stretches of land will be abandoned. and the water has to. be stopped it's happening faster than anticipated. masses are supposed to prevent flooding but the only delivery inevitable. how will we live in the future. 66 me losing sea levels starts june 6th on d w. hello and welcome to in good shape it's summer time in berlin but today's show is not about ice cream it's about cancer but don't be afraid cancer isn't always

deadly the life will. be in good shape meats and so long and down hard learmonth answers just 30 but he's already been fighting cancer for 16 years. is his doctor put the sherry to university hospital in berlin. i'm oppressed holderness and done patients manage to interpret such a terrible diagnosis i counsel it into their lives and to leave a quite normal life. when you're young there are a lot of things in your agenda your for your 1st job and your very 1st own apartments but when you're diagnosed with cancer everything's on hold your whole life needs to be reorganized. finished fasts that's. the worst part for me was not knowing if to survive it will stop this cancer by the umbrella if i was going to get as old as i thought i would. and we as

a concern was some how long will it take the lying about us cancer on bunk bed when our life be able to lead a normal life again and put it behind me when will i be able to forget it and liked that my desk up. over a 1000000 young adults developed cancer every year catarina 26 years old in 2018 a gene mutation caused her to develop breast cancer she was making plans for her future then suddenly she was dealing with surgery treatment and fear. and purest compliment i thought if i'm unlucky i'll never be healthy again i'm deaf i'm unlucky all dying before i get my college degree before i can become a teacher before i can have a family and i didn't want that so i said to myself i have to do everything possible to make sure that doesn't happen that's the. catarina had been looking

forward to qualifying as a teacher and starting work but it wasn't school that she went to every day it was the clinic. found finished it was an incredibly dramatic experience for me being so happy that i could finally start my teaching internship i was so close to finally being able to start my dream job but then cancer got in the way. deana listener knows the problems that young cancer patients face the oncologist at berlin's sharia to hospital also works for the german foundation for young adults with cancer the organization helps those affected and is committed to helping raise public awareness. we have to take into account fertility issues we also have to factor in that young patients might not stick to the treatment program because they simply don't want to go to the clinic every 3 weeks. we have to keep explaining to them that they need to follow the treatment

schedule which has to be very strict. it's something that presents a big challenge for the medical team as well. you know also suffers from a metabolic disorder which forces her to keep her arms and legs covered but she's determined not to be defeated she's also helped by her work at the foundation for young adults with cancer. yes this i'm a virus and they could but i think it gives me so much. on the one hand thanks to be exchanged with other patients. that's not about that and also just because we have a lot of fun together we don't feel that cancer dominates our lives. and if we can get together and laugh about it. the one who can. cut serina chose to have both breasts removed she underwent chemotherapy and hormonal therapy that induced many of us but me of us with a sister kind of physics again in my case the man who pulls resulted in

a complete loss of libido. has a very negative effect on your sexuality there is just so many signed affects that can mess it up looked us i was lucky that my boyfriend stuck with me but as a young person as a young couple you want to be able to enjoy life and love and not just doesn't work nothing works for me katarina would like to have children but the treatment can damage the ovaries she's had her eggs frozen 2 years later in spite of the uncertainty she hasn't lost her love of life the tumor is gone she's going to teach and she's making plans even though she knows the cancer could come back if mecca for me said i feel that i've become much stronger in many ways i somehow feel more grown up even though i've been thrown back a few steps in a way i'm a bit like a child again because i need people's help. but ultimately i feel more mature

stronger and i know that there are more important things in life than all the little things that used to get me upset and even get someone to. cut i'm going with i met the burden charity thanks for meeting me today. you're a cancer patient so you developed cancer when you were 14 years old and know you're 30 and you still have liver cancer so how do you see today if you were really great actually a lot like. thinking about the lodge every day it's want. commanding every minute or demanding every minute every 2nd of with day i'm aware of a lot of the disease and i'm coping with it it's not like it's. it's controlling my life it's not controlling your life i mean it's more than half of your life it should be at 60 years you're a cancer patient so hall how was it for the 1st time the doctors were telling you

the diagnosis. actually it was because between the diagnosis or the. suspicion for the 1st the 1st signs that half the cancer in the liver and the 1st surgery there was about 2 days so it was really fast and even after the surgery because of the surgery and the surgeon come come can come to me and said it went well we got everything out so and then it was like that that states that we have to know what to talk about again and like 234 days they came to me came to me again and they said we have found. in lymph nodes cancer cells it's very devastating i mean this is disappointing to get the truth you were cured and then they told you that the disease is still going and then and this was not the only time we realized that this disease was ongoing that it was part of all the

years that yes. like in total. 666 times. $6.00 to $6.00 times including the original one and. yeah it was like. there was the easier ones that got you got that got to take i got taking all that with me massage 3 took like 2 hours and was done and then there was there was a long there was like 2 surgeries the surgeon came to me and. before the surgery. we try our best and we if you don't think it over you know it we close you up and so in this well the 2 times i was really. not scared in the can in the classical away it was me it was more way off. feeling lost

and the like. yeah so and now it's the 1st time i receiving. druck therapy with mats and not getting cut open. that's a surgical therapy. and it's it's the think it's a good good thing. but it comes with its own set of problems but in all those 16 use of this diagnosis of this disease and you still living your life i mean you're doing punk rock you're kind of a buddhist yeah so how does it help you you know. i am more like like. the whole mentality of punk walk so like being self dependents and. freedom loving and. it's all can be transferred into the coping with the disease you know like being being self

dependent so i don't give in like i'm blind here every therapy question things i want to know what's happening i want that the doctor is. is like working with me and not working on me and freedom loving i'm not really free when i'm dead i can feel your spirit and it's very late thing for me to hear this but. i'm a father myself good to girls and for me as a parent. it would be a catastrophe. to learn that my child has cancer so even if you're a buddhist even if you do punk rock him how did your parents react to the diagnosis that my parents where. i had this rule nobody cries if i'm not crying so when my parents who are bad in the hospital and it was really it was more a more positive than life negative i feel like life need to inject this one

almost more life a life demanding like we want our life and our normal patterns are as close as it is get as it gets the parents are the rock for you and when you see your parents are grieving really badly it affects you in a way you could imagine for in the fact see your coping with this disease so this is the reason why subconsciously i invented or i put out this rule let's continue this talking just a moment because you have to get therapy we're not in a park here we're sitting at the shirley t.m. bilin going to get you know therapy so what do you immunotherapy. a vaccine that helps fight cancer. it teaches your immune cells to recognize chuma is more effectively and to attack them.

very your immune system could kill most kinds of cancer but often it can't keep up . either the cancer is faster than the immune system or it can defend itself against it. into being in scientists the testing the effectiveness of the vaccine therapy in fighting we're currently kenya. if springs from the we believe the therapeutic vaccine could have a long lasting effect in the body for instance extended immunity against any residual income your cells we hope this protection could prevent a recurrence of the disease or you and his words of them stay. cancerous tumors form from the body's own tissue their cells look almost exactly like healthy ones making it hard for the immune system to identify them that's why immune cells can't fight the kuma without help. the proteins on the surface of human

cells are altered and these are the target of the cancer fighting leukemia vaccine . every vaccine is tailored to each individual patient because every chuma is different. one advantage of vaccines that target cancer cells is that they don't have serious side effects. there is searches themselves produce the personalized vaccines 1st they look for the molecules that are only present in the cancer cells to do this they compare the cancer cells with cells from healthy tissue in that way they can identify the specific changes taking place in the leukemia cells. the test subjects receive 16 vaccinations over a period of 7 months after a while the immune system begins to respond it starts producing new immune cells

that battle the vaccine and the cancer cells. each dot represents a cell because that's the control group. and this is the vaccine response you see up here there are a lot more cells than there were before. the results so far indicate a regular vaccine response in the blood of patients we've been treating and. this therapeutic vaccine is still in the research phase but another cancer immune therapy is already in news. special knowledge kills all checkpoints on the surface of immune cells prevent them from attacking the body's own tissue. cancer cells protect themselves from the immune system by reinforcing this breaking effect. but new drugs called checkpoint inhibitors remove the breaks the immune cells abandon able to fight human. but the unleashed immune system doesn't just attack

the cancer cells it also attacks healthy tissue that can lead to side effects like joint problems and eczema. but it makes it possible to fight humans that were previously considered untreatable. in the future cancer immunotherapy will play a greater role than it does now if everything goes well particularly all patients stand to benefit. immunotherapy could be used to treat a wide range of cimon in addition to surgery chemotherapy and radiotherapy immunotherapy is on its way to becoming the 4th pillar of cancer treatment. hi this is where you do the infusion ferret pieces so what's inside this container this is the foremost. immunotherapy and what does it do in the system it's cause

novel approach we have mold for several years now that the patients in the sim usually detect its own cancer or if immune system has a control level the control level. is kind of a break for the attack of the immune system so in this case it has a new direction but the controllers control that this infusion takes off the control for a period of time. so we kind of lose in the break and then his only move to texas on cancer. and your student of biotechnology so does it help in understanding the therapy and does it help you get. yes it helps me to understand therapy but not like in a way that tells you to cope with it it's more like. in the way that i can i'm feeling like i'm more than a scientists and involved in the whole treatment of the whole disease

cancer and just the patient just being a patient so and when i'm here and i'm talking to a woman after the therapy or before it's kind of nice to just to talk about my own desire disease. patient rather than talking about the whole spectrum of cancer treatment so what about it brings me to the side effects i mean you would call it there would be the serious side effects are there any side effects there are side effects at the moment i only have like a little rash a little red dots there or something that authorities like. you are trying to support as a couple others especially i'm a bally. they just look. like a something of limitation that's not really. it's manageable. yeah

there are some other. side effects that are more. severe but now i don't i just don't have them so what kind of side effects can you expect and what's the danger of. effect was our trip and we're fact control of the immune system so the control that's a new system has in itself so we do loose and display immune systems can overreact and answered a very severe ental called i was having diarrhea and that that's when he called and 3 months we couldn't continue treatment until we had solved this problem he had to adapt his diet and after about 3 months he felt well and continued fortunately doing the time so triple was the disease was already controlled so it didn't affect the whole result and what is there to gain from this therapy can you really heal the cancer we know from other forms of cancer which we use this treatment that

patients are not stable for more than 5 years so we know that they have a very prolonged effect hopefully and so as more of these patients thus far the can says not to be curt we can find some evidence that he is in good shape just finished his studies so yes good quality of life and cancer is controlled it's controlled so it's more like a chronic disease. i think if back to that so we can say that we defeated the cancer since we 1st find some evidence we're always afraid it's a cancer might we curve but so far of for the past like 12 months it's completely stable and he has no symptoms so you don't really know whole whole long to continue the therapy could be for say 30 years we don't know yet we know from other patients that you can't stop for a while like another disease so we know that also was and so we had the wake of what 3 months and it did not affect the results the positive results but for the

long term we don't know it well but there are other therapies and colleges looking into. as. i was pretty skeptical about the whole thing i wasn't convinced they could help i just thought i had nothing to live for the doctors. yanis y. to has breast cancer she's an outpatient at the kenny m. teaching hospital in essen in the integrative medicine unit here she receives mainstream care in combination with complimentary therapies mainly to address symptoms and side effects doctors have been a further help set up the unit. finn's always open sets we find a great fan of integrative medicine in general i think conventional medicine has its place and is important but i also think natural path medicine has a great deal to offer and it's wonderful to be able to make that available to cancer patients as well. acupuncture is used here to help deal with pain we can be deployed during the course of chemotherapy. this could diminish wouldn't

more and more studies show that acupuncture really helps with a range of side effects such as pain in the hands and feet nausea fashions hits of this has been thoroughly researched and we see it in our every day clinical work which is into question clinician not. chemotherapy has caused her liver values to soar and has to be suspended until they come down doctor prescribes an abdominal compress as he has mentioned of auckland's we don't have to just wait and see if the body deals with the problem while we pulls the therapy we can actively support the process. we know that a compress on the liver boosts the livers metabolism so it might speed up getting the values back down to normal so we can resume the therapy it can also turn off if you don't. like after 5 weeks the values have improved it's possible but not

certain that it would have taken longer without the compress younus why it is worried that her tumor has grown during the break in treatment she's about to have an ultrasound. and i'm very nervous it's all or nothing now has the chemotherapy worked or not using one included looses the surgical clips where the cima was you remember that looks black now there is no tumor to be seen around the clip before it's gone and can't be seen using now most of these are normal healthy structures with new connected. tissue growing up this is awful it's clear the tumor is gone to a complete take again this coming didn't get no mark you know this month or so this is. true if you look for in tears of joy are important to him oh my gosh these results are fantastic. in clinical terms we have completely stopped means there's no chuma we can hope for anything better. and you have to be really strong

i think i have been. there were bad days but i feel like i got through them. before the ultrasound younus quite a fear the tumour might have grown in fact the chemo had evidently already obliterated it. the complimentary therapies didn't target the cancer itself but were used to help her deal with side effects and support the therapeutic process. i must say i just met today and i'm very fascinated how he's coping with his diagnosis cancer is the usual approach of young patients it's a very special situation for this and patients usually just fly for independent. partners for soaps good studies or good jobs with the family and so in this phase of independency they get dependent on medicine on people like me so it's very

difficult for them to integrate the business into a normal life especially with chronic diseases but i'm also very fascinated by these patients because also very mature more mature than their peers so what makes it so special to treat young cancer patients well there are several aspects one of them also have an amount of multitude of information's available just use to look into the internet what's available so we talk a lot of quantity of information that doesn't always mean quality so you will have to talk in-depth and explain what you are doing well and says quite confident quite witty he says that a doctor has to earn the trust of the patient is he right it's a little perky but it's honest and honest this is the basis of our working patient doctor relationship since it's almost i can handle it thanks so much for this very interesting talk and i have so many more questions. but now it's you all to send me your questions by e-mail. on an upcoming show we'll be talking about

alcohol it's consumed all over the world in the form of wine and beer what effect does it have on the body sending your questions to in good shape but d.-w. dot com just right alcohol in the subject line we're looking forward to hearing from you. so right now after therapy how do you fear. later today or gets tired will be tired and it's like. but. if somebody gets a diagnosis of cancer what's your advice for this patient yeah i would say i. try to depend on the family so what i say i was all saying before. the beginning of the disease and so then you can be supported by your family and the latest data shows

all when you get like. another disease also so far so good thank you so much for sharing your story with us and we'll see each other again next week and let's all try to say. yes ok let's go.

wellington biden is a savior of the forest. he calls 210 acres of land in central gonna his own is recall debating and conserving wood and taking how to practice sustainable forestry it's all about training become a power and people have also walked back to it themselves so i'm going to have the

ladies come fall i'm coming out for a go. in 30 minutes on t w. n c overcome boundaries. changing the world with dance. no words required. but full body and. how to join the. arts 21. 90 minutes on w. o. a dual with words. where i come from we don't want to weigh from a call from taisha. when i was 5 years old my father took me to his fencing and i

was focused on the sports. a sport that you learn sole entity will sole. fencing as a language and a good source for it is a conversation. must leap your opponent understand the thinking middle of the men to get close otherwise you can score a hit. it's not unlike a tough interview really when interviewing politicians or corporate c.e.o.'s you have to wait for the right moment just to get around that defense things that make you feel. yes to take risks to get results. i've got alphas and i work at the double.

frankfurt. international gateway to the best connection self in the road and rail. located in the heart of europe you are connected to the whole world. experience outstanding shopping and dining offers and try our services. biala gassed at frankfurt airport city managed by from a bought. this is deemed to be news envies are our top stories. a passenger jet carrying nearly 100 people has crashed in pakistan's largest city karate there are 2 confirmed survivors the rest of the passengers and crew are feared dead several people on the ground were also.