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Now Bigger!

Volume 2 No.1 Fall 2005 Cheshvan 5766

Always Better

Brought to you by

Itamar Rosenbaum, C.Ped., AAPWCA Board Certified Pedorthist

2102 63rd Street I Brooklyn, New York 11204

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he advent of a new season marks a beginning. This season’s change is very novel. Not the change in climate where we open our doors to go back home makes it so unique. A day after Succos is seen as a new fangled day. After being in the realm of Hashem we departed the holy days with best intentions and hope that we made good reconciliations with Hashem during the Yomim Noraim. And B’Chag Sameach we rejoiced so much that we feel renewed. So now b’simcha lets start the new year according to the age old adage, “On the right foot, too.”

T

Email your comments, letters and stories to: info@frumandfit.com or fax: 718.338.8657

Maintaining a serene life requires not only the sick to be cured but the healthy to stay healthy. Therefore knowledge is power. Since my Internist recently commented to me after I told him “My head hurts”, “Pearl these are the three most commonly used words at a physician’s office”. I saw it as elemental to feature an in depth article about what you do not know about headaches.

The forum section was allocated for you, and only you, dear reader. Take a moment to peruse our esteemed Medical Advisory Board. It is constituted of almost every type of medical specialty; Endocrinology, Gastroenterology, Ophthalmology, Psychiatry, Urology, Reproductive Endocrinology (Infertility), Podiatry, Dermotology, Neurology, Bariatric Surgeons. We take great pride in offering such a large forum of Physicians; I believe it is the largest forum not only in our community but in the entire Metropolitan area in New York. Do you ever have a medical question that’s pressing you? Do you ever have a condition and do not find an answer and don’t know to which doctor you belong? Don’t be diffident fellow reader; posting your question with a pseudo name if anything will shed light and put you on the right track and resolve your issues at no cost or physical exertion. E-mail info@frumandfit.com or fax at 718-228-5559 with your question or query today. Upon the above stated this is to disclaim that any medical question whether minor or major is welcome and will be held with its proper respect due; in confidentiality. Can you envision anything fonder than the snapshots section possessing a collection of all your and our health stories or experiences? I write again. Readers tell your own stories. If you have a moving medical or inspirational story you would like to share, we would like to share it with the world. This is your magazine.

Pearl Goldberger 6 Cheshvan • 5766

Avraham Miles GROUP PUBLISHER

Goldy Portowicz DIRECTOR OF SALES

Pearl Goldberger EDITOR-IN-CHIEF

Dena Szpilzinger LAYOUT AND DESIGN

Sury Perl GRAPHICS

Frum & Fit is published periodically by Kosher Gym, 1800 Coney Island Avenue, Brooklyn NY 11230 Tel: (718) 376-3535 Fax: (718) 338-8657 Email: info@frumandfit.com. Please address all inquiries to the above address. Copyright © 2005 - Frum & Fit Magazine. All rights reserved. Nothing appearing in Frum & Fit may be reprinted either wholly or in part without permission. Rather than put a “TM” in every occurrence of trademarked names, we state that we are using the names only in an editorial fashion and to the benefit of the trademark owner, with no intention of infringement of trademark. Frum & Fit is not responsible for typographical errors or advertiser’s claims or kashrus. Advertisements do not necessarily carry the endorsement of the publisher. The opinions expressed in the articles do not necessarily reflect those of the publisher.

Frum and Fit MEDICAL ADVISORY BOARD Dr. Daniel Herron, M.D. BARIATRIC SURGEON

Dr. Edward Merker, M.D. ENDOCRONOLOGIST

Dr. Lawrence Grunfeld, M.D. REPRODUCTIVE ENDOCRONOLOGY INFERTILITY

Dr. Abraham J. Twerski, M.D. PSYCHIATRIST

Dr. Marshal Keilson NEUROLOGIST

Dr. Jay D Bienenfeld, PDM PODIATRIST FOOT SPECIALIST

Dr. John Marks UROLOGIST

Dr. Lawrence Jacobson OPHTHALMOLOGIST

Dr. Sam Weissman GASTROENTEROLOGIST

Dr. Morton Zinberg DERMOTOLOGIST

Mary Ann Cohen, Rcsw PSYCHOTHERAPIST FOR EATING DISORDERS


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forum 14

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Exercise and the Gastrointestinal Tract

Kosher Health Magazine

news

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For Women and Babies, Another Form of Protection / Stuart Bradford

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Compulsive Shopping Carries a Heavy Price

50

For Dry Eye Sufferers, Lots of Tears Bring Major Relief

snapshots

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38

Writing with a Chronic Illness: A Perspective / Mark Rubin

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Every Child is a Gift… / Anonymous

52

Weight Loss Tip / Goldy’s Clinic & Omni Health

features

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24

The New Science of Headaches / Christine Gorman and Alice Park

40

Who Says You’re Neurotic? / Rabbi Abraham J. Twerski, M.D.

inspiration 30

Pillars of Strength / Valerie Reitman

profile

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Rosenbaum’s Foot Health and Comfort Center: More Than Just Shoes / Roizy Waldman

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Fresh Air Carpet Care / Rochelle Maruch Miller

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Glattmart: A New Concept in Kosher Food / Rochelle Maruch Miller

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directory 8

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Cheshvan • 5766

List of Hospitals and Chesed Organizations

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men’s magazine news 8

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F.D.A. Had Report of Short Circuit in Heart Devices

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Computer Doctors 911: You’ve Got a Problem, They’ve Got a Solution / Ora Ellenberg

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Avraham Rosenthal and the Wonders of Natural Healing / Rochelle Maruch Miller


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DR. SAM WEISSMAN, M.D. AND FORUM

Exercise and the Gastrointestinal Tract tinal motility, and in our hormonal balance.

hen one looks at the effects of exercise on our health in today's society, most of us consider the cardiac benefits (lowering of blood pressure, conditioning of the heart), improvement of bone and muscle conditioning, a reduction in stress and depression resulting in a feeling of wellbeing, weight loss, and the possibility that it prevents many cancers. Most of these parameters have been confirmed in various studies. What is less well known is the impact of exercise on the gastrointestinal system.

W

As Torah Jews, it is important to have a basic understanding of our bodily functions. Our gastrointestinal system is the largest functioning organ system in our body. Digestion of food is a process that takes place optimally in resting conditions. We all know that it is recommended to eat slowly to enable adequate time for digestion. When we exercise, we are in effect moving blood away from the gastrointestinal tract to supply the muscles and lungs that, during exercise, need the extra oxygen contained in the blood. This can lead to changes in our immune system, intes14 Cheshvan â&#x20AC;˘ 5766

Physical exercise may be both beneficial and harmful for the gastrointestinal tract. Light and moderate exercise generally does not result in digestive problems. A sudden increase in intensity in exercise such as marathon runners can lead to digestive problems. These include upper gastrointestinal symptoms such as heartburn, chest pain, nausea, and vomiting and lower gastrointestinal symptoms such as diarrhea and gastrointestinal bleeding which can lead to iron deficiency anemia. Studies have also suggested that drinking high carbohydrate beverages during high intensity exercise may predispose one to gastrointestinal discomfort. On the other hand, mild to moderate physical activity has benefits. It prevents constipation, as we know that immobility is a major risk factor for constipation. Once constipation is reduced, the risks for developing diverticulosis are decreased. Studies have suggested that it also reduces the risk of gallstones, inflammatory bowel disease, gastrointestinal bleeding and, most importantly, reduces the risk of colon cancer by up to 50%. As the Ramban says, moderation is the answer into how we should conduct our lives. This applies to our topic as well. There is no question as to the benefits of mild to moderate exercise on our bodies. This is something that I try to instill in my patients and is being stressed to the American public on a

daily basis. There is also nothing wrong if one decides to run the New York marathon as long as he or she does not wake up on the morning of a sunny November day and decides to go for the 26.2-mile run. If our bodies learn to adapt to a high level of exercise over a prolonged period, it is less likely that we will harm ourselves. Finally, as we exercise, let us keep in mind that we are doing it to maintain a healthy lifestyle, making it easier to keep Torah and mitzvos. This will transform the enjoyable and relaxing time spent to that of a mitzvah of being an Oved Hashem. Sam Weissman, MD 202 Foster Ave. Brooklyn, NY 11230 718-854-5100

Do you have a medical or health question? Get free consultations from our medical advisory board. E-mail your questions to:

info@frumandfit.com or fax:

718.228.5559


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For Women and Babies, Another Form of Protection by Stuart Bradford affect an estimated 4,000 pregnancies, 1,500 of them spontaneously or purposely terminated.

serious dispute over vitamins should concern every woman of childbearing age who wants to protect her unborn child against a serious and sometimes fatal birth defect of the spine or brain.

A

Women in child bearing age who could become pregnant- should act now to prevent these defects. The battle involves the B vitamin folic acid, which aids in the normal development of a baby’s neural tube, the part that becomes the brain and spinal cord. Neural tube development takes place three to four weeks after conception, before many women know they are pregnant. And since it can take a while to build up protective blood levels of folic acid, it is necessary to have enough folic acid on board when a woman conceives and through the first three months of pregnancy for maximum protection against neural tube defects. These defects are among the most common serious birth defects. They include spina bifida, an often crippling failure of the spine and back bones to close fully, and anencephaly, a fatal failure of the brain and skull to form properly. 16

Each year in the United States, they Cheshvan • 5766

These conditions occur in about 1 in 1,000 births, 95 percent of them to couples with no family history of such a defect. Among couples who have had a child with a neural tube defect, the risk of a recurrence in later pregnancies is 2 to 3 percent.

The Mechanism Is a Mystery Although scientists still do not know exactly how folic acid aids neural tube development, they do know that an adequate intake of folic acid - a supplement of 400 micrograms a day starting before a woman becomes pregnant - can prevent most of these defects. For a woman who has had a child with a neural tube defect, a daily supplement of 4,000 micrograms (4 milligrams) of folic acid before pregnancy and during early pregnancy can reduce the risk of a recurrence by more than 70 percent. Folic acid is a synthetic version of the B vitamin folate that is naturally present in some foods, especially green leafy vegetables like spinach, broccoli and brussels sprouts; orange juice, especially from concentrate; peanuts; lentils; black beans; cantaloupe; and organ meats like liver. “The F.D.A. put thousands of American children at risk for these preventable birth defects because it did not want to put too much folic acid in

enriched grains,” the authors wrote. They called for the fortification to “be at least doubled” and for better-financed efforts to get all women of childbearing age to consume 400 micrograms of folic acid daily through vitamins or cereal. Meanwhile, women of childbearing age have only one certain choice: take a daily vitamin supplement that contains 400 micrograms of folic acid. It is cheap, readily available and safe. The Food and Drug Administration warned doctors Thursday about reports of suicidal thinking in some children and adolescents who are taking Strattera, a drug used to treat attention deficit hyperactivity disorder. Manufacturer Eli Lilly & Co. announced that a black-box warning will be added to the drug’s label in the United States. Such a warning is the most serious that can be added to a medication’s label, and similar warnings will be added to the drug’s labels in other countries. The company said a study showed instances of suicidal thinking were rare. In a statement, the FDA said it “is advising health care providers and caregivers that children and adolescents being treated with Strattera should be closely monitored for clinical worsening, as well as agitation, irritability, suicidal thinking or behaviors, and unusual changes in behavior, especially during the initial few months of therapy or when the dose is changed.” Eli Lilly said it provided the FDA results from a Strattera clinical trial of 1,357 patients that found five youths taking the medication reported having Continued on p.18


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Continued from p.16 Strattera has been available since 2002 and been used by more than two million people, the FDA said. The drug won praise from some doctors and parents when it became available because, unlike Ritalin, it is not a stimulant, a class of drug that can be addictive. But its chemical makeup is similar to certain antidepressants, which last year were associated with an increased risk of suicide. Attention deficit hyperactivity disorder affects as many as 7 percent of school-aged children and 4 percent of adults in the United States. Strattera’s worldwide sales have dropped lately, falling 31 percent to $123.5 million during this year’s second quarter from a year earlier. Lilly warned doctors in December to stop using Strattera in patients with jaundice or who show signs of liver problems, and it placed a warning on the label and in prescribing information after at least two patients on the medication developed liver problems. Still, the company says it believes the drug is safe.

suicidal thoughts, while none of 851 patients taking a placebo reported having any. One young person taking Strattera attempted suicide, the company said. There was no evidence of increased suicidal thoughts in adults taking

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Strattera, which also goes by the generic name atomoxetine, the Indianapolisbased company said. The warning is the result of a larger FDA review of psychiatric drugs and their possible association with suicide, the agency said.

These defects are among the most common serious birth defects. They include spina bifida, and anencephaly. Cheshvan • 5766

“While suicidal thinking was uncommon in patients on the medication during clinical trials, it is important for parents to be aware it can occur, and to discuss any unusual symptoms with a physician, “ said Alan Breier, Lilly’s chief medical officer, in a statement. “Lilly continues to view Strattera as a safe and effective treatment option, and those doing well on the medication should be able to continue their treat-


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lead to severe financial debt, breakdown of relationships and families, and impairment at work and at home.” According to the last U.S. statistics available — collected in a 1992 study — compulsive shopping affected anywhere between 2 percent and 8 percent of Americans at that time. But experts believe prevalence of the disorder has risen since then. Dittmar is the author of a new study investigating the psychological roots of compulsive buying, published in the September issue of the Journal of Social and Clinical Psychology.

Compulsive Shopping Carries a Heavy Price

F

or a rising number of Americans, shopping has become more than a means to an end, or a pleasurable pastime.

Instead, experts say, members of this growing group of “compulsive shoppers” feel low when they’re not out shopping, and yearn for that special “high” that comes from browsing and buying. Unfortunately, that high is usually short-lived: For most, the day’s spending usually ends in renewed anxiety and sadness as they return home and realize their latest acquisition isn’t making them any happier — and may have put them further into debt. It’s a cycle that’s very reminiscent of other harmful pathological addictions, such as gambling, said researcher Helga Dittmar, a senior lecturer in psychology at the University of Sussex in Brighton, U.K.

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“Compulsive buying is often smiled about and belittled, either as ‘something we all do at times’ or the entertainment of the bored ultra-rich,” she said. “The reality is that it has serious consequences, like other addictions. It can Cheshvan • 5766

In the study, Dittmar used data from the personal “shopping diaries” of 29 women (18 ordinary shoppers, 11 compulsive shoppers), plus the results of detailed questionnaires from 365 adults of varying age, which also included a fair number of compulsive shoppers. She was able to pinpoint two “vulnerability factors” that appear to raise risks for compulsive buying. “The first is a materialistic value system, the importance that a person attaches to material goods as a way of achieving major life goals, such as satisfaction and happiness,” according to Dittmar. In essence, she said, “materialists are more prone to go for material goods as a solution to any problem they might encounter.” The second factor “concerns the selfconcept, where a person who feels that they are far away from their ‘ideal’ self is more vulnerable to psychological problems,” Dittmar said. In this type of situation, materialistic individuals may turn to excessive spending as a form of what she called “self-

repair.” “They’ll buy those consumer goods that symbolize a part of their ideal self — ‘If I buy a glamorous dress, I might feel like a glamorous person,’” Dittmar explained. In fact, the vast majority of compulsive shoppers — about 90 percent — are women, and Dittmar’s study found clothing to be a major focus of their spending, probably because fashion is so tightly tied to self-image. Women may also be more prone to the syndrome because shopping is traditionally viewed as a part of female, but not male, identity. And because some women are homemakers, Dittmar said that “they may have less opportunity for other “feel-good” strategies,” like working out at the gym or meeting friends for drinks. The compulsive buyers’ personal shopping diaries revealed that most of the “good feelings” generated by their excessive spending is fleeting. The journals showed that “their initial ‘high,’ straight after the purchase, was stronger than for ordinary buyers — but also that the high was shortlived,” the researcher said. In fact, compulsive shoppers were much more prone than ordinary spenders to experience “buyer’s remorse” once they got their goods home. “For some people, shopping is all about the thrill of the hunt; for some, it’s the high of the purchase; and for some, it’s the socialization with the salesperson — the acknowledgement and reinforcement they get,” said April Lane Benson, a New York City psychologist specializing in “overshopping,” and the author of I Shop, Therefore I Am: Compulsive Buying and the Search for Self. She agreed with Dittmar that materialism and poor self-image help drive the condition. While the latest statistics on the prevalence of compulsive shopping are still being tabulated by researchers,


Benson believes the disorder is on the rise, especially among the young, and has spread to become a “global problem.” And she believes men’s spending habits often allow them to go under the radar as compulsive buyers. “They’re ‘image-spenders’ more often than women, meaning that they pick up the tab when they have no business doing so, for example,” Benson said. Men are also more prone to becoming pathological “collectors,” addictively amassing one class of object, often going in debt to do so. “Collecting is a way of buying compulsively, of course, but it becomes a more highbrow or refined caste,” she said. Avoiding or curbing these types of compulsive behaviors may involve stepping back and re-evaluating what’s really important, Dittmar said. For most people, the “ideal me” will

always elude their grasp, she said. So the true pathway to better self-esteem may lie in “picking those aspects that one can realistically do something about, and that are worth doing something about,” Dittmar said. That can be tough, given today’s society. Both experts agreed that unrelenting pressure from advertising and the media are pushing people to spend more recklessly than ever before, and that spending is even easier now via 24hour shopping channels and the Internet. The media “bombard us with ideals and role models that are likely to make us feel inadequate and in need of ‘fixing,’” Dittmar said. While most people won’t be unduly swayed by any one ad, “it is difficult to evade the general message that ‘We are what we have,’” she said. Benson agreed: “‘Happiness is the next purchase away,’ is what we are being told.”

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22 Cheshvan • 5766


Rosenbaum’s Foot Health and Comfort Center More than just shoes... by Roizy Waldman orry, you’ll simply have to change your lifestyle,” Melanie was told after she had two of her toes amputated. “Quit tennis, quit jogging, quit skiing, quit bicycling.”

‘‘S

“They might as well have told me to quit living,” Melanie says now. “Outdoor activities were my joy; I just couldn’t imagine a life without them.” For Melanie and hundreds of others, salvation came in the form of Itamar Rosenbaum, Board Certified Pedorthist. Orthotics is a specialized field, and Certified Pedorthists, or C.Ped’s, are a rare breed - only 161 in the entire state of New York. A Gait Analysis specialist at the New York College of Podiatric Medicine, Itamar has been lecturing and teaching students for years about foot function and general foot health. In the course of his experiences, he’s managed to help people avoid surgery, eliminate or reduce diabetic ulceration, walk more comfortably and enjoy a quality of life they never imagined possible. But, of course, these are

…and

more involved cases. Not everyone suffers from diabetes, arthritis, sports injuries or amputations; however, many people have difficulty finding a comfortable shoe. If you tend to feel fatigued after walking a while; if you find that most shoes hurt your feet; if you have flat feet, high-arched feet, bunions or hammertoes, then Rosenbaum’s Foot Health & Comfort Center may be just the place for you. Stocking the best in quality that the shoe industry has to offer, Rosenbaum’s Footwear is surprisingly fashionable. If you’ve given up hope of ever wearing a shoe that both looks and feels good, you’re in for a pleasant surprise. Step in to Rosenbaum’s and Itamar will spend time - as much time as is needed, even hours! - to listen to you, to analyze your gait, and evaluate your feet. He will then make an assessment and advise you on the proper footwear for your unique foot characteristics. In most cases where the problems are not major, you walk out of the Rosenbaum’s with an out-of-thebox shoe. The only difference is that you feel wonderful. In more involved cases, however, the appropriate modifications and adjustments are done to the shoes. Rosenbaum’s facility features a separate examination and evaluation room, outfitted with a state-ofthe-art chair specially designed for orthotic and custom shoe fittings, and accommodating wheelchair-bound individuals. The client is seated, and Itamar then makes a plaster cast of many more the foot. Once that

sets, he brings it to their onsite factory and works with it to shape a shoe or orthotic device much as a sculptor does, modifying and fine tuning it until it fits the client to a tee. For Melanie, the shoes Itamar designed for her enabled her to walk, jog, cycle and ski. They haven’t conquered tennis yet, but with perseverance, they hope to overcome that challenge soon. Rosenbaum’s Foot Health & Comfort Center is an authorized dealer for S.A.S., Finn Comfort, New Balance, Alden, P.W. Minor, Drew, Kumfs, Beautifeel and many more topof-the-line brand names. From sneakers to casual flats to dressy heels, their selection is inclusive enough to satisfy the most discerning customers, both male and female. Itamar is a Certified Fitter for JOBST and JUZO custom and noncustom compression hosiery for men and women. As a member of the American Professional Wound Care Association, he has the training, knowledge and expertise to assist you in getting the right compression hose for your needs, and educate you on the benefits of compression hosiery. Additionally, Rosenbaum’s features a line of maternity hose, particularly for women with vein problems. Don’t suffer needlessly. Come in to Rosenbaum’s Foot Health & Comfort Center and transform your life.

Rosenbaum’s Foot Health & Comfort Center 2102 63rd Street • 718.236.7700 www.rosenbaumsny.com

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The New Science As doctors learn more about our throbbing of Headaches heads, they are uncovering amazingly effective ways to kill the pain before it starts. By Christine Gorman and Alice Park

F

or Henry Schipper, 49, of Venice, Calif., the first warning signs are mild and almost pleasant—a giddy light-headedness that evolves into what he describes as a “happy series of energetic moments.” Then for about 15 minutes his eyes play tricks on him, and a wall of shimmering light obscures his field of vision. “There’s no pain at that point,” says Schipper, who produces documentaries for the History Channel. “But once the shimmer starts, the countdown begins.” If Schipper can’t get to his medication quickly or if it doesn’t kick in, he will experience a neurological event that 28 million Americans know all too well— the tidal wave of headaches known as a migraine. For Schipper the pain is sudden and sharp. “The front quarter of my head begins to pound and throb,” he says. In extreme cases, he vomits violently every 20 minutes. His senses of smell and hearing become agonizingly acute. “All I want to hear is gentle white noise at most and no movement, please. If there’s a car alarm that goes off nearby, it’s unbearable.”

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It was not that long ago that migraine sufferers like Schipper had no choice but to retreat to their darkened bedroom and wait, often for days, until the agony passed. Doctors could prescribe Cheshvan • 5766

heavy-duty painkillers, but regular use often triggered even more painful episodes. Making matters worse, friends and co-workers tended to treat headache sufferers as the punch line of a bad joke, as if they were having headaches on purpose to avoid work or some deeply repressed memory. That bleak state of affairs is changing rapidly. Now physicians have at their disposal a growing arsenal of headache drugs—medications that can stop an accelerating migraine in its tracks, reduce the risk of recurrence or, in some cases, keep one from happening in the first place—but scientists are starting to uncover subtle defects in brain chemistry and electrophysiology that lead not just to migraines but to all kinds of headaches. Indeed, many neurologists now believe that most severely disabling headaches are actually migraines in disguise and so are more likely to respond to migraine medications than to standard analgesics such as aspirin, ibuprofen or acetaminophen. What it all adds up to is a revolutionary view of extreme headaches that treats them as serious, biologically based disorders on a par with epilepsy or Alzheimer’s disease. “Before, patients got shipped around from doctor to doctor until eventually they wound up at a psychologist,” says Dr. Joel Saper, director of the Michigan Head-Pain and Neurological Institute in Ann Arbor. Now their headaches are seen as the result of wayward circuits and molecules, not personality disorders. The revolution in migraines was very

much in evidence last week in London as more than 600 scientists from 32 countries gathered for the biennial symposium of the Migraine Trust (whose patron, the late Princess Margaret, suffered from migraines). A ripple of excitement followed reports of progress in blocking a key neuropeptide called cgrp (more on that later). But the biggest headlines came from a seemingly unlikely source, the anti-epilepsy drug topiramate. Dr. Stephen Silberstein of Thomas Jefferson University in Philadelphia presented a study of nearly 500 patients showing that topiramate significantly reduced both the occurrence and duration of migraines—offering hope that a whole class of existing antiseizure drugs could someday help migraine sufferers put an end to attacks before they occur. Much remains to be determined. Researchers aren’t sure whether they have identified all the pieces of the puzzle or if they know the order in which those pieces fall. “Does it all fit together in a cogent picture?” asks Dr. K. Michael Welch, a migraine researcher at the University of Kansas Medical Center in Kansas City. “I don’t know. But we know a hell of a lot more than when I started in this field 25 years ago.” First, let’s define a few terms. Doctors divide headaches into two broad categories: those that are self-contained (primary headaches) and those that result from another illness or accident (secondary headaches). The best treatment for a secondary headache depends on its origin. For example, an antibiotic


may be prescribed for a headache caused by a bacterial infection. The most common type of primary headache is the familiar tension headache, which is usually stress related. (Doctors now label it a tension-type headache to counter the idea that knotted muscles are the principal cause.) In most cases, a couple of aspirin and a good night’s sleep are all that’s required to get rid of one. Not so the mercifully uncommon cluster headache, so named because an attack typically repeats itself, often daily, with each episode lasting anywhere from an hour to an hour and a half. Cluster headaches usually strike their victims, generally men, at fixed times of the year. The pain is so searing that they are also known as suicide headaches. Immediate treatment with oxygen and migraine drugs given intravenously can sometimes provide relief. Somewhere between tension and cluster headaches are migraines. Typically, the pain from a migraine is a throbbing one, restricted to one side of the head, that gets worse with movement and lasts from four hours to three days. Migraines are usually accompanied by either nausea and vomiting or extreme sensitivity to both light and sound. By contrast, patients suffering from tension-type headaches may react badly to either light or sound but not both. It is a mistake, however, to stick too rigidly to these definitions. “At one time

people thought that migraine was a disorder all its own and that tension-type headache was totally separate,” says Dr. Ninan Mathew, director of the Houston Headache Clinic. “Now we realize that headaches are not that clear cut.” Indeed, Mathew says, nearly any recurring headache that is debilitating enough to keep you away from work or the things you enjoy is probably a migraine. As far back as the 1600s, the prominent English physician Thomas Willis suggested that headaches are caused by a rapid increase in the flow of blood to the brain. He theorized that the suddenly bulging blood vessels put pressure on nearby nerves and that these in turn trigger the pain. A variation on Willis’ idea became the favored explanation for the cause of migraines. (An important network of blood vessels at the base of the brain bears Willis’ name.) Two things have occurred in the past couple of decades to alter that view. First, several imaging techniques were developed that allowed doctors to study blood flow in the living brain. Second, scientists learned a great deal more about the nerve endings that are embedded in the dura mater, the fibrous outer covering of the brain. Armed with these tools and that information, researchers concluded that the order of events in a migraine is not as straightforward as they had been taught. The nerve endings in the dura mater appear to act first, releasing proteins that cause the blood vessels to open and prime the nerves to maintain a state of alert. In

Headaches: Which do you have?

other words, swollen blood vessels are the result of a growing migraine, not its cause. Tracing the pathway of the affected nerve endings deeper into the brain led researchers to the trigeminal nerve, a complex network of nerve fibers that ferries sensory signals from the face, jaws and top of the forehead to the brain. During the course of a migraine, scientists discovered, the trigeminal nerve practically floods the brain with pain signals. The more researchers learn about the trigeminal nerve, the more they believe that it is involved in all types of primary headaches, including tension and cluster headaches. The differences in the headache types seem to stem from what activates the trigeminal nerve and how it responds. First, let’s define a few terms. Doctors divide headaches into two broad categories: those that are self-contained (primary headaches) and those that result from another illness or accident (secondary headaches). The best treatment for a secondary headache depends on its origin. For example, an antibiotic may be prescribed for a headache caused by a bacterial infection. The most common type of primary headache is the familiar tension headache, which is usually stress related. (Doctors now label it a tension-type headache to counter the idea that knotted muscles are the principal cause.) In most cases, a couple of aspirin and a good night’s sleep are all that’s required to get rid of one. Continued on p.26

The first step in treating a headache is to determine what kind you have.

Migraine

Tension

Cluster

Other

This type lasts from four hours to three days, with pulsing pain on one side of the head, nausea and sensitivity to light and sound

Diffuse, viselike pressure throughout the head. Attacks last from 30 minutes to a week

Also known as suicide headaches, these are the most painful kind. They occur in groups—as often as eight times a day—and are experienced as a searing pressure in one eye

Any number of medical conditions, from viral infection to brain tumor, can cause a headache. Treating the disease usually relieves the pain 25


Everybody has his own list of headache triggers and his own breaking-point. For migraineurs, the threshold is particularly low. The most common factors:

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What seems clear, however, is that the brain of a migraineur (as sufferers are called) is primed to overreact to all sorts of stimuli that most people can easily tolerate. “The brain receives input from a wide variety of triggers—stress, hormones, falling barometric pressure, food, drink, sleep disturbances,” says Dr. David Buchholz, a neurologist at the Johns Hopkins University School of Medicine in Baltimore, Md. “Each of us Foods: has his own stack of triggers and Caffeine, his own personal threshold Hormones: alcohol, nitrites at which the migraine Menses, stress (in hot dogs, mechanism activates. for examThe higher the trigger Sleep: level climbs above the Too little or too threshold, the more much of it, crossing too many fully activated the Environment: time migraine system—and Allergies, shifting the more pain.” weather or In this view, people who are prone to migraine have a low threshold for activating the trigeminal nerve. Those who suffer only an occaContinued from p.25 Not so the mercifully uncommon sional tension-type headache have a cluster headache, so named because an much higher threshold. Persistent treatment of acute attacks and prevention of attack typically repeats itself, often additional ones may reset the brain’s daily, with each episode lasting anythreshold point at a higher level. where from an hour to an hour and a half. Cluster headaches usually strike Researchers are exploring the possitheir victims, generally men, at fixed bility that migraine sufferers are not just times of the year. The pain is so searing hypersensitive to various triggers but that they are also known as suicide that their brains have lost some of their headaches. Immediate treatment with natural ability to suppress pain signals. oxygen and migraine drugs given intra- To find out more, scientists are studying venously can sometimes provide relief. a part of the brain called the periaqueductal gray matter, which, says Dr. So much is happening all at once durWelch in Kansas City, “switches off the ing a migraine that it has been hard to pain response so that you can focus on pinpoint what sets off the trigeminal the fight to survive. It’s the reason why nerve. Some scientists are focusing on a if you have a cut that you don’t rememwave of electrical activity that spreads ber getting, it doesn’t start to hurt until across the brain just before a migraine you actually look at it.” and triggers the aura—the shimmering Each time a migraine occurs, Welch light show experienced by 1 in 5 and others have found, the periaquemigraine patients. Others wonder ductal gray matter fills with oxygen, wheth-er there is some kind of migraine which triggers chemical reactions that generator buried deep within the brain deposit iron in that section of the brain. stem. Even when researchers think they As the iron builds up, the brain’s ability know the order in which different parts to block out pain decreases. That may of the brain turn on during an attack, explain why many migraineurs become they can’t always be sure if one section is more sensitive to pain with each initiating an action or anticipating the episode. need to respond. Cheshvan • 5766

If overly sensitive nerve cells are the problem, it makes sense to try to calm them down— and that’s exactly what the first drug tailored to block an oncoming migraine was designed to do. Approved in the U.S. in 1993, sumatriptan mimics the action of a neurotransmitter called serotonin, which plays many roles in the brain, including regulation of mood and pain. In the case of migraines, the drug prevents nerve endings in the dura from releasing their stimulatory proteins. No proteins, no pain. Sumatriptan’s success launched a new class of drugs called triptans that provide most migraineurs substantial relief. Like the painkillers before them, the triptans deliver their best results when taken early in an attack. Unfortunately, their effect is often temporary (drug companies are working on longer-lasting versions). Also, the drugs can trigger certain cardiovascular side effects, which means they should not be used by patients who have an increased risk of heart attack or stroke. Still, triptans have dramatically changed the lives of millions of migraine sufferers and opened up promising areas of research. Scientists have discovered that triptans, besides affecting serotonin pathways, also directly block one of the stimulatory proteins released by the nerve endings in the dura. New compounds that target this protein, dubbed cgrp, are being tested in Europe. One big problem, says Lars Edvinsson of Lund University in Sweden, “is that the drug can be given only intravenously. We need a cgrp blocker that works as a tablet.” Pain relief isn’t the only reason to stop a migraine before it goes too far. When the illness goes untreated, there is some evidence “of a mechanism in the central nervous system that makes traditional medications less useful,” says Dr. Michael Moskowitz, a neurologist at Harvard Medical School in Boston. How that resistance develops is the subject of intense investigation. Continued on p.28


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Continued from p.26 Ideally, you’d like to prevent a migraine from occurring in the first place. There is a lot you can do to help yourself. Identifying individual triggers—such as chocolate or fluorescent lights—and keeping away from them as much as possible is an obvious first step. You should also avoid relying too heavily on quick fixes. “People with severe migraine headaches can enter a cycle of taking medications on a daily or near daily basis,” says Dr. Sonja Potrebic of the Pain Management Center at the University of California in San Francisco. “Initially it helps, but over time the headaches get worse.” Painkillers that contain caffeine are the most common cause of such rebound headaches. Taking baby aspirin to prevent a heart attack does not seem to be a problem.

migraine, they also turn out to have a soothing effect on nerve cells. Similarly, antidepressants have been used to help prevent migraines. “If antidepressants were discovered today and we didn’t know they were antidepressants, we’d call them analgesics,” says Dr. Seymour Diamond, director of the Diamond Headache Clinic in Chicago. Intriguingly, the pain-fighting effect of antidepressants takes just three to 10 days to kick in, less than half the time needed to alleviate depression. This suggests that depression and migraine are triggered by different, though related, neural pathways. As helpful as beta-blockers, antidepressants and even anti-epilepsy drugs may be in preventing some migraines, they don’t cure the condition. Eventually

Three times as many women as men suffer from migraines. Men are five times as likely to have cluster headaches Many migraineurs swear by various nonpharmacological methods of keeping their headaches at bay, such as yoga, meditation and biofeedback. These techniques probably work best for patients whose headaches are triggered by stress or tense facial muscles. One of the surprises of the past couple of years is the effectiveness of botox, which is now being injected into facial muscles to temporarily erase wrinkles. Migraineurs have reported that botox seems to banish their headaches as well. Studies are under way to see if those observations hold up.

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Lifestyle changes, however, are sometimes not enough to prevent migraines. In such cases, doctors may turn to betablockers, drugs that were designed to treat high blood pressure. Although these medications open up the blood vessels, which would seem counterproductive if you’re trying to prevent a Cheshvan • 5766

scientists hope to discover therapies that address the brain’s overly sensitive circuits more directly. For what it’s worth, getting older seems to soften the blow. Studies show that migraine attacks peak between the age of 35 and 45 and decline after that. Meanwhile, it may be a process of trial and error for most migraineurs—and their physicians. Chances are, however, that more and more of them will, like Schipper, eventually hit on the combination of medications and lifestyle changes that works for them. In his case, careful attention to his triggers along with judicious use of a powerful painkiller has kept his headaches to a minimum. “It’s a tricky thing to navigate a migraine,” Schipper says. “You have to be adept at knowing your own patterns.” But it can be done. And sometimes, knowing that relief is within reach is half the battle.

Relief is in Sight Once an attack starts, overthe-counter analgesics are generally not strong enough to dull the pain. Triptans are the most popular prescription drugs. These target the brain chemicals that launch the migraine and bring relief within an hour for 3 out of 4 sufferers.

Ergotamine and Dihydroergotamine (DHE) are doubly effective. They block the inflammation of nerve cells that activate pain receptors while discouraging nerves from sending pain signals. Other antimigraine medications include corticosteroids, which calm inflamed pain nerves in the brain, and blood-pressure-lowering drugs such as beta-blockers.

Medication: Besides lowering blood pressure, beta-blockers can help prevent migraines from getting started, as can drugs that relax muscles and calm hypersensitive nerves—including antiseizure drugs and even botox.

Alternative strategies: Because stress is a major trigger, many migraine sufferers have cut down on attacks by reducing their stress level. Yoga, meditation and biofeedback can decrease stress-hormone levels and keep them low.


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Dear Yoffi and the rest of you, This note is to let you know that I became engaged to the greatest boy last night. I am thrilled, exhilarated, delirious and most of all, thankful. Like most of my friends, I came home from BJJ [seminary] with a pair of love handles and a spare tire and the news that - whew! - my parents want me to meet a boy. I squeezed into a suit, which did zero for my figure and my confidence. The next morning I was parked at your doorstep. So now, here I am, six months later, twenty pounds lighter and one boy richer. Thanks so much.

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The Kleins are Orthodox Jews and their strong religious faith provides an anchor and inspiration for their lives. They get plenty of support from family, friends and strangers who lend a hand, whether it’s chipping in to buy the baby paraphernalia they need in duplicate or their 10-year-old neighbor’s dropping by at dinner to play with the twins.

Update

Pillars of Strength by Valerie Reitman

But their challenges run beyond the physical. They struggle financially and must brave suggestions that they’re not up to the task of parenting. People on the street occasionally make disparaging comments when they see the Kleins rolling down the sidewalk in their wheelchairs, she holding the babies in both arms or now, as they’re getting bigger, pushing their double stroller with a specially equipped side handle. “I learned in life that whoever has a negative comment, to feel sorry for them. They don’t even know me or my husband.”

A

wheelchair-bound couple draw on faith and a positive outlook in raising twins.

Spend a few days with Stuart and Rebecca Klein - he’s quadriplegic, she’s paraplegic - and they’ll nearly have you convinced that their biggest challenge as parents of infant twins will be reducing the speed on their motorized wheelchairs, as they have vowed to each other they will, once the boys start to crawl. “The speed of the wheelchair will be on low always,” promises Stuart. “If we want to back up, we’ll have to call out to each other and ask [where the twins are].”

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The notion that they might have to slow themselves down a bit - they’re practicing now to get used to the idea reflects the Kleins’ world view. They take their challenges in stride, despite the Cheshvan • 5766

hurdles they face just getting up and dressed, let alone taking care of their fraternal twins Yaakov Aryeh and Yosef Netanel born in July. Call Rebecca, 27, on the phone and suggest “You must be busy,” and she replies, “Yes, thank God.” Press a bit and Stuart, 42, tears up for a moment when he mentions his sadness at seeing other fathers cuddling their newborns - the “holding and the bonding” that he couldn’t do - but then his mood quickly rebounds as he notes that other things can compensate. “You talk to them, you tell them how much you’ll love them throughout their lives and that you’ll be there for them,” he says, his blue eyes beaming at Yaakov as Rebecca gives him a bottle. “And you know that right from the beginning, they’re hearing you somehow.”

Some strangers have told them that having the twins - whom the couple say were conceived naturally, not in vitro as most people assume - was not responsible. “They say, ‘These are your kids? How do you plan to raise them?’” Rebecca says. “We say, ‘Just like you do. God forbid you’d lose your balance and fall down.’ I learned in life that whoever has a negative comment, to feel sorry for them. Why do I need to remember what they said? They don’t even know me or my husband.” Indeed, studies have shown that children of those with paralyzing disabilities do as well as children of able-bodied people, says Scott Richards, a University of Alabama psychology professor who works with paralyzed people. “It makes it more difficult to physically manage being a parent, but there’s nothing else that should be a hindrance.” Now that the twins are getting more expressive and bigger - at nearly 20 pounds apiece - people on the street “ooh and ah” at blond-and-roly-poly “serious” Yaakov or darker and “more flirty” (his


Continued from p.30 mother’s words) Yosef. But several can’t resist adding, “you’re going to have your hands full,” or “it’s going to get really hard when they’re older” - comments that perplex Stuart. “Why say how hard it’s going to be?” Stuart says. “What’s the point? If they say it in a certain way, and then say, ‘OK, we’ll come over and help you out,’ that’s one thing, but otherwise, what are they suggesting?” Then he adds a characteristic joke, “Should we put them up on EBay now or wait till they’re older?”

Special accommodations The Kleins rely on government assistance to pay many of their bills. Stuart tutors schoolchildren as much as he can in the afternoon and evening. A parttime aide comes to get Stuart up, washed and dressed each morning, then returns in the evening to help him back to bed. A live-in nanny helps Rebecca do the housekeeping and care for the babies six days a week. Now that they’re a foursome with a live-in nanny, they are bursting out of their $1,600-a-month apartment in the Pico-Robertson area. The Kleins sleep in the master bedroom, giving their nanny, Hilda Gudiel, the other bedroom. The living room couch and computer desk now fight for breathing space with the two specially designed cribs that open from the side (enabling those in wheelchairs easier access to the babies); a play mat atop what once was an exercise mat for Stuart; a double stroller and assorted other gear, along with another set of manual wheelchairs for the Sabbath, when mechanized equipment is not supposed to be used. Rebecca drives the family around in a specially equipped van that her father bought a few years ago. Stuart, who can move his wrists and hands slightly, manipulates the lever on his electric wheelchair and backs it up into the van, maneuvering it into a wheelchair anchor

on the floor where the passenger seat would normally be. Then Rebecca rolls in, using her arm strength to hoist herself into the driver’s seat. Even with a cushion, her tiny legs (she’s about 4 feet 11) dangle only halfway to the floor. The couple finally persuaded the city to designate a space in front of their apartment building for the disabled; however, they often return home to find other cars parked there, a big problem because their building’s elevator doesn’t descend to the garage level. If they opt to park in the garage, they face a steep climb up a ramp. Those who know the couple well say they’ve rarely, if ever, seen the Kleins’ optimism waver. When possible, they prefer to roll to places themselves. When premature labor put Rebecca into Cedars-Sinai Medical Center for two weeks before the twins’ birth (by Caesarian section), Stuart would ride over from the Fairfax district (where they were temporarily staying with Rebecca’s parents) every day in his wheelchair, each day trying to find the fastest and least-bumpy sidewalk routes. He brags about trimming his one-way time from 35 minutes to 20. That beat taking the government-funded van for the disabled, which requires advance booking and has little flexibility if doctors or appointments run late. Those who know the couple well say

they’ve rarely, if ever, seen the Kleins’ optimism waver. Neighbor Dave Jaffe, 75, who has known Stuart for 15 years and attends the same synagogue, notes, “If I were in his shoes, I think I’d be a lousy guy. But on the outside, at least, he’s a super guy. I struggle more than he does, I think, as far as attitude.”

Blessed, in their own way Stuart was paralyzed in a bizarre fall from a couch - as a senior in college 20 years ago while on a ski trip. Ask how he dealt with it and he’ll note that he “obviously wasn’t a happy camper” initially, but then adds how “fantastic” it was to regain sensation after some bone chips were removed a few months later, describing the “incredible blessing” of being able to feel a touch as well as pain “down to my toes.” Though his wrist movement is very limited, Stuart can still type about 30 to 40 words per minute (with one finger), using a sort of rubber-tipped pen attached to a brace. He can use a computer mouse and crudely manipulate a fork or spoon between his first two fingers to eat. He keeps a cordless phone on his lap, hooked to a headset. Rebecca’s bout with polio as a toddler in Jerusalem (because of a skin condition that persists today, doctors thought it better not to immunize her) left her mostly immobilized from the waist down. She compensates by using her arms and upper-body strength to do daily activities like bathing and cooking; she’s able to lift, change, dress and feed the babies. In the kitchen, she typically switches over to a more bulky wheelchair that can thrust her up high enough to reach the stove, countertop and sink. She keeps food and often-used dishes in the lower cabinets for easier access. Stuart and Rebecca sometimes get calls out of the blue, a sort of “dial-aninspiration.” Karen Liebman, Stuart’s sister, who lives on Long Island, recalls Continued on p.32

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Continued from p.31 overhearing her brother a few years ago telling a caller about being strong when life gives you challenges. When Stuart hung up, she asked him who it was. “I’m not really sure,” he replied, telling her the man was despondent and about to enter the hospital. “A friend of a friend suggested he call me.” The couple so inspires Aaron Nourollah, owner of the nearby Glatt Mart, a kosher Middle Eastern emporium full of exotic fruits, vegetables and flatbreads around the corner on Pico, that when he learned Rebecca had given birth to twin boys, he offered to pay for the bris. The Kleins didn’t know what to expect; they didn’t know Nourollah well, although Stuart tutors his nephew. The couple accepted, but privately worried that there might not be enough food to go around, because the ceremony is open to anyone, and after all, these were twin boys born to unusual parents. The Kleins were delighted - and very touched - when Nourollah laid out an elaborate feast of bagels, assorted fish, salads, danish and cake for the 200 people gathered at the nearby synagogue hall (where his brother Moshe is the rabbi, and which the Nourollahs had also decked out with blue balloons). “They are a very lovely couple,” says Aaron Nourollah, who notes that the Kleins are in marked contrast to the many couples that bickered their way through his grocery aisles, before the store burned down in a fire on Dec. 27. “All the couples, with all their health, are not as happy as they are,” he says. “I watched the way they appreciate each other and they talk to each other.... other couples come in and the husband doesn’t trust the wife even enough to pick the wine and vice versa and sometimes they end up with one bottle for each of them.”

A blind date Although they seem to finish each other’s sentences now, it wasn’t love at first sight for the pair, who met on a blind date, arranged by friends, at the

Four Seasons Hotel in Beverly Hills. She worried about their 15-year age difference but recalls how inspired she was on their second date by how Stuart was able to manipulate his fork while eating dinner at the kosher Milk ‘n Honey restaurant - something he learned at a rehab institute in Hungary. “I saw his disability and I was in awe,” Rebecca recalls. “When I came home, I had tears in my eyes because I never appreciated how much I had.” Though she had dated able-bodied men, when she went with dates or friends to Disneyland or Universal Studios she would be left behind when they went on rides. And she started to think it might be better to date someone else with a disability so she’d have company. She’s glad now, she says, because when the twins are older and friends take them on hikes and the like, Stuart can remain with her on easier turf, and together they can look at photos of the twins’ “firsts” that they can’t witness firsthand. They kept in touch by phone and email and had occasional dates - to the Grove, to Starbucks or just out for drives - over the subsequent months. Stuart proposed seven months after they met, while they sat in the van by the Santa Monica pier; he read a favorite poem and they listened to the waves breaking. Six weeks later, dressed in an elaborate wedding gown and in front of about 400 guests, Rebecca rode up to the chuppah in the wheelchair that pushes her body upright, accompanied by her parents, who had moved to the U.S. when she was 3 to get better medical care for her. After being married a year and making visits to Florida and to Stuart’s family in New York, they began trying to have kids (she warned him that twins ran in her family). When she started eating a jar of pickles a day, they knew. Soon thereafter, the doctor detected two heartbeats. Says Rebecca, “God said, ‘OK, you want a family, so let’s get going.’ “ Reprinted with permission from the LA Times.


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Indeed, Pearl is among the many very satisfied customers who wax enthusiastic about FACC. October’s torrential deluge of rain wreaked havoc for many a homeowner, leaving basements flooded as never before. Motty

and Suri K. had eagerly anticipated moving their family into their new home and had finally settled in during the week before Rosh Hashonah. But upon returning from shul on Yom Kippur, they discovered that their basement was flooded and that extensive damage had occurred. “Luckily, I remembered hearing about FACC from a friend of ours,” Says Motty. “He happened to mention Eric Akar and his company just a few weeks before we moved into our house, and it’s a good thing that he did. As soon as we sat down to eat something to break our fast -- and considering the aggravation that we had, who even felt like eating? -- we called FACC, and they responded immediately. They came down in record time and addressed and alleviated the problem quickly and efficiently. You should have seen what our basement looked like after that relentless downpour -- water rising up -- all the work of the past few months ruined. But what really concerned us was the thought of all the bacteria from the water, and the horrible odor that was beginning to fill the house. Suri was devastated, and to be perfectly honest, I was pretty upset, too. Everything was brand new, but we were pretty sure that the carpeting was ruined and beyond salvaging. FACC handled every detail of the job to perfection, like the true professionals that they are. They took care of the mold and

mildew, they sanitized and then deodorized the entire area. It was unbelievable -- the carpeting looked and smelled brand new. There was absolutely no sign that there had been any flooding! We highly recommend them for the quality of their work, for their outstanding, professional and extremely courteous service, and for getting the job done so quickly. In fact, we recommended FACC to several of our friends whose basements were also flooded. Each one of our friends was also very satisfied with FACC and how they took care of the damage that had occurred, offering different packages according to their specific needs. Their name really says it all -- they are the best!” FACC offers a plethora of unparalleled services, including cleaning carpets, sofas, valances, upholstery, and they are the only company in the area that cleans Austrian drapery. They will respond to flood and water damage emergencies within 24 hours. For further information, please call 888.777.5547. Fresh Air Carpet Care is a customer oriented company that prides

33


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35


A New Concept in Kosher Food By Rochelle Maruch Miller here's a fresh and exciting new look to Glatt Mart. From the moment that you enter the spacious and welllit store, you will encounter a friendly and helpful staff. Whether it be helping you find a special ingredient or providing you with a delicious recipe for your Shabbos or Yom Tov table, Glatt Mart's signature service will make you return time and again. Since its inception nearly three decades ago, the business has distinguished itself as the premier purveyor of the highest quality Glatt Kosher meats and poultry, farm-fresh dairy and produce, as well as a stellar selection of grocery items for the savvy Kosher consumer. Glatt Mart's roster of loyal customers reads like a Who's Who, spanning generations and reaching well beyond the five boroughs and including world leaders and heads of state. Indeed, when Prime Minister Yitzchak Rabin attended an official dinner in Washington during the Clinton presidency, it was Glatt Mart who was called upon to provide the Glatt Kosher meats and poultry.

T

36

But you don't have to be a visiting dignitary to avail yourself of the Glatt Mart experience. Mendy and Dov Bauman have perfected shopping into Cheshvan â&#x20AC;˘ 5766

an art, transforming the family-owned business into a Kosher food emporium. They now feature an extensive take-out menu of gourmet cuisine. Chef Tzvi is truly a master whose culinary expertise is evident in the taste, quality and presentation of every dish. "We aim to cater to the sophisticated palate," Dov Bauman explains, and they do. All cooking is done in their new state-ofthe-art kitchen.

buy our meats and poultry the way that a butcher does -- we're known for featuring the highest quality Glatt Kosher provisions in Brooklyn," explains Dov, who joined his father in the business seven years ago. Setting standards of excellence, Glatt Mart features premium quality exclusively. At Glatt Mart, you can see and taste the difference. And with three deliveries each day, you are assured that all poultry is quality

Following its recent expansion, Glatt

fresh.

Mart is now bigger and better than ever before -- a spacious mega store, where

According to Dov, Glatt Mart's new

shopping is an absolute pleasure. Glatt

look is representative of a natural

Mart has long been a time-honored tra-

expansion. "We are living in the day and

dition among seasoned gourmet bala-

age of one-stop shopping -- with our

bustehs, as well as beginning cooks, new

contemporary busy lifestyles, one-stop

brides and everyone in between, and

shopping has really become a necessity.

with good reason. All meats and poultry

It's something that we have wanted to

are under the stringent Rabbinical

do for a very long time." Accordingly,

supervision of the Star K and the Vaad

they now feature an entire section of

Harabonim of Flatbush. A Mashgiach

oven ready meats and poultry, already

temidi is on the premises and the entire

spiced and seasoned and an absolute

store is under the supervision of

boon for working moms. All of the pre-

the Vaad Harabonim of Flatbush.

mium ingredients have been added,

Accordingly, every new product must be

sauces, spices and such. Just roast, bake

approved by the Vaad before it is

or broil and enjoy a delicious meal.

brought into the store. Raising the bar in kashrus and quality, Glatt Mart's

And what better source than Glatt

sterling reputation is legendary. "We

Mart to do your shopping with alacrity


and facile? In order to enhance your shopping experience and maximize your comfort, an entire aisle was removed. As a result, the aisles are now wider and make it easier than ever before to peruse the well-stocked sections and shelves and find exactly what you are looking for. And what choices you will find! Glatt Mart now features a full selection of fresh-from-the-sea fish to enhance your menu and keep your family in the very best of health. You'll find a full line of delicious baked goods that taste remarkably home made. As well, Glatt Mart is the only store that features a Smokehouse, a special oven that produces the most incredibly delicious gourmet kilbasas and salamis anywhere. Just imagine a variety of salamis -- European style, fresh garlic, peppercorn, Hot Italian, all available fresh from Glatt Mart. As a Glatt Mart shopper of longstanding, I can readily attest to the superb quality and service that is their hallmark. Once you have shopped at Glatt Mart, you won't want to shop anywhere else.

37


Writing with a Chronic Illness a perspective

by Mark Rubin

was probably not in my future, but I did have a realistic shot at becoming a working professional musician.

I

first came down with Chronic Fatigue Syndrome when I was twenty years old.

Chronic Fatigue Syndrome (CFS) is a complex illness that affects more people than MS or lung cancer. Its most debilitating symptoms include overpowering exhaustion, cognitive problems and pain. Though it has been recognized by government health agencies and Social Security for many years, a lot of people still have misconceptions about it and don’ t understand how serious it can be. There is no cure. Immediately after becoming ill, I was fired from my job for being out a week. CFS is often worst at the beginning and improves over time, but the course of my illness is atypical and, after finding another job, I worked for eleven years before I had to stop. At the time I was studying the trombone with the dream of becoming a jazz musician. I continued to play for a few years after, but was finally forced to stop when I developed inflammation in my throat. Setting the jazz world on fire 38 Cheshvan • 5766

I’ve always had the impulse to create, so when I couldn’t play any longer, I turned to writing fiction. I discovered that I had more talent for writing, and it was definitely a better fit for my illness. Even when one door slams in your face, another door does open, at least a crack. However, learning to write fiction on my own while being sick and working full-time wasn’t a breeze. I quickly gave up trying to write on work nights and only scribbled on the weekends, which meant clocking only a few hours a week. After five years I switched to a job as an assistant teacher, which meant parttime hours and loads of vacation time, but my illness continued to gradually get worse. Six years later, I was unable to continue working any longer. In 1999, I began writing a novel. Since then I’ve had a couple of challenging illness downturns, but I’ve managed to keep working on it, though the going has been agonizingly slow. For many people with CFS, one of the most painful symptoms, if not the most painful, is the cognitive impairment. A large percentage of CFS sufferers, in addition to the fatigue, battle disorientation and memory, concentration and other cognitive difficulties. I myself have always considered the cognitive

problems to be as bad as the fatigue. In 1998, a neurophysiologist diagnosed me with organic brain dysfunction. So despite what people might assume, choosing to write didn’t automatically sidestep the obstacles of my illness. Just the concept of a writer having “word-finding” difficulties (a neurological term) hints at the magnitude of the problem. The cognitive problems affect my writing on every level, from conception to final draft. I have trouble holding thoughts in my head long enough to get them on paper, trouble expressing those thoughts in word form to be able to get them on paper. Finding the right word is so hard that I consider my Thesaurus to be an auxiliary memory bank. Revising is the toughest part of all for me, largely due to my difficulty processing information. To put it in context, some people with CFS, because of the cognitive problems, are unable to read at all.


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But despite all these things, I know I am extremely fortunate. I have something I can still do that I love, something that gives me a sense of purpose. I can only imagine what an athlete or an outdoors enthusiast, or even just a person who has a nine-to-five job he or she loves, goes through when he or she comes down with a disabling condition and has to give it up the thing that means the most. I help run a support group and most of the people I’ve met who have recently had to leave work are devastated and confused. Because they can’t handle much physical activity, a lot of them are unable to find something that fulfills them and gives some shape to their lives. For many, working makes up a large part of their identity and when they have to stop they are shattered. At least because of writing, I wasn’t as emotionally invested in my job and it was easier to make the transition - though I was still shaken by no longer being financially independent.

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I had to stop playing music because of become active in advocacy and it has a disability, but I was lucky enough to given them satisfaction as well as a sense find an alternative I loved even more. I of empowerment. Start keeping a jourhope at least a few people can gain nal. Maybe you will discover something something from my experience. If you you love that virtually no disability can become disabled, have to stop working ever take away from you. and are looking for something to fill the Perhaps you can’t do everything you void, be creative. Take advantage of the want, but maybe you can find what you extra time to sit down and think about need. your options. Have you ever wanted to write (fiction, poetry, essays, reviews etc.) or paint or play an instrument h (assuming you are still able to)? Do ug o n you have a hobby you can y e an e explore more deeply? If k uc find ativ n l not, are there interests o g that can be develto ern eve d t layin a oped into one? alt ved I h op p Consider I lo re. st sic e of becoming u us ty, mo m i l a i involved with b bec disa as an organization or a Iw support group relatt ed to your disability. I bu know several people with CFS who have

39


Who says you’re Neurotic? By Dr. Abraham J. Twerski

fifty-seven-year-old man was admitted to the psychiatric hospital because of a “psychosis.” On initial examination, the patient’s response to questions were nonsensical; for example, the answer had no relevance to the question. Example: Q: “Hello, my name is Dr. Twerski. Please tell me your name.” A: “That’s right. I didn’t do anything wrong. I am all right.”

A

Prior to admission to the hospital, this patient had undergone a physical examination in the emergency room, which was completely normal with one exception. The only abnormality was that his conversation was incoherent and irrelevant. He had a tendency to repeat the same phrase over and over. A phone call to the patient’s wife elicited the following information. The patient had been in good health and had gone to work that day as he had for the past twenty-one years. He was not a drinker and was not on medication. In the afternoon, she had received a call from his employer that the patient had “gone crazy” and was “talking out of his head.” He was taken to a hospital emergency room and was thereafter admitted to the psychiatric hospital for “psychosis.”

40

Severe mental illnesses rarely strike suddenly in a person who has been mentally stable. The abrupt onset of the patient’s abnormal behavior was strongly suggestive of a stroke, and X-rays done following Cheshvan • 5766

injection of dye into the blood vessels leading to the brain (angiogram) demonstrated that the patient had indeed suffered a stroke. This particular patient had an unusual type of stroke, with no paralysis or weakness of either arm or leg. The only area of the brain that was affected by the sudden blockage of a blood vessel was the area that controls comprehension of speech; hence, the patient’s responses were nonsensical because he was unable to understand what was said to him. Absence of the usual facial or limb paralysis accompanying a typical stroke obscured the correct diagnosis and resulted in the patient being considered “crazy.”

Severe mental illnesses rarely strike suddenly in a person who has been mentally stable. A thirty-two-year-old college chemistry instructor was admitted to a psychiatric unit because he had become very withdrawn and had been failing to show up for classes. Ten years earlier, he had been diagnosed as epileptic and had been taking anticonvulsant medication.

A neurological examination shortly after admission suggested a brain tumor, and a brain scan confirmed the presence of a very large growth inside the brain. Annette was twenty-six when she had her first child. She and Fred had both looked forward to the baby as the solution to their marital problems. Early in the marriage, they had both accused each other of being self-centered, and the two sets of in-laws had helped fuel the flames. When Annette became pregnant, there was initial concern about a child coming into a marriage whose survival was in doubt. However, because termination of the pregnancy was ruled out on religious grounds, Annette and Fred decided to make every effort to save the marriage, especially because they would now both have an interest in someone other than themselves who belonged to both of them. About six weeks after the baby’s birth, Annette began to have crying spells, to lose her appetite, and to sleep poorly. She said she felt no love for the baby and was unable to care for her. The baby was taken to Annette’s parents’ home for care, and Annette was seen by a psychiatrist, who diagnosed her condition as a post-partum depression. Annette was hospitalized for several weeks and was then treated as an outpatient. She made a good recovery and resumed care of her child.


Brain Disorders When the baby was about a year old, Annette began complaining of severe headaches. She was seen in an emergency room, where a brief physical examination failed to find a cause. She told the emergency room doctor that she was taking medication for her depression, and he advised her that the headaches were emotional in origin and related to the depression. He suggested she take some aspirin and return to her psychiatrist. Annette made two more visits to the emergency room the same week because of severe headaches, and each time was told the same thing. She then went to a second hospital emergency room, where she was examined. A psychiatrist was called in for consultation and found that she was withdrawn and had been crying; he concurred that the patient was depressed and should continue to see her own psychiatrist. Several days later, Annette was back in the emergency room complaining of severe headache, nausea, and vomiting. A young resident was on duty, and Annette did not tell him about her psychiatric problem. After examining her, the resident did a spinal tap, which confirmed his diagnosis of viral meningitis, and Annette was hospitalized in the general hospital, where she had an uneventful recovery. These are several examples of what can happen within the brain that can give an impression of mental illness. Because the brain is the organ that is the origin of all thought and feeling processes and consequently all behavior, anything that causes impairment of brain function is very likely to bring about behavioral changes. Such behavior may very well be mistaken for one of the many forms of mental illness. Often the brain disease is treatable, but if the

disease is not correctly diagnosed, the patient may be treated psychiatrically while a disease progressively destroys more brain tissue. Some conditions that affect the brain are so rare (porphyria, Wilson’s disease) that a psychiatrist may go through a lifetime of practice without seeing a single case of a particular disease. This makes it less likely that the doctor will consider the rare diseases as possible diagnoses. As mentioned earlier, this is no justification and of no comfort whatever to the one patient who does have the unusual disease. Epilepsy is a disease that occurs frequently and is most often manifested by episodic, violent body movements. One type of seizure disorder, psychomotor epilepsy, is not at all uncommon; and because it occurs without body convulsions and its primary symptoms may all be behavioral, psychomotor epilepsy can be mistaken for a psychiatric disorder. Psychomotor epilepsy may manifest itself in mood swings and may be mistaken for manic-depressive disease. It may cause angry outbursts and may be diagnosed as “aggressive personality.” If hallucinations occur, it may be considered to be schizophrenia. The correct diagnosis is of utmost importance, because recent advances have been achieved in the treatment of psychomotor epilepsy, but application of the appropriate treatment presupposes the correct diagnosis.’ Roseanne had been a difficult child, and her adolescence was particularly stormy. She was in frequent disagreement with her parents, whose efforts to control her impulsiveness were futile. When she did not get what she wanted, she would often sulk and withdraw to her room, although at times she would react by shouting and screaming. At other times she would leave home for a night to stay at a friend’s home.

Roseanne’s parents indulged her behavior because they felt responsible for the way she acted. When Roseanne was five, her mother suffered a “nervous breakdown” that necessitated her being hospitalized for several months. During this period of time, Roseanne had been cared for by friends and relatives. She was, of course, too young to understand that her mother was ill, and she had not been permitted to visit her mother until a few weeks before her discharge from the hospital. The parents believed that Roseanne had felt deserted by her mother, who in turn felt guilty that she had “let herself go” to the point of becoming severely mentally ill. The father, on the other hand, took himself to task for what he considered to be his contribution to his wife’s mental problems. Roseanne’s parents appeared to reinforce each other’s guilt, and both felt that they had deprived the child of parental attention at a crucial phase of her development and that they therefore had to bear the consequences of their dereliction. After Roseanne turned eighteen, her behavior changed markedly, manifested by episodes of intense rage and outContinued on p.42

41


Continued from p.41 bursts of violence during which she would break things and occasionally physically attack her parents. Sometimes it appeared that she was grossly overreacting to some trivial frustration, and at other times, no evident precipitating event could account for her reaction. These episodes lasted but a few minutes, and immediately afterward Roseanne would appear confused, exhausted, and extremely remorseful.

Epilepsy is a disease that occurs frequently and is most often manifested by episodic, violent body movements. Roseanne’s parents had hesitated to take her to a psychiatrist. They believed that because they had brought the problem about, they had to suffer in silence and deal with it as best they could. The mother in particular felt that she had been stigmatized as a mental patient and did not want Roseanne to carry that label. One time, however, Roseanne became so violent that the parents had no option other than to have her taken to a hospital emergency room, where she was examined and admitted to the psychiatric service.

42

The psychiatric and psychological evaluations confirmed what Roseanne’s parents had already assumed; namely, that Roseanne was immature and very insecure. She had never resolved the feeling that her mother had abandoned her, and her being shifted among several homes during her mother’s hospitalization had Cheshvan • 5766

indeed left her with the feeling that she was undesirable and was being rejected by everyone. Therapy would be long and arduous. The parents would have to anticipate more violent episodes until the psychological problems could be resolved. If the parents felt they were unable to cope with her violence, Roseanne would have to be treated as an inpatient, but prolonged hospitalization would likely reinforce her feelings of rejection. Almost as an afterthought, the psychiatrist requested consultation with a neurologist. Although the examination was essentially normal, the neurologist thought he detected “soft signs,” or subtle findings that might be but were not necessarily abnormal. A brain scan was performed, which was normal, but the electroencephalogram showed some changes that were compatible with although not diagnostic of a convulsive disorder: psychomotor epilepsy. The EEG findings led to rethinking of the symptoms: brief outbursts, sometimes without provocation, followed by weakness and confusion. The doctors decided to institute treatment with anticonvulsant medications. Roseanne had no further violent outbursts. Her course in psychotherapy was able to continue satisfactorily. Multiple sclerosis is a disease that is characterized by episodes of remission during which the patient may appear completely normal. Because various parts of the brain and spinal cord may be alternately affected, symptoms may not be consistent. A patient may have temporary loss of vision at one time and paralysis of arm or leg another time; yet a doctor may not find anything during an examination. Understandably, a person who has even a temporary loss of vision, paralysis of an arm or leg, or loss of equilibrium can become very upset. The patient

may become depressed or may be very anxious because of what is happening to him. The anxiety and depression may persist long after the physical symptoms have passed. If the examining physician sees only the emotional symptoms and finds no physical disturbance, all too likely the patient may be diagnosed as neurotic. The case of the chemistry instructor cited in the beginning of this chapter demonstrates yet another point. That patient had developed convulsive seizures at age twenty-two and at that time had undergone a neurological examination that was reported as negative, with a diagnosis of epilepsy. The patient continued to take anticonvulsant medication for ten years without having a neurological reexamination. Although the first seizure was undoubtedly caused by the tumor, the tumor was at that time so small that it could not be detected by examination or tests. However, somewhere along the tenyear course, a reexamination would have revealed the tumor before it had grown large enough to threaten the patient’s life. At that point, surgery might well have been successful. This case indicates that a negative medical workup when the patient presents symptoms may not necessarily be conclusive. If the mental symptoms persist, repeated examinations may be necessary. Too often, once patients acquire a psychiatric diagnosis, labels are apt to follow them throughout their lifetimes. If subsequently the treatment of these patients is taken over by other therapists, the latter may assume that the diagnosis of depression, schizophrenia, hysteria, or anxiety neurosis is correct and may not press for a complete medical evaluation. Certainly therapists, who see patients for a prolonged period of time for what they have assumed to be “functional” mental illness, are not likely to change their orientation midContinued on p.44


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Continued from p.42 way. Indeed, if therapists are seeing the patients regularly, physical symptoms that have been persistent or even outward changes in appearance that have developed gradually might not arouse suspicion of an underlying medical problem. The “labeling” phenomenon obviously applies to all kinds of medical disorders and not only to brain changes. Some people acquire a label of hypochondriac or “crank” because they consistently complain about varying symptoms for which the doctor can never discover a physical cause. Like the boy who cried “wolf,” they may get into trouble when a serious physical problem does arise. A sixty-year-old woman was referred by a state hospital physician to our hospital for a medical evaluation. She had admitted herself voluntarily to the state hospital on the insistence of her family physician, who had threatened that if she did not do so he would have her committed. She had been depressed for many years, and when she began having difficulty sleeping, her doctor told her that she had to deal with the depression once and for all and that he was tired of

…too often patients are labeled “mentally ill”; when instead they are misdiagnosed. all her “bellyaching.” Her loss of sleep was primarily caused by a persistent cough that had not been relieved by cough medication and that her doctor had diagnosed as “a neurotic cough.” An alert physician at the state hospital thought that the patient might have some chest disease that needed further evaluation. Indeed, she was found to have a collection of fluid in her lungs because of cancer. Earlier diagnosis conceivably could have saved this woman’s life, but her label of hypochondrias is, which she might have justly acquired over the years, had led her physician astray. Returning to brain disorders, the suspicion of possible brain involvement must always be maintained. Minute brain tissue changes, too tiny to be detected by any tests currently available, may cause subtle changes in mental acuity of which only the patients may be aware. They may notice that they cannot think as clearly as they used to, cannot perform rather simple mathematical calculations, and may have developed memory impairment very different from the usual “I can no longer recall people’s names.” The patients may be very vague about their symptoms and may be hesitant to let on that some-

44 Cheshvan • 5766

thing is happening, but they are apt to react to their perception of impaired mental function with a rather marked personality change. They may become very depressed or very irritable, critical, and argumentative. In certain brain diseases such as tumor, the growth itself may be responsible for personality changes, but sometimes the personality symptoms are the patients’ reaction to a subtle deterioration. Because examination in the early stages may not reveal any tissue disease, a psychiatric diagnosis is likely to be made. This move cannot be criticized, because doctors can go only by what they see. However, although psychiatric therapy may be initiated, somewhere along the line the brain should be reevaluated, which might reveal a physical problem early enough to permit effective treatment. Rabbi Twerski has realized in his practice that too often patients are labeled “mentally ill”; when instead they are misdiagnosed. He offers convincing evidence in a book he wrote to both the patient community and medical world about his astounding experiences in 1984 titled Who Says You’re Neurotic??

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meal and rejoicing with friends at a wedding, when all too soon being disturbed by harsh lights flashing into our face. We know how it feels to try to maneuver our way through a large crowd at a wedding, bumping into members of the photography crew and their ladders and equipment every few feet.

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othing is as magnificent as a yiddishe simcha. Yet there is this little void to commiserate with; it goes away so quickly. With Heshy Rubinstein as your Photographer the memories of that amazing event will be recorded forever to cherish. Heshy is both a photographer and videographer and also employs Invisible video. Everybody knows Heshy. His popularity is thanks to his specialty. His specialty is low key video recording at weddings, bar mitzvahs, tenoyims, hachnosis sefer torah and more.

This is the reason to hire Heshy. Heshy will beautify your simcha. He works alone with no additional personnel or equipment. He and his small camera are so inconspicuous; some guests don’t realize there’s a photographer at this simcha at all. If you want videos of your wedding or stills and videos of your Tenoyim but do not want your simcha interrupted, Heshy is the guy for you. Can you envision a beautiful simcha without being dominated by the photography crew? Does this sound too good to be true? Ask

Heshy’s clientele; they will confirm it to you, it is Heshy’s inborn tact. Because Heshy does everything himself, his rates are exceptionally affordable. He covers the simcha completely but charges no overtime fees ever. Somehow Heshy manages to work hard and therefore eliminates expenses workers incur and passes on the saving to you. And with all the expenses that a simcha entails, every dollar you save counts! Welcoming and pleasant (unlike the stereotypical nervous photographer,) Heshy got into this career by providence. With a keen interest in photography at an early age, he steadily shot photographs of Synagogues and rebbes around the world. Rebbishe and Heimishe weddings, especially, fascinated him. His amateur experiences led him to his professional career along with his great tact as a rare photographer gifted with charisma. Call Heshy Rubinstein and book him for your next simcha today.

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We all know the feeling of contently eating our

45


azing at our new born twins, my husband, Bob, and I could barely contain our joy. Two miracles! I couldn’t wait to tell Bobby, 11 and Hunter, 9, that they had a new brother and a new sister. Or, as Bob joked, “A bonus!”

G

I watched Parker sleeping, then turned to Caroline’s incubator. The tube to help her breathe had just been removed and now I saw her open her eyes for the first time ... Am I seeing things? I wondered, noticing her almond-shaped eyes and round cheeks. “It looks like she has... “ I began, but fear choked off the words. Then later ... “Caroline has Down syndrome,” the neonatologist confirmed-and I felt the world drop from under me. It wasn’t that I didn’t want or love her. In fact, it was just the opposite ...

I knew older moms had a greater Our “bonus” gift it was now up to us chance of having babies with defects, but to help her reach her potential. Bob and we decided against amniocentesis. We’d I learned that with early intervention, kids like Caroline can do amazing love our babies no matter what. things. So I dreamed about the won’t do girlie So when Caroline was just a few things because she’ll want to hang out weeks old, we enrolled her in physical with her daddy.” therapy, then speech and occupational “Welcome to the world!” I whispered therapy, where she learned how to form when my blond, blue-eyed angels arrived sounds with her mouth and hold a crayat 33 weeks. And when the doctor on in her hand. announced both twins were healthy, the At 16 months, she spoke her first wall of protection that I’d built around word. “Daddy!” And my heart soared. myself came down, and I was flooded She was Daddy’s little girl after all. And when she finally said “Mommy,” it was with joy! the sweetest word I’d ever heard. Until now, hearing the news about One milestone followed another. At Caroline ... 27 months Caroline was walking and “I felt like I had failed” had Daddy and her brothers wrapped If you could die from a broken heart, I around her pinkie. would have died that night. I felt I had I was happy for Caroline, but I worfailed Caroline. I had failed Bob. And ried when I met a mom whose seventhough Parker was normal, I felt like I’d year-old son had just started receiving failed him, too. I mourned that our pre- therapy-and his progress was far slower. cious baby, Bob’s “bonus”, When I told her when Caroline had started, she stared at me in amazement.

Every child is a gift… would struggle.

“We didn’t know.” she replied.

A few days later, we took them How many other kids have fallen home. “Your sister was born with some- through the cracks? I wondered. thing called Down Syndrome,” I told “Let’s put together a And 18 months Bobby and Hunter. later, Babies with Down Syndrome: A When we married 22 years earlier, The boys were quiet for a minute. “It’s New Parent’s Guide was published-a Bob and I dreamed of a houseful of kids. Okay, Mom,” Bobbby said. “We love book of information and resources for But though my boys were born healthy, her.” parents of Down syndrome kids. because of complications, doctors Through tears, I marveled at my famiToday, Caroline is a healthy, happy warned it was unlikely I’d get pregnant ly cuddling the babies and cooing at three-yearold who loves Barney, blowing again. So at age 39, the last thing I them as if absolutely nothing was wrong. bubbles-and her family. Yes, she has expected to hear from the doctor was “You’re pregnant!” And as days passed, I began to realize, Down syndrome, but she is Sr much more than that Caroline is also funny, We were elated! And our joy doubled there is nothing wrong with Caroline. sassy, smart and absolute ly beautiful. She’s exactly the person she’s meant to when an ultrasound revealed fraternal be. Bob considers her, now more than twins. “I’m glad there’s a little girl in 46

ever, his: “bonus” gift. As for me, I know

there!” Bob cried. Cheshvan • 5766


New Hope For Back Pain Sufferers! It's FDA approved, It's non-surgical, has an 86% success rate and has no documented sided effects! Non-surgical spinal decompression is probably the last back pain treatment you will ever need. And you can forget about popping toxic pills, struggling through exercise programs…and… unnecessary and risky surgery… because with this amazing new technology - for most people they are a thing of the past. You're about to discover the most powerful state-of-the-art technology available for: Back pain, sciatica, herniated and/or bulging discs (single or multiple), degenerative disc disease, a relapse or failure following surgery or facet syndromes. Best of all -- you can check it out your-

By Dr. Melinda Keller

The “DRX 9000” Works For…

Imagine how your life would instantly change if you discovered the solution to your back pain. In this article you'll discover powerful new space age technology that has the potential to be that solution for you. This incredible technology is non-surgical spinal decompression. And here's the amazing story how it was discovered and why it has an 86% chance to solve YOUR back pain…

• Back pain • Sciatica • Herniated and/or bulging discs (single or multiple) • Degenerative disc disease • A relapse or failure following surgery • Facet syndromes A very important note: The DRX 9000 has been successful with even the most severe cases… even when NOTHING else has worked. Even after failed surgery.

How Space Travel Cures Back Pain

What Are Treatments Like?

Over 10 years ago, NASA began to notice an unexpected result of space travel Astronauts that left with back pain would come back without it. After investigated this new phenomenon here's what they found: During the anti-gravity state of the mission there were decompressive forces on the intervertebral discs and back pain was relieved. How? When you travel through space, the effects of gravity are removed and you are in a weightless state. All the pressure is taken off your spine and discs. Even better - and this is the key – it seems as though a negative pressure is created. It is believed, that this negative pressure actually sucks the herniated material back into the disc and allows it to heal thus eliminating or reducing pain. Recent medical breakthroughs have led to the development of advanced technologies to reproduce the effects of antigravity space travel right here on earth! Through the combination of proven scientific principles, the latest technological developments and the brilliant work of a specialized team of physicians and medical engineers -- Axiom Worldwide, a medical manufacturing company, now offers this space age technology to the general public via licensed and trained doctors, in its incredible DRX 9000 spinal decompression equipment. The DRX 9000 is FDA approved and has been clinically proven with an 86% success rate with the pain and symptoms associated with herniated and/or bulging discs… even after failed surgery.

After being fitted with an automatic shoulder support system, the DRX 9000 slowly lowers you to a horizontal position. You are lying face up. The automatic shoulder support system helps to stabilize your upper body. The advanced computer system automatically adjusts to the proper angle of distraction, a air bladder system acts as a fulcrum to the angle of pull, allowing us to target specific discs… that are causing your pain and symptoms. The distractive forces utilize a logarithmic curve to avoid proprioceptor response, which would create muscle spasm. The split table design decrease friction and allows separation of the vertebra, minimizing the effect of gravity. Basically, you lay face up and the amazing DRX 9000 computer simulates an anti-gravity effect on your back that helps herniated material return to it's normal position and stop the pain. Patients describe the treatment as a gentle, painless, intermittent pulling of your back. Many patients actually fall asleep during treatment!

How Long Are Treatments And How Many Do You Need? Patients typically undergo 15 to 20 treatments sessions. Each treatment last between 30 - 45 minutes. This, of course, depends on your individually case and is determined by a thorough evaluation. Following each session, a cold pack and electric muscle stimulation are applied to help pain relief and speed the healing process.

It is important to note that many patients get substantial, immediate relief after just a few treatments. Some after just one. The really good news is… this is not something you have to continue to do for the rest of your life! So it is not a big commitment.

SPECIAL OFFER… Here's what to do now: Just call my office at 718-854-8979 and mention that you want a “FREE back pain/DRX 9000 qualification evaluation.” It's absolutely free with no strings attached. There is nothing to pay for and you will NOT be pressured to become a patient. Here's what you will receive: • A consultation with me, Dr. Melinda Keller, to discuss your problem and answer ALL your questions you may have about back pain and the DRX 9000. • A complete back pain case history and questionnaire to help determine if you are a candidate for the DRX 9000. • A Back Pain Evaluation. • A written “Recommended Action Plan” giving you the results of your examination, tests, if you qualify for our DRX 9000 back pain program and what your options are. • A DRX 9000 demonstration so you can see for yourself how it works! Due to the expected demand for this space-age technology, I suggest calling at once. Any delay could lead to being placed on a waiting list. The regular fee is $245. We are staffed 24 hours a day, 7 days a week, call 718-854-8979 right now.

FREE Special Report: If you are still undecided and would like my special report detailing everything you need to know about non-surgical spinal decompression for FREE, just call 1-800747-6417 and listen to the toll-free 24 hour recorded message. Just leave your name and mailing address and it will be rushed right out to you. You will not speak to anyone and no sales person will call you back.

47


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Jamaica Hospital 8900 Van Wyck Expwy 718-206-6000

New York Hospital-Cornell 525 E 68 St 212-746-5454

Joint Disease Hospital 301 E 17 St 212-598-6000

New York Methodist Hospital 506 6th St 718-780-3000

Kingsbrook Hospita l 585 Shenectapy Ave 718-604-5000

North General Hospital 1879 Madison Ave 212-423-4000

Lenox Hill Hospitall 100 E 77 St 212-434-2000

Nyack Hospital 160 North Midland Ave 845-348-2000

Long Island Collage Hospital 339 Hicks St 718-780-1000

Parkway Hospital 70-35 113 St 718-990-4117

Long Island Jewish Hospital 270-05 76 Ave. 718-470-3000

Peninsula Hospital 51-15 Beach Channel Dr 718-734-2000

Lutheran Medical Center 150th St 718-630-7000

Queens Hospital 82-68 164, Jamaica N.Y. 718-883-3000

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St. Agnes Hospital 305 North St White Plains 914-681-4500

Cabrini Hospital 227 E 19 St 212-995-6000

Manhattan Eye-Ear-Throat 210 E St 212-838-9200

St. Luke’s Hospital 70 Dubois St. 845-561-4400

Catskill Medical Center (Harris) 16 Bushville Rd. 845-794-3300

Memorial Hospital 1275 York Ave 212-639-2000

St. Luke’s Roosevelt Hospital 438 W 59 St 212-523-4000

Columbia Presbyterian 622 W. 168 St. 212-305-2500

Mount Sinai Hospital 5 Ave 100 St. 212-241-6500

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Ellenvile Hospital 50 Shop Rite Ave Rt. 209 845-647-6400

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Westchester Medical Center 95 Grassland Vallhala, N.Y. 914-493-7000

Arden Hill Hospital 4 Harriman Dr 845-294-5541 Bellevue Hospital 1 Ave. 27 St 212-562-4141 Beth Israel Hospital 1 Ave 16 St 212-420-2000 Beth Israel Hospital North 170 E End Ave 212-870-9000 Beth Israel-Brooklyn 3201 Kings HGWY 718-252-3000 Brooklyn Hospital 121 Dekalb Ave 718-250-8000 Brookdale Hospital 1 Brookdale Plaza 718-240-5000

48

Cheshvan • 5766


Ahavas Chesed International and medical referral lifeline to specialists. Hospital visits, provides meals. 24-hour hotline: (718) 756-9763

Counterforce Mental health agency for frum community. Counselors in yeshivas, family and individual therapy. (718) 854-7730

AIM Assistance for mothers and infants support group for mothers. Respite care, phone support, infant formula and other necessities for needy mothers (718) 435-5700

Dor Yeshurlm Committee for prevention of Jewish genetic diseases (718) 384-6060

A T.I.M.E A Torah Infertility Medium of Exchange. Medical referrals, publications, support groups, help line. Helpline: (718) 437-7110 www.atime.org e-mail: Linda@atime.org Audio-Vlsua/ Gemach Connecting family members at home or hospital to simcha using latest in audiovisual cameras. (718) 854-4548 Bikur Chollm D’bobov Pesha Elias Medical referrals (Brooklyn only) (718) 851-1632 (212) 575-0008 Brain Injury Surgery Society Comprehensive agency deals with assessing recovery and rehabilitation issues for people suffering from brain injury and their families. Assistance with over 100 Medicare and Medicaid Waiver programs. (718) 645-4401 Caring and Sharing Support and chizuk for families whose children have cancer. (718) 596-1542 Chai Lifeline Fighting illness with love. (212) 465-1300 Chesed Net Internet’s most comprehensive guide to Chesed Organizations. (718) 258-8500 Fax: (718) 258-8506 www.chesednet.org e-mail: info@chesednet.org

Doros Information and loans for infertility treatment (718) 854-4341 Echo Physician referral service (718) 859-9800 (845) 425-9750 Ezras Dov Household help and special services to assist bereaved. Provides meals, tutors, babysitters and tries to fill their needs. (718) 951-0696 Ezras Rayim Confidential assistance & case management for patients and families in Monsey, NY. (845) 371-7191 Focus On Life Supports needs of individuals and families living with cancer and facing blood or marrow transplants. sharon@focusonlife.org Friends With Diabetes Limited to Type 1 diabetes. provides support and encouragement, promotes education, arranges shabbos gatherings. (845) 352-7532 Jewish Diabetes Association Support groups for all types of diabetes; referrals and counseling. (718) 787-4JDA (4532) MRA Referrals to medical professionals. assists in arranging for emergency appointments to specialists. (718) 854-5200 N’Shei CARES Support group for Alzheimer’s Support group for mothers of multiples Doula program: volunteer labor coach (212) 363-8940 Relief Mental health referral agency (718) 431-9501

Refuah Gemach Over-the-counter medications at night or during Shabbos and Yom Tov. 11:00 at night till 9:00 in the morning. Open 24-hours for Shabbos and Yom Tov. 1351 41 st Street: (718) 431-8311 5305 12th Street: (718) 435 8266 Call before coming Refuah Yeshuah National organization to help people financially when unforeseen major medical crisis occurs. Prayer Hotline: Minyan forwarded to kossel for tefilos. (718) 436-0666 Rofeh Choleh Cancer Society Pays health insurance premiums for cancer patients. (718) 722-2002 Rofeh International Medical referrals and hospitality in Boston, MA area. 617-566-9182 617-734-5100 617-7345101 Sephardic Bikur Cholim Referral Association Medical referral agency 866-227-5195 Sharsheret Linking young Jewish women in their fight against breast cancer. (866) 832-9904 Simchas Hanefesh Provides entertainment for sick children and adults in their homes or the hospital. (718) 288-3099 Tafkid Provides support, advocacy and referral service for children with special needs. (718) 252-2236 Yitty Leibel Hotline Anonymous hotline under Orthodox Jewish auspices providing mental health services worldwide. (718)435-7669 Yodei Chesed Servicing families with special needs. (845) 425-0887 Zichron Shlomo Organization to help cancer patients cover medical bills, vitamins, travel expenses. Weekend retreat for patient and family. Hot food and housekeeping as needed. (718) 438-5856

49


For Dry Eye Sufferers, Lots of Tears Bring Major Relief Some kinds of artificial tears claim to help build the mucous layer and thus improve the quality of the tear film. Two brands - Refresh Endura and Soothe contain oils that are supposed to help replenish the top layer of tears.

or many people over 50, dry eyes are just another sign of aging, no more a nuisance than gray hair or crow’s feet. The occasional stinging, redness or gritty feeling in the eye, especially on waking, goes away with a few good blinks.

F

But for millions, dry eyes are a painful, daily problem. Dr. Debra A. Schaumberg, an assistant professor of medicine at Harvard, who has studied the prevalence of dry eye syndrome among subjects in the Women’s Health Study and the Physicians’ Health Study, estimates that as many as nine million Americans, most of them women, have moderate to severe dry eye. The discomfort ranges from a mild burning, like having soap in your eye, to a persistent sense of scraping under the lids. Extreme dryness can lead to infection. And it can impair the way the eye refracts light, blurring vision and making it hard to read, work at a computer or drive. Doctors have no cure, only temporary treatments - mainly with artificial teardrops. But in recent years they have learned more about how dry eye occurs, in particular the major role played by inflammation. In most cases, the disorder has multiple causes - as diverse as menopausal changes and daylong work at computer screens. Knowing which ones are at work, doctors say, is the key to finding the best treatment. The wet film on the eye’s surface is not simple salt water, but a three-layered, gel-like concoction of mucous, water, fat and a variety of proteins.

50

Immune system molecules are in the mix, fighting inflammation and infection. And growth factors help quickly heal any injury the eye might suffer. Cheshvan • 5766

Restasis, a brand of drops available by prescription only (about $75 to $100 for a month’s supply), contains cyclosporine, which treats inflammation. Some patients find that these drops sting. Another way to treat dry eye is to plug up the ducts that drain tears from the “The cornea is one of the fastest heal- eyes into the nasal cavity. ing tissues in the body,” said Dr. In some patients, the oil-producing Stephen C. Pflugfelder, a professor of glands behind the eyelashes need to be ophthalmology at Baylor. “If you were to cleared of debris. Patients are then scratch your eye now, it would heal advised to keep them clean by washing overnight.” the eyelids and lashes with baby shamTears naturally evaporate when the poo. eye is open, faster in conditions of wind or low humidity. Nerves on the surface then signal the glands to put out more tears, and blinking spreads the mixture around.

Some physicians recommend that patients consume more foods with beneficial omega-3 and omega-6 fatty acids - cold-water fish and flaxseed oil, for example - or taking supplements to try to improve the quality of oily tears.

Various things can keep this system from working properly. Surface inflamAlthough this nutritional strategy has mation - from allergies, contact lenses or not been shown to work for all patients, injury, for example - interrupts the nerve many report that it makes a difference. signal to the tear glands. Other strategies against dry eye Some medicines - including blood include avoiding cigarette smoke, dust pressure and heart treatments, antihista- and very dry air and wearing sunglasses mines, decongestants, pain relievers and outdoors. Dr. Nelson of Minnesota recantidepressants - can also dry the eyes. ommends the kind of motorcycle tightfitting glasses to keep out the wind. Over-the-counter artificial tears typiSome sufferers also find it helps to cally cost $10 to $30 a month. If drops lower their computer screens so their are needed four or more times a day, eyes do not stay open so wide, and there doctors recommend that patients use the is less tear evaporation. drops without preservatives. Doctors also tell computer users to Some drops are not simple salt water, deliberately look away from the screen but more viscous gels and ointments. from time to time and remind themThese last longer, but they blur vision selves to do more of what comes natuand are usually used at night. rally: blink.


51


Weight Loss Tip Compliments of Goldy’s Clinic and Omni Health 265 Avenue U • Brooklyn NY 11223 718-265-2499 www.GoldysClinic.com

f you want to lose weight, you have to increase your body’s ability to burn fat and eliminate toxins. I can guarantee you that in your colon you have anywhere from three to fifteen pounds of undigested fecal matter. This toxic material makes it more difficult for you to absorb nutrients, it slows down your metabolism, makes you susceptible to all types of allergies including food allergies, gives you constipation, gas, indigestion and acid reflux, and is a breeding ground for Candida yeast. It is vital to clean your colon. There are many ways to clean your colon. If you go on the Internet and type in “colon cleanse”, there are dozens of companies that sell herbal formulas or other types of ingestible-type products that are effective at helping clean your colon. One of the most effective and thorough ways to clean your colon is to purchase one of the herbal-type supplements that you take orally, while at the same time getting a series of colonics done by a certified Colon Therapist. Go to your Yellow Pages under colon therapy or colonics, you will see a list of people that you can consult with who give you a number of colonics. An effective way to

I

52

Cheshvan • 5766

do this is get one colonic every other day for thirty days. While you are doing the colonics you’ll also be taking a colon cleanse product. It is also important to discuss with the Colon Therapist taking some type of friendly flora product, such as acidophilus, to replenish the flora as you are cleaning out the colon. If you do nothing else, but just do this one step for thirty days, I can almost guarantee you that you will lose a minimum of five pounds. I can tell you from personal experience that the majority of people

who do this procedure lose, on average, ten pounds in thirty days. The most notable thing that occurs is the persons stomach flattens out, their energy level skyrockets, they think clearer, sleep better, and digest food much, much better. Colon health is important. A dirty clogged colon, which I can guarantee that you have right now, can lead to colon cancer, liver disease, diabetes, and be a host for other problems. Do this procedure and you will see spectacular results in a very short period of time.


53


F.D.A. Had Report of Short Circuit in Heart Devices onths before the Food and Drug Administration issued a safety alert in June about problems with Guidant Corporation heart devices, the agency received a report from the company showing that some of those units were short-circuiting, agency records obtained by The New York Times show. But the agency did not make that data public at the time because it treats the information it receives in such reports as confidential. While the agency has a policy of reviewing the reports within 90 days, it is unclear when regulators did so within that time frame or how they first interpreted the information. A report provided to doctors by the Guidant Corporation indicates the likelihood that a defibrillator will not have to be replaced. The reports that Guidant submits to the F.D.A. include more detailed information about device failures, including short circuits in one model. As part of a lengthy annual report that Guidant submitted to the F.D.A. in February, the company disclosed data showing that one of its widely used defibrillators, the Ventak Prizm 2 DR, was short-circuiting at the rate of about one a month, a rate that some doctors say was troubling. A month later, a college student who had one of those units implanted in his chest died of sudden cardiac arrest. In June, the F.D.A. issued an alert about the model, later updating it to say that the short circuits, while rare, posed a significant risk because they could render the device useless just when it was needed most. Defibrillators use jolts of electricity to stop erratic heart rhythms, which can be fatal. Guidant, which knew about the model’s flaw for

M

15

Cheshvan • 5766

three years but did not tell physicians about it until May, has recently found itself in the spotlight. But the disclosure that the F.D.A. also had data that might have alerted doctors is likely to increase scrutiny of the agency’s policy of not releasing the information it requires heart device makers to submit, as well as how quickly it reviews such reports. Dr. Daniel G. Schultz, the director of the F.D.A.’s Center for Devices and Radiological Health, said in an interview Friday that it would tie up too many resources to review hundreds of filings the F.D.A. receives each year and determine which data could be routinely released and what should be treated as confidential. Makers of defibrillators and pacemakers, which regulate heart rhythms, must file annual reports with the F.D.A. that say how often, and why, their devices fail. The level of detail in these reports, which are submitted on paper, is far higher than is required for other medical devices because of their lifesustaining roles. Those filings also include much more data than the summaries that companies give to doctors. The issue of how much safety data is disclosed to doctors and patients is expected to be a major focus of a meeting on Friday of heart specialists in Washington that was called as a result of the Guidant controversy. That meeting may pit physicians who want more information about device failures against manufacturers, as well as other doctors, who say the current system is adequate to ensure patient safety. Last year, both the F.D.A. and the drug industry came under fire for failing to release data about clinical drug trials like those involving the use of antidepressants in children. The Guidant controversy appears to be expanding that debate into the medical devices field.

Dr. Shultz said he did not believe that the effort of disclosing the massive amounts of data sent in by manufacturers would be an effective use of agency resources and time. “It does not at first blush look like an efficient way of getting information to the public in a timely fashion,” he said. He added that he hoped the meeting Friday would lead to improved communication between the agency, device makers and doctors about device-related problems. The agency’s inquiry into Guidant began after The Times reported in late May that the company had not told doctors about flaws in the Prizm 2 DR and kept selling older versions of the model after developing an improved one in 2002. Guidant has said it knows of 28 units that have short-circuited out of 26,000 made before the modification. Dr. Schultz said he was not familiar with the February report from Guidant that broke out the short circuit figures. He said he did not have information about what percentage of reports were reviewed within 90 days. Told of Dr. Schultz’s comments about the agency’s disclosure policies, Dr. Douglas P. Zipes, a professor at the Indiana University School of Medicine, said he took exception to them, saying he believed that the Guidant episode had highlighted gaps in how the F.D.A. oversaw the safety of heart devices. Dr. Zipes added that both the agency and manufacturers needed to provide doctors with more data about product failures. “It would help us put into better perspective the quality of each manufacturer’s devices,” said Dr. Zipes, who is also a consultant to Medtronic, a major device manufacturer that also makes a defibrillator, and who will be participating in Friday’s meeting.


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Back Talk Therapy bad back can put a man in a foul mood, and that mood can make the pain linger. New research suggests that treating depression helps heal chronic lower-back pain. In a study published in the Lancet, 400 lower Back-pain sufferers received physical therapy or, were taught to manage pain with exercise and mental-health strategies. The latter group healed in the same amount of time as the PT group with fewer treatment sessions. “Doctors need to find out whether patients’ worries about their pain are keeping them from getting better,” says lead study author Elaine Hay, M.D. Ask your doc about stress-relief strategies before you sign up for weekly PT, she suggests. And do light exercise regularly-it can improve mood and strengthen core muscles crucial to back health.

A

Comfortable Numb If you’re going under the knife ask to bring your iPod Yale researchers learned that patients who listen to tunes during surgery need less anesthesia. In the study, 90 surgery patients were split into three groups: One heard white noise; the second listened to music they chose; and the third heard the sounds of the operating room. The music listeners needed 50% percent less anesthesia than the others. “The less anesthesia used the faster the patient can recover and the body’s natural healing processes can start working again,” says Alice Cash, Ph.D., a behavioral health therapist at Baptist Hospital East in Louisville, Kentucky. Music may also help to lower blood pressure during dental drilling, she says. Choose a tune with a heartbeat like tempo of 60 to 80 beats per minute- think Pachelbel’s Canon in D. (Pink Floyd’s “Us and Them” qualifies, but beware the last line:. “The old man died.”)

13

How to Defuse an Angry Officer Cheshvan • 5766

Mobile Monitor ritish researchers have developed a Band-Aid size device for heart attack patients to wear on their skin when they leave the hospital. The device has sensors to measure temperature, heart rate, and glucose levels. If anything enters the danger zone, the monitor beams the data to a doctor’s computer or relative’s PDA.

B

Most cops are cool under fire, whether they’re taking verbal shots or live bullets. Still, there are hotheaded exceptions. Some might be in the throes of ‘road rage,’ while others could be suffering from violent police officer syndrome (VPOS), a rare form of post-traumatic stress disorder that results in a low threshold of frustration and a high propensity for violence. In either case, your survival strategies are the same.

with his, says Cogan. If you glance down at his shirt or up to his hair, he could see it as a sign of disrespect.

PUT’EM UP. “Keep your hands visible, not in your pockets or behind your back,” says Tom Cogan, Ph.D., a psychologist who treats VPOS. Surrender control and the officer won’t need to assert his power.

CALL FOR BACKUP. Think you’re in physical danger? Dial 911 or ask a passerby to stick around, says Michael Mantell, Ph.D., former chief psychologist for the San Diego Police Department. Also, “If you’re in a car, you don’t have to pull over right away. Go to a public place and then stop.”

DON’T BLINK. Look the officer square in the eyes and lock your gaze

HOLD YOUR QUESTIONS. To a hopped-up cop, even a simple query could cause trouble. “Just asking, ‘Gee officer, why is this road closed?’ could elicit an aggressive response,” says Cogan. Wait until your day in court.


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9 Cheshvan • 5766


Raisin the Bar Raisins may do more than ease midafternoon hunger pangs. In recent lab experiments at the University of Illinois at Chicago, oleanolic acid, a compound found in high levels in raisins, prevented plaque-causing bacteria from sticking to surfaces. The next step: human studies. A possible-and rather unappetizing outcome: raisin-flavored toothpaste.

Decaf Before Diagnosis Doctors rely on positron-emission tomography (PET) to find cancerous lesions, but new research shows that drinking caffeinated beverages before a PET scan may obscure the view of vital organs. “Caffeine made the heart beat stronger and faster, so it took in more blood and more of the tracer used to highlight lesions,” says lead author Medhat Osman, M.D., Ph.D., who studied the coffee intake of 167 patients. This made it harder to see lesions around the heart and lungs. Skip caffeinated beverages for 24 hours before a PET exam.

Equal Opportunity Soy has long been the prostate-protection poster food, but new findings from the University of Colorado show it’s even more effective when it has help from an unlikely plate partner: Research suggests that, in moderation, meat may help convert soy into equal, a compound that reduces the growth of malignant prostate cells. In tests of 45 healthy men, those who regularly consumed one glass of soy milk with a small portion of beef or chicken produced nearly 4.7 times more equal than men who drank the soy milk but skipped the meat. What’s more, their equal levels were nearly the same as those found in men who followed a high-soy diet. Need to beef up your meals? Probably not. “Most of the men who produced equal ate meat only a few times a week, versus two to three servings a day for most Americans,” says study author Tammy Hedlund, Ph.D. The bottom line: Instead of cutting out meat-as some experts suggest-add a glass of soy milk daily to complement it.

Survive the Flu Season Stop wasting sick days actually being sick. Conjugated linoleic acid (CLA) may give your immune system a boost. Scottish scientists gave 28 healthy vol-

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unteers 3 g CLA daily for 12 weeks and then measured their immune responses. The result: CLA elevated an important blood marker of immunity by 30 percent. “Supplementation could improve the body’s ability to respond effectively to infectious agents and enhance resistance to allergens,” says study author Klaus W.J. Wahle, Ph.D. For the best effect, divide your dose; in the study, people took two 500-milligram caps u l e s with

Watch Your Mouth ou’re sill foolish enough to smoke at least pop an aspirin. Smokers who swallow a daily NSAID (a non-steroidal anti-inflammatory drug, such as aspirin or ibuprofen) can lower their risk of oral cancer. Norwegian researchers studied 900 smokers and those who took a daily NSAID for 6 months or longer reduced their risk of malignant oral cancer by 65 percent. The longer the smokers took the meds, the stronger the effect. NSAI Ds may block chemicals that cause the mouth-tissue inflammation that can encourage cancer growth. Quitting is still the no-brainer move, “but this could be a great help to current and past smokers,” says lead study author Jon Sudbo, M.D., Ph.D., who presented the research at the annual meeting of the American Association of Cancer Research. Talk with your doctor about dosage.

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Avraham Rosenthal and the Wonders of Natural Healing By Rochelle Maruch Miller scholar that he is, to pursue his noble calling?

lthough he does not claim to possess any special healing powers, Avraham Rosenthal has, with Hashemâ&#x20AC;&#x2122;s help, given a new lease on life to the almost forty thousand patients who have consulted him over the past four decades. Mention his name to any one of these individuals, many of whom had previously been diagnosed with life threatening illnesses, and you will elicit praise and abundant blessings. Dr. Rosenthal, an iridologist and naturopathic healer whose congenial manner belies his encyclopedic scope of knowledge of all health and nutrition related matters, has amassed an international base of patients and therein lies the story.

A

Iridology, also known as iris diagnosis, is a science whereby the doctor can determine by signs in the iris of the eye, the reflex conditions and health of the various organs of the body. It is a science which requires years of study and experience but when mastered thoroughly, can be useful as a serious diagnostic tool.

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What inspired Dr. Rosenthal, a "heimeshe" gentleman with the hadras panim and gentle manner of the Torah Cheshvan â&#x20AC;˘ 5766

After seeing his mother and two siblings suffer from the effects of diabetes, he suddenly felt himself becoming physically debilitated. Although he was only twenty-eight years old at the time, he discovered that he, too, was severely diabetic with a very bleak prognosis. He opted for a second opinion, seeking out Dr. Naftali Klein, a noted iridologist who, after studying his eyes carefully, prescribed a regimen of natural foods. At the years end, he tested negative for diabetes. Inspired, and with a passion for helping others, Dr. Rosenthal began to study under the venerable Dr. Klein and after five years continued his studies in India where he earned his first degree in naturopathic medicine. After returning to Israel, he earned a sterling reputation for successfully treating patients afflicted with a wide range of health problems. Among the ailments he has cured are Crohns, ileitis, gout, arthritis, high blood pressure, obesity, hepatitis, heart problems, pneumonia, kidney disease, and many others. His high rate of success in treating infertility problems has earned him the zchus and honor of being Sandek at numerous brissim. It was only a matter of time before people from all over the world sought his nutritional advice. Studying each patient carefully, Dr. Rosenthal prescribes a customized treatment, using as a cure fruits, vegetables, seeds, juices, herbs, homeopathy and other natural treatments. The results are nothing less than remarkable.

Among the patients whom I spoke to is a young woman who suffered terribly from colitis and who is now, Baruch Hashem, completely cured. Another patient was diagnosed with a life-threatening tumor over twenty years ago. After following a strict regimen of eating only certain natural foods, Baruch Hashem, the tumor began to shrink until it disappeared completely. Today this former patient is cancer-free, and did not need surgery. A young man suffering from crippling arthritis was told that he would always require strong medication and would never be completely cured. Today, after following Dr. Rosenthalâ&#x20AC;&#x2122;s diet, he is completely cured. A young child whose asthma attacks required frequent emergency visits to the hospital is now adhering to his diet and is completely cured, Baruch Hashem. A young woman with severe eczema all over her body, was completely cured by his diet. The list is endless and like countless others, these patients have maintained a close relationship with Dr. Rosenthal and his lovely wife, Chaya. Although Dr. Rosenthal does not guarantee a complete cure for every condition, all of his patients who follow his advice attest that they feel healthier, stronger and much more energetic. Dr. Avraham Rosenthal has the endorsement and the bracha of many Gedolim and continues to be a good shaliach for his patients the world over. He will be arriving from Israel in December, v"ht. For appointments or references, you may call 718-435-2006. In Israel he can be reached at (02) 5387143.


COMPUTER DOCTORS 9 1 1

You’ve Got a problem, They’ve Got a Solution by Ora Ellenberg With Rosh Hashanah only days behind us the New Year is bright and exciting. Along with blessings of health and prosperity, the New Year brings with it the promise that we will finally find time to fulfill those Rosh Hashanah resolutions which have been robbing us of sleep and serenity for so long. We can all admit to having one or two that we carry over from year to year. We mean to stay motivated but somehow, come next year we’re right back at square one. Like what? Well, there’s that promise to work out regularly, for one. So we join the gym and we love it! Then life reminds of its hectic and unpredictable pace and before we know it three weeks have passed since we’ve last seen the gym and it’s harder than ever to get back into it (and that unforgiving workout gear.) Or the promise to go back to school, or work, or learn how to use the computer that everyone else seems to find a million uses for. If any of this sounds familiar to you then Allen Luxenberg can help. How, you ask? Quite simply! As the brains and brawn behind Computer Doctors 911 Allen now has even more ways to help you help yourself. As an eBay Trading Assistant and Power Seller Allen can help you get a head start on this year’s resolutions. They say if you want to get more of what you always got do more of what you’ve always done. So, for those of us trying to jump on the health and fitness bandwagon let’s try something new. Can’t get to the gym due to an ever changing schedule? Let Allen get you the deal of a lifetime on a new treadmill or elliptical machine for your home. See what a difference working out from the comfort and convenience of your home makes! Tried it at home and found you’re not the self-motivating type?

Clear those clothes from your exercise bike (yes, there’s a bike under there - it isn’t just a levitating pile of suit jackets!) and let Allen turn your old bike into the money you need for a new gym membership. The world of EBay is a booming marketplace with consumers from around the globe vying for a piece of your merchandise. You needn’t know the first thing about how the auctioning process works. Allen handles all aspects of the process from posting pictures of your item on-line, to the listing and item description (an

cash in record time. Electronics, coin collections, furniture, cars, and even homes, there is nothing EBay can’t sell and nothing Allen can’t handle. What about those of us who have other resolutions on our agenda? Certainly, there are many other things we rely on Allen for as well. Namely his ability to do everything and anything one might expect of a good (computer) doctor. From routine checkups and installation of upgraded software, to the more serious hardware replacement and virus removal, Allen even makes housecalls! You’d be hard pressed to find a doctor who does nearly as much as Computer Doctors 911. But that’s not all! Allen gives private lessons for those of us struggling to pull ourselves by our bootstraps into the 21st century. If your aim is to get back into the business world or back to school you’ll need a solid foundation of computer savvy to get you started and Computer Doctors 911 is just who to call. Allen and his carefully chosen staff are profi-

art in itself ), to the shipping; you just sit back and relax. Sounds pretty good, huh? It is! Allen’s clients rave about his professional yet personal customer service, and I, myself, am a supremely satisfied customer. After removing those aforementioned suit jackets from my exercise bike I realized my husband hung them there because there was no room in his closet. This led to a new resolution make some room for husband’s stuff. I jumped headfirst into that endeavor and the organization and paring down left me with a huge amount of stuff we just didn’t have use for any more - but someone out there in cyber-world certainly did! Allen turned our clutter into

cient in all areas of computer skills and provide private lessons in your own home. Of-course Computer Doctors 911 is well known for their custom built computers. With just one easy call your home or office computer will be outfitted with an operating system that works for you. You’ll find that Computer Doctors 911 helps you get optimal results from your computer. So whatever goals you hope to achieve this year we wish you success. And when you need some help call Computer Doctors 911 at 718.998.2116 or 347.432.7303.

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YOUNG ISRAEL OF WOODMERE 859 Peninsula Boulevard • 516-295-0950

GENES “R” US: Practical and halachic issues regarding genetic testing November 20th, 2005 Ma’ariv: 8:00 PM Program: 8:15 - 9:30 PM followed by a collation PROGRAM SPEAKERS Susan Gross, MD, Associate Professor of Clinical Ob/Gyn & Pediatrics, Albert Einstein College of Medicine; Co-Director, Division of Reproductive Genetics

Rabbi Eddie Reichman, MD, Associate Professor of Emergency Medicine, Philosophy and History of Medicine, Albert Einstein College of Medicine

Rabbi Josef Ekstein, Executive Director, Dor Yesharim

MODERATOR

Rabbi Aaron E. Glatt, MD Professor of Clinical Medicine, NY Medical College; & Young Israel of Woodmere 5 Cheshvan • 5766


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ICS

Intelligent Computer Solutions

Volume 2 No.1 Fall 2005 Cheshvan 5766

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KOSHER INTERNET CAFÉ • COMPUTER LAB • GRAPHIC DESIGN COMPUTER REPAIR • VIDEO EDITING • COMPUTER & LAPTOP RENTAL 513 AMSTERDAM AVENUE (BET. 84TH &85TH STS.) NY, NY 10021 TEL: 212.362.4355 1728 CONEY ISLAND AVE. (CORNER OF AVE. N) BKLYN, NY 11230 TEL: 718.339.0110

Inside

Brought to you by

Survive the Flu Season F.D.A. Reports on Heart Devices

HE’S BACK: Dr. Avraham Rosenthal and The Wonders of Iridology

Profile for Dena Szpilzinger

Frum and Fit  

Health and Fitness Magazine

Frum and Fit  

Health and Fitness Magazine