out of about. a minute oh. oh. in the public perception africa is now assuming the position to which i was always entitled to from some folks get their views of if there's a. conflict starting to hear. me. welcome to you in good shape. here's your host dr constantly. hello and welcome to in good shape their illnesses you can get rid of by taking medication or undergoing surgery and on the other hand the

illnesses that will stay with you for long life and one of those illnesses is epilepsy and it's one of those patients with prosy in epilepsy patients often complain about your commute from losing consciousness so if you've got seizures what are your symptoms have to be jerking movements especially in the morning with . one or 2 seconds most before the loose of consciousness and into whole often do you have seizures once a day once a day the squad often it sounds quite often from your was quite often at the beginning but now it's i got used to it for me it's quite normal so. i want to have enough sleep for example. i try to prevent these epileptic that we'll continue to talk in just a moment but 1st epilepsy is a chronic disease with

a sudden onset but once it hits you it stays with you for your whole life. was on holiday with his family in spain when suddenly in the middle of the night his body started to shake and his muscle spasms sign ups is in his brain was firing like mad and it was a huge shock for his family. that's come on i think. socially my contrary described how awful it was tom's whole body was in a spot. and he was thrashing around he always a he saw it was a horrible thing to see pushbutton says in. just i just. it was so intense that his family thought he was dying the amount for somebody who has never seen a seizure it's extremely traumatic and even traumatic. sit out soon.

thomas family called an ambulance. but the doctors who saw him couldn't make a diagnosis. of most of stunned miss for by once a seizure is over it's like detective work you have to look for clues as to what happened is that a serious disease in the brain been affected the talk is there any damage and what's the cause. back home in germany tom vendetta's had more seizures and always that night so he went to senior ologist thomas maya. in electroencephalogram tracks and records electrical signals in the brain. thom hartmann e.g. during the day time and again at night. the resulting brain wave patterns can help with the diagnosis. here you can see a sudden spike followed by a slow wave that's a typical way for epilepsy and pretty much only occurs in people with epilepsy or

complement of glitzy how to in the brain stimuli information passed between neurons continuously with the help of neurotransmitters during an epileptic seizure that suddenly an excessive release of neurotransmitters enters or sometimes compared to a storm in the brain. he said really is like a neuronal place or an avalanche that spreads and knocks out other functions. and with a stroke it's the loss of activity that's the problem for loose fun activity. with that policy it's an excess of activity in which the patient suddenly loses functional control from the hunt limps. while tom is having a seizure he doesn't actually know it's happening. it's simple. for people close to someone with epilepsy to remain alert. is having a huge smile when he that lot whenever tom got out of bed say to go to the bathroom . i'd always get up to see if he was ok of the most part my

mom in fact he did quite often have a seizure in the bathroom my husband would bring the pillows the tom wouldn't bang his head against the tile floor but seizures during the night are of great concern because a really bad one could prove fatal. so the primary goal is to prevent seizures. it's important to determine the area of the brain where an epileptic seizure originates that's the precondition for proper treatment. this test for example aims to show how well the region of the brain is working that's associated with logic and spatial awareness. and that's because often we need this information to determine which drug or what kind of treatment is appropriate or if surgery might be advisable in this case surgeries not needed and that's a great relief for tom and his girlfriend the drugs he takes succeed in preventing seizures. i hope it stays this way that i'll remain free of seizures in the

years to come or even forever. and for. tom and his girlfriend a members of an accordion orchestra and there has sing for their next performance. he's doing well again and enjoying life despite living with a collapsing. now all patients we get an e.g.d. but 1st i will have a little talk with you. so you'll be getting in just a minute but there's still time to have a little chat right now so could you give me an update on how would one. yet you 1st see the 1st. seizure. was a seizure with the lose of consciousness for less then one or 2 seconds were like you must go through

a chink in my. legs. when i didn't. enough sleep and sleep deprivation. there was like 4 or 5 years until i got the 1st big seizure so you were really young so what would what kind of age should have been when there was a procedure that started when i was 1516 so and time off developments the and you didn't recognize it but you thought well maybe that's all yeah exactly so i thought maybe i'm a little bit different from other persons as you sense from other persons. i thought that's the fault of the alcohol. sort of dancing. went on until the. first big lose of consciousness a few months ago and then i thought i have to make some aches so it was

a grand mal it would have been you just fall down and loss to consciousness for how many minutes exactly it was about one or 2 minutes so i don't know because i lost my conscience and. was at home or was it was on the street when i fell down and people. when i woke up. and yet changed my life more in the way of being aware of. what i'm doing. you had to have stress like consume alcohol and having seizures can be related to having stress actually so but now you think you are studying law right now so you would you want to cry lawyer. judge even this could be some really stressful patients and so are you afraid about your future i'm not afraid but i'm more aware of my future so i think i want to try it and i'm ready to try it but if it doesn't work. i want continue with this job more

to look for opportunities where i can have the same job but in a different way for example to. relaxation getting enough me time for example or giving not getting enough sleep is this very important for you from me it's the most important thing. biggest trigger for seizure so sleep deprivation and consumption of out all these 2 things like the biggest triggers for me and individuals so you just told me that this really changed your life so what did change what is different now the change. of the most important change was happening and. psychological aspects to a thing i can't be seizures when i'm doing certain activity

or going to a party or having like an excess. what's going to happen right i can control it what's going to happen and that's more the thinking what i want to do. before going out. trying to get a balance between. between doing nothing to get the balance of my life you have so to be getting read you just a moment in the law to be around because it would mess around with the results because it's a fight to tax evasion but i will use this time by sleep and i get some information soon a minute. and e.g. is a test that detects electrical activity in the brain it's useful in diagnosing inflammation and injuries of the brain and also epilepsy. with professor hold com he

is the head of. here at the department for neurology at the berlin thanks for having me today and you're treating cutlets of the patient we just have met so what is the special challenge in treating patients with their perhaps some of the overall aim of all treatment is that the patient have a normal life and they have a good quality of life and they are true that's called to stop aims and one is seizure freedom optima seizure control but on the same level and equally important is that they have no side effects or at least only a small side effects from the medication they have to take for years or for decades in the sometimes is a small pathway to find the correct doses in the front to correct my to medication to reach the aim of quality of life is every seizure is sure sign for perhaps. no look at 6 elliptic seizure this is just a reflection of the brain of the neurons in the brain true changes in environment for example if i would have a lot of salt in my body then my brain would react with an epileptic seizure but epilepsy means that you have an increased risk for recurrent epileptic seizures and

in germany and other western european countries the risk is 0.7 percent to develop epilepsy so it's very very important to to have a clear diagnosis and to do a lot of tests after the 1st seizure yes of course because on the one hand you have to figure out if it was only one seizure or if the igi indicates you have an increased risk of more serious that would be epilepsy and the 2nd level is that you have to decide what kind of epilepsy is this and there are 2 major types it's focal epilepsy where the seizures are coming from one part of the brain focus or if it's generalized epilepsy where the seizures are touching both sides of the brain and this can be differentiated by the igi for example and it's supported because treatment is different and prognosis is different having frequent seizures or you collapse it can change the patient's life and it's because there are some rules where they have to follow for example there are some restrictions was driving a car you have to be seizure free for at least 12 months to be allowed to drive

a car this is ruled by the government but there are also other restrictions that when you look at swimming or taking a bath or something like this where you can have a risk if you have a seizure and patients should be aware of this. so what about jobs and education and occupation can you do every single kind of job with it perhaps you can do almost everything for example if you want to be a bus driver lorry driver this is not a lot if you have epilepsy before you can be a pilot and you can't have a job where you have to carry a weapon for example working at the police department or in the army but this is maybe one percent of all the jobs and 99 percent you can do with at the facility because you're a danger to other people and yes yes you can do harm yourself but it's more important that it's a danger to other people yes and what about working missing 80 specialist in front of monitors every day because there's a flickering light coming off those devices which could lead to seizures but this affects only patients who have so called photosensitive epilepsy that means that

they react to lights night and dark and this affects only one percent of the patient was epilepsy and the monitors of days they don't have the 51st occurring anymore so it's not a problem usually you treat it with medication but sometimes you need to do surgery and epileptic patients where the neurosurgeon removes part of the brain as he asked myself can this really work. 18 year old david bangle is attending one of his regular checkups the nurses are getting him ready for an e.g.d. and electro and to follow. he underwent surgery 6 months ago neurosurgeons removed the part of the brain where his seizures originated from i feel i have much more freedom now i can stay out late with friends and my parents don't have to worry so much. david seizures began out of the blue when he was 7

probably triggered by a brain malformation he was given medication but the problem only got worse. in september 23rd i sometimes had seizures every 10 minutes that happen several times a week now they don't happen at all. if medication doesn't help surgery is also an effective option before the operation electrodes are implanted on the surface of the cerebral cortex to pinpoint the origin of the seizure activity then a team of cross disciplinary specialists decide if it's viable to operate in this location. so. suppose they treat patients of all ages. tradition also as the doctors are discussing the size of the neurons that triggered this patient seizures after identifying it with implanted electrodes the surgeons removed the relevant

parts of the brain the patients now fully recovered from the surgery. this could feel there are several areas in the brain not all of them but many where it's possible to operate without causing deficiencies. other parts of the brain can take over the tasks previously performed by the part of the brain that's removed without any signs of deficiency if it's a tough trip. the patients remain in hospital under observation for several days with e.g. tracking their brain wave patterns. if a patient suffers a seizure the recordings help the doctors diagnose the problem. david has never regretted having the surgery he's planning on taking his driving test and traveling across europe he's looking forward to leading a completely normal life. so the igi examination

is over use some gel in your hair some time for a little talk we just saw in the report that brain surgery might be in treatment option but now there's something new yes another approach is the concept of deep brain stimulation that means that you have 2 electrodes that are put into operated into the brain and stimulate was current and the patients feel worse but it increases the brain and that causes a consequence less seizures. and if you would suggest surgery you can even use a laser this is even new. so this is a poor has been approved in europe let's say 12 months ago and that means that you don't have an open operation into large craniotomy and operate on the patients but you would just make a small bore hole or for 0.5 centimeters put in some probes to the region where you think the teachers are coming from and then you can put in some. temperature and that blade the region of the structure the region of the brain and the success with

respect was identical to open surgery so it's a very very interesting new approach. you do need surgery you're taking medication so it's a whole we'll do they work they work really well so i don't have big seizures . and sometimes i have to go to it mostly in the morning but they're more take care of taking. epilepsy and occurs often in very young patients so what about the compliance of those patients for taking all the medication i think of their children are very young adolescents and the parents take care of this but when they are 131415 years old and older than they have to work on this on their own and i think the more they understand of their condition and the more they understand why they need the

medication the compliance is better and that's why we spend some time to explain to them and we don't want them only to do what we say we want them to understand why they have to do this so you just completed the igi examination from car is to something special in it so that e.g. that we recorded today is normal and this is what i would expect because as we heard before he is free of the seizures the big seizures and so that e.g. the normal use of confirmation of what he has told us before what advice would you give a patient who was diagnosed by relapsing today so i would recommend to the patients that they really under. try to understand what is the basis of this that they use the time they have was the doctor was the expert to ask questions on epilepsy on the prognosis on the ways of treatment also on the side effects the possible side effects of treatment and i think this is the best prerequisite to have an optimal treatment situation and quality of life and do you have a final message to someone who's affected their final. very similar to the.

midst of so in my opinion it's very important find a way to understand the cross and the consequences of. your life. maybe. part of psychological. thing it is important to have the courage to accept. for your life thank you so much for sharing all your personal story with us and thank you for the information and if you've got any questions you like me to ask the experts should write me email. in good shape your reclean health show on t w that covers many aspects of health care we look at what's new in medical treatment nutrition fitness and beauty we discuss these topics in depth with

specialists and offer you opportunities to pose your own questions so get in touch . do you want to lower your blood pressure get rid of stress introduce pain you say there is no such miracle drug that could do that or yes this it's your breathing. lower your as if you are gathering breath and it's you straight not exhale. and the one. briefing is the most natural thing in the world but many of us are doing it all wrong these people are practicing breathing technique. cloudier and heiko harder are breathing therapists they help people breathe better which improves their overall wellbeing. i tricked into this day to day lives tend to

make us very tense our muscles a tense especially in and around the diaphragm we tense our shoulders especially if we work at a computer and all this tension prevents us from breathing properly often art as a result our breathing isn't bringing oxygen to every cell in the body the way it should these exercises are designed to ensure it does correct breathing technique affects every function in the body. and then what changes is that you get to know your body and your breathing much better so when you're at work say and you're not letting your breath flow properly then you're more likely to notice and react it makes a big difference. the few comprehensive studies done on breathing show that improved breath control can be life changing. it can help reduce blood pressure suv pain and anxiety and prevent stress related disease diaphragmatic breathing triggers body

relaxation responses their passing particles it gives the parasympathetic nervous system working. that activates nerve signals. and then the body regenerates its resources are topped up multi-million feel rejuvenated. can confirm the benefits of breath. for years she suffered from painful joints and rheumatism related inflammation conventional treatment didn't help. i had side effects from the medication i was prescribed. so i looked for alternatives because. that's how she found breathing therapist on your schneider she works with you on to relax her body and relieve her pain. it's good to have you know your breathing is good parent. it's about focusing your

attention and you have to focus your attention on different parts of the body. and when you're doing that with your full consciousness the breath flows naturally it's like little waves the body adjusts to the flow. it's not now i'm going to work on your legs. a loosen the muscles to allow the breath to flow more freely with the item but. she helps lower my stress levels pain and sickness all stressful and i'm very susceptible to stress breathing therapy helps calm me down i can concentrate better i'm calmer and more relaxed and that reduces my pain. try to straighten up from your sacrum and then exhale.

breath works on 3 levels physical mental and emotional conscious breathing helps you understand your body better and also makes you more alert. exactly how this works has yet to be fully researched it all sounds a bit new agey 2 but even ancient civilizations knew that breathing properly has mental benefits in yoga the art of breathing is called pranayama. there are 3 phases of breathing inspiration post inspiration and active exploration the purpose of pranayama is to boost our energy and yoga is the life force of. studies suggest that deliberately breathing through the nose helps improve concentration and memory. it has a good effect in one way it's very relaxing but it's also invigorating and it helps

focus the mind. and best of all breathing properly is free and can be done anywhere. that's approaching they see you next week and until then let's all try to stay in good shape.

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