People are set to have suffered from o. C. D. Like Charles Dolphin or Martin Luther what they have in common repetitive rituals they are fully aware of but they cant stop. Just one last check to see if the door is locked or the stove is off lots of people do this but for about two Million People in germany these habits are compulsion and sufferers feel enormous pressure to perform certain behaviors again and again. People with Obsessive Compulsive Disorder wash their hands repeatedly for extended periods of time or check or clean things over and over again for hours on end until theyre completely exhausted or compulsion to dominate their lives. He was dr shaw hes the head of the department of psychiatry of the here and thanks for having me today and i think Everybody Knows the situation that he is to doublecheck of the door is shut. Turned
compulsive behavior occur with some reason for it actually we dont know the for the reason of course there are genetic compounds. As a kind of risk factor us its not a genetic disorder at all childhood plays a role in how what does we learn about cleaning about hygiene but there remains a big Question Mark about the real the. Real reasons and how it comes to Obsessive Compulsive Disorder or high risk for o. C. D. Because im used to double checking my office door of the office i would say so because its rather normal behavior and in a way it makes sense to double check things because were wired lot of trouble and problems and thats typical of most men and women such kind of behavior as their daily routines you order who told us there that there are
different kinds of Impulses Options Sessions and actions and criticism out again whats the difference between the impulses and the actions for instance. Impulses of kind of thoughts in the people fear that they might do something be chorus of a lot of control over their self for example jumping out of their window this has nothing to do with Sue Silent Ideas its just the fear to lose control or to take a naive and heard someone someone laughter typically this never happened its its very painful to have these impulses but theres no higher risk that somebody can absolutely not and this should not be mixed up with suicide risk because these people dont want to die. And then told friends and family react to patients with o. C. D. Normally if theyre not informed about this do. Or they just think
come on this is a ration its a ration or to wash twenty times in our your hair or to clean up everything or to check the door thirty times in though they say stop it dont do it this is not helpful this doesnt help the people so we need to integrate the relatives and the friends into the psychotherapy to inform them that it is a disorder and it does not help to just say stop so it really affects both the patient and absolutely brings problems into interpersonal relationship typical reason why people seek help and come to ars because theres a lot of shame. Associated with Obsessive Compulsive Disorder as its hindu is the patients from going to a doctor to a therapist theres a lot of shame and a lot of good for the patients who suffer from o. C. D. Just check up on extreme or. Sometimes i wash my hands twenty times in an hour. I use up a bar of soap within five days. So. There was a time its now been a year already when it was so bad that my skin was very badly affected by it it got totally red and roar and dry thats what im talking afterwards it got so bad that i had to go to the dermatologist. My dermatologist said it looked like Second Degree burns and he wanted to send me to the hospital. She. Gets into the shower again although she already washed the soap thoroughly just two hours ago. She cant do anything about her compulsion the washing ritual goes according to strict rules first she blathers herself up from head to toe then she cleans the water faucet and finally she cleans the entire shower stall. Its fun as obsessive compulsion its like
a prison im knocked in and i dont have the key i cant free myself from this prison i sometimes regain ascribes her apartment told late at night the compulsion dominates her life a job is out of the question now she lives on welfare. What can someone with o. C. D. Do to say stop washing their Hands Professor short his colleagues are trying out whats called exposure therapy. And sleeker than i expected. And dirty or ok. Im a bit afraid of whats in there. Ok ok so now youre going to open it. To. The lady with the whole surface of your hand ok so now i want if you want to talk about. The future im not allowed to wash my hands for three hours. What would actually happen
if the patient wouldnt wash his hands if that would be a companion to buy a therapeutic in that way before and after that it could be helpful because the patient realizes that the in attention decreases even though he does not wash his or her hands so its cure or belittle most patients yes not in all of whom we see it that its more prevalent in younger people around the age of twenty and thirty and in the older people around the age of sixty we have less frequently and who should seek professional help everyone who is suffering from his compulsion is our obsession. Or isnt able to cope with daily daily life. And is third p. In a Military Setting always the right choice or thats a treatment of the first line treatment thats a treatment of choice not pills not medication its psychotherapy and outpatient
treatment however sometimes the disease is that awful that patients on a long able to go to a psychotherapist for example if they need to control the dog for lets say five hours before they can leave the apartment they have to come to a Psychiatric Hospital ok so you have to admit the patients as yester start therapy there is a long term setting in the clinic it should only be as long as a patient is becomes able to go to an ambulatory ok and then you continue the ambulatory its a very slow treatment of choice can you see the become really dangerous the patients for instance kill themselves. These impulsive thoughts i could jump out of the window i could take a knife this never happens and this should not be mixed up with suicidal ideas because these patients they dont want to die they want to live out of it to might become dangerous for example for the hands to washing fifty times
a day of the hands they have. Of course is skin suffering if you widen our scope a little bit and look into other countries of the world to be distributed to other countries they have it in every region of the world be corsets and natural behavior to control things which might be helpful if its when an anomaly. And the prevalence is between one and three percent of the population in all countries we have a sob. In taiwan and hong kong as i saw the figures and rather prevalent in canada and in germany. Three percent is quite frequent yes thats quite forgiven for a disease i read so if you live in another country and you dont have access to psychotherapy you treat o. C. D. And yes psychotherapy as a treatment of choice and medication isnt so thats not
a Good Alternative medication with psychotherapy does not help much however they are quite good to sell Palp Programs in the internet so if you go to the head and look for o. C. D. And sell palp you might find helpful programs and this is safe theres selfhelp programs of course says a lot of all i checked looked quite go to and. Use the riots strategies about them might be some black sheep ok here we go to view a christian from el salvador. Ones to know where this is also an indication for other psychological missiles oh yes that might be a very have a lot of comorbidity as we call it that means that is together within our Psychotic Disorder follow example schizophrenia or addiction does all that is so every Terror Business ought to look carefully of theres a second disorder as well thanks for answering all my questions and if youve got
any questions please write me an email. On one of our upcoming shows well be looking at obesity and this will see that Health Problems how can obese people lose weight when its Stomach Production Surgery an option if you have a question on that send it to us at in good shape at d w dot com just put obesity in the subject line we look forward to hearing from you. Hernia is a very common especially among men they become visible when you lift something heavy or when you cough and then thats typical Bollywood Shit Peters and then its high time to see you doctor. I love bold all swelling in the abdomen no growing area maybe a honey this condition mostly affects men. Mathematics student until play theres a Fitness Enthusiast the twenty six year old trains in the gym or at the beach
whenever he can but one day he suddenly felt a slight stabbing pain in this after man. And after you will have his her exercising i look down at myself and saw a bulge i was kind of shocked because it obviously meant something was wrong it was pretty large and plain to see so at first i was a bit worried. That he will mask moments of the sims or he was too worried to carry on doing his favorite sport and missed a whole season of kite surfing. Thats why im old and it kept bothering me my body just didnt feel healthy. Could stand closer had a lump in his growing he ignored it for a while but eventually he became concerned. As i was afraid it was some kind of chuma whenever i tried to lift something heavy it would pop out it wasnt nice. Abdominal surgeon. Thousands of hernias every year. Means theres a hole in the Abdominal Wall it wont close on its own so surgery is the only way to repair it so the hernia can heal permanently. Now that hes retired coast jan call has finally decided to have the lump checked out. Using ultrasound his doctor is able to see that the hernia its reached a critical stage. This is a large and. Theres a large kernel sac in the scrotum containing intestinal loops several of them including a cone on if that gets stuck it will need to be operated on immediately to save the intestine and free it to the front. As socalled Strangulated Hernia is the most dangerous kind the hind the abdominal muscles the sensitive inner organs in
a hernia the Connective Tissue weakens and teds tissue slips through and forms a bulge if a stretch of intestine gets trapped its attack and takes Blood Thinners thats why he recommends open surgery to reduce the risk of postoperative bleeding although hes frightened of general anesthesia. To go ahead with the operation. The surgeon makes a minor incision and pushes the lump back into the Abdominal Cavity. Then he inserts a mesh with an opening for the Spermatic Cord to close up the hernia. Dr baggage checks. Hernia hes otherwise young and healthy so the minimally Invasive Surgery is unlikely to pose any major risks. The advantage of this method is that you can assess the state of the interior. The abdomen so the surgical trauma and therefore
the pain that might arise after the operation is pretty small. During the operation under general anesthesia three small incisions are made in oddly hands Abdominal Wall and the surgical instruments are inserted the hernia is visible on the monitor here too and mesh is used its pushed into the Abdominal Cavity fire and biscuits and closes up a hernia from the inside. Question carters open Hernia Surgery has also gone smoothly. Of course i was very relieved to wake up again. Its silly to say but your fear that i had for has vanished im glad ive got out of the way of what if if. Adelanto pilot has a little bit of pain for a few months i thought that it took a while before i could feel confident about my body again. Now he can finally go kitesurfing again everything has healed nicely and hes back in the water. Allegiances what are leeward for hardly smell im talking about mouth odor not the one when you eat raw onions or garlic i mean the one that Doesnt Go Away whats it all about check this out. Turn has an important appointment with his dentist this piece of equipment will show whether or not his hala ptosis has been cured. Its with the new flu were taking America Samples from the back of the mouth above the tongue and well have a look at the result of this display. Four weeks ago going to one to see his dentist having spent a year trying to cure his back breath. He also works with patients so he was very self conscious about it. The whole thing started when my wife had a word with me. She said my breath and started to smell but it was a big surprise at first i was shocked i also deal with patients so its really
embarrassing because im sure i have a good Dental Hygiene and you know i use an electric toothbrushes laws i clean my teeth after meals are you. But i realised it wasnt enough because i know i missed. The dentist uses this holly meter to measure the levels of salt first. Breath. Bacteria excrete sulfur compounds that cause the unpleasant smell. It can be a difficult subject to broach we asked members of the public if they tell someone about that bad breath. Notice no no you cant do that you just have to ignore it. My math teacher has the breath but i dont tell him because i dont want to risk migrating. To i wouldnt say anything because they usually are you know. They might worry that you think that. Trying to fuck up when you watch the odor is
caused by anaerobic bacteria. Ninety five percent of them sit in the space between the gum and the tooth. And sometimes theyre at the back of the tongue. For you can use a Tongue Cleaner to get rid of them. And between the chief its very important to use an intraday into a brush thats the right size that so you can get the bacteria under control the only comes from areas in the mouth thats hard to reach with a normal toothbrush even with the most directly and there are easy ways to gauge your own hygiene. You can floss between your teeth and smell it or stroke the back of your tongue and smell your finger breathing into a bag or your hands isnt very effective you cant smell your own breath that well. Has been using into dental brushes. Under Tongue Cleaner. He managed to clear up his how to sex and this is still here
and thats a really fantastic result youre well within the normal range now were not seeing those big build ups of sulfur anymore because weve reduced the levels of oral bacteria its flawless and this is. So cool im so pleased thanks for the information might never have known. Youll be able to kiss your wife again. This is how it takes this can affect anyone so its good to be open and speak freely about the condition its certainly paid off for them to. One of the most dangerous any moves in the world is the most kito worldwide it transmits a lot of diseases some of them even fatal lucky me not here in germany but. Can still be very nasty especially if you scratch. They bug you even if you just want one its already too late since whales andMosquito Bites are often more than just annoying. In tropical countries many species of mosquitoes such as the asian Tiger Mosquitoes are vectors of disease thats long been known but nowadays many people in germany are visiting their doctors for Mosquito Bites as the bites become severely inflamed. Only we see a lot of patients with Mosquito Bites they come in and we can send them home quickly. Within nine days we had six people with infected Mosquito Bites who all had to receive antibiotics. Was bitten on the foot by a mosquito three weeks ago her leg swelled up severely when it got to the point where she could barely walk she sought medical help. I thought going to the doctor for a Mosquito Bite seemed pretty stupid i didnt want to go but i called when it got really swollen and they said i should come by. If an infected insect bite turns red
and gets as big as the palm of your hand. Or if you have a fever and youre on shore then you should go to the doctor. And. Bacteria can enter the bloodstream through the Mosquito Bite from there they spread throughout the body and multiply near the vessels that transport the tissue fluid from the leg toward the heart the bacteria clog the Lymph Vessels the fluid cannot get through the leg swells up and the infection spreads. And thats why you called spock prescribe ten days worth of antibiotics for free. And now the swelling in her foot has gone down whether the bacteria entered the womb through scratching or the mosquito transmitted them its unclear the Mosquito Saliva plays a big role in determining how irritating its bites are and it can vary widely. Why there are more reactions in some years than in others likely depends on the
composition of the saliva changing from year to year no one knows why it could be climate or weather changes. Another guess many Mosquito Bites become infected if farmers use liquid manure on their fields the mosquitoes come into contact with the fecal matter and when they bite aggressive microbes enter the womb. That something new about god knows believes last year his hand swelled up so massively for two days after being bitten by a mosquito that it didnt look like his own hand anymore. If. And i couldnt move it any more not even my fingers then i went to the hospital and the pain was excruciat