Transcripts For DW In Good Shape 20240713

And heres your host dr constantly tops. Imagine me writing this bike 3 times around the world i would surely have to see a mechanic to get a few paired sometimes not so hot and this is the distance our blood to travel is wrong in our bodies have or at all times because our optimism veins have a distance of more than 100000 kilometers and this is not all our blood down as it helps us doctors to diagnose certain diseases sometimes even before a patient gets symptoms. And thats why im here at berlins that today this is where 65000000 lots and lots are examined every year the scientific Director Office all this talk of talk he knows everything about not he will tell us how a few drops of it can tell us everything about all heart losers keep. Not testing is an essential part of modern medicine. Discovering more and more of the tell you is doing research at the shuttle Team Building on how to take tensor in the stage or to specifically targeted. Nowadays where you go to treat Cancer Patients literally with the help of the biopsy. For instance does blood was like aspirin is for us today it was a cure for many things like behaving in blood against leprosy or drinking fresh schuman blood against seizures or just think about black it to get rid of all the evil forces in the body well blood is not that creepy any war but its amazing what blood can do. The heart continuously pumps blood around the body up to 10000 liters flow through its chambers every day enough to fill 50 bathtubs. The largest artery is the aorta and it says thick as a garden hose while the tiny a thinner than a human head. They form a kind of transport network. And blood is the bodys Delivery Service it supplies the cells with everything they need like sugar ion fat oxygen and hormones. Blood flows through the arteries at speeds of up to 2 meters a 2nd. And on its way back to the heart it brings waste products from the body cells like c o 2 and urea. More than half the blood is made up of plasma which is mostly water. Some of the bloods components are made in sight the bone. They yellow marrow contains humans hope by attic tissue billions of new blood cells are produced every day the different types of blood cells start off a stem cells through a process called cell differentiation they become white blood cells platelets and red blood cells and they all have completely different jobs. Blood platelets prepare the wounds white blood cells such the body for dangerous viruses bacteria and toxins certain white cells called plasma cells produce up to 2003 bodies a 2nd they target foreign substances in the body known as antigens to neutralize or destroy them red blood cells contain hemoglobin which binds to oxygen this is how blood gets its red color the more oxygen it contains the brighter the red. Blood is sometimes referred to as a liquid organ which is no exaggeration considering the many vital functions it performs. Im here with professor would have told by hes the scientific director of berlin left thanks for having me today its a pleasant. Laugh physicians and the blood specialist so whats so fascinating about blood well a lot is a peculiar fluids a very very complex mixture and it reflects like a mirror or a Looking Glass the condition of a patient both pursue respect to health and disease and we can find out a great lots of informations about the patient so are there any alarms sides that you can see in the blood before the patient even have still symptoms yes you address the matter of early diagnostics or what would even be better of prevention in germany we take a chinese drop of blood from a newborn child and any law use it for markers of severe diseases there are new methods in the lab like aspect of the tree where do you use miles between the 2 for. He used in a clinical lab is a quite new development and mass spectrometry allows the identification and detection even of molecules which have been to this state unknown of cause when the patient takes a rock which has the potential side effects its essential to monitor the concentration. And since to date many new drugs are happily for the patients benefits introduced into therapy its essential that we in the lab able to detect and to quantitatively measure these new drugs and this is feasible by the use of mass spectrometry are there any tests that everyone should take essential tests include for instance cholesterol since cholesterol is a real important risk factor for coronary Heart Disease segment i would recommend to do basic testing for liver diseases kidney model function i would have a white and red blood count and 4 female patients i recommend to any law is the are in concentration the lot so if you dont want to see your g. P. There are some companies that offer blood tests over the internet what you think about this i personally have my serious reservations about not testing over the counter without see it why is of a medical doctor or a general practitioner the reason for this is that the test result must be interpreted and evaluated and this requires medical knowledge. Its the interpretation of the sentence to link the tests for solids with the personal history of the patients the medication the symptoms and other medical conditions and this is really important to come to the right conclusion based on the tests for soft always see you trape 1st except you know when the 1st blood transfusion was performed it was 1492 when the pope was sick so he needed fresh blood and he was given that from 3 Young Children unfortunately 3 children died and the pope didnt get well the transfusions and routine procedure in medicine but theyre not the danger. Is about to have bypass surgery its a procedure with a high risk of blood loss and the heart of his understandably worried. 35 inch or so scott. Its Standard Practice to have blood reserves on hand during the procedure but the doctors here at the university in frankfurt are taking a different approach. Because of whats a warning to us as major operations are a bit like running a marathon so we get the patients ready the way people prepare for a sporting challenge. In terms of hemorrhaging him a globe and plays a big role due to the higher the hemoglobin levels the head of an operation the more of a buffer you have if they drop during surgery. Thats the key factor in deciding if the patient needs a blood transfusion thats why the patients blood is fortified with iron before surgery and doctors establish if theres any likelihood of a coagulation disorder because a transfusion is always a risk. Of blood transfusion introduces a range of foreign cells its comparable to an organ transplant and hows immunological consequences fictive. Even a transfusion from the same blood group doesnt rule out a defensive reaction like fever hemorrhage or nausea. But we know that you can give a patient too much blood and overtaxed their circulation it could even cause a poor man or a d. M. Or so its extremely important to be very careful and only give the patient the exact quantity they need. Bookkeeper in addition its better to err on the side of caution hospitals have developed patient blood management programs to prevent blood loss during and after surgery for example doctors can use whats called cell salvage during an operation thats a way of collecting the blood lost during the procedure. It can then be infused back into patients if necessary. They are also kept warm with heated blanket its. Keeping the patient warm helps optimize blood coagulation so the patient loses less blood germ surgery something to go to 36. 00 degrees is the baseline temperature for blood platelet function platelets react to bleeding by clumping thereby initiating a blood clot researchers at the University Hospital in frankfurt have developed a small heart lung machine that helps limit blood loss after surgery lost can also be limited by taking smaller amounts of blood during tests. Nation blood management programs can help pasta. Cut blood transfusions by 50 percent. They also ensure that hospitals have sufficient reserves for patients such as was left which we definitely will need donor blood. And with windows there weve noticed that your hemoglobin levels are on the low side to meet. Him. She requires a transfusion after her hip operation for some patients it can be a lifesaver so every drop of blood matters. Im still in burlap with professor talbot. Black is also very important for the diagnosis of Rare Diseases can you give me some examples yes this example is for near a kettle no rear it is east caused by this order of amino acid metabolism children affected by that is suffer from damages of the brain and suffer from mental retardation if that easy is is diagnosed early enough that children can develop normally through a diet and all this can be diagnosed from a very small drop of blood. If there is Something Special about. It is that its very closely connected to research can you leak some secrets what kind of research is going on yes. We are working quite hard. To improve analytics of raw a lot spots this means. A drop of blood put on to a small paper card and try it and it will ask why we are doing that the reason for this is that it may be difficult to transport liquids plot samples in some areas geographical regions. And its much more easy to transport a dry lot spot on a card in an envelope put into the mail the 2nd example is analytics and diagnostics to detect and to monitor or model function of Kidney Diseases or at Kidney Disease and here we develop new markers which allow and facilitate to properly estimate the degree of kidney malfunction many of my patients ask me if its possible to detect cancer in the blood so is it possible well Early Detection of cancer in the blood is a real challenge. And with the exception of prostate specific antigen p. S. A. To my personal view we have no screening chil marker which allows Early Detection of cancer but there are prospects that we will be able to develop such tests based on genetic or and epi genetic testing on bio chemical testing and possibly also based on liquid biopsy thanks so much for this interesting talk thank you it was my pleasure lets take a closer look on the test called liquid pipes. Get it from client you feel a little jam but you know that already taken essential. To book so has come for a checkup. So just 2 more and were done. The blood test spares Cancer Patients are paying for a risky procedure to extract tissue from the tumor a standard biopsy wasnt an option for her anyway. Isnt. There in such all quit positions in both the lungs but theyre hard to reach. She hopes this liquid biopsy will help or switch to a targeted medication and come off chemotherapy which affects the entire body. And i felt awful at the start the chemo wreaked havoc it really affected my blood values. The clinic thats treating belongs to a network of experts by testing the tumour d. N. A. In the blood samples they can often determine which subtype of cancer the patient might have targeted medications have been developed for certain types of the disease including. In this. We might be able to give you medication in tablet form. But so far the medication has only been approved for Ovarian Cancer not for a tumor and the long. One day an oncologist will treat pretty much every type of tumor regardless of whether its Breast Cancer or Ovarian Cancer or Something Else the aim is to characterize tumor cells more and more precisely and to develop more drugs that allow us to move away from chemotherapy. That would be of great benefit to patients who would have less hair loss or other side effects all the problems you otherwise get dont happen when the therapy targets only the 2 marcels which helps patients quite a bit. Has been having chemotherapy for 5 years now and she still has her ups and downs. Chuck i have a lot of support from my family my husband my daughter my grandkids they always pull me back up when im feeling low. Manage mother and. Shes hoping the drug will soon be approved for her cancer too so she can switch to the targeted medication. Im gives dr claudia photographed at the Berlin Charity and you are performing the socalled liquid pipe see what thread currently modified asterix the star tissue socalled sections of pirates least. This collection and that can be difficult in patients with poor general conditions like Cancer Patients and status and now they still have the option to do this analysis and others off to more south Genetic Information on because biopsies so that means youre taking a blood sample of the patient and youre looking for d. N. A. You know if that yourself right we start with a collection off a little mound of a lot that we isolate the d. N. A. Of from the patient which contains the Genetic Information of the benign cells and also information of yourselves what kind of information do you gain from the spot saying actually were looking for resistance mutations so this means were looking for changes in the Genetic Information of the tumor cell which lead to probably a progress of the tumor in the patient and so that we can change the therapy of the patient accordingly so does that mean that it helps you to find the right kind of. Just for me its a bit of both so actually we have of course hope that we can change the fairest of patients. In order to have a better chance for the patient and other any other advantages of this method one is that it is minimal and there is nothing so you can probably do a kind of money touring for the patients you can collect the blood. In serious and if the resistance of cures and you can do it many times before you see a change in probably c t r m i t. Right now youre performing this kind of examination of tumors so if you look into the future with other tumors you can do this examination you know this is a very promising method and very valid so we expect to have this kind of analysis for Breast Cancer and very near future thanks so much for the interesting talk this is a very modern method doctors are doing with the patients blood but doctors have been taking that from patients for centuries and theyre not just tweaking it theyre giving it back to the. Autologous one therapy is the treatment of disease by using a patients own blind. Funds to begin with i found it a bit spooky the idea of having my blood taken twice a week and then getting it reinjected over a fairly long period of time. But claudia hoff gave it a try she suffered from herpes for a number of years and kept on getting blisters forming on her back at 1st she tried a conventional approach. As if it was my dermatologist prescribed antiviral drugs which i was supposed to take for 3 months. But fairly quickly after a few weeks it was obvious i wasnt tolerating it well. As i was is familiar with the problem antiviral drugs can be an effective treatment against her peace but hes also found that for some patients alternative treatments work better so just gets blunt therapy something hes researched himself at the shop at a hospital in berlin. Says that if i was in the crowds this is for Cancer Treatment that dates back to antiquity in the past it was seen as magic the significance of blood also played a role nowadays autologous blood terror being also called also him a therapy is used in alternative medicine as a stimulation therapy designed to alter our modulating immune system. Was a says im someone who show. It affects my whole body and some copper the last of the knives. Cloudy off began the treatment in the spring to start with samples of blood were taken from a vein in her arm over a period of weeks. Each time the blood that was removed was then immediately injected back into her gluteal muscle with a 2nd sterilized syringe with no additional processing. The whole blunt there of being involved gradually raising the dosage to 5 millimeters per session then reducing it again. How exactly does the therapy work. Because i was. Going to be fresh blood drawn from a patients brain and reinjected into their muscles triggers a complex immune reaction that the details of this reaction have not yet been fully researched and understood but the reaction is triggered over and over we can boost it further by increasing the dosage which boosts the stimulus to. The cereal application gives rise to a sort of training effect that stimulation the immune system and thereby improving the bodys immune competence its also a regulation that the want to put into. This couple of. Studies appear to confirm the efficacy of autologous blood therapy. Given. Its a few studies have shown that its effective in treating hives or to cardio. Is good there is new research from a bomb for example that shows the pair of b. Is also helpful with chronic fatigue. A clinical observation study at the shocking taney has also shown that its effective in treating herpes and the positive effect is still apparent a year after the treatment thats encouraging news for claudia hoff. Other forms of the treatment and follow some change to the blood before it is reinjected such as oxygenation ozone nation or the addition of homeopathic remedies designed to further stimulate the immune system as yet there are no scientific studies on this. During and after the antichrist blunt therapy cloudy hearts condition did improve a bit she gets here blisters and they also clear up faster. I felt very good during the treatment. There was a positive experience much more so than i would have expected. That positive effect could be further boosted by a refresher round of treatment the treatment should always be done in a specialized practice hygene is of course essential. Cloudier hoff has in the meantime decided to go for a 2nd round of on thomas blood therapy. Which. I can see theres been a change so i feel it was worth a lot and found there was nothing spooky about it at all. Theres still no scientific proof that alter him with a repeat works so if you want to have a go with it 1st check with your g. P. Like us g. P. s always like your questions like i do. In good shape youre a Weekly Health show on d w that covers many aspects of health care we look at whats new in medical treatment nutrition fitness and beauty we discuss these topics and depth with specialists and offer you opportunities to pose your own questions so get in touch. Thats enough for today see what i freak and until then lets all try to stay good check. Passengers here are in for a ride. Drivers here need nerves of steel. While passengers here can get an eyeful along the way. Taxis accommodate passengers aboard the world. Thats my. Feeling. Good news crime fighters are back africas most successful radio drama series continues this season the stories focus on hate speech cholera prevention sustainable charcoal production all of a sows are Available Online and of course you can share and discuss on africas Facebook Page and other social media platforms. Crime fighters tune in now. Beethoven is for me and. Is for you. Beethoven as for health. Beethoven is for. Beethoven it is for the. Beethoven is for us. Is for every one of. Beethoven 2020 of the 250th anniversary here on deal here. Have fun in pyongyang. The capital city of north korea is reinventing itself. But only a few can enjoy the benefits for those the regime allows. Kim jong un introduce any insidious reward system to coerce allegiance to the regime. Play those who dont make it into the fun metropolis are often king and tucker. Have fun in pyongyang starts feb 28th on w. Player. Play. This is news live from berlin is the west winning or is it weaker well it certainly depends on who you ask at the Munich Security Conference happy to report that the death of the Transatlantic Alliance is grossly over exaggerated totally on the moon when i look at the world as its being shaped and thats the theme of your conference this year there is indeed a weakening of the west looks you dont like us secretary of state like pompei oh and french president and then you think very different pictures of the western allies