it is very real and not something you can ignore because of the sheer number of people affected that in turn raises hopes for people who've been suffering from post viral fatigue for decades there is hope that researchers will now be able to gain new insights that can be applied to other viral infections to. begin to get those affected to avoid too much physical exertion in many cases it leads if anything to a worsening of symptoms. hopes his own body will be able to beat the exhaustion one day soon as it might be some time until the medical world gets to the bottom of the enigma. chronic fatigue of the covert 19 has shed some light onto a group of patients which have been alone for many years pretty much alone suffering from any c.f.s. chronic fatigue syndrome effected patients are literally able by this disease powerless to enter normal life. on

a good day mother will manages to briefly get out of bed but typically he'll be lying in it for 23 hours out of $24.00 patches the case today he's not even able to sit up to talk to us. among the most annoying things are my heart and circulation vanity when i'm up right there unable to come to gravity and then the blood drops into my legs and i've been missing in my upper body so i get palpitations and get so dizzy that i faint. that's why i have to spend most of the time lying down or sitting up for this interview would be too strenuous. and being in bed all day i'm awake at night i get maybe 6 hours sleep but none at all during the day. basically vegetating maybe listening to an audiobook or a bit but often you're just left to lying around with your force. at

berlin's xabi to your hospital you can find one of germany's a limited number of specialists in chronic fatigue syndrome or c.f.s. professor. immunologist has been researching me on this and its causes for years. we believe that this illness which tends to result from an infection is an auto immune condition and this means that the immune system is unable to come down again after an infection and the resulting malfunction is due to the young conscious or autonomic nervous system. at the same time we have data suggesting that patients have impaired energy production so they need a constant supply of energy from food in order for the body to function and can. doctors have yet to find any indicators in blood tests. this is probably why it

was misinterpreted for so long as being a psychiatric disorder and sadly patients is still being classified as mentally ill and then and the syndrome remains largely neglected by researchers that. there's been minimal scientific research to date but it's vital that we understand exactly what the cause of the ellis is. once we do we'll be able to develop specific medication and me to come into. medication that would be a huge help to patients like. he had to drop out of his college when he was 23 an age where normally life is beginning to really take off. and i was in great physical shape unstoppable. right when i was in such a top form that i started getting more and more infections. every couple of months like be laid up for a week and then fit again for

a while. 3 years ago i got an infection that i never recovered from. it after a couple of weeks i tried to drag myself to college but then collapsed unconscious on the bus. so i tried again and again but i just couldn't make it. eventually i had to move back in with my parents because i was unable to take care of myself after reaching a low point stabilized a bit to a point where i've been at the same level for the past 2 years. of. the doctors at the shell a.j. hospital are trying to get to the root of this puzzling condition they've developed the strength test to help confirm whether a patient has yes but it remains one of the last major illnesses where doctors are still largely in the dark not to speak of employers and government authorities of

course. since you mentioned most of the people affected are young people to the right the working full time studying. we also have patients who fall ill after graduating from high school most need to start earning an income but most of them are unable to work. more research on c.f.s. is desperately needed doctors will only be able to help those affected when more is known about the stability and condition. in good shape your weekly health show on t w covers many aspects of health care. we look at what's new in medical treatment nutrition fitness and beauty. we talk about these topics in depth with experts and give you the chance to pose your own questions so do get in touch. if you suffer from chronic fatigue you should definitely see

a doctor to find the cause because the money in this is behind it like diseases of the liver of the kidneys or the fire and. 5 years ago suddenly noticed that something was wrong she was 19 and had started studying to be a teacher. and director 16 i noticed lots of hair in my brush it's normal to find some hair on your pillow or in the shower everybody loses hair but in my case it was really extreme i was worried i'd seen before and i saw this and that kind of. not all. change is visible. i just couldn't concentrate at all or remember anything i found it really hard to study and then it took me longer and longer to get going in the morning. and any time i'd like down i'd fall asleep right away i was always really tired no matter how much i thought the night before . and exasperated leno went to see her doctor but he couldn't find

anything wrong with her. so she consulted other doctors still no diagnosis. and then she found dr last keim an endocrinologist at heidelberg university hospital and an expert on the gland. he took blood samples to run the fibroid function tests. stretch your neck. and after also doing an ultrasound of her thyroid he was able to make a diagnosis so focused on the internal echo is rather heterogeneous to the thyroid gland is looking a bit rough it's not homogeneous but rather grainy so no it doesn't this. this is a typical indication of how she motos thyroiditis. it's an immune

disease. antibodies mistakenly attack the sign roid and slowly destroy it. in this target for eventually it leads to an underactive thyroid gland and that's what patients notice feeling unwell last fatigue the diffuse array of symptoms of somebody symptomatic which can make diagnosis difficult lena's story is quite typical. in the blood so in the end the fire road is very very small perhaps just this big was a tiny mix. front and of course it's a funny feeling to actually theatre and not just hear about it when i was diagnosed i knew nothing about the disease and i started thinking about my thyroid destroying itself and what that would mean for me. i had lots of questions and felt pretty down at 1st question from

a colleague of mine and from and. in that leno was not alone either. for this is for pay. it comes as a shock one of our organs is not working properly it's not easy to deal with but we also have to make it clear to patients that it can be treated very very well that's why the side if you read up on hash motos you'll find plenty of material including a lot that is wrong or misleading especially on the internet in posts by anxious patients. i did a lot of research on line and it scared me i read lots of forums where people write all kinds of stuff what it means for your career can you even function as a teacher or get a permanent job and so on. dr king's advice to patients is to be cautious and look for dependable sources. don't believe everything you read look for facts. the disease is very manageable if asians are treated by an expert

and play their part as well and don't give up because of all the crazy stuff in 2nd hand sources. we really can treat this disease so i think i was. lean and now takes thyroid hormone pills on a daily basis. determined the right dose for. you should stick to this amount. of information. and. now that i have the right dosage i feel much better. and better. i'm losing a lot less hair now and just generally i'm doing so much better than i was when i did. leno have to take home my impels for the rest of her life but they will enable her to get on with life as normal.

as we wrap it up for today please let me give you one final advice take cry. fatigue seriously and join into a show the x. week and until then let's all try to stay in good shape.

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is news live from berlin in central africa a series of massive explosions have rocked equitorial guinea's biggest city the blasts tore through a military base in basra killing over a dozen people and trapping many more under rubble rescuers the racing to find survivors local authorities have issued an urgent plea for i also on the story the united states is the country hardest hit by the corona virus and to make or take a look at the roundup 1st. 2000000 people

a day and now being vaccinated. welcome to the show or we begin the program in the central african nation of equitorial guinea where a series of powerful explosions has rocked its largest city bossa according to the president at least 15 people have been killed in blasts at a military base hundreds more injured state television quoting the president says the explosion was ju-ju court negligent handling of dynamite in military barracks authorities fear that many more people could be trapped in the rubble of nearby buildings which have been devastated by the blasts. ok let's cross to our west africa correspondent fred move on you who's been following this story from lagos in nigeria fred it's good to see the president of equitorial

guinea is blaming negligence what else do we know at this point. yeah that's true course. this explosion on negligence led to. this. but then an explanation for explosions happened today. but i mean there's so many questions at this point that probably in the coming days or 2 more will know more of what actually really hard paint. this afternoon as you say there are just so many unanswered questions with these blasts there are reports of people we're seeing as well as this footage of people being pulled from burning buildings is there any more information about the victims about people missing. we have just 2 minutes ago that i think is 20 people have been

killed according to a state media. for more than 400 people reported it injured and many more are still missing there were also reports on claiming that the death toll rises to more than 100 people. so far that has not confirmed so far we know 20 people and many more still missing so there finitely the death toll could rise. by tomorrow morning to know more because they imagine. doing their job trying to get in to rescue some people. for a guinea is rich in oil this explosion these explosions happened in the country's biggest city bob what more can you tell us about this city. yeah this is

one of just cities in guinea and obviously it has a population of 300000 people and it's their main commercial so this is where it happened it's a very important city for people who are doing trade and other commercial activities. for the foreign minister victoria guinea is said to a vast ambassadors from foreign countries for where exactly mine is coming from. yeah all of us and you did say that tory give me has a strong relationship with france and has been there for 4 months. but they also have a strong relationship with china and so many e.u. countries obviously some countries by to morrow will know which countries are going

to send some support as quickly as possible but obviously doors of the countries that i can see that they have really strong relations with. guinea and that was the w's west africa correspondent fred move on you speaking to us thank you very much fred. come. here are some of the other stories making news around the world today a saudi led coalition has mounted a series of drags on yemen's capital which is being held by rebels. the rebels wrapped up attacks on saudi arabia yemen has been the center of a power struggle between its saudi backed government and the iran. since 2014. protests have erupted in the haitian capital. thousands took to the streets to demand that president. steps down. opposition claims the president president.

maintains that he last. pope francis has concluded a 3 day trip to iraq to holding mass for some $10000.00 people. earlier the pope visited mosul a city that was destroyed heavily just droid during the war against the so-called islamic state the pope denounce religious violence and the rocks dwindling christian community just stay and rebuild. when u.s. president joe biden took office in january he promised that his government would make fighting the coronavirus a priority now vaccinations in the u.s. are ramping up and according to the centers for disease control and prevention more than 2000000 people h day and now receiving dish. germany's entire population could be vaccinated in just 3 months like many

a united business shortage of vaccines is holding programs back while the u.s. is being quick to supply the shots the vaccination program faces different challenges. marjorie drummond was having difficulty getting a covert 19 vaccine appointment that is until the social worker who brings the 8 year old her meals at home got involved thanks to yeah i got a list of we could have to get the vaccine. easily what with if there is a massive there will be very. sorry that he made it perfectly right there. today margery is waiting for her follow up shot this doctor's clinic is funded by donations from a charity organization which supports communities in low income areas of washington d.c. danielle stout and her colleagues are taking it upon themselves to vaccinate patients the clinic dropped out of the city's central online appointment portal because it

was leaving their patients waiting too long. a lot of people don't know that they can get a lot of people don't realize that we're offering it and also they have a relationship with this so they feel probably more profitable x. in those questions and they know that this judge will freeze out so if you have any questions about the vaccine your doctor is going to ask them right there in that moment. that's an advantage of decentralized organizations and that could be the secret of the u.s. vaccination program success there are huge vaccination centers across the country and drive through locations even pharmacies offer the shots and not just the large chains but small rural pharmacies this is how the vaccination program is being rolled out there's no central control over who gets vaccinated and when and that speeds up the process but the medical staff have a big responsibility. we all take oaths and that's to do no harm and one of

the pieces of doing no harm is following the guy on a separate us we haven't for a reason we are targeting people that are older because there were fraudulent people with how conditions because. they need it. not all the states of vaccinating quickly but the overall speed is picking up last week health authorities said more than 2000000 people per day were being vaccinated and now doses of a 3rd approved vaccine are on the way. what today is international women's day the coronavirus pandemic has placed many additional strains on women around the world women provide the bulk of workers caregivers looking off to the young the old and the sick here in germany most nurses are women and they often earn significantly less than their male counterparts did you spoke with some nurses here in germany to hear more about their experiences during this unusual pandemic year here in the hospital there is

a strict protocol when it comes to putting on your protective clothing but. it has become a routine she is one of the many female nurses who have been pushing their limits day and night for you know taking care of coronavirus patients. there's a secret about the physical strain is enormous working in this kind of gear is exhausting but the psychological component plays a big role too we always have to take care of critically ill patients that's part of our job but now we have seriously ill patients can also endanger us that history in a stressful ever watched us. stressful is also how to hammond would describe her last year she it works as a nurse in an old people's home and person in a pandemic made her job even harder and again the burden of caring for society's

elderly falls mainly on women. as sick luckily man i increasingly interested in being and my husband does also work but otherwise it's mainly women probably because of the pay if it were a male domain then women would also a very different set of aries guns and ask for. more than 90 percent of the people fighting the daily battles on the nursing front are women and they are up to 10 percent less than their male counterparts according to the german federation of trade unions the chances of promotion a slim and they often work nights to hammond says she appreciated the gesture when people around germany stood at their windows at the beginning of the pandemic and applaud at the nation's nasa's and carers but it was no more than a gesture now she says women also need to play a role in changing how society treats them even if for the fallen branch and doesn't my wish for women in this profession is that they stop putting themselves

down and that people are aware of their contribution people need to understand that we are not just nasa's cleaners or kitchen wife it's that the world only goes around when we all work together as a team and for that one of us can't get by without the other doesn't i now for one and another mish. the time bagenal is that too after work she likes to go for a walk in the woods to switch off for her to it is important to support people who work in care for. corona may be here to stay and we need to develop strategies we need enough staff enough equipment and whatever else it takes to help us do our jobs. both nurses are agreed these improvements have to come and they have to come soon.

the united nations motto for this year's international women's day is women in leadership achieving an equal future in a covert 19 world in a video a just address german chancellor angela merkel says that women are not equally represented at the highest levels of politics and business and she warns that progress towards gender equity is under threat. in the midst of all we have to ensure that the pandemic does not cause us to fall back into gender roles we thought we had already overcome once again it is overwhelmingly women who have to balance home schooling childcare and their own work life. then the talents and perspectives of both sexes are enormously important especially now during the global pandemic and that's why we need parity in every area of society that also includes women finally being able to earn as much as men.

in the bundesliga on sunday your door scored a light equalizer as colline picked up a valuable point at home to bremen american forward josh stajan gave graeme in the lead in the 66 minute with his 2nd goal in as many games collaring to hit back 7 minutes from the end substitute taking advantage of a mistake by the visiting keeper to draw the line 3 points above the relegation side. in spain boss alone a football club as objective. as its new president with the cattle and giants mired in the crisis the porter returns for his 2nd spell as president previously leaving boss alone of between 20032010 the club's been struggling on the pitch with superstar messi reportedly unhappy it also has deaths of more than a 1000000000 euros for my president josep maria bought to mayo he resigned in october was

a risk as part of an investigation into alleged corruption at the club last week. up next on g.w. we report on weak is fearing deportation from turkey this morning our website w dot com i'm very new berlin thanks will. w.'s crime fighters are back at the africa's most successful radio drama series continues in the whole episode so are available online and of course you can share and discuss on t w africa's facebook page and other social media platforms crime fighters tune in.