these topics in depth with the experts and give you the chance to pose your own questions so do get in touch. for bells for chambers and 5 liters of blood per minute this is our heart and it beats constantly over a lifetime usually without any problems but smoking stress and any move feds can be a bad beating too or hard but not only adult smokers can get heart problems every 100 ths child is born with a congenital heart defect sometimes the vast sum of working correctly sometimes they are abnormal vessels in the case of the flow there are multiple defects in the heart and this is a big challenge not only for kids and parents but also for the surgeons. louisa loves playing around with their brother yakob she looks like any other happy

and healthy girl of her age but pictures in the family photo album reveal what she had to undergo in the 1st 6 years of her life. goodness. oh dear. that's when i had heart surgery. the weser suffers from a congenital heart disease called tetralogy of follow a combination of 4 different heart problems her parents were told about the problem during the pregnancy but as i woke up finally a man with a machine was a dreadful shot and you wonder why me but there's no rational explanation of how it was just bad luck. and patient. louisa's heart defects had to be rectified which involved complex open heart surgery when she was just 18 months old when he courses are. the biggest worry is before and during the operation. you

don't hear anything for 6 or 7 hours and all you can do is wait for the call that relieved. and what a huge relief that is. the condition involves 4 specific heart defects a hole in the lower chambers a narrowing of the right ventricular tract usually coupled with an abnormally formed valve because the heart is overworked that causes a thickening of the muscular wall of the right ventricle and is out of place rather than being positioned over the left ventricle it is directly above the ventricular septal defect so only some blood in the lungs is in rich with the rest of it flows back into the body circulation by the septal defect the mixing of oxygen rich and oxygen depleted blood. characterized by a blue skin discoloration. treated it causes the child to die. which is caused by low oxygen levels it causes brain damage and multiple organ damage. with louise it

was far more difficult because she had 2 congenital defects and in fact. that's why we waited a bit longer it's best when the child is still a baby. first of all louise's heart specialist corrected a number of problems regarding this. between the 2 chambers of the heart and enlarged the conduit on the right ventricle and reconstructed the. history of its. procedures ease the pressure on the muscle of the right ventricle causing it to return to normal the blood can now be pumped into the long unhindered. the. surgeon who operated on a. road back then on a typewriter what a beautiful color she has now. that's exactly how it was with louise skin was rosy and she looked like a normal child. but 6 months ago luisa

had to have a 2nd operation reconstructed pulmonary valve had begun to leak that's not unusual for patients suffering from to trial the g.a.o. follow her doctor implanted a new adult sized tissue valve. missing the only ways i have to have another operation at some point by that is we don't have any more surgery planned but my experience is that problems were occur when patients are in their thirty's forty's or fifty's tissue valves don't last a lifetime some point they develop leaks or become too tight. then they need to be replaced but that doesn't have to involve open heart surgery i think is likely to be think. these days it's possible to replace of the key hard valve with a minimally invasive keyhole procedure. you can implant a valve in the old one using a catheter inserted in the groin without opening a patient's rib cage and hooking them up to a heart lung bypass machine the machine was. louise's pulmonary valve is now back

in good working order to raise echocardiogram shows only a minor amount of leakage her situation is vastly improved compared to before the operation. feces her prognosis is very good because we managed to counteract the damage resulting from the enlargement of the right heart chamber i'm going to come to you and you have the right ventricle is very sensitive when it stops from working properly if it isn't operated on promptly then we can lose the patient come on. and implanted tissue valve usually functions well for 8 years on average louisa will be forced to have regular checkups all her life at the moment her heart is completely healthy in theory louisa could start school soon but her parents have decided to let her stay in kindergarten for an extra year. she has a few measures scale problems and i think she still needs some time to catch up she

gets occupational therapy and physiotherapy in kindergarten. waiting a bit longer will do her good and then next year she'll be able to make a good start at school. let's talk about the bodies ways department i mean the kidneys they fixate the blood and help to get rid of all the waste products of all metabolism they produce you in constantly and to hold to your ring make sure invented the bladder we don't even realise that we have a bladder unless it's full but sometimes we do notice that we do have a bladder when we have to go frequently to the loo and when it burns when the hearing date this might be the case when we do have a bladder infection which is especially frequent woman because they have very short restruck. yun i'm of the year she 1st practice is yoga to stay fit that is if the temperature is right if the 38 year old. gets cold feet and chills it can get

problematic. and he doesn't know how it is if i have a year and a retracts infection i usually don't get it for only one or 2 days i guess if a several weeks is not really impinges on my life. the go go instructor has to deal with u.t.i. as at least twice a year she knows there are many myths concerning this subject so she visits a urologist to separate fact from fiction. she has one specific question and so how does this i always have the feeling that if my feet get cold which is almost constantly that's when i get a bladder infection. getting cold be the main cause it's a popular assumption but is it true can one for example get a u.t.i. by sitting in a cold place. yes we know for a fact that drafts humidity cold temperatures and having a cold pelvis can all made to it even in some cases having cold feet is enough

walking across stone floors these things can compromise your immune system enough that bacteria in the urine retract can be fought off as well as in the rest of the body and that can lead to a full fledged infection and to unpleasant symptoms. so cold can indeed trigger a urinary tract infection but the cause is still bacteria in the laboratory doctors can find the pathogen in a urine sample and prescribe the most effective antibiotic. but are antibiotics always the best way to treat the condition. that i have a real problem with taking antibiotics i don't want to take them anymore. is there any way to avoid. this is if it is as much of a stage it's definitely a good idea to try and not take antibiotics 1st we want to avoid bacteria becoming resistant when that happens bacteria can't be treated anymore because the drugs are

no longer effective if it's only a bladder infection with burning frequent urination and some pain it's better to try something other than antibiotics but if the bacteria travels up to the kidneys and causes pain in that area or you develop a fever then it's usually hard to avoid taking antibiotics. antibiotics can be highly effective but should only be used as a last resort and half of all bladder infections can be cured with one common household substance and plenty of water yama swears by the bladder and kidney tea she gets from the drug store but can tease really help. they're diuretics and that means they expel water from the body and that the bacteria better they also help the mucous membrane lining our bladder fight the bacteria so bladder teas can help there are also natural remedies but how well do these plant based substances work. good to see granbury is there

a cranberries which prevent bacteria from sticking to the mucous membrane in the urine or extract then there is rosemary centering lovage there's a wide variety of remedies that you could take they all have their beneficial qualities but unfortunately no one can say which one is best suited for you. just. there aren't enough studies but it's worthwhile trying out different plant based substances. as soon as yana notices the 1st signs of a bladder infection she now knows exactly what to do and yes that's when i noticed the 1st symptoms i immediately think at least 2 liters of bladder and kidney and then 2 liters of water to flush it out not generally and. i also take different plant based remedies that i can find at the drug store. or. include lots of. keeping your bladder healthy it's all a question of getting the right balance between keeping warm drinking lots of

fluids and strengthening your immune response with exercise and good nutrition. no i'm sorry i don't have time next week i'm hosting in good shape and help me there too. perhaps in 2 weeks oh no.

think i'm going to. take me there in this mess in this way with this with. my. world musician mr through and through. 3 women with african roots i'm sleepy joe biden told and it may come back to what is the source of their inspiration i am

out of luck. ladies. 15 minutes on t w. o africa. to environmentalist geoffrey a fan you know has made up his mind. to kill any more. visits rural areas every week for the conservation donna initiative and sensitizes the lessons for the protection of the forest and the animal. minutes d w. d q you know that 77 percent obamacare are younger than the pot. that's me and me and you. and you know what external voice is part.

of the 77 percent speech issue. this is where you cut. the 77 percent this weekend on t w a. story of producer propaganda. they were called the rhineland bastards born after the 1st world war. their mothers were germans living in the occupied drying land their fathers soldiers from the french colony. these half of the german children had a hard time because they were a reminder of the german defeat. exclusion and culminated in sourced sterilization under the nazis. this documentary examines the few traces that remain of their existence. the children if she.

starts january 11th on d.w. . because as did every news live from the land the long awaited european union u.k. trade deal is done a latest say it's fair and balanced the british prime minister called it a small christmas present also coming out latin american countries began ambitious immunization programs but the worst hit among them to has yet to approve a coronavirus back saying will find out why brazil is lagging behind. and christmas

is usually a time for togetherness the crown of virus is proving a challenge.