has the only “free” EHR on the market. Maybe it’s word getting around among physician users that this EHR really works. Maybe it’s because the Practice Fusion model profits physician users because it qualifies them as “meaningful users” and therefore qualifies them for federal reimbursement. Maybe it’s because most physicians now have broad band Internet access in their offices and can put this EHR to work in a short time frame without elaborate training and installation preparation.

Or maybe Practice Fusion is not what it’s cracked up to be and is too good to be true. There are no perfect systems in the EHR world, all are evolving, and there is always room for skepticism, or as one pessimistic wag with a weakness for puns observed, there is always gloom for improvement.

Perhaps readers of this blog will give me insight into what they think of Practice Fusion? Is it for real, or does it have blemishes that I do not see? Please feel free to comment one way or another.


Unknown said...
This comment has been removed by the author.
EHReditor said...

Hi Dr. Reece,

I'd be glad to put you in touch with a Practice Fusion user who can share their personal experiences with our free, web-based EMR. Or visit the community online at

As for the growth figures: I'd estimate that podcast with our CEO was recorded back in September 2009. We ended last year with 25,000 users. Since then, we've been adding around 170 users each day - more as word-of-mouth continues to spread in the medical community. About half of our 40,000 users are physicians - hence, the 18,500 figure used in the market share report.

Feel free to reach out anytime if you'd like more information about Practice Fusion.

Practice Fusion EMR

Elayne Gordon said...

So Dr. Reece are you for or against Practice Fusion. As a 'no free lunch' skeptic I'd like to hear what you think. Of course physicians will still have to pay for practice management/billing systems so it is not a completely free solution but it may go a long way toward eliminating some substantial cost if it is not too good to be true.

Dr. Himley said...

I have recently been offered by a billing service that they will install me a free web based EHR and help me learn the program
for free! and they will handle my billing for just 3.5% of my cllections, in the beginning it seemed to me to good to be true,
but later when they helped me with the all free EHR process and handled my billing where in a short time frame i recognized a increase in paid claims, i got learned that to good things are sometimes true!

Unknown said...

Practice Fusion is working out to be a great tool for the practices that I support. The shortcoming is that the software really doesn't support tablet PC's, as of this posting.

Several of my clients have the Panasonic CF-C1 Tablet PC, which is the premier bedside tablet PC. Practice Fusion's charting screen will not display the whole chart in tablet mode, regardless of the screen resolution, and there isn't a horizontal scroll bar.

This one drawback is almost a show stopper for provider that want to chart from the bedside from a tablet PC.

As an Electrical Engineer providing recommendations to medical providers, it's hard to give Practice Fusion Five Stars with this limitation.

Dr. Abdelrahman said...

As a physician I tried using practice fusion and it seems user friendly with excellent features. The limitation comes when I tried to use iPAD or small notebook, the screen view is limited, and you can not restore/move or scroll down the screen. I agree they have more steps to do to get 5/5 rating.

Anonymous said...

There are a few free options out, Practice Fusion is one of them.

Another alternative mobile focused EHR is drchrono, they seem to me one of the best out in the market at the moment in terms of free,

There is also Mitochon Systems.

acid reflux diet said...

Pleasantly, the posting is actually the contemporary area of interest for this registry associated issue. I harmonize along with your conclusions and can eagerly look forward to your incoming updates. Just say offers thanks won't sufficient, in your lucidity in your posting. I’ll immediately grab your rss feed to maintain abreast of all updates.

acid reflux remedies said...

Pleasantly, the posting is actually the contemporary area of interest for this registry associated issue. I harmonize along with your conclusions and can eagerly look forward to your incoming updates. Just say offers thanks won't sufficient, in your lucidity in your posting. I’ll immediately grab your rss feed to maintain abreast of all updates.

Anonymous said...

After exploring several EMRs and demoing them, I wasn't happy with any, and was leery of expending all the effort and money in conversion only to be disappointed later. Practice-fusion turned out to be a blessing, I was able to implement it into our three physician practice with no cost to us, and 7 months later I can say that it meets most of our needs. I certainly would like to see improvements in the interface and usability with IPAD etc, but can't complain since it is free. Saad Khan MD

Shadab said...

EBIO-Metronics offers a great EMR, certified for meaningful use. Very extensive in features, great usability, developed by a team of doctors, great price just 300$ / provider with unlimited features with customized changes. Must give a try, I am using it. feel great.

If use the billing service then its FREE

Anonymous said...

Free? How much does PF Academy cost?
The cost per person to attend PF Academy is $499.

Anonymous said...

I feel that is among the so much vital information for me.
And i am happy reading your article. However wanna commentary on
some basic things, The site style is wonderful, the articles is actually nice :
D. Excellent task, cheers
Visit my website : nfl jerseys custom

Anonymous said...

I am not sure where you're getting your information, but good topic. I needs to spend some time learning more or understanding more. Thanks for great information I was looking for this info for my mission.

my blog

Anonymous said...

Hey there I am so grateful I found your site, I really found
you by accident, while I was looking on Bing for something else,
Anyways I am here now and would just like to say
cheers for a remarkable post and a all round interesting blog (I also
love the theme/design), I don't have time to go through it all at the moment but I have saved it and also included your RSS feeds, so when I have time I will be back to read much more, Please do keep up the awesome work.

Look into my website - corals Online

Anonymous said...

Nice post. I learn something totally new and
challenging on blogs I stumbleupon every day. It's always helpful to read content from other authors and use a little something from other websites.

My web-site St Cloud Flowers

Anonymous said...

I'm no longer sure where you are getting your info, however great topic. I must spend a while finding out much more or understanding more. Thanks for magnificent info I used to be looking for this information for my mission.

My blog post las vegas golf colleges

Anonymous said...

This is a topic which is near to my heart... Many thanks!

Exactly where are your contact details though?

Feel free to visit my site: aquarium supplies new orleans

Anonymous said...

Today, while I was at work, my cousin stole my iPad
and tested to see if it can survive a twenty five foot drop,
just so she can be a youtube sensation. My iPad is now destroyed and she has 83 views.
I know this is completely off topic but I had to share it with someone!

My homepage ... golf schools

Anonymous said...

I every time spent my half an hour to read this webpage's articles everyday along with a cup of coffee.

Stop by my web page :: discount golf balls uk

Anonymous said...

Hello would you mind stating which blog platform you're using? I'm planning to start my own blog soon but I'm having a tough time making a decision between BlogEngine/Wordpress/B2evolution and Drupal. The reason I ask is because your layout seems different then most blogs and I'm looking
for something completely unique. P.
S Sorry for being off-topic but I had to ask!

my blog - golf balls for senior women

Anonymous said...

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

Also visit my page - Seafood Restaurant

Anonymous said...

Thanks , I've just been looking for information about this topic for a while and yours is the best I have discovered till now. However, what about the conclusion? Are you certain in regards to the supply?

Also visit my blog ::

Anonymous said...

First of all I would like to say terrific blog! I had a quick question that I'd like to ask if you don't
mind. I was curious to know how you center yourself
and clear your head prior to writing. I've had a tough time clearing my mind in getting my thoughts out there. I truly do enjoy writing but it just seems like the first 10 to 15 minutes are generally lost simply just trying to figure out how to begin. Any suggestions or tips? Thanks!

Take a look at my homepage

Anonymous said...

Heya! I just wanted to ask if you ever have any issues with hackers?
My last blog (wordpress) was hacked and I ended up
losing several weeks of hard work due to no backup.
Do you have any methods to prevent hackers?

My page: rheem furnace troubleshooting

Anonymous said...

Hey I know this is off topic but I was wondering if you knew of any widgets
I could add to my blog that automatically tweet my newest twitter updates.
I've been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something like this. Please let me know if you run into anything. I truly enjoy reading your blog and I look forward to your new updates.

Also visit my web-site: furnace repair cost

Anonymous said...

Hi your web-site url: appears to be redirecting to a
completely different webpage when I click the home
page link. You may want to have this checked.

Here is my web blog - fashion tumblr quotes
Also see my page > exercise induced asthma symptoms

Unknown said...

After attempting to implement a web based EMR for a year, our practice finally gave up. The barrier to implementation was the lack of customer support. Despite our numerous complaints and attempts to work with their IT division, they merrily charged us the monthly subscription fee. We finally cancelled and had to pay a cancellation fee.

Following this experience, I switched to Practice Fusion. The user interface was intuitive and we were up and running in a day. E prescribing was easy and we were enrolled in a matter of weeks. The customer support is arguably the best in the business. I have recently been using the beta version of the I-Pad app and it allows me to document during the clinical encounter.

For a free service PF is outstanding and even if I were paying for it, I would rate it as excellent. It provides all the functionality our practice requires and we use the Kareo billing interface. We have developed a host of templates that has increased our charting efficiency. PF continues to add features which make our practice more efficient.

It's not hard to see why it is the fastest growing EHR in the country. Without doubt or reservation -- an outstanding product and service to physicians. And yes -- it really is free!

Anonymous said...

Hello there! My name is Jarrod and I personally just desired
to say your blog website rocks! It truly is surprising due to the fact
I use to have a blog that nearly had an identical web address: http:
// mine was only a few characters different.
Anyhow, I am a big admirer of your site and if you at any
time would like a guest article you should email me
at: I take pleasure in writing!

Also visit my web-site; rolling duffle bag military
Also see my web site - 24 hour fitness holiday hours

Anonymous said...

Wow that was unusual. I just wrote an incredibly long comment but after
I clicked submit my comment didn't appear. Grrrr... well I'm not writing all that over again.
Regardless, just wanted to say great blog!

my website; Laser Spine Institute

Anonymous said...

Hey I know this is off topic but I was wondering if you knew of any widgets I could add to my blog that automatically tweet my newest twitter updates.
I've been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something like this. Please let me know if you run into anything. I truly enjoy reading your blog and I look forward to your new updates.

Here is my blog husky activewear for boys
My web page :: nike workout clothes plus size

Anonymous said...

Sweet blog! I found it while surfing around on Yahoo News.

Do you have any suggestions on how to get listed in Yahoo News?
I've been trying for a while but I never seem to get there! Thank you

My blog post; womens workout gear sale
Also see my web site: mens gym clothes 2012

Anonymous said...

I love your blog.. very nice colors & theme. Did you make this website yourself or did you hire someone to do it
for you? Plz reply as I'm looking to create my own blog and would like to know where u got this from. thank you

Take a look at my webpage :: running shoes for high arches and shin splints

Anonymous said...

A person essentially assist to make severely articles I'd state. That is the very first time I frequented your website page and up to now? I surprised with the research you made to create this particular post incredible. Excellent process!

my webpage swami golf gps watch reviews

Anonymous said...

I am sure this article has touched all the internet people,
its really really fastidious piece of writing on building up new web site.

Feel free to visit my weblog

Anonymous said...

Today, I went to the beach front with my
kids. 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 placed 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 totally off topic but I had to tell someone!

My web page ... digital signal processing using matlab

Anonymous said...

Does your site have a contact page? I'm having a tough time locating it but, I'd like to shoot
you an e-mail. I've got some suggestions for your blog you might be interested in hearing. Either way, great website and I look forward to seeing it grow over time.

My web page; silicon wafer photos

Anonymous said...

My coder is trying to persuade me to move to
.net from PHP. I have always disliked the idea because of the
costs. But he's tryiong none the less. I've been using WordPress on numerous websites for
about a year and am anxious about switching to another platform.
I have heard fantastic things about Is there
a way I can import all my wordpress posts into it?
Any kind of help would be really appreciated!

Have a look at my web page :: lattice semiconductor san jose

Anonymous said...

Hey there terrific website! Does running a blog like this
require a large amount of work? I have virtually
no knowledge of coding however I had been hoping to start my
own blog in the near future. Anyhow, if you have any
ideas or tips for new blog owners please share.
I know this is off topic but I just had to ask. Thank you!

Feel free to surf to my website :: rs232 to usb converter circuit diagram

Anonymous said...

Does your blog have a contact page? I'm having a tough time locating it but, I'd like to send you an e-mail.
I've got some suggestions for your blog you might be interested in hearing. Either way, great blog and I look forward to seeing it improve over time.

Feel free to visit my weblog ... golf rangefinder reviews golf digest 2012

Anonymous said...

Its like you read my thoughts! You seem to know a lot approximately this, such as
you wrote the e-book in it or something. I feel that you simply could do with
a few % to drive the message house a little bit, but instead of that, this is excellent blog. A fantastic read. I will definitely be back.

My page ... golf range finder application

Anonymous said...

Thanks for finally talking about > "Is Practice Fusion's "Free" EHR for Real?" < Liked it!

Feel free to surf to my page :: Sports Bar

Anonymous said...

I am really enjoying the theme/design of your site. Do you ever run into any browser
compatibility problems? A couple of my blog readers have complained about my website not working
correctly in Explorer but looks great in Firefox. Do you
have any suggestions to help fix this problem?

my blog post: vacation packages to las vegas from nyc

Anonymous said...

Hi! I realize this is kind of off-topic however I had to ask.
Does managing a well-established blog such as yours require a
lot of work? I'm brand new to running a blog but I do write in my diary on a daily basis. I'd
like to start a blog so I can share my experience and views online.
Please let me know if you have any suggestions or tips for new aspiring bloggers.

My site; home depot canada water fountains

Anonymous said...

Great blog! Is your theme custom made or did you download it from somewhere?
A theme like yours with a few simple adjustements would really make
my blog jump out. Please let me know where you got your theme.
Thanks a lot

Also visit my homepage: vrbo condos in gulf shores al

Anonymous said...

Hi. Sorry to trouble you but I ran across your site and
noticed you happen to be using the exact same template as
me. The only issue is on my blog, I'm unable to get the style and design looking like yours. Would you mind contacting me at: so I can get this figured out. By the way I have bookmarked your internet site: and will certainly be visiting frequently. Many thanks!

Take a look at my page :: furnished rental homes in mesa az

Anonymous said...

Hello there, I discovered your web site by means of Google whilst searching for a similar topic, your site got here up, it appears great.

I have bookmarked it in my google bookmarks.
Hi there, just turned into alert to your blog via Google,
and found that it's truly informative. I am going to be careful for brussels. I will appreciate when you continue this in future. Lots of other people shall be benefited from your writing. Cheers!

Also visit my webpage :: Original Fine art

Anonymous said...

My spouse and I absolutely love your blog and find nearly all of your post's to be precisely what I'm looking for.
Would you offer guest writers to write content available for you?

I wouldn't mind creating a post or elaborating on a lot of the subjects you write regarding here. Again, awesome web site!

Also visit my blog post sakae sushi yelp burlingame

Anonymous said...

What's up mates, its fantastic piece of writing about cultureand fully explained, keep it up all the time.

Look at my web page; Golf Schools Las Vegas

Anonymous said...

My partner and I absolutely love your blog and find
nearly all of your post's to be exactly what I'm looking for.

Would you offer guest writers to write content to suit
your needs? I wouldn't mind writing a post or elaborating on a few of the subjects you write in relation to here. Again, awesome web site!

Feel free to surf to my webpage ::

Anonymous said...

Hello just wanted to give you a quick heads up and let you know a few of the pictures aren't loading correctly. I'm not sure why
but I think its a linking issue. I've tried it in two different internet browsers and both show the same results.

Here is my web site - fitness trainer books

Anonymous said...

Hello, i feel that i noticed you visited my website thus i came to go back
the favor?.I am attempting to in finding things to enhance
my site!I suppose its adequate to use some of your ideas!

My page: golf cart lift kits

Anonymous said...

I know this if off topic but I'm looking into starting my own blog and was curious what all is needed to get set up? I'm
assuming having a blog like yours would cost a pretty penny?
I'm not very web smart so I'm not 100% positive. Any tips or advice would be greatly appreciated. Thanks

My blog -

Anonymous said...

It's appropriate time to make some plans for the longer term and it's time to be happy.
I've read this put up and if I may I want to recommend you some interesting things or tips. Maybe you can write subsequent articles regarding this article. I wish to read even more things approximately it!

Check out my blog golfwrx r11 tp

Anonymous said...

It's very effortless to find out any topic on web as compared to books, as I found this article at this site.

Here is my web blog natural back pain relief methods

Anonymous said...

I'm not sure exactly why but this blog is loading very slow for me. Is anyone else having this issue or is it a issue on my end? I'll check back later on and see if the problem still exists.

Also visit my web site registered nurse

Anonymous said...


Here is my web-site: バーバリー ハンカチ

Anonymous said...


Also visit my website - ブリット バーバリー

Anonymous said...


Here is my homepage: バーバリー メンズ

Anonymous said...


Here is my web site - バーバリー セール

Anonymous said...

Get your animal only the most important designer items.
France's oldest established perfumer is a veritable "conductor of fragrances". Make sure an individual also have restaurants Louis vuitton 2012 and sundries. It is so legendary and affords different types of items according with trends.

Take a look at my homepage モノグラム ヴィトン

Anonymous said...

Some industry is ok full of designer items only to find dogs.

Utilized are so frequently used these days individuals are using all of them
with as gifts furthermore. You can decide on to have concerned with some thing captivating.

Captain's Chairs are many times designed for middle console or flybridge use.

Look at my web blog - ヴィトン 公式

Anonymous said...


Also visit my webpage: ブリット バーバリー

Anonymous said...

Nike Sandals are very lightweight, the leather upper is notably soft and privacy.
Narcissism shields the kid from all of these negative emotions.
Difficulty in getting life-enhancing methods completed.
Methods for you to few things to bear in mind when shopping virtual
for plus size pea coats.

Anonymous said...

Great goods from you, man. I've understand your stuff previous to and you are just too great. I really like what you've acquired here, really like what you're stating and the way in which you say it. You make it enjoyable and you still take care of to keep it sensible. I can't wait to read
much more from you. This is actually a terrific
web site.

Look into my page: /blog/4575617645/The-Story-Behind-the-Amazing-Run-Up-in-Michael-Kors-Shares/5458294

Anonymous said...

Remarkable! Its genuinely amazing paragraph, I have got
much clear idea concerning from this paragraph.

Look into my web blog :: michael kors templeton snakeskin clutch

Anonymous said...

Nice blog here! Additionally your web site lots up fast!
What web host are you the usage of? Can I get your
associate link in your host? I want my web site loaded up as fast as yours

Here is my page winter coats

Anonymous said...


Also visit my web blog ... バーバリー ハンカチ

Anonymous said...

The pure Suhali leather presents men and women some freshness as well as modernity.
Quilted leather and then velvet are furthermore , in.
Still, ordinary folk can merely long for many having it.
Simply just blend the culinary soda with underwater salt and clean it
to the teeth.

Anonymous said...

Business started its functionality almost 150
back and started by- selling travelers carriers.
In stand-up humorous you need to become funny, not all your
shirt. Still, ordinary folk could very well merely long in having
it. These bags are perhaps sophisticated, ladylike, and will also be
seen more consisting of classic threads. http://www.

Anonymous said...

Hi there, I discovered your web site via Google even as looking for
a comparable matter, your site got here up, it looks
great. I have bookmarked it in my google bookmarks.

Hi there, simply turned into alert to your blog through Google,
and found that it is really informative.
I'm gonna watch out for brussels. I'll be grateful in case you continue
this in future. Lots of other folks will likely be benefited out of your writing.


My blog ... lower back pain equipment

Anonymous said...

Can I simply say what a relief to find a person that truly understands what they are
talking about online. You actually realize
how to bring an issue to light and make it important.
More people need to look at this and understand this
side of your story. I was surprised that you aren't more popular since you definitely have the gift.

Here is my site ...

Anonymous said...

Hi there! This post couldn't be written any better! Reading this post reminds me of my good old room mate! He always kept chatting about this. I will forward this post to him. Pretty sure he will have a good read. Many thanks for sharing!

Visit my web site ::

Anonymous said...

You ought perform it safe which will help prevent taking any odds.
There are several earth retailers that offer you discounts upon
all those handbags. Another biggie in which the handbag industry
is considered Prada ... StepStone provides a top notch set of Full amount of Talent Management systems.

Feel free to visit my blog ... ヴィトン エピ

Anonymous said...

Pretty element of content. I simply stumbled upon your website and in accession capital to say that I
get in fact loved account your weblog posts. Any way I will
be subscribing to your feeds or even I achievement you get admission to persistently rapidly.

Have a look at my site - golf gloves

Anonymous said...

What a material of un-ambiguity and preserveness of precious
familiarity on the topic of unpredicted emotions.

Here is my site :: torn rotator cuff diagram

Anonymous said...

Hey! Do you use Twitter? I'd like to follow you if that would be okay. I'm absolutely enjoying your blog and look forward to new posts.

Feel free to surf to my web blog Chiropractor

Anonymous said...

hi!,I love your writing so much! proportion we keep up a correspondence more about your post on AOL?
I need a specialist in this area to unravel my problem.
May be that's you! Having a look forward to look you.

Look at my homepage; golf buggies for sale ebay

Anonymous said...

Very shortly this web page will be famous among all blogging and site-building people, due to it's fastidious content

My page - chloe 財布

Anonymous said...

When someone writes an post he/she keeps the thought of
a user in his/her mind that how a user can understand it.
Thus that's why this piece of writing is amazing. Thanks!

Feel free to surf to my blog post ... クリスチャンルブタン

Anonymous said...

It is truly a great and helpful piece of info.
I am satisfied that you just shared this useful info with us.
Please stay us informed like this. Thank you for sharing.

My blog ... コーチ 財布

Anonymous said...

Have you ever considered about including a little bit more than
just your articles? I mean, what you say is important and everything.
Nevertheless just imagine if you added some great pictures or
video clips to give your posts more, "pop"! Your content is excellent but with images and video clips,
this website could undeniably be one of the most beneficial in its
field. Superb blog!

My web site: ミュウミュウ

Anonymous said...

Its such as you learn my thoughts! You appear to grasp a lot about this, like
you wrote the ebook in it or something. I believe that you just could do with some % to pressure the message home a little bit, however instead of that,
that is magnificent blog. A great read. I'll certainly be back.

Also visit my blog: sushi restaurants in miami fl

Anonymous said...

Oh my goodness! Awesome article dude! Thank you, However
I am experiencing troubles with your RSS. I don't know why I cannot subscribe to it. Is there anyone else getting identical RSS problems? Anyone who knows the solution can you kindly respond? Thanks!!

Visit my homepage Lower Back Pain Treatment Yoga

Anonymous said...

Howdy! I could have sworn I've been to this website before but after checking through some of the post I realized it's new to me.
Nonetheless, I'm definitely glad I found it and I'll be book-marking and checking back often!

Also visit my weblog ...

Anonymous said...

I all the time used to study paragraph in news papers but
now as I am a user of net therefore from now I am using net for
articles, thanks to web.

Here is my web page: back pain between shoulder blades

Anonymous said...

Why viewers still use to read news papers when in this technological world the whole thing is accessible on web?

my page - low student loan rate

Anonymous said...

Cheap Burberry Handbags These furnishings can be a good choice.
And recollection, they might eventually be willful Worn tedium without situation, so that the graduate are capable of doing their job.
What lots of people are finding are imitation, fake UGG Boots.

My site tory burch

Anonymous said...

Just since the name implies, these ugg boot are from Australia, that happen to be crafted from
twin-tier merino wool. And recollection, they will often eventually be willful
Worn tedium without situation, so that the graduate can
perform their job. The unique qualities of the sheepskin mean
that they can will keep the feet warm in even the coldest of weather, but that when you put them on in summer they will not likely
overheat your foot.

my weblog -

Anonymous said...

Yesterday, while I was at work, my cousin stole my iphone and tested to see if
it can survive a 25 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 entirely off topic but I had
to share it with someone!

Have a look at my website: life insurance advice

Anonymous said...

I'm really enjoying the design and layout of your site. It's a very easy on the
eyes which makes it much more enjoyable for me to come here and
visit more often. Did you hire out a designer to create your theme?

Great work!

my homepage; texas home equity loan fast

Anonymous said...

Hi there! I know this is sort of off-topic however I had to ask.
Does building a well-established website such as yours require a massive amount work?
I'm completely new to operating a blog but I do write in my journal daily. I'd like to start
a blog so I can share my own experience and feelings online.
Please let me know if you have any kind of ideas or tips for brand
new aspiring blog owners. Appreciate it!

my site ... penis enlargement surgery

Anonymous said...

In this article then is our listing of Arsenal Legends,
with apologies to a number of the excellent gamers we've remaining out. The concept is traced to a Northern League leader in the course of the struggle he was struck by some birds that were resting on signs Lombard generating sense the victory. With the pinewood trees, sometimes it had been tough to get a transparent see with the sea once i tramped together this section of Route 113.

Also visit my blog; league Of legends hacks

Anonymous said...

Wonderful goods from you, man. I've understand your stuff previous to and you're just extremely magnificent.
I really like what you have acquired here, certainly like what you are stating and the way in which you say it.
You make it enjoyable and you still care for to keep it sensible.
I can't wait to read much more from you. This is actually a terrific web site.

Feel free to surf to my weblog home remodeling shows in pa

Anonymous said...

Rhinestones were manmade pebbles from highly delt with glass.
It's probably one specific moot point, while when a female patient is wearing an absolute thong, it's best.

During the 1920s styles were rapidly updating.

Any why most of those gowns are pale or bright various or
even white-coloured.

Stop by my web page: chanel eyewear

Anonymous said...

My partner and i was most fascinated by the symmetry of the
space. Your business should discuss information about the benefits along with your employer.
The specific bags range by way of about $830 so that it will $3700.
You can make it black and white, blue while orange, red, or it may be black.

Feel free to surf to my page - louis vuitton handbags

Anonymous said...

Thank you for every other informative web site.
Where else may just I get that kind of info written in such a perfect way?
I have a undertaking that I am just now working on, and I've been on the glance out for such info.

Here is my weblog :: financial planning software mac

Anonymous said...

I hope all their doctors are aware of the risk of getting a free EHR. I wonder how they would react to this news.

Unknown said...
This comment has been removed by the author.
Anonymous said...

My name is paul zerek.I do not know how to thank GREAT Agumagu for bringing happiness back to my family. i do really wanna tell the whole world that there is a spell caster called Dr.Agumagu that is so real and genuine. I never believed in any of these things but when i lose my wife for 4 years, i required help until i found a great spell caster, and he cast a love spell for me, and he assured me that I will get my wife back in just 48hours but i was in doubt, and after the spell has been cast, 48hours later, just as the spell caster said, my phone rang, and surprisingly it was my wife who has not called me for the past 4 years, and she made an apology for the pain she has caused me and she told me that she is ready to come back home for me. Dr.Agumagu really made her to know how much i loved and needed her. And he also opened her eyes to picture how much love we have to share together. With this testimony right now i am the happiest man on earth and our love is now stronger than how it was even before. I will keep sharing this testimony all over the world. All thanks goes to Dr.Agumagu for the good work that he has done for me. Here is his email address if you are having the same or similar problem contact him now because he is very powerful and he will always help you. Believe him and do all he ask you to do and never doubt him in any him for help,he is ever ready to help you.

JOHNSON said...

My Name is Johnson from London UK. I will love to share my testimony to all the people in the forum because i never thought i will have my girlfriend back and she means so much to me..The girl i want to get marry to left me 2 months to our wedding for another man..,When i called her she never picked my calls,She deleted me on her Facebook and she changed her Facebook status from engage to Single…when i went to her place of work she told her boss she never want to see me..I lost my job as a result of this because i can't get myself anymore,my life was upside down and everything did not go smooth with my life…I tried all i could do to have her back to all did not work out until i met a Man when i Travel to Africa to execute some business have been developing some years back..I told him my problem and all have passed through in getting her back and how i lost my job…he told me he gonna help me…i don’t believe that in the first place.but he swore he will help me out and he told me the reason why my girlfriend left me and also told me some hidden secrets.i was amazed when i heard that from him..he said he will cast a spell for me and i will see the results in the next couple of days..then i travel back to UK the following day and i called him when i got home and he said he’s busy casting those spells and he has bought all the materials needed for the spells,he said am gonna see positive results in the next 3 days that is .My girlfriend called me at exactly 12:35pm on Thursday and apologies for all she had done ..she said,she never knew what she’s doing and her sudden behavior was not intentional and she promised not to do that was like am dreaming when i heard that from her and when we ended the call,i called the man and told him my my girl friend called and he said i haven’t seen anything yet… he said i will also get my job back in 3 days time..and when its Sunday,they called me at my place of work that i should resume work on Monday and they gonna compensate me for the time limit i have spent at home without working..My life is back into shape,i have my girlfriend back and we are happily married now with a baby boy and i have my job back too.This man is really powerful..if we have up to 20 people like him in the world,the world would have been a better place..he has also helped many of my friends to solve many problems and they are all happy now..Am posting this to the forum for anybody that is interested in meeting the man for can email him, I cant give out his number because he told me he don’t want to be disturbed by many people across the world..he said his email is okay. You can email him

shilpasharma said...

Wow. amazing. great post. i love it.

Unknown said...

obat kemaluan keluar nanah atau gonore obat kemaluan keluar nanah atau gonore obat gonore alami obat untuk menghilangkan kutil di kelamin pengobatan jenis kutil kelamin obat alat kelamin keluar cairan nanah obat cairan nanah keluar dari alat kelamin mengapa kencing perih dan keluar nanah mengapa nanah keluar dari kemaluan cara mengobati kutil di area penis ujung kemaluan keluar nanah di sertai perih saat kencing ujung kemaluan keluar nanah di sertai perih saat kencing ujung kemaluan keluar nanah di sertai perih saat kencing ujung kemaluan keluar nanah di sertai perih saat kencing ujung kemaluan keluar nanah di sertai perih saat kencing kemaluan lelaki keluar cairan nanah obat apotik kencing nanah apa penyebab kemaluan keluar nanah penyebab kemaluan laki laki keluar nanah zakar lelaki keluar nanah obat wasir tradisional paling ampuh obat wasir herbal apotik obat ambeien tradisional

Unknown said...

Thanks for sharing here with us

Anonymous said...

Midred Jackson Says

Am giving this testimony cos am happy

My name is Midred Jackson from Michigan I never believed in love spells or magic until i met this spell caster once. when i went to Africa in November 28th 2015 last year on a business summit. i ment a man called DR OTIS DARKO. He is powerful he could help you cast a spells to bring back my love’s gone,misbehaving lover looking for some one to love you, bring back lost money and magic money spell or spell for a good job.i’m now happy & a living testimony cos the man i had wanted to marry left me 3 weeks before our wedding and my life was upside down cos our relationship has been on for 2 years… i really loved him, but his mother was against me and he had no good paying job. so when i met this spell caster, i told him what happened and explained the situation of things to first i was undecided,skeptical and doubtful, but i just gave it a try. and in 6 days when i returned to taxes, my boyfriend (is now my husband ) he called me by himself and came to me apologizing that everything had been settled with his mom and family and he got a new job interview so we should get married..i didn’t believe it cos the spell caster only asked for my name and my boyfriends name and all i wanted him to do… well we are happily married now and we are expecting our little kid,and my husband also got a new job and our lives became much better. in case anyone needs the spell caster for some help, email address:

GREAT OTIS DARKO I thank you very much thank you in 1000000 times.. if not you I would have been losted and wasted thank you. Email Him Through his email address...

please make sure you contact him for any financial difficulties okay..

What a powerful man such as DR OTIS DARKO.. he is so much powerful..\\ email him for any difficulties.. YOU CAN ALSO ADD HIM UP ON WHATSAPP USING THIS MOBILE NUMBER:+2348077526136

Unknown said...

I really appreciate this wonderful post that you have provided for us. I assure this would be beneficial for most of the people.
New Mounts

sk1231india said...

whatsapp Status in Hindi

attitude Status in Hindi

love Status in Hindi

sad Status in Hindi

Ujan sharma said...

I would recommend my profile is important to me, I invite you to discuss this topic...

star health optima vs comprehensive

pakkahouse said...