A gift of life yes you heard correctly sometimes a person can only survive if someone else dies and donates his organs doctors can change 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 youre like me and you want to find out more about this topic so come with me into the German Health center here in berlin and meet dr felix not im sure hes curious about all the questions id like to ask him. Organ transplantation can save lives and can provide our patients and 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 heart transplantation can save the patient and that doesnt only affect old people. Captioned that means ive had an organ donor card since i was sixteen years old. And. Its had to mean 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 before examining her we found she definitely qualified for a transplant but her general stated to tear it to such an extent that we knew we couldnt wait years for a new hard to become available. On 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. To be on the emergency list you need to be on high doses of intravenous drugs already have worked in damage so the liver and kidneys have sustained damage and you must leave the hospital in fact you need to be in intensive care if thats all you but ellen refused to stay in hospital even though that meant losing her place on the emergency lest 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 some otherwise i probably wouldnt have survived. It was days before she came around after that visit 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. In their engineer often im an engineer myself so i studied the device carefully and felt comfortable with it its just a question of attitude i think. 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. I should i mean. 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 mean she scored again 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. 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. You know you must think i dont want to take anything away from anyone and you know 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. Im here at the German Health center in berlin dr felix youre not into patients to talk last night thanks for joining us today from a very young youre in your late twentys and you suffer from heart so what happened to whom about seven years ago i was diagnosed with moral cardio information after a lengthy cold. And then for seven years it was everything all right just with medication but now you wearing it says devise an artificial heart. Into your situation decrease when it gets worse but the last december and hows life with the dismiss is 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 the information of the heart muscle but it is the most common cause over weak heart know it is the most common cause worldwide arteries and discourse is called infarction and Heart Failure as a symptom comes off the cotton function. Called infection and what are the main symptoms for a patient that they know that they suffer from the card many symptoms shortness of breath thankfully team us saudis are the most calming common things if you left heart and normal patient you see that the left heart muscle contracts and and it injects approximately fifty to sixty percent of the blood each stroke but as you can see in mr piousness ultrasound to heart. Its approximately ten centimeters large and it egypts barely nothing what its normal size of hard normal size of the heart is depends if you know men or women out five to six centimeters so the health size is double its size of course. And the problem is that if the heart doesnt inject enough blood you saw for the shortness of breath that of course that is why this is one of the main symptoms that just about the assistive eyes is not a permanent solution youre just by 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 stages but due to further decline we had implanted assistive eyes and now as you said just buying time to transplant him hopefully very soon so are you just waiting for help right now and if youre looking at a donor heart and other some special requirements you have to watch out for an individual patient its very important that medicine science and implant type but if you look at the heart in general or the things we said before it its important that there is no coronary Artery Disease no birth disease and no myocarditis of the donor heart as well thirteenth to be a healthy organ of course and one of the main risk is that the body rejects the donor hard so as a whole can you cope with that risk is a very important aspect and for this we have luckily immunosuppression since the early night in the eightys we have immunosuppression of cyprus boren 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 heart life quality in general is very good so you can do all the things that Healthy People and also you can travel you can work you can find a family so everything is very well if you look at the exercise capacity. This is approximately eighty percent of. The patients so. Thats because the hartenstein are weighted to be do not transplant the nerves together with the heart and therefore the capacity to approximately eighty percent of the full capacity to react on certain stress like running right so right now you on the list for transplant how do you feel. This so far i feel ok im going to want to get back home and im in familiar surroundings again but time will go by faster. Than the. Doctors were complaining 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. On. This one and not just because i was a jew it was a bizarre situation you could see that she was still breathing that mind but you could hear her heart really do the life support machine her body temperature was normal when you touch her you felt that she just needed to open her eyes. That made the decision all the harder the doctors said hell a good deal was dead her husband and sons found themselves faced with a question that she had never thought a lifetime. In two thousand and twelve she suffered a stroke after four days in intensive care the doctors determined that healthcare bill was brain dead they asked the family if they would donate her organs. Your first thought is but is she really dead or is this absolutely final whod 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 toward. It is to order just as 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 socially. Eventually the family agreed in some cases relatives can come to regret that decision but the bills never date people often wish that was really partly thanks to the great advice and support we received both from doctors and counsellors they spent a lot of time with us and took the trouble to explain the situation at length and answer all our questions. For mission. 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 uses some stronger script for me to run against refusing the shift 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 foresee a time as small as it up to me to decide what to do with my body for the brief time we get to spend in this Wonderful World has been managed by the shop at the office but im not sure if we talked about this aspect of the time but that made it easier for me to make a decision and child involved because i agree with you both come 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 their life going on or mention lost levens on the schmaltz and on a thing on for. A large chunk on to. A. Person at about Twelve Thousand people here in germany alone are waiting for a donor organ and some of them die while theyre waiting can do anything to improve their situation. As we have seen before in patients waiting for heart transplant we have the opportunity to implant an assisted bias to preach the situation. In patients waiting for kidney transplant we have the opportunity to do dialysis and patients waiting for lung transplants they have to opportunity to preach them and copper a man print oxygenation until we are able to implant anyone on the donor side many patients have scruples to donate their organs they fear their practice of the think their doctors are taking their organs away and theyre not there yet so we understand their reluctance of course we understand this and inside he is a very important aspect but therefore education and information of relatives is very important and is one of our key issues to inform and 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 what 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 this situation has to be irreversible but some people question that being brain dead means being dead what you say 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 youll meet all these criteria then. From all we know you are dead and its irreversible. We got a lot of your questions robinette walking from australia wants to know if there are new tubes to transplant patient. A turd tips for trying to transportation especially in end stage Heart Disease for elderly people there this Heart Failure most of occur is this ventricular assist device so this is a kind of destination therapy call a destination therapy because you can live for such an assisted bias for six seven maybe eight years and for them its an eternity but. Up to now we dont have total artificial hearts the implantable we dont have the dont have them as a test as a destination therapy we have them but only as a preached to transportation what about artificial organs like growing organs in the lab this is a question of thomas video man from italy. Its a very important and very interesting aspect in science now where did this Tissue Engineering and of course we are able to engineer 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 no. Die hard if you see it from zero make a point of your is just a pump that pumps the plot through our body and the character is not transplanted together just as the hardening of the soul yes right go and i did yes 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 spirits be sure to write me an email. Upcoming show well be talking about me when surgery seems unavoidable what options are available if your questions about that send an email to you in virtually 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 city. But on to your toes 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. Lydia 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 arm muscles. To back. Us we have got the moms as and what we just did is like circuit training first we did some tips 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 myself some people would probably be embarrassed to work out in public like this what do you think spencer 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 euros an hour you can torment yourself in an outdoor boot camp theyre now available across germany circuit training with a few props in the Great Outdoors of a sea of 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 that is if its hope to improve. My fitness ok i noticed the difference after just four or five weeks definitely an improvement but you have to do it recover. Ok. Were going to thanks for having me along by good luck. Lets get to the next topic toenail fungus its not only it can destroy the compton toenail and its very painful so how can you prevent it and if you have it how can you treat it. We all want healthy good looking nails. But sometimes people think its necessary to cover up an unsightly secret quite 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 its a question we put to a dermatologist dr melanie heart. And usually starts in one corner the nail starts breaking off or becomes thicker or turns white and brittle. The fungus feeds on keratin 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 who 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 nail fungus 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 treat it but how chemists tend to sell all kinds of remedies for tackling nail fungus from the outside but are they any good. Purchases to show dr hartman 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 nail is affected or if its underneath the nail because then the varnish doesnt really get it. Done. Containing you really dissolve the parts of the nail that have been affected does this work i mean there 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. 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. Who can obviously you have to clarify whether it really is nail fungus and its 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 for nail fungus involving laser therapy. The targeted heat is said to kill the spores of a funky. He stood in the obvious not there arent many studies available yet so we dont know much but where its been used the results have been very good with few side effects. Behind women but the best way is not to get nail fungus in the first place so how can you guard against it. By showering every day and changing your socks and shoes movie in for human trips we always carry disinfectant and we spray the shower and everything you know where the flip flops of the pool swim but im going to try your feet. Now. Blow drying your feet briefly after taking a shower then chances are you want me to cover up your mails. Thats it for today youll find more information about health and fitness on our Facebook Page see you again next week and until then lets all try to stay in good shape. They could leave the very best Traffic Camera in the darkest. Polokwane ladybugs could revolutionize medicine with that immune system to scoop on the wings of potato bugs are inspiring off attempts to design a. Mini magician. Come may help to solve todays problems bugs they chose little superheroes fifteen minutes. This is the dummies come to life from bonnie lets go right to our correspondent who is in central istanbul im joined by Michelle Coker you know theres political correspondents on those stories in just a minute but first this news cast its all about perspective closer to. Climate change. Pollution. Isnt it time for good. Eco africa people and projects that are changing the current for the better judge must. Be good for the. D. W. A blessing and a curse the force of nature and in. Steepled fait. Monsoons the trouble is that. The soul of the sun comes to some sun and because of this destruction. Starting may twenty third. All we can be the generation that ends it for good malaria must start so millions can live. The vote count is underway in lebanons first general election in nearly a decade the vote is expected to be a tight race between the western backed prime minister. And the iran backed militant Group HezbollahAuthorities Say the voting ran smoothly in most districts official results are expected on monday. Irans president Hassan Rouhani has warned u. S. President donald trump against pulling out of the Iran Nuclear Deal rouhani said abandon