greatest prices a global sexual abuse scandal. the position on the matter remains controversial today with german pope, from young reformer to defender embassy in 60 minutes on dw, we've got some hot tips for your bucket list. ah romantic corner tread hotspot for food and some great cultural memorials to boot w travel off. we go what we eat and drink if somebody is the entity to perform a wide range of functions, but not all of it gets used and some of it as even toxic. our body also produces its own substances that have to be excrete it quickly. the human body has a built in filter system made up of our kidneys,

bladder and urinary tract. if they didn't keep our bodies clean, it would be just like a fish tank with a broken filter. the conditions could become dead in today's episode. we experiment with using your own urine in health remedies and investigate whether it's possible to cure a bladder infection without antibiotics. but 1st, let's get up close and personal with the principal organ that filters waste and poison from our bodies. the kidney, welcome to in good shape the health show on t w. i. i a run of the mill office job grenay coff never pictured himself being a desk jockey like this. he was a nurse for 20 years, but he has chronic kidney disease. and at some stage, his job became too much for him the most as configured him as a nurse,

you always have to be physically fit and give your full attention. and when my kidney function started to decline, those abilities diminished and young, full tune up about the license, the colleagues had to support me more often with certain tasks which left us understood sooner by of isn't of i hadn't renee cough was 6 when he was diagnosed with cystic in his kidneys, he had to make regular trips to the doctor ever since. but for many years he was still able to do sports. kidney disease can develop for different reasons. sometimes it's causes, unknown. sister, kidneys like and renee caps case occur in about 7 percent of sufferers, medication and misuse of medication caused 12 percent of illnesses infections can damage the kidneys too. but the main causes of chronic kidney disease are high blood pressure and diabetes. detecting a diseased kidney is not easy because kidney pain rarely occurs. it's

a problem kidney specialist professor eulley irvine mon maker knows well. she had the nephrologist apartment at mines university medical center. and that's a some that how probably my, it's actually the main problem with kidney disease. now that we don't notice any symptoms at 1st half and only when it's far advanced and we noticed them mechanism told, are characterized by fatigue without exhaustion, possibly itching. and you may notice you have much urine or sometimes the color of your urine is changing that assist you in hub of health, but you don't really have any specific symptoms that say, i now have kidney disease, ian kunkle. laboratory tests provide information about whether you might have the illness proteins in the urine can be a clue. and blood or urine tests can be used to detect diabetes, which is a risk factor. the coco, we look for risk act are sent to talk talk. so we look at whether patients have

high blood pressure if they have raised blood sugar levels. are they on any medication that might be dangerous for the kidneys under? or are there any other underlying conditions like hereditary diseases, auto immune disorders, that might play a role in terms of kidney function? i'm in between often young and then you would treat that disease or to my music. i conklin back would then stop the progression of kidney function impairment currently slow it down significantly without swim in de startling for long thumb. if kidney function declines sharply or completely fails, dialysis is the only option for renee cough. consistently high blood pressure was the 1st sign of the disease. annual checks with the kidney specialist followed, and finally at the age of 30, di alex's, which he now has to have 3 times a week with coin michelle. but when i look forward to coming for dialysis after the weekend, because i know the water and toxins will then be drawn out, and afterwards you feel a bit better again on bison. missa renee cough could not have prevented his

hereditary kidney disease, but many cases of the illness can be prevented by avoiding the things that lead up to high blood pressure and diabetes. and by having regular checkups with your family doctor, that's the only way to detect these illnesses and chronic kidney disease early and to treat them properly. another rule for good kidney health, adequate hydration, drinking enough fluids. ideally, water is vital for the kidneys to do their job along with a balance diet that's low and added salt. i'll kidneys deserve special treatment after all. cleaning the blood for the hot to pump hundreds of times each day. hard work with among the human organs there are those that play on their own,

like the heart or the stomach. and then there are twins like the kidneys. but do we really need 2 of them every day, the kidneys filter the blood several times over about $1800.00 leaders on balance. yet they are only the size of a cat o's. in the 1st step, the kidneys filter materials like a soup logic components like blood cells, they in circulation, smaller substances that the body still needs are also returned. things like sugar and various nutrients, as well as most of the water. what remains is one or 2 liters of urine. today, this collects in the renal pelvis and flows into the bladder. useless substances are excrete in this way through the urine. things like your acid fatty acids, foreign substances and excess electrolyte. after the heart, the kidneys are the most important organ and the regulation of blood pressure which rises when the kidneys excrete less fluid. for example,

they also cause the enzyme renan to be secreted. this, in turn, causes blood vessels to constrict, and the blood pressure increases. during stress, the adrenal glands release adrenalin, this abruptly increases a person's heart rate and blood pressure. but blood pressure that is permanently too high, can damage the kidneys in order to keep filtering enough blood, they increase the flow and the blood pressure rises even more. it's a vicious cycle the kidneys filtering work is done by so called nephrons h kidney has about 1000000 of them. but nephrons die in the course of a person's life, which reduces the efficiency of the kidney. that's i, it's good to have replacements. oh, if push comes to shove, a healthy kidney can do the work alone. and even if it's hard to say good by,

the 2nd one could save another person's life. when a kidney is donated. busy kidneys are the most commonly transplanted organ in the world, but demand far exceeds the supply. so many more people need a new kidney than those who are willing to donate. finding alternative means would be a scientific feet, but creating human kidneys with 3 d prentice successfully using animals as organ down as or a combination of human and artificial components is likely still a long way off. currently, the only way the life of those needing a transplant can be saved is if another person is willing to give them away and even then accessed. he sophisticated health care and good luck. i'll still need to have a chance. these 2 couples have a complicated relationship marita left was do need to the kidney by anya and gearhart donated the kidney to anya's husband carson,

a crossover transplant. he hadn't yet either help. we had no idea that this option existed. we'd never heard of crossover transplants to something i need to hear that and i still can't quite believe how well it works. yeah, finish my name, my kidney does it services for my race and now shelf at army, man, i help my wife because this way she got a new kidney. no, no, any of it all began 4 years ago when karsten develop cysts on this kidneys. a hereditary disorder that impairs kidney function. anya decided to donate a kidney to her husband, but their blood types aren't compatible. a self employed for him. that was a big shock. as the, the huff we never gave up heart that we could find a solution on big only company and sincere the couple found out about a procedure called incompatible blood type kidney transplant. this involves the removal of antibodies from the patients bloodstream. the um, do you have

a sense we were only able to remove some antibodies, but not as many as necessary for a transplant to be possible the other. unfortunately, it wasn't possible, and carl's case does not have stay when they told us the transplant definitely wasn't possible sky. the antibody values was still too high, it was a real blurs up on it. by this point constance kidney was failing, and toxins were building up in his blood. he had to start dialysis therapy for many patients with kidney failure. it's a race against time. less and the life in germany, patients can go on the euro transplant waiting list and we'll wait an average of 8 to 9 years. and that was hard because at that stage there's only a 48 percent chance of surviving that long. less than half on the list live long enough to receive a transplant to evaluate. while carsten was undergoing dialysis treatment, marita was struggling with similar problems. she was about to begin dialysis. her

husband couldn't donate a kidney because they of incompatible tissue types. they turned to the same specialists in cologne that karsten and anya had consulted the doctors realize that crossover kidney transplantation could be a viable option for the 2 couples. my, the leaders with living donation, we always examined the donor and the patient very carefully. specific medical criteria must be met, they both need to be insufficient, good health to undergo this operation to why the specialists propose the crossover kidney transplant asia and put the couples in touch, her happy dot, and i couldn't believe it if it's this. how is it even possible hipster needs to be kathy kind of thought it was so out of the blue b awesome. he made a fire at my going yeah. it's just amazing that it's possible that this kind of organ exchange can happen at all. that fins last live on it gave us hope again, either fall off. if i'm going to fall off. no marita called anya immediately. she

was very excited and the 2 women instantly got along well. doctors checked their bloods, kidneys and tissue types and confirmed that the procedure was viable. the couples then had to undergo a psychological evaluation. the final decision was made by an independent ethics commission. it gave its approval 6 months later when done is done. finally, the operations were perform simultaneously and 2 adjacent operating theatres. in each room, one organ was donated and one transplanted. it all went smoothly. the 2 couples were operated and woke up next to each other. they went through the whole procedure together. if it falls and i'm glad she's well, this is i'm a part of her and that's really great is a he infinities i cannot, i see as a blessing to desist and i have a lot of gratitude. thank back. height in me,

off up on it is among not to me. it's the greatest gift you can ever receive things hunter for the rest of their lives. marita and carsten have to take medication to make sure their bodies don't reject their new organs. a high price, but one they're both willing to pay. they hope that crossover kidney transplantation can save others to ah, now let's head from the kidneys to our bladder. it's often claim that urine therapy dates back millennia, but to date no evidence has been found to support this. commonly studied historical sources of medicine have not turned up any records of urine being used medicinally, but people in many cultures swear by treatments using urine. there are claims that our p can cure diseases, strengthen our immune systems, and make our skin more beautiful. with promises like these, it sounds like a miracle cure. but is there any truth to it?

what's in all those small plastic jars? could it be urine? urine is around 95 percent water, the rats as urea, salt hormones and colorants always products at the body no longer needs each day an adult produces about a leader and a half of urine. but not all urine ends up in the toilet. some people collect it and drink it as an alternative treatment against illness. others rub it into their skin, inject it into muscles, or put drops of it into their ears and eyes. urine therapy and alternative medicine is known throughout the world. i'm chinese, i'm certain region in china. they drink like

a version child, you are in to get things haled. i think that the so i think it can be used as a universal treatment. it's been known for a long, long time. that one theory many, many years ago, paul, possibly even be a read all people who would bring you in. i'm renewed vigor, you won't be trimmed euro therapy is also popular and line. there are loads of videos that reach wide audiences. all of the claims are nearly always the same. euro therapy is good for the skin, heal, physicists, and promotes well being. so is there anything to these claims? what's the truth about urine therapy? can it really cure illnesses over time? that is no doubt or evidence supporting the theory that you're in can cure diseases . absolutely, nothing has been provings. this. i'm in the side of ultimately urine is an

excretion product. meaning there are substances in it that the body wants to get rid of. there are decomposition compounds, protein metabolites, salts, and minerals in size. there are no studies or fact suggesting that you're a therapy could be good for you, but it's a myth that has been around for a long time for thousands of years in fact. but there is no research that proves any real health benefits. kind of continued us who believe many people also use urine tough medically to help their skin and make it smoother. after all, many skin creams do contain uria. spin 7, i have near a dime, a cyclist, and i do no urea creams, but that wasn't my own urine. i was using, it was euriah cream from the pharmacy was there a particular may be processed, urine may be helpful, but maybe because it said natural as it's after all, maybe it's had something to do with the ph off the skin. maybe if on me i would never put it on my face. it for the no, no,

definitely not. so if you're in really good for the skin is good this little there are products the continue area or use it in a processed form in creams or ointments. it is said to help against itching and inflammation. some people say it helps the listed, as mentioned as to what's going to claim harmful if i put a cream with urea on the skin, then urea molecules, right? the skin together with a ball of water and hold it there in the skin. that helps ensure the elasticity of the skin which is a desired effect. the urea in urine is chemically the same as the urea and creams. the difference is that a, i don't know the exact dosage and b there are various other components. i'm also putting on my skin at the same time with one thing that is absolutely clear. euro therapy cannot cure diseases. there is nothing to suggest that drinking it is beneficial,

especially when there are many things that taste better are definitely good for you . and not quite as disgusting things like herbal tea with, but it's not old down the drain. urine can definitely come to the rescue for those with so called honeymoon societies. these are infections of the urinary tract and bladder, which women having lots of sexual intercourse, are prone to hence the term honeymoon bacteria behind the infections, but urinating quickly. after intercourse can prevent the bacteria from taking hold . bladder infections have different causes, often drinking plenty of fluid and staying warm provides relief. but not always. many women are all too familiar with the discomfort of bladder infections and cloudy uprights is no exception. for many years now, she's enjoyed recurrent playing while urinating was under $500.00. so the infection

started when i was 16, then things got a little better. so they stopped recording for a while. but i started getting them again after i turned 20 larson, and soon since then, i've gotten $3.00 to $4.00 bladder infections a year. it's been a difficult process, slim i, in fulfill claudia, takes antibiotics regularly, but they only alleviate the pain for a little while. the infections still have a major negative impact on her daily life. when storming victim, i have problems when i want to go somewhere. like when i make plans to go hiking or visit the swimming pool, i thought a young glasses come an infinite mit. i can't go to places like that if they don't have toilets than i could use if i needed to own. and last now find it all kind spot is flipping, can be really intent. funds in this since the urethra is shorter in females than it

is in males. bacteria has an easier time reaching the bladder when they spread their it leads to a bladder infection. professor mce, super 0 gynecologist at the university clinic and phi book that specializes in issues related to the pelvic floor. he says that even in cases of acute infections with blood in the urine, antibiotics should only be prescribed as infrequently as possible. and here on until the leaking him as if we're overly generous with our prescriptions for antibiotics, then there will be increasing numbers of pathogens and bacteria that become resistant to certain antibiotics. and con, i sustained, it's not just about the bladder infection, but in the field of medicine, there are also very serious consequences, like sepsis, off much we have eaten to infect you on. and you may have that in those cases. if it becomes difficult to find an appropriate antibiotics, the consequences can be life threatening under sal cleans baton again. nevertheless,

according to one peer reviewed publication on urology, 6 out of 10 women are prescribed antibiotics for acute bladder infections. before other options are even explored. there are also alternative methods available. pain medications like ibuprofen do more than reduce pain. they can also contribute to the infection going away or together listening. and it was sent out by there was an interesting study to find out whether women with infections would start to feel better if they only take pain medication in duncan. and 2 thirds of all the women who took ibuprofen were symptom free at the end of the process. without taking any antibiotic kind to go to cooper. in cases of mild infections, the body has the opportunity to recover on its own. the bacteria is excrete it over time. d, men, us a natural simple sugar can also be used to fight infections. it makes it so that

the bacteria has a hard time getting caught in the bladder. another interesting study compared to groups of women from $5.00 and $1.00 group got g matos and the other group got an antibiotic and and then at the end a comparison was made. and it was found in both groups that the frequency of bladder infection was significantly lower and equally so between both groups. life, good nita. herbal remedies such as horseradish root beer, barry leaf and sandlewood are approved to treat you d eyes in germany. but are they effective? wow, there's a lot that might have a psychological effect as well. and with sandlewood, it's even the case that kidney damage has also been described under prolong therapy . one shouldn't really be aware of and think about these things,

but there was still really no good data to recommend, something like that. bladder and kidney teas and cranberry products help some women . cranberry works in a similar way to de menace the bacteria partially lose their ability to attach themselves to the bladder mucosa. however, study results on the effectiveness are not clear. in the case of, during inflammation, anatomical causes could also play a role like a prolapsed bladder. residual urine easily remains in it a paradise for bacteria because where it's warm and humid, bacteria grow particularly quickly. the patient simply can't get rid of the inflammation. the prolapse can be reversed surgically or through physiotherapy. claudia pirates got rid of her constant bladder infections in other ways. 2 and a half years ago, she found out about the possibility of basic immunization. she tried immune

stimulation with the drug strove back on the recommendation of her urologist. doctor macau. the hook, the active ingredient contains inactive pathogens from various strains of bacteria that are responsible for c status. a total of 3 injections are given in the upper om at intervals of $1.00 to $2.00 weeks of construction in that there are already studies on this for they are always called into question. it has been shown that it helps about 60 percent of the patients who are usually treated with it in that it brings them significant relief and that they are less susceptible to infection on felix and basic immunization is also available in tablet form. but the success of the therapy is not guaranteed. the method worked for claudia, pride's she got her last injection a year and a half ago decision column via it's

a dream really relaxed this burden of antibiotics that you had to take so much in muster. or that pain, you always have a great feeling of really high. so bark a few to tell a lie, stole free of symptoms and above all, finally free of antibiotics. ah, now here's an exercise to do at home with our fitness trainer. okay. the at almond time today we train pushups. so you just go on your met, hands below your shoulders. then you go to on your fits, then your chest is moving to the floor and then you push up again, down and app. if that's a problem, no problem at all. we go on our knees and then we do exactly the same. so you go

down and push up your arms or next to your chest. your trend, your shoulders, your chest, your stomach on. of course, you should do just as many reps as you can so i can do maybe to read. next week i just try to increase my ribs. so i try to dupe 3. that's all from this week's episode of in good shape till we see you again. take care and stay healthy. ah, with

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