Jewish Press
SPECIAL HEALTHWATCH ISSUE Vol. LXXLX
No. 44 Omaha, NE
Introducing... Steve Stiel
11 Tammuz, 5760
July 14,2000
Healthy summer funi
by Carol Katzman
Occupation: Executive Director, Jewish Family Service Education: B.A. in Social Psychology from St. Mary's College, Winona, MN; Graduate level theology, Mount St. Mary's, Emmitsberg, MD, and St. Charles Borromeo Seminary, Overbrook, PA; Series 7 General Securities license; and MSW from University of Nebraska at Omaha. Experience: Chaplain candidate in San Diego; Director of youth development, Diocese of Winona, MN; office manager, Diocese of Duluth, MN; retirement specialist for Fidelity in Cincinnati, OH, and for First National Bank, Omaha; intern, Child Saving Institute and Family Connections; and social worker/counselor, Maplewood Counseling.
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Personal: married to Rabbi Debbie Stiel; two children, Micah, 4, and Jonah, 18 months
Enjoying a refreshing dip in the Olympicsized outdoor pool are campers from the Jewish Family Service has recently moved from a Jewish Community Center's summer day 600-square-foot office behind the Jewish Federationcamp programs: speciality camp for fifthoffice to nearly 1700-square-feet on the north side of the former Child Development Center. What does that move enable you to accomplish in your new In April, the Jewish Press alerted readers that position as Executive Director? Daniel Brown, brother-in-law of former Omahan Dan Redler, needed a bone marrow transplant in My vision of Jewish Family Service is to have a order to combat chronic myleogenous leukemia. professional agency that provides the highest qualDode Redler has reported that a match has been ity Jewish social services to our community. The found in Atlanta among the more than 2000 new office now gives us the professional environ(Continued on page 27)
eighth graders, and "Trekkers" for kindergartners through fourth-graders. For information about the balance of July and August, call Lisa Shkolnick at 334-6425.
Update on bone marrow match newly-acquired 4ojiors to the Gift of Life Jewish Bone Marrow Registry. In Omaha, more than 20 readers volunteered to be tested if a match wasn't found. Brown and his family will be moving to Seattle, WA, for six months of experimental drug (Continued on page 2)
Prevention project transforms a family's grief by Carol Katzman
It's only been two months since Jeff Spiegal died of a cancerous brain tumor. But his family is using his death. . .and their grief. . .to alert others for an early diagnosis of this devastating disease. In a recent interview with Devra Spiegal, she told the story of her husband's symptoms, the doctors' insistence that it was caused by "midlife crisis" or "stress" and the relentless speed with which the cancer finally took his life. She carries a notebook nearly three inches thick, filled with copies of charts, pamphlets, e-mail letters and more. What follows is a story of a family's courage and their determination to use Jeffrey's death to help others. In the winter of 1999, Jeffrey, then 46 years old, was a businessman with a thriving career, and a happily-married man and father of three teen-age sons. But he began experiencing a series of painful headaches and blurred vision. His doctor ran a battery of tests and found nothing. "It was written off to stress and the difficulty of his promotion to the Chicago offices of his company and the weekend commute to Omaha," his wife recalled. The headaches increased in frequency and severity. He developed problems with his balance and gait. And by March of 1999, he began to vomit nearly every morning. Again the doctors found nothing and suggested he see a psychiatrist and "get a grip on life." The family was confused,, angry
and upset, both at Jeffrey and at his doctors. In May, 1999, he quit his job in Chicago and returned to Omaha. For a while things seemed to get better. "We were out for a walk one night," Devra recalled," and Jeff turned to me and said, 'I can't walk. It feels like someone is trying to pull my head off my neck.'" , ' . • Devra called the neurologist she sees for her migraines and he was the first to suggest an MRI. A magnetic resonance imaging device uses a powerful magnet linked to a computer to "see" through the bones of the skull and detect any anomalies in the brain. A special dye is used to spot tumors. "The doctor called and told us Jeff had a tumor on his brain stem. He scheduled an appointment with a surgeon the next day," Devra explained. "We were devastated." Jeffs tumor was diagnosed as either a glioma astrocytoma or a glioblastoma multiforme. The surgery, which should have taken eight to 10 hours, was over in five. "The doctors basically opened him up and then closed him up," Devra said. "They were not able to find the boundaries of the main tumor. It was all intertwined with the brain and brain stem. They were only able to get a small amount for the biopsy." Unfortunately, Spiegal's tumor was the type that would not respond to chemotherapy. The doctors
tried radiation in hopes of reducing the tumor and placing it in remission. Jeffs tumor did not respond and 10 months after his initial diagnoses and surgery, he died at the age of 47. All through his battle, however, Jeffrey remained optimistic and upbeat. He was comforted by liis sons, Justin, 20, Joe, 18, and Andrew, 16, all of whom took turns caring for him. Justin deferred his application to Kansas State University and attended classes at Metro Community College and the University of Nebraska at Omaha. Joe and Andrew, then students at Westside High School, arranged their schedules so that one of them could always be at home with their father. Next month, Joe will be a senior, and Andrew a junior, at Westside. Justin will be leaving for K-State. Devra juggled her teaching schedule at Ashland Park Elementary School in the Omaha Public School district and will return to her kindergarten class next month. Though Jeffrey is no longer with them physically, they are already speaking out about brain tumors in hopes of early detection for others. "Had we recognized that Jeffs impaired motor functions, headaches and vomiting were symptoms of a brain tumor, it might have been detected early enough for surgery to remove the main tumor," Devra explained. "We might have actually had a (Continued on page 28)
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Jewish Press, Omaha, NE
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Deaths LEONARD DePORTE Graveside services for Leonard DePorte were held July 9 at Beth Israel Cemetery. He died at the age of 66. Survivors include his wife, Esther of Omaha; daughter, April DePorte, also of Omaha; son, David and Rachel DePorte of Aurora, IL; and grandchildren, nieces and nephews. Memorials to the Chabad House.
Parashat Chukat/Balak This week's Torah portion contains a mysterious 'Annual percentage yield as of 7/6/00. All rates are subject to change without notice. incident which reveals a profound insight into life. Fees may reduce earnings. $1,000 minimum balance required to open account and avoid The Moabites had refused our ancestors passage monthly lees. Consumer accounts only. through their land, and God had forbidden us from PERRY I. NADLER 12800 West Center Road Graveside services for Perry Nadler were held fighting these kin. Omaha, NE 68144 Enterprise (402)330-0200 On the long journey circumventing their territo- July 10 at Temple Israel Cemetery. He was 69. Bank 5.64%APY* Survivors include his wife, Mary; daughter, Jodi ry, Israel grew impatient and restive: ". . .vatiktzor 210 Regency Parkway Omaha, NE 68114 nefesh ha'am baderech" (literally, "the soul of the Nadler of Portland, OR; daughter and son-in-law, (402)392-0400 people grew short along the way"). They com- Cheryl and Bill Voss, all of Ashland, OR; sister and www.enterpriseebank.com plained against God and against Moshe, saying brother-in-law, Sarah and Ted Seldin of Omaha; they would die in this place of no water and no brother and sister-in-law, Sigmond and Beverly bread, and that they were sick at heart of eating Nadler of Ponte Verda Beach, FL; brothers-in-law and sisters-in-law, John and Carol Rupprecht of the miraculous manna that sustained them. In response, God set free fiery serpents ti bite Omaha and Tom and Sandy Rupprecht of Lincoln; Residential Mortgage Services, Inc. them. Many died before Moshe could intercede and nieces and nephews. Memorials to the Rose Blumkin Jewish Home or YOUR LOW COST-FULL SERVICE MORTGAGE LENDER with God, Who then gave the unusual instruction American Heart Association. • 1 Day NO COST Pre-Approval! to set up a brazen image of a poisonous snake on a pole. When anyone was bitten, they should look up • NEW CONSTRUCTION - Long Term Rate Locks With FANNY LEVINSKY at it and would then recover. REPRICING AVAILABLE If Rates Go Down! Graveside services for Fanny Levinsky, 97, were The matter raises serious philosophical prob- held July 11 at BHH/Fisher Farms Cemetery. • NO-COST TRU-LOCK COMMITMENT © lems. How does God's punishment match the Allowing You Ta Lock A Rate While You Are She was preceded in death by her husband, Shopping For A Home nature of the people's sin? How could looking at an Joseph. image cure a poisonous serpent bite? Does an Survivors include nieces, nephews, grand-nieces • 100% LTV Equity Lines of Credit, Second Mortgages image (the making of which is forbidden in the sec- and grand-nephews. • Low Cost Fixed Rate, Adjustable Rate and ond of the Ten Commandments) seriously have any Balloon Mortgages! power? WE'LL MAKE YOUR LOAN "POINTLESS" The sins of the people are clearly impatience and CALL GARY NACHMAN ingratitude. As is so often true, these are associat- Bone marrow update -— 333-7900 ed with taking our blessings for granted. Notice (Continued from page 1) Check rates 24 hours a day at that the text says that God "set free" the serpents. therapy. If the treatment works, Brown won't need www.residentialmortgages.com The snakes had always been around them in their the bone marrow transplant, however, he is "less Other Offices: Belkvue 292-7900 journeys. They had not afflicted the people because stressed, knowing he now has a back-up plan," Lincoln 423-8885 Council Bluffs 322-7900 , God had been holding them back, protecting and noted Dode Redlert "We're so gratified by the response of the Omaha sheltering the people. Jewish community," she added, noting that more If the people complained of God's supervision, CLIP & SAVE than 2000 names have been added to the Jewish God withheld it for awhile and they quickly list of bone marrow donors. learned to perceive reality. Perhaps "correcting Plans are also in the works for a bone marrow their view" was why they had to look up at the registry drive to take place in Omaha this fall. brazen serpent on the standard. As the Mishna understood, it is ridiculous to believe that the image itself had any power to take BLUE RIBBON^ or give life. Rather, "When Israel look heavenward FRIDAY, JULY 14 and submit their hearts to their father in heaven, Carpet & Upholstery CENTRAL c Russian Club, 10 a.m. Cleaning c they were healed; otherwise they would moulder AIR CONDITIONING CLEAN AND CHECK L away." 25 Years Experience I PERFORM COMPLETE SYSTEM p Seeing the brazen serpent, they would foreverCHECK TO INCLUDE: Steve Snail 558-8617 SATURDAY, JULY 15 P • Clean and inspect condenmore be reminded of this incident, and would be sor coil • Lubricate Mechanical & Bagels & Bible, 9:30 a.m., Equipment as required • Add 8 called to trust in God in facing their difficulties. oz. of freon FREE • Verify S at Temple Israel s Electrical Connections and But we must always be'on guard against our natA A Operation •Verify V ural tendency to relapse. The brazen serpent, kept Compressor Operation and E in the Temple, unfortunately became an object of MONDAY, JULY 17 Performance MONUMENT CO. Verify Fan and veneration. Realizing the danger, King Chizkiyahu YES Program, 9:30 a.m. Fan Motor Operation (Hezekiah) destroyed it, earning the later praise of Verify System Pressures, Line Frank L Ciciulla, Jr. Set and Acoil Integrity the rabbis for his bold move. 60 Years Experience i $50 With Coupon exp. 6-16-00 TUESDAY, JULY 18 As we face the troubles and travails in our own I $45 Senior Price With Jewish BAKER HEATING BBYO Night, 6 p.m. , lives, we too often react with impatience and a lack Lettering and Memorials AND COOLING, INC. of proper perspective. When it comes to our health, Executive Committee Meeting, "Where quality is still a way of life. for example, we usually take good health for grant1439 So. 13th 6 p.m., at Temple Israel 10%SeniorDhcouM 556-9706 ed until it is suddenly threatened, and then we 2_4jHour/7 Day Service Available 341-2452 Board Meeting, 7:30 p.m., complain and ask why God has done this to us. at Temple Israel Rather, we should understand, as in the early morning prayer, that the body is a wondrous, comGreat ifts! c plicated work that is delicately balanced. THURSDAY, JULY 20 ® a L We should praise God, who "formed mankind Walk-in Drop-in, 9:30 a.m. i with wisdom, and created in him many passages p Library Book Discussion Group, and vessels. It is revealed and known before the throne of Your glory, that if one of these be opened, 1 p.m. 12019 Blondo 492-9730 Lettering S s or one of those be closed, it would be impossible to A A exist and to stand before You. Praised are You, O v All events held at the JCC unless otherwise indicated. The Lord, who heals all flesh and acts wondrously." Jewish Press is not responsible for the accuracy of the Recognizing our precarious natural state, we events. To keep calendar accurate or for questions, call Estate, Business & Tax Planning: should be thankful for each and every moment of Marlene Hert at 334-6437. Joseph C. Vitek Steven C. Welch life. As partners with God, it is our responsibility LLM (Taxation) Also Admitted in Iowa to care for ourselves, treating our body as a temple, COMMERCIAL taking active steps to enhance and safeguard our and Vitek, Welch & Associates physical, mental, and spiritual being, and trusting RESIDENTIAL Attorneys at Law in God to be with us in our worthy efforts. 8037 H Street 12020 Shamrock Plaza, Suite 200 Omaha, NE 68127 778-5141 COMPANY (402) 593.1242 Your Estate & Wealth Strategy Planning Partner
CALENDAR OF EVENTS
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CITY
July 14,2000
SYNAGOGUES
Jewish P r e s s , Omaha, NE
[ CANDLELIGHTING: 8:38 p.m.
TEMPLE ISRAEL
BETH ISRAEL SYNAGOGUE
BETH EL SYNAGOGUE
Member of tile Union of American Hebrew Congregations
Member of the Union of Orthodox Jewish Congregations of America
Member of United Synagogues of Conservative Judaism 14506 California Omaha, NE 68154-1980 492-8550 WEIi~www.bethel-omaha.org
7023 Cass Street, Omaha, NE 68132-2651 556-6536 templeisrael-ne.org FRIDAY: Shabbat service, 5:30 p.m., Rabbi Debbie Sliel, Cantor Jennifer Blum and lay leaders will officiate. SATURDAY: Bagels and Bible, 9:30-10:15 ajn.; Shabbat morning service, 10:30 a.m. SITTER SERVICE-Sitter service will be available for Friday evening services. Cost is $2 per family. Sorry, there are no facilities for infants. Beginning July 1, there is no sitter service for Saturday morning services during J u l y and August. Adult Education: Thursday, July 20: Adult B'nai Mitzvah Class, 7-8 pan.
OFFUTT AIR FORCE BASE 25th and Capehart, Omaha, NE 68113-5000 294-6051 Services conducted by Rabbi Ira Flax. Office hours: Monday-Thursday, 7:30 a.m.-4:30 p.m.; Friday, 7:30 a.m.-2 p.m.
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1502 No. 52nd Street, Omaha, NE 68104-5013 556-6288 Bethlsrael@novia.net Office hours: Monday through Thursday, 8:30 a.m.-4:30 p.m.; Friday, 8:30 a.m.-2 p.m. Services conducted by Rabbi Howard Kutner. FRDDAY: Evening Services, 7 p.m. The west minyan will be at the home of Donald and Maggie Gerber, 426 So. 126th St., 7:30 p.m. SATURDAY: Morning Services, 8:45 a.m. Kiddush is sponsored by the Berman family in memory of Dr. Bradley Berman; Pirkei Avos class with Rabbi Kutner, 8 p.m.; Mincha, 8:30 p.m.; Havdalah, 9:45 p.m. SUNDAY: Services, 9 a.m. and 8:40 pan. WEEKDAYS: Services, 7 a.m. and 8:40 p.m. TUESDAY: Class with Rabbi Shlomo Levin, 7:30 p.m. WEDNESDAY: Business Ethics lunch and learn with Rabbi Kutner, noon at the office of Joe Kirshenbaum, Noddle Development, 13710 First National Bank Parkway. Bagel Bin lunch provided for $3. Make your lunch reservation with the synagogue office; Rabbi's Talmud Class. 7:30 p.m.
Office Hours: Monday through Thursday, 9 a.m.5 p.m.; Friday, 9 a.m.- 4 p.m. Services are conducted by Rabbi Paul Drazen and Cantors Emil Berkovits and G. Michael Horwitz. FRIDAY: Services, 6 p.m. SATURDAY: Services, 9:30 a.m. Kiddush following services; Devar Torah given by Pam Friedlander; Sitter service, 10 a.m.; Humash with Rashi study session, 8:25 p.m.; Minha-Ma'ariv and Havdalah services, 8:55 p.m. SUNDAY: Services, 9 a.m. WEEKDAYS: Services, 6:55 a.m. and 5:30 p.m.
Gan Israel Day Camp completes second season by Shani Katzman
CHABAD HOUSE An Affiliate of the Worldwide (liabad-Lubavitch Movement
1866 So. 120th St., Omaha, NK 68144-1646 Phone: 330-1800 E-MAIL--ctmbad@aol.com WEBSITE: www.chabad.centers.com/omaha S e r v i c e - , c o n c l u d e d l>y K.-il>l>i M e n d e l
K:il/ni.in
FRIDAY: Kabbalat Shabbat SATURDAY: Services, 9:30 a.m. SUNDAY: Services, 8:30 a.m. WEEKDAYS: Minyan, 7 a.m. MONDAY: Chicken Soup for the Woman's Soul, 11:45 a.m.-l p.m.
BEYT SHALOM An Affiliate of Iht< |{i'ronslru<-tioiiist l'"odÂŤ-ration
3012 S. 119th St., P.O. Box 241130,
Omaha, NK 68124-5130 phone: 758-9233 http^wclcomcto/beytshaloiu/ FRIDAY: Tot Shabbat, 7 p.m. SATURDAY: Morning services, 9 a.m. RELIGIOUS SCHOOL: Summer Vacation. Classes resume August 20. FRIDAY, July 21: Family Kabbalat Shabbat, 7:30 p.m.
ROSE BLUMKIN JEWISH HOME SATURDAY: Services, 9 a.m., led by Marty Shukert. Members of the community are welcome. Services are held in the Herbert Goldsten Chapel, followed by Kiddush. A memorial service is held on the last Shabbat of each month, in memory of residents who have died.
Temple adds Club 56 advisors by Stephanie Grossman
TIFERETH ISRAEL Member of Hie United Synagogue of Conservative Judaism 3219 Sheridan Blvd., Lincoln, NE 68502-5236 423-8569 S e r v i c e s c o n d u c t e d l>y R;il)l>i St:inli-\ M. Ri)scnl>:tiiin. M i n y a n . Monthly ;ind Thiir*d:iy,
7:15 sum. FRIDAY: Services, 8 p.m. SATURDAY: Services, 9:30 a.m. SATURDAY, July 22: Noah Weiss, son of Cindi and Marlon Weiss, will become a Bar Mitzvah.
B'NAI ISRAEL SYNAGOGUE 618 Mynslcr St., Council Bluffs, IA 51503-0766 Phone: 322-4705 E-MAIL: docjeb@aol.com FRIDAY: Services, 7:30 p.m. Topic is "A comparison of the benefits of a brief Israel Tour vs. a college level course in Judaic studies. Oneg and Kiddish will follow services.
CONGREGATION B'NAI JESHURAN SOUTH STKKKT TKMHLR MftnlK-r of the I'nion of American Hebrew Confirt'iptlions
2061 S. 20th St., Lincoln, NK 68502-2797 435-8004 jrwi8hnebrat.ka.org Services officiated by Cantor Michael Weisser. FRIDAY: Sabbath Eve service, 7:45 p.m. SATURDAY: Torah Study, 10 a.m.; potluck/ game night, 6 p.m. TUESDAY: Adult Education-Pirke Avot, 7 p.m. WEDNESDAY: AA Meeting, 7:30 p.m., in the library. THURSDAY: Choir rehearsals, 7:30 p.m.
Jen Gates Nikki Flatowicz Two college students were added to the youth advisor staff at Temple Israel this summer. Nikki Flatowitz and Jen Gates, both sophomores at UNO, will coordinate programming for Club 56, the fifth and sixth grade youth group. Along with Youth Director Stephanie Grossman, they will plan and supervise events throughout the year. Club 56 gives kids an additional chance to socialize at Temple outside of Religious School. One goal of all the Temple youth groups is to create and nurture an individual Jewish identity, and Club 56 is the first step in that process. Jen and Nikki have worked together before. In high school, they were both active in OTYG, sharing the position of secretary their sophomore year. Jen was also Religious and Cultural Vice-president as well as President. Nikki was Treasurer for two years; a large part of her job was to coordinate the Annual Spaghetti Dinner. Through their various youth board positions, both have learned how to plan, publicize, and implement a variety of programs. They consider ongoing communication with both the parents and the fifth and sixth graders to be an important part of their job. The first Club 56 program will be Sunday, July 30, at Memorial Park. For more information on this year's programs, call Jen Gates at 778-9742, or Nikki Flatowicz at 778-9481, as well as Stephanie Grossman at 556-4596, and the Temple office at 556-6536.
More than 40 children enjoyed two fun packed weeks at Gan Israel Day Camp at Chabad House. Through a variety of activities, many of the teachings and values of Judaism came alive for the campers. Each day included davening, a Torah lesson, Tzedakah, swimming and a variety of sports and wacky science activities. One of the weekly highlights was challah baking and the Shabbat party. The evening before the final day of camp, a family event was held at Chabad House. Dinner, a magic show and a performance by the campers were part of the program. Rabbi Mendel Katzman said, "This season's camp truly exceeded our expectations. This success demonstrates the need for and excitement surrounding innovative/educational Jewish children's programming."
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PERSONAL Many thanks to my family, friends, Rabbi Drazen, Cantor Berkovitz and Hazzan Horivitz for the many cards, visits, contributions, and help while I was in the hospital and also at home. Tootie Simon
/JEWISH? SINGLE? OVER SO? Come to our First Singles Party TUESDAY, JULY 1 8 , 6 : 3 0 p.m. Olive Garden, 75th & Dodge Order and pay for your own dinner
Call 393-3144 and say "count me in" Bring a family photo
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Jewish Press, Omaha, NE
Editorial
July 14, 2000
Good health is a Jewish issue
In our fourth annual HealthWatch these pages, after all, good health is HOPPEL POPPEL NOT^CCOROING TO WHOT? issue, we've attempted to offer our a Jewish issue. OPEN HEART YOUR TESTS/ MISTER KRAHNKEG. USTEW SURGERY? readers information about how to Even the sages of the Talmud WH"f MET I'M TOMYASMSTAUT. WIUACftTHErER.-. AS A prevent illness, how to recognize instruct parents to teach their chil- HEALTHY HORSE DOC- SHE WROTE THE BOOK symptoms, and how to remain dren in the ways of the Torah, how HORSE.COMMA, S HI THERE, .\ MR.KR/WKER. healthy. to make a living, and how to swim. DOC... Articles range from an interview Knowing how to swim, of course, with Steve Stiel, the newest director could save your life, or the life of of Jewish Family Service, and his someone dear to you. But it is also agency's dedication to creating a one of many instructions from our safe, secure environment for the Jewish texts on staying healthy. treatment of a variety of mental Moses Maimonides, the Rambam, health issues, to the Spiegal family's the great philosopher, lawyer and mission to alert readers to the symp- doctor of the 12th century, wrote voltoms of brain tumors. umes about the value of eating right HOPPEL POPPEL, HEY.ZAYDIE! In addition, many of our advertis- and staying fit. Modern-day rabbis MY HE6REW TEACHER TD(J> THATS WHAT are as concerned about our mental ers have chosen to inform readers on I UMOERSTANO, US LOTS Of SHUOMO. PEOPLE topics ranging from good dental and physical health as they are JEWISH TOOK DRUGS IN THE practices to home nursing care. And about our spiritual health. In fact, SIXTIES... finally, we've printed informative some even suggest that all three go articles from non-profit organiza- hand-in-hand. tions like the Nebraska Medical As the Yiddish sayings go, "May Association and the Arthritis you live to be a hoondret ain Foundation. zvantzig, a hundred-and twenty! We hope you, our loyal readers, And a bie gezunt (to your good will find something of interest in health!)."
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Heaven on earth," said one guest by Carl Alpert
Haifa-Israelis have discovered a resort of inter- age of 16 are not admitted, not even as visitors. national caliber here at home which almost Normal dress is described as "Very relaxed." Sport overnight has become the in-place for celebrities, clothing is the rule, and many guests spend much yuppies, or middle-aged folks who think in terms of of the day in the robes which are provided. osteoporosis, over weight or the need for full relaxA full variety of more than 60 individual masation in a healthy atmosphere. sages, body treatments, and more, are available (at The resort is called Yaarot Hacarmel, Carmel extra charge}. Forest Spa, and it is located in a nature paradise, The time can be filled with an almost constant isolated in the middle of the Carmel mountain program open to all, including lectures, films, use park, an area justly known as Little Switzerland. of indoor and outdoor swimming pools, aquaeroWhereas many hotels in Israel have added modest bics, yoga, fat-burning walks along nature paths, spa facilities, this is not a travellers' hotel, but a mountain cycling for those so inclined, Feldenkriez, health resort in the full sense of the word. Tai Chi, various exercise machines in the fitness It lays claim to being the only strictly kosher spa room, gym sessions-the list is almost endless. The in the world. authentic Turkish hammam is manned by "Omar There are many unusual features, but first a the Great" of Turkey. word about its history. The large, sprawling buildIn between the activities the guest may find utter ing, which blends well with the greenery on every relaxation in the public rooms or the spacious outside as far as the eye can see, was built with the door gardens. help of the German government and opened in Interior decoration is charmingly tasteful, creat1968 as a rest home to provide vacations for ing an unusual atmosphere. There is no need and Holocaust survivors living in Israel. It filled that no possibility of rushing to catch a sightseeing bus. function for a number of years, but as the number The mood here is rest, and indeed many visitors to of potential guests gradually declined, it closed the country, exhausted by their crowded sightseedown. ing program, find it helpful to recuperate with a Private entrepreneurs acquired the premises, few days at Carmel Forest. and with an investment of $30 million added a While salads and healthy foods abound at meallarge wing with 25 separate treatment rooms, and time, the menus are not lacking in a full range of completely renovated and modernized the struc- culinary specialties, aesthetically served, and with ture and spacious grounds. gourmet touches at dinner. No luxury restaurant It opened in November, 1996, and has grown could be better. rapidly in popularity. There are times when it is No smoking in public rooms, and no use of mobile filled to 100% of capacity. telephones, there. Some of its unusual features: Children under the Thirsty? The main lobby has a tea bar at which
FRAME
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THE JEWISH PRESS (Founded in 1920) The role of the Jewish Federation of Omaha is to involve Jews in meeting Jewish communal needs locally, nationally and in Israel. Centers of Excellence of the Federation are: Community Relations, Jewish Community Center, Jewish Educational and Library Services, Jewish Family Service, Jewish Senior Services. The Jewish Press is a Constitutional Committee of the Jewish Federation of Omaha. Deadline for copy, ads and photos is Thursday, noon, eight days prior to publication. The Jewish Press (USPS 275620) is published weekly on Friday for $28 per calendar year U.S.; $32 foreign, by the Jewish Federation of Omaha. Telephone: 402-334-6448; FAX: 402-334-5422; E-mail: <jshpress@aol.com> Periodical postage paid at Omaha, NE. POSTMASTER: Send address changes to The Jewish Press, 333 So. 132nd St., Omaha, NE 68154-2198.
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guests can help themselves to a wide choice of tea flavors—no charge. Service? There are 240 employees serving 126 rooms, meaning an average of two per room we were told by Neta Keidar, Guest Relations Manager. The maintenance and immaculate cleanliness show it. Guests are pampered on every side. There was one mysterious aspect which we could not at first clarify*: The atmosphere in the spa was always refreshing and invigorating. On our first day there we thought we caught a whiff of a delicate aroma in the lobby, but it was not intrusive and barely obvious. Yet we were aware of it everywhere. And then we learned that the spa experts had developed an unusual faint fragrance, extracted from natural plants, and this had become almost an olfactory trademark of the place. Even the floors are washed with a faint infusion of the scent. After a stay, guests become oblivious of the odor, and are conscious only of a constant pleasant feeling. Obviously we enjoyed our stay, and we're going back again soon. Many guests recorded their reactions, unasked in the open Guest Book in the lobby. "Heaven on earth," wrote one. "Everything was superb," wrote another. "Luxury personified" was another expression, but the spa rates are not geared to millionaires. They are within the middle class range. Note: This is not a commercial. We were full paying guests!
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593-9210 8425 "F" St. (across from Acura) re-established, 1998 JEWISH PRESS COMMITTEE Fred Tichauer, Vice-Chairman; Joanie Jacobson, Secretary; Howard Silber, Treasurer; Elyce Azriel; Jill Belmont; Jean Duitch; Penny Endelman; Kip Gordman; Gary Kudym; Howard K. Marcus; Linda Saltzman; Steve Simon; Amee Zetzman; George Schapiro (Honorary Committee Member). Editorials express the view of the writer and are not necessarily representative of the views of the Jewish Press Committee, the Jewish Federation of Omaha or the Omaha Jewish Community as a whole. The Jewish Press reserves the right to edit letters and articles for space and content. The Jewish Press is not responsible for the Kashruth of any product or establishment.
July 14,2000
Jewish Press, Omaha, NE
Page 5
Letters to the Editor strategy to overturn Roe v. Wade by To the Editor: NCJW President Jan Schneiderman chipping away at reproductive rights applauded the Supreme Court's deci- from every angle. Abortion opponents sion in Stenberg v. Carhart striking know they cannot win by direct down Nebraska's so-called "partial attacks on the right to choose, so they have engaged in a campaign of subbirth abortion" ban: "The Court's decision in Stenberg is terfuge. Fortunately, the Court saw a great victory for women and for through this strategy, and labeled it individual liberty. By reaffirming the unconstitutional. This narrow 5-4 decision reminds critical and basic protection of a woman's right to choose, established us that we must remain ever vigilant in 1973 in Roe v. Wade and reiterat- on all fronts to ensure that this funed in Planned Parenthood of damental right is protected. NCJW Southeastern PA. v. Casey in 1992, and its grassroots volunteers across the Court upheld the right of every the nation will continue our longwoman to make the difficult and per- standing commitment to provide the sonal decision to terminate a preg- leadership, advocacy and education nancy without undue interference by needed to ensure the protection of every female's right to reproductive politicians. • As written, the Nebraska law choice." Sara Juster undermined every woman's constituNCJW State Public Affairs tionally guaranteed individual liberty Chairman to make her own medical decisions, often in consultation with her clergy, family, and physician. NCJW is pleased that the Supreme Court To the Editor: exposed the Nebraska law for what it I am going for my Ph.D. in Clinical is: a political vehicle by legislators to Psychology at Fairleigh Dickinson interfere with the reproductive free- University in Teaneck, NJ, and doing dom of women. my dissertation on Holocaust NCJW has been particularly con- Survivors and their children, as well cerned about such abortion bans as a comparison group of Jewish nonbecause they interfere with the rights survivors. I am trying to recruit and ability of women to practice their Holocaust survivors for my research religious beliefs regarding reproduc- to investigate whether or not surtive rights. Women must be respected vivors and their offspring manifest as moral decision makers, able to more psychological distress than conmake choices based on their diverse trol groups. Those interested should religious beliefs and traditions, as contact me directly. liana Breslau well as their own consciences. 73 W. 83rd St., Apt. #2E The Nebraska law and its clones New York City, NY, 10024 are not about abortion procedures, Ph:l-212-580-0204 they are the cornerstone of a new
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Jewish Press, Omaha, NE
July 14, 2000
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Y.E.S. Members will meet Monday in the auditorium of the JCC. Exercise at 10:15 a.m. in the auditorium. All are welcome! Or try your luck at bingo with Eileen Remer at 10:15. Bring articles to share for the "YES Talk" discussion group at 11. Following lunch at noon, Esther Pilster will give a patriotic talk on "Let Freedom Ring." For transportation, call 330-4272. Make reservations for the Bluffs Run Casino on July 27; deadline is July 20. Call Maggie Conti at 334-6521 for reservations. WALK-IN, DROP-IN Members will meet Thursday at the JCC. Exercise and bingo start at 10:15 a.m. in the social hall. Come for grilled kosher hot dogs at noon. Lois Wine will take us back to yesteryear with "Remembering When." Call Maggie Conti for reservations at 334-6521. VISIONS Reminder: Membership Luncheon Meeting is Friday, July 21, at 12:15 p.m. (notice earlier time). Don't miss this Visions first—Nebraska Humanities Council Speaker Pippa White. She will discuss "The Story of the Orphan Train." This forgotten piece of American history is brought to life through slides, costume and storytelling, based on the true stories of those who lived it. 39FOREVER The July 25 activity will be a Baseball game at Rosenblatt Stadium at 7:05 p.m., preceded by dinner at Picollos at 4:45 p.m. For additional information, contact Maxine Noodell at 393-7426.
BREADBREAKERS Please note that Breadbreakers has moved: our new location is McGuires Irish Pub(formerly Gallaghers) at 106th and Pacific St. Rich Roberts, Sports Director with KMTV-3, will speak at B ' n a i B ' r i t h Breadbreakers on Wednesday, according to Ron Gordon. B'nai B'rith Breadbreakers meets every Wednesday at noon. The program is open to the community. Cost is $9. SINGLES OVER 50 Jewish singles over 50 years of age are planning a dinner-party-evening on Tuesday, July 18, 6:30 p.m., at the Olive Garden. Please call 3933144 for reservations. The evening will also include the gathering of family-related material for the archives of the Nebraska Jewish Historical Society. According to Mary Fellman and Larry Axelrod, planners for the evening, "This is an opportunity for many singles to enjoy an evening together, to talk and make plans for future activities." Singles who plan on attending are asked to offer rides to those who do not drive or to make arrangements for car-pooling.
Y.E.S.CIub Contribution Cards
Be Beautiful! Stop by Togs for the latest in l/esignei-yashions Helen Wang Laundry • easel BCBG* theory Drawers • Tocca Cynthia Rowley French Connection & more Thanks, Omaha, for Fashionably voting us one of your favorite Women's Clothing Stores
PRIVATE SHOWING BY APPOINTMENT M thru F 10 a.m.-6 p.m. • SAT 10 a.m.-5 p.m. • SUN Closed
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Send a card for any occasion. Let Julie Schapiro (left), or Reva Oruch do the workit just takes a call. The funds help pay for quality programs, parties, trips and other services for seniors throughout the year. Call Reva at 391-8344, or Julie at 391-4869.
Newman Grants Committee requests due by August 14 by Claudia Sherman
Members of the Esther K. Newman/Carolyn Kully Newman Funds Grants Committee will meet on Tuesday, Aug. 29, to consider applications for grants that are submitted by 1 p.m. on Monday, Aug. 14. Committee members disburse grants for new and innovative programs designed to enhance the Jewish identity of youth in the community. The Esther K. Newman Fund supports programs designed for Jewish youth between preschool and college age, and for young adults under the age of 23 who are not attending a college or university. Programs that strengthen Jewish identity and values through educational, religious, cultural, social, or recreational activities sponsored by synagogues and Jewish organizations in Omaha and Lincoln, as well as Jewish Federation agencies, will be considered. Income from the Carolyn Kully Newman Fund is allocated to fund programs and activities for Jewish children of kindergarten age or younger. Programs that strengthen Jewish identity and values through educational, religious, cultural and social or recreational activities are reviewed by the committee. Programs that promote general health, development, and welfare of Jewish children and their families are also eligible to apply for grants. Distributions may be made available to purchase equipment, supplies and materials for these programs. Among the criteria for selecting grant recipients are the community value of a program including its special or unique features, an agency's ability to carry out the purposes and goals of the program or service, and the cost-benefit considerations of the program. Particular emphasis is placed on new and innovative programming. Barbara Epstein, chairman of the Newman Grants Committee, emphasized that the viability of proposals be clear to ensure that allocations are not made to programs that are cancelled due to poor planning or low enrollment. In addition, Epstein encouraged organizations to submit requests to maximize in-kind contributions to help stretch the available funds. Members of the Newman Grants Committee represent the Jewish Federation Board of Directors, the Federation Budget and Allocations Committee, Jewish Educational and Library Services, the Jewish Community Center, Beth Israel Synagogue, Beth El Synagogue, Temple Israel, Friedel Jewish Academy, B'nai B'rith Youth Organization, and the Federation Foundation. Both Newman Funds are administered by The Foundation of the Jewish Federation. Applicants may call The Foundation office at 334-6439 for assistance.
Oldtimers/Y.E.S. Review by Art Grossman
Hip! Hip! Hooray! Add another Hip to that cheer and you will know the reason why the OT/Y.E.S. column has been absent for three months. On April 30, this reporter underwent surgery for hip replacement for the third time. Following hospitalization for two weeks, it was a transfer to the Blumkin Home for rehab and intensive therapy. Thanks to incredible therapists Shanna Paopao and Sharon Thome, I am home and on the road to recovery. I am still unable to attend our Monday luncheons but while at the Home I did wheel over to the "J" to conduct the Father's and Mother's Day celebration and installation of newly-elected officers for 2000/2001. They are: Co-presidents, Sarah Lewis and Art Grossman; Vice-president, Ilene Pachman; Recording Secretary, Millie Altman; Treasurer, Anne Margolin; Membership Dues, Frieda Krizelman. Chairpersons: Program, Jean Marshall; Telephone & Hospital, Kay Ferer; Contributions, Reva Oruch and Julie Schapiro; Matre Ds, Charlie Susman and Dan Greenfield; Historian, Charlotte Kaplan; Hospitality, Sally Venger; Member-atLarge, Norman Zevitz. Shalom.
July 14, 2000
Marraige
Jewish Press, Omaha, NE
Page 7
Births
Dr. Marti Epstein and Dr. Charlie Katz of Cambridge, MA, were married June 15 at the home of the bridegroom's parents, Alan and Evelyn Katz of Burlington, MA. Rabbi Lewis Mintz officiated at the 5 p.m. ceremony, which was followed by a dinner at the East Coast Grill in Cambridge. A reception at the Winthrop, MA, Yacht Club was held on Sunday, June 18. The bride's parents are Tuffy and Helen Epstein. Honor attendants were Jennifer
Elowsky-Fox of Brookline, MA, and Beth Kun of Cambridge. The bride received her doctorate at • Boston University " and is an Associate Profes
? w .*5S
-
. ' sor at Berklee College of Music ;',; in Boston. - ', The groom received his doctorjjate in Physics at the Massachusetts Institute of Technology. He is a radio astrophysicist at the Smithsonian Astrophysical Observatory in Boston. The newlyweds plan a honeymoon in Hawaii in August.
Julie and David Stein of Omaha announce the May 17 birth of their daughter, Hannah Rose, and their son, Joshua Alexander. Joshua is named after his late paternal great-grandfather, Keith Peltz, late paternal great-grand-. mother, Fannie Stein, and late maternal great-aunt, Bertie Kagan. Hannah is named after her late maternal great-grandfather, Hymari Pittelman, and late paternal greataunt, Rhpda Guggenheimer. The new arrivals have a brother, Zachary Benjamin, 3. Grandparents are Art and Lorraine Stein and James and Esther Wax, all of Omaha. Great-grandmother is Mae Pittelman of Milwaukee, WI. Peter and Wendy (Weiner) Runge announce the birth of Zecharia Ben TzionYechiel.
Zecharia has a sister, Talya Gavriella, and a brother, Yehonaton Eliyakim. Grandparents are Dik and Ina Weiner of Omaha and Dr. and Mrs. Walter Runge of Minneapolis. Great-grandparents are Dr. and Mrs. Milton Margolin of Omaha. Matthew and Shayna Ray announce the May 9 birth of their daughter, Chloe Madison (Golda Ruchama), named for her maternal great-great-grandmother, Golda Ostravich, and maternal great-grandfather, Robert Rimmerman. Grandparents are Jennine Goldberg of Omaha, Harlan Rimmerman of Leavenworth, KS, Linda Ray of Omaha and Michael Ray of Reno, NV. Great-grandparents are Charlotte Kraft and Reva Rimmerman, both of Omaha, and Joe and Yolanda Ray of Reno.
Engagement TICHAUER/GREGORY
Carl and Gayle Tichauer announce the engagement of their son, Cory, to Antigone Gregory of Cortland, NY, daughter of Valerie Domineske of Richmond, VA, and Tony Gregory of Knoxville, TN. The prospective groom is in his third year of medical school at the National College of. Naturopstthic Medicine in Portland, OR. His fiancee plans to pursue a teaching degree at Portland State University. The couple plans an August, 2001, wedding in Ithaca, NY.
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Jewish Press, Omaha, NE
July 14, 2000
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their families. Dear Gil: Why is it that I, who has become disabled, can One simple example: at most of the synagogues I Licensed-Bonded ' 5 5 6 * 9 7 0 8 332-3641 find help to get groceries from most churches but have seen, a person in a wheelchair cannot go up to never by contacting the local tempi? I think there the pulpit (bima) because there is no ramp or lift. should be a way for folks who are stuck at home to I think the main reason is that nobody thought be able to find each other and make friends because, about it when the synagogues were built. That was PRINTING, in the sick world, only those who know what its like then, but today we should be making our buildings COPYING ond can relate. The well world doesn't help. and programming accessible to all. (Editor's note: DIGITAL NETWORK N Beth El Synagogue in Omaha is accessible to the 3706 South 132nd Street • (402) 330-5050 physically challenged; Temple Israel provides access Dear N.: through the rabbi's study.) Letterhead • Brochures • Newsletters You are not the first person to contact me For an example of what I mean, see the Moment Business Cards • Mailers • Postcards expressing the sentiment that too often Jews turn Magazine article about disabled kids having B'nai their heads away and ignore those with disabilities. Mitzvah ( "Disabled, Not Disqualified," February, We Jews talk a great deal about repairing the 2000.) world (Tikkun Olam), but when I receive letters Having said all of that I also want to make anothsuch as yours I wonder whether, too often, we just er point: many Jewish organizations and synapay lip service to this lofty ideal. gogues do a tremendous amount of admirable and I want to respond to you with four thoughts. wonderful work to assist people with handicaps, Here is the first: I fear that often people (not just special needs or who are too frail to take care of Jews) do turn their heads away from the differently themselves. abled who need our help. I am not sure this is an Which brings me to my final point. To care for HONEYMAN RENT-ALL issue of Jews or gentiles being more compassionate. those with special needs or who are differently 74e P«nty Place Vi Certainly you can find many Jews and gentiles that abled is the Jewish thing to do! FOR THE FINEST IN ENTERTAINING ACCESSORIES, care a great deal and lend a helping hahd-and HOW CAN YOU THROWA PARTYAND NOT INVITE US?? We are taught not to place a stumbling block • Tables • Chairs • Linens • China • Silver • Glassware • Punch Bowls many that do not. before the blind and to pay special attention to the • Fountains • Chafing Dishes • Party Canopies • BBQ Grills • Wedding & Church Displays • Portable Bars • Dance Floors • Skirting I think ignoring the differently abled is mostly a needs of the widow and the orphan. To me, the • Coat Racks • Coffee & Tea Servers • Candelabras matter of being "sensitized." spirit behind these laws is obvious: we Jews are 11226 Wright Circle I once was in a hospital and accidentally got off commanded to look out for and help the disadvan(1 Block So. of 114th & Center) .0*on the wrong floor in the Kidney Dialysis taged. Department. I looked around and saw waiting So, in closing: to those with special needs, con333-2882 areas for the families and also the areas where tact the synagogues, JCCs and Jewish Family dialysis patients spent many long hours, a number Services in your area and inquire what programs of times a week having machines hooked into their exist—you may be surprised. If programs do not blood vessel so that they could live. exist, then constructively speak out. I remember thinking at the time, "My God, there Also, contact the Council For Jews with Special is an entire world here. This is like another planet Needs, Inc., 32 West Coolidge, Suite 102, Phoenix Best Western and the people here and their families have their AZ 85013. Their phone is: 1-602-277-4243, or visit lives turned upside down by the fact that their kid- their website at: wwiv.cjsn.org. Regency Hotel neys don't work. And I do not even give a thought And for of us lucky enough to be able to say, "I do to my kidneys!" not have special needs or disabilities,"-then do the • Located at 1-680 and Pacific Street Jewish thing: count your blessings and then contact And then I got on the elevator and reentered my »Ballroom seating up to 300 people your Federation, JCC, synagogue or Family Service world. Though I will always remember the experi> Coffee Shop for breakfast & lunch and say, "I want to help" or "What can we, as an ence, it did not change my life. «20 minutes from Epply Airfield & Henry Doorly Zoo A few years later, my life was changed. Two organization, do to help?" • Just minutes from major shopping 1 Heated Indoor Pool, Whirlpool and Exercise Room close friends — who also live two houses from me — After all, if we live long enough, each one of us • Satellite Television had a baby girl born with a Jewish genetic disease will have special needs someday that will require • Jolly Jack's Lounge that made her progressively more ill and complete- the help of others. 397-8000 ly dependent on others for life. Gil Call us today for your Special Event or She passed away four years ago. I thought of my Meeting. You will^/jftp the experience! Mends and their little girl every day. Gil Mann is the author of: How to Get More My family spent much Out of Being Jewish Even If: A. You are not time with her family. sure you believe in God, B. You think going to All of us became sensi- synagogue is a waste of time, C. You think tized to the challenges keeping kosher is stupid, D. You hated of disability and to the Hebrew School, or E. All of the above! necessity of reaching He makes no money from book sales (to order out to those who need call: 1-800-304-9925,) his work on America our help. Online or this column. You are invited to his Which leads me to my area of AOL (Keyword: Judaism Today,) for a second thought. The free download of the first 2 chapters of his time I spent with my book and other Q & A with Gil. He welcomes friends also sensitized your e-mail comments and questions about me to the fact that the this column or any subject. Jewish world does not Write to DearGil@aol.com or send your letdo enough to help the ters to this paper. "differently-abled" and FAMILY HEATING & COOLING
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July 14, 2000
Read it and Eat
Jewish Press, Omaha, NE
Page 9
The Barefoot Contessa Cookbook, by Ina Garten (Clarkson Potter, $32.50) Review by Lois Friedman, readitandeat@yahoo.com
Close your eyes and pretend you're a guest at a friend's for the weekend in the Hamptons on Long Island in New York. It's quite possible some of the meals and party fare for the weekend would be from the special specialty food store, Barefoot Contessa. For 20 years, Barefoot Contessa has been supplying food and foodstuffs to the locals. Prompted by encouragement from people and requests for her recipes, t h e energy behind Barefoot Contessa shares her secrets. Secrets about entertaining style, advance preparations so you can enjoy living and entertaining with your guests, and simplicity—farm-grown vegetables, backyard herbs and flowers. Right out of the White House and working on nuclear energy policy to pursuing her childhood love of cooking, the author learned as she went and grew. Understanding ingredients and flavors, making everything not only taste delicious but look beautiful without being complicated, and that simpler is better, were important lessons learned from culinary visionaries. As she constantly revised recipes, her style developed. . .each of us should give recipes our own style. Pood is about comfort and nurturing , making as much in advance as possible and avoiding stress so you aren't a wreck when your guests arrive. Here are the secrets from this specialty food store for simple food and gorgeous party platters you can make at home. Fresh ingredients-smell them, feel them and buy seasonally from the source~and glossary terms are followed by 85 recipes, wonderful tips, hints and words of advice in each of the chapters: appetizers, soups, salads, dinner, vegetables, desserts, breakfast, assembling party food and sources. Each chapter has a list of the recipes, plus there is an alphabetical index at the end of the book. The recipes are temptingly written and the instructions are clear and easy-to-follow and serve from 4 to 40. Almost every page has fabulous color photographs best described as eye-candy. . .175 of them. Most recipes have a short list of ingredients. What more can you ask for?
Don't even wait for company to try one of the recipes from this glorious book, or you could close your eyes and wish that you were a guest at a friend's for the weekend at the Hamptons. This following recipe is not only okay to make ahead, it actually tastes better if it is allowed to sit in the refrigerator for a few days while the vinaigrette soaks into the beets. If you are in a hurry, use canned baby beets. BEETS WITH ORANGE VINAIGRETTE serves 6-8 3 pounds fresh beets (3 bunches) or 3 15-ounce cans of baby beets, drained 2 tbsps raspberry vinegar 2 tbsps freshly squeezed orange juice 3 tbsps good olive oil 1/2 tsp sugar ll/2 tsps kosher salt 1/2 tsp freshly ground black pepper 1/2 cup small-diced red onion (1 small onion) zest of 2 large navel oranges segments of 2 large navel oranges If you are using fresh beets, trim off the green tops and place the beets in a large pot of salted water to cover. Bring to a boil and simmer uncovered for 50 minutes to 1 hour, until the beets are just tender. Drain and allow to sit until cool enough to handle. Peel and dice the beets into 1/2 inch cubes. (If using canned beets, drain the liquid and dice the beets into 1/2 inch cubes). While the beets are still warm, place them in a mixing bowl and add the raspberry vinegar, orange juice, olive oil, sugar, salt, pepper, red onions, orange zest, and orange segments. Mix well, taste for salt and pepper, and serve cold or at room temperature.
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Jewish Press, Omaha, NE
July 14,2000
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Seems like lots is being written about humor and the benefits of laughter for your health and wellbeing. Grab your cooking spoon, laugh and improve your health. These authors/sisters put everything on the line for their first cookbook, Looneyspoons, which enjoyed tremendous success and was the fastestselling cookbook in history. Once again they packed their second cookbook with fun, mouthwatering eats that are so good you'd never guess they were low in fat. By the way, each recipe has nutritional data titled "What's in it for me?" Gag titles are part of the wacky, corney charm and wit. . .how'd you like to dig into a plate of "Penne from Heaven," "Stew Good to be True," "Mercedes Buns," the "Whole Chick and Caboodle." Words of encouragement are from "Lotsa oluck to ya" and "Fei Pie Foh Yum" for the chicken dishes to "Yammed if you do and yammed if you don't", sweet potato or yam soup. And such straight-faced slogans as "If at first you don't succeed. . .pretend that's not what you were trying to do in the first place;" and Norman Cousins' "Hearty laughter is a good way to jog internally without having to go outdoors." "Cooking 101, Fat or Fiction, You do the math" (showing, for example, if you substituted two teaspoons of mustard for mayonnaise you'll save 10 days or 718 grams of fat in a year), "Who'da thunk," "Trivial Tidbits," "Say it Ain't So," the "EX files" add fun-food-facts, healthy living tips, and zany humor on every page. One hundred fifty innovative recipes low in fat, calories and cholesterol for all you crave and that are good for you. The recipes are easy and easy to prepare. The instructions are clear and often have easy tips. All this is divided into a bakers dozen chapters: Just the Snacks, Ma'am; Romaine Empire; My. Fair Ladle; Bring Home the Bakin'; Eats Without Meats; Pasta la Vista, Baby; Chicken Worth Pickin'; Fishful Thinking; The Meating Room; The Side Show; The Sweets of San Francisco; Miscelloneyous. In Back Matter the healthy-eating course is defined in their Crazy Plates 12-Step Program for a Healthier Lifestyle. Bright colors and cartoons round out this upbeat treasure chest. Think "fitness," not "thinness" and enjoy a Blast from the Pasta.
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BLAST FROM THE PASTA Old-fashioned, one-pot hamburger-noodle casserole Fusilli with far-out flavor, man! Whether you're cooking dinner for 'My Three Sons,' lunch for the 'Partridges,' or brunch for the 'Bradys,' this recipe will feed an army. Any leftovers'? Just leave them to 'Beaver.' Editor's note: Non-dairy products may be substituted to make this recipe kosher. ll/2 pounds extra-lean ground beef 1 cup each chopped green bell pepper and chopped onions 2 cups sliced mushrooms 1 can (28 oz) diced tomatoes, undrained 1 can (10.75 oz) reduced-fat cream of tomato soup, undiluted 1 can (10.75 oz) reduced-fat cream of celery soup, undiluted 1/2 cup 1% milk 11/2 tsp. dried oregano 1 tsp. chili powder 1/2 tsp. paprika 1/4 tsp. black pepper 1/4 tsp. crushed red pepper flakes 8 oz. fusilli pasta, uncooked (about 3 cups dry) Spray a large, non-stick skillet or electric fry pan with non-stick spray. Add beef and cook over medium-high: heat until no longer pink. Break up any large pieces using a wooden spoon. Add green peppers, onions and mushrooms. Continue to cook until vegetables begin to soften, about 3 to 4 minutes. Stir in diced tomatoes and their liquid, tomato soup and celery soup. Cook and stir until mixture is well blended. Add all remaining ingredients. Bring to a boil. Reduce heat to low. Cover and simmer for 30 minutes, stirring occasionally. Serves 8. What's in it for Me? Per serving: 327 calories, 8 g fat, 2.7 g saturated fat, 24.4 gprotein, 37.9 g carbohydrate, 1.9 g fiber, 47.4 mg cholesterol, 638.9 mg sodium, % calories from fat: 22.
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Broken braces and wires If a broken appliance can be removed easily, take it out. If it cannot, cover the sharp or protruding portion with cotton balls, gauze or chewing gum. If a wire is stuck in the gums, cheek or tongue, DO NOT remove it. Take the child to a dentist immediately. Loose or broken appliances which do not bother the child don't usually require emergency attention.
Cut or Bitten tongue, lip or cheek Bleeding after baby tooth falls out Apply ice to bruised areas. If there is bleeding, apply firm but gentle pressure with a clean gauze Fold and pack a clean gauze or cloth over the or cloth. If bleeding does not stop after 15 minutes, bleeding area. Have the child bite on the gauze or it cannot be controlled by simple pressure, take with pressure for 15 minutes. This may be repeated once; if bleeding persists, see a dentist. the child to a hospital emergency room. Knocked out permanent tooth
Cold/canker sores Many children occasionally suffer from "cold" or "canker" sores. Usually over-the-counter preparaFind the tooth. Handle the tooth by the top tions give relief. Because some serious diseases (crown), not the root portion. You may rinse the may begin as sores, it is important to have a dentooth, but DO NOT clean or handle the tooth tal evaluation if these sores persist. unnecessarily. Try to reinsert it in its socket. Have the child hold the tooth in place by biting on a clean gauze or cloth. If you cannot reinsert the tooth, transport the tooth in a cup containing milk or water. See a dentist immediatelyl Time is a critical factor in saving the tooth. Remain calm; reinsert fast or keep moist; see dentist
Possible broken jaw If a fractured jaw is suspected, try to keep the jaws from moving by using a towel, tie, or handkerchief, then take the child to the nearest hospital emergency room.
July 14, 2000
Community stands in solidarity with convicted Iranian Jews More than 100 people gathered at the Jewish Community Center on Monday to protest last week's wrongful conviction of 10 Jews in Iran. Organized by Gary Javitch, President of B'nai B'rith, and Forrest Krutter, President of the Jewish Federation of Omaha, the rally was also sponsored by the Anti-Defamation League, Beth El Synagogue, Beth Israel Synagogue and Temple Israel. The gathering, held in the newly remodeled lobby of the JCC, was part of a world-wide protest orchestrated by B'nai B'rith International and the Conference of Presidents of Major Jewish Organizations. On July 1, the verdict in the trial of 13 Iranian Jews suspected of spying for Israel were handed down in Shiraz, Iran. The harsh sentences, ranging from four to 13 years, were denounced throughout the world. According to CNN, President Clinton condemned the court's decision shortly after it was announced, saying it was clear that the Jews were not accorded due process of law and that the judicial proceedings were "seriously flawed." The verdict does not mark the end of the process; defense attorneys are planning appeals, but the case has increased alarm among the 30,000 Jews who still live in Iran. A special parliamentary
deputy for the Jewish community said over the weekend that Jewish emigration from the country has increased since May when the case went to trial. Many of those who remain fear repercussions for speaking out against the verdict. Speakers at the rally also included Debbi Brown, Assistant Director of the ADL-CRC, and Rabbi Howard Kutner of Beth Israel, both of whom voiced their indignation over the sham trial and who urged the crowd assembled to communicate their outrage. "We want to send a message to Washington and Iran that we will not be silent in the face of opposition," noted Javiteh. Brown outlined the courses of action available to communicate, while Rabbi Kutner led those assembled in a prayer on behalf of the Iranian Jews and their families. The Solidarity Gathering in New York drew more than 2000 people and was one of many that took place around the world on Monday. Similar gatherings occurred in Boston, Chicago, Denver, Detroit, Los Angeles, Miami, Philadelphia, San Antonio, London, Moscow, Ottawa, Paris, Toronto, Vancouver, as well as in Omaha. Gary Javitch and Pam Monsky contributed to this article. Photos by Jen Gates.
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Israel's Reform campus vandalized in another attack on liberal Judaism by Avi Machlis
JERUSALEM (JTA)-Vandals struck the Reform movement's Hebrew Union College in Israel last week, smashing glass windows and doors and spray-painting the word "Satan" in black letters on the ground. The July 6th attack on the institute was the second on the HUC after a door was smashed there a few weeks ago. It was also the fifth recent attack on a non-Orthodox institution, the most serious being the torching of a Conservative synagogue in Jerusalem in June. "This has become a wave,"said Motti Inbari, spokesman for the Reform movement in Israel. "There is a connection between the incidents." Reform officials notified the police and said no suspects have yet been apprehended. However, they said, night workers on the scene said men dressed in haredi, or fervently Orthodox, garb were seen nearby before the attack.
Rabbi David Rosen, the modern Orthodox director of the Anti-Defamation League's Israel office, said the perpetrators of recent attacks and those who agree with them must be taught "in schools and synagogues, through the media and from political and religious leaders," that differences of opinions must be accepted in a democracy. The burning of the Ya'ar Ramot Conservative synagogue last week sparked a landmark condemnation from Rabbi Yisrael Meir Lau, Israel's Orthodox Ashkenazi chief rabbi. Condemnations were also voiced from some fervently Orthodox political leaders and printed in the haredi press. However, Reform and Conservative leaders complained that many of these statements were ambiguous. Meanwhile, Aharon Barak, president of Israel's Supreme Court, has promised a swift ruling on the legitimacy of non-Orthodox conversions in Israel.
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Jewish Press, Omaha, NE
July 14, 2000
A storybook beginning:
USY on wheels rolls into Omaha
Hadassah establishes first Hebrew-Arabic children's hospital library in Jerusalem
by Ozzie Nogg
When a busload of ninth and 10th and Hazzan G. Michael Horwitz, also grade USYers pulled into Omaha praised the Beth El volunteers who over the Fourth of July weekend, offered their homes and who helped by Melissa Chapman Beth El Synagogue~the host congre- with food preparation and meal servgation-rolled out the red, white and ing at the synagogue. blue carpet. The 48 high school stu"Of course, Lucy White's downdents from all over the United States home kosher fried chicken and were treated to home hospitality, an mashed potato dinner was a huge hit evening at the JCC> plus a visit to the with the kids," Littky said. "They'll be SAC Museum, stops at local shopping talking about it—and eating the malls as well as worship services at brownies Lucy packed for them—all the synagogue. the way to their next stop in "The USY kids were great," said Kearney." Scott Littky, Beth El's Education USY On Wheels is an annual sixDirector. "The group that stayed and-a-half week trek through the overnight at our house was up until United States and Canada. three in the morning doing laundry Sponsored by United Synagogue and checking their e-mails. They Youth, the program gives teens a were polite and appreciative and we chance to meet other Jewish all had a blast." teenagers around the country and do Littky, who coordinated the some old-fashioned sightseeing, all Michal Kabra (left), Daniel Dabra, Nura Rajbi and Omar Rajbi listen stopover with assistance from Rabbi while living together on the road as as actor/storyteller Yehia Kasam (center), reads to children at the Paul Drazen, Cantor Emil Berkovits young Conservative Jews. new library at Hadassah Hospital. (Jerusalem)—Read me a story, the Hebrew books, and Salah Abassi, a little girl in the hospital bed begs her leading publisher of Arabic books, Mommy. But in the emotional sent the children 100 titles. Keter moments of rushing to the hospital, children's author, Uri Orlev, personher mother has left the storybook at ally read from his books, while actor/storyteller Yehiah Kasam, a home. That's no longer a problem. new program host from Israel Now moms and dads and children, Television, told stories in Arabic. too, will find a wide choice of books in the library of the Mother and Child The library is jointly sponsored by Center, at Hadassah-Hebrew Hadassah-Israel and the Cleveland University Medical Center in Ein Chapter of Hadassah, the Women's Kerem. Hadassah Medical Organiza- Zionist Organization of America, reption's Hebrew-Arabic children's hospi- resented by National Vice President tal library, the first of its kind in Phyllis Berlas, of Beachwood, OH. Jerusalem, opened last week with a Beginning in November, Hadassahfestival of storytelling. Israel will offer a course to prepare The teens also spent time with Beth El's USY group and heard Cantor Leo Fettman's account of his experiences during the Holocaust. Keter, a leading publisher of volunteers to read to sick children.
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Jewish Press, Omaha, NE
July 14,2000
Reform Judaism sounds the alarm against eating disorders
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To draw attention tp the skyrocketing number of Often, eating disorders spring from the inability Jewish women affected by eating disorders, Reform of young women to meet the standards of perfection Judaism magazine is devoting its Summer 2000 set by the media, their families, and their peers. cover story to this silent killer. High-school students are often ostracized from "Eating disorders prey upon so many women in their peers due to the fact they're "not thin such an insidious manner that we felt we had to enough," and children of diet-obsessed parents sound the alarm," said Aron Hirt-Manheimer, begin to hate themselves when they don't live up to Editor-in-chief of Reform Judaism. "It is our ethical their family's standards of beauty. "With teenage and journalistic obligation to do so." girls especially, the perfection-thinness syndrome The cover story arrives in the wake of Litapayach is a hovering storm cloud that Can wreak havoc on Tikvah: To Nourish Hope, a program on eating dis- the emotionally fragile adolescent," Jarashow orders sponsored by the Union of American Hebrew writes. Congregations, publisher of Reform Judaism. Jarashow encourages parents to help fight the Last year, guidelines on how to spot and treat low-self images of children afflicted by eating disoryouths with these disorders were sent to every ders by helping them view their problems through UAHC summer camp, a manual on helping those the lens of Jewish thought. According to Jewish anorexia, bulimia, and binge eating was published tradition, food is a gift from God—not a threat to and distributed among UAHC member congrega- thinness—and each and every person's body is tions, and a series of open workshops with doctors, sanctified and holy. Most importantly, however, social workers, and psychologists was held across Jarashow stresses how important God's presence can be in the lives of those with eating disorders the New York area. "Eating disorders impact upon our kids and our and their families. families," said Rabbi Richard Address, the director "The ultimate antidote to eating disorders," he of the UAHC's Department of Jewish Family concludes, "is authentic spirituality that encomConcerns. "Our goal is to raise awareness of this passes moral values and sanctified living." issue within the lives of our congregations and "The Perfection-Thinness Syndrome" is accompahave it discussed from the standpoint of Jewish nied by a short article entitled "Dying to Lose ethical values." Weight: My Story." The article is written by Rachel The role Judaism can play in combating the psy- Davidson, a doctoral candidate in clinical psycholochological traumas that cause eating disorders is gy, who suffered from a severe eating disorder as a thoroughly explored in the Reform Judaism story, college undergraduate. entitled "The Perfection-Thinness Syndrome." Its With frankness and honesty, Davidson recounts author is Sanford H. Jarashow, a rabbi, social the physical and emotional torture she put herself worker, and spiritual counselor at the Renfrew and her family through as she starved herself down Center, one of America's foremost clinics on the to a weight of 75 pounds. study and treatment of eating disorders. "My intense fear of gaining weight paralyzed According to Jarashow, many women's desire to me," she writes. "Little voices inside my head were be perfect lies at the heart of their disorders, with telling me that if I ate any more food, I would gain their nagging fears of being a less-than-perfect stu- weight, become fat, and be a failure. It seemed an dent, daughter, or human being overwhelming impossible task to overcome those overpowering them and causing them to break down. While this voices." perfectionism often springs from a perceived failure Fortunately, with the aid of her mother and her to gain parental love, it can develop into an all- therapist, she recovered. encompassing obsession. "I had to work on learning to love myself for who "The obsession with being perfect translates into I am," she writes, "I continue to work on loving needing to have a 'perfect' body," Jarashow writes. myself every day, focusing on what I do that is pos"In the zealous pursuit of thinness, food becomes itive and learning from my mistakes rather than the enemy." dwelling on them." Too often, women cannot move past their disorders until they realize that their human imperfecThis article and others are available on the Web at www.uahc.org/ijmag/. tions do not make them inferior people.
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There is no one answer to when orthodontic treatment should begin because each problem determines its own best starting time. For this reason, the American Association of Orthodontists recommends that every child visit an orthodontist by age seven, or earlier, if an orthodontic problem is detected by parents, the family dentist or the child's physician. This may surprise most people because orthodontic treatment is usually associated with adolescence. An early detection, however, allows the orthodontic specialist to determine when a child's particular problem should be treated for maximum improvement, with the least time and expense. In many patients, early treatment achieves results that are unattainable once the face and jaws have finished growing. Another plus in that early intervention frequently makes the completion of treatment at a later age easier and less time consuming. Orthodontic treatment can be successful at any age; in fact, about 25% of orthodontic patents today are adults. For more information about correcting malocclusions (literally, bad bite), see a specialist.
July 14, 2000
Jewish Press, Omaha, NE
Page 15
Colon Cancer: Discussing this disease with your doctor just might save your life. by Dr. Harmon Eyre
Just as Betty Ford brought attention to the oncetaboo subject of breast cancer more than 25 years ago,, colorectal cancer diagnoses in celebrities, such as baseball players Eric Davis and Darryl Strawberry, and Supreme Court Justice Ruth Bader Ginsburg, are stirring up a national dialogue about the disease. And, the most persuasive message each of these survivors is helping convey is that colorectal cancer is preventable and even curable if it is detected early—that early detection saves lives. .. Despite the heightened awareness of colorectal cancer, many people are reluctant or even embarrassed to talk about colorectal cancer, even though the disease is the second leading cancer killer among both men and women. While symptoms may not appear until the cancer has advanced, this hidden disease call be successfully treated if detected early. The American Cancer Society encourages men and women, particularly those aged 50 or older, to ask their doctor about colorectal cancer. Some of the most commonly asked questions follow: What is colorectal cancer?
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What are the symptoms?
ease, it will encourage others to address the issue leading to regular screening, early diagnosis and more lives saved. For more information, call the American Cancer Society's National Call Center at 1-800-ACS-2345. One phone call puts you in contact with cancer information specialists who can provide you and your family with the most comprehensive cancerrelated information available today. You also can visit the American Cancer Society's accurate, upto-date Web site at www.cancer.org. This Web site offers information on a variety of subjects and is written by medical professionals and translated by literary professionals making it easy to understand.
Colorectal cancer can be treated successfully if Harmon Eyre, M.D., is executive vice president of caught early, however, symptoms may not appear until the disease has advanced. That is why open research and medical affairs with the American communication with your doctor and screening is Cancer Society. The American Cancer Society is the nationwide, so important, even if you do not have symptoms. community-based, voluntary health organization If you have: • A change in bowel habits that lasts for more dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives and than a few days diminishing suffering from cancer through • Bleeding from the rectum research, education, advocacy and service. • Blood in the stool
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Page 16 Jewish Press, Omaha, NE
July 14, 2000
Dealing with a pain in the neck
Understanding middle ear infections
Neck pain can affect just about everything you do during the day. While most neck pain is minor and doesn't require medical treatment, it can still be uncomfortable to live with. The Nebraska Medical Association offers suggestions on some ways you can take care of that nagging pain in the neck at any place you may happen to be. There are some simple range of motion exercises you can do to help ease neck pain, and even prevent its return. Squeezing your, shoulder blades together repeatedly for three seconds, gently raising—shrugging—your shoulders repeatedly for five to ten seconds, or sitting down and pulling your arms back in a rowing motion can help exercise your neck and shoulder muscles. Of course, an exercise program improving your body's fitness level helps not only your neck, but your entire overall health, as well. In addition to the exercises, an over-the-counter pain reliever such as aspirin, ibuprofen, or acetaminophen may help control the pain and reduce irritation. See a medical professional if the pain doesn't improve, worsens, continues at night, radiates into your shoulders, arms or fingertips, or is accompanied by pain or pressure in the chest. Contact your physician for more information and tips on taking care of your neck and avoiding neck
Most people will experience a middle ear infection at least once in their Lives. These infections are most common in young children, and occur most frequently in the winter and early spring. The Nebraska Medical Association reminds you that a middle ear infection—called otitis media—is usually not serious if treated promptly and effectively. A middle ear infection can happen in one or both ears, and is caused by bacteria or viruses entering the middle ear from the nose or throat. The infection can cause a painful earache, an inflamed ear drum, and a build-up of fluid in the middle ear. The fluid in the middle ear may not be able to drain, and can remain for weeks, months or even years after the pain of the infection has left. This can lead to recurrences of infection as well as muted hearing and hearing loss—which may become permanent if not properly treated. Be sure to contact your physician if you or your child develops an earache or other symptoms of a middle ear infection. Following an examination, your physician may prescribe medication to help relieve both the pain and the infection. In some cases, your physician may recommend a surgical procedure to allow fluid to drain from the middle ear and reduce risk of future infection.
Reducing the risk of heart disease Coronary heart disease is the number one killer of people in the United States each year. Even though there are some risks that you are unable to control—age, family history, race—there are many factors you can control to reduce your risk of heart disease. The Nebraska Medical Association reminds you that you can help lower your risk for developing heart disease by not using tobacco, eating rights, exercising and maintaining a healthy weight, and controlling your blood pressure and blood cholesterol level. Eating the right foods not only is good for your overall health, it also helps control your body
weight, blood pressure and blood cholesterol levels. Physical activity is good for your overall health by helping you to attain and maintain a healthy body weight, as well as controlling your blood pressure and blood cholesterol levels. Smoking is damaging because nicotine constricts the coronary arteries and decreases the flow of blood to and from the heart. A heavy smoker is two to four times more likely to have a heart attack than a non-smoker, but quitting smoking very quickly reduces these risks. Contact your physician for more information on reducing your risk of heart disease and ways to maintain a healthy heart.
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Nebraska skin cancer rates are up Lincoln~A sharp increase in the rate of skin cancer, especially melanomas, makes it more important than ever to cover and protect your skin this summer, according to Dr. Richard Raymond, Chief Medical Officer for the Nebraska Health and Human Services (HHS) System. "One million people in this country will get some kind of skin cancer this year. Don't be one of them," said Dr. Raymond. "Wearing protective clothing and using sun screen are the best ways to prevent the disease." The incidence of melanomas has risen in Nebraska from 8.5 per 100,000 people in 1990 to 14.2 per 100,000 in 1997. Melanomas of the skin accounted for 1,067 diagnoses and over 200 deaths between 1993 and 1997, according to the 1997 annual report of the HHS System's Nebraska Cancer Registry. "Just a few serious sunburns can increase your risk of getting skin cancer," said Kathy Ward, administrator in the HHS Chronic Disease Prevention and Control Division. "And over time, exposure to ultraviolet rays can make your skin wrinkled and leathery." Ultraviolet rays from the sun can damage exposed, unprotected skin in as little as 15 minutes, but it can take up to 12 hours for the skin to show the full effect of sun exposure. Although skin melanomas are the most serious type of skin cancer, they are also preventable and treatable. You can find melanomas early and greatly reduce the risk of death by paying attention to changes in existing skin growths or noticing if new growths appear, Ward said.
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July 14,2000
Jewish Press, Omaha, NE
Page 17
Juvenile Arthritis facts may remain. The most common symptoms are: What is Juvenile Arthritis? • High, spiking fevers (103 or higher) lasting for Juvenile arthritis is a general term for all types of arthritis and related conditions that occur in children. weeks or even months An estimated 285,000 children under age 17 are • A rash consisting of pale, red spots on the child's affected by juvenile arthritis, and juvenile rheumatoid chest, thighs and sometimes other parts of the body (the rash may accompany the fever and come and go arthritis (JEA) affects up to 50,000 children. Children may develop other forms of arthritis for several days) • Joint inflammation, which may accompany the such as spondyloarthropathies (diseases that involve the spine such as ankylosing spondylitis, fever or not start for weeks or months Other possible symptoms include inflammation of inflammatory bowel disease and Reiter's disease) and connective tissue diseases (systemic lupus ery- the outer lining of the heart or the lungs, anemia thematosus, juvenile dermatomyositis, scleroder- and enlarged lymph nodes, liver or spleen. Juvenile Spondyloarthropathy Syndromes ma, mixed connective tissue disease and vasculiThese syndromes include juvenile ankylosing tis). Children are also affected by non-inflammatospondylitis, seronegative enthesopathy and ry disorders such as fibromyalgia. Juvenile rheumatoid arthritis (JRA) is the most preva- arthropathy syndrome (SEA Syndrome), arthritis lent form of arthritis in children. There are three major associated with inflammatory bowel disease, reactypes ofJRA.—polyarticular, pauciarticular and systemic tive arthritis and Reiter's Syndrome. Spondyloarthropathies occur more often in boys The signs and symptoms of JRA vary from child to child. The arthritis must be present consistently than in girls. Juvenile ankylosing spondylitis genfor six or more consecutive weeks before a diagno- erally causes large joint arthritis of the lower sis of JRA can be established. The type of arthritis extremities. Hips are commonly affected, and HLAis determined according to the symptoms experi- B27 blood tests are frequently positive. enced during the first six months of the disease. Reiter's Syndrome usually develops as a reactive The most common features of JRA are: arthritis after chlarnydia, urethritis, shigella, sal• Inflammation of the synovium lining of the joint monella or yersinia associated diarrhea. Onset can that causes heat, pain, swelling and stiffness. This be acute, with fever, and may involve many joints. can cause limitation in range of motion,, joint ten- The potential for long-term disability from Reiter's derness and pain. syndrome is present. • Joint contracture, which results from holding a Juvenile Systemic Lupus Erythematosus painful joint in a flexed position for an extended Systemic lupus erythematosus (SLE) is rare in period, causing tendons to tighten and shorten. children under the age of 5, and most children with • Joint damage caused by long-lasting inflamma- SLE develop the disease during adolescence. The tion that erodes joint surfaces. disease may involve more than one organ system • Altered growth, which may result from joint including the skin, kidneys, lungs, heart, brain, inflammation that speeds up or slows down the joints, muscles, blood vessels, stomach and/or eyes. growth centers in bones, causing affected bones to A diagnosis of SLE is made when several of the become longer, shorter or larger than usual. following are present: Polyarticular JRA affects five or more joints. • Malar rash Girls are affected by polyarticular JRA more fre• Discoid lupus (affects only the skin) quently than boys, and onset of the disease in • Photosensitivity teenage girls often resembles adult rheumatoid • Oral or nasal ulcers arthritis: • Arthritis • Inflammation of the heart or lungs • Usually affects the small joints of the hands • Neurologic symptoms (psychosis or convulsions) • Can affect weight-bearing and other joints, par• Protein in urine ticularly the knees, hips, ankles, feet, neck and jaw • Often affects the same joint on both sides of the body • Abnormal blood tests (anemia, leukopenia, Other possible features include low-grade fever, a Iymphopenia or thrombocytopenia) positive blood test for rheumatoid factor and • Positive blood tests (anti-native DNA antibodrheumatoid nodules, or bumps on an elbow or point ies, anti-SLE antibodies, anti-phospholopid antiof the body that receives a lot of pressure from bodies or false positive syphilis test) chairs, shoes or other objects. • Positive ANA blood test Pauciarticular JRA affects four or fewer joints: Neonatal lupus syndrome occurs when a newborn • Usually affects the large joints (knees, ankles or elbows) of a mother with clinical or serological evidence of • Often affects a particularjoint on one side of the body SLE, rheumatoid arthritis, MCTD or Sjogrens • May cause iridocyclitis, an eye inflammation Syndrome has: most frequent in young girls with positive anti• Congenital heart block nuclear antibodies (ANA)—it may occur at any age, • Low platelet count (thrombocytopenia) with or without active joint symptoms • Rash (erythema annulare) • Hepatitis Systemic onset JRA, the least common form of Juvenile Dermatomyositis JRA, causes fever and can affect the child's interJuvenile dermatomyositis (JDMS) is an inflamnal organs as well as joints. Boys and girls are equally likely to have systemic onset JRA. For matory disease of unknown cause that affects the some children, the systemic symptoms of the dis- skin and muscle. About 20 percent of children with ease and the fever may go away completely, JDMS have arthritis. The condition is often characalthough the joint-related symptoms of arthritis terized by vasculitis in skin, muscle and the gas-
trointestinal tract. Diagnosis requires the presence of a rash, as well as at least two of the following: • Elevated muscle enzymes • Symmetric proximal muscle weakness • Evidence of vasculitis or chronic inflammation on muscle biopsy • An electromyogram that confirms inflammatory myopathy Juvenile dermatomyositis is more common in girls and usually occurs in children between the ages of 5 and 14. The muscle weakness that children experience causes difficulty in running, climbing stairs or getting up from a sitting position. Gastrointestinal involvement can lead to poor absorption of medications, ulceration and perforation. Juvenile Vasculitis Vasculitis can be a primary childhood disease and a symptom of other syndromes including dermatomyositis and systemic lupus erythematosus. One of the most common forms of vasculitis in children is Henoch-Schonlein purpura, which is a small vessel vasculitis. This syndrome consists of a rash, arthritis abdominal pain and renal dysfunction. Signs and symptoms may occur for several days or weeks. The rash is purpuric (small, elevated red spots), and is most commonly located on the buttocks and lower extremities. Polyarteritis nodosa is a vasculitis of small and medium-sized blood vessels. Clinical manifestations are similar to those that adults experience. It can affect any organ system of the body, but most frequently involves the skin, peripheral nerves, kidneys, intestinal tract and joints. Kawasaki disease is a vasculitis whose symptoms include fever, rash and bright red, swollen lips that crack and bleed. Coronary artery involvement of the heart is the most serious complication of this form of vasculitis, which predominantly occurs in very young children (boys more often than girls). Some other forms of juvenile vasculitis include cuteaneous polyarteritis, Wegener's granulomatosis, Takayasu's arteritis and Behcet's Syndrome. Juvenile Sclerodermas Juvenile scleroderma is rare in children, but includes localized and systemic disease. The skin, muscles, tendons, joints and bones are affected, often resulting in severe growth abnormalities. Localized scleroderma includes these types of skin lesions: • Morphea, which has at least one plague of thickened skin, excluding post traumatic skin scarring. • Linear scleroderma, which has at least one band-like tight lesion involving skin and subcutaneous tissues. Systemic scleroderma is similar to that experienced by adults and includes Raynaud's phenomenon and skin, musculoskeletal, gastrointestinal, pulmonary, cardiac or renal involvement. Systemic scleroderma appears in two forms: • CREST Syndrome, which involves calcinosis of the skin, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly (scleroderma of the hands) and telangiectasia (dilated small blood vessels) • Progressive Systemic Sclerosis (PSS), which involves generalized diffuse skin thickening or loss of skin elasticity, and often includes involvement of the lung, kidneys or heart.
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Page 18
Jewish Press, Omaha, NE
July 14,2000
Sydney works to say 'Shalom, mate' to Jews at upcoming Olympics Games
by Bert Lewis
So, today's subject is health, right? Undoubtedly, kind of stuff, the concept of "sweating out" the by Jeremy Jones good health must be at the top of the priority list of germs must still be accepted by some. every thinking human being, because without it, Yes, we go to great lengths in the name of good SYDNEY, Australia (JTA) - An organization what good is everything else? health, whether it's the habit of taking vitamins working to welcome Jewish athletes and fans to People have always known that to be true, as and minerals by the handful or running x number this summer's Olympic Games was launched here many of our oldest expressions and practices of miles every day. Not that I'm critical of exercise this week. prove. Let's see, how about the simple toast . . . heaven forbid. I know only too well how imporThe Sydney Olympics Jewish Organizing we've heard all our lives, as a glass is raised? tant it is, which is one reason why it bothers my Committee established two drop-in centers where conscience so badly when I don't. Exercise, that is. kosher food will be available. It also arranged for "TO YOUR HEALTH." Think about the wishes always found on the But listen, I stopped smoking nearly 32 years ago- Jewish families in Sydney to provide hospitality, new year's cards we send to each other. The doesn't that count? And if food is fried, I wouldn't including Shabbat meals, for Jewish visitors. ones that invariably include good health, along think of letting it pass my lips, also good, yes? In addition, it engaged the local Jewish historical with happiness and prosperity for your family in True, if I did eat something deep fried, it would society to offer a number of walking tours of Old just about kill me, so it's not hard to be good in that Jewish Sydney during the Games. the coming year. No matter how old you are, you can probably still department. "We are already receiving heartfelt thanks from hear your mom telling you to "button up that coat Ok, so let's look at this how-to-be-healthy athletes, relatives of competitors, people posted by or you'll catch cold for sure!" And if you caught cold business realistically: we shouldn't smoke, we their employers to the Games and others who have anyway, didn't she know lots of ways to make you shouldn't over-indulge in the wrong foods (or been helped by SOJOC in making connections with healthy again? Home made remedies, as well as beverages), we should get plenty of exercise, we members of our community who are more than stuff sold at the drugstore were high on the list. should eat only stuff that's good for us and we happy to provide a warm Aussie welcome," said the Nobody needs a reminder about the medicinal should get a decent amount of sleep every night. publicity officer for the group, Naomi Jones. properties of that old standby, chicken soup, do That doesn't sound too hard, does it? Oh yes, A multicultural advisory committee was appointthey? Even the medical community now knows it and wash hands well and often. ed two years ago to assist the official Olympics really helps. (The first time I said that in print I I don't have to worry about the smoking part, I do organization, and the Jewish committee's chair, got a nice letter from a doctor who confirmed the have to worry about the eating part, I need to get Amanda Gordon, was appointed to serve on it. truth of that statement, so believe it!) back to some exercise program, I need to make Gordon says the Olympics will include a rabbi Years and years ago, there was a theory about myself eat more good-for-me- stuff and I need to get living in the athletes village, assisted by three spir"sweating out a cold", which involved soaking in a a better night's sleep. Now that might be tough, or itual advisors, and a sukkah will be built in the steamy hot bathtub until you could hardly stand it, are you familiar with the suddenly open eyes and athletes' village for the Paralympics. then getting into bed and shvitzing, your brains out. reading a clock which shows it's 3:17 a.m.? The next This year's Olympics are scheduled for the last My otherwise sensible Dad believed in that one part is harder-that's the going back to sleep part. two weeks of September. and, if I recall, it took hours for the windows to Well, let's try our best to follow the rules and see Information on the Sydney Olympics Jewish clear off the wet fog. To be honest, I don't remem- if we can improve the situation. Maybe I'll join a Organizing Committee is available at: ber what it did for the cold he was catching! Health Club, but I suppose I'll be expected to go if I www.join.org.au/sojoc. Today, people pay handsome fees to healthclubs do, so maybe I won't. But even though it's June, to get just about the same effect, so who knows? making some resolutions is a good idea. I'll try to Being physically active People also spend many thousands of dollars do better, how about you? cap save your life... putting saunas in their houses, an improvement on Remember the watchword of our people: Exercise! Nebraska Department of Health the bath tub, I guess. Given the popularity of this Zie Gezunt!
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July 14, 2000
Jewish Press, Omaha, NE
Page 19
'Miracles really do happen!' by Lora Uber
I am a member of the JCC, and would like to share with you a story about my "miracle." My story is about my daughter, Rachael, and a special honor bestowed upon her. But first, let me tell you about her biggest achievement, "LIFE"! Rachael was delivered prematurely at 34 weeks by emergency c-section due to complications caused by toxemia. After being hospitalized many times, I was put on strict bed rest at home at 24 weeks. However, the toxemia got so severe that I started having seizures. I was hospitalized at 32 weeks, given medication to control my skyrocketing blood pressure, and put on monitors to make sure there were no problems with the baby. At 34 weeks, an amniocenteses was performed to check the maturity of Rachael's lungs because the toxemia was getting worse. Although the results showed that her lungs were only 48% mature (the "safest" percentage is 52%), doctors decided to induce labor. After 29 hours, my blood pressure became uncontrollable; Rachael would not drop into the birth canal because she was in transverse breech position; the doctors were worried that they might lose both of us, so an emergency c-section was performed. Rachael scored very poorly on her APGARS (a test performed on all newborns to check their level of readiness, so to speak, to face the world), and because she was having such a hard time with her lungs, she was whisked away by the doctors to the NICU at UNMC in critical condition. I awoke to the startling news that my baby had a multitude of medical problems; the underlying cause is called Vater's Syndrome, and her prognosis for survival was poor. I was so anxious to see my little girl, but I was not going to get that chance. Since I was still in critical condition, I had to wait two long weeks. Nothing, or no one, could prepare me for what I saw when they wheeled me into the NICU. I could barely make out Rachael's frail little body (she
weighed only 3 lbs.) hooked up to a ventilator, wrapped from head to toe in gauze bandages from her first surgery, amidst the miles of wires, tubes and probes needed for the continuous medicaRachael tion and monitoring needed to keep her alive. After spending six weeks in the NICU, Rachael, all her tubes and wires and I went home to begin our lives together, or so I thought. Four days after we got home, Rachael became very ill; first she fell into severe hypothermia, and then spiked a temperature of 106 degrees. Her pediatrician told me I needed to get her to the hospital right away! As I was loading her car seat into the car, her monitor began to alarm, signaling something was wrong. After a week in the PICU at Children's Hospital, doctors performed a nine-hour emergency open-heart surgery. However, even with the surgery, I was told that her chances of surviving were grave. In fact, she had less than a 2% chance of making it off the operating table. It has been three long years of ups and downs; a divorce for myself and 44 hospitalizations and 11 major surgeries for Rachael (including a trachealesophageal fistula repair, open-heart surgery, a tracheotomy, a gastronomy and a colostomy to name just a few), but the "ups" are coming more frequently now! Although she is still very tiny for her age, and her health is still very unstable, Rachael has grown up to be a beautiful, intelligent, happy three-year
old who loves to sing and dance, play games on her computer, color, play with her Barbie dolls and dinosaurs, take care of her many pets and just be a kid! Rachel has had to overcome so many obstacles, cheated death too many times and, despite the negativity cast on her over these past years, has lived to prove all of her doctors wrong! I believe that it is her strong will to survive that has allowed her to make it thus far in life. What more could this little girl achieve to make others believe that miracles exist? Well, recently, Rachael was spotted at the Oakview Mall by a talent scout for the American Coed Pageantry and asked to apply to be a contestant in the Miss Nebraska Pageant. Out of 10 million girls nationwide, she was chosen as one of only 60,000 girls across the country to be a State Finalist. Rachael will compete in the Petite Princess division, which is limited to girls ages 3-4, to be held at the Doubletree in downtown Omaha on July 16. God sometimes puts up roadblocks to challenge us, and even if we think we may not see the light at the end of the tunnel,anyone, if they have the strength, commitment and perseverance, can achieve whatever they set their minds to! Just look at Rachael, a perfect example that miracles really do happen!
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Page 20
Jewish Press, Omaha, NE
July 14, 2000
Coming to the J . . . Cholesterol T e s t i n g . . . A Complete lipid Prof He! Plus A Blood Sugar Reading
Heart SaversAssociation National . — Omaha. Nebraska 68114
Dear JGC Members: I have donated a state-of-the-art Cholestech LDX cholesterol and "blood sugar testing machine to the Jewish Community Center. It will "be located in the Phil Sokolof Health and Fitness Center. Testing will he, done hy trained personnel who understand cholesterol results ... total cholesterol, HDL ("good" cholesterol), LDL ("bad" cholesterol), and trigjycerides and will meet with members who may need counseling or, possibly, a visit to the doctor. The cost of the test and the times available (several times a week.) will "be announced soon. You will receive the results of the finger-stick test in under ten minutes. Fasting for approximately ten hours before the test is necessary. Please read the information on the page to the right. Knowing your lipid profile is important to your longevity. Cardiovascular disease kills over one half of Americans I It is imperative that you have a comprehensive lipid profile, which gives you vital information regarding plaque "build-up in your heart arteries. This sophisticated Cholestech machine will also measure your (blood sugar) level to check for diabetes. Fasting is required. y among the top lipid experts It is conBiuoi v,v* — in the United States that all heart patient ua» ~ LDL level under 100... the lower the better. In The fee for a large number of cases it will take a "statin" the test will be much drug to reach that goal. less than doctors or Know your lipid profile. It could save your life! hospitals charge. To Your Good Health,
Phil Sokolof, President
The Jewish Community Center is providing the tests at cost as a public service.
July 14, 2000
Jewish Press, Omaha, NE
Page 21
3 outof 4 Heart Patients Are Undermedicated! Dear Friends, The statin drugs are the single greatest lifesaving medication since antibiotics in the 1920s. This is an indisputable fact. But three out of four heart patients are not taking adequate dosages of these miracle cholesterol-lowering drugs. How can this be? Many doctors are not prescribing a large enough dosage to bring patients' total cholesterol and LDL to the needed levels. In addition, many patients do not follow their doctor's instructions, and unfortunately many cannot afford the drugs' cost. Lipitor, Zocor, Pravachol and Mevacor - the "statins" because of their chemical names (atorvastatin, simvastatin, pravastatin, lovastatin) - are unbelievably effective in reducing cholesterol and LDL. (Lipitor, only sold since 1997, has garnered over 40% of the total market.) Four major studies of over 20,000 people on the statins for 5 years lowered their heart attack death rate by 32% to 42%. Two of these studies showed a 31 % reduction in strokes! .
LIPID PROFILE INFORMATION Total Cholesterol (TC)
200 or less, depending on your HDL Not more than 4 times HDL is desired 4 x40 HDL = 160 total cholesterol 4 X 50 HDL = 200 total cholesterol
HDL Cholesterol (HDL) High Density Lipoprotein "Good" Cholesterol
A minimum of 35 - 40 The lower your HDL, the lower your total cholesterol should be.
TC/HDL Ratio
4 or less
TC divided by HDL
4Q HDL/160 TC
50HDL/200TC
The Lower Your TC/HDL Ratio, The Lower Your Risk of Heart Attack Triglycerides (TRG)
200 or less
LDL Cholesterol (LDL) Low Density Lipoprotein "Bad Cholesterol"
130 or less 100 OR L E S S . . . if you are a heart patient!
Glucose (GLU) Blood Sugar
75 T0110
These numbers are based on fasting for at least 10 hours.
To Stay in Good Health • Eat a Moderately Low-Fat Diet • Don't Smoke • Do Not Be Sedentary — The life expectancy of a couch potato is dramatically reduced! • Exercise at least 20 minutes, 3 or 4 times a week.
A cholesterol level of 200 may not be low enough,
depending on your HDL, LDL and risk factors (see box). The statins will lower your cholesterol and LDL dramatically. Millions of heart patients should unequivocally have an LDL ("bad" cholesterol) level under 100. the lower the better. This is the consensus of all of the top lipid experts in the United States, and is the published government guideline for cholesterol treatment. However, the latest research shows that fewer than 25% are at that level. Most LDL levels without medications are much, much higher. (A heart patient is anyone who has had a heart attack, angioplasty, bypass, or angina.) In proper dosages, the statin drugs will bring your LDL to the desired level, under 100. If you are part of the 3 of 4 undermedicated heart patients OR if you have other risk factors, YOU MUST see your doctor. You are fortunate to be living in today's world and have the opportunity to take advantage of these lifesaving wonder drugs.
For Adults With No Apparent Heart Problems: The Government in its efforts to promote our awareness has oversimplified cholesterol guidelines and created a false impression. Just having your cholesterol level under 200 does not mean that you are safe from a heart attack. Thirty percent of heart attacks occur in those with cholesterol levels under 200. A high LDL and/or low HDL are serious risk factors. High triglycerides also contribute to heart disease. If your HDL ("good" cholesterol) is 35 or less, you have a potential problem (many doctors consider an HDL of less than 40 as a call to action.) If you have any two or more of the following, you are at risk of a heart attack and you should see a cardiologist: • Diabetes • High blood pressure • Men 45 or older •Women 55 or older
•HDL under 35 • Cholesterol over 200 • Premature heart disease in your family
Government guidelines are being revised and should be published in early 2001. It is anticipated that they will be more stringent than present guidelines.
A Public Service of
National Heart Savers Association Phil Sokolof, President www.heartsavers.org
Page 22 Jewish Press, Omaha, NE
July 14,2000
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The benefits of massage therapy
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by Cheryl Crawford, Registered Nurse, LMT
Stella would lie in bed wondering if she had the strength to go on. Her life was full, up until her arthritis became serious enough that her legs would not work and her shoulders and arms were too weak to push a wheelchair around her apartment. Her breathing was short and strained. She was unable to travel any distance without having to sit down. Each day it was a struggle to simply go to the bathroom, make breakfast and retrieve the mail. Stella could no longer take care of herself because she could not get around her apartment. One day, Stella's daughter heard a commercial for a motorized wheelchair that would work in her mother's apartment. She called Kohll's Pharmacy and Homecare requesting some information. A certified technician demonstrated a Jazzy 1103 mini power wheelchair in the apartment. Stella was amazed at how nimble the chair was and how it was able to make the tight turns in her small, modest apartment. She was also impressed with the comfort and styling of the chair; not looking like a wheelchair, but more like a motorized vehicle. Most of the time, a Medicare recipient with the support of their physician can have 80% of the chair paid for. If the customer has a supplemental policy with a durable medical equipment coverage, the other 20% is also paid for. If you have questions and want a demonstration of a Jazzy, call Kohll's Pharmacy and Homecare at 342-5886.
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Massage is one of the earliest and most natural ways to relieve pain and discomfort. When an area is injured, it is a natural impulse to touch or rub that area to relieve pain. Records reveal that as early as 3000 B.C., massage was being used therapeutically to assist in pain relief and healing. Throughout the centuries, it has been used by many cultures. Hippocrates, the Greek physician known as the Father of Medicine and originator of the Hippocratic Oath, understood the benefits of massage and believed all physicians should be trained in massage. Today, massage is performed more frequently by a massage therapist than a physician. In the state of Nebraska, massage therapists are required to complete a 1000-hour course and pass a national exam before they can receive a license issued by the Nebraska Department of Health. Massage consists of a combination of strokes and manipulations tailored to meet the needs of the individual client. Massage has physical, mental and emotional effects. It is often thought of only in terms of its effect on the muscle tissue being massaged, but also affected is the circulatory system, lymph system and nervous system. Massage relieves stiffness and soreness in muscles, but it also helps muscles becomefirmerand more elastic by enhancing the blood flow. Increased blood flow brings more nutrients to the muscle and aids in the removal of metabolic waste. Massage therapy also has many psychological benefits. It relaxes and reduces stress, which affects many of the body systems and speeds the aging process. So whether you are looking for a relaxing hot stone massage or Swedish massage or have a specific area of pain and need muscle release therapy or Ortho-Bionomy™, the therapists at Country Comfort Massage Therapy are there to help.
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July 14, 2000
Jewish Press, Omaha, NE
Page 23
People of the Byte
Internet: breast cancer testing, Jewish genetic research and ethics
Keep the sparkle in your smile and visit us at our new office!!
by Mark Mietkiewicz
One of the areas in which the Internet excels is its ability to allow people with relatively specialized needs to exchange information and even forge virtual communities around the world. One example is the field of Jewish genetic disorders. Despite the fact that most of these disorders are relatively rare, the Internet can help you find information, advice and even empathy from others who are facing similar challenges. Today, I'll introduce you to genetics and breast cancer research and the ethical and halachic repercussions of genetic testing. I must emphasize very strongly that although you can find a wealth of information out there, the Internet must not be considered a substitute for trusted medical or rabbinic experts who are familiar with your particular circumstances. Also, pay close attention to the credentials of the authors of anything you read on the Web. Not every one is a reliable or accurate source of information. Some of the most famous studies about Jews and genetic diseases looked at the occurrence of mutations of breast cancer genes among Ashkenazi women and found higher rates among Jewish women. There are many articles on the Internet about these findings aimed at lay audiences including the Jewish Communication Network: www.jcnl8.com/newstand7wahrnvan/cancer.htin and USA Today: www.usatoday.com/life/health/ cancer/breast/lhcbr006.htm. Scientists are constantly refining their research and the National Cancer Institute did release a report that said that although the breast cancer risk is higher among Ashkenazi women, it is lower than in previous studies: http://rex.nci.nih.gov/ massmedia/pressreleases/jewishgene.html. If you suspect that you may be a carrier of a genetic disorder, would you get screened? Rita Rubin writes in U.S. News and World Report that despite the fact that two family members were both treated for breast cancer, she has decided not to be tested: www.usnews.com/usnews/issue/ geneb2.htm. She feels that even if she tested positive, she wouldn't change her basic health strategy of regular self-examinations and mammograms. For a look at the decisions other women have made, take a look at "To Know or Not to Know" from Ohio State University's Cancer Programs: www.osu.edu/units/cancer/wn99fent/knowJitin. Dr. Mary-Claire King is the researcher who first discovered the existence of the BRCA-1 gene. In a feature article in Newsday on genetics and the breast cancer gene, Dr. King emphasized that there are no easy answers to the medical, ethical and legal issues posed by her findings: www.newsday.com/features/health/breast/bre smain.htm. "We're in a purgatorial period now. . .It's better than hell, but we're not in heaven," she said. The controversial question of genetic screening and its ethical and halachic implications is dealt with at length in several areas on the Internet. In his essay on Genetic Screening, North Dakota State University student Mike Wetzstein gives an overview of this issue and explains some of Judaism's concerns with genetic screening: www.cc.ndsu.nodak.edu/instruct/mcclean/pls c431/students/mike.htm.
"The obligation with regard to procreation is not suspended simply because of the statistical probability that some children of the union may be deformed or abnormal," he explained. Dr. Fred Rosner is a professor of Medicine at Mount Sinai School of Medicine in New York City. In Judaism, Genetic Screening and Genetic Therapy: www.ijme.org/Content/Transcripts/ Rosnei7genetics.htm, he concludes genetic screening and therapy "are permissible in Judaism when used for the treatment, cure, or prevention of disease. Such genetic manipulation is not considered to be a violation of God's natural law but a legitimate implementation of the biblical mandate to heal." One of the greatest fears about genetic testing is the stigma that could occur if someone is known to be a carrier of a disease. I recommend a fascinating article in the Jewish Homemaker magazine which looks at a Brooklyn-based organization called Dor Yeshorim: http://ok.org/homemaker/ chanukah99/health.html. Dor Yeshorim tests young men and women before they begin to date. Their results are kept anonymously, and are only available to Rabbis who compare the charts when couples seriously contemplate marriage. If a couple are both carriers for a certain disorder, they are told their prospective union is "not advisable." No one is told if he or she is a carrier, only that both people must look for another match. The Dor Yeshorim method has apparently gained wide acceptance through Brooklyn's Orthodox community.
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Mark Mietkiewicz is a Toronto-based television producer who writes,lectures and teaches about the Jewish Internet. He can be contacted at: highway@hoine.com.
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Page 24 Jewish Press, Omaha, NE
July 14,2000
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Ethics Committee at the RB JH by Shane Kotok, Director of JSS Community Outreach Services
At the Rose Blumkin Jewish Home, we practice sent ethical questions. The committee is currently reviewing some of the the most advanced state-of-the-art medical care in combination with adhering to the mission of more difficult situations that have occurred in long enhancing the quality, comfort and dignity of resi- term care. Through a review of the literature and individual dent's lives. Sometimes |! case studies, the committee modern mediis pursuing cine confronts self-education us with possiand dialogue. bilities that can The Ethics be in conflict Committee will with our values. be a forum for To help us fulnurturing ethifill our mission, cal choices; it we have gathwill not be a ered a distinplace to dictate guished group policy or interof professionals fere in individand laymen. ual decision This diverse making. The group of 16 comcommittee prise the RBJH hopes to evenEthics Commitually facilittee, which is tate discusessential in a sions on ethiworld where cal matters technology among resioffers everdents, families expanding medand health ical options and care profesunclear directions to take in Serving on the Ethics Committee are, top photo: Rabbi Debbie sionals. making choices, stiel, Rabbi Howard Kutner, Rabbi Paul Drazen, Dr. Judith Barbara GotEthical prob- stern and Bob Lepp; bottom photo: Bob Cox, Dr. Edward tlieb, Execulem solving may Malashock, Dr. Tom Cotton and Carmen Burr; not pictured: tive Director of involve end-of- Bert Lewis, Dr. Leonard Greenspoon, Bert Benson, Julie Jewish Senior Services/ Rose life decisions, Frank, Shelly Cash, Shane Kotok and Barbara Gottlieb. quality of life Blumkin issues, autonomy of individual versus government Jewish Home, said, "I am so impressed with the regulations and interfamily dynamics. Like others unique perspectives and diverse expertise the indiin long term health care, we at the Blumkin Home vidual members bring to the committee. I view the are grappling with these issues. ultimate goal of this committee is to help families The first task of the Ethics Committee is to devel- as they struggle with these confusing and compliop an understanding of these dilemmas that pre- cated problems." Fitness can be fun. Stay in the pink... Be physically active! Nebraska Department of Health
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The American Cancer Society is the largest source of private, not-for-profit cancer research funds in the United States, second only to the federal government in total dollars spent. To date, the American Cancer Society has invested more than $2.2 billion in cancer research, with approximately $25.4 million invested solely in prostate cancer research. During the 1999 fiscal year, the American Cancer Society spent $6.4 million on prostate cancer research alone. The Facts: • An estimated 180,400 new invasive cases of prostate cancer are expected to occur among men in the United States during 2000. • An estimated 31,900 deaths will occur in 2000. • With the exception of skin cancer, prostate cancer is the most common of all cancers in men. • Prostate cancer is the second leading cause of cancer death in American men. • Mortality rates declined significantly during 1992-1996. Although mortality rates are declining among both Caucasian and African-American men, rates in African-American men remain more than twice as high as rates in Caucasian men.
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Scientists and researchers, supported by public contributions made to the American Cancer Society, have made enormous strides in the fight against cancer. Often working with other researchers, they have made discoveries that have advanced the medical knowledge of cancer prevention, detection, and treatment. The American Cancer Society's prostate cancer research efforts have:
• Proven that the lifetime exposure of men to testosterone was associated with an increased risk of prostate cancer. • Shown that a diet high in animal fat, particularly beef, increases the risk of aggressive prostate cancer, whereas consumption of cooked tomato products reduces the risk. • Demonstrated the feasibility of early prostate cancer detection among healthy men at risk for the disease. The probability that a person who tests positive actually has the disease was highest when a positive prostate-specific antigen test (PSA) was confirmed with another positive test, either digital rectal exam or transrectal ultrasound. • Developed a technique to identify abnormalities in DNA that led to the isolation and cloning of an important prostate cancer gene. • Conducted pioneering research in prostate-specific antigen (PSA) and developed the PSA test for early detection and management of prostate cancer. • Currently, researchers are studying the connection between fatal prostate cancer and family history, smoking, and diet. It has already been reported that current smokers have a higher risk of death from prostate cancer than non-smokers. The American Cancer Society guidelines for early detection of prostate cancer recommend that men age 50 and older should talk with their physician about having a yearly digital rectal exam (DRE) of the prostate gland and a prostate-specific antigen (PSA) blood test. Men who are at high risk for prostate cancer, African-American men and men who have a history,of prostate cancer in close family members, should consider beginning these tests at an earlier age.
July 14,2000
Clarkson College: for tomorrow's health care professional by Myra Feldman
Director of Communications and Marketing As a leader in health care education, Clarkson College offers a broad range of health science degree programs including: health-related business, nursing, medical imaging, occupational therapy assistant, physical therapist assistant and radiologic technology. Throughout our "Tradition of Excellence" we have been preparing professionals to provide quality health care services to patients and their families. Over a century ago, Clarkson College began as Nebraska's first nursing program. It later became the first diploma nursing school in the nation to become a regionally accredited fouryear degree granting college. Clarkson College's focus will set you apart as a future health care professional. Our unique programs allow you to begin taking classes in your major the very first semester. The health care curriculum gives you access to diverse clinical settings throughout Omaha, providing hands-on real-world experiences. At Clarkson College, we will give you the opportunity to explore all aspects of the health care profession. At Clarkson College, our faculty have diverse professional backgrounds and are experienced educators. Clarkson College faculty are both national and local leaders within their profession. Our health care education areas feature wellequipped skills labs that simulate actual health care environments. We are located within walking distance of Nebraska Health System, one of America's premier health care systems. As a student, you will have unparalleled access to thousands of health care professionals and world-class clinical facilities. At Clarkson College your success is our top priority. We have designed the Success Center to help meet both your educational and personal needs. Whether it is counseling, test taking, tutoring, career, or informative workshops, we have the tools to help you succeed. Clarkson College is proud of our 12-to-one student/faculty ratio. The small class size fosters educational partnerships between you and your professors. For more than 110 years, Clarkson College has been preparing graduates who excel as health care professionals. We are proud that job placement rates for our graduates have been consistently high. As a graduate of Clarkson College, your career will benefitfromour tradition of professional excellence. Clarkson College values learning, caring, commitment, integrity and excellence. For additional information, visit the college's website at: www.clarksoncollege.edu.
Planned Parenthood Hails 40th Anniversary of the Pill The Birth Control Pill ushered in an unprecented era of progress for Women. The most socially significant medical advance of the 20th Century is found in the form of a little round pill in the medicine chests of 70 million women around the world—it's the birth control pill, which celebrates it's 40th anniversary this year. "When the pill was introduced in 1960, it was a major medical achievement that rewrote the future for women and family life," says Steven Emmert, President/CEO of Planned Parenthood of Omaha Council Bluffs. "By giving them control over childbearing, the Pill has enabled women to take charge of their education, their careers and ultimately their lives." Planned Parenthood founder Margaret Sanger's vision spearheaded the fundraising and research that led to the Pill. In 1950, Planned Parenthood invited Dr. Gregory Pincus, an American biologist, to develop an ideal contraceptive-one that Planned Parenthood stipulated should be "harmless, entirely reliable, simple, practical, universally applicable, and aesthetically satisfactory to both husband and wife." Since the 1950s, the Pill has been credited with playing a significant role in improving the overall health of women. Today's Pill does more than prevent pregnancy. According to the FDA, the pill provides additional benefits: The pill can make periods more regular and lighter and decrease cramping. It offers protection from ovarian and endometrial cancers. The pill helps prevent pelvic inflammatory disease (PID)--an infection of the Fallopian tube or uterus, a major cause of infertility. It can prevent ectopic pregnancies. The pill helps build bone density. It helps control acne in women of all ages. Current pills are safe for the majority of women. They have less than one-hundredth the amount of estrogen than the original version, meaning fewer side-effects. Today, more than ten million American women use the pill—constituting 27% of all contraceptive users. The Pill is the most popular reversible contraceptive method, and it is available at Planned Parenthood—the world's largest and most trusted voluntary family planning organization. With five health centers in Omaha and Council Bluffs, Planned Parenthood provides confidential and affordable family-planning services to more than 12,000 teens, women and men each year.
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Lucille Epstein NEVER FAIL BEEF BRISKET
1-31/2 or 4 Ib. brisket Season lean side with onion powder, garlic powder, soy sauce, dash of pepper and 1/2 pkg. Upton Onion Soup. Repeat seasonings and other half of onion soup on *¥at side. Add 1 tablespoon water and cover pan tightly with aluminum foil. Bake at 350° for2U2-3 hrs. When fork tender, remove from oven and let cool. There will be about an inch of juice in the pan. Remove fat from top of meat; slice brisket in thin slices against the grain and lay them back in pan; baste with juices. Add canned or fresh mushrooms. Cover with foil and reheat 30-45 min. Test for tenderness. '..-•••..
Serves 8
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You already know that the Rose Blumkin Jewish Home does more good than chicken soup!! But, did you know that the majority of residents who come to the Medicare unit are back in their own homes within six weeks! To that, we say Hallelujah and Thank G-d! ty Need a quick fix, terrific rehab and lots of tender, loving care? Come stay with us for all your post-hospital needs. EWISH
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Page 25
OMAHA SURGICAL CENTER
by Beverly Todd Nolte, Communications & Marketing Director, Planned Parenthood of Omaha-Council Bluffs
WHETHER YOU'RE INSIDE OR OUTSIDE, STAY FIT!!
Jewish Press, Omaha, NE
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Page 26 Jewish Press, Omaha, NE
July 14,2000
Good Sports by David Golbitz
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Iiuirin ;il(Tl Health Tips LIVING WITH ALLERGIES • Each year, more than 40 million Americans suffer from allergies. Millions suffer from allergic seasonal rhinitis, also known as hay fever. • Symptoms of a stuffy head and watery eyes can occur one or more times a year, or they may last all year around. 1
Normally harmless substances can cause allergic reactions in sensitive people. These substances, called allergens, can include: pollen from plants, dust, mold, foods, and dander (skin particles) from animals.
• Allergens affect different parts of the body. Some of the most common allergy symptoms arc eyes - itching, tearing, reddening or swelling nose - sneezing, itching, congestion or runniness skin - a rash develops that is almost always itchy and consists of spots that are raised, flat, red or white or hive-like digestive tract - nausea, vomiting, cramps or dianhea from eating a particular food. • Americans spend an estimated $500 million each year on allergy treatments. Although there is no cure, there are a number of ways to fight allergies. • Over-the-counter medications and prescription medicines can provide temporary relief and are the most common forms of treatment. Immunotherapy (allergj shots) is both expensive and time-consuming, so it is generally used only in severe or chronic situations. • Avoidance is the simplest therapy. Once an allergen has been identified, the sufferer can try to avoid it. For more Information on allergies-ask yo&phwmadsl
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EYE EXfiMS When should you have your next vision examination? Many people •equate the need for Ian eye exam with [replacing their eyeglasses. While it is certainly [important to see well, [undesirable changes fin your eyes can occur (which do not adversely I affect vision in their early stages. Unlike the rest of your Ibody, your eyes rarely hurt [when something is wrong. I Such is the case in glaucoma, cataracts, and complications
caused by high blood pressure and diabetes. Do you rely on changes in your vision or does it take broken glasses to remind you of your next appointment? Do yourself a favor, have your eyes examined on a regular basis. If you have school age children, do them a favor too. Check to see if they have poor reading habits or difficulty with school. If so, vision could be the problem.
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Hello again, and welcome to column number two of, well, my column. There are a few things I'd like to get to before the day is done and I've come to the end of this. First, I'd like to thank everyone for the nice and wonderfully supportive comments that were made to myself and to my mother, Darlene, at the Rose Blumkin Jewish Home. I sincerely appreciate everyone who took the time to call and say they enjoyed the first column. That got me thinking. I should have a way for everyone to get in touch with me, to let me know what you think about what I'm writing. Not to mention, if any of you have any ideas for columns, if you know any Jewish athletes who are more than likely below the scope of most media outlets, I'd like to talk to them (and if anyone has L.A. Dodger Shawn Green's home phone number, that would be great). You can e-mail me directly at : Jewishsportsnews@att.net. Send any suggestions you might have, or you can e-mail the Jewish Press at: jshpress@aol.com. It's all about the stories people have, but we never get to hear. Secondly, speaking of suggestidns, I've been trying to come up with a more permanent name for this column, something that might better reflect what it is I'm trying to do here. Again, e-mail any, ideas to the above address and my crack staff and I (my father and I) will choose a winner. What you win exactly, if anything, has not yet been decided. I'll take suggestions for that, too. Now, on to business. You remember my last column when I mentioned my hopes to do interviews and articles on prominent Jewish athletes? Well, I'm still working on that. In the meantime, I thought it'd be fun to have a regular feature spotlighting great performances from the past week or two of the previously mentioned prominent Jewish
athletes. I was thinking of calling this little feature the "Stars of David." Catchy name, huh? My first "Star" goes out to Philadelphia Phillies catcher Mike Lieberthal. Within the past few weeks, Lieberthal had a game-winning home run and a game-winning RBI in back-to-back games, while raising his average to a solid .290 with 12 homers and 42 RBI as of July 1. Mazel tov to Mike and we wish him many happy returns as a Jewish Press Star of David. In case you weren't aware, the College World Series made its yearly appearance at the beautiful, downtown Rosenblatt Stadium a few weeks ago. I made the long trek down the interstate (with all that traffic, believe me, it takes a while) and got to watch a few games up close and in person from the press box. That's quite a sight from up there, let me tell you. Sitting along the third base line, a wonderful panorama view of the whole field, minus the corner of left field, plus the construction crane across the street at the zoo.. .it was a wonderful experience. I missed out on trying to talk to any Jewish ballplayers while I was there, however. Next year, though; interviews galore, I promise you. My time is just about up for this month. Before I go, I'd like to quickly mention my sister, Leslie's, upcoming wedding. I want to state, publicly and on record, that I wish a wonderful life and wonderful marriage to her and her soon-to-be husband, Brian Eades. And I want to thank him for taking her off our hands. Congratulations to you both. I hope everyone has enjoyed my second column. Writing for the Press has been a lot of fun for me so far and I hope for all of you, too. And I'll get better in the future. Really, I will. As former Saturday Night Live anchor man and brand-spanking new commentator for Monday Night Football, Dennis Miller used to say, "That's the news and I stm outta here."
Health tips from the Nebraska Medical Association Use precaution with stinging insects
Controlling high blood pressure
Warm, sunny weather makes for a great time for people to get out and enjoy the outdoors. It is also a time stinging insects are most active. Wasps, bees, hornets and yellow jackets often seem to share outdoor activities with people. The Nebraska Medical Association reminds you to use a little precaution to reduce the risk of getting stung, and to know what to do if you are. Like many bugs, stinging insects are attracted by water, sweet foods, drinks and perfume. Most stinging insects are not aggressive, and only sting out of defense for themselves or their nest. If you are eating outside, keep foods covered, and be sure to look before picking something up, taking a bite of food, or drinking a beverage—especially in cans where insects can crawl inside, out of sight. When playing outside, watch to make sure you don't step or place your hand on a stinging insect or disturb an insect nest or gathering place. If you are stung by an insect, remove the stinger, if possible, and wash the area with soap and water. You may want to place a cold pack on the skin to help relieve any pain and prevent swelling. If there is a known allergy to insect stings, or you start to feel shortness of breath or swelling in your throat, get emergency medical assistance immediately. Contact your physician for more information on what to do if you do get stung by an insect.
High blood pressure is a major risk factor leading to the development of heart disease It is also controllable. The Nebraska Medical Association reminds you that everyone can lower their chances of developing high blood pressure by maintaining a healthy weight and by increasing physical activity, and in some cases limiting salt intake. Blood pressure rises as body weight increases, so maintaining a healthy weight not only helps your overall health, it helps prevent high blood pressure. In certain people, sodium can raise blood pressure, so it is important to limit your intake of salts—including those found in processed foods. Physical activity has many benefits for your overall health, so try and get 30 total minutes of activity three to four times a week to help lower the risk of heart disease and prevent high blood pressure. It is important to have your blood pressure checked regularly by a health professional, especially if you have a history of high blood pressure. High blood pressure usually is controlled through diet and activity, but prescription medication may also be recommended in some instances. Contact your physician for more information on controlling high blood pressure and other ways to maintain a healthy heart.
Watch out for heat exhaustion Whether working or playing, being outside in the hot sun can take a toll on a person's body. High temperatures combined with strenuous activity, clothing, advanced age or alcohol use increases the risk of heat exhaustion. Take it easy, and drink plenty of non-alcoholic fluids when the temperature starts to rise. Increasing fatigue, weakness, anxiety and excessive sweating are the early warning signs of heat exhaustion. As heat exhaustion intensifies, the heart rate may slow and blood pressure drops, leading to pale, clammy skin that is cool to the
touch. If not treated, a person may become unconscious, requiring immediate medical attention. When a person is suffering from heat exhaustion, it is important to get them out of the sun and into the shade or a cooler environment as quickly as possible. Have them lie down flat on their back, or sit with their head down; placing a cool pack on the back of their neck may help increase their comfort. Make sure they are getting plenty of liquids— except alcoholic beverages—to avoid dehydration. Contact your physician for more information on what you can do to prevent heat exhaustion.
July 14,2000
Jewish Press, Omaha, NE
Page 27
Introducing...Steve Stiel (Continued from page 1) ment and necessary space to help us accomplish this vision. The move enables us to achieve several immediate goals: 1) We can now conduct staff training, small workshops, meetings with volunteers and coalition partners, all within our private office space; 2) provide a more secure, private location for our clients, with parking right outside our entrance at the northwest corner of the Jewish Community Center; and 3) consolidate all our confidential files, resource material and books into one convenient location for our staff and clients; Thanks to the generosity of this community and our donors, JFS will now have more privacy, yet more visibility in the community.
struggling with the issue of infertility. I Seville Neighborhood—WALK TO BETH EL You bring a unique background to your position as Executive Director; after all, you've been a chap- I Large -11/2 stories, 4+bedrooms, Main Floor! lain, manager of 40IK plans, and social worker. I Master Suite. Vaulted Ceilings, 2nd Floor has 31 |Bedrooms, Study Area, 3789 Sq. Ft. Finished,! How does your experience help you at JFS? I Wooded Lot, Finished Basement with Office,
All the occupations I've held revolve around help- f Game Room, Rec Room, Bedroom. $194,500 ing people. Whether it was financial help for small OPEN HOUSE, Sunday, July 16,12-2 p.m. business owners or psychological help for teenagers 826 No. 148th St. involve^ with drugs, my professional experience Richard Diamond has always offered the chance to assist others. NP Dodge Co. 758-1479 That's really what we do here; we are about people helping people. Whether we act as a referral for a couple contemplating adoption or provide direct help through counseling, we can still be the conduit. That sounds like a contradiction. Can you expand For example, we'd love to help Bar and Bat Mitzvah kids looking for mitzvah projects with on what that means for JFS? agencies in the community that need volunteers. Eventually, we would like to become the volunteerIn the past, it was difficult to project an image of coordinator for the Jewish community, matching privacy and confidentiality when clients were interested men, women and teens with needs withforced to step outside our offices just to use the 8722 Pacific St. in the Jewish and general community. bathroom. Now we have a self-contained space: 391-0312 Each time I found a new challenge in my life, it waiting area, bathroom, sound-proof rooms for counseling and therapy, and parking close to our has brought personal growth. For example, as a YOUR NATURAL entrance. So when we state that a client's business convert to Judaism, I can easily relate to an interwill remain confidential, we can say that with faith couple grappling with the issues of faith, famFOOD SOURCE ily relationships and the conversion process. assurance. Growing up in a working-class family, I can also We now offer one of the largest selections Privacy in the past also meant low visibility for empathize with a father trying to provide for his the agency. It was tough to find our old office! of organic and all natural foods available. The agencies on this campus have been making a children.Working at Child Saving Institute, I For a healthier alternative, shop the concerted effort to collaborate. We at JFS have also encountered many single parents, often working Broadmoor Market. been reaching out-to the synagogues and rabbis, to two jobs, struggling to pay for the most basic necessities, yet living their lives with dignity. other Jewish groups. Cooperation is the key to sucOne of the key ingredients to this job is empathy, cess. being able to look at the world through the eyes of We now have a professional space to which we Fat Free your clients. I really think it's helpful for them to can invite other mental-health professionals in the Cholesterol Free Jewish and general communities, representatives know who I am and that all of us at JFS are here to understand their problems and help them solve Sugar Free from the United Way, the community rabbis, and them. others. >UfU Calorie Free There are a host of issues JFS can now address in Your wife, Debbie, is the Associate Rabbi at Caffeine Free our new setting. Temple Israel. How has that helped you?
III I
INAL
That's a perfect opportunity for you to talk about the plans JFS has for the upcoming months! Well, speaking of collaboration, JFS is already planning several programs with other agencies. Our Men's Forum, an outgrowth of the success of the Women's Symposium '99, is scheduled for Sunday, Nov. 12. Co chaired by two father-and-son teams, Joe and Jeff Kirshenbaum and Harlan and Jay Noddle, the event will focus on issues important to Jewish men: families in business, Jewish 'fathering* and Jews and politics, to name a few. In addition, we're featuring Dr. Michael Diamond, a psychotherapist from California and an expert in the field of father-son relationships. He'll speak about 'Good Enough Parenting." Like the Women's Symposium, the Men's Forum is co-sponsored by the synagogues and several other Jewish organizations and agencies. Another program we're involved with is to bring a Jewish bereavement camp experience here. A small committee was formed under the guidance of Rabbi Eric Weiss of San Francisco, who runs the Bay Area's bereavement camp. We'll be offering a one-day retreat on Dec. 8 and plan to offer a weekend experience the following year. This program will be for parents who have lost children and children (of all ages) who've lost parents. Whether someone is mourning a spouse, a partner, a sibling, a friend or a grandparent-whether the losses are very fresh or years old—whether one attends singly or in a family group, all will find companionship here. If loss is an issue in your life, this event is for you. In addition to these programs, JFS is also planning a Pajama Havdalah with other Jewish agencies in January. Some of the other programs we're currently working on include: Shalom Baby, which provides Jewish and general child-rearing information for expectant and new parents; Times and Seasons, an eight-session program that offers information and support for interfaith couples; and also an educational and support program for Jewish couples
Being married to a rabbi is a definite help to me. It has allowed me to enter into the Jewish community in a way that may not have been possible otherwise. I have come to know the Jewish community, and I am a known entity to them, as I enter this position with JFS. Plus, being the spouse of a rabbi has exposed me to many of the needs and issues of our community! I do want to emphasize, however, that Debbie and I do not confide in one another about the people we are counseling. This is a secure, safe environment. What else do you want to tell our readers about yourself and JFS? We're working on major issues of importance to the Jewish community: teen suicide, eating disorders, domestic abuse, and just the whole array of mental health issues, many of which are treatable. In fact, Jewish Family Service is one of the sites for a national day of screening for Depression on Thursday, Oct. 5. Any person in the community can come in on that day and complete a short questionnaire that can help identify depression. Therapists will be on hand to discuss the results with each person. It's time to get past the issue o f shame." Counseling is a helpful tool for personal growth. We're "here for the "tough times," grief, infertility, substance-abuse problems, and more. The community can depend on us and trust us. We're not just an agency that helps the Jewish poor; we also offer services for everyone in the community, from adoptions to resettlement, from counseling to parenting classes. We're here to help. That's our mission.
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T T T T Jewish Family Service is a Center of Excellence of "Restoring "Be the Star "Restoring "Music for the Jewish Federation of Omaha. It receives fundin Your Life" Your Energy Your Energy" the Soul" ing through the Federation's Annual Campaign, Mondays in Daily Life" Special Holiday United Way, fees for services, grants from endow- Sept.Tuesdays 12* 19-26 Oct. 16 • 23 • 30 Special Weekend Music Presentation ment, and individual contributions to our JFS October 3 November 6 Sunday Retreat 6:30 p.m.- 9:30 p.m. December 3 Friends Campaign. Oct. 20, 21, 22 For more information about its programs and serFor More Information or To Register vices, call JFS at 330-2024.
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Page 28 Jewish Press, Omaha, NE
July 14, 2000
Preventive health project (Continued from page 1) few more years together." The Spiegal family is now on a mission. Devra has already written to both President Bill Clinton and has received a response from his wife, Hillary Rodham Clinton, who wrote, "I am honored and touched that you chose to share your personal experiences with me. The strength and courage you have shown in coping with a difficult and painful situation are an inspiration for all of us. . .My thoughts and prayers are with you." Devra has also been in touch with Shelley Kiel, candidate for Congress from the Second Congressional District, with Lee Terry, the incumbent congressman, and Senators Bob Kerrey and Chuck Hagel. "Our plan is to educate the public and policy makers about the benefits of early detection and screening," Devra explained. "We're in the process of creating a brochure and we're actually thinking of designing a website. "There is so little information available about cancerous brain tumors," she continued, "and very little research. In fact, the latest research is already a decade old!" In addition to alerting the public about symptoms, the Spiegal family hopes congress will pass legislation mandating insurance companies to pay for MRIs. Their third goal is to create support groups for patients and their families facing brain cancer. Spiegal noted that the American Brain Tumor Association does have a website (www.abta.org) and a toll-free number, 1-800-886-2282. The ABTA also publishes an extensive reference manual entitled "A Primer of Brain Tumors" which is available by calling their 800 number. In it is a list of symptoms. Spiegal said that had their doctors or the family known about this list, they would have been able to diagnose Jeff earlier.
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According to the ABTA, the most frequent symptoms of brain tumors include: • Headaches that tend to be worse in the morning and ease during the day; • Seizures (convulsions); • Nausea or vomiting; • Weakness or loss of feeling in the arms or legs; • Stumbling or lack of coordination in walking (ataxic gait); • Abnormal eye movements or changes in vision; • Drowsiness; • Changes in personality or memory; • Changes in speech. "In hindsight, of course, we recognized that Jeff had multiple symptoms," Devra explained. "But the doctors were reluctant to order an MRI because of the cost, which runs about $1500, and for which insurance companies are not eager to reimburse." So, in addition to alerting the public about brain cancer symptoms, the Spiegal family is urging congress to mandate payment for MRIs and increased funding for research. Because Spiegal was e-mailing friends and relatives on a regular basis, she has a three-inch thick notebook of documents of the progression of Jeffs brain cancer. The notebook contains weekly charts of blood pressure, dates of seizures and other symptoms, doctors' letters, hospital visits. Though doctor's ordered a CAT scan (a series of "slices" of the brain viewed through a computer linked to a special x-ray), his tumor was only detected through the more expensive MRI procedure. "Since the symptoms can also be suspected in other diseases, doctors are often reluctant to order MRIs," she explained. "There's no support structure for brain tumor patients and their families," Devra added, noting that area hospitals do offer cancer support groups and some specialized within cancer, like pediatric cancer or breast cancer groups. "When the surgery and radiation failed, we start-
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ed our grieving," she said, nearly 11 months before Jeffrey died. But in addition to dealing with the trauma of Jeffs disease and then his death, the family is also fighting with the insurance company to pay for some of the tests and procedures. There are some "nice" stories, which Devra related about some of the staff she and Jeff met. "After Jeff developed a staph infection, we needed a specialized medicine only authorized by the Food and Drug Administration for wound treatment for diabetics," Devra explained. "The insurance company refused to pay, so Jeffs infectious disease doctor contacted the drug company who donated three tubes (at a cost of $500 apiece) for Jeffs treatment." This doctor also fought for Jeff to stay in the hospital for medication administered intravenously, but the insurance company insisted he go home. "Of course, Jeff had to return to the hospital," Devra laughed. "The three-week stay there cost the insurance company $54,000!" Working on this project has helped Devra and her sons deal with Jeffs death. "Knowledge is power," she said. "I've networked with dozens of people and several hospitals: Duke University, Johns Hopkins, Sloane Kettering. "Because Jeffs type of tumor is so rare, there's not even enough research available to offer scientists a way to predict the disease's progress," she continued. "In fact, the doctors at the UNMC (University of Nebraska Medical Center) had never seen a brain stem tumor of this type in a 47-year-old man!" Beth El Synagogue Talmud Torah has already invited the Spiegal family to come and talk to their high school students this fall. Devra hopes more groups will contact her at 894-9396 to arrange additional speaking engagements. "This project is dedicated to Jeffs memory," Devra said. "If we can save one life by early detection, get one insurance company to pay for one more MRI, get congress to fund more research, then Jeffs death will not have been in vain."
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