Headache: Wenns in the head pounds and hammers

Headache: Wenns in the head pounds and hammers

Headache is a typical simulator excuse for Arbeitsunlust, migraine a woman illness? Who did not experience it, humans with chronic headache or migraine to understand will not be able. First it is only weak pulling, but, pounds and puckert the whole head roars sometime: Headache is one of the most frequent diseases of the whole world. For better clearing-up the German headache day takes place on 5 September.

Berlin - in Germany clearly more than half of all humans suffers regularly from headache attacks: To scarcely 40 per cent of the adults fight according to data of the forum to pain regularly with so-called tension headache, further 10 per cent suffer under migraine. Causing concern is also the rising number of the children and young people concerned. Thus know according to the migräne and headache company already more than one third of all teenagers the agony of the recurring headache. For better clearing-up over the different headache forms organize from there pharmacies, groups of self-helps and German becoming green cross on 5 September the German headache day.

Search for the cause

Both with the tension headache and with the migraine it concerns so-called primary headache, i.e., the pain is not a symptom of an illness, but the illness. The actual causes of the headache are investigated until today not completely, even if the illness is so far common. “How the name one already says, assumes with tension headache strutted muscles the problem are”, explains the director/conductor of the forum pain of German becoming green cross, Dietmar ruffle, from Marburg. At least the symptoms let that to be assumed as reciprocally, dully/mustily pressing pain more easily to middle intensity. Of “one is safe real itself however not.” The migraine connected with substantially stronger health restrictions however has probably different causes. “Studies point out that an overactivity of the nerves of the brain stem is responsible for it”, explains the expert. This again excessively sets many chemical messengers free such as serotonin, so that the blood vessels in the brain swell. “This swelling presses on the surrounding nerves and releases a pulsating, pounding pain.”

Weather as a cause

As if that would not be enough, must headache-susceptible humans in the coming weeks on still larger problems count. New studies occupy a connection between the weather and the headache attacks, like the medical director/conductor of the East German of headache center in Berlin, January Peter Jansen, on the occasion of a meeting to the topic in Berlin said. Therefore above all Wetterwechsel cause pain in the head, can nevertheless unstable weather conditions for the entire body “pure stress” be. Changes therefore as in the approaching autumn high and low again and again off, the pain risk rises itself. “In addition it comes that blood vessels, nerves and muscles very near because of the surface of the head are, why these already pull together with small drops of temperature - which”, explains the physician can release headache. “Against it one can hardly protect oneself, it can however help to sit up in wet-cold weather a cap so that the head cools down less.”

Further causes for tension headache can be psychosocial stress (family, work or everyday life), working in wrong body attitude or with bad light, an unhealthy life change (alcohol, nicotine), too little sleep or disturbances of the chewing apparatus (tooth-crunch). For migraine beside Wetterwechseln the following causes (triggers) are designated: Stress, physical effort, food and alcohol, deviations from the used sleep rhythm, hormoneal problems (Menstruation or contraceptives). With both disease pictures are women more frequently affected than men.

Possibilities of treatment

With migraine only one physician can find the suitable medication. There are about 16 differently Migränearten, from there is difficult it for a layman to constitute, who means is the suitable thing. The treatment should be discussed and prepared with the specialist.

Against tension headache one does not have to work compellingly directly with pain killers. Often a walk at fresh air or the improvement of the conditions of work (seat, light, sufficient breaks) is sufficient. An old house means against headache is Minzöl. With arising pain it will rub on the Schläfen and the forehead, if necessary can be given with strong pain also a drop on the tongue. If all should not help these measures, pain killer with the active substances is recommended acetylsalicylic acid (ASS), Paracetamol, Ibuprofen or Naproxen. With chronically running forms of the tension headache Ärzet use up frequently combination preparations, because so the specific side effects of the individual active substances be minimized and the pain-satisfying effect can be maximised.

“Many patients do not know however at all that migraine and normal headache are differently treated and to suffer unnecessarily for a long time”, so Dietmar ruffle. Therefore headache-troubled humans with their physician should clarify, which pain form it exactly concerns with them. (with DPA)

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Psychopharmacologic drugs do not make inevitably dependent

Psychopharmacologic drugs do not make inevitably dependent

Antidepressives do not make inevitably dependent. Many patients set from this fear their important medicines off however exactly. With other medicines is required in this regard to more caution.

Berlin - tablets against headache or hypertension take most humans without large doubts. If it concerns psychopharmacologic drugs, many humans are more sceptical. “With most psychopharmacologic drugs, which are used for the long-term treatment by mental illnesses, the fear is to become dependent however unfounded”, says Ursula Havemann Reinecke of the German society for psychiatry, psychotherapy and nerve medicine (DGPPN). Antidepressives are an important component of the therapy of depressions and Neuroleptika. Patients should not set the medicines off under any circumstances from fear of a dependence, explained those expert.

Certain Tranquilizer has a higher craze potential. “In 80 per cent of the cases of medicine dependence the Benzodiazepine concerned takes, which ranks among the tranquilizers. In addition, pain killer Codein, a Opiat, which is contained in some cough mixtures, because it suppresses the cough stimulus, has a high craze potential”, described Havemann Reinecke. Stress in the occupation, family conflicts, desire and Antriebslosigkeit or sleeplessness can lead fast into a problematic consumption of medicines with dependence potential.

Illness changes the personality

“Are aimed such medicines today however only very much and temporally limited begun”, says franc miner of the professional association of German mental specialists. Most psychopharmacologic drugs make dependent nor change them the personality neither according to for its statements. “It is rather the illness, which can change the personality, if it is not treated”, explains miner.

The physician recruits for more understandings opposite humans with mental illnesses. Depressions about are not an indication of weakness or Verrücktheit, but an illness like every different one. Antidepressives can bring the disturbed neurotransmitter budget in the brain back in order. Frequently a psychotherapy is recommended as therapy addition. (with strip packing)

Protection of the nose mucous membrane bends colds forwards

Protection of the nose mucous membrane bends colds forwards

The autumn comes fast step and with it all kinds of cold exciters. Around a cold effectively to prevent above all the nose mucous membranes should be protected. They form the natural barrier function for viruses and bacteria.

Wiesbaden - with the beginning many humans succumb to the dark season sooner or later to the attack of viruses and bacteria. An important protective function before Infekten takes the nose mucous membrane apart from a strong immune system: “If it is intact, has it exciter clearly more heavily, into the body to penetrate”, says professor Ludger Klimek, director/conductor of the center for Rhinologie and Allergologie in Wiesbaden.

One knows care its nose mucous membrane with much movement at fresh air. Also nose showers, flushings and inhalations contribute according to Klimek to keep the nose damp. With dry heater air the nose mucous membrane can drain against it rapidly. It will form inflexibly and it itself microcracks, by which exciters can penetrate more easily. Besides the attacked nose mucous membrane is not any more able to intercept fine dust particle. “These arrive so not filtered into the lung and can release breath way illnesses”, describe Klimek.

Much liquid protects the mucous membranes

The natural barrier function of the mucous membranes remains also, if one takes sufficiently liquid to itself. One should drink at least 1.5 litres water. If one much in heated or air-conditioned areas is should it more be. Who drinks less, Mehran Baghi, leading upper physician for neck nose ear medicine in the university clinic Frankfurt/Main is more susceptible to diseases, says. With lack of liquid will the blood high-viscosity and cannot the mucous membranes then any longer optimally supply. They become more susceptible to bacteria and viruses.

Suitable beverages are mineral waters, ungezuckerte fruit or herb teas and diluted fruit and vegetable juices

Herztransplantation: Baby Angelina can soon home

Herztransplantation: Baby Angelina can soon home

Angelina is the youngest female patient, who was submitted so far at the university University of Freiburg of a Herztransplantation. Without the important operation the baby would have probably only had to live few weeks. The interference ran well, Angelina can soon home.

FreelyMother Irina holds its daughter Angelina in the arms in the paediatric clinic of the university clinic Freiburg.

Freiburg - successful was made at the university clinic Freiburg a Herztransplantation at a five months old baby. The small Angelina is probably four weeks after the operation, drinks its Fläschchen, eats again completely normally mash and can in three weeks will dismiss, said the treating physicians on Wednesday in Freiburg. The girl is according to hospital data the so far youngest child in Baden-Wuerttemberg, to which a new heart was implanted. Without the operation it would in all probability soon have died.

Operation was necessary, because with the girl, after whom it had been before already operated at the heart wall, additionally still another life-threatening heart myasthenia one determined. Already in the sixth pregnancy month the heart error had been discovered and operated then three weeks after the birth. “That is actually today no more large interference”, said the treating child heart surgeon Christian Schlensak. But when still the myasthenia was then added, a Herztransplantation was the only possibility for the child to survive.

Medicines up to the end of life

The donation readiness of parents of a deceased of child saved the life to Angelina. The girl is appropriate for four weeks after the operation now relaxed in the arms of the obviously facilitated mother. Diverted the small one moves its little hands and looks with large blue eyes curiously around itself, when photographers approach it. Still it must carry a mouth protection, there with it - caused by an artificially lowered immune defense - which is increased infection danger, stresses the specialized lady doctor for innate
Heart error, Brigitte quiet. That is completely normal, in order to prevent a repulsion of the donor organ. Angelina will have to take time life medicines against it.

When in the fourth life month the certainty it became that Angelina would survive donor heart only with, began a “very heavy” waiting period for parents from a small municipality in the Ortenaukreis,
as the mother remembers. “It is the life for the child or nevertheless death” - this their constant thoughts were, report them under tears. After the operation she had herself to accustom to the conception that in her daughter “a strange organ strikes”. But meanwhile do not remember it any longer.

Without organ Angelina would have died

About two to three cases of this kind there is to be according to estimations of the physicians of the Freiburger child surgery Germany far in the year. Whether can be helped to the babies, depends on a suitable donor organ, which is obtained by Eurotransplant in the Netherlands. In Baden-Wuerttemberg the child heart surgery at the Freiburger university clinical center is valid as only mechanism, which can master such operations. So far the medical profession dared themselves there however only to adults or young people near.

With the five-month baby in-hour operation is because of the tiny dimensions “hühnereigroßen organ” a special challenge been, reports the medical profession. But “without this organ Angelina would have died in the next weeks”, describes to quiet the situation. Now it looks for the girl everything else as hopeless. According to estimate of its physicians Angelina will be able to lead a normal life. (strip packing)

Learned knowledge is not lost

Learned knowledge is not lost

“Not for the school, but for the life we learn!” - probably everyone had to hear this saying once. And so surely, how the children are that their parents want to only propel them thereby, are so safe them also that after the Mathearbeit or the Abi examination everything disappeared the brain. In the attempt now the opposite was proven

London - forgotten experiences and experiences are lost, but remain stored in the brain. With learning the brain manufactures new nerve connections, these when forgetting is however not reduced, but only, to have researcher deactivates around Sonja Hofer found out by the Max Planck Institute for neuro biology in Martinsried. They report on their experiments with mice in the technical periodical “Nature”.

In its experiments the researchers of the question followed, why once forgetting can be refurbished clearly better again than new to learn. In addition they closed occasionally an eye of
adult mice, in order to examine the effects for the nerve connections in the brain of the rodent. Already after short time new nerve connections formed in for seeing
responsible brain area: The neurons changed themselves over to the processing of the signals of the remaining eye. The mouse had learned to see only with this eye.

Synapses must be only re-activated

If the researchers let the mouse see again with both eyes, the neurons structured themselves again and adapted again to zweiäugiges seeing. The adjustment of the neurons on seeing with only one eye let itself turn around completely. The neuro biologists around Sonja Hofer repeated the attempt and locked the eye of the mouse again. The adjustment to einäugiges seeing, following on it, through
the neurons took place in the second run substantially faster. The scientists the changes of the nerve connections observed assistance of a picture-giving procedure. With the fact they stated that the connections put on did not disappear, after the mouse again with both eyes the world
to notice could. Only the contact points between the nerve cells were predominantly deactivated.

Neurons can restructure themselves according to the investigations flexibly and activate or deactivate certain contact points if necessary. Therefore it is easy itself humans, acquired in former times to acquire but into oblivion guessed knowledge or trained abilities again. Since the nerve connections already exist, only the synapses involved must be re-activated, explain the researchers.

Mouth solutions harm the stomach

Mouth solutions harm the stomach

Bacteria in the saliva are necessary for the blood circulation in the gastric mucosa. Also these “good” bacteria are killed by mouth water. Particularly in combination with medicines it can come to complications. Experts guess/advise to the caution.

Munich - disinfecting Wässerchen for mouth and throat area provides for a fresh breath. Such gargling solutions could harm the stomach however, say Martin bush, specialist for internal medicine in Munich. Because the bacteria in the saliva, which are killed by the means, play an important role for the blood circulation of the gastric mucosa.

Nitrates are converted into nitrides

Scientific investigations showed according to bush recently that the bacteria convert nitrates in the mouth into nitrides. From these nitrides in the stomach nitrogen oxide is formed. This chemical messenger adjusts the flow of blood, which promotes the renewal of the gastric mucosa and which gastric wall protects against the aggressive gastric acid.

If the mouth bacteria are killed by the disinfecting solutions, the nitride formation becomes and the regeneration of the gastric mucosa obviously impairs. That could become according to data of bush in particular with such patients a problem, with whom the gastric mucosa is frequently already attacked: Humans with heart cycle problems about, those regularly medicines also
Acetylsalicylic acid (ASS) take. ASS increases the risk of bleedings in the gastric wall. (strip packing)

Dismantling of nerve coverings makes slower at the age

Dismantling of nerve coverings makes slower at the age

Older humans move more slowly than younger. Many have pain due to wear. In addition, humans without recognizable age illnesses move more slowly. American researchers found the true reason out for it.

Smelling ester - the isolation of the nerves in the brain decreases, slows down also the movement in the course of the old becoming. This dismantling of the nerve coverings cannot be stopped at the middle age by the body no more and leads to losses in the reaction rate, usually before Arthritis contributes its part to as George Bartzokis reports of the university of California in Los Angeles. It and its colleagues present their results in the specialist journal “Neurobiology OF Aging”.

Nerves in the brain are surrounded by a so-called myelin sheath, which makes a fast attraction forwarding possible. To approximately to 40. Year of life creates it the body to repair damages of this greasy substance. With increasing age however the regeneration ability diminishes, so that the myelin sheath becomes ever thinner. Accordingly are reduced also the achievements, which depend on the nerves concerned. This dismantling impairs a thinking, the perception and the movement, assumes the researchers.

The key is the slower attraction forwarding

In order to test this connection between the speed of operation of the nervous system and the condition of the nerve coverings, the scientists examined 72 healthy men between 23 and 80 years. They seized the speed, with the one test person with the index finger to tap can and compared the result with photographs of the myelin sheaths in the brain. It was shown that the myelin sheath became thinner with most test subjects starting from an age of 39 years. Starting from this age also the reaction rate of the test persons diminished.

That is the reason, why older humans more slowly Bartzokis says itself moved, even if they have still no hurting joints or Arthritis. Even if in this study only those
Rate of motion examined is, could the results also to other brain functions be transferred, with which fast attraction forwarding is necessary, like for example the memory. (strip packing)

Alaaf and Helau: Healthy by the fifth season

Alaaf and Helau: Healthy by the fifth season

Today is it again so far: The fifth season begins at 11.11 o'clock. And with it, easily dressed the time of the Faschingsparties Funkenmariechen, high-per cent Parties and Karnevalsumzüge. imedo a Jecken asked, as one moves in this time healthiest

Cologne/Berlin - around point 11,11 o'clock goes it today again loosely: the fifth season, also admits as carnival or carnival, depending on, where one lives, begins. Ulrich Männig comes from the proximity of Cologne, is health expert and even more passionate “Jeck”. He betrays imedo, on which it arrives.

Also, if many hold it in such a way: “The fifth season is not a charter for unrestrained () drinking”, says Männig. This is valid in particular for young people. If it should become then more nevertheless, as planned, it depends on the basis. Who knows the fact that it becomes high per cent should seize (exceptionally) to fat and protein-yielding food. Pizza, noodles in cream sauce, noodle salads, Thunfisch or egg courts lie longer in the stomach and retard the admission of the alcohol in the blood. Also vitamin or base preparations, two to three hours before beginning of party taken, can be helpful.

Drink with Köpfchen

If the basis is put, it depends to drink with Köpfchen. Not to recommend is a wild disorder. “Kölsch and grain (called in Cologne Schabau) are good for the tendency, but together with the present weather badly for the voice”, the Jeck Männig says. In principle should not be drunk wildly in disorder.

Between the beverages also always times Snack should be taken. In Cologne the Karnevalist Bloodwoorscht or Flönz, thus blood sausage, eats or also Rievkooche (potato pancake). Favorable is however everything that greasily, salty and unhealthy is and for which one should make otherwise a sheet. Since alcohol drains the body and from it electrolytes withdraws, it is recommendable to take occasionally mineral waters or isotonische beverages to itself.

Tighten warmly

Considering the fact that the fifth season is at the same time the cold, it guesses Ulrich Männig to warm clothes. In addition one, even if it belongs to it, should distribute not too generously “Bützche”, thus Küs. Because viruses and bacteria spread in such a way fastest. The men empfiehl the Jeck locking to omit “bad and/or importunate behaviour opposite women”. Many would be inclined in the carnival to regard these as free game. In the interest of the good tendency however this is not attached.

Production of Dopamine diminishes at the age

Production of Dopamine diminishes at the age

With the age humans become obviously not only more forgetful, but also more indifferently. American researchers found out that the reward center in the brain fewer Dopamine pays, the becomes older one.

Washington - the reward system in the brain reacts with younger people more strongly to reward attractions than with older. This is connected with the fact that the chemical messenger Dopamine with increasing age in smaller quantities is manufactured, as a researcher team found institutes out around Karen Berman of national the OF mentally Health (NIMH) in Bethesda (the USA). On the results of their investigation report the neuro scientists in the technical periodical “PNAS”.

Gambling for the research

The researchers examined 20 young participants in the average age of 25 years and 13 older participants, who were on the average 66 years old. These participated in a kind gambling, with which they saw a play automat on a screen. First the test persons one indicated, they could win which amount in the following passage, the won amount became following faded in. At the same time the scientists with a magnet resonance Tomographen (MRT) took up pictures of the brain.

Both if the test persons expected a profit, and if they had received a profit, certain regions of the brain reacted with the younger ones clearly more strongly as in the group of the older ones. It concerned thereby areas in the middle and front part of the brain, which are counted to the reward system.

The older, the more strongly the attraction must be

Additionally Dopamine existed in the central brain a direct connection, determined the team around Faith Berman between the reaction of the reward centers and the chemical messenger. Dopamine is a substance, which plays an important role with positive feelings. Like that a stronger dopamine production was connected with an intensified activity in the front brain with the younger ones. With the older ones against it the activation was stronger in the front brain with a smaller dopamine level. The explanation for the fact could be that this brain region must react with increasing age less to Dopamine and be more strongly activated to reconciliation for it.

This shows that the brain processes reward attractions with increasing age differently and that this is connected with changes in the dopamine system, writes the researchers. The results could be important for the development of new medicines, which exert influence on disturbances of the dopamine system in the age. (strip packing)

Meningokokken: Inoculation protects against brain skin inflammation

Meningokokken: Inoculation protects against brain skin inflammation

A 18-jährige pupil died few days ago in Berlin at the consequences of a brain skin inflammation. This was caused by Meningokokken. imedo with Johannes Elias of Institut for hygiene and microbiology in Wuerzburg inquired, why Meningokokken are as dangerous and as one protecting itself can.

imedo: What are Meningokokken?

Johannes Elias: Meningokokken are bacteria, which are in most cases harmless and are carried by about ten per cent of the population in the nasopharyngeal cavity. In rare cases they remain however not there but cause for unsettled reasons of illnesses such as brain skin inflammation or blood poisoning.

imedo: How are many cases that annually and how many end mortally?

Johannes Elias: In Germany 400 to 800 cases is announced annually. The number of deaths lies despite treatment between eight and ten per cent.

imedo: How can one protect oneself?

Johannes Elias: Since 2006 exist an inoculation recommendation against Meningokokken of the Serogruppe C. unfortunately can with present vaccines only one third of all cases are prevented, since there is no licenced universal Meningokokken inoculation. Two thirds of all cases are unfortunately not preventable by an inoculation at present.

imedo: Why predominantly are children and young people affected by Meningokokken diseases?

Johannes Elias: Infants are protected after the quiet time due to the shorter argument with the bacterial environment and smaller maturing of the immune system less from Meningokokken. Their illness risk is therefore high compared with other age groups. With young people the explanation is not so clear. One assumes that behavior-dependent factors of risk are added, like for example a kissing. In the course of the life unnoticed Trägertums the acquired protection against Meningokokken increases by repetitive episodes. Illnesses after that 30. Year of life are relatively rare.

imedo: How is the Meningokokken spread?

Johannes Elias: The germ needs to be transferred a large proximity over between humans. It flies not kilometres away by air and survives in the dead environment only for short time. There is also no animal reservoir. A close interhuman contact is thus necessary for the transmission.

imedo: Why are Meningokokken illnesses heavily recognized?

Johannes Elias: The Anfangssysmptome of an Meningokokken illness is nonspecific. If the physician has experience with the illness or not on it counts, it can come relatively fast to mistakes. The problem is however that it is heavy to collect on this field experience. The illness is rare and many physicians sees Meningokokken illnesses twice in its career, if they are not specialized in this area. It is for example well-known that with subsequent cases the chance of survival is higher than with the Erstfall, since physicians are already sensitized with instances of repetition. Altogether is it however nevertheless like that with in time introductory therapy about survive 90 per cent of the gotten sick ones.

Natalie Cole fights against its hepatitis C

Natalie Cole fights against its hepatitis C

The American singer Natalie Cole has Hepatits C. that already became known in July. Besides it developed depressions, so that their physicians were temporarily afraid for its life. On 9 September she presented her new album and showed to the world that she still fights.

Los Angeles /USA - Natalie Cole is not only the daughter of Nat King Cole, her has also even numerous successes to show. She is a singer and Songwriterin, in her 58 years of life nearly 30 albums out brought, eight Grammies and three American Music Award won. In the year 2000 it published its autobiography, in which it reported also openly on its drug past with heroin, LSD and Crack. In this time it was probably infected with hepatitis the C-virus.

Good therapy results

In spring this yearly was diagnosed the outbreak of the illness with it and begun immediately with the therapy. The artist reported to the “People” magazine that she could not rise three weeks long and weight had lost 7.5 kilograms. It would have its life actually by-pulls to see, said the 58-jährige. The director/conductor of the hospital, in which Cole was treated, indicated at that time in a statement that it responds “unusually well” to the medicines and was already virus negative. “I had to learn a quantity of lessons”, said Cole to the “People” magazine, “, some things I have made better could, but they made me also, what I am.”

Natalie Cole is not alone with their diagnosis, also Pamela Anderson one and Naomi Judd on hepatitis C was positively tested.

Hepatitis C - the virale time bomb

This very day, approximately 20 years after its discovery, is the virus, hepatitis C releases, HCV, to a large extent unexplored and from there unknown. Hepatitis C is an inflammation of the liver. The pathogen is transferred mainly over the blood. Most infections came off due to a blood transfusion. The HCV virus is provable also in other body fluids such as sperm or mother's milk, a transmission by these is however extremely rare.

The illness can run both acutely and chronically. Since symptoms show up rarely, them are recognized often too late usually only by accident and. Classical symptoms are reducingness, pains of the joints, daily tiredness, concentration disturbances, as well as in most cases increased liver enzyme values. If the infection is not in time recognized, the virus provides for the damage of the liver. The viruses settle in liver cells and these become from the “body police”, which destroys white blood corpuscles. If the renewal of the liver cells runs more slowly than the destruction, it can come to Vernarbungen at the liver. That means that in the damaged places new liver cells, but connective tissue is not stored. Because this is however not as flexible as liver fabrics, it comes to ever more injuries. The consequence of it can be a Leberfibrose or life ore erring trousers. The organ cannot follow then its detoxicating activity any longer, the body poisons itself quasi.

If the treatment is in time arranged and accomplished by the patient consistently, the healing chances are today with 50 to 90 per cent. Still in the 90's they lay with only 25 to 40 per cent.

Free medical profession demonstrates against public health policy

Free medical profession demonstrates against public health policy

Before the red city hall in Berlin demonstrated today the free medical profession (FÄ) and the German society for insured one and patient (DGVP) against the public health policy of the Federal Government. Wieland Dietrich of the FÄ explained imedo the most important demands

Berlin - on Friday the free medical profession and the German society for insured one and patient demonstrated against a public health policy in Berlin, which becomes not only clearly more expensive, than one communicate to the citizen. Here also clearly worse achievements would expect it, than them could offer the current health system to it. The health reform decided by the Federal Government works according to Wieland Dietrich, the secretary of the FÄ, whereupon, the health care in health centers, so-called medical supply centers (MVZ), to offer clenched. First that sounds only once good, the idea is to be able to offer “everything at a place”: Both the general medical profession and specialists and the possibility of the stationary support. These health centers are not only by far able to cover the existing need in opinion of Dietrich.

Profit instead of health

Even after the decided fee rises for the physicians good and motivated physicians are not to be held in the long term into the MVZ. Therefore a cost-hitting a corner financing can be achieved only by means of one, how Dietrich calls it, “transverse subsidization” by stationary support. This practice is today already handled in some hospitals and university hospitals. The patient is stationarily accepted thereby a few days, because the health insurance companies per day pay determined sentences to the hospitals. Thus develop a “unfair competition”, say Dietrich. The physicians into the MVZ were stopped inevitably rather profit-oriented on therapies to decide as in the sense of the best treatment for the patient.

In addition the insured ones would have to count on substantial difficulties with the date assignment. The waiting periods will in any case extend according to Dietrich's opinion. “In the cities the supply may be attainable by MVZ”, means however particularly chronic the expert, “patient and pensioner on the country has often no possibility of departing far from at home to.”

Does the economy control the policy?

Dietrich says that planning is already and partially also the building of such MVZ by profit-oriented finance companies under way. The FÄ sees thereby above all “residence near house and specializedmedical supply” in danger. Further it expresses against the electronic health card and wishes themselves “more funds for the supply of the patients” instead of for a “anonymous, industrialized health economy”.

Wieland Dietrich particularly refers to the connections between politics and economics. The chief of the Bertelsmann company, Liz poppy, is a good acquaintance of health minister Ulla Schmidt (SPD). The Bertelsmann subsidiary “Arvato” is to take over the biometric pictures for the electronic health card. Karl Lauterbach, Member of the Bundestag and health expert of the SPD, sits together with Liz poppy in the executive committee the “Rhön clinical centers AG”, one of the companies, which plans and accomplishes the building of the MVZ. A Schelm, who thinks bad thereby.