Transcripts For DW How 20240704 : vimarsana.com

Most people spend their final days here in a hospital, although most of us would prefer to die at home. Only very few do. So. Is there too much end of life . Treatment of them is not everything thats possible is necessary. So am i acting in the patients interest so it should not be anyone elses interest . And definitely not for economic interests. That how much health should we expect from doctors . And how much to the patients own wishes count and thoughts in and a patient system most kind of ending up on life support like 20 years of staring at the ceiling, add on me without being able to speak. Im a drama die to have to accept box to p and our hospitals actually profiting from end of life treatment. The dying is often a taboo subject and one with much potential for conflict. Data to the 1st to earth, sasha, its ashes to ashes dust to dust the around half of the population in germany will take their last breath in a hospital for a better look at death and dying with tubes and ventilator is weve come to an intensive care wing, the doctors are on their morning rounds with them all good, good morning. Good. As to how are you . Youre all you have a serious circulation problem in your heart muscle. At the moment, were not happy with how things are looking and this will move. So were going to take care of you a bit longer. Okay, and ill see, ill see, ill go. Why does so many people die in hospital beds and not peacefully at home . Does any ill have to of identity because if you dont either on our rounds, we see very many elderly patients fees and they often have many different illnesses coming done plus, and they still come to hospital. So its kind of caused some of the voting. You try to help them somehow, but as we see in this case, in front of these co morbidities are so extensive, hope a talk that in conjunction with the results we got yesterday on the home phone on there is not a lot you can do. Thats fine. Even though its influenced, hasnt come over young since wants to switch to Palliative Care preparing one for end of life. But like so many peoples a man hasnt loved a patients decree, young since tries without success, to reach the mans relatives, to find out how much more treatment the man should be given. Is this something that i spend about 2 hours a day on the phone . It feels like because i think its important to talk to the gps from, but its incredibly difficult really should we have so he has a serious non treatable coronary heart condition, a for now and and yes. So thats why its uh that was really very important analysis and kent and the doctor knows him well. He also told the gp that if there were to be grave complications, he didnt want to be put in intensive care. But thats important because now we have a clear path to take, even if it wasnt specifically written out and was this the out the door. That means that we wont be able to help him stay alive then. But well try to ensure that he can depart this world peacefully and painlessly said that its driving me many weeks. Ill take the backpack, i dont know whether its down there like im going downstairs. Okay. But life threatening situations on the intensive care. We arent always the slow and steady intensive care medic, elise neu, decor is on her way to an emergency one floor down. A woman has been recessive, tainted, and needs to be taken to intensive care. Now for further treatment its, im clear whether shell survive the and then again quickly once in intensive care, shes immediately attached to every live sustaining machine possible. Of course, medics want to hear people like many who come to the intensive care unit dont survive. The 20 minutes have passed the least. Could you describe whats happening . You asked me post buttons in this in ask of faith. As of is a patient has been on a her catheter. They did everything they could to help her, but unfortunately nothing was working. And she died again, were waiting for the family now. Its what was important to us for the last step. Thats what it was that we were able to be with that patient. Make sure she had no pain or fear to kinda august us and to see me to come into ok. We were with her by and were holding her hand at the last minute because we were the only ones here. Im for, for the relatives were still on their way here. The younger feel they can send up until the next patients coming to intensive care are getting older and older is awesome. Theyre already sick with many illnesses that prevent them from recovering. Its been up to the doctors to decide if and how long to prolong life into the for this, if we took a normal chunk of intensive care, allows enormous opportunities, but also risks bringing that together requires cultural understanding them team as a team, you have to keep finding ways to help the patient have a dignified test and all, and also to accept that death and dying is also part of a therapeutic process. Have a fortune processes. Modern medicine often means the process of dying can be very drawn out. It also leaves doctors to make the decision on when to continue treatment, and when to let someone die moving on, since hes on his way to a meeting with the ethics commission. This is where experts from various disciplines convene to decide on whether or not to withdraw life prolonging measures. Today, the commission is discussing the fate of a gravely ill lung patient. Hes been in intensive care for several weeks. Hes been kept alive on a ventilator deep behind because of his deteriorating ability to breathe. Treatments requires ventilation. He is experiencing different phases of infection infections. Thats all healing phases of wakefulness and of confusion. Co pays out his physical limits every day. Would you like to add anything between looking to types of data on so were really just trying malta and this future is not looking much better because we dont cnn. Okay, and thats the question was, was it a this, this series to assess the fargo . How much longer can we continue doing this . Its not wheres the and what is all call inputs . Thats an issue. One of us may have been looking for satellite. Weve already been trying him for a long time to get some of the ventilator. We keep reaching the 4 hour mark by continuous spontaneous breathing has failed the several times the most, the most glue that is ever if the risk is so great. If we took them off, you would certainly suffer oregon failure. Send them an authority to stays on the ventilator must, and then he will continue to live was what is known about his wishes, which for tradesmen take and then villain, have never really made any explicit statements that see that so. So we dont have any exact information of the patients wishes under any pets, havent been. So may, as long as its nice and to invite you for saying he can be taken off the ventilator and, and then were looking at a long term, permanent dependence on a ventilator either at home or somewhere out there. The awesome all. And then how is that something his family can perceive for him or not or so . And how does the service does all of a sudden wouldnt know his wishes to go home, but i dont see it as a viable option. Every few days we take a step backward carter of the dentist with 2 kids. The patient becomes full of mucus, again sly and gets really distressed, which uses up all his energy and one week. I dont see that being any different at home as well. Thank you. For holding this, im assign the size water that informs now what that means, that fulfilling his wish to go home and which means hes on the ventilator. Its one in 24 hour intensive castle, and that would make things difficult for his families. And so to 250 familiar designs, all under stank office, then they didnt have on the how is it for the yes, i agree. If we can transfer mr. A back home, it would be purely palliative edition all the way mr. A sees it. However, hes not seeing himself as bed bound of what its supposed to be on this, but there is no alternative. He cannot move freely side. When hes think of it says, i think that were talking about a palliative scenario. Question this way. We will in accordance with his wishes, send him home, but i dont think it could be for a long time. You use the car and use beam for citing pastoral catch of the family and patient for a long time. So theres lots of team up against and all that kind of the kinds of slaves they did speak extensively about the end of his life from a religious point of view of him. But the zip for the other, his wife couldnt imagine turning the home into an intensive care room, as of which is what being put on a ventilator at home meals and when somebody into the system to hold on and process. Instead, she told me that in her view, we should stand humbly at the end of our lives and be thankful for the long time they had together. Since we discussed that in the last few days, thats not a strong team. I used in that sometimes the sizes induce that means this commission has decided that that should be a transition to Palliative Care to the relatives have to be informed on the ongoing. No, i cool. Do that informed me. Okay. Awesome. So youll definitely have to deal with that. The next time you speak age. Thank you, mr. Gosh, not every hospital has such an ethics commission. You read in here about element, were discussing ethical decisions that are not of a medical nature, but that concern us as humans. The name of these are still the 2400. And we believe that if such a structure is not in place. So then it should be mandatory english to designers, for physicians that we have left the decision on for life and death in the hands of the doctors. I wonder why is it so unusual for people to die . A natural death at home is on it. So im not going to visit to mail to the patient now, but they have been issue. Ive been involved in the case since last week talking to me because she was having serious breathing problem was actually a little skilled, unfair that in my mind, i thought they kept calling me. Im going to say i send it with now. She doesnt want to go to hospitals too much because she knows if she calls and im good on life and then shell end up in the clinic and gets him as a flight in the clinic. But he is terrence is an anesthesiologist and palliative medic. He visits terminally ill or dying people where they have chosen to die at home, surrounded by their families. Hello, good afternoon. Its going to be like toys. Nope. Ill head straight through. Hello everyone. Hello, hello. Contact. Hi lou. Traffic your system should be under. Ill sit down here again. Perfect, perfect. As estimate as soon as long as the 1st visit, you were very anxious because someone at the clinic told you you were dying feet in the knowledge that felt since youve been home to let some tab. Awfully shop or no, im not scanned. And havent had anything untoward. Any thoughts i might trouble mainly to save and when did you have as many praising episodes in the past few die in the off they still coming altogether middle of the table . No, no, no more shortness of breath. I would ask you havent noticed anything, have you . No, no god. Im amazed that its been going so well its i wondered what to say and i feel as though your and your best bet today. Im no, no, no, no. Obviously didnt applaud you mind to 5, listen. Lean forward and 4, perfect, perfect. T for 100 and a deep breath in and out. These web dish to stay in the house. Shes basically come home to die. Thats the blunt way of putting as he does for both her and us. Its all pursued auction i can use, we can enjoy the time we have left. And its nice having mama here in cindys best buy on the market and we all have to face this some time or rather, to be honest, so it doesnt bother me. Honestly. Yeah. Maybe im the exception for me because im different. My mother, she, i must be older. I dont know how other people take it. Temperature, ive no idea how others deal with knowing they are going to die in the next few days. Ive ordered for life next, but i think its all totally natural. Hes got such huge. Yeah. So its a strange situation there perhaps for you more than me. But i dont mind. My worry is that it happens later. Im not young. Im not in chicago 3. C a n plus had them. I know most, nobody knows it. Right, yeah, i can help her immediately as a practice she oh, as of what is your before and youre just in the potential. Hows of we want to ensure the top patients are doing well on awesome to make himself a breathing problems. Pain on nausea or vomiting any time and been dismissed obviously cant be helped to home. Yeah. Then the only place is the clint annually clinic. Yeah. And then my not about to how is of us have, but if you can be treated at home and then people stay at home done, and loved dimensions. So hows, almost problems can be resolved through simple medication. Me to come in and we only have 7 different medicines and our Emergency Box was i notified you can treat 20 problems that all patients often have sponsors basically giving instructions on the find himself tabi. So how is the losing and conceive of telephone is it tools . So i just okay, and if you have any problems get in touch on some otherwise ill see you again next week. Cool the best im still a step ahead of the grim reaper. I still have a little time left. Thats funny. Im a visa. Yeah. Puts in. When did you see how much of patients who come home again tend to flourish . Shes practically just been discharged from a hospital death bed, but youd hardly say she looks like shes going to die and the next few days down here on the country here. This week, shes dramatically improved on the about what else of to patient. Theres no, i die puts in, i deal with the to every day. So to the, just the lights on minutes accompanying people at the end of their lives. The date is a relatively fulfilling occupation thing because you often managed a severe pain or breathing difficulties. This kind of cost icons safe, my patients lives a few of them or not, but for many of them, the total death is no longer the enemy. Any sort of def, i managed to ensure that they have a Payment Processing system is that is a good thing. Lets go to the 92 year old in a mountain, died a month later, at home as she had wanted. But how can one ensure that youre the one who decides how you dine the weve heard from a former intensive care worker. She says she would never want to be recessive, stated the high, the a, its for the so youve taken steps to ensure that its a paramedic comes and youre unconscious. That you wouldnt be recessive, dated is that right . And whatever, you know, only if my heart keeps out when done. And when the paramedics arrives to that it, that it is. When the door closes, see that the close the screen stick a note, theres an emergency buckle that on the emergency booklets in the fridge. Then okay, then they go to the kitchen and when they opened the door, you the best, the bottle and whats in there. And the doors this and theres a document with lots of patient information in income, not feeling this got good. Okay. And here, once he written in big red letters, do not for substitute age. And why dont you want that . Well, ive seen too many things back when i was working a simple you mean you wouldnt want to be taken to the hospital then . Like, i didnt want to go to a hospital and i dont want to be put on a ventilator ok to life by groups. The who knows how long its always been for the bad. The 89 year old is familiar with the procedures on intensive care stations. It is. This does what us it is. Do you have the feeling that just too much is done to keep people alive . The people arent allowed to die . Yeah, and they will mindfulness . Yes. Comes from the moment you arrive in the hospital system, know its like the paramedics, the ash the dont exist in cameras, have to do everything and the power to keep me in line after the 1st he does have a substitute. I did my institute for me with that. So then thats exactly what i dont want to spend the 70 but here what was it that you experienced that made you say, no, i do not want that to happen. To me it says will accept the nasa live test, but thats in the i often so elderly people being resale so tiny take yeah. Even then they will put you on i these that happened. Ventilation is 12 and finally dying days, weeks lets months later talking and i dont think you need that would be that side. So i want to know if my life the way i want until the end. Thats the one i can no longer do that just makes me then that should be the end of it. So and again the, its rare to day that people are in control of their lives at the end of life. Will the former nurse get her wish the will she encounter paramedics so wouldnt recessive teacher in such a scenario . The, the 89 year old fears that she might end up like this patient, this terminally ill cancer patient is on life support in a coma. After being recessive, hated after his heart stopped, intensive care and hers, at least knowing decker is looking after him. Im just going to check something, dont worry, of his kidney and deliver, have already filled and his brain is barely functioning. Thats it. And then we dont believe licensed. Also home patients are resuscitated, usually outside their homes or they arrive here and are given every medical treatment possible calls. And then you find out like in this case that the brain is had too little oxygen during resuscitation. For though we often see patients not wake up and then its days or weeks before instrumental diagnostics to tell us that theyre actually not able to wake up again with your appropriate to you, there is no 6 in their brains are so terribly damaged that we cant help them so events associated with this with inputs engine, yet mission of hers and coding. This 58 year old is also not going to wake up a lease is giving him Palliative Care and will accompany him as he dies. System. Ive got everything ready. The, do you always talk to your patients . Yeah, yes. Right. Because i always assume that they can perhaps still hear something too. We always do our best, especially for patients who are dying button. You always respect your patient that affects what inputs and the mind has. So what usually happens when doctors go from trying to save someones life to recognizing they will die then giving them its an ongoing for them to not leave me to come. We accompany Family Members into the room. The medication has already been swap to hide those pain killers, associates and other medication to protect the patient to ensure theyre not in distress. And then we switch off life support option. We always wait a little moment to him and dr. Young relatives have to adjust to the situation. Is this you could you, its always hard to sit next to the bed and comprehend your Family Member is about to die. One of the most frequent questions that relatives ask me is how long will it take up there . Always scared, it will happen right away, but it varies from patient to patient for, but usually it takes around 2 days. But that is a very long time from 012 days. So its and then the patient dies because theyre already very weak and also not going to continue for shared content. The terminally ill patients in room 3 has no relatives here to sit with him. And while death is part of the daily conversation here at the hospital in our society, it has increasingly become a taboo. The missile jones out town. So if the father send them via us cuz theyre soft possible and we really need to seriously ask ourselves as a society what we want from the store and what we dont want in my experience in i often meet relatives and patients and intensive care. And them are the who are still surprised to that at 8590 the 92 years old, the present. And theyve reached a period of life where you have to consider its and one to show us more. The one, the thing content this says leaving english is but modern medicine has also failed to sufficiently keep up with the growing age of people. There are few fully qualified palliative medics on intensive care wings. Instead, many people faced lengthy and invasive forms of treatment. Sometimes this is because the doctor isnt sure what to do, but also sometimes because of the financial benefit, there is much money that can be made by implementing these complex end of life procedures. From issues as far as us unplug sense, until its much easier as a doctor to intimate a patient of us to give them oxygen to feed, i have to resuscitate them. Replace their kidney with this. Of them have this critical discussion about whether were genuinely doing the right thing for the patient. Our only responsibility is to the patient lesson for not to anyone else. We need to assess this in and when some fields of medicine become more interested in making money based on the overheads, not officially and explicit links, then medicine is on a very rocky road. Stop me to see my and honest, i got him. Thats whats been happening. For the past 20 years, citizen sponsor, shaun sufficient to come up. How can it be that people end up being treated in a hospital against their will . For financial profit . Usually we assume doctors are there to help us at the end of our lives the but just find the will of the doctor can be in incredibly difficult and painful. Like for how lute lender, who is fighting for doctors to allow his wife to dine in peace. Doesnt find fault. Triple here associates 6. This is my wife in t hold with that picture, 6 years old. Now lets look at her hair. Shes 68 now. And this is what she looks like and this stuff, its awful. I want to save her from ending up lying there miserably, even statically. She wont leave. I owe that to her many issues. Its such a long time. Yeah. Yes. Intensive care for 3 months to shes been there since august 12th. Shes had 18 operations here. Inglewood lender went to the hospital 5 months ago for back operation, where she became infected with a super buck. Despite several operations, doctors havent been able to defeat it, easier to get the, the blue i have got picture showing what she looks like. Now you can see on permanent live support, move a respirator and intravenous feeding was in the eval, or 4 months ago. Hell moves wifes heart stopped since then. Shes been on live support and in a coma. Neurological tests suggest that theres little likelihood of improvement. Shed already put her wishes down in a plan for treatment. Most uh, i mean, i just want to make sure her will is followed heavier than i swore to her that she wouldnt end up on machines for years in a home somewhere, just lying there thats to me. She doesnt deserve that. And she doesnt want it. And it dont mind can, you can go through all these points, those never pages of them. How does everythings there in the case of brain damage on treatable illness, near death. Its all there and on and brain shutting down until that its all written down exactly. What they are ignoring and all i tell them, read it, its all there. Its but we just go round in circles and keep coming back to the same point of think life and pulled 1000 and no one listens to you even though you have power of attorney on this. Go ahead. No, no, not at all. Thats weird, nor yet all you hear is we decide what happened. Thats how it is in germany. It doesnt matter how many people come with their treatment plan. We have to perform any treatment we can before. Anything else is euthanasia. I was p of. I say, what exactly is it that youre doing stuff on demand or what i say i just want it to. And so i get to the box little see our helmets. Health Insurance Company has helped him find a medical expert for a 2nd to professional opinion. Its hope that theyll help to finally carry out the wishes of his wife. Im fixing go toolbar wife to bits by your i was with her last on october 6th for it was the day before the altered perforated and her hearts donald easy. I had to attach the stand on down the weird religious people and we only spoke about those things. Awesome. And we said goodbye once for us, then wed see each other and it turn it to go. She said she was ready to go and advise if she said she was going, i said, dont say that. She said, yes, you know, i am give me cases to be if i had just given her some yogurt. And thats how it went done this stuff. So its hard to bear really hard to come in. Its on the whole scheme in a weeks time, how much lender has another meeting at the hospital for hours away. He hopes the doctors will give in after the experts report and start giving his wife Palliative Care. This is the statement we got from the hospital. In the event of regaining consciousness, there is a possibility that mrs. Linda could breeze on her own, i know with at least partial physical rehabilitation. Although a temporary or permanent need for life support measures cannot be ruled out as such, because the situation is not mentioned specifically in the patients preferred treatment plan. And recovery cannot be ruled out. Medical steps have been taken thus far, so the patients assumed wishes could be determined the how can seriously ill people be sure their wishes are carried out. The Palliative Care doctor much use terms is the author of the report on mrs lenders case. Hes to decide whether or not the doctor should hes the wishes of the 68 year old. Much he is turns dedicates himself to dignified dying, not to the interest of business, and such disputes make him sad and angry. Mrs lenders case is not an exception or did you sign to puts it in for a single question . Its been in fact a patients preferred treatment plan is legally binding intact with that, but thats not subscribed to interpretation. Sometimes the boundaries are pushed on. Treatment continues to month online, so the patient obviously doesnt want it. Or if they fail to ask what the outcome of treatment to be in a peak is what someone wishes to be the outcome. Actually the goal of the treatment, which is if there isnt even the chief of all the highest and often, even if i can, this guy isnt, doesnt get the chief of all highs the treatment is that something that really bothers me and my was the last when a decision should have been taking a lot earlier feed for the provision of appropriate, kindly and safe cat on the t for the homeless, the monitors what the doctors are doing. Whats the legal situation in germany . The puts and Partner Law Firm is specialized in end of life legislation. They deal on an almost daily basis with cases that focus on the will of the patient and how to best implemented going types of just that was conflict as much as you basically, our friends begins with the views at any medical intervention, including those that for long life, even if its a ventilator, its physically invasive. Im because it has to be justified by the media and an intervention is only justified. And its when there is a medical reason for it, a small end to an agreement by the patient, or thats just not as the last name if there is no reason for medical intervention because it would cause more harm than good if its causing something more distress then being able to achieve a sensible go into cups, then things change life. But then what is being carried out is and then legal assault. I think it is a crime. However, a federal prosecutor will usually not convict adult to for prolonging life. They always seek a way to avoid that, and i will speak simplified and to full. Tanya owner has seen repeated cases in which doctors are uncertain and over treat their patients because of it. But shes also seen them act out of financial interest on common things with as the one on the legal path. If a doctor was suspected of acting solely out of financial gain on which up to one behind the loosen f as it is a fast released on this list, suspicion is a blue waist lingering in the room, but its hard to enforce the nor on the basis of the current legislation, because you have to prove that the assault was committed in a pension league. I remember full financial gain. Im to, if you have the relatives would become the tradition. If they say their relative has been allowed to suffer from the distress as being per learned, only for the dont use it to make money by them. Following up you have the chance of getting a 2nd opinion comes in the twentys. Lucas, preferably from adult to who has nothing to gain from this treatment to the other mist under a 150. And the fact is that in the future will need more doctors who are familiar with Palliative Care and take a more critical approach to their work. Which one is the winner here . Ethics or economics, human or machine . The helmet lender has driven 4 hours from his home and lower sacks and the to the clinic. He wants one more talk with the doctors to convince them to heed the will of his wife and allow her to die views most. So you will not know if shes been lying in this hospital for 4 months and intensive care. Itd be go just to the front of it is terrible. So im just like, like, i mean, ive made an appointment and im going there. Now when im fighting for my wifes rights, yeah, they do is because its through, its a terrible injustice. Whats happening today because its hard to thats why ive come expressly to tell these doctors that book or to the mice isnt. Absences are for 4 months. The doctors have refused to follow the wishes of their patient in good lender. Its going to be a long and hard discussion between how much lender and the doctors because theres been no agreement so far. A local judge has been brought in. Shes due to rule to dance what she believes, so the wishes of english lender 4 hours later up to the phone with us, i am delighted of probably a tv doesnt. So with the media, the fact your Palliative Care is going to begin it. That Means Nothing to stop her from dying, and its been a long battle for a very, very sad thing for you on. But i had to do it. And im glad i did this. I feel a sense of relief now. Yeah. Yeah, theres a deep grief. But also relief with the call. I will feel like the some of the darkness and the dust lunch at the mines in this, its very alarming how some doctors think they have to apply every possible medical application. Every time ive got the assessment on the job as talk to as far as adults, just to have to ask yourself, what is the goal if the treatment is nice and then what can we achieve for the patient to attend . And if we cannot to chief, the patients recovery or the best fight will only leave them on life support and stuff. And thats not something the individual patient would have wished for themselves, the 100 project to attend in. Since then, we have stopped us, have to accept that the goal of treating them is unobtainable student and the goal must change heisen. When can the worst case scenario, except to allow that patients to die interest them. Lets say what does a humane death look like . When the patient is not at home, no. Are you still in puts in friends when i see a patient like that it really makes my heart take this or the school. Mm hm. At least knowing deckers patient has suddenly deteriorated today. His breathing was difficulty. Caring for him in this condition isnt easy to cut certain task good. Yesterday his breathing was so stable that we decided to remove his ventilation to didnt, but i can show house to 10. We reduce the medication that was helping him sleep in himself, hundreds and hundreds of my own type of shows to food. Now im in a dilemma. You know, some of the cities very distress instead of stress. So this isnt, ive had to call the doctors and started giving in the sleep medication. Again, im in just buying and having 5 issues or not because i dont want to leave him like that. So what it says is really a distress. This is kind of heart rate of label at least wait for the lead doctor to come and help me. It says, oh my god, i know now im treading a fine line of them in the light mostly is not true. I dont want my patients to be so distressed me so wish test is, but i dont want him to die because of what im giving him stuff on Social Security because hes no longer on a ventilator smith. Awesome. That is to set this up task before i am taking it really slowly on understand. So theres often a very sin line between accompanying someone at the end of life and assisting them in at the doctor can ease the situation for the patient by changing the medication. Thats honest and misleading. Come in, we should manage the symptoms now with medication for success. The most important thing for you to are in for this treatment is end of life care with symptom management. And the patients breathing is back under control. The process of dying slowly moves on. This is the motive as you initial and focus to, to my phone. If its always my personal aim to do things i would want done for me would have been if me or a member of my family were lying there. I was just a, its a dream job for you, isnt it of you thats my told it is my dream job, my absolute dream job to at home. I couldnt imagine doing anything else and it was flushed in a lease as patient donna is later that evening. The, its english lenders funeral. She dies 5 days after her treatment was switched to end of life care at the hospital. You should have almost got to come up in the floor. I have to find a piece now. But im glad that with a lot of help, i managed to see her last wish, realized it. But we have our faith and faith helps a lot on deck. Love with you. Stop by. And i will be able to find my own way and carry on somehow, and one of the the, the lord shall bless your farewell under rifle, nervous and forever more than the, to the point. Strong opinions, clear positions, international perspective. Donald trump sounds like on extortionist of allies want military protection from the us. They have to pay your, of a seeing his remarks on nato and russia as a wake up call. If he returns for the white house this week, onto the points to team and trump a new access that gets nato and chris to the point in d w, the top calls to everyone who wants to know more about the topic that concerned about this story is beyond the headlines world in progress, the w talk cost ice code b c. At the end of the plastic, i need an expedition ventures on 2 places that no one has explored. While he is the ice melting more rapidly in the ice fields and pass the the the, this is the w news live from the land. Israel storms. The last big hospitals still functioning in garza, the army says it has credible evidence. The home of health costs hostages inside the complex. Meanwhile, australia adds to the international polls, the israel to delay its plans. The sold for the south will. So coming out on the program and the judge rejects Donald Trumps request to dismiss the case against him, the ruling in new york means the 1st criminal trial of a former us president tab go ahead next month. And Bowens International Film Festival gets on the way with famous spaces on the red carpet. Hundreds of new