but i got both. my gorgeous was sued for the brush and sold. it rather steep. so many different walks of life some are. the product. comes straight from the heart. of the russians and churning from birth to death starts june 18th g.w. . hello welcome to in good shape coming up. what makes this auto immune disorder so difficult to diagnose chronic constipation why it's so important to figure out the cause. and parkinson's disease why exercise can help.

and here's your host dr cost and. we're in good shape and this is tight she the ancien. which is still popular in china and actually in germany people are using it here for neck tension all the while back pain just to relax but this year is very special because here at the building charity doctors are using it to treat parkinson's disease and this is what i'm going to talk about today with dr patricia kuhl is a and condolence welcome to the chair.

exercise is key in pakistan's disease and exerts long term benefits on center reduction and quality of life. dopamine is a neurotransmitter in our brain it's important for muscle movements patients with parkinson's disease a leg broken in therefore they suffer from movement disorder so it's a good idea to give them to can mean as a medication but it's also a good idea to prescribe some exercise. suddenly he found himself short of breath it proved to be the 1st symptom of parkinson's. it was still young when he was diagnosed that was 15 years ago but he keeps fit and exercise helps him counter the effects of the disease he can still run 10 k. easily you know what i think everybody has to decide for themselves how to deal with it sometimes i even forget that i have parkinson's. parkinson's disease is a degenerative neurological disorder the cause is still unknown. but we do know

that the brain cells that produced open mean gradually die off. a lack of dopamine disturbs the link between the brain and muscles physical activity becomes more difficult. done in a bag a parkinson's expert at the university of keele in northern germany knows that exercise can protect nerve cells that's why she rides her bike to the clinic every day when my ardently kind yet if you exercise a lot dr gates new neural pathways in the brain which we see in imaging studies then certain areas of the brain are reorganized. nathanson nerve cells make new connections and movements can be performed in better in different ways. and then the brain has to learn to do that and only learns by exercising 13 and by exercising you can mobilize unused potential in your brain and that's particularly important for parkinson's patients those who start early can possibly help slow the

progression of the disease. overall mobility in everyday life and the progression over a period of months or years is simply much improved. lord has become more agile has improved his balance and is less prone to falling than other parkinson's patients who don't move much. his progress is monitored in the motor functions lab . my for my 1st impression as soon as a patient walks through the door some people help themselves others don't every day activities are psychologically beneficial to people who are active cope with the disease much better and enjoy life much more. it was devastated when she found out she had parkinson's but that changed after she came to the paracelsus clinic and i was not book where they have

a special parkinson's program. and i notice that i'm stiff when i don't exercise regularly. but when i do exercise it starts to become easier to stretch my body everything expands . at. the so-called big therapy has patients make big movements media louden schlager started the therapy right after getting her diagnosis. on the to her prior to the therapy ms loudon schlager i could see that you were able to swing your right arm much. less than your left arm. and your gate was a bit unsteady it wasn't a certain and focused as it was later on. for weeks later after taking medication and taking part in big therapy she was much better. and. you walking symmetrically with both arms swinging it's completely balanced you have

a very large stride and you're walking straight as if you were on a line. with medication alone improvements like that aren't possible. reducing medication levels are just starting therapy isn't nearly as successful as big therapy. parkinson's disease and sports don't preclude one another they belong together. i'm here at the berlin charity was dr coles in new cold war games and a group of parkinson's patients and what happens here so we try to close the gap between the in the outpatient clinic care so far we offer our patients multidisciplinary team consisting of the physician the parkinson speech and physiotherapists nutritionists and of course the training of titty and there we would like to analyze the individual needs and resources of each patient after

admission and to then creates an individual and so to say customized treatment for each patient very close to every day life a pivot so this is kind of an exercise here is to exercise how important is exercise and parkinson's disease. exercise is important in your illogical disorders nearly at any time and parkinson's disease is a movement disorder and so patients really benefit from any kind of movement if there's no lead to medication medical puns or deep brain stimulation. we highly recommend any any activity. on the patient so let's focus 1st on the so and know what you like to join us please so you're doing more calls here and it's very important in the treatment of parkinson's but why does it help. take cheese and if you will trying she is

a form of movement that originated in china it was a martial art developed for the battlefield today the martial aspect is less important because nowadays we tend to focus on health living a healthy and balanced life and tight she has a lot of benefits in that respect it can help improve balance and motor control and it's relaxing and improves concentration that's exactly what parkinson's patients need all so it's a special form of tenchi called keep moving and what's special about it. this is would tie chee movements look like if i do them myself or would touch the sequences might look like this is a bit too complicated for participants it's too complex for the time and they don't need to do this to start out all this here is a simpler version of the focus here is on improving balance and of course strengthening your leg muscles along. kleis convinced all spawn. by

muscular thoughts of. when this is what they keep moving principle is all about until you reduce or eliminate the superfluous aspects and make it all simpler one big for the patients that serves as a bridge point to get access to tie gene as a form of exercise of course they can later expand on this some of my patients at the arm movements but to start with that doesn't make much sense. there was a study that showed that parkinsonian patients who were training regularly she were better off with their daily activities after just half a year of training so that's check out that. it's nearly so. does it really help as it helps a lot. of had parkinson's for 10 years and has been doing tai chee for about 2 and a half years when you look at i look relatively normal. not if i skip 3 weeks or so for example on a holiday i feel was. important because it improves my balance for me i can

definitely recommend it. so you're motivated and don't have to force yourself no not at all along with the exercise i really appreciate how it relaxes me how do you find inner peace that's just as valuable. as what does tied she do for you. cons interior lang's i'm going to come here and try to slow movements help me relax right away and i know and it's the target and that gives me a kind of inner peace imbalance. or and. meowed let brings a sense of calm and serenity to my life and. i took to it immediately i did tell. action. there's a really amazing but there are different exercises that could be really helpful like dancing and this one dance which is especially helpful it's tango.

with. her. first the warm up. and then it's time to get down to business. to him now impairs. recent clinical studies indicate that the tango can help fight parkinson's disease. scientists have discovered that it significantly improves the patient's gates and balance. into heinecke a hope that he will benefit greatly from tango dancing to him but i know that when i'm struggling with my pastor on the one hand then i have to get my legs to do what they should be doing. unfortunately i don't always manage but my partner is helping me and that makes things better on the sly. and the dancers really have to keep on

their toes. the tango therapist often throws in new exercises. we clean the was like this that's how the therapist salvo consolidates describes this coordination exercise. on fire and catch it. so i would. 1st make it disappear. that's good. the goals are to take bigger steps unusual and achieve the best possible posture. teacher and student are both pleased. my leave my friend next week you'll come here and be taller than i am want you to be.

here after 2 hours of tango could really walk tall. studies show that tango improves balance and the torek abilities and dancing is fun you can do it in groups so how important is a group activity and fun this group activities always help to maintain to the program and to keep motivated and they may help the network socially and on the other hand dancing is a very helpful for patients with parkinson's disease as external cues such as visual or acoustic use help in. improving movement and intake she is about concentration and focusing on the task is important to. yourself in 5 yes definitely it's totally important because the body can only

function if it can relax sponsor relaxation is the basis for everything and parkinson's patients often suffer from muscle rigidity so relaxation is especially good for them and it's the same when it comes to concentration but on a good. it's accepted wisdom in asia that when body and spirit harmonize or work together in a directed man. then daily life functions better than unfortunate for instance you want stumbles who often or forget where you put your keys money wise what the other fizzling ones are so what other kinds of movements and exercise and sports what you recommend for parkinson's patients so in general no limits are set when you are not healthy you should start with prescription for physical therapy for example and on the air when when when you're healthy you can go jogging you can do nordic walking cycling weight training as i said earlier or you just use the said home or

even computer games imitating sports so if our viewers want to start now what's the 1st step they're so should as of you the 1st step is to leave the house the longest journey begins with a single step you find to take cheech or close to where you live to do a trial session to get an impression and if you like it there's nothing to stop you so it's all just about doing it and get moving so please get moving get up and go to your computer and send us all your questions to our experts. on an upcoming show we'll be looking at the power of meditation breathing and relaxation exercises are said to help reduce stress in everyday situations how does meditation work and what kinds are there send your questions to in good shape at the w. dot com just right meditation in the subject line we look forward to hearing from

you. many people think that they are constipated one out of 3 things that he or she has a lazy colon but the real data are different just one out of 10 it's really constipated so it's up to the patient just a gut feeling. is a doctor's assistant. so she's on the move the entire day it doesn't matter if she stands or sits or moves or not the 49 year old has been suffering from constipation for decades i've always had problems going to the toilet act as a young girl during my pregnancies and afterwards as well she has the most problems when she needs bread and meat at 1st she thought it had something to do with her diet so she tried changing it. finished so can i reduce my sugar intake and eat a lot of vegetables and fiber things to get my bow moving i've tried it but it's

never really worked 100 percent at. this and. even though daughter truckies lots of vegetables and whole grain products she only has about a movement every 5 days and that is weight on her quality of life. the problem is when i have constipation i begin to have flatulence and that's not very pleasant. this is that. for years she has felt constipated she's turned to doctors for a gastroscopy has colonoscopies pancreas examinations as well as tests for lactose and fruit dose intolerance all without success she still has constipation and her infrequent bell movements have led to another problem. i feel the urge to go to the toilet but i can't. on a visit to another doctor that is told that it's often quite difficult to find the

exact cause of constipation so additional tests are needed. as if there are many different causes of constipation such as medication and other diseases for example neurological disorders and parkinson's disease. multiple sclerosis vibrate ism and diabetes can also lead to constipation. dr is able to rule out all of these as the causes for it. now a simple x. ray with these capsules that contain metal markers should show whether the problem in the intestine. the human colon is always in motion shoving clumps of partially digested food back and forth 6 to 12 times a day there are stronger muscle movements that move along the digestive track. motor neurons control the process and sometimes this is disturbed in people with

chronic constipation. that causes can also be found in the colon itself changes in the homans nervous system or the muscles and the color of stone that can lead to less peristalsis reduced intestinal movement so there is a delay in the transport of digestive tracts content which a neurological or muscle disorder can cause constipation suddenly. it's also possible that infections in the intestinal area get that we encountered during our lives can lead to changes chronic changes to the intestinal nervous system causing chronic constipation. x. ray indicates that she doesn't have a serious neurological disorder in her intestine because only a few metal markers are left in there that means the colon is slow but not diseased . so if it's not

a neurological disorder what is the cause and examination of her rectum indicates that she suffers from an intestinal voiding disorder she's unable to have a proper bell movement ready. the problem often concerns the pelvic floor the muscles responsible for opening the sphincter during a bowel movement often don't function properly and that's. related to a pelvic floor weakness. a change of diet didn't help towards luck so now she's undergoing a combination therapy a laxative as a subpar satori will help empty her rectum psyllium asar you will fiber help smooth the passage. the psyllium absorbs 40 times its own volume and this water will remain in the fecal matter so it doesn't become hard and the intestine can transport it better

transport you can. no dog or track is on the right path she's more physically active and following a healthier diet. she takes the psyllium every day and every 2 or 3 days a laxative if you are to me i don't have any if i could go to the toilet every other day that would be a success i hope things get going. and. do you sometimes feel without an obvious reason or have joint problems or risk in grass the reasons for this and mostly harmless but this could be signs of a dangerous disease like lupus. going down a long flight of stairs can be a risky business for as out about tom she sometimes stumbles for no obvious reason . the cement walls would affect my can't always feel my body so well especially

on the left side and then if i don't watch out i can have problems with my coordination quickness that's what happened this time one moment of inattention i put my foot down wrong and it was broken off the sat stunned when my mom. was mysterious condition 1st appeared 11 years ago she came down with scarlet fever then she kept getting sinus infections she had surgery and took lots of antibiotics but the infection kept recurring along with bouts of debilitating fatigue. it was the 1st of the king to get up it's like coming down with the flu quotes when i get a high temperature and all the other symptoms that go along with it i wasn't tormented terribly tired it's not just a bit sleepy but really exhausted and. that leads to problems with concentration even looking for a small changes tiring so here pays with the bill but she's glad she has the energy

to go shopping at all and is no longer suffering from extreme fatigue. she had the condition for 6 years before rheumatologist had much zones and finally diagnosed it as systemic lupus erythematosus an autoimmune disease servants and says diagnosis isn't easy the symptoms can be so varied and diffuse that patients are not always taken seriously. how are you feeling today you asked peter i can feel it's time for an infusion for the fia to be done lots of doctors think the patients of mentally ill if you have to feel a figure that anyone who has so many complaints is mentally unstable and conclude there's nothing really wrong with them it's all in their head. and that's what happened with her and this is she office she had. one quite typical symptom a butterfly shaped facial rash went unnoticed. in lupus the

body's immune system produces antibodies that attack the person's own tissues. that can result in inflammation of the guy's skin and joints. the brain and internal organs such as the kidneys lungs and heart can also be affected . but there is some hope for sufferers a medication called. a monoclonal antibody is the 1st drug developed especially for lupus. to target certain amused cells known as b. lymphocytes thereby suppressing the excessive immune response and reducing some of the symptoms. every 3 weeks as a who gets an infusion of the drug suppressing her immune system has side effects that makes her more vulnerable to infections. the advantage is that she doesn't need to take as much immunosuppressant cortisone. and this sort of

a listen vic as it's not as if it's all gone but i need far less cortisone and fewer painkillers and that enhances my quality of life due to the tedious less intense so i can actually get out of bed it is over ticked as well you know the kind of fatigue i had before was indescribable you have to i couldn't take care of myself at all but now i can again 100 percent. tend as hired the person hit doesn't cure lupus there is no cure for these conditions but it does reduce the symptoms. and it protects the organs from further damage that seems to be established with no horse car but i did see that kidney inflammation is reduced and kidney function improves the inference and it's clearly very effective as a dense cloud see a verb some. heads have been treated earlier she might have been able to continue

to pursue her profession as an occupational therapist but now thanks to the drug she can at least work in an office for a few hours at a time. that's it 1st a day see one next week and until then let's all try to stay in good shape. i have.

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be a modern mental suited to global $3000.00 on t w and on modern. audience . this is g.w. news coming to you live from berlin facing prison for reporting on corruption a philippine court convicts journalist maria ressa of the crime of cyber libel she'll speak to. her case which some say is meant to intimidate critics of president rodrigue or to touch it also coming up europe reopens most internal borders after months of travel bans restrictions to curb the spread of corona bars

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