who stayed behind. my husband went to peru because of the crisis. if he hadn't gone there we would have died of hunger. suddenly down. the biggest storks germany in 15 years. welcome to any good shape coming up. vision loss what can cause your sight to deteriorate. shingles effective treatments for a painful viral disease. and eating disorders what to do when someone has anorexia or bulimia. hello and welcome to in good shape hears your favorite

t.v. doctor with your favorite t.v. show but be honest do you sometimes watch other programs then presents you familiar with those kind of images. in real life hardly anybody is so skinny and i ask myself could it be that those kind of images contribute to the fact that some adolescents and even adults develop an eating disorder like anorexia believe me or so how do those kinds of problems develop and how can we help. to experts today that. you know how it works

for fed and think this berlin association wants to be the 1st contact point for people with eating disorders it offers advice to people with eating disorders in a sheltered space and helps to find them suitable for other issues prevention and public information and strong eating disorders are not a character flaw or a silly habit they are serious psychological illnesses. the because the treats people with eating disorders and it continued have incidentally. psychotherapist he wants to find the pulse of the disease with the help of his patients. getting disorders usually include a profile. of self esteem and interaction with. malnutrition heart disease stomach problems infertility eating disorders are dangerous and one out of 10 patients even die from it nevertheless many patients

don't even realize that they're sick and they've got problems to seek help. for 15 years the eating disorders believe an anorexic controlled son you've given his life even socializing was torturers management i fear. when you're asked for dinner you can either decline or improvise with a few tricks but that's how you look at height food in your napkin or your purse and then throw it away when you get up from the table and sing. or you can excuse yourself and discreetly throw up in the toilet. those are things you struggle with him for that and the shame you feel afterwards in this times of. starting a village of 13 so when you began to find her reflection in the mirror unbearable she was slightly overweight which led to her being picked on. by. i absolutely

hated my legs so much so that i refused to consider them part of my own body that feeling in just an endless cycle of dieting until i realized eating and vomiting is the answer for me that way i can still eat but as time went on i was purging almost everything i ate and eventually i became anorexic. at the age of 17 so new was admitted to hospital for 9 weeks where she was force fed but after being released she soon resumed her old habits she knows coming to terms with the underlying causes is key but many of us like them are in my case i think back then i was trying to compensate for traumatic experiences by taking control of what i ate as. the glorification of the perfect body reinforced by an obsession with beauty and then the feeling of never quite measuring up to that it will take the show germany's next top model i think it's

harmful not because it shows attractive young women but because it sends the message that you should ignore your own feelings of shame hunger fatigue and get into the mindset of not looking after yourself but fulfilling the expectations of others. increasingly men are also feeling the need to live up to ideals set by others to having the perfect body and a 6 pack stomach especially in the gay community the problem is growing more common often it's rooted in discrimination or problems a man might have had with coming out. just. yet. at some point design your luggage began to talk about her problems since then therapy in writing a book helped her finally come to terms with her eating disorder. i with the help from the. many people think that eating disorders are all about anorexia where

people eat very very little and still think they are fat but it's not all about and erect is it that there has been a 1000000 hope that no it isn't the media focus on anorexia but the range of eating disorders is quite whiling it also mention for example this belief that is when you pinch east and then purge vomit or do lots of sport to compensate for all the food or. canned memory and there is the binge eating disorder which is not so well known you've been and don't parrot and just keep putting on weight image questioned and released from human but what do those different diseases have in common. even what i have in common is that there are mental illnesses. it is not that patients don't know how to feed themselves properly the disorders are often linked to painful events or problems people have faced in life. really glad to emerge when life is

particularly tough so obviously just advising on what constitutes a healthy diet won't make them better or to reach the middle hind you have to try to figure out what function the disorder serves for the individual involved what a strong who didn't mention let's talk about the big what causes those eating disorders so what about all those t.v. personalities and those models you can see in the pictures who are super skinny can they cause eating disorders there are dozens of studies that's a hotly debated issue they do play a role but they're not the sole cause of what's wrong with you have to dig a bit deeper because the roots of eating disorders are much deeper kieffer but they often have to do with personality and socialization how did the affected person grow up under what circumstances and what kind of family you sometimes you were in your association. 1st contact point for people who are affected who comes to you.

mainly people suffering from such disorders themselves but also family members parents partners siblings basically anybody who is worried about someone and says i care about this person and there is a problem we need help. and what kind of help can those affected get here are the biggest of all the 1st thing is to help those affected understand their disorder before we try to explain things and help them make connections what is the purpose of the illness what function does it fulfil by the thought we also explain our approach and offer guidance on how to deal with the problem light what is the best thing to do at any given moment passed through the moment more of the 300 together holistic package and they come to understand that they have a safety net here with various components and with people they can turn to for help

. a partner come to you also of a group meeting sort of the person affected benefits from that. it helps them emerge from their isolation. most people who suffer from eating disorders withdraw into their shell holes some are also battling depression ok here they have a fixed time every week when they convention a little out of their comfort zone and can also experience some sisterly empathy along the lines of i understand i hear you i know what you mean i. can almost mind well they don't have to justify or explain themselves. some of the women have had inpatient treatment or been in therapy and they talk about what helps in dealing with the disorder in their daily lives. it's helpful when the group reflects on what has helped them and what they might consider trying themselves yes i could do that to. a country. so it's

very important to speak to other people who are affected. now papa has written a book about her. on facebook and on you tube. today 23 year old love parker from hannover is comfortable in her body that wasn't always the case for years she was obsessed with keeping her weight down. more planned in the morning i planned what i was going to eat that day i was from then i'd weigh myself i'd spend the whole day trying to stick to the plan the 2 crack is for breakfast and the 2 apples in the evening that i permitted myself. going to make top only thinking about food constantly i was permanently hungry so i wanted to eat and i like to eat but i didn't let myself. 17 at the

time i would make meticulous notes on high calorie intake. she allowed herself just 80 calories a day on average young woman needs 2000. and one my my goal was to be underweight and i told myself that this was the cutoff point if i went any lower i would be extremely under way. at one point i did but i liked how it felt i thought cool i weigh less than 50 kilos. at one point lauper weighed just 47 kilos far too little given that is one meter 71 tall. her mother admitted her to a clinic although she understood that she had a problem it took months for allow her to accept that she needed to gain weight. to see these pictures i look so skinny but at the time i thought it was normal and

i wanted to lose even more weight on top of it now it seemed so shocking that i thought that was how i should look and how i wanted to be. i know rexy it was all consuming going out socializing enjoying herself life began to feel harder and harder she lived in fear of situations where she'd be expected to eat. jennifer is an old friend they've known each other for 10 years. let's all have a half you should tonight herself everything if we were going out for cocktails she wouldn't come. and perhaps she didn't have much of a social life but. didn't discuss our eating disorder with anyone and became skilled at hiding what was going on. and does that it was alarming and also really sad that at some point you just couldn't get through to her anymore couldn't tell when she was going through all the stuff was going on in her head and she never

said anything about. writing a book about her experience helped her work through it these days she regularly posts videos on you tube about coping with anorexia and also gives nutritional advice from flattery sure and i'm really glad i can help other young girls i know what they're going through. and she knows what she wants to tell them except yourself the way you are. and i'm a pretty would've been through clinic in berlin meeting dr costantino who's head of the department for psychotherapy and psychosomatic medicine thanks for having me today you're treating patients with eating disorders on an in-patient basis so i hope who needs that. yeah severance really of the reasons for that 1st of all. the. patients with interactivity and this all those who are

in a such bad physical state that medical stability is necessary if social isolation and depression is so strong and if outpatient treatment is not sufficient then in-patient treatment with its special procedures and measurements is necessary and the distance from the home environment is for patients also helpful so can you say that the eating disorder is just a symptom of an underlying psychological conflict yes. we can do so we can say so. it is a. profound impairment of surface team and of the interpersonal. into lation.

relationships so right here in the setting of a room for art therapy how can out there a p help in even thoughtless is the reason it's not true pain beautiful pictures we want to. to encourage people to register to to. to develop. and play with what comes from the inner self because many of these people with eating disorders. are limited in their expression due to. and we want to encourage this freedom. for that people can better find themselves in their expression ok so here comes the big question can eating disorders be healed. in

a way yes it depends on. the way or the. development there are some people who fail from. healing. maybe a quarter of the people with eating disorders and. the others can have a profit it depends if they. are prepared to encourage in therapeutic process that means also the therapeutic. relationship they have good chance to improve their relationship to themselves to their body and to other people thank you so much for a very interesting talk thank you and if you ask yourself why those talks here in good shape are so interesting ok one of the reasons is me and the other one is you

and your christians. in good shape your weekly health show on d 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 and depth with specialists and offer you opportunities to pose your own questions so get in touch . that's a try today and you can find more information about health and. the printers to small no one can read that and you can find more information about health and fit thank you. you can find more information about your health and fitness on our facebook page so see you again next week and until then let's all try to stay in good shape. who report missing about eyesight as you age.

for this man things in the immediate vicinity are in focus but everything a little further away is blurred like around 3 out of 10 people in the world he's near sighted myopia as the condition is known is due to the eyeball being too long . this man on the other hand can see distant objects just fine but not things that are close up he's among the 25 percent of people worldwide who are far sighted or hyperopic. balls are too short. to trace from howden slaven in eastern germany has a similar but not identical condition. in order to read something she has to move it farther away from her eyes she has presbyopia the thought i was i noticed my

eyesight was no longer 100 percent i started having to hold the newspaper at arm's length to read it. presbyopia occurs when the lens of the eye grows less elastic and the ciliary muscles progressively weaken then the eye grows unable to focus on close objects or to adjust focus when switching from near to distance vision the change in l.s.d. city has caused by protein deposits in the liquid lens core which can already begin to form in childhood. used to have normal eyesight but now as symptoms associated with farsightedness she can focus on the apple at the back just fine but if she wants to switch that focus to the apple right in front of her the lenses of her eyes have to adjust and because they're increasing the enable to do so properly it appears blurred. as a woman the. comes a point when you can no longer pluck your eyebrows i know it sounds

a little odd but if you want to keep up your appearance and ensure your eyebrows look good then you have to have someone else do it for you so. the 63 year old runs ari coaching walks through a local park the point is for participants to give their eyes a gentle but effective workout by examining their surroundings in detail like the trees but i think the 1st thing to do is take off your glasses then look into the distance and move forward a bit to maybe give the branches a scan so your eyes have a chance to relax my and your vision get some much needed practice my view that before the. presbyopia is something that happens to everyone eventually the good news modern progressive eyeglasses can provide effective relief the down side they make your eyes lazy so don't forget to exercise them this disease exists all over the world and many children get it chicken pox ok the rash disappears over time

but the viruses still stay in the body and they can return as shingles. 71 year old hard to exude a calm loves gardening he lives close to a river so there are a lot of insects around. when he noticed a blister on his fired one day he thought it was just a mosquito bite. before going to what i didn't think i needed to go to the doctor i thought it was nothing serious and i could just treated at home. with him. he applied a cooling mosquito bite cream bus more and more blisters formed they were painful and. patrick started to get headaches and circulatory problems eventually he could barely stand up his son was worried. i'm just shocked to see how the blisters had

spread they were especially swollen around his eye and were leaking pass because of the circulatory problems too we decided to call an ambulance. hot it was taken to the hamburg university hospital by this point the blisters had spread across his face and doctors could tell straight away that he had herpes the infection commonly known as shingles. but is then. talking about this now would you say it was more of a burning sensation. or that it was more of a stabbing pain and of course a stabbing ok. singles is caused by a reactivation of the chicken pox virus this can lie in active in nerve tissue near the spinal cord for years even decades later it can be reactivated at a time when the immune system is weak. it travels down nerves to the skin causing

painful. a cunt shingles can appear anywhere on the body it's not always on the torso you get these little blisters which have already dried out and turned black in your case because the skin cells were damaged and died. the cream is applied to dry out the blisters on his scalp which helps to relieve the itching but it's more important to fight the infection. viruses are treated with the active substance a psychic. will be given it 3 times a day for 7 days it's a highly effective medication. does is to have to say this is herpes type 3 type one and type 2 are oral herpes sometimes genital . and some are resistant to drugs like acyclovir. type 3 the chicken pox virus or a very cell a virus is usually not. it's very important to treat the patients pain could

hardly bear it anymore especially at night. he's been given epileptics and antidepressants because they relieve pain. when the nervous and i hyperactive state we can suppress its activity with certain drugs accept it and then the patient has the feeling that they were in less pain. absolved. to 7 days 100 is discharged from hospital his g.p. will now handle history and. the blisters on his head have healed well but now the doctors need to make sure he doesn't end up with chronic nerve pain a common after effect of shingles he has to carry on taking various pain medications. you have to set some of the tests is really high very early on and then you can gradually reduce them. that's to make sure the nerves

stays intact and the pain doesn't become permanent. it's difficult to say how long hard to fix pain will last. the older patient and the most severe the infection the longer it usually takes for the pain to subside. regrets not having consulted a doctor sooner the infection wouldn't have become so severe if it had been treated earlier. it's not hope it disappears completely mostly so i don't have to keep taking tablets i've taken more tablets than ever before in my life i'm going to leave. the singles have barely left a visible mark but harvick pseudocode has yet to regain the strength for his gardening. do you remember what happened earlier today.

so see you again next week and until then let's all try to stay in good shape. absolutely.

the be. the big it's all happening good job pretty comfy and. your link from africa and the world. your link to it section stories and discussions hello and welcome student news i'm feeling program tonight from son jimmy from the news of easy to our wild website the democratic caucus much africa joined us on facebook at g.w. africa. i'm not often out at the gym well i

guess sometimes i am but most end up in which the government research of an thinks deep into the german culture of looking at the stereotypes aquatics that in years think the future of the country that i not blame. yet needed to be taken as grama they are to me it's all about a. i know i'm a joke join me to meet again sunday happy and. post. some more your 5 keys to safer food. keep clean to prevent contamination. draw and cook foods to avoid cross contamination. cook thoroughly to kill microorganisms.

keep food safe temperature. 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 you buy but you can protect yourself and your family from diseases in the home by plying the 5 keys to safer to use them you also have a role to play. let's look at the. play. play.

play. play play. play play play. play. play play play. this is p.w. news of live from iran the promise is harsh for. as u.s. has strikes kill a top iranian general the pentagon says the drone strike on baghdad airport was to prevent future iranian attacks the assassination of the elite commando a custom seller monny dramatically escalates the middle east tensions. also coming up all straight as prime minister facing growing criticism over the deadly bush lives and residents who've lost their homes they scott morrison should have done more.