How to stop grinding your teeth. And kicking the habit for a smokeless future and heres your host dr carsten megaton. Hi welcome to my practice great that youre here. Ive just been reading the fender and theres a man from Google Shimon from australia in shes been smoking for sixty years and she really wants to quit and she says that she tried numerous times but so far she has been able to overcome her addiction now she wrote does hope the help of in good shape shell never be able to quit what a stroke of luck that i know the perfect expert for this is dr thomas healing he simple monologist and then expert in smoke. Quitting to smoke its worth at any time at any age and it will be easier when you think me when i tell my patients to quit smoking i feel a lot of fear fear that the coffee wont taste as good anymore fear that i will miss nice conversations with my friends and fear that i dont know what to do with two healthy hands but is it really so difficult to stop smoking me. Many of the twenty million smokers in germany know all too well how hard it is to quests is a plan from the place started when i was thirteen and fourteen now and im addicted. So ive tried to quit ive managed two months at the most. Of life and smoking since i was twenty one thats twenty seven years at least a pack a day so about twenty to thirty every day of the sponsors this was to get them to talk does he think he could give it up. Your im going to give it a try heres my pack of cigarettes my lighter lets see how it goes. It wont be easy because nicotine is physically and psychologically addictive as. Explained. Nicotine floods the brain and alters the brain metabolism and what it does it stimulate the reward pathway so without nicotine smokers feel bad they need nicotine to feel normal. Sebastien paschal is thirty four and has been a smoker for nearly twenty years he smoked about fifteen cigarettes a day tried to give up now and then the last time was two years ago but i never managed more than two or three weeks. Time to try again. The body processes nicotine quickly. It doesnt take long after eight to twelve hours the nicotine will be gone and the body stresses them is no longer being activated nor adrenaline and adrenaline levels drop and as a result Blood Pressure and pulse will start to normalize. But that doesnt mean you wont relapse. I had a relapse i realize that you have to quit every day and you as it were. It feels like the physical and psychological addiction get stronger and. If you relapse and have a cigarette the nicotine need to leave your system all over again quitting is hard but its worth us. That is one thing ive noticed is that my sense of smell and taste regenerated. I have the feeling i can smell much more than i used to. Thats not all circulation also improves the bronc tubes and the long start to regenerate although this can take some time but its not the next step is that the tar needs to be washed out the toxins that are responsible for the damaging effect of smoking thats a process that takes months or even a year if youve been smoking for two. Years and then stop you can reduce by fifty percent your risk of lung cancer in the next ten to fifteen years. Before quitting sebastien experience shortness of breath and a cough to last when jogging so has this started to improve now that hes not smoking. So far over the past four weeks i havent noticed that im breathing more easily but i hope itll start to get better. And is he confident he can place. That i have not smoked for a month and i feel pretty proud of myself even so i know this is just the beginning its a good start but ive got to stick to it after. Sebastian hasnt had a cigarette for a month now hes almost there. Now all the benefits of giving up will start to make themselves felt hell become fitter his concentration will improve hell feel more focused and ultimately his risk of developing smoking related conditions will be significantly reduced music one. Time to give back to figure out sweet converse case if you hours ago. Yes didnt flush the first two hours with no problem but then every now and then id feel like a smoker it. Could be considered quitting. Just. Like it made me think about having another go at quitting. I mean this was the. Question requires higher indiscipline but it really is worth us. Me we just spoke to us about him and he admitted that he started smoking again and this is what im going to talk about now with dr thomas healing here in berlin your knowledge is and youre an expert in Smoking Cessation thanks for having me today why is it so hard to quit smoking. Well most most of the smokers are addicted to smoking and this addiction is works in two ways to elements that draw the smoker to or to take cigarettes and smoke again one element is the nicotine addiction the other mechanism of smoking dependence is the the fact that get used to combine certain situations in life with smoking and the association of those situations is compellingly bound to to having a cigarette so those two mechanisms. In combination. Result in the at action when i speak to my patients in day advice them to quit smoking many of them tell me will i smoke for years no im quite old i think theres no use in quitting smoking at my age so what do you say to that in fact in most cases there is a huge benefit for any page and to quit smoking but depends very much on whos specific situation what diseases he he has and we as physicians may advise specifically for a cardio patient we world advise differently from a pulmonologist patient for example the risk to have cardio. Myocardial infarction decreases within hours and days after quitting smoking and is half after one year and is diminished to almost the risk of a never smoker after three years this is the best benefit smoker can achieve with quitting smoking that is really where to go for. Read we got this letter with a cry for help from ours trillion viewer gudrun cian them and she desperately wants to stop smoking shes not perfect so if she would come into your practice what would you offer the main Smoking Cessation measure is behavioral therapy which takes some time and we have kind of a. Three Element Program where in three sessions in groups we offer the preparation and then in a second session the stop smoking session where all the participants really smoke their last cigarette and then stabilization session and who support the behavioral therapy intervention with medical support there are a kind of medication through substances. That we can give to support and to step allies. The effect of the behavioral therapy what are your results how many people do you really stop smoking for yourself after such an intervention of the you see between thirty five and fifty percent that are continuous ex smokers after twelve years twelve months people nowadays dont only Smoke Cigarettes they change into these cigarettes so they dont smoke they may mean. Cigarettes arent as popular as they used to be but there are still plenty of die hard smokers. Its a pleasure but its also an addiction and a costly one seven Million People die of smoking related illness every year. A growing number of people are looking for alternatives such as Electronic Cigarettes and vaporizing. Ive been dating for three years but i havent had a single cigarette since. I used to be a really heavy smoker but it just became too expensive. To shock to impact i was a heavy smoker ive been very pink for about eighteen months now. Does vaporing help smokers quit there still arent any long term studies on the effects of aping but for heavy smokers trying to break their tobacco habit a cigarettes are definitely an option to be a supporter is an expert on addiction just switching to the cigarettes is better than smoking you cant argue with the science but it raises the question does vaporing also have harmful effects the actual vapor contains chemicals also found in dry ice antifreeze anstey icing agents these are the vapor contains the substance probably. As a respiratory irritant it also contains flavorings which are harmless if you eat them but we dont really know what they do when you inhale them as i know that the spice mind for. What we do know is that vaporing is a booming business and with the Cigarette Market shrinking the Tobacco Companies are looking to cash in on the vaporing trend. Happening up taping companies we dont know what their strategy is right now. But its a very big market last year alone a cigarette sales in germany reached four hundred Million Euros three and a half Million People in the country are vaporing and more are joining their ranks all the time. So whats your take on the cigarettes the government of u. K. Has published an estimation that the risk from the cigarettes is about five percent the risk of a tobacco cigarette so anyway it may be a risk so the best is the zero consumption. But we have cases mainly the palmer know that just so patients with see a pretty well we desperately need. To help the patient quitting smoking so no not the least smoker should enter the bronco system. And in those cases. The road may be a tolerable alternative as in the cigarette the patient in holds by prayer and no smoke one important thing in Smoking Cessation you said earlier in the previous talk is behavioral therapy so that one of us right now wants to stop smoking altogether and they dont want to go to a behavior therapist can they do some say tweaks in their lives that they can put some kind of behavioral therapy in their life pusher its a matter of good preparation actually that they they may allies their smoking situations by and by having kind of a diary before quitting a diary in which situations they usually smoke and. Much worse at the urge to smoke and they may take down notes and analyze the most dangerous trigger situations that may change those situations for example if they have breakfast with coffee in the kitchen in the morning and i understand this is a strong trigger situation for them they might change and have their breakfast in another place of their fluid and maybe change to to. Decreasing the trigger and so may be successful and avoid it. What do you think about Smoking Cessation with the help of patches and you can patches you know this is a. Important support. It is a support the main thing is the change of behavior but using nicotine patches for example or. Gums or there is a spray in the market now which. Is a very important support to decrease the withdrawal symptoms i have you here you are tommy ellen from the us wrote he quit smoking two years ago but since then hes been addicted to nicotine gum so what can he do. Well actually. Should be proud that he quit smoking. The main goal is obviously he read that. The nicotine by itself is not a real dangerous substance. So actually i think he should try to get rid of the nicotine gum. After time but its not a real concern so hell be fine and so what are commonly key smoked for over twenty years and he had three needles piece through his ear lobes in china where you can punch a treatment and he never puffed again so how successful is this complimentary medicine like acupuncture treatments for all its very good for walter he succeeded. The general the dart oppose on. Smoking cessation measure is disappointing so actually we wouldnt recommended in a general way. The effects may depend very much on the attitude of the patient to the. Method to go and if the attitude and the expectation is very strong he should try and if hes successful very well thanks so much for having me today and if you still smoke its worth it to stop but dont stop writing me emails. On one of our upcoming shows well be looking at chronobiology how does the day night rhythm affect our body clock why does medication affect us differently at different times of the day if you have a question about that right to in good shape at d w dot com with the subject line chronobiology we look forward to hearing from you. Whether it is a kidney liver or heart worldwide people are waiting for donor organs even children like little ilesha me. At least to celebrate her birthday twice on the day she was born and on the day she received an organ transplant. I got a new heart. After i know. On the one hand we were happy because we knew our daughter you know had a chance of becoming healthy again. But there was also an incredibly sad side because we knew that there was another family somewhere who had just lost a child. At least she was born healthy in january two thousand and eleven but a few months later she got a cold medication didnt help and she had trouble breathing chest x. Rays showed severe enlargement of her heart the doctors diagnosed myocarditis an inflammation of the heart muscle caused by the cold. While alicia was being taken to a clinic specializing in pediatric cardiology her heart stopped beating. So. They spent two hours resuscitating her. Because they would come back out and say her heart had started beating for a few seconds but then stopped then again for minutes before stopping again. It was the worst two hours of our lives. But the doctors didnt give up. Their venture they got her heart beating again regularly. Ten weeks later she was released from the clinic but just a week after that the alarm on her heart rate monitor went off. On that piece of a suddenly theyve all these peeping sounds her heart stopped beating thats when we realized her heart wasnt going to recover. An air ambulance flew alicia straight to the clinic. Her heart was irreversibly damaged. Her only hope now was for an organ transplant paul said so mr kinda ordered actually only be done if the patient is in an otherwise healthy condition any other serious organ disorder would make a transplant impossible. That might be a tumor or active cancer. But otherwise transplants can be performed with patients regardless of their weight or age including babies up them five annoyed by to be sure. But the availability of suitable hearts is extremely limited for babies and toddlers the donor organ has to be around the same size as the recipients so patients can face a long wait elisa was fortunate to get a new heart after just four weeks post transplant life was transformed for the whole family. Disinfectant was vital we never left home without it. And the mask of her mouth and nose was also very important. For almost an entire year when we wanted to go outside for some fresh air she had to have the mask on first. One is in the rest of the organ being rejected is especially high in the first month after transplant every week the risk decreases. But the risk will always be there. Thats also why patients have to remain on medication for the rest of their lives becoming tiny most elise has now six she takes immunosuppressants to prevent her body from rejecting the foreign organ she also goes to the clinic every three months for an ultrasound the limbs that one has transplanted in the transplanted organ doesnt have the same lifespan as a native or can. They age faster as it were ten at question that. Children with the best chance of living a long life are those whose transplant takes place in their first year of life like aleesha in the first few months the new heart adjusts to the recipients size. Alicia now plays like other kids but she still has to be careful since the medication weakens her immune system. Its important to keep your distance from obvious sources of infection stick to standards of hygiene and try to avoid salmonella tainted food. You should avoid getting diarrhea or infections in the upper respiratory tract. Or coughs and colds you have to protect yourself in daily life. Many people in germany say theyd be willing to donate an organ but if you actually make the effort to get an organ donor card its not only the recipients who stand to benefit. A lot of donor families weve been in contact with actually experienced relief. It helps them accept the death of their relative back knowing that a good deed has been done and good to talk. To has been very lucky. Her mother often thinks of the donor childs parents should always be grateful they gave her daughter the gift of life. When you wake up in the morning and heard maybe youre grinding your teeth. Me. I get muscle pain here in my jaw and up here in the joint to of course see it spreads down to my neck and shoulder muscles. And it can be very very painful just one have to hear both thats why ilona often feels tense and unrested when she gets up the pain comes from brookss im grinding her teeth in her sleep. Dentist has made a mold of her teeth to demonstrate the damage caused by all the nighttime clenching and gnashing. Of the simple this is how your teeth move at night. In particular grinding movements so whats causing the erosion of your teeth especially the ones in front. Of. Brookss im exerts up to one ton of pressure on the jaw a night guard like this protects the teeth not only at night here and so that. Its easy to insert and its a perfect fit. It gives me a bit of a lisp which makes things awkward at work when you have to do a lot of talking. Otherwise it doesnt bother me that theres a slight ache but other than that i barely notice it. Cause. Ilona tested the mouthguard for two weeks she had to wear it as often as possible. Thats the most good thing during the day it only bothers me when im talking and you get used to wearing it at night very quickly sometimes i even forget that im wearing it. Alone as jaw pain hasnt vanished completely so her dentist is doing another test measuring her jaw with a special device. Its aimed at examining the behavior of her lower jaw where theres mobility and where movement is constrained. Can you open a bit wider. And back again slowly. If you put on the measurement indicates that theres a problem with it alone as temperamental joined. The dentist recommends a special retainer which ilona hopes will provide long term relief. It would protect my teeth and the joint and ensure that i wake up more relaxed and. Once the latest test results have been evaluated alone as dentist will fitter with a new retainer. Thats it for today your follow up appointment is next week so you then. Welcome to the ninetys when the boys were sweet. And the girls for sex. Their shows were huge. 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Keep clean to prevent contamination. Draw and cook foods to avoid cross contamination. Cook thoroughly to kill microorganisms. Keep food safe temperatures of the cold to prevent bacterial growth. Use safe water and safe Raw Materials to avoid content. Producers are the ones primarily responsible for the safety of the food. But you can protect yourself and your family from diseases in the home by applying the five keys to say for food use them you also have a role to play. Iranian president Hassan Rouhani has acknowledged the publics anger over economic woes and corruption during his first speech since the outbreak of massive protests on thursday audition he said there was space for criticism but warned that the cover