A gift of life yes you heard correctly sometimes a person can only so wife if someone else dies and donates his organs doctors can transplant a lot of organs like the heart lung and other vital organs or Something Like the hens eyes and even the face great medical achievements but theres another side to it its a question of to donate or not to donate thats an ethical question. If you like me and you want to find out more about this topic so come with me into the German Health center resembling and meet dr felix should not im sure hes curious about all the questions id like to ask him. Organ transplantation can save lives and can provide our pay. A nearly normal life so get informed. Our failure is when the hardest not able to pump enough blood through the body and in severe cases only a heart transplantation can save the patient and that doesnt only affect old people. Kept from that name so ive had an organ donor card since i was sixteen years old. And. Had him and i never dreamed that one day id need an organ myself. Ellen was in her early thirtys when she first discovered she had a heart problem but with the aid of medication she was able to lead a normal life. She got married. And the couple adopted two children. Tied with ted emotionally things gradually got worse and worse it was becoming increasingly difficult to breathe and i found i could do less and less so in early two thousand and eleven i went to the hospital to be put on the waiting list for a transplant. Examining her we found she definitely qualified for a transplant but her general stated to rigid just such an extent that we knew we couldnt wait years for a new hard to become available. And how to become part. Put on the emergency list for which the waiting times are shorter patients are only put on this list if their heart is so weak that their life is in danger. All of the old english cats want to be on the emergency list you need to be on high doses of intravenous drugs and already have working damage so the liver and kidneys have sustained damage and you mustnt leave the hospital in fact you need to be in intensive care youve got to worry but ellen refused to stay in hospital even though that meant losing her place on the emergency list she was determined to go home so that she could spend time with her children possibly for the last time. But it didnt last long a few weeks later ellen was back in hospital. And then had a cardiac arrest fortunately there were doctors in the room and otherwise i probably wouldnt have survived. It was days before she came round after that visits with the children were rare. Finally she was given an artificial heart to support her own heart. Otherwise she wouldnt have survived the waiting period for a donor. Has been there and you know often im an engineer myself so i studied the device carefully and felt comfortable with it its just a question of attitude. That. The artificial heart meant ellen was out of immediate danger her plan was to stay at home while waiting for a heart transplant but an artificial heart isnt suitable for long term use helen developed life threatening infections and had to go back into hospital where she got to know other heart patients. When you go walking before if i had a few weeks before i got my new heart there was a boy there who didnt make it. That was very upsetting. Should i see me. In june twenty twelve ellen was finally given a donor heart and underwent the operation. Now she can once again make plans for the future. She bought a field and planted some fruit trees. She found she had regained her strength. I am going to School Together now i can move around freely in nature and i can climb stairs again and play catch with my children all these things suddenly become wonderful experiences. Ellen often tells her story at information events on becoming an organ donor she wants to raise awareness so that more people can make an informed decision for or against becoming an organ donor. I dont want to take anything away from anyone if someone has problems with the idea if theyre afraid and its better if they take their hands within it are gonna get i mean. No one can predict how long ellens new heart will continue to work well shes hoping it will hold out for at least another twenty years. Here at the German Health center in berlin dr feeling sure not into patients to temporize the hi thanks for joining us today very young youre in your late twentys and you suffer from heart so what happened. About seven years ago i was started nose with myocardial inflammation after a lengthy cold. And for seven years it was everything all right just with medication but no you wearing it says device official heart. So into your situation decrease when it gets worse the glass in the summer and hows life with the distances to us moving at the moment its fine you get used to it. So the patients suffer from them i could die just so its that information of the heart muscle but it is the most common cause over weak heart know it is the most common cause worldwide to scorn arteries and discourse is called infraction and Heart Failure as a symptom comes off the caught him functioning his so called infection and one of the main symptoms for a patient that they know that they suffer from card main symptoms shortness of breath thankfully saudis are the most calming common things and then they go to a cardiologist and they perform an ultrasound and they could cut your graffiti thats what you do with this patient exactly so so can we take a look at his heart of course so you have left heart and a normal patient you see the left heart muscle contracts and and. It injects approximately fifty to sixty percent of the blood each stroke but as you can see here mr piousness ultrasound the hardest approximately ten centimeters large and it exacts barely nothing and what is normal size of the heart normal size of the heart is depends if you know men or women out five to six centimeters so the head size is double that size of course. And the problem is that if the heart doesnt inject enough blood you have for the shortness of breath that of course that was why this is one of the main symptoms that just about the assistive eyes is not a permanent solution youre just buying yourself time to get into a trance but listen of course especially in younger patients its just a bridge to transplant situation. Mr puzzler was in a transplant list already before and the high urchin status but due to further decline we had to implant insisted as of now as you said just buying time to transplant him hopefully very soon so youre just waiting for help right now and if youre looking at a donor heart and theres some special requirements you have to watch out for an individual patient its very important that it measures inside as an employer type but if you look at it hard in general or the things we said before it its important that there is no coronary Artery Disease no birth disease and no my diet is in the donor heart as well theyre going to be a healthy organ of course and one of the main reasons is that the body rejects the door to hard so its a whole can you cope with that risk is a very important aspect and for this we have luckily immunosuppression since to you live in the eightys we have immunosuppression the cycle sporran and other trucks and therefore we can achieve further long term survival for heart transplant that exceeds twenty to forty years really and what about life quality with the donor hard life quality in general is very good. So you can do all the things that Healthy People and also you can trouble you can work you can found a family so everything is very well if you look at that exercise capacity this is approximately eighty eighty percent of healthy patients so whys that thats because the heart is generated to be do not transplant a nerves together of the heart and therefore the capacity goes down to approximately eighty percent so the heart is not the full capacity to to react on certain stress like running just right so around things again but time will go by faster. Than the. Doctors worldwide complain about a shortage of donor organs and one of the reasons is that the family members are the ones who have to make difficult decisions. This one im not because i was a jew its real but it was a bizarre situation you could see that she was still breathing that mind but you could hear her heart you through the life support machine her body temperature was normal when you touch her you felt that she just needed to open her eyes open off again. That made the decision all the harder the doctors said hell a good deal with dead her husband and sons found themselves faced with a question that she had never thought. In two thousand and twelve she suffered a stroke after four days in intensive care the doctors determined that it was brain dead they asked the family if they would donate her organs. Your first thought is but is she really dead is this absolutely final hooted or could there be a glimmer of hope. While they wrestled with the decision remained on life support the problem was that her family she still seemed to be alive if. You happen to disclose you want me to talk to the doctors about how did you are when your brain dead on toward. Your distorted they told us that the life support machine was simply keeping her organs alive. But that brain death really is death that to me was the hardest thing to accept when it came to agreeing to donate her organs i dont think its. Eventually the family agreed in some cases relatives can come to regret their decision but the beales never did. Finish that was really partly thanks to the great advice and support we received both from doctors and counselors they spent a lot of time with us and took the trouble to explain the situation at length and answer all our questions. And so i knew then there could no longer be any reasonable doubt that she was brain dead. And we knew that was final there was no hope. Her condition would never change to go to court to do this so strong this could be from run against rich deeply religious order to me the fundamental question was who does my body belong to and do i have the right to refuse to donate organs in a situation like that you didnt force or tie a knot as my will is it up to me to decide what to do with my body for the brief time we get to spend in this Wonderful World of immunity provision but im not sure if we talked about this aspect at the time but that made it easier for me to make a decision. Because i agree with you both with both of you the main thing was that the organs of our lovely mom might help to relieve someone elses suffering or even save the life im going to not mention last so im leaving garnishments and one thing on for. A large time going to. Present at about Twelve Thousand people here in germany alone awaiting for a donor organ and some of them die while theyre waiting can you do anything to improve their situation. As we have seen before in patients waiting for heart transplant we have an opportunity to implant in the system bias to preach to situation in patients waiting for kidney transplant we have the opportunity to do dialysis and patients waiting for lung transplants we have to opportunity to approach them and copper a man print oxygenation until we are able to implant a new line on the donor side many patients have scruples to donate their organs they fear malpractise of the think theyre there but therefore education and information of relatives is very important and is one of our key issues to inform them in many countries and in germany people have to be dead to be donors of organs and this is called clinically dead or brain dead but does that mean. Brain dead means that there is an injury of the prain that is so severe that there is a complete loss of function of the train and the situation has to be irreversible but some people question that being brain dead means being dead which is said to them. At first its very important to be very rigorous with this diagnosis of brain death so you have to meet all these criteria we mentioned before but if you will meet all these criteria then. From all we know you are dead and its irreversible. We got a lot of your questions robbie networking from australia wants to know if there are two transplantation. Ted turner tips for trying to transplant patient especially in end stage heart to seize for elderly people there this Heart Failure most of the occur is this ventricular assist device so this is a kind of destination therapy to call it destination therapy because you can live for such an assisted bias for six seven maybe eight years for them its an eternity but. Up to now we dont have total artificial hearts this implantable we dont have we dont have them as a test as a destination therapy we have them but only as a pledge to transplantation what about artificial organs like growing organs in the lab this is a question of thomas vitamin from italy. Its a very important and very interesting aspect in science in our day this Tissue Engineering and of course we are able to engineered tissue for like skin or for heart but to engineer a complete organ like a heart is not possible up to now ok young jones from the United States where the donors character is passed on to the heart recipient. The heart if you see it from more mechanic point of your is just a pump that pumps to plot for our body and the character is not transplanted together just as the heart of the soul yes right cohen from brazil once you know whether the immune suppression can increase the risk to get cancer yes immunosuppression increases the risk to get cancer especially in the long term situation therefore regularity checkups for cancer are very important especially skin cancer thank you for inviting me into your clinic and if youve got any questions you like me to ask our experts who writes we email. Upcoming show well be talking about me. Surgery seems unavoidable what options are available if you have questions about that send an email to invert shaved head new dot com and write me in the subject line. Forward to hearing from you. I tell you every single show working out is good for you but if you dont want to go into a gym why dont you use the biggest Fitness Center you can find your own city. With. Some back onto your heels. Lydia eschenbach is a personal trainer in berlin her specialty is working out in the open air. If i often run through parks and see a bench and think oh i could do some pushups there and here is a low wall that i can jump over. Can turn a park bench into a mini fitness studio. Doing four of her exercises between thirty and sixty seconds at full steam improve circulation and thats great for toning your stomach legs rear and our muscles. To back. Us we have got to mark them as and what we just did is like circuit training first we did some did then jumps alternating with lunges one muscle is always relaxing and so you can continue training without taking a break from the poles and lots and go. Climbing stairs also provides an opportunity for an intense workout turning the city into a gym allows you to discover all kinds of unusual exercise opportunities. Its like being a kid at an adventure playground. Plus off your school so its especially tough very good my sense is some people would probably be embarrassed to work out in public like this what do you think the spanx is up to a foul mouth in my experience you actually tend to motivate others they see you and think oh thats a good idea. That good idea has been turned into a lucrative Business Model for around twelve euro zone our you can terminate yourself in an outdoor boot camp theyre now available across germany circuit training with a few props in the Great Outdoors see a team here you heart of a teen and youre always being pushed by the others or you push the weaker ones and i dont see how Dystrophy Association with. My fitness. Its helped improve my fitness ok i noticed the difference after just four or five weeks definitely an improvement but you have to do it once or twice a week before. The workout pushes everyone to their limit so once theyre finished theyll be glad to use a park bench as a spot to just sit and recover. Ok let me tell you the facts for having me along by good luck. Lets get to the next topic toenail fungus its not only our glee it can destroy the complete toenail and its very painful so how can you prevent it and if you have it how can you treat it. We all want to help feel good looking nails. But sometimes people think its necessary to cover up an unsightly secret. In the community of customers who have nail fungus but dont realize it because the condition of the nails isnt too bad yet you might just see a patch of yellow. In germany alone an estimated ten Million People have toenail fungus more men than women but how do you identify it the question we put to dermatologist dr melanie hart month. And usually starts in one corner the nail starts breaking off or becomes thicker or turns white and brittle. The fungus feeds on carrots and found in the outer layer of the skin the more it eats away the more porous the nail becomes. Most people pick up the infection in the Swimming Pool but warm down patmos he offers ideal conditions for the fungus the same applies to sweaty sneakers. Nail fungus is very un sightly but thats not the only problem. As a bad thing about now from this is that once youve got it theres no way it will disappear on it sounds so theres no point in waiting. So you need to. But how chemists tend to sell all kinds of remedies for tackling nail fungus from the outside but are they any good. We take our purchases to show dr hartmann how about fungus killing nail varnish that you apply twice a week. Mr i mean its not effective if the fungus is really advanced and much of the male is affected or if its underneath the now because then the varnish doesnt really get a. Young womans contain in your ear dissolve the parts of the nail that have been affected does this good guy i mean there are suitable for patients with very thick nails theyre good as an initial therapy before a varnish is applied to make the nail a bit smaller for of so. Finally there are water soluble vanishes that need to be applied every day dr hartmann believes that the best method. You know. They penetrate deep into the nail getting into the corners and the places where the fun this is located. But any treatment with creams or vanish requires discipline it takes six to twelve months to eliminate the fungus and its important to consult a doctor. Can i was you have to clarify whether it really is nail fungus i mean there are other conditions that can also destroy the nails. If you have lots of nails affected by fungus you may need to take tablets but these can have an impact on the liver and the kidneys. Now theres a new treatment