Implications for mother and child. Delicious and healthy its the season for rosie. And the best way to treat with. Heres our host dr carsten lake with more. Hello and welcome to you in good shape it can happen every day you work in the kitchen and you catch yourself and then there is this minute and normally this is not a big problem but sometimes the wound can get infected and with all the bacteria inside you risk losing a limb or even your life how to take care of and how to treat chronic wounds probably this is one of the things i want to discuss today with dr wood girlz here at the mouth into the hospital in berlin. It is important that. Operated properly because. Great them and many people dont leave their home because they are scared that something may sight like that they get run over by a car or that dog may bite them all that they may be killed by a falling move tire that doesnt really mean that staying at home is safe and sound. Lots of dangers. It just takes one slip of the knife to slice your finger. Over steen is going to demonstrate how to treat small men juries that can happen at home. To help provide tips on what to do in this situation g. P. Christiana klein explains how to treat small cuts like this one. Its good to rinse the balloon to remove any dirt and then use a paper towel to stop the bleeding or preferably a sterile goals pad if you have one. Because. I understand how long do you need to keep it on as a leading should stop in two to three minutes next up a simple scrape unintentional contact with a rough wall can be enough to constant abrasion you did instinctively applies a cold compress to the wound. To the sure. Its not typical surface abrasion its ok to cool it but then its best to leave it uncovered so it can dry out. Over by itself and. It doesnt take long for the next accident. Hitting your head on an open cupboard door is something that happens to all of us sooner or later. Tend to bleed heavily. Ok as a research is asking first so here its important to press down firmly to staunch the bleeding it should stop after three or four minutes then you can look carefully to see if the scalp is split open in which case youd need stitches. If its just a small room and you dont have to do anything thats a client its. Broken glass in the home is another frequent cause of accidents especially if you walk around barefoot. Which is what ive been trying for ten minutes to get the splinter out as assassins in my leave i wouldnt do that your tweezers arent sterile and we dont know how deep the shard has penetrated just the flesh and i think they were better off putting a bandage on it first then well get a magnifying glass and sterile instruments to remove the glass. Carpets and found otherwise infection looms me im here at the Martin Luther hospital in berlin at the partment for plastic Reconstructive Surgery and surgery and im eating dr autographs thanks for having me today genuinely face the fact you can treat small rooms without even seeing a doctor cant you yes in general can be treated. Without any professional Health Care Provider what are the most common mistakes people are probably the underestimation of them. For example a small. Cut. Destroyed and functional. So its more like the tip of the iceberg you just see a minor cut on the surface and but its deeper and theres some information going on that yes if you dont have the experience to deal with every day it is quite difficult to say ok this is dangerous and should be treated professionally. And the other is not but doesnt mean if you just have a minor cut i always have to see a doctor or some warning signs when i absolutely have to go. Pretty easy. Warning signs for example if you dont have sensibility in the thing are anymore there will be enough cut if you can bend your finger anymore and there will be a tendon detroit. Ok so if i go to my to read and everything works works fine and i want to treat myself to put anything on the ground yes i would take an infection agent like something with alcohol but it burns if thats true. In children on big wounds i would prefer. Another all england with no alcohol and it doesnt match eternity if you can use the gel which doesnt hurt and feels fine and has a different section eight and two in germany theres always a wire discussion if its ok to treat wounds more dry bases of its better to to treat them wet so what do you recommend it depends really on the moon and on the area which you have to treat and for my opinion i would change between wet and dry treatment to reduce the bacterial note and to have a better. One hearing ok good of you christian from vietnam foon wants to know what about teachers that are supposed to accelerate the healing process not to disinfectants but to get a better because there are some ointment which are better than others but there is no point where you can say ok thats thats great that everything will heal faster one more thing what about sixteen nations i mean every wound is prone for the patient to develop tetanus isnt that right yes thats right and the vaccination in germany is quite good nearly everybody has got an explanation against tetanus and therefore it is difficult for me to say if its necessary or not because we dont have. Many occur in the house and in the garden and the germans are always getting their gardens ready there clipping them knowing and theyre cutting and theyre using a lot of helpful and very sharp tools so youre better which will closely if you dont cut yourself. A garden in bloom needs plenty of care and attention. And serious accidents are a lot more common in the garden than you might think. Thats what is going on since i first i had just a small one and just one or two millimeters. I didnt pay any attention to i woke up three days later to find it completely swollen and filled with pus. The causes bacteria such as strap and stuff which live on plants under the soil. Doesnt need to be large even a small scratch can be enough for bacteria to enter the body and flourish. Many seemingly minor accidents and with a trip to the hospital. Unfortunately these minor injuries can often lead to serious infections which worsen when theyre left untreated so we have to play catch up often we have to operate to remove the infected tissue. Christina shewn said pricked herself on a holly leaf while waiting in the garden she never thought that such a minor incident could lead to anything serious. What had. My hands while dried up and was really thriving. There was no break in the skin where you could see pus coming out. But the swelling just kept getting worse. After two days she could no longer stand the pain and went to the emergency room the doctor said she needed an immediate operation. I was really scared it wasnt just a strange sensation i was worried because it happened so fast but tricky for me. The infection was a ready well advanced the surgeons had to remove a lot of infected tissue and transplant skin from her growing to cover the wound. It would often she was really lucky this kind of thing quickly escalates often tendons are damaged and you have to transfer a tendon from elsewhere in the body is in constant octo moms. Christinas hand has healed well and her tendons are also fully functional again. Stefan hype man was helping out in his neighbours garden when he suffered a serious injury he cut his hand while chopping wood almost completely severing us inhofe. In a nine hour operation the doctors managed to sew his hand back together and as soon as he woke up he was able to feel his fingers again the little one and i immediately tried it out and it felt good i was relieved because i thought it was all over venice one of the tents and if a limb is severed you should put it in a sterile or clean bag then put that in a bag with cold water and ice and take it to the hospital thats your best chance of rescuing it. When youre gardening its important to take even a seemingly harmless scratch or cut seriously always wash the wound with clean water then apply an anti septic and cover it with a sterile dressing. And so if it had when in doubt ask a doctor to look at the wound and check if it needs to be cleaned up surgically because ive. Remembered to keep up to date with your tetanus injection otherwise i think parents gardening gloves are the best protection against seemingly harmless injuries by your working outside. Another problem chronic wounds they develop especially in diabetic patients so what are chronic wounds chronic ones which doesnt heal within the medium time like normal ones and why do diabetic patients develop more often especially diabetic patients who have a problem with the muscular system that means that. They dont get the. Necessary blood perfusion in this area so if you treat chronic wounds youre using that special tools like all the machines here what are they for yes this is just diagnostic. Ultrasound. Where we can have a look on. Blood vessels and have a look a few inches and you can see small nerves. On the thing you can see if you can see the vessels also. Very well so you can assess the situation more closely and you can use plastic in treating yes. For treating chronic if we dont get. Off of the healing. Plasma. Its actually its hard yeah. Ok were going to risk you know the energy of that and yeah its melted and if we do use it initially. It reduces the bacteria load it improves the muscular situation and in many cases. And close the times its simply not enough to treat patients conservatively and she would have to go to the operation room and what do you do there in the operation room we start with the easiest way most of the time thats a skin graft where you take some skin from the up on the back and put it on the food and it will heal and sometimes you have to use a free flap yes the flap is a flap where we harvest a big. Part of the tissue could be a muscle it could be fed tissue could be skin with fat tissue and we prepare the best off the graft and suture to the. Vessel thats. The fact so that. The flap gets a. Vascular perfusion you do actually have a patient youre going to operate on and we can accompany you yes we operate on him in a few minutes i think you can do what i. What do we see here what kind of operation is this is a patient with a bad lot surprise with the profusion is not enough anymore chronic. Happened and now we tried to rescue the lulac. With the three flap. You got a few different from the back of the patient yes exactly muscle off the back is now of the leg thing. Going down and the math of. An estimate. That just just to make it clear the muscle is not used as a muslim down there but its more used as something which is beneath the skin exactly feels. The muscle it has got. The function of a blood supply right and over an average of the of the lower leg right and you cannot just take the muscle out there and put it there you have to connect the vessels yes otherwise about after the three to four i want to. Die would die so if you wouldnt have done this surgery. What would be their turn its just imputation of the limb that i turn to would be. Chronic would support not in the end the tissue is getting worse so its and theyre put in the education and so its really a life saving thing sometimes because you could die out of her chronic yes it is a you know that people with im potations. Die early of them really other. Things that i could join your surgery thank you and if youve got any questions youd like me to ask our experts. On one of our upcoming shows well be looking at the problem of hip pain its often the result of wear and tear and the hip joint if you have any questions on that write to us in good shape at g. W. Dot com just write joint pain in the subject line we look forward to hearing from you. The situation of people with h i v aids. This is what every year the World Aids Day reminds us of what many of us not know is that there are more women. Affected than men which is a big problem if in age i we infected woman gets pregnant. I was thirty when she find out that she was pregnant but her elation was short lived during her first routine checkup a blood test showed she was hiv positive her world was turned upside down. The initial dose of her news from home when i found out that i was eight hiv positive it was terrible suddenly i saw no future for myself nothing it was hell pure hell it was the. Many pregnant women come to dr anetta hard at the University Hospital in frankfurt after they get their first diagnosis specialists here know how important hiv testing is joining pregnancy thats killing you can protect the child from infection usually theres also the father the partner and we can check whether hes also a chevy positive if hes a hiv negative he can be protected from infection so at least three people benefit from h. L. V. Testing germ pregnancy i was shocked to protect her son masha is not using her real name and doesnt want to be identified the diagnosis dominated her pregnancy she later discovered shed been infected by a former boyfriend the father of the child tested negative he left her they had been together for two years she still tortured by guilt. It feels like im being punished by god where i come from where very religious devout catholics and im being punished. High for. Women or men who have a chevy have often had unprotected sex with a partner whos h. L. V. Positive thats generally how women who come to us got infected they had sex thats nothing out of the ordinary. List goes on and has. Practically stopped eating despite her pregnancy she was considering having an abortion but couldnt bring herself to after two weeks she mustered up the courage to see a specialist. Theyre not going to have to support the woman by giving her a lot of information right after the test on the same day if possible or the day after detecting hiv early in the pregnancy means we can treat it and we have a ninety nine percent chance of preventing the virus being passed on from mother to child made no in order to put the dick of a shiny card for him and masters family and some of her friends broke of contact the stigma faced by people with hiv is still grace. During her pregnancy marcia spent a weekend with other women who had been through the same thing a beneficial experience one of the events organizers even became her best friend. To see what helps most is to say look ive been positive for so long my children are healthy and im fine the drugs have become so effective that having a hiv is no longer a death sentence toward us or tile male. Also took medication to ensure the virus wasnt passed on to her child that reduced the viral load in her body to undetectible levels i meant she was no longer infectious to further minimize the risk she had a c section although thats no longer absolutely necessary. The important aborts model the recommended means of giving birth for women who are hiv positive is normal birth to syrians are no longer done as a matter of course however thats only the case if the pregnant woman has been diagnosed and treated at an early stage darkness that hundred forty. Child alexander was six weeks premature preterm birth are not more common among hiv patients in marcias case preterm labor was probably triggered by the stress that she was under. I saw him lying there so small i took him in my arms and that was great. It was wonderful i cried with joy tears of happiness. And then came the question is he healthy. On does a common its possible to answer that question at a very early stage when the babies are three months old we can tell whether theyre definitely not a child be positive and masha decided not to breastfeed her child as a further precaution. And alexander was given a hiv medication to for several weeks and then the front. News alexander is perfectly healthy hes thirteen years old now and still doesnt know that his mother is a tie the positive she doesnt want to tell him just yet to protect him from any risk of discrimination and she herself needed years to accept the diagnosis. They said that i thought i wouldnt be able to cope but i have and that makes me really happy so the sun is coming back out but you have to be patient thanks to the antiretroviral medication and the support of her friends mushers doing well both physically and emotionally and shes looking forward to the day when she can broach the topic openly without fear of stigma or prejudice. Rosales are beautiful its even said that the roman goddess and her d. D. Was so beautiful because she regularity consumed roses and even nowadays hollywood stars use most of all it on a regular basis like. I did smoke all about beauty theres a lot more install than just good looks being. On the guided tours of the cars style herb farm in northeastern germany rose hips are always one of the highlights in the fall and not just with the goats. Both the red skin and the seeds of the rose hip can be beneficial and have long been used in herbal medicine. The fruit can help with stomach complaints while roasted tea is thought to be good for some kidney and bladder problems. To touch sure and im happy i love the intense color they have in the fall and of course the great and cheese i always think of receptions being healthy. The red color comes from the pigment lycopene and antioxidant that may help ward off cancer hardening of the arteries and other disorders and rose hips are also full of vitamin c. Herb farm owners and that not abortion visitors how to pick them. This one is a fine specimen nice and big you just remove the remains of the blossom like this was almost all so in theory its possible to use the entire rose hip but many recipes recommend first removing the hard since inside and. Its quite easy but if you have a lot of rows hits you can just imagine how much work that involves and it makes your fingers itchy one thing on this list is a rose hip t. Can be helpful for a cold its a good idea to first pound the fruit lightly that ensures that all the. Answer released into the water. Then add some report planting which is good for soothing a cough and gives the tea a slightly tart taste. As the rose hips only produce a light yellow color not a bore sometimes likes to add some black rose hips for a variety. Added to vinegar the colors especially appealing. If you want to make a move or a rose hip preserve you can soak the fruits in cold water overnight that softens them up then they only need to be slightly warmed the next day that preserves the vitamins. So for rose had jelly you just take the juice left after soaking and boil it up together with preserving sugar to spice it up you can add a little lime juice honey and oregano. You could also use mint or lemon bomb or whatever if youre feeling adventurous you could try time thats also very tasty. Tasty and healthy as well. Thats it for today for more information about health and fitness please turn two off Facebook Page see you again next week and until then thats all try to stay in good shape. One tree God International talk show for journalists discuss the topic of the week the question of german politics now is how stable is the country following the dramatic breakdown of coalition. Will that be fresh elections and how dangerous is the crisis for. Find our own country. And the pressure. That i speak your language talking about. For content in dari pashto. Prospects for returning power with special. Needs like germany and the prospects for those returning home. Join the discussion on t w dot com and on facebook. Prospects. For returning. D. W. Maybe for mine. As you know when you come to learn from but and but the right to our correspondent news in central istanbul im joined by the helicopter you know his Political Correspondent on those stories in just a minute but first this news just in its all about the perspective closer d. W. News for us and. Theyre black and living in germany. Shes reminded what that means on a daily basis presenter john up i guess not being able to blend in and i was. Taking a Holiday Group and being you know different than the rest. She traveled across germany to meet other black people and to hear their stories. Its that. I grew up in a white family in a white neighborhood it was definitely a challenge. She decided to put me up for adoption. So the main thing was to keep your head down and your mouth shut of course of the face like this i could never completely disappear if you see all these stereotypes about africa its good to see you. Do something for your country but youre still the black guy with an. Afro germany starting december tenth d. W. This is do we do is live from berlin finding Common Ground germany tries to break the political down