Advocate News March 24, 2011 by TheAdvocate

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Vol. 26 No. 12 Rockland’s Independent Jewish Community Newspaper 18 ADAR a - 5771

March 24, 2011

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HEALTH ROCKLAND’S NUCLEAR SAFETY DEBATE By: Aaron Moeller HIGHLIGHTS The Indian Point safety debate presidential hopeful Rudy Giu- able.” Vanderhoef has called for Operations Howard Glaser u

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DIABETES NEWS

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HAY FEVER

rages on this week as the own- liani also says there's nothing to er of New York’s Indian Point fear. He was hired by Entergy as nuclear power plant says the a security facility is not susceptible to the consultant. kind of earthquake and tsuna- Others dismi that rocked Japan. agre. GovEntergy’s vice president, John ernor CuoTo better serve McCann, told Countyour legisla-patients, mo, and tors on Monday that the earth-has Rockland Dr. Baldinger quake in Japan was much more County Exincreased his hours. powerful than any recorded in ecutive C. He is now available every Thursday. the region of Indian Point. He Scott Vansays the reactors are safe and d e r h oef Dr. B. Albetter the plant can withstand a maghave called suggests you nitude 6.0 earthquake. for the plant to be shut down. LEARN MORE ABOUT: McCann said he expected A spokesman for the executive changes to be made in re- told the Advocate, "Rockland is sponse to the events in Japan, as prepared as it could possibly but he didn’t say what they be in case of a disaster, and that CAR SEAT SAFETY would be. Former mayor and is still not good enough for us. It just does not feel comfortPAGE 14

RAMAPO OFFICIALS PUSH FOR MANDATE RELIEF TO LOWER TAXES

the shut down or relocation of the power plant throughout the last decade. Federal inspectors will soon conduct a full review of the plant's safety. Asked about the possibility of an earthquake, Energy Secretary David Chu said Sunday, "It is an issue. We're going to have to look at whether this reactor should remain in operation.“ Lieutenant Governor Robert Duffy and Director of State

met with regulators from the Nuclear Regulatory Commission on Tuesday to discuss the risks facing the Indian Point nuclear plant in the event of an earthquake. Meanwhile Congresswoman Nita Lowey and Congressman Eliot Engel Wednesday called on the House Energy and Commerce Committee to hold hearings on the licensing of nuclear facilities located within an evacuation area containing a high population. “It is unacceptable that the Nuclear Regulatory Commission is not required to take into account factors like population, SEE COUNTY PAGE 6

EXPANDED PEDIATRIC DENTAL SERVICES AT MONSEY MEDICAL AND DENTAL CARE

By: S. Mandelbaum

By: Aaron Moeller

During the recent annual con- met with U.S. Senator Charles ference of the New York State Schumer during the conferAssociation of Towns, Ramapo ence and discussed funding officials made their voices heard for certain projects in Ramapo, on the need for mandate re- as well as other issues that afform and relief fect Ramapo in New York residents, State. Ramapo including Supervisor mandates. Christopher P. State manSt. Lawrence, dates rethe delegate quire that to the conferlocal govence from Raernments mapo, and L-R Ramapo Councilman Daniel Friedman, U.S. Senator a d h e r e Councilman Charles Schumer, Ramapo Town Supervisor St. Lawrence to certain Daniel Friedregulaman, the alternate delegate tions, which are often costly. representing Ramapo, pushed With officials across the state hard in support of the resolu- calling for smaller government tion on mandate relief. and fewer regulations, there Supervisor St. Lawrence and Councilman Friedman also SEE MANDATE PAGE 6

Monsey Medical and Dental birth through adolescence, Care would like to welcome Dr. Dr. Kashani strives to create a Ramin Kashani to the Depart- comfortable and non threatenment of Dentistry. ing environment for the young patients. Dr. Kashani is a skilled Board Dr. Kashani certified pediis highly atric dentist, trained inwho graduatall aspects ed from Bowof Pediatric doin College Dentistry.In with a BA in addition to Biology and regular denNew York Unital care, his versity College practice is of Dentistry. the highlyHe completed specialized Dr. Ramin Kashani his residency for Pediatric at the University of Connecti- restorative techniques and mocut Health Center of Pediatric dalities. Dentistry. He looks forward to meeting In this branch of dentist- new smiling faces. ry dealing with children from

THE ADVOCATE March 24, 2011

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

AS WE GO TO PRESS...

Congressman Eliot Engel issued the following statement after a A Weekly Editorial By: bomb exploded today at a Jerusalem bus stop, killing one and injur It always seems like there are construction projects being worked on for a short period of time, and ing dozens more. then a long work break follows. All around town, projects are started with great anticipation and excitement, just to be delayed "Once again, the world is a wit- and take months – or years – longer to complete. Besides the obvious annoyance of having projects stretch on without end, ness to cold-blooded violence committed by Palestinians against and work being done in small tidbits here and there, it is often the timing of the work – when work actually does go on – that Israelis. I condemn today's cow- causes the most frustration and concern. ardly terrorist attack in Jerusalem and express my deepest sympa- Each year, it seems, work on so many project sites start back up just before a busy Yom Tov. Last fall, just before Succos, thies to the people of Israel, to the a great deal of work was being done on the Maple Avenue project. These days, it has been a long time since any work was victims, and to their families. done on Maple Avenue, and the project is far from done. During the last decade, terrorist attacks on Israeli buses, pizzerias, It makes little sense for any work to be done on any projects before a Jewish holiday. It is the busiest time of year, as many and so many other places became are driving from one store to another. The last thing people need is to have to wait long periods of time for flag wavers to brutally commonplace. How sad it is that the Palestinians still have guide traffic through clogged streets because workers chose that day to work on a project. not learned that they will not earn their statehood through another If projects were being worked on each and every day from the day they were started to the day they were completed, it would peoples' tragedy and their own be one issue. But when projects routinely stall and no work gets done for stretches of time, it is inconceivable for them to culture of death. return for a few weeks just before a Yom Tov when people need unfettered access to the roads. With Pesach approaching, The killers must be brought to jus- we can only hope that this trend will not continue as people begin the large shopping sprees that precede it. tice, and the region will hopefully someday see peace. Yet, that will WRITE TO US never happen unless the PalestinThe Advocate welcomes Letters to the Editor & the Action Desk about relevant topics and issues. ians return to the bargaining table so that negotiations can begin Letters must include the writer’s name, address and phone number. again with Israel. The name may be withheld from publication at the writer’s request. Today, I call upon the Palestinian The Advocate reserves the right to edit for clarity and good taste. To voice your opinion, leadership to condemn and forecall: 845-770-1950; Fax: 845-352-5290; or E-mail: TheAdvocateNews@cmadc.com swear this and all other terrorist attacks, end incitement and glorification of past murderers, and join with the Israelis so that all people of this region can one day live in peace.”

Mendel Hoffman

ADVOCATE ACTION DESK

Rep. Engel is a senior member of the House Foreign Affairs Committee.

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Our towns are governed by law enforcement for a good reason. It helps maintain order, and creates a more peaceful environment for all of the neighbors who live here. We are all upstanding citizens and hopefully everyone obeys the law. But when it comes to traffic issues, this is not so. I believe that this law falls into what the Gamara calls. 'dina d'malchusa

dina'. The law of the land is the law, and we are supposed to adhere to it. It is very dangerous driving on these roads, especially when cars are parked illegally on both sides of a street. How are the buses to get through, and more importantly, ambulances and fire trucks?

Friday Mar. 25

High 57° High 69o Low 34° Low 22o

Shabbos Mar. 26

Sincerely,

Shmuel S. It is my hope that the law is enforced more severely than it has been. This Spring Valley is a safety issue above all. We must

Five Day Forecast for Rockland Thursday Mar. 24

follow traffic laws all the time, as strictly as we follow them when stopping for a school bus. Pedestrians, and drivers alike will benefit from following traffic laws.

Sunday Mar. 27

Monday Mar. 28

High 55° High 48o Low 23° Low 26o

High 45o Low 26o

THE ADVOCATE

March 24, 2011

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

THE ADVOCATE March 24, 2011

Spring Cleanup 2011

NEWS AROUND THE REGION.....

Senator Carlucci at Mental Hygiene Joint Budget Conference Hearing

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

An Important Message

For Residents of Unincorporated Town of Ramapo from

Supervisor Christopher P. St. Lawrence

Deputy Supervisor Frances M. Hunter Councilmembers Yitzy Ullman, Patrick J. Withers and Daniel Friedman Between Monday April 4th and Monday April 18th, the Town will provide extra garbage pickups in addition to regularly scheduled pickups. Please cooperate by discarding bulk items as soon as possible. Please do not wait until the last minute because it becomes difficult to service the community in time for the holiday.

(Albany, NY) Senator David Carlucci (D-Rockland/Orange) was appointed to the Mental Hygiene Joint Budget Conference Committee and participated in the first hearing last week in Albany. The purpose of this hearing is to bring the Senate and the Assembly together to discuss areas of similarities and differences in each house’s budget resolutions in an effort to come to a budget agreement. In this 2011-2012 budget, the Office for People with Developmental Disabilities (OPWDD) programs are looking at a 4-5% cut. This cut increases when you include the federal share and the cuts at the Medicaid Redesign table. These cuts will mean that programs will have to lay off workers, reduce services or even close, resulting in a huge loss in services for people with development disabilities. Senator Carlucci has attempted to mitigate these devastating cuts by working with the Senate to make restorations to these vital programs, however, the Assembly has chosen not to make any restorations to the OPWDD budget. “ We must protect our state’s most vulnerable citizens,” Senator Carlucci said. “If we cut funding for OPWDD, how can we undertake the immediate and comprehensive review of the agencies and their practices, that Governor Cuomo has called for? We cannot allow our fellow New Yorkers to fall through the cracks in our system or suffer one more instance of abuse.”

DUE TO THE ENORMOUS VOLUME TO BE COLLECTED, YOUR COOPERATION, FLEXIBILITY AND PATIENCE WILL BE GREATLY APPRECIATED. FOR ALL QUESTIONS, PLEASE CALL THE DEPARTMENT OF PUBLIC WORKS AT 845-357-0591, MONDAY– FRIDAY BETWEEN 8:00 A.M. — 3:30 P.M.

COMMUNITY-WIDE CHOMETZ BURNING

Date: Monday April 18th, 2011 Time: 6:30 a.m. — 11:45 a.m.

Location: Monsey Park & Ride/Drive-In, Rte 59

CHILDREN CAN VISIT THE BURN SITE ONLY IF ACCOMPANIED BY A RESPONSIBLE ADULT The burning is for bedikas chometz only. * Please wrap chometz in paper bags only. * You will not be allowed to burn any chometz that is brought in plastic bags or aluminum foil. * Accelerants will not be allowed. * Plastic bottles, glass bottles and aerosol cans won’t be permitted at burn site. FOR SAFETY PURPOSES, WE URGE THE COMMUNITY TO USE THE DESIGNATED CHOMETZ BURNING SITE

World nuclear power

Their hours of operation are Monday-Friday between 8:00 a.m. – 1:00 p.m. Call

845-364-2444 for special weekend dates, directions, and a list of items that must be brought there.

Best wishes for a safe, healthy and happy holiday.

Educational Consultants

Largest number planned China 160

Atlantic Ocean

16-30% 31-45% More than 45%

The Rockland County Solid Waste Management Authority’s Hazardous Household Waste Facility is located at the Fire Training Center, Firemen’s Memorial Drive, Pomona.

EDUCATIONAL SUPPORT SERVICES

In the wake of the earthquake and tsunami that hit Japan, damaging a nuclear power plant, many countries with nuclear power are reconsidering their programs. Share of electricity generated by Largest share nuclear power plants, 2009: France 75%

0% 1-15%

Sgt. Michael Colbath can arrange safety presentations at schools. To schedule an appointment call Sgt. Colbath at 845-357-2400 Ext. 4321

Pacific Ocean

Indian Ocean

Source: World Nuclear Association, International Atomic Energy Agency Graphic: Pat Carr

• in-school support • • comprehensive educational evaluations • • individualized instruction • " helping children to help themselves " Eliezer Vilinsky, M.A. Miryam Vilinsky, M.Ed.

(845) 426-3673 www.TReaching.com

THE ADVOCATE

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

March 24, 2011

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THE ADVOCATE March 24, 2011

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

MANDATE FROM PAGE 1

COUNTY FROM PAGE 1

has been a movement against such mandates, which often require local governments to raise property taxes. Mandates can also be certain expenses required by the state and federal government for which all local governments must comply, such as funding for certain education and health-related programs. In Rockland County, Medicaid mandates and other social service requirements place a heavy burden on government. For example, Medicaid spending alone totals 110% of the amount of money raised by county property taxes. Officials from several hundred towns across New York State attended the conference of the New York State Association of Towns, including many from Ramapo. During the final session of the conference, several resolutions were proposed and adopted on behalf of the towns relating to statewide issues that affect all towns. The resolution, which was adopted, reads, “Resolved, that the Association of Towns calls upon the Governor and members of the state legislature to enact comprehensive mandate relief legislation that would take into consideration the following among other relief measures: 1) Inventory and full funding of existing and future mandates, and 2) Require all future legislation to include specific local fiscal impact notes.” The resolution was sent to the Governor, who had pledged to work on the issue. Following the conference and the passage of the mandate relief resolution, the Governor released a report on mandate relief that will address the very concerns raised by Supervisor St. Lawrence and Councilman Friedman.

The report includes detailed proposals, including a prohibition against the state legislature creating any new unfunded mandates that negatively impact local governments. A plan to require all legislation to have an explanation of its financial impact on all local governments is also included in Governor Cuomo’s report. This week, the Mandate Relief Panel organized by Governor Cuomo proposed that a constitutional amendment be passed stating that any new mandates enacted by the legislature be fully funded by the state, or else they cannot be implemented. The plan would essentially end new mandates, but would need to be approved by the legislature and the voters in a referendum. “I applaud Governor Cuomo on his report, and I look forward to working with him on mandate relief and other issues to help ease the burden on Ramapo taxpayers,” said Supervisor St. Lawrence. “This critical legislation needs to be passed now so that local governments across this state can get the relief they need,” he added. Councilman Friedman stated he is also supportive of the Governor’s efforts. “I believe Governor Cuomo wants to do right by local governments like Ramapo, and it is time for the state legislature to follow suit,” said Friedman. “State legislators serve the same people that town officials throughout the state do, and we need to put an end to the practice of mandates that hurt towns and drive up local property taxes. Enacting the reforms in this report is a great way to start,” Friedman concluded.

national security, and evacuation plans in determining the relicensing of aging nuclear power plants like Indian Point,” said Lowey. “In the event of a terrorist event, earthquake, or other natural disaster affecting Indian Point, the entire population of New York City and its suburbs would need to be evacuated. New Yorkers deserve to know relicensing decisions are made taking these basic factors into account.” Rep. Engel, a senior member of the House Energy and Commerce Committee, said, “It is time for the NRC to realize that natural disasters and terrorism are all too real. The condition of the plant should be enough to have it closed, but the NRC seems to be too tolerant of nuclear facilities’ condition in renewing licenses. The fact that 25 million people could be in grave danger if an incident such as what happened in Japan took place in New York should be ample reason to close a well-maintained facility, much less one with Indian Point’s spotty record.” Next week Lowey and Engel will reintroduce the Nuclear Power Licensing Reform Act of 2011, which would require the NRC to evaluate aging power plans to be re-licensed with the same stringent criteria used to license new plants. Lowey first introduced this legislation in 2005. Specifically, the Nuclear Power Licensing Reform Act would: Ensure a nuclear facility not pose an unreasonable threat to persons or the

environment, including vulnerability to terrorist attacks; It would require adequate evacuation plans for emergency events with approval from Federal agencies and states within 50 miles of the facility; It will also require that any re-licensing be subject to the same stringent criteria that would be used in an original application for initial construction. Plans in the bill would instruct the NRC to determine whether changes in the size or distribution of the surrounding population have resulted in the facility utilizing a site on which a new facility would not be allowed. The plant has no plan on shutting down, nor do other nuclear facilities in the county or throughout the industrialized world. Only one country currently using nuclear power, Germany, stands alone among leading industrialized nations in its decision to stop using nuclear energy because of its inherent risks. It is betting billions on expanding the use of renewable energy to meet power demands instead. The transition was supposed to happen slowly over the next 25 years, but is now being accelerated in the wake of Japan’s Fukushima Dai-ichi nuclear plant disaster, which Chancellor Angela Merkel has called a “catastrophe of apocalyptic dimensions.”

Quake casualities

Nearly 9,000 people are dead and nearly 13,000 are missing as a result of the March 11 earthquake and tsunami; estimates by prefecture, as of March 21:

Iwate 2,650 5,018

Dead Missing Miyage 5,364 3,265 Sea of Japan

Other prefectures 56 5

Sendai Fukushima 735 4,376 Fukushima Dai-ichi nuclear plant

J A P A N

Epicenter of 9.0 magnitude earthquake

Tokyo

Source: National Police Agency of Japan, GoJapan.about.com, ESRI Graphic: Pat Carr

NOTICE HOW CLOSE PEOPLE LIVE TO THE INDIAN POINT POWER PLANT

THE ADVOCATE

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

March 24, 2011

OUR READERS WANT TO KNOW HOW HICCUPS WORK, AND CAN YOU STOP THEM? By: Aaron Moeller

We have all been beset with hiccups at some point in our lives -- those aggravating, involuntary fits that can make it nearly impossible to carry on a conversation, eat a meal or even maintain a train of thought. Most people hiccup four to 60 times per minute during a bout of hiccups, and everyone has a specific, lifelong hiccup pattern. The average hiccup spell can last from a few minutes to a few hours, but some people suffer from extended episodes that last days, months or even years. Hiccups that last longer than 48 hours are called persistent hiccups, and if they've lasted more than a month, you have intractable hiccups. Both types can cause serious

phragm, a large muscle between the chest and abdomen, aids this airflow. It moves down when we inhale, and then up when we exhale. The phrenic nerves control the movement and sensation of the diaphragm. Any irritation to these nerves induces a spasm of the diaphragm. This spasm causes a person to take a short, quick breath that is then interrupted by the closing of the epiglottis (a flap that protects the glottis, the space between the vocal cords). The sudden closing creates the sound we all know as a hiccup. Once you have hiccups, you'll probably want to get rid of them. You may have heard of remedies ranging from swallowing a spoonful of sugar to pulling on your tongue. But no one

Declining coffee production After years of improving productivity, Costa Rica has seen a decline because of climate change and other factors.

Production

in millions of pounds (kg) 400 (181)

300 (136)

1969 to 1970

Productivity

in thousand pounds (kg) per acre

2009 to 2010

194 million Ib. (88 million kg)

177 million Ib. (80.3 million kg)

10 (4.5)

8.5 (3.9)

200 (91)

7 (3.2)

100 (45)

5.5 (2.5)

5,290 Ib. (2,400 kg)

5,310 Ib. (2,409 kg)

Õ70 Õ72 Õ74Õ76 Õ78 Õ80 Õ82 Õ84Õ86 Õ88Õ90 Õ92 Õ94 Õ96 Õ98 Õ00Õ02 Õ04Õ06 Õ08 (1.8)

increased nearly 48% in the last six months alone.

health problems and, in some cases, even death. For many of us, hiccups begin in the womb. The recapitulation theory proposes that fetuses use hiccups in respiration before their lungs are fully developed. This may help explain why premature infants spend up to 2.5 percent of their time hiccuping -more than full-term babies. As we get older, bouts of hiccups decrease. The most likely time to hiccup is in the evening. Why do we hiccup? The scientific community has been debating this issue for decades. We know what happens during a hiccup. During normal breathing, we take in air from the mouth and nose, and it flows through the pharynx, past the glottis and into the larynx and trachea, ending in the lungs. The dia-

solution has been proven to be more effective than another -- it seems to depend on the person and the specific situation. Most cases of hiccups resolve on their own. Other popular methods -- like holding your breath - can stop hiccups by interrupting the respiratory cycle. Breathing into a paper bag, quickly downing a glass of cold water and being startled also work for the same reason. No one is exactly sure why, but mental distraction often stops hiccups. You think you have it bad? An American man, Charles Osborne had the hiccups for 68 years, from 1922 to 1990, and was entered in the Guinness World Records as the man with the longest attack of hiccups

THE ADVOCATE March 24, 2011

Washington Cuomo Insiders Fault Silver For Spending Administration officials of Governor Cuomo are privately faulting Assembly Speaker Sheldon Silver for the lack of a budget. Silver is trying to change the budget to include millions more in spending, to be paid for by a tax on the wealthy that the governor and the Republican Senate say they will not approve. All sides need to come to an agreement by April 1st, which many believe is still possible. During budget negotiations, Silver has been demanding the restoration of millions in cuts, but the governor and his staff are trying to cut as much as possible. Aides to Cuomo say Silver is putting the needs of his members, Assembly Democrats, before those of the state, by working to please them through increased spending, which they can take back to their constituents.

More Info On Lobbyist Lipsky Emerges Richard Lipsky is the lobbyist ensnared in the scandal of Senator Carl Kruger, who accepted hundreds of thousands of dollars in bribes, including money he took from Lipsky. As the investigation continues, Lipsky’s profile has been uncovered. Lipsky is a lobbyist who works alone, and has no office. Unlike most lobbyists, he has fought with elected officials in state and city politics, which has cast him as more of an outsider and someone not completely in tune with elected officials who can get things done for his clients. Lipsky earned a reputation for taking center-stage instead of giving the attention to his clients, which alienated many. In Kruger, Lipsky found someone that could help get things done for him

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

By: S. Mandelbaum when no other elected officials would – by plying him with thousands of dollars in cash.

Pawlenty Announces 2012 Bid

Senator Ruben Diaz proposed that state legislators post all of their donors on their website as a way to promote transparency of elected officials. The information is already available directly from the New York State Board of Elections, but Diaz wants it to be available directly through their offices. The proposal failed to go through a committee in the senate.

Former Minnesota Governor Tim Pawlenty has announced that he is forming an exploratory committee to run for president, the first step for a presidential campaign, which will enable him to run. Pawlenty is a conservative who is not as well known as figures like Sarah Palin. A poll showed that 60% of voters don’t know who he is, but he has been working on building a national profile. He vetoed four tax increases, and kept spending almost even over his tenure as governor, and those credentials will likely be his platform to run for president.

Cuomo Pulls On Sampson’s Jacket

Pelosi Briefly Hospitalized In Italy

Diaz Disclosure Proposal Fails

During a press conference following a meeting with legislative leaders, Senate minority leader John Sampson began to speak about his concerns regarding cuts to the Yonkers School District. While he was speaking, the governor began gently tugging on Sampson’s suit jacket, in an effort to get his attention to stop talking about those cuts. Sampson said he didn’t mind and thought the governor was doing a good job keeping budget discussions civil.

Tedisco Pushes Paper Bill Assemblyman James Tedisco was walking around the capital when he came across a huge bin of papers- all of them legislative bills that are required to be printed but are rarely even read. Tedisco used the opportunity to make another push for his proposal, which would eliminate printing requirements and instead allow bills to be distributed electronically.

Former House Speaker and minority leader Nancy Pelosi was hospitalized briefly in Italy after feeling unwell during an official trip there. Pelosi went to Italy with other members of Congress to celebrate the 150th anniversary of the unification of Italy.

Obama Pledges 2016 Trip During a visit to Rio de Janeiro, Brazil, President Obama said that he would return to the country in 2016 for the Summer Olympics. Rio was chosen as the host city by the International Olympic Committee. Obama had made a trip to Denmark to advocate on behalf of his home city of Chicago, but lost out to Rio. Even if he is re-elected in 2012, Obama will be just a few months away from finishing his presidency when the summer games take place.

Bush 41 Celebrated For the first time since President Obama took the oath of office, all living former

albany presidents gathered in the same place, this time to pay tribute to George H. W. Bush. In a gala fundraiser that raised millions of dollars for his Points Of Light organization, which promotes public service, former Presidents Clinton, Carter, and Bush Jr. discussed Bush’s achievements and his work after leaving the White House. Bill Clinton, who defeated Bush in 1992, praised Bush a great deal and said the two became very close during their work in 2004 and 2005, following the tsunami in Asia and Hurricane Katrina. The two said they realized that fights can get petty and personal in politics, and often are not worth it.

Meghan McCain Is For Romney Meghan McCain, the outspoken daughter of former presidential candidate John McCain, said she is a strong support of Mitt Romney’s potential campaign for the presidency. She said Romney has handled himself well, while Sarah Palin, her father’s former running mate, has not. She said Palin’s actions since losing show her to be unfit for the presidency. McCain said she should have stayed on the sidelines and listened and learned about issues rather than jump into the fray completely as she did.

Kucinich Questions President On Libya Dennis Kucinich, a Congressman who has made a name for himself fighting those in power, had some criticism for President Obama on his handling of the situation in Libya. He said the president should have discussed the issue more with congressional leaders first. Meanwhile, Ralph Nader has begun a movement to impeach Obama for the same reason.

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THE ADVOCATE

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

March 24, 2011

HEALTH CARE NEWS UPDATES BRANDED DRUG PRICES SOAR AS PRESSURE RISES FROM LOWER GENERIC NAMES U.S. prices for brand-name drugs are rising faster than ever as patents expire on top-selling medicines and the pharmaceutical industry nervously eyes the future of healthcare reform. Prices for the 15 best-selling drugs rose by much higher rates in 2010 than they did in each of the last five years, according to exclusive data from Thomson Reuters MarketScan, which measured the average cost of a daily dose as shown in medical claims data. Two thirds of the drugs saw double-digit price hikes, well above inflation of 1.6 percent in 2010 measured by the consumer price index. The analysis indicates drug makers are scrambling to make as much money as possible from blockbuster drugs before their patents expire, while taking advantage of the fact that last year's healthcare reform bill did not cap drug prices. According to MarketScan, payments for Pfizer Inc's Lipitor rose 11.4 percent last year, compared with 5 percent annually from 2005 to 2010. That meant the cost of a daily dose of the cholesterol drug rose from $3.17 at the end of 2009 to $3.53 at the end of 2010. Lipitor, which will soon lose patent protection, had 2010 global sales of $10.7 billion.

there is very little pushback on the U.S. price of a brand-name drug.

"Because of the increased number of drugs going generic, they profit more from the brand drugs on the market by increasing prices," said Nancy Stalker, vice president for pharmacy services at health plan Blue Shield of California.

"There are hundreds of (health insurance) plans, so each of them individually does not have a whole lot of price leverage," said Joshua Cohen, professor at the Tufts Center for the Study of Drug Development in Boston.

Everett Neville, vice president of pharma strategy at Express Scripts Inc, which manages drug benefit programs for health insurers and employers, said drugmakers typically raise prices for drugs as they approach patent expiration, but "what we have seen over the last few years are bigger increases for products that are early or mid-way in their patent cycle."

Insurers often get a discount on the list price -but the fact that they are paying more for drugs is likely to push up the premiums they charge at a time when healthcare costs are already rising much faster than inflation. "The price escalation is truly incredible," said Judy Cahill executive director the Academy of Managed Care Pharmacy, a pharmacy trade group. She said that since drugs generally make up about 10 percent of medical spending, they are often not a top priority for costcutting. IMS Health estimates that $25.4 billion in U.S. drug sales are at risk of generic competition this year as patents expire on iconic brands like Lipitor and Plavix. Another $26.1 billion in sales -- about 9

Drug manufacturers have an exclusive right to sell new products for up to 20 years from the date of a U.S. patent filing. Once the patent expires, a number of generic copycats typically enter the market, driving down prices. IMS estimates that the U.S. healthcare system will reap at least $70 billion in savings over the next four years as brandname medicines are replaced by lowercost generics. But until there is a generic competitor,

e te s

U.S. trend

Annual number of people with diabetes, in millions

18.1

15 10 5.6 5 0

1980

2008

U.S. forecast

Number of new cases 2008

8 in 1,000

2050

15 in 1,000

Global forecast

Number of people with diabetes 2010 2050

285 million 438 million

THE !

O rth o tics

D ia b

Diabetes threat

As many as 1 in 3 U.S. adults could have diabetes by 2050 if current trends continue, and the number of cases worldwide is also forecasted to skyrocket.

Ingrown Toen ai

Cor

AstraZeneca's antipsychotic drug Seroquel topped the list with a 16.5 percent price jump, according to MarketScan data, which is particularly telling since it comes from actual payments by insurers, rather than manufacturer list prices.

percent of the $300 billion market -- will lose patent protection next year.

Drugs with price rises in the mid teens included: cholesterol drug Crestor made by AstraZeneca Inc; blood-clot preventer

Plavix sold by Bristol Myers Squibb Co and Sanofi-Aventis; and asthma treatment Singulair, from Merck & Co.

HINUCH FORU

!"#$%&#'()*$+,"$'-./&)'$),'0#$/,01-#'($ &(-$'-./&)"#*$+,"$%&#'()$),'0#$*).-'()*$

On Tuesday evening, March 29th join us for the next monthly session for teachers and parents together to learn, teach, and share ideas about the best ways to raise and educate children.

8:30 – 9:20 Interactive Instructional Session Topic: Using Nature In Order to Nurture: Using Strengths to Overcome Weaknesses

Presented by: Eliezer Vilinsky, M.A.

9:20 – 9:45 Open Questions and Discussion Questions fielded regarding any Chinuch-related topic.

es r To

F u n g

To better serve our patients, Dr. Baldinger has increased his hours. He is now available every Thursday.

Location: Cong. Bais Torah Library 89 Carlton Road W., Suffern men and women, separate seating

$5.00 participation fee the Chinuch Forum is a division of Educational Support Services, Inc. Eliezer Vilinsky, M.A.

Miryam Vilinsky, M.Ed.

Call 426-3673 or visit TReaching.com for more information.

THE ADVOCATE March 24, 2011

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

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‫ תשע״א‬hbhna ‫דער אדוואקאט‬

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THE ADVOCATE March 24, 2011

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

THE ADVOCATE

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

March 24, 2011

A VANISHED WORLD THE WORLD THAT WAS LITA

To know where we are as a people, it is important to know where and who we have been. The Advocate is proud to introduce a history series on the communities of Lithuania, based on excerpts from The World That Was: Lithuania, written by Rabbi Yitzchak Kasnett, underwritten by the Living Memorial program of the Hebrew Academy of Cleveland. Special thanks to Rabbi A. Leib Scheinbaum, National Director of The Living Memorial for making this material available to The Advocate.

TELZ TELZ, Part II Rabbi Gordon fought relentlessly against the reforms of the maskilim (Enlightenment Movement). He attempted to publish an Orthodox newspaper that was to serve as a vehicle for counteracting the many publications written by the reformers. The Rov founded the first religious organization in Russia, Knesses Yisrael, and was active in establishing branches of Knesses Yisrael in every city and village. The Rov was a participating founder in the worldwide Agudath Israel movement, and attended the first congress held in Hamburg. In a letter to Rabbi Yizchok Blauser in 1907, Rabbi Gordon expressed his sadness that, “the magnitude of atheism which has spread among ou rnation’s youth is unimaginable, and every day we see boys and girls who were yesterday united with G-d and His Torah transformed into heretics.” Rabbi Gordon’s fight against the reformers did not go unnoticed by his adversaries. They denounced his yeshiva to the Russian government and maligned the yeshiva in their periodicals, ‘Hameilitz’ and ‘Hatzofeh’. The reformers demanded that the fundraisers for Telz Yeshiva not be allowed in any community to collect funds since the Rosh Yeshiva, Rabbi Eliezer Gordon, was not a true Russian patriot. At one point the maskilim reported the illegal Telz Yeshiva (the Russian government had not allowed the yeshiva to exist legally) to the Mayor of Kovno. An inspector arrived, found a full Beis Hamedrash, and began writing his report. Rabbi Gordon signaled for the talmidim to start leaving one at a time, until there were only twenty students left. Rabbi Gordon approached the inspector and asked to read his report. Upon seeing that he wrote there were hundreds of students the Rov asked the inspector if it was proper to lie in such a report when, in fact, there were not more than twenty or so students present. After counting the talmidim with Rabbi Gordon, the inspector conceded that the Rov was correct. Since there were not more than twenty students the place could not be considered a yeshiva, and the inspector discarded his report. He went back to Kovno with a nice tip and reported to the Mayor that there was no yeshiva in Telz.

Soon after a new Mayor by the name of Popov was appointed. Popov was evil, hated Jews, and was not susceptible to bribery. As soon as he was installed, her summoned Rabbi Eliezer and warned him that if he did not stop teaching in the yeshiva, the Rov would be deported from Telz-perhaps to Siberia. Rov Eliezer answered him calmly, “I am not afraid of you, for even if I am exiled to Siberia, I will have a yeshiva there, too. But I would advise you to desist from your designs, for if you are banished, it is extremely doubtful whether you will be appointed district ruler in your exile.” Indeed, it was not long before Popv was dismissed from office. After the passing of Rabbi Eliezer Gordon, his son-in-law, Rabbi Yosef Leib Bloch, assumed the mantle of the leadership of the yeshiva. Under Rabbi Yosef Leib, the yeshiva continued to flourish, becoming one of the largest in all of Europe. In addition to counteracting the government’s modern educational institutions for Jews which were built to compete with the traditional cheder and yeshiva system, Rabbi Yosef Leib began his own modern Talmud Torah where children could study Torah and secular studies under licensed teachers (as required by the government). The Rov made sure that the Talmud Torah was a state of the art institution that could easily challenge the German-style secular schools. The Rov charged his sons, Rabbi Avrohom Yitzchok (future Rov and Rosh HaYeshiva) and Rabbi Eliyohu Meir (founder of Telz, Cleveland) to head the Talmud Torah, admonishing them to be well aware of the great and holy function such a school would play in keeping Jewish youth from falling into the hands of the maskilim. In addition, Rabbi Yosef Leib started Yavne, a preparatory girls’ high school, including secular studies. This program came under great criticism from many rabbonim. However, the sainted Chofetz Chaim supported Rabbi Boch, declaring that he felt that Rabbi Yosef Leib was well aware of his actions and had certainly proceeded with great deliberation. These actions were to have great future consequences for the yeshiva, because afterwards the Lithuanian government ordered that all yeshivas must have secular studies or lose their status as theological institutes whose students were exempt from the military draft. Finally, Rabbi Bloch started the first teacher training school for religious teachers and a seminary for women. When the Nazis reached Telz they recruited local Lithuanian anti-Semites to help them carry out their plans for the final solution of the Jews of Telz. The Rosh HaYeshiva, Rabbi Avrohom Yitzchok Bloch, led his yeshiva and community in the sanc-

tification of Hashem’s name. Refusing the chance to flee to safety in Russia, Rabbi Bloch remained in Telz to give courage and strength to his fellow Jews. His daughter, Rebbetzen Chaya Ausband, witnessed Rabbi Bloch’s final hours: When the German troops rounded up the entire Jewish population and lined them up facing their bayonets, Father did not recoil from their shouts and threats. With absolute serenity he addressed the community, exhorting them to repent and accept upon themselves the yoke of Heaven. He inspired them all to the exalted heights of willing to be sacrificed for the sanctification of Hashem. During the last moments he requested water to wash his hands and from inside the mass grave that the Jews had been forced to dig for themselves, his voice burst forth in a cry of “Shema Yisrael” in sanctity and purity.

A big deal

AT&TÕs agreement to buy T-Mobile USA from Deutsche Telecom for $39 billion would create the largest U.S. cellular provider. Top U.S. companies In millions of subscribers Combined company

129.2 101.1

Rabbi Eliyohu Meir Bloch and his brother-in-law, Chaim Mordechai Katz, escaped from Telz just before its destruction by the Nazis. Traveling through Siberia and Japan, they eventually arrived in Cleveland where they began the rebuilding of the Telz Yeshiva and its tradition, including a day school, a high school, and a teachers’ seminary.

THE ADVOCATE March 24, 2011

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

HEALTH NEWS YOU CAN USE

NEW GUIDELINES FOR TODDLER CARSEATS

Children should ride in rear-facing car

seats longer, until they are 2 years old instead of 1, according to updated advice from a medical group and a federal agency. The American Academy of Pediatrics and the National Highway Traffic Safety Administration issued separate but consistent new recommendations Monday. Both organizations say older children who’ve outgrown frontfacing car seats should ride in booster seats until the lap-shoulder belt fits them. Booster seats help position adult seat belts properly on children’s smaller frames. Children usually can graduate from a booster seat when their height reaches 4 feet 9 inches. Children younger than 13 should ride in the back seat, the guidelines from both groups say. The advice may seem extreme to some parents, who may imagine trouble convincing older elementary school kids — as old as 12 — to use booster seats.

But it’s based on evidence from crashes. For older children, poorly fitting seat belts can cause abdominal and spine injuries in a crash. One-year-olds are five times less likely to be injured in a crash if they are in a rear-facing car seat than a forward-facing seat, according to a 2007 analysis of five years of U.S. crash data. Put another way, an estimated 1,000 children injured in forward-facing seats over 15 years might not have been hurt if they had been in a car seat facing the back, said Dr. Dennis Durbin, lead author of the recommendations and a pediatric emergency physician at Children’s Hospital of Philadelphia. Toddlers have relatively large heads and small necks. In a front-facing car seat, the force of a crash can jerk the child’s head causing spinal cord injuries. Car seats have recommended weights printed on them. If a 1-year-old outweighs the recommendation of an infant seat, parents should switch to a different rear-facing car seat that accommodates the heavier weight until they turn 2, the pediatricians group says. Luckily for parents, most car seat makers have increased the amount of weight the seats can hold. This year, about half of infant rear-facing seats accommodate up to 30 pounds, Durbin said. Ten years ago, rear-facing car seats topped out at children weighing 22

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pounds. “The good news is it’s likely parents currently have a car seat that will accommodate the change,” Durbin said.

NEWBORN SCREENING TESTS MISS SOME BABIES' HEARING PROBLEMS Most newborns have their hearing tested while they are still in the hospital, but those tests may not catch all severe hearing loss. One-third of children who were treated for deafness with cochlear implants had actually passed the newborn screening, according to a new study. That's important, because parents and pediatricians often don't realize that a baby has a serious hearing problem. Most states require that newborns' hearing be tested before they go home from the hospital. About 2 or 3 of every 1,000 children are born deaf or hard of hearing. The earlier those children get help, the better they do at developing language skills. Researchers at Children's Memorial Hospital in Chicago looked at the records of 127 children who had hearing problems severe enough to be treated with cochlear implants, and found that one-third of them had passed the newborn hearing test. The results were published in the latest Archives

of Otolaryngology – Head and Neck Surgery. The failure may not be the fault of the newborn screening, but simply the result of the fact that some hearing loss develops slowly. Babies at risk for progressive deafness include those who had cytomegalovirus infections, and those who were in a neonatal intensive care unit. Those cases wouldn't be obvious in the first month of life, which is the time recommended for universal screening by the United States Preventive Services Task Force. The cost ranges from $10 to $50. "The situation raises the issue of whether repeating mandatory hearing screening for all children before 1 year of age would be b e n e f i c i a l ," the study authors write. In any case, newborn screening, though imperfect, does speed diagnosis of hearing problems overall, according to the study authors. They compared children treated with cochlear implants before 2003, when the state of Illinois required universal newborn hearing screening. Children who were screened had hearing problems diagnosed when they were 11 months old on average, compared to 21 months in children born before universal screening.

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THE ADVOCATE

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

March 24, 2011

FORECLOSURE COUNSELING

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We have a certified foreclosure counselor on staff who can assist you Call us for more information

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Please note: The HEAP department is now open. Call RCDC Housing for your application

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WEATHERIZATION WORKS! CALL DEPT. OF HOUSING AND WEATHERIZATION FOR INFORMATION

845.352.1400

RCDC HOUSING DEPARTMENT The following information is provided to the community by the RCDC Housing Department as a public service

HOW TO DEAL WITH MOLD PROBLEMS IN YOUR HOUSE There are so many ways on how to know if your house is a healthy, livable and quality place to stay. One of these is to be sure that it is free from any harmful elements that are usually found and grow in your house like molds. When you talk of home maintenance, molds are found to be a recurrent problem to handle because all houses, except those newly-built, are all susceptible and hazardous of defects due to the formation of molds.

have already started to grow. Thus, it is best to stop and remove those things which already affected by molds. Know how to manage the humidity level. This is very important because humidity is the main reason of their production, survival and proliferation of molds. Be sure that you repair those areas that are damaged. Then you can put dehumidifiers to successfully manage the temperature of your house and stop mold formation. If you are located in areas that are prone to floods, make use of pumps to eliminate accumulated water that can also be a good source of molds.

An upsetting fact in handling mold issues is that even if you assumed you have already eliminated them, there are still tendency that they can grow back in few days after you have gotAsking help from ten them out. Molds the experts is nechave the capability essary. Mold fightto grow and reproers can be found duce in other parts anywhere and can of your house. They provide you excelcontain spores and lent solution to your mycelia which can recurring mold probgradually spread in lem. Make sure that the whole house. you hire credible There are microand trained profesorganisms of fungi sionals who have mold free home! which you can only dealt with this type see them through of issue for several a microscope if you want to go further with times already. They also you high-end tools your study. The main reason why molds begin and devices to ensure that molds are comto grow in some parts of your house like the pletely eradicated. lavatory, kitchen, and the garage among others is due to these organisms exist in moist Get rid of those molds in your house and and damp areas. Hence, if you thoroughly ob- make sure that your problem is solved, securserve, it starts somewhere damp and scatters ing that you maintain the quality and value of in other portions and rooms of your house. your house. Getting rid of molds and permanently stop them is really a tough job to do since dealing with its capability to reproduce requires intensive cleaning and management. Keep in mind that one wrong move may result to worsening of growth and more damage in places and things you own. A good way to begin your mold prevention is to get rid of those affected items. Molds can eventually destroy some parts and belongings and it is a bit hard to eliminate them when they

moldy home!

MOLD PREVENTION

There is no practical way for you to eliminate all of the molds and mold spores in the indoor environment. But there are many ways to help control moisture and mold growth in your home. Here is a partial list: Stop the water • Fix leaks in pipes, and any damp areas around tubs and sinks, so that biological pollutants don’t have growing environments. • Rebuild, or retrofit, with water-resistant building materials such as tiles, stone, deep-sealed concrete, galvanized or stainless steel hardware, indoor/ outdoor carpeting, waterproof wallboard, waterresistant glues, and so on. Prevent seepage of water from outdoors into your house. Rain water from gutters or the roof needs to drain away from the house. Ground around the house needs to slope away to keep basement and crawlspace dry. Cover dirt in crawlspaces with plastic to prevent moisture from coming from the ground. Ventilate the area as much as possible. • Consider having air ducts cleaned if you suspect mold exists on the duct’s inside surface, or if duct insulation has been wet. • Reduce the moisture in the air with dehumidifiers, fans, and open windows or air conditioners, especially in hot weather. Do NOT use fans if mold may already exist. Try to keep the humidity in your home below 40%. In moisture prone areas, choose carpets of man-made fibers. Reduce potential for condensation on cold surfaces by insulating. Routinely check potential problem spots (eg. Bathroom, laundry, mechanical room, etc) for moldy odors, and disinfect often with a 10% solution of bleach – 11/4-11/2 cup bleach to a gallon water, or with a commercial disinfectant.

THE ADVOCATE March 24, 2011

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FAMILY HEALTH TALK HAY FEVER

ROOT CANALS

Department of Allergy & Immunology

Dental Department

Hay fever, also known as allergic rhinitis is an allergic reaction to pollen. Symptoms of hay fever are seasonal, meaning you will feel worse when the pollens that affect you are at their highest levels. Hay fever is the most common form of allergy. It affects 1 in 5 people.

A root canal is a dental procedure that is used to remove diseased pulp tissue from the interior of a tooth. The narrow channels beneath the pulp chamber in the inner part of the tooth are hollowed out and cleaned, and the roots are filed with flexible nickel titanium files.

Hay fever is caused by pollen, a common allergen. Allergens are substances that cause your body to respond with an allergic reaction. When you are exposed to something you are allergic to, your body releases chemicals. One type of chemical that is released is histamine. Histamine is your body’s defense against the allergen. The release of histamine causes swelling, itching, sneezing, watering eyes and nose—all the symptoms of hay fever.

A tooth is made up of three main components: a hard protective shell referred to as enamel, a softer and sensitive middle layer referred to as dentin and a soft tissue inner layer referred to as dental pulp. Dental pulp is composed of nerve tissue, lymph tissue and blood vessels, and is considered to be the vital part of a tooth. If dental pulp is sufficiently traumatized – whether by exposure to oral bacteria via deep dental caries, a fracture in the tooth that enters the pulp or a forceful blow to the face – the tooth begins to die and root canal therapy is often required in order to prevent or eliminate infection and prevent tooth loss.

Hay fever is usually caused by small, hard-to-see pollens, like those from trees, grasses and weeds. Common pollens and when they increase allergy symptoms (depending on where you live) include: Tree pollen—early spring Grass pollen—late spring and early summer Weed pollen, such as ragweed—midsummer to late fall If you are allergic to pollen, you will notice your symptoms are worse on hot, dry days when wind carries the pollen. On rainy days, pollen often is washed to the ground, which means you are less likely to breathe it. Symptoms vary depending on the severity of your allergies. Symptoms can include: -Sneezing -Coughing -Itching -Runny nose -Stuffy nose -Headache -Sore throat Hay fever lasts longer than a cold or the flu—up to several weeks—and does not cause fever. The nasal discharge from hay fever is thin, watery and clear, while nasal discharge from a cold or the flu tends to be thicker. Itching (mostly eyes, nose, mouth, throat and skin) is common with hay fever but not with a cold or the flu. Sneezing is more prominent with hay fever and can occur in rather violent bouts. The best way to deal with hay fever is to avoid the allergens that cause it. Shower or bathe before bedtime to wash off pollen and other allergens in your hair and on your skin. Avoid going outside, especially on dry, windy days. Keep windows and doors shut, and use an air conditioner at home and in your car.

SCHEDULE YOUR APPOINTMENT TODAY: Monsey Medical & Dental Care 40 Robert Pitt Dr. Monsey, NY 10952 (845) 352-6800

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

Several medicines can be used to treat hay fever. Dr. Paul Bloom, a pediatrician at Monsey Medical and Dental Care, suggests your child see an allergist if symptoms are present year round. This will help you determine what medicine is best for your child depending on his symptoms, age and overall health.

To discuss this and other healthcare issues with our

allergist, Dr. Renata Witkowska or our pediatricians, Dr. Esther Bekritsky Dr. Paul Bloom, or Dr. Gerson Gluck Please call the medical center 845.352.6800

A root canal procedure involves tooth disinfection and the removal of all debris (nerve tissue, lymph tissue, blood tissue, bacteria and infection) from the coronal pulp chamber and its associated canals. Once an affected tooth's canals are sufficiently cleansed and shaped, they are filled with materials designed to prevent pain and infection from recurring. Certain signs may indicate that you have a diseased tooth or infected nerve and therefore may need a root canal. These signs include: Minimal to severe pain or tooth discoloration, swelling and irritation in the surrounding gum tissue. Dr. Genady Benyaminov, a dentist at Monsey Medical and Dental care recommends a root canal in such situations to save the affected tooth and preserve its functionality. “You don’t want it to get worse,” he points out. A tooth can become inflamed or infected for several reasons, including severe tooth decay or a crack or chip in the tooth. Failing restorations such as dental fillings and dental crowns can foster bacterial leakage into the dental pulp. Once infected, the dental pulp begins to die and the body's inflammatory responses set it. The combination of infection and inflammation can cause significant pain. The end result is a toothache. In cases where tooth extraction is the only solution, the missing tooth may be replaced with a dental implant or dental bridge to maintain functionality. By replacing the missing tooth, a proper bite is maintained and the surrounding teeth are prevented from shifting. Because a severe infection can be very dangerous, it is important to receive a professional evaluation by a dentist who can look deeper into the cause of a toothache. If an infection spreads beyond the jaw to the head and neck, then more extensive medical treatment, including hospitalization, may be required. To discuss this and other Dental issues with our dentists; Dr. Genady Benyaminov,Dr. Leonard Kundel, Dr. Stacey Lubetsky,Dr. Jacklyn Tadros, or Dr. Mark Raider Dr. Sarah Hanna, please call the Medical Center 845.352.6800

THE ADVOCATE

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

March 24, 2011

FAMILY HEALTH TALK

Sponsored By Monsey Medical & Dental Center 40 Robert Pitt Drive, Monsey, NY 845-352-6800

ARE YOU AT RISK? DIABETES RISK TEST Calculate Your Chances for Type 2 or Pre-Diabetes The American Diabetes Association has revised its Diabetes Risk Test according to a new, more accurate statistical model. The updated test includes some new risk factors, and projects risk for pre-diabetes as well as diabetes.

This simple tool can help you determine your risk for having pre-diabetes or diabetes. Using the flow chart, answer the questions until you reach a colored shape. Match that with a risk message shown below. START HERE QUESTION: NO Q: At your height (see AT-RISK WEIGHT CHART), is your weight equal to or more than the at-risk weight?

YES

NO Q: Are you under 57 years of age?

YES

YES NO

Q: Have you ever developed diabetes during pregnancy?

HEIGHT

WEIGHT

4’10” 4’11” 5’0” 5’1” 5’2” 5’3” 5’4” 5’5” 5’6” 5’7” 5’8” 5’9”

148 LBS 153 LBS 158 LBS 164 LBS 169 LBS 175 LBS 180 LBS 186 LBS 192 LBS 198 LBS

5’10” 5’11” 6’0” 6’1”

YES Q: Have you ever been told by a doctor or other health professional that you had hypertension (high blood pressure)?

Q: At your height (see AT-RISK WEIGHT CHART), is your weight equal to or more than the at-risk weight?

YES

YES Q: Are you Caucasian (white)?

YES

YES Q: Does your mother, father, sister or brother have diabetes?

AT-RISK WEIGHT CHART

ARE YOU UNDER 45 YEARS OF AGE?

LOW RISK: Right now your risk for having pre-diabetes or diabetes is low. But your risk goes up as you get older. Talk to your doctor about how to keep your risk low.

6’2” 6’3” 6’4” 6’5”

203 LBS 209 LBS 216 LBS 222 LBS 228 LBS 235 LBS 241 LBS 248 LBS 254 LBS 261 LBS

AT RISK FOR PRE-DIABETES: You are at higher risk for pre-diabetes which means your blood glucose is higher than normal but not high enough to be diagnosed as diabetes. Talk to your doctor about ways to reduce your risk for diabetes. HIGH RISK: You are at higher risk for having type 2 diabetes. However, only your doctor can tell for sure if you do have type 2 diabetes. Talk to your doctor to see if additional testing is needed.

I-800-DIABETES diabetes.org/risktest

*Your risk for diabetes or pre-diabetes depends on additional risk factors including weight, physical activity and blood pressure.

To discuss this and other healthcare issues with our providers;

Dr. James Israel, Dr. Arthur Landau, Dr. Debra Grohman, Dr. Eric Goldman, Dr. Ryan Banach, Brian Blitz, or Elana Klein or with our Department of Nutrition Counseling Hanna Raice, MS, CDE, RD please call the Medical Center at 845.352.6800

THE ADVOCATE March 24, 2011

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

MENTAL HEALTH TIPS 4 WAYS TO BUILD RESILIENCE 1: Make Connections

better as you deal with difficult situations.

Good relationships with close family members, friends or others are important. Accepting help and support from those who care about you and will listen to you strengthens resilience. Some people find that being active in organizations or local shul activities provides social support and can help with reclaiming hope. Assisting others in their time of need also can benefit the helper

3: Accept That Change Is a Part of Living

2: Avoid Seeing Crises as Insurmountable Problems You can't change the fact that highly stressful events happen, but you can change how you interpret and respond to these events. Try looking beyond the present to how future circumstances may be a little better. Note any subtle ways in which you might already feel somewhat

Certain goals may no longer be attainable as a result of adverse situations. Accepting circumstances that cannot be changed can help you focus on circumstances that you can alter. 4: Move Toward Your Goals Develop some realistic goals. Do something regularly — even if it seems like a small accomplishment — that enables you to move toward your goals. Instead of focusing on tasks that seem unachievable, ask yourself, "What's one thing I know I can accomplish today that helps me move in the direction I want to go?"

POST-TRAUMATIC STRESS DISORDER Reviewed by: Esther Rothbaum, LMSW

Post-traumatic stress disorder (PTSD) is a type of anxiety disorder. It can develop after one’s safety or life has been threatened, or after one experiences or see a traumatic event. Some examples of traumatic events are a natural disaster, severe car crash or fighting in a war. People with PTSD have trouble coping with and recovering from traumatic events and often feel the effects for months or even years afterwards. Powerful fear-related memories of the event seems to be a major part of PTSD. People who have anxiety, depression or other mental disorders are more likely to develop PTSD. People who have been victims of previous trauma are also at greater risk. The following people may be at risk for PTSD: •

•

Soldiers, prisoners of war, veterans or victims of war or combat Survivors of unexpected events such as car wrecks, fires or terrorist attacks Anyone who has responded to traumatic events such as firefighters, police or rescue workers

•

Anyone who has been victimized

•

Anyone who has seen a violent act

•

Survivors of natural disasters such as hurricanes or earthquakes

•

Anyone diagnosed with a life-threatening illness or those who have had surgery

•

Anyone who has experienced grief such as the unexpected loss of a loved one

Symptoms may occur immediately after the trauma or they can develop months, or even years, later. The symptoms may include: •

Having flashbacks, nightmares, bad memories

•

Trying not to think about the trauma or avoiding people who remind you of it

•

Not being able to recall parts of the event

•

Not interested in life events

•

Feeling emotionally numb or detached from others • Having trouble sleeping • Being irritable, angry or jumpy

PROJECT OHR Department of Behavioral Health ADULT PSYCHIATRY Seymour Kushnir, MD Allan Flaggman, MD CHILD PSYCHIATRY Zvi Weisstuch, MD

• Being hypervigilant People with PTSD are often depressed. Sometimes they try to feel better by using alcohol or drugs. This can lead to substance abuse and addiction. Your mental health professional can diagnose PTSD by talking with you about your symptoms and experiences. There are many treatments available. Learning about PTSD and talking to a mental health professional who is trained in treating PTSD can help. Support from family and friends is also an important part of treatment. Medicines for depression or anxiety may also be helpful. PTSD can lead to depression and substance abuse. These problems should be treated before or during PTSD treatment. PTSD can be treated successfully. However, without treatment, it can last several months to many years, depending on what happened to you and how you feel about it. Work with your doctor or see a therapist at Project Ohr Department of Behavioral Health to help you feel better. For a confidential consultation call PROJECT OHR at 845.352.6800 Ext. 6849

SOCIAL WORK Individual, Couple Child & Family Therapy Malka Susswein, LCSW Gelly Asovski, LCSW Shoshana Weisz, LCSW Gila Zelinger, LCSW Chana Simmonds, LCSW Rabbi Aryeh Frankel, LMSW Sharon Kronenberg, LMSW Naomi Franklin, LMSW Avi Riber, LMSW Esther Rothbaum, LMSW Tziporah Spira, LMSW For a confidential consultation call PROJECT OHR Tel. 845.352.6800 Ext. 6849

THE ADVOCATE

‫ תשע״א‬hbhna ‫דער אדוואקאט‬

March 24, 2011

CLASSIFIEDS SALES POSITION

347-76-CHAIR

Heimishe chair company is looking for an experienced sales rep. 100k+ annually. fax resume 888-737-0911

PROFESSIONAL

REUPHOLSTERY VINYLS, TAPESTRY FABRIC, PLASTIC,AND SLIP COVERS.

for mature student or adult in the home of a respectable male senior citizen. Character references must be provided. Call Rachel at RCDC

Professional service & quality. That’s all you get. Free Estimates • Fully licensed & Insured

We start with design • Continue with quality • End with satisfaction!

845-352-1400 ext 3245.

CRAZY CLOSETS Create an organized: Closet, Laundry room, Pantries, Offices, ETC. We custom build. 1877.39.CRAZY

HOUSE FOR SALE-FORSHAY

2004 Honda Odyssey EXL allpower,leather,built in navigation system,one owner, rides great, never been in an accident, 95,000k miles asking 11,400 call 914-714-3038

Value is in the land, over a half an acre. For more info please call Rivky Kagan 845.659.2056.

CHILDBIRTH CLASSES

Commercial Industrial • Residential

FREE ROOM & BOARD

Mini-Van for Sale

Bruchy Mayers Small Childbirth Class will leave you feeling confident and ready for birth. Private Classes are available Call now and join our class!

(917) 776 – 8542

ART INSTRUCTION CALL NOW for The Best Fine Art Classes In Rockland. Classical teaching method, ALL students are taught to paint on a personal level to make your art your own. You want to do it but have various excuses not to take time for yourself. NOW is the time and my unique studio is the place. Classes ongoing, all levels, references available from happy, creative students.

SENIOR GROUP

I AM AVAILABLE 24/7 TO PROVIDE CAREGIVING FOR THE ELDERLY. HOUSEKEEPING, DOCTOR’S APPOINTMENTS, MEDS, MEAL PREPARATION, ETC. REFERENCES AVAILABLE UPON REQUEST.

RCDC WOMEN’S SENIOR GROUP

Call Angela at

CONDOS FOR RENT-SALE MONSEY BLUEBERRY HILL APARTMENTS FOR RENT 1 Bedroom from $1,140 2 Bedrooms from $1,630 3 Bedrooms from $2,025 NOT TO BE COMBINED WITH ANY OTHER OFFER CALL BLUEBERRY HILL 845.352.4440 MONSEY BLUEBERRY HILL 1 BR FROM 139K - 2 BR FROM 239K PREFERRED PROPERTIES 845.352.4440

FURNITURE 4 SALE Good Wood has quality pre-owned furniture at great prices

At a fraction of the original price! 40 Robert Pitt Dr. (near School Depot, Monsey)

(845) 270-4402 Sundays 12-4 Monday-Thursday 12:30-2:30 Or by appointment

GEMACH Childrens Gowns Beautiful new gowns for your simcha Please Call: 845 426 5506

call: 845 425 1780 email: artisme436@yahoo.com

POSITION WANTED

845-425-6051 803 261 6331

Kagan Realty

Looking to buy or sell-? Give the Kagan Team a call -Rivky Kagan 845.659.2056 Yaakov Miller 914.414.3619 Kagan Realty

PROGRAM 12:30 - 3:00PM MONDAY & WED. FREE TRANSPORTATION AVAILABLE FOR INFORMATION PLEASE CALL 845.352.1400 x 3245 A PROJECT OF OFA OF ROCKLAND COUNTY

TAXI AVAILABLE Cheapest In Town Mini Vans Available Pay after Shabbos or Yom Tov 24 hour service Local or Long Distance

425-4411 LA FAMILIA TAXI

Custom Plastic Design We do custom & stock items You name it, we make it.

For: home, shulls, stores, Etc. Order you Pesach countertops early, to ensure to have it finished in time.

(347) 92.Plast-ic

STAR 1 TRANSPORTATION - CAR SERVICE STAR 1 TRANSPORTATION CAR SERVICE & AIRPORT SHUTTLE

Local and Long Distance Service 15 Passenger Van, Minivan, Town Car $7 Monsey to 222 Rt. 59, Suffern - $9 Monsey to Good Sam Hospital $11 Monsey to Palisades Mall - $14Monsey to Nyack Hospital $5 Monsey to College Road

Pay after Shabbos or Yom Tov 845-356-2602

To place a classified ad please call 845.352.6800 x 6806 or email theadvocatenews@ cmadc.com