How to stop grinding your teeth. And kicking the habit for a smokeless future and heres your host dr carsten megaton. Hi welcome to my practice great that youre here. Ive just been reading the fenn mail and theres a man from Google Shimon from australia and shes been smoking for sixty years and she really wants to quit and she says that she tried numerous times but so far has been able to overcome her addiction now she wrote does hope the help of in good shape shell never be able to quit what a stroke of luck that i nor the perfect expert for this is dr thomas he think hes a poem and not just in the next word in smoke. Quitting to smoke its worthwhile at any time at any age and it will be easier when you think me when i tell my patients to quit smoking i feel a lot of fear fear that the coffee wont taste as good anymore fear that i will miss nice conversations with my friends and fear that i dont know what to do with two healthy hands but is it really so difficult to stop smoking. Many of the twenty million smokers in germany know all too well how hard it is to ques it up one from what i started when i was thirteen im forty now and im addicted to Software Flaws so i try to quit ive managed two months of the most. Of life in smoking since i was twenty one thats twenty seven years at least a pack a day so about twenty to thirty every day of the sponsors this was to get them talk does he think he could give it up. Your im going to give it a try heres my packet of cigarettes my lighter lets see how it goes. It wont be easy because nicotine is physically and psychologically addictive as. Explained. Nicotine floods the brain and alters the brain metabolism and what it does is stimulate the reward pathway so without nicotine smokers feel bad they need nicotine to feel normal. Sebastian paschal is thirty four and has been a smoker for nearly twenty years he smoked about fifteen cigarettes a day tried to give up now and then the last time was two years ago but i never managed more than two or three weeks. Time to try again. The body processes quickly. It doesnt take long after eight to twelve hours the nicotine will be gone and the body stress system is no longer being activated no adrenalin and adrenaline levels drop and as a result Blood Pressure and pulse will start to normalize words. But that doesnt mean you wont relapse. I had a relapse i realize that you have to quit every day and you as it were. It feels like the physical and psychological addiction get stronger and for the future. If you relapse and have a cigarette the nicotine needs to leave your system all over again quitting is hard but its worth us. That is not one thing ive noticed is that my sense of smell and taste regenerated. I have the feeling i can smell much more than i used to. Thats not all circulation also improves the bronc tubes and the long start to regenerate although this can take some time but its not the next step is that the time needs to be washed out the time. Since that are responsible for the damaging effect of smoking thats a process that takes months or even a year if youve been smoking for twenty years and then stop you can reduce by fifty percent your risk of lung cancer in the next ten to fifteen years. Before questing sebastien experience shortness of breath and cough to last when jogging so has this started to improve now that hes not smoking. So far over the past four weeks i havent noticed that im breathing more easily but i hope it will start to get better. And is he confident he can place. I havent smoked for a month and i feel pretty proud of myself even so i know this is just the beginning its a good start but ive got to stick to it up to. Sebastian hasnt had a cigarette for a month now hes almost there. Now all the benefits of giving up will start to make themselves felt hell become fitter his concentration will improve hell feel more focused and ultimately his risk of developing smoking related conditions will be significantly reduced music one. Time to give back to figure out to be confiscated a few hours ago. Yes in fact the first two hours were no problem but then every now and then id feel like a smoker on my could he consider quitting. It made me think about having another go at quitting. My support the. Question smoking requires irene discipline but it really is worthless. To me we just spoke to us about him and he admitted that he started smoking again and this is what im going to talk about now with dr thomas healing here in berlin pulmonologist and youre an expert in Smoking Cessation thanks for having me today why is it so hard to quit smoking well most most of the smokers are addicted to smoking and this addiction. Works. To elements that draw the smoker to. Take cigarettes and smoke again one element of the nicotine addiction the other mechanism of smoking dependence is. The fact the thing. Get used to combine certain situations in life with smoking and the association of those situations is compellingly bound two to having a cigarette so those two mechanisms. In combination. Result in the at action when i speak to my patients in day advice them to quit smoking many of them tell me will i smoke for years no im quite old think there is no use in quitting smoking at my age so what do you say to them in fact in most cases there is a huge benefit for any page and to quit smoking that depends very much on whose specific situation what diseases he has and as physicians may advise specifically for a cardio patient we world advise differently from pulmonologist patients for example the risk to have cardio. Myocardial infarction decreases within hours and days after quitting smoking and is half after one year and is diminished to almost the risk of a never smoker after three years this is the best benefit smoker can achieve with quitting smoking that is really where to go for it and we got this letter with a cry for help from our as trillian viewer gudrun she in them and she desperately wants to stop smoking shes looked perfect itself if she would come into your practice what would you offer the main Smoking Cessation measure is behavior therapy which takes some time and we have kind of a. Three Element Program where in three sessions groups we offer the preparation and then in a second session. Stop smoking session where all the participants really is smoke their last cigarette and then stabilization session and who support the behavioral therapy intervention with medical support there are kind of medication through substances. That we can give to support and to step allies. The effect of the behavioral. Results how many people do you really stop smoking for yourself after such an intervention of the you see between thirty five and fifty percent and there are continuous ex smokers after twelve years twelve months people nowadays dont only Smoke Cigarettes they change into these cigarettes so they dont smoke they may mean. Cigarettes arent as popular as they used to be but there are still plenty of die hard smokers. Its a pleasure but its also an addiction and a costly one seven Million People a growing number of people are looking for alternatives such as an Electronic Cigarette and vaporizing. Ive been dating for three years and i havent had a single cigarette since. I used to be really heavy smoker but it just became too expensive to try to chateau packs a day i was a heavy smoker ive been raping for about eighteen months now im thinking. Does baking help smokers quit there still arent any long term studies on the effects of aping but for heavy smokers trying to break their tobacco habit a cigarettes are definitely an option to be a supporter is an expert on addiction that switching to the cigarettes is better than smoking you cant argue with the science but it raises the question does vaporing also have harmful effects the actual vapor contains chemicals also found in dry ice antifreeze anstey icing agents these are the vapor contains the substance probably think like carbon thats a respiratory irritant it also contains flavorings which are harmless if you eat them but we dont really know what they do when you inhale them and as i know that the spice mind for. What we do know is that vaporing is a booming business and with the Cigarette Market shrinking the Tobacco Companies are looking to cash in on the vaporing trend. Theyre snapping up taping companies we dont know what their strategy is right now used but its a very big market last year alone a cigarette sales in germany reached four hundred Million Euros three and a half Million People in the country are vaporing and more are joining their ranks all the time. Me so whats your take on the cigarettes the government of u. K. Has published estimation that the risk from the cigarettes is about five percent the risk of a tobacco cigarettes so i mean it may be a risk so the best is zero consumption. But we have cases maybe another exists patients will see a pretty well we desperately need. To help the patient quitting smoking so no not the least smoke should enter the bronco system and in those cases. They may be a tolerable alternative as in the Eastern Europe the patient in holds by prayer and smoke one important thing in Smoking Cessation you said earlier in the previous talk is behavioral therapy so that one of us right now wants to stop smoking altogether and they dont want to go to a behavior therapist can they do some say tweaks in their lives that they can put some kind of behavioral therapy in their life pusher its a matter of good preparation actually that they they may allies their smoking situations by and by having kind of a diary before quitting a diary in which situations they usually smoke and. Much worse at the urge to smoke and they may take down notes and analyze the most dangerous trigger situations that may change those situations for example if they have breakfast with coffee in the kitchen in the morning and i understand that this is a strong trigger situation for them they might change and have their breakfast in another place of their fluid and may be changed to to be. Decreasing the trigger and so may be successful and avoid it. What do you think about Smoking Cessation with the help of pet chairs to get to patches you know this is a. Important support. It is a support the main thing is the change of behavior but using nicotine patches for example or. Gums or there is a spray in the market now which. Is a very important support to decrease withdrawal symptoms i have you here you are tommy ellen from the us wrote he quit smoking two years ago but since then hes been addicted to nicotine gum so what can he do well actually. Should be proud that he quit smoking. The main goal is obviously he read that. The nicotine by itself is not a real dangerous substance. So actually i think he should try to get rid of the nicotine gum. After time but its not a real concern so hed be fine and so what are commonly key smoked for over twenty years and he had three needles piece through his ear lobes in china where you could punch a treatment and he never puffed again so how successful is this complimentary medicine like acupuncture treatments for all its very good for walter he succeeded. The general the darter pose on i could puncture Smoking Cessation measure is disappointing so actually we wouldnt recommended in a general way. The effects may depend very much on the attitude of the patient to the. Method to go and if the attitude and the expectation is very strong he should try and if hes successful very well thanks so much for having me today and if you still smoke its worth it to stop but dont stop writing me emails. On one of our upcoming shows well be looking at chronobiology how does the day night rhythm affect our body clock why does medication affect us differently at different times of the day if you have a question about that right to in good shape at d w dot com with the subject line chronobiology we look forward to hearing from you. Whether it is a kidney liver or heart worldwide people are waiting for donor organs even children like ilesha me. At least to celebrate her birthday twice on the day she was born and on the day she received an organ transplant. Actually i got a new heart. After i know. On the one hand we were happy because we knew our daughter now had a chance of becoming healthy again. But there was also an incredibly sad side because we knew that there was another family somewhere who had just lost a child. At least she was born healthy in january two thousand and eleven but a few months later she got a cold medication didnt help and she had trouble breathing chest x. Rays showed severe enlargement of her heart the doctors diagnosed myocarditis an inflammation of the heart muscle caused by the cold. While alicia was being taken to a clinic specializing in pediatric cardiology her heart stopped beating. So long they spent to alice resuscitating her. Because they would come back out and say her heart had started beating for a few seconds but then stopped then again for minutes before stopping again. It was the worst two hours of our lives. But the doctors didnt give up. Their venture they got her heart beating again regularly. Ten weeks later she was released from the clinic but just a week after that the alarm on her heart rate monitor went off. On that piece of a suddenly theyve all these peeping sounds her heart stopped beating thats when he realized her heart wasnt going to recover. While. An air ambulance flew aleesha straight to the clinic. Her heart was irreversibly damaged her only hope now was for an organ transplant. Kinda want to only be done if the patient is in an otherwise healthy condition any other serious organ disorder would make a transplant impossible. That might be a tumor or active cancer. But otherwise transplants can be performed with patients regardless of their weight or age including babies up them. But the availability of suitable hearts is extremely limited for babies and toddlers the donor organ has to be around the same size as the recipients so patients can face a long wait elisa was fortunate to get a new heart after just four weeks post transplant life was transformed for the whole family. Disinfectant was vital we never left home without it. And the mask of her mouth and nose was also very important. For almost an entire year when we wanted to go outside for some fresh air she had to have the mask on first. One is. A risk of the organ being rejected is especially high in the first month after transplant every week the risk decreases. But the risk will always be there. Thats also why patients have to remain on medication for the rest of their lives becoming tiny most elise has now six she takes immunosuppressants to prevent her body from rejecting the foreign organ she also goes to the clinic every three months for an ultrasound. The limbs the innocence plenty and the transplanted organ doesnt have the same lifespan as a native organ come on they age faster as it were i ten at us neta. Children with the best chance of living a long life for those whose transplant takes place in their first year of life like elisa in the first few months the new heart adjusts to the recipient size. Elisa now plays like other kids but she still has to be careful since the medication weakens her immune system. Its important to keep your distance from obvious sources of infection stick to standards of hygiene and try to avoid salmonella tainted food. Now you should avoid getting diarrhea or infections in the upper respiratory tract. Or coughs and colds infected you have to protect yourself in daily life. Many people in germany say theyd be willing to donate an organ but if you actually make the effort to get an organ donor card its not only the recipients who stand to benefit he. Talked totten the a lot of donor families weve been in contact with actually experienced relief. It helps them accept the death of their relative back knowing that a good deed has been done and who taught them is this. Alicia has been very lucky. Her mother often thinks of the donor childs parents shell always be grateful they gave her daughter the gift of life. When you wake up in the morning and herds maybe youre grinding your teeth. I mean. I get muscle pain here in my jaw and up here in the joint too of course i think it spreads down to my neck and shoulder muscles. And it can be very very painful this have to often thats why ilona often feels tense and unrested when she gets up the pain comes from brookss im grinding her teeth in her sleep. Her dentist has made a mold of her teeth to demonstrate the damage caused by all the nighttime clenching and gnashing. This is how your teeth move at night. In particular these grinding movements so whats causing the erosion of your teeth. Especially the ones in front of. Brookss im exerts up to one ton of pressure on the jaw a night guard like this protects the teeth not only at night here and so that. Its easy to insert and its a perfect fit it gives me a bit of a lisp which makes things awkward at work when you have to do a lot of talking. Otherwise it doesnt bother me that theres a slight ache but other than that i barely notice it. Ilona tested the mouthguard for two weeks she had to wear it as often as possible. During the day it only bothers me when im talking and you get used to wearing it at night very quickly sometimes i even forget that im wearing it. Ilona store pain hasnt vanished completely so what dentist is doing another test measuring her jaw with a special device. Its aimed at examining the behavior of her lower jaw where theres mobility and where movement is constrained. Can you open a bit wider. And back again slowly. If. All the measurement indicates that theres a problem with elona as temperamental joined. The dentist recommends a special retainer which ilona hopes will provide long term relief. I knew. It would protect my teeth and the joint and ensure that i wake up more relaxed and know. Once the latest test results have been evaluated alone as dentist was fitted with a new retainer. I mean thats it for today your follow up appointment is next week so you dont buy. The but. The but. The be. Cool. Images from an isolated country. Images from north korea any telling photographer captured fascinating shots of everyday life in a regimented society. An exclusive peek behind one of the last iron curtain its. A north korean diary. In fifteen minutes on the d w. If you. Think. With the senses. Recognize. And experience the inexpressible. Cultural magazine. Twenty one. G. W. Its all about the moment. Its all about the stories in so. Its all about George Chance to discover the world from different perspectives. Join us speired by distinctive instagram hours. D. W. Stories on topics each week on instagram. This is you know we news live from berlin from world player of the yea