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No. 42 Omaha, NE
Eden Alternative helps elders maintain health by Carol Katzman When Lazar Kavich was recuperate ing in the Rose. Blumkin Jewish Home, his eon and daughter-in-law, i Larry and Andi Kavich, brought their dogs, Sophie and Chloe, to visit. Though the senior Kavich was unable to return home, and died July 1,1996, Larry recalls how his father's eyes would light up with every visit. It seemed only natural when Federation Foundation Director Marty Kicks approached the Kavich family with a "small project" that they would jump at the chance to provide a human touch to the environment of the Rose Blumkin Jewish Home. As part of the changeover to the Eden Alternative, a method of eldercare which revolves around the needs of the residents and includes home* like touches such as gardens, pets and visits from children, the Kavich family L a M y ond ^ ^ H Kavich are helping residents of the Rose Blumkin Jewish will assist by purchasing the first two H o n M 5 a s B a r t o f (be E d e n Alternative, an "elder-centered" philosophy dogs ever to live in the Home and w h i c h creates a homelike environment in nursing homes with gardens and underwrite the cost of their care and ^ ^ (mm children and pets, like the Kavich's dogs Chloe and Sophie. maintenance. The funds will come
Israel in the gene era by Wendy Elliman
JERUSALEM--^ has been 40 years since Molecular Human Genetics Research Facility at research into gene therapy began, and nine since the Technion Institute of Technology in Haifa. "One current Technion project is a joint venture the first repaired human genes were transferred into the first human patients. In that time, over with GENSET in Paris, analyzing human genes to 2,000 people have received gene therapy, 30 gene find links with common diseases, aiming to develtherapy companies have been established world- op drugs to cure them. Another is a study of genetwide, and more than 200 gene therapy protocols, or ic anomalies among Israel's Arab population, where first-cousin marriages are common and treatments, have received FDA approval. But these figures can mislead. While many who genetic diseases found in 40 percent of them." Even when a gene is identified, however, its have received gene therapy have been significantly helped, none has been permanently cured. A world- defects are hard to find. A complex gene, like that wide biomedical effort is now underway to make responsible for cystic fibrosis, can go wrong in hungene therapy viable—and Israel, with its treasure- dreds of different places (almost 400 so far, and still counting). In Israel's rich and varied genehouse of ethnic groups, is an important player. "There's no doubt gene therapy will work," says pool, researchers are tracking down faulty genes Dr. Michal Roll, Research and Development and seeing why they go wrong. Prof. Orly Reiner at the Weizmann Institute of Director at the Hadassah-Hebrew University Medical Center in Jerusalem. "The ideas are there. Science in Rehovot, for example, has cloned and As we unravel more of the basic biology, we'll learn identified a gene responsible for lissencephaly, a to construct healthy genes, get them to the right severe mental retardation that occurs in one of place, keep them there, get them working and, if every 30,000 live births. She is now examining the * role played by this LIS1 gene and its biochemical necessary, shut them off." Early optimism that this would be simple, howev- pathways in the developing brain. Not all mutations, however, carry the same risk. er, has long since faded. Finding genes and their faults has been likened by Dr. Francis Collins of. Cohen-Elbaz is leading a multidisciplinary study the NIH to "searching for a burned-out light bulb of degrees of risk associated with different misin a house somewhere between the. East and West prints in the familial breast cancer gene. Targeting coasts of North America, without knowing the high-risk Israeli Ashkenazi women (among whom state, much less the town or street the house is on." breast cancer is 50 percent more common than in And that's only the first hurdle. Nature throws Israeli Arab women) Cohen-Elbaz is working with up highly effective biological blocks to the critical oncologists, clinical geneticists, psychologists and second stage: getting healthy gene snippets to a epidemiologists, reviewing family medical histoprecise target cell or organ, where they must work ries, diet and lifestyle, aiming to build an effective prevention program. in the right way. Where prevention fails, the aim is cure, and a Scaling these hurdles is a worldwide endeavor, spurred by the Human Genome Project, the monu- key to gene therapy cure is getting the repaired mental $3-biDion 15-year effort launched by the U.S. gene to the right place. "Genes can't be injected," in 1989 to find, identify and decipher the structure of says Prof. Ariella Oppenheim of Hadassah's hemaeach of our 100,000 genes. Ks an endeavor in which tology department. "They need special delivery Israeli researchers are making a special contribution. . vehicles." "Israel's population constitutes a rich human labOne of the more promising such vehicles is the oratory for molecular geneticists, because it's far virus (an organism thatfs Bpent millennia refining easier to trace genetic anomalies in inbred groups itself to do exactly what gene therapists want: with homogenous pedigrees, such as Yemenite and insert itself into cells. To become gene therapy's Moroccan Jews, Druse and Arabs," says Prof. delivery boys, however, viruses must be stripped of Nadine Cohen-Blbaz, head of the Tamkin (Continued on page 11)
from the Lazar Kavich Foundation, originally established by the family in his memory. Ricks, who knew of the Kavich family's love of animals, knew that this *was a perfectmatch," according to Larry Kavich. 'This small act of bringing mature dogs with sweet temperments into the Home can make the difference in some resident's day, or even life," he said recently. "Marly Kicks had a clear understanding of what my parents would have liked to do with that fund. Setting up the Home with these dogs will return tremendous rewards." Though the Home has already sent two of its registered nurses, Darlene Golbitz and Janet Herman, to be trained at the Eden Alternative's site in upstate New York, the staff and board of directors are looking forward to the arrival this Sunday of the creator of this method, Dr. William Thomas. (Continued on page 9)
Prostate disease: feared, common and sort of predictable by llene Springer (JFL)—Abraham, Isaac and Jacob...they all lived to be very old, the Bible tells us. And we know a lot about their spiritual lives, their wiveB, their trials, their achievements. What we don't hear about is their prostate disease, which, according to experts, all men will experience if they reach a certain ripe old age. So we can assume that the Patriarchs, as noble as they were, suffered some of the same exasperating and frightening symptoms as modern Jewish men face today. •" What is the prostate? The prostate gland, functioning as part of the male reproductive system, is a golf-ball-sized gland that surrounds the urethra (the tube that carries urine from the bladder) and is located in front of the rectum. This gland's main role is to squeeze fluid into the urethra during ejaculation, joining with the sperm to make up the semen. The fluid actually protects the sperm from the acidic environment of the vagina, increasing the odds of a sperm reaching the egg. So whafs the problem? From age 25 or so, the prostate gland continues to grow gradually—and it doesn't quit. Most men before the age of 40 do not develop problems, but it is the continuous enlargement (which crowds the urethra and other nearby organs) that does eventually cause symptoms, most commonly known as benign prostatic hyperplasia. If you're 40 or older, you may notice it getting more difficult to urinate, reducing your steady urine stream to an annoying trickle. This irritates your bladder, making you feel like you have to go more often, especially at night If you notice these symptoms, don't just accept this as a part of growing older.. .and see your doctor. There is treatment, drugs and surgery, if necessary. The good news is that this type of prostate problem does not lead to prostate cancer. (Continued on page 6)
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Jewish Press, Omah^t, NE
July 9,1999
Journey home to Jewish Omaha. www.iewishomaha.org
The gift of a lifetime Save your parents' memories of childhood, courtship, ancestors, the family business. I record their recollections, scan their old photos, and create an elegant book.
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553-5704
JEWISH FEDERATION LIBRARIAN cuv\
Tuesday, July 13 4:30-5:30 p.m. in the JCC Gallery —.
CLIP, & SAVE
CALENDAR OF EVENTS FRIDAY, JULY 9 Russian Club, 10 a.m. SATURDAY, JULY 10 Humash Class, 8:20 p.m., at Beth El SUNDAY, JULY 11 ^ Ya'Chad Activities MONDAY, JULY 12 YES Program, 9:30 a.m. TUESDAY, JULY 13 Beth El Executive; Committee Meeting, 7:15 p.m., at Beth El -WEDNESDAY, JULY 14 Hadassah Meeting, 10:30 a.m., at Livingston Plaza Beth El Adult B'nai Mitzvah Class, 7:30 p.m., at Beth El THURSDAY, JULY 15 Walk-in Drop-in, 9:30 a.m. All avanla hald at tha JCC unlaaa atharwlaa Indlcatad. Tha V Jtwtth Pnt* la not taap«nalbla lor tna accuncy ol tha avanta. c To kwp calandar accurata or lor quattlona, call Mariana Hart at 334-6437.
CENTRAL PARK PHARMACY #5 307 North 114th St. PHONE 333-5100 CUP & SAVE
PAULINE S. ABRAHAMS Pauline S. Abrahams died Tuesday, July 6, at the age of 89. A memorial service will be held Sunday, July 11,2 p.m., at Temple Israel. Survivors include her husband, Milton R. Abrahams of Omaha; daughters and sons-in-law, Joan and Steve Subrin of Newton, MA, and Phyllis and Keith MacAdam of Lexington, KY; brother, Julian Saltzstein of Coconut Creek, FL; and five grandchildren, Elisabeth, Julie and Jennifer Subrin and Daniel and Alison MacAdam. Memorials to Temple Israel.
MILTON "MDOET NOVAK Milton "Mike" Novak died at the age of 79. Burial was in Omaha. Survivors include his daughter, Tina Sell; brothers and sisters-in-law, Bill and Deborah Novak, Art and Freddie Novak and Elmer and Alice Novak; sister, Alice Hemingway; sister and brother-in-law, Miriam and Peter Mayer; in-laws, Ed Rosen, Helen and Evelyn Novak; and two granddaughters. Memorials to charity of choice.
The mitzvah of organ donation by Abigail Pickus, Staff Writer, JUF News, Chicago
CHICAGO - Eighteen years ago, a liver transplant saved David Yomtoob's life. At the age of 12, Yomtoob, an Iranian Jewish boy firom Michigan, declined from health to hovering on the brink of death. A rare genetic disorder called Wilson's disease contaminated his liver with so much copper that David practically disappeared, dropping down to 57 pounds and finally lapsed into a coma. For an entire week, his family kept a bedside vigil, waiting for a liver to become available. Finally, on Selichot, when the fate of every person is sealed, "who Bhall live and who shall die," David was given the gift of life. . A young girl's death made available a compatible liver, which pioneering doctors successfully transplanted into David. Because transplants in the early '80s were so new and experimental, doctors would permit the operation only for those unlikely to survive. But David did survive. Buoyed by his spirit and reha- . bilitation, his weight returned to normal, he regained the use of his muscles, and he re-learned to speak. Six months later, he celebrated his Bar Mitzvah. David really was a breakthrough; no one thought he was going to make it, "he was so sick," said his mother, Parichehr Yomtoob, who lives in Riverwpods,,IL, with her. husband, Youssef. "It was a miracle, tt really was." . Now, at the age of 30, David's transplanted liver has failed him again. Married, and with a little two-year-old daughter, he awaits a liver, too fatigued to work full-time, his life once again hanging in the balance. He has been waiting (on and off, at the University of Nebraska Medical Center) for a liver to become available since April of last year. Is he frightened? "Sometimes," he said in a phone interview at his home in Michigan. "It's not easy not knowing what the future holds." The mitzvah of saving a life David Yomtoob Is sadly one of 63,000 Americans waiting for a new organ. While the need iB"great, United Network for Organ Sharing (UNOS) estimates that a new person is added to the data base every 16 minutes, not nearly enough organs are donated. For the Jewish community, this dire need for organs means,special responsibility. In fact, organ donation, far from being against Jewish law, is actually an obligation advocated by nearly all Jewish leaders from established movements. "Since we have a religious obligation to save human lives when in danger, and since that bbliga1 tiori overrides all other religious obligations, we are obligated to give [organs]. To refuse to give consent is a violation of Jewish law," said Rabbi Joseph H. Prouseri of Congregation B'nai Shalom in Newington, CT., whose teshuvah on organ donation, "Chesed or Chiyuv? The obligation to preserve life and the question of post-mortem organ donation," was passed in 1995 by the Committee on Jewish Law and Standards of the Conservative movement's Rabbinical Assembly. The commandment in question is pekuach nefesh, the mitzvah of saving a life, which is so essential that it takes precedence over everything except murder, idol worship and sexual perversion. "What is the fundamental value among the Jewish community? The dignity and sanctity of human life. If we have evolved technology to make choices to save human lives, we have the divine commandment to do that," said Rabbi Richard Address, Director of the Department of Jewish Family Concerns for the Reform movement's Union of American Hebrew Congregations (UAHC), the first movement to actively promote organ donation.
Modern advancements The concept of organ donation has brought us to a modern turning point, one that has forced our poskim to redefine halakha for our times. The traditional definition of death, and the only one in the time of the Talmud, is cardie-respiratory failure, which was tested by placing a feather in front of a person's nose. If the feather failed to flutter, the person was pronounced dead. But with the development of the respirator, a new concept emerged: brain death or brain-stem death. Because the respirator artificially pumps oxygen into a person's lungs, even after that person's brain dies, blood and oxygen continue to circulate to the vital organs, keeping them functioning. This alone has made such organs viable for transplant. And with immuno-suppressive therapy, the drugs that prevent the body from rejecting foreign tissue, like someone else's organ, a functioning organ can be successfully transplanted into a living person. According to Rabbi Moshe Tendler, Biology Professor at Yeshiva University, Professor of Talmudic Law at Yeshiva University's Theological School, and Chair of the Biomedical Ethics Commission of the Orthodox movement's Rabbinical Council of America, the only definition of death is brain death. "Brain death it the same as physiological decapitation; the brain is no longer connected to the body physiologically. Brain death means you cannot breathe at all, cannot respond to stimuli, cannot process information. You're not alive," said Tendler, who appeared before the Chief Rabbinate of Israel as one of the main advocates for accepting brain death as halachicly valid. The Rabbinate accepted this neurological criterion of death in 1991, the same year the Orthodox Rabbinical Council of America approved organ donation as permissible and obligatory. But Rabbi David Bleich, a rosh yeshiva at Yeshiva University in New York, has emerged as Rabbi Tendler's opponent. For Bleich, there is only one definition of death: cardio-respiratory failure, which means that removing organs from a person whose heart is still beating is akin to murder. "Jewish law doesn't take cognizance of'brain death; it must be a cardiac cessation. There is no such thing as brain death because the heart is still beating, still regulating body temperature, and metabolic activity is still going on;" he said. • •• ; But Tendler, who has a doctorate in microbiology, dismisses Bleich's critiques. "Rabbi'Bleich regrettablyTJBS little understanding of biology bid medicine," said Tendler, who noted"BleichT>ases his argument on Talmudic and rabbinic1 definitions of death before the days of the respirator. < So why do many Jews think it?B against halachat, "It's a folk belief that runs very deep," said Rabbi Elliot Dorff, Rector and Professor of Philosophy at the University of Judaism in Los Angeles, Vicechair of the Conservative Movement's Committee on Jewish Law and Standards, (and a recent guest in Omaha where he spoke to the Jewish and medical communities about medical ethics). In his talks across, the country, there is always someone who says to be resurrected when the messiah comes, a person must be buried with all organs intact Never mind that after a person dies, the body disintegrates. And never mind that, if God created man and the entire universe out of nothing, then God could certainly recreate a person from what remains. There's nothing wrong with a folk belief except if it prevents us from achieving important purposes,
j j ' :
July 9,1999
SYNAGOGUES
:
OFFUTAIR
FORCE BASE
$B#t and Capebari, Omaha, NET 88113-5000
mwsi 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. CHABAD HOUSE An AMUlo of the Worldwide CJubad-tubavHch Movement
1686 So. 120th SL, Omaha, NK 68144-1046 Phono: 330-3800 WSBSXTBt www.chnbad.eentcrM:am/omaha Services conducted by Rabbi Mendel Katzman. FRIDAY: Services, &30 ajn. SATURDAY: Services, 9:30 a.m., followed by Kiddush; Mincha/Ma'ariv, 6:30 p.m., followed by Havdalah. WEEKDAYS: Shacharit, 7 a.m.; Mincha/Ma'ariv, 7:30 pjn.
SATURDAY: Services, 9 a.m., led by Andrew Greenberg. All services are followed by Kiddush. A memorial, in memory of residents who have died during the month, is held on the last sabbath of each month.
Services conducted by Rabbi Stanley M. Itosenbaum. Minyan on Monday and Thursday at 7:15 «Jn. FRIDAY: Services, 8 p.m.; Anniversary acknowledgements. SATURDAY: Services, 9:30 a.m.; Kiddush honoring Michael Hamilton's adoption by James Hicks
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CANDLELIGHT1NG: 9:40 p.m.
BETH ISRAEL SYNAGOGUE
FRIDAY: Shabbat in the Park: A shabbat service will be held at Zorinski Lake at 156th & F St., main picnic area, Shelter 2. Bring a picnic supper at 6 pan. A service led by Rabbi Debbie Stiel and Dr. Michael Walts will follow. In case of inclement weather, the service will be canceled. The regular service will be held in the Chapel at 7:30 p.m. Rabbi Aryeh Azriel and Cantor Jennifer Blum will officiate. Rabbi Azriel will lead a discussion of the Torah portion for the week. SATURDAY: Bagels and Bible: An opportunity to learn Torah with the rabbis, 9:30-10:15 a.m.; Shabbat service, Kh30 o.m. SITTER SERVICE Sitter Service is available Friday evening,' Saturday mornings for Bagels and Bible and the worship service. Cost is $2 per family. Please make a reservation through the Temple office so we may plan accordingly. ADULT EDUCATION TUESDAY, July 13: Beginning Beyond Midrash, 6:50-7:40 p.m.; Beyond Midrash, 7:50-8:45 p.m., led by Don Schwartz. WEDNESDAY, July 14: Midrashah 10 a.m.noon. SISTERHOOD BOOK SALE The sale will take place in the social hall and includes nearly-new as well as used hard cover, paperbacks, novels, cookbooks, children's and many more. The sale also includes greatly-loved and gently-used Judaic Treasures. Sunday, July 11, noon-6 p.nu; Monday, July 12,10 a.mi-6 p.m.; Tuesday, July 13, 10 a.m.8 pan^ and Wednesday, July 14,10 a.m.-6 pan.
Jewish Press, Omaha, NE
Office hours: Monday through Thursday, 8 a.m. to 4:30 pan.; Friday, 8 a.m. to 2 p.m. Services conducted by Rabbi Howard Kutner. FRIDAY: Kabbalat Shabbat service, 7 pjn. SATURDAY: Services, 8:45 ajm.; Little People service, 10:15 ajn..; Jr. Congregation, 10:30 ajn.; Kiddush sponsored by Sisterhood; Rabbi's class, 8:05 p.m.; Mincha, 8:35 pjn., followed by Ma'ariv and Havdalah, 9:49 p.m. SUNDAY: Services, 9 a.m.; Beis Hamedrash, 9:45 ajn,; Mincha, 8:40 pan. WEEKDAYS: Services, 7 ajn,- Mincha, 8:40 pan. WEDNESDAY: Rabbi Kutner teaches Talmud Class at 7:40 p.m. at the synagogue.
BfcVT SHALOM
AnAffiHuteofthe AffiHfh Jewish Jtecongtructf Onist Moderation
P.O. Box 241130, Omaha, NE 68124-8130 758-9233 , http://comc.to/faeytshnlom/ FRIDAY: Kabbalat Shabbat, 7:30 p.m. Religious School is over for the semester. However, pre-registrations are being accepted at 758-9233. FRIDAY, July 16: Shabbat in the home. FRIDAY, July 23: Tot Shabbat.
BETH EL SYNAGOGUE Member of United Synagogues of Conservative Judaism 14806 California Omaha, NE 88154-1960 402*8560 WEB-www.bethel-Omaho.org Office Hours: Monday through Thursday, 9 a.m. to 5 p.m.; Friday, 9 a.m. to 4 p.m. Services are conducted by Rabbi Paul Drazen and Cantor Emil Berkovits. FRIDAY: Services, 6 p.m. SATURDAY: Services, 9:30 a.m.; Dvar Torah given by Susie Drazen; Kiddush following; Sitter service, 10 a.m^ Shabbat Story Time (pre-kindergarten and under) 11 a.nL; Ktantan (kindergarten through 3rd grade) 10:45 ajn.; Minha-Ma'ariv and Havdalah services, 8:50 pjn. SUNDAY: Services, 9 ajn. WEEKDAYS: Services, 6:55 a.m. & 5:30 p.m.
Landmarks of faith: America's first synagogues Odyssey, A Hallmark & Hensoh Network, will premiere Landmarks of Faith: America's First Synagogues, the newest episode of it's acclaimed
documentary series Landmarks of, Faith,
Saturday, July 17 at 2 p.m. Encore presentations will be televised Friday, July 23, 11 a.m., and S a t u r d a y , August 28, a t 2 p.m. (all times Eastern and Pacific). Landmarks of Faith is a spiritual odyssey showcasing locations where this country's many faiths B'NAI ISRAEL SYNAGOGUE took root and grew. Hosted and produced by Emmy Award-winning journalist Schuyler Sackett, each Counca BluJfe, Iowa 51503-0766 program focuses on historic churches, synagogues, meeting halls and settlements across the United ii.com States and reveals the development of each faith FRIDAY: Services, 7:80 p.m. Brent Bloom will community in it's early America history. speak on "A father reflects on his first son's Bar The hour-long Landmarks of Faith: America's Mitzvah at the end of the 20th Century." Oneg First Synagogues examines the first experiences of Shabbat, prepared by Peggy Deland and Sandra the Jewish community coming to the United Kurland, will follow. States. This episode also looks at the influential members of the congregation who not only develCONGREGATION B'NAI JESHURAN oped Shearith Israel, but also contributed to the SOUTH STREET TEMPLE development of the character and history' of the Monitor at Uyi Union of American Hnhww Craereictttans United States' evolution. 2061S. 20th S t Notable members of this congregation featured in Lincoln, NE 68002-2797 Landmarks of Faith: America's First Synagogues 4354004 include: Haym Solomon who helped finance the Services officiated by Cantor Michael Weisser. Revolutionary War, Commodore Uriah Phillips FRIDAY: Sabbath Eve service, 7:45 pan. Levy, who led the fight to abolish flogging in the SATURDAY: Sabbath service, 9:30 a.m.; Torah US Navy and personally saved Monticello, the study, 10-30 ajn. home of his hero Thomas Jefferson; Emma Lazarus whose sonnet The New Colossus graces the of the Statue of Liberty and Supreme Temple Israel receives award pedeBtal Court Justice Nathan Benjamin Cardozo.
for Outreach Weekend
• by Iris Ricks. Program Director The Belin Awards Committee chose Temple Israel's "Outreach Weekend" program as one of eight Honorable Mention winners. : This award, given by the Commission on Reform Jewish Outreach, recognizes superior programs ' that demonstrate a high level of creativity, originality and replicability. Outreach addresses the needs of Interfaith couples, families in which one person is not born Jewish, parents of Interfaith couples and people contemplating conversion to Judaism and seeks to create a welcoming environment through which a comfortable relationship with Judaism can be established. The weekend's goals were to increase sensitivity about Outreach issueB in the congregation, provide stimulating and informative programming for the Outreach contingent and celebrate the 20th anniversary of Reform Jewish Outreach. The program featured an Outreach Shabbat dinner and service, a Havdalah program entitled, "How to Take the Overwhelm out of Judaism" and a Sunday brunch for Jewish parents of Interfaith couples, "When Your Child Marries a Non-Jew". The award will be formally announced at the UAHC Biennial in Orlando, FL, in December, and published in an Idea Book that will be available as a resource for all congregations.
ADMINISTRATIVE ASSISTANT Flexible schedule (20 hours per week) Responsible for: . • Daily Operations • Office Functions • Telephones • Secretarial Duties • Record Keeping • Coordination of activities and administrative detail Requirements: Knowledge of Macintosh, excellent knowledge of the English language and high school diploma or equivalent. Submit resume, cover letter and salary requirements: JELS, 333 S. 132nd S t , Omaha, NE 68154
Full-Time Director of Youth Programs 1,050-member family Reform congregation with nearly 700 Religious School-age children. This position would include involvement in programming for grades K-12, work within NFTY-Missouri Valley Region, as well as various teaching and staffing responsibilities. Experience with Youth Programming is a priority.
Resumes only: Temple Sinai, 3509 S. Glencoe, Denver, CO 80237, Attn: L. Cawelti; or FAX: 303-759-2519. DEADLINE: August 1 iob description available upon request
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Jewish Press, Omaha, NE
July 9,1099
Editorial To your health! New treatment for prostate cancer looks promising; Israeli universities and companies continue to investigate gene therapy; rabbis call on members of the Jewish community to sign "organ donor" cards, and the Rose Blumkin Jewish Home implements the Eden Alternative, a new method of organizing resident care around the residents themselves. What does all this mean for our Jewish community? For one thing, it means that more resources may well be diverted to the Elders of this community because we'll all be living longer. For another, it means to achieve that goal, we need to take care of ourselves nowl This issue, our third annual HealthWatch issue, is jampacked with information about innovations in health care, disease management, diagnoses and treatment, as well as safety issues, insurance benefits, and the Jewish views of sex...and how to talk to your teens about that sensitive subject. This material has come from a variety of sources: our loyal advertis-
sers whom we hope you'll support, the Nebraska Medical Association and the University of Nebraska Medical Center, Jewish Family Life, and the Jewish Telegraphic Agency, as well as articles from our Jewish newspapers, such as Abby Pickus' informative piece on organ donation. Use this issue of the Press as a source of information, then act. With the opening of the brand new Fitness Center at the Jewish Community Center, more cardiovascular machines will be available for use by members. Trained staff will be oh hand to run an assessment of those who haven't exercised recently in order to create a custom exercise program suited to each individual. And soon, there will be separate men's and women's health clubs, so expanded hours will give everyone the opportunity for relaxation after exercise! If we're to live longer, let's live healthier. Jewish Senior Services is already planning for our future; let's make it easier for ourselves and our families by making it a healthier future.
PHiUSOFHV
AT TIE, AtaWENT, I'M i N S N TERMS OF BULLWiMKLETrteC«y:' GOTTA
New exports by Carl Alpert
Haifa—Each year, some dozens of bright young Israelis, most of them graduates of the Technion, the Israel Institute of Technology, seek to develop and exploit unique ideas and high-tech inventions which the stimulating program at the Technion has triggered off in their minds. Not for them just a job; they want to set up their own company and go for the big time. There are government agencies which provide practical assistance. And there are venture capital investors who are looking for just such promising opportunities in a field which seems to have no limiting horizons. The result each year is a flock of new start-up companies, each based on an idea, a vision, an ambition and the help of one or more optimistic investors. Needless to say, some of these start-ups never get far beyond the printing of letterheads. Either the basic idea, usually in various areas of computer programming, turns out to be a nonstarter, or the investor loses faith and pulls out, or the inventive young hopeful turns out to be something considerably less than a genius when it comes to the practical side of managing a company. The success rate is phenomenal, however. Success, especially in developing ingenious solutions for the complicated problems of business, attracts the attention of international giants in the field, who quickly step in and seek to buy up the new young company, lock, stock and barrel. Competition is keen, and the result is the emergence of a completely new line of exports for Israel the sale of young high-tech companies. For example, an ambitious young company named Netect, established in 1996, was sold to a foreign company for a cool $33 million. Oshap Technologies, specializing in computer services and software technology, was bought out by the Sungard Data Systems for $210 million. When the Israeli success story called Mirabilis was sold last year to the American AOL Company for $4Q0 million, everyone whistled. That was the record. But only last month along came BMC Soft(Continued on page 5)
To the Editor: The family of Daniel Fine of Peabody, MA, who died of melanoma last year at age 26, has established an educational website in his memory. Dan was a member of Temple Beth Shalom in Peabody. Anyone with internet access is urged to visit the site at . www.skincheck.com for life-saving information. The site, which emphasizes early detection of melanoma by monthly self-examination of the skin, provides factual information, illustrations and photographs of early melanomas. When found early, melanoma is curable by simple painless removal in a doctor's office. Please visit the site yourself and contact us if you have any questions or need more infermation. Thank you for your help. Stephen and Gail Fine, Peabody, MA Ph: 978-535-1339; e-mail: stevefine@eartlink.net
his assertion that senators should not pressure foreign heads of state on domestic matters. Isn't signing a letter of support and encouragement to a leader who has already demonstrated a favorable mindset in this direction a better approach than enacting legislation after the fact? The Smith-Biden letter, as it is currently known, may be exactly what President Yeltsin needs to further his efforts and give added strength to his pronouncements regarding religious freedom and anti-Semitism before, not after, • catastrophic events take place. ' In Sen. Hegel's letter to the Jewish Press and the ' Anti-Defamation League, he gave the following addi- ' tional reason for not signing the Mith-Biden letter. "These actions are frequently counter-productive and send mixed signals. If we intend to achieve the goal of altering the behavior of a foreign government, then America must speak clearly and strongly, with one To the Editor: voice." Because all his colleagues came together and Regarding the June 28 editorial in the Omaha Sen. Hagel alone refused, it would seem that he creWorld-Herald, "Perhaps Hagel Alone was Right,", ated the "mixed signal" he hoped to avoid. it appears that the paper was given incorrect inforSen. Hagel is indeed becoming an astute practitionmation. The editorial stated that 99 senators er of international relations. But weighing his knowlsigned a full-page ad in the New York Times call- edge and expertise against the entire Senate and ing on Boris Yeltsin to do something about anti- have him tip the scale seems to be wishful thinking Semitism in Russia. atbest According to sponsoring senator Gordon Smith's So, why make a big deal out of this? Lincoln, wonWashington office, the senators signed a letter derful as it is, has a small Jewish community. Our which was sent directly to Yeltsin urging him to temple has been desecrated, hateful calls received by take a stronger stand. The above-mentioned, clergy and congregants alike, and our city has the which included a copy of the letter, was placed in dubious distinction of being known internationally as the Times by the American Jewish Committee, the center of distribution of neo-Nazi literature, along with the National Conference on Soviet thanks to Gary'Gerhard" Lauck. Jewry, thanking the senators for being proactive Although Sen. Hegel's decision has no connection to before the situation escalates. The letter was craft- this, its still an embarrassment to have the only noned to give Yeltsin a strong tool, more like a club, signing member of the Senate regarding the menace should he choose to use it, to put pressure on of anti-Semitism, be from Nebraska. That being said, extremist political groups like Alexander we applaud Sen. Hegel's letter to President Clinton, Barkashov's Russia National Unity Party. urging the White House to take action. It would be The reasons Sen. Hagel gave for not signing the wonderful if the 99 signers of the Smith-Biden letter letter are confusing. He has had his name attached' did likewise. to legislation condemning human rights violations Still, we wish Sea Hagel had signed the letter, and, in China and insisting that foreign governments in retrospect, perhaps he does, too. settle differences in Georgia, Afghanistan and "• Chuck Kuba Tajikistan. These are noble efforts, but contradicts President, Jewish Federation of Lincoln
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July 0,1999
Journal entry from Israel
Jewish Press, Omaha, NE
Page?
Liora and Ron get married by Teddy Weinberger
I went to my cousin Liora's wedding last month. As ia the case for many weddings in Israel, the event was held not in a hall but outdoors (you don't have to worry about rain here between May and October). Iiora's wedding was called for 7:30 p.m. I arrived at 8, knowing that I was still going to be early for the ceremony. liora was stunning, her blond, shoulderlength hair contrasting with her tanned body in her beautiful off-the-shoulder wedding dress. Other than the bride (my third cousin) and her family, I didn't know anyone at the wedding (my wife, Sarah, was having dinner with a European money manager in Tel Aviv). Yet, I was happy with my gin-and-tonic and the hors-d'oeuvres (there was even sushi),'and I knew almost all of the music played by the disc jockey: Van Morrison, Donna Summer, Diana Ross, the Bee Gees, Credence Clearwater Revival, Billy Joel. In fact, the DJ did not play any songs with Hebrew lyrics during the period before the wedding. The wedding ceremony was short and uneventful. Only about 30 chairs were set up at the ceremony for a crowd of several hundred people. I took this to stand for the importance placed by the wedding party on the ceremony itself. I noted one other thing at the ceremony: when the groom arrived, with his father and father-inlaw holding him on each side, some members of the crowd applauded. In the absence of any meaningful music, the people needed a vehicle through which to express their emotions and they did it with their clapping (if one listened, there was some traditional Jewish music coming from the DJ*s speakers on the' otherside of the grounds, but it did not create any kind of mood for the ceremony). The ceremony over, we proceeded to a lovely buffet. My cousin, Alona, Liora's sister, was nice enough to look out for me and seated me at her table with her husband's family.
The dancing at the wedding was mainly to the music of popular American and British rock groups from the '60s to the present There was no traditional Jewish (simcha) music, and only a handful of contemporary Israeli tunes. Despite this, I was having a good time. liora and Ron had a lot of their friends out with them on the dance floor, and everyone seemed genuinely happy. Yet, something in me was murmuring: this seems more like a dance floor at a night dub than at a Jewish wedding. During a break in the dancing, I had a chance to speak with Deeta, Liora's mom. After a while, Deeta said, "You're probably not used to this kind of a wedding. Well, we do things a little differently. But our weddings are nice too." I was moved by this. I knew that Deeto had recently attended my cousin's very traditional Jewish wedding in New York. In effect, she was ' telling me, "Don't judge us." When I told a friend about what Deeta had said, he suggested that her words revealed that she was aware of the shallowness of Liora's wedding in terms of its Jewishness. I'm not so sure about this. It could very well be that Liora and Ron chose the Jewish wedding appropriate for them. Some Israeli couples do not have Jewish religious weddings. These couples go out of their way to have civil weddings; they travel outside of Israel (often to Cyprus) for their marriages-which are then recognized by the Israeli Rabbinate. (I do have a friend, however, for whom even this tenuous connection with the Rabbinate is too much. Although she is married, she refuses to have her marriage rubber stamped by the Rabbinate, and so technically, she is unmarried. When filling out any official forms here, she writes "single" for marital status.) Clearly, therefore, this wedding, performed by an ultra-Orthodox rabbi, was "Jewish." Deeta was telling me to enjoy myself and not to be busy comparing this wedding to other weddings.
She made me ask myself: "Who appointed me arbiter of Jewish culture?" I remembered, too, that even Jewish tradition says that the most important thing for a guest to do at a wedding is to rejoice with the bride and groom. So telling myself, "oh, give it a rest," I returned to the dancefloor—justin time to move to the beat of the Village People's YMCA.
CarlAlpert (Continued from page 4) ware from Houston, TX, and plunked down $650 million for the Israeli firm, New Dimensions Software. The transaction was carried out with cash, not with stock. Explained Max Watson, head of the Texas company: He wanted there to be no doubts in the minds of the employees, some of whom might be tempted to leave if there was any question about the future. "It was important that the staff be satisfied, for they are the major asset of the company," he added. In 1998, no less than 20 Israeli high-tech companies were sold overseas for a total of $3 billion. Based on the interest shown by many more overseas giants who are scouting the market here, it IB expected that that figure will be doubled in the next two years. While some critics question the selling of local firms into foreign control, it is pointed out that the businesses do not leave. Their operations and their employees remain here. People in this country have a very high degree of technological expertise, commented Bo Anderson, head of the Israel branch of the telecommunications giant, Ericson. In essence, that is what the foreigners are buying. Though the companies may have passed into foreign hands, they remain part of the local economy.Furthermore, the young founders of these companies remain here with the brains and ingenuity which can be applied to creation of promising new ventures.
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Court sets timetable for final approval of proposed $1.25 billion Holocaust-related Swiss bank settlement
(Continued front page 1) Getting serious There are some conditions of the prostate which warrant more immediate attention. One of these is A United States federal court judge has Bet Nov. prostatitis, which means inflammation and 29 for the Fairness Hearing on the proposed $1.26 swelling of the prostate gland. Symptoms include: billion settlement of Holocaust-era claims between pain on urination or ejaculation, back or pelvic Nazi persecution victims and Swiss banks and pain, and chills or fever. Treatment is usually with a course of antibiotics. other Swiss entities. Prostate cancer is a disease of a different order. Although the legal action was filed in the United States, the proposed settlement affects both sur- According to the American Cancer Society, an estivivors and heirs worldwide. The Fairness Hearing mated 245,000 men in the United States will be diagnosed with prostate cancer this year; about is the last step before court approval. The Court directed that Holocaust survivors and 40,000 will die of it, making it the second cancer heirs be informed of their rights under the pro- killer of men (after lung cancer). "The cause of prostate cancer is still unknown," posed settlement through distribution of a mailed notice package that includes the complete legal write experts at the Mayo Clinic on then- web page. "Research suggests a combination of hormonal and notice and an initial claim questionnaire. ' In the United States and Canada, the Mail No- genetic factors and perhaps dietary and environtice package is available by writing to Information, mental causes." The risk of prostate cancer increases with age. Holocaust Victim Assets Litigation, P.O. Box 8300, San Francisco, CA 94128-8300; by calling a special Black men and men with a family history (father toll-free telephone number: 1-888 636-5483, that or brother) are at greater risk. Because the early will accommodate English, Hebrew, and Yiddish symptoms of prostate cancer may not be nbticed-or speakers; or by downloading the Notice documents may be similar to those symptoms of benign prostatic disease-it is very important to get regularly from http^/www.swiss- bankclaims.com The claims process will go forward only if the checked for prostate cancer. But the good news is U.S. Court approves the Settlement as being fair that caught early, when the tumor is confined to and reasonable at the Nov. 29 hearing. There is not the prostate gland, the five-year Burvival rate is yet a claims process. Persons who may want to 100 percent. One of the biggest concerns, besides that of surmake a claim under the $1.25 billion settlement viving the cancer itself, is the side effects of surgimust follow the procedures set forth. If the settlement is approved, then Judah cal or medical treatment. These include incontiGribetz, Esq., will draft a plan of allocation and nence and impotence. These side effects vary Distribution for presentation to the Court by Dec. according to the type of treatment and the extent 28. The U.S. Court then will adopt a final plan and of the cancer. But again, catching the disease at its a claims process swiftly will be put into effect. The earliest stage—which is possible through early Court has invited interested parties to contact detection-gives a man options that may reduce his them now to present their views on allocation and risks of developing serious side effects. What you can do distribution of the fund, at: Special Master/DistriIf you live to be 80, almost 90% of you males will bution, Holocaust Victim Assets Litigation, P.O have prostate problems. It comes with the territoBox 8039, San Francisco, CA 94128-8039. "If the Settlement is approved, our goal is to dis- ry. But here are some of the actions you can take to tribute the funds as quickly as possible," said lesson benign symptoms and catch more dangerous Morris A. Ratner, a partner at Lieff, Cabraser, problems when they're readily treatable: •After the age of 40, have an annual prostate Heimann & Bernstein, LLP, in San Francisco and New York City, one of the Court-appointed exam, which is conducted by a digital (manually Settlement Class Counsel who prosecuted and set- using the fingers) examination of the rectum. This tled the Holocaust litigation against the Swiss. "It exam allows the doctor to feel the size and position is essential that persons effected by the settlement of the prostate gland as it rests on the rectum. obtain and review the notice and follow the proce•Don't put off physical exams, especially if you dures outlined in it for preserving their rights." have a family history of the disease. •After age 50, the American Cancer Society and Prior to the hearing, persons who wish to object to the settlement must do so by writing to the address the American Urological Association recommend listed in the Mailed Notice by Oct. 22. Also, victims or the PSA blood test that measures the amount of targets of Nazi persecution who choose to exclude protein (prostatic specific antigen) which is secretthemselves from the settlement must notify the Court ed into the blood by the prostate gland. If the PSA comes out higher than normal for a man of a cerby Oct. 22 of their decision in writing. By excluding themselves, individuals preserve tain age, it may indicate cancer. their right to pursue independent legal actions at The PSA test is not conclusive on its own and is their own cost, but may not participate in or somewhat controversial in some medical circles. receive a share of the settlement. Persons .who But it is still recommended as another indicator of wish to participate in any claims program must your prostate health. write to the Notice Administrator by Oct. 22. •When you start developing urination problems, see your doctor; there is help to control these sympNOTE: Additional information is available at toms. http:Uwww.8Wissbankclairns.com/ntedia. The audio •Things that can help you control your prostate' portion of the New York news conference is archived there symptoms include avoiding the following: deconfor future reference. gestants, too much alcohol, cold weather and inactivity. •If you are facing prostate cancer and treatment, don't go it alone. 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Visionaires entertained Y.E.S.
Members will meet Monday at the Friedel Jewish Academy in the Gordman Center. Exercise with Michelle Streif at 10:15 a.m. in the school. Try your luck at bingo with Eileen Remer at 10:30 in Room 4. Bring articles to share for "YES Talk", led by Art Grossman, at 11 a.m. in the Riekes Museum. A Swiss steak lunch will be Berved in the commons area of the school, followed by a special presentation by Cantor Leo Fettman. For transportation, call 330-4272. Deadline is July 15 for the Bluffs Run Casino Talented entertainers from the Omaha trip on July 22. Call Maggie at 334-6521 for reserCommunity Playhouse performed highlights vations. from the musical The Secret Garden. On hand The Mah Jongg Club will meet Wednesday, July were: Harry Alloy, left, and Dawn Buller- 14, at the JCC. For information, call Charlotte Kirke, Jim Boggus, Ethel Goldston and Kaplan, 551-5658.
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June 27 will be recorded in the annals of OT/Y.E.S. history as a day of significance for its appreciation for what Jewish Senior Services accomplished for our group. Yours truly had the honor of presenting a generous contribution to JSS Executive Director Barbara Gottlieb towards the cost of the Adult Programs. Accolades were also directed at Maggie Conti, head of Older Adult Services, who constantly comes up with new ideas and programs for our seniors. The Early Bird talk session discussed congressional efforts to allow the states to decide whether to permit the display of the Ten Commandments on government property. The big question: whose version? Jewish, Catholic, or Protestant? Also bandied about was a proposed amendment banning . desecration of the American flag. - -.',.. Our after-lunch speaker was John Fullerton, Director of Radio Talking Book Services. RTBS serves individuals with visual or physical disabilities which prevent them from reading printed ,,,. material. Three services are offered and are free; call them at 572-3003. We paused in respect for Edward Kahn and Van Farrand. Shalom.
Members will meet a t the Friedel Jewish Academy on Thursday. Exercise at 10:15 a.m. For those going on the Mystery Tour, meet at the JCC by 10:45 a.m. For transportation, call Maggie at 334-6521. VISIONS
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Gallit Greenspoon has received her B.S. degree in film from Boston University's College of Communication. She is presently working as a script supervisor on an independent production. She is the daughter of Leonard and Eliska Greenspoon.
Dr. Leonard Greenspoon, Hutznick Chair in Jewish Studies at Creighton University, and Suzanne Arney, Art Historian and Adjunct Instructor at the University of Nebraska at Omaha, will lead a deluxe tour of Egypt from Oct 21 through Nov. L Sponsored by University College at Creighton University, "The Glory of Egypt* will begin in Cairo, where participants will see the Great Pyramid, the Royal Burial Chambers and the Sphinx, The tour will also visit other sites in Egypt, the Mosques of Sultan flaasa and El Rifai in Luxor, and cruise down the Nile River. Registration is due July 16 with a minimum of 20 people. Cost is $4195 per person with a $450 deposit. For more information, contact Dr. Greenspoon, 280-2304.
Michael Sigmond was among 425 seniors to graduate from Franklin and Marshall College recently. A Dean's List student, he received his B.A. degree and was a participant in the Spaulding Leadership Program, a sports writer and columnist for the College Reporter, and a disc jockey for WFNM, the student-run radio station. The son of Diane Axler Baum and Donald Baum of Omaha and Richard Sigmond and Susan Peteraf of Lafayette Hill, PA, Sigmond has accepted a position as a sports anchor and reporter for KDRV-TV Tokyo's Kitchen has opened at 14132 Arbor St., in Medford, OR. featuring sushi, char-broiled dishes and Japanese specialties. Omaha Steaks has opened a new facility at Farouk G. Horani has opened Farucci's gourmet 11030 "0" St., attached to its current building with a walkway. The new facility will house foodservice, grocery and deli in Eagle Run Square, 129th and retail, incentive and administrative divisions. Maple Streets, featuring European foods, especially Additionally, corporate marketing, a state-of-the- dishes from Italy, France and the Mediterranean. art test kitchen and the company's advertising MAZON: A Jewish Response to Hunger agency are included in the move. Owned by the Simon family for 82 years, Omaha announced spring 1999 grants totalling a record Steaks branded products are sold to various mar- $1,320,000, including a $5000 grant to Voices for kets, including foodservice, business-to-business Children in Nebraska. and direct to consumer and retail. Voices, baaed in Omaha, received the grant in continued support of its advocacy efforts to docuJewish Singles in their 20s, 30s and 40s from ment childhood hunger in the state, as well as all across the nation will explore the Southwest ' their endeavor to educate the public and policyfrom Oct. 11-17 in a trip sponsored by the makers about the extent of hunger in America. Pittsburgh Jewish Community Center. For more MAZON also provided emergency assistance to information or to receive a brochure, contact Kosovar refugees with a $55,000 grant to the Barbara LeWinter, Singles Director of the International Medical Corps. Pittsburgh JCC, 1-412-521-8011, ext. 371.
New author Sara Rinunerman. daughter of Dr. Harlan and Carol Run merman, was featured recently in the Kan a City Star. The 12-y«nr old wrote Hidden Hi r oine, a 40-page book about 90-year-old Fin! Gillia Wells, a friend •"! Amelia Earhart's. The book was published! by Zeus Publications ofg Reston, VA, and went on| sale for $10 at the Inter-I national Forest of Friend-| Bhip Celebration in Atchison, KS, an annual event which honors those who have made significant contributions to aviation and aerospace. It may be ordered by sending a check for $10, plus $2.50 shipping and handling, to: Sara Rimmerman; 1405 NE 101 Ter, Kansas City, MO 64155. Rimmerman spent 18 months talking long-distance to Wells, a founder of the International Organization of Women's Pilots, who also covered the war between Italy and Ethiopia in the 1930s when she worked as a correspondent for the New York Herald Tribune. Rimmerman, a resident of Kansas City, will enter eighth grade at Fort Leavenworth Junior High School, where her father, a former Omahan, • is the Assistant Superintendent of schools. She hopes to write fiction in the future and study journalism and photography in college. She is the granddaughter of Reva and AlOruph.
Marriage
Births Gayle and David Green of Chandler, AZ, announce the May 12 arrival of their second daughter, Molly Rose. Molly has a sister, Emily Allison, 3. Grandparents are Judy and Milt Katskee of Omaha and Sherry and Richard Green of Sun Lakes, AZ. Great-grandmothers are Mabel Katskee of Omaha and Mary Green of Patchoque, NY. Robert and Sara Rosiasky of West Roxbury, MA, announce the May 15 birth of their daughter, Helen Janice. Grandparents are Jerry and Charney Rosinsky of Omaha and the late Janice Rosinsky, and Sam and Joanna Sepkowitz of Oklahoma City, OK.
MTTCHELL/GOKNISH Naomi Mitchell and Eddie Gornish were married University in Evanston, IL. She is a senior commuSunday, May 30, at the nication specialist with National Semiconductor Villa Montalvo in SarCorporation in Sunnyvale, CA. atoga, CA. Rabbi ShelThe groom, son of Gerald and Rochelle Gornish don Lewis of Kol Emet of Philadelphia, received an undergraduate degree Congregation in Palo from the Massachusetts Institute of Technology in Alto officiated; a recepBoston and earned a doctorate in computer science tion followed at the Fairfrom the University of Illinois in Champaign. He is mont Hotel in San Jose. a Softwear Design Engineer with Hewlett-Packard Corp. The bride, daughter of Stanley and Evelyn Bridesmaids were Ruth and Renee Mitchell of Mitchell of Omaha, Chicago, sisters of the bride. The groom was earned a bachelor's deattended by his sister and brother-in-law, Karen gree in journalism and a and Eli Wilchek of Ra'anana, Israel. master's degree in corpo- \J^ £ Following a honeymoon in Paris, the couple live rate public relations from Northwestern inPaloAlto.
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Fellman and Kooper scholarships announced Howard M. Kooper, a trustee of the Bruce M. Fellman and the Robert H. and Dorothy G. Kooper Charitable Foundation Trusts, has announced scholarship grants' to 17 Omaha-area college students. The scholarships will assist these students with their college education. ; Chosen for the 1999-2000 academic year are: J o n a t h a n Cipperley, University of Kansas; Joshua Cohen, Washington University; Jonathan Collie, Tulane University; Boris Davidson, Yeshiva University; Nicole Flatowicz, University of Wisconsin; Grigory Ginzburg, Northwestern University; David Golbitz, University of Iowa; Leslie Golbitz, University of Nebraska-Omaha; Joshua Lefitz, the Evergreen State College; F i o r i n a Mosenkis, Washington University; Andrew Novak, University of Colorado; Rebecca P e r e l m a n , University of Florida; Andrew Buback, Bellevue University; Michael Rubock, University of Kansas; Evan Saltzman, Yeshiva University; Scott Saltzman, Touro College; and Michael Shekhtman, University of NebraskaOmaha. The Fellman Charitable Trust was created in memory of Bruce M. Fellman, son of Tom and Darlynn Fellman, after his untimely death while attending George Washington University and participating in Pittsburgh University's Semester at Sea The Kooper Charitable Trust was created in memory of Robert H. and Dorothy G. Kooper, parents of Howard M. Kooper, in order to further secondary education for Omaha-area college students.
Engagement
pulverente
J2PSTEIN/BOHABT Mr. and Mrs. Robert Epstein announce the engagement of their ] daughter, Elizabeth Ann, to Stuart Henry Bohart. The bride-to-be earned a B.A. from Tulane University in New Orleans and a Master's of Public Administration from American University in Washington, D.C. She lives in New York City, where she is a management consultant with Credo Consulting, an international strategy consultancy based in London, England. She is the granddaughter of Mr. and Mrs. Art Adler and the late Mr. and Mrs. Samuel Epstein. Her fiancee, originally from Lincoln, NE, is the Bon of Marcella Bohart Wills of Omaha and the late Charles Vincent Bohart. He haB a B.A. in Asian Studies and Economics from Northwestern University and is a Principal with Morgan Stanley. Dean Witter in New York City. A Sept. 5 wedding is planned in Aspen, CO.
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how she made ICU visits at 2:30 a.m. That's how she kept her own health and sanity; that's how I could stay with her at first, when things were a little tense. The room wasn't fancy (and it wasn't expensive). We had two twin beds, a sink, a John, a little TV and a shower down the hall in pediatrics. When the hospital is busy, these guest rooms are often needed for the families of chemo patients or for overflow patients, but we happened along during a lull, and it made such a difference to have that little haven. The hospital also has a 24-hour cafeteria, including a hot grill open from 11 p.m. to 3 a.m. (lunch time for the night shift), so that my Mom the insomniac (who doesn't keep kosher) could slip downstairs in the middle of the night and have a grilled cheese sandwich, just like home. Nana's hospital also offers some nice amenities. I was most impressed, however, when I asked for something they don't provide and they helped me get it anyway. During Nana's cardiac catherization (where dye is injected so the doctors can take those amazing pictures of her arteries at work), my father-in-law and I waited together in the surgical waiting room. He's 80-plus, and was pretty tired, so I suggested that he stretch out on one of the couches and take a nap during Nana's test. He was pleased to do so, but he needed a pillow, so I asked the receptionist in the waiting room if I could have one. "We don't have any," she admitted, "but if you go through those double doors marked, 'Surgery: No Admittance', and take the first right, you'll see a long hall with lots of small rooms. That's post-op. Just take the first pillow you see." I must have looked at her with an odd expression, maybe because of that "No Admittance" business, so she grinned and added, "If you walk real fast, no one will stop you." You know what, she was right.
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I have always had a great thirst for knowledge, but there are some things you just don't want to know. Recently, for instance, I've learned much more about hospitals than I had any particular interest in finding out. First, my father had stomach surgery; Today, I'm pleased to report, he's sitting up, taking short walks, and eating scrambled eggs. Good outcome; we think he will be fine. My mother and I feel like a couple of shipwrecks. Then, my mother-in-law ("Nana") needed bypass surgery. That'was successfully conducted and she's recovering. The healing is going to take a while, but everything went well. Whew! We are grateful to the nurses and the doctors, whose skill and caring more than make up for their individual idiosyncrasies. We are awed by the myriad wonders of modern technology. We watched in amazement as film showing Nana's arteries made it dear to us that surgery was necessary. We remain thankful that Dad's stomach surgery was done with . six small incisions instead of a big gash, thus making : his recovery a matter of days not weeks. / We are also grateful for some smaller blessings. We appreciate the hospital cafeterias that stock packaged kosher yogurt and pretzels, the gift shops that carry the Sunday New York Times even though they won't open up and sell it until Monday morning, and the ICU nurses who let us slip in even when visiting hours were over. The hospital that handled Dad's surgery offers something eke that greatly helped our family. If you have any pull with a hospital, advocate for guest rooms for patients' families who live far away or who are not in such great shape themselves. My parents live nearly an hour from their hospital and my mother-a cancer and heart attack survivor herself-could not have commuted. She made it through Dad's illness because she had a guest room in the hospital for the first week or BO. That's
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The Ra'anana Absorphusband escaped using a tion Center in Israel is Croatian passport. functioning as a tempoThe family spent one rary home to 19 families month in Budapest and fleeing the unbearable then was brought to conditions in Yugoslavia. Israel by JAFI. Although The Center is under 3jandika herself is not the auspices of the JewJewish, her mother-inish Agency for Israel law is the only one of her (JAFI), and directed by family to survive the Ilan Architecter. Given Holocaust. the special task of housing Jewish mothers and The mission particichildren from Yugoslavia pants brought each famiwho had fled to Budapest ly Shabbat candle sticks, for safety, the center is which pleased 2jandika. located near Tel Aviv. She and her husband are raising their children to Originally, the refugees be Jews. were invited to Israel for a_ rpilot tour, to acquaint ...._> • m I, I,, iiirmir ^jandika's.children are themselves with Israel J o n n K a i l n o n > / e / t • a n d N a n c y Noddle, spending thesummer in and their options for W o m e n , B Campaign Co-chairman for 2000, met a boarding school m aliyah (immigration), j g ^ y ^ a ^ g ^ fi^ Yugoslavia while on J*"™?.,*0 l e a ™ H e b f . Unfortunately, the stress their recent mission. Sjandika and her husof being separated from . band are learning Hetheir husbands has taken a toll on some of these brew through ulpan, an intensive Hebrew course women, as their husbands were not given permis- for new immigrants. She said that her children want to go back to Yugoslavia, but Zjandika and sion to leave Yugoslavia and join them in Israel. The Ra'anana Absorption Center has created a her husband want to stay in Israel. "Even though the bombing has stopped, there are unique program for the mothers and children who came to Israel temporarily during these very still many problems because of Milosovic," she told stressful times. Now, at the close of the war, some Kaiman and Noddle. While speaking to the Campaign leaders, of these women are considering staving in Israel 2<jandika was told there was a phone call for her. where they will be reunited with their husbands. The Women's Campaign Chairmen's Mission vis- The terror and expectation of bad news was evident ited the Center recently as part of mission that in her eyes. The call turned out to be from her husincluded Vilnius, Lithuania; Minsk, Belarus; and band, who was picking up their children. He was Israel. Joan Kaiman and Nancy Noddle, Co-chairs just calling to let her know the train was running for the Jewish Federation of Omaha's Women's late. When a relieved Zjandika returned to the group, 2000 Campaign, had the opportunity to meet some she reiterated her desire to stay in Israel. of the 19 families staying at the Center. "If I don't try to succeed in Israel, Til never know 3jandika is a 37-year-old refugee from the village of Supervista in Yugoslavia. She is in Israel with if I could have. I would always regret it," she said. The visit with Zjandika had a great effect on her husband and two children, ages 12 and 14. Zjandika was an English language teacher in Kaiman and Noddle. "This woman had the courage to make a brave Yugoslavia and she and her. family have been in choice for herself and her family under the most Israel since March. Zjandika's story is one of bravery and impossible extreme conditions. I have no doubt that this famichoices. The day before the bombings began, a rep- ly will become productive and happy members of resentative of the Yugoslavian Jewish community Israeli society," said Noddle. "Even though she looks frail, she is very strong called the family and evacuated the children to Budapest. She was separated from her children for and optimistic," added Kaiman. "The tragedy is five days while she packed their things and made that she had to flee. She realizes that her own her way to Budapest. At that point, communica- country will never be safe. Shell give as much to tions and local transportation were destroyed. Her Israel as she is getting from it."
Senate passes hate-crimes resolution Washington, D.C.-The United States Senate facilities and the 5000-volume library which was unanimously passed a resolution by the two totally destroyed in the arson attack on B'nai Senators from California, Barbara Boxer and Israel, the oldest Reform temple west of the Diane Feinstein, condemning the recent arson Mississippi. The June 18 attack also damaged Congregation attacks on three Sacramento-area synagogues. The resolution condemns these particular hate- Beth Shalom and Knesset Israel Torah Center, crimes and commits the Senate "in the strongest causing more than one million dollars in damage. The House of Representatives, led by Rep. Doug possible terms* to use federal law enforcement resources to identify and punish those who commit- Ose of Woodland, CA, passed an identical resolution. More than 8000 hate-crimes were reported to ted them. The senate applauded the residents of the FBI in 1997; about 1200 were based on reliSacramento for supporting the members of the gious bigotry and 80% of those were directed at three synagogues by offering funds to rebuild the Jews.
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July 9,1999 Jewish Press, Omaha, NE Page 11
Part II
Israel in the gene era
Omaha represented on Women's Campaign Mission to Israel
(Continued from page 1) their harmful qualities. Oppenheim is working with a virus from monkey kidney cells (SV40), which has a special affinity with bone marrow. She's hoping to make it a harmless envelope for healthy genes to repair defects resulting in cripbyJoanKalman, 2000 Women's Campaign Co-Chairman pling blood disorders, such as sickle-cell anemia and thalassemia. The parvovirus family is the focus of Prof. Ernest Winocour of the Weizmann Institute and Dr. Joe Corsini and Prof. Jacov Tal of the Ben-Gurion University of the Negev's Joyce and Irving Goldman Medical School. "Parvoviruses are animal viruses that force their way into a cell's chromosomes in specific places," says Wincour. "Knowing where the gene-package goeB will give physicians far greater control. We've uncovered the mechanism parvovirus MVM uses to zero on its target - an exchange of signals with the chromosome-and managed to replicate those signals." The delivery vehicles aren't yet ready, but scientists are working on what they'll carry. Dr. Riad Joan Kaiman, in back, and Nancy Noddle, Agbaria of the Ben-Gurion University of the Negev right, spent time with Sam Paley, a Jewish is developing a cancer protocol in collaboration with the NIH. The aim is to insert a gene that proresident of Minsk. . . (Editor's note: this it the second part in a series of duces enzymes that combine with a non-toxic drug, reflections written by women who participated in to make it lethal to tumor cells. the Women's Campaign Chairmen's Mission to • It's only a matter of time, it seems, before gene Vilnius, Minsk and Jerusalem, Part one appeared therapy fully arrives. When it comes, Israel will be ready with a $10 million National Center for last meek and was written by Pam Monsky.) As I sit here on the plane on almost the last leg of Molecular Medicine and Gene Therapy, opened at my journey, I reflect back on the last eight days, a Hadassah in November. In a nation with no NIH, journey I will never forget. I am anxious to get Hadassah has created this core facility where ideas home to my family and the safety of my home, of can be generated, evaluated and tested in the laboratory, then progress through animal studies into which now I have a greater appreciation. I will always remember Vilnia and Minsk, espe- an FDA-level Good Manufacturing Practice lab, cially Minsk, with the cement buildings and the where gene-based medications are tailored to the needs of individual patients in a clinical center for people void of expression. Then there's Sam, almost 90 years old. We adult and pediatric patients-all under one roof. Clinical practice is not, however, the final chapclimbed five flights of stairs to visit him, a Jewish man, almost blind, wearing the brightest lime ter, says Center head Prof. Eithan Galun. "New green'pants and the most wonderful smile. It's medications must flow on to further research and through,our campaign dollars that this wonderful development. We must monitor every step. If the man is able to get meals-on-wheels three days a protocol works, wemust know why. If it doesn't, •week and1 his apartment cleaned. He was so excited Why 'not: "It's a-different kind of medicine from that we were coming to visit him and hadn't eaten knowing aspirin reduces pain and fever without needing to know why." • breakfast, even though it was almost 1 p.m. His spotless apartment was only one room with a- As this revolution in biomedicine picks up steam, tiny kitchen. There is a caretaker that drops in to Israel's contribution will help open new doors to make sure he is all right, since he can barely walk, easy and effective ways of preventing disease, to fast and accurate methods of diagnosis, to simple and then only with the help of a walker. Minsk has a population of two million and there and successful treatments, and to permanent cures are now approximately 4,800 Jews still there, for the currently incurable. reduced from a population of 250,000 before the Holocaust. They want then- Jewish identity back'. Sam's wife and three-year-old daughter were killed in 1941 in the Holocaust. He never remarried. He showed us pictures of his family) and as we left, he kissed our hands. This is just one story of many stories we heard... We visited a family who had sent their 18-yearpld daughter to Israel six months ago. As a mother, I felt their pain since their daughter would never .return to Minsk; her life .would be much better in' Israel. We took pictures of the family, and a video. , The next day in Jerusalem, we invited about 15 of these young, people who had made, Aliyah to Israel, to join us for dinner. 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Jewish Press, Omaha, NE
July 0,1999
Eden Alternative helps maintain elders' health In a Community Forum, this Sunday at 6:30 pan. at the JCC, Dr. Thomas will facilitate a discussion on the future of aging in this country. The author of two books, the Eden Alternative and Learning from Hannah, Dr. Thomas graduated from the State University College at Cortland (NY) where he earned a B.S. in Biology, surnma cum laude. After graduating from Harvard Medical School in 1986, he served a three-year residency in Family Medicine at the. University of Rochester. One of Dr. Thomas' 10 principles for "edenizing" a facility includes the following: "the organization commits itself to an Elder-centered community which revolves around close and continuing contact with children, plants and animalB. These ancient relationships provide young and old alike with a pathway to a life worth living." Andi Kayich agrees, noting, "My mother is a spry 88-year-old who would love to have a dog in her own apartment! Should she ever need the services of the Home, she'd be thrilled to have the company of two sweet dogs." The Kavich's have always owned dogs, never fewer than two and sometimes as many as 14 (when two dogs gave birth to large litters at the same time!). Currently, Chloe, a 13-year-old standard poodle, and Sophie, a Portuguese Waterdog, make their home with the Kavich's. Their children, Amy and Ted Zetzman and Jeff and Nancy Kavich, who all live in Omaha, are also dog owners. Zoe, another Portuguese Waterdog, lives at the Zetman home, while the Kavich's own two standard poodles, Sydney and Marlee. Larry's love for animals extends beyond his home; he's owned two horses - Rodeo, a two-yearold mare, and Butterscotch, a seven-year-old horse Larry had to put to sleep just a week before his
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(Continued from page 1) own mother, Ruth Kavich, died in 1996. "If s been proven that having animals I around lowers blood pressure and reduces stress," Andi Kavich noted, applauding I the Home for making a commitment to a | radical change in resident care. The Home is working with Judy I Varner at the Nebraska Humane I Society to choose two mature dogs "with the right disposition and temperament", [ according to Eden profiles. While the professional staff and the I board of directors has begun to imple- I ment many of the principles of the Eden Alternative, Executive Director Barbara Gottlieb understands the need for com-1 munity involvement and "buy-in." "We're so used to creating a schedule ' . , - . . „ . . , . -.. . . . . . which is conducive for maintaining Another example of the Eden Alternative is the emphasis order in delivering residential care," she on "spontaneity." Art Goldstein arranged to have his noted. "It is more challenging to put the * * * e™1*?1*?? "oved to the Home, where he can play for r residents and their needs first ?"dents, like his wife, Ruth. Just after he started "Lots of details, from <Who cleans the P Ia y"»6 "Hello, Dolly," other residents followed the 8 o u n d of m u s i o d o w n t h e song birds' eager to "Who walks the dogsT haUways, singing and dancing. must be carefully examined and implemented in order of medication for residents. Given the "graying" of for Eden to work. The Jewish community here has America and the rising need for all kindB of seralways been so supportive of the Home, its residents vices for the aging, from assisted living to skilled and staff, that I know they'll be as positive about this care, the Jewish Senior Services Board has also contracted for a survey of those over the age of 70 change as we are." Dr. Thomas' research has shown decreased staff and those here with parents over the age of 75 to turnover, lower mortality rates and a decreased use determine their heeds in the future.
You're invited to attend OPPD's July Board of Directors meeting at Energy Plaza. In an effort to strengthen communications with customer-owners and make it more convenient for customers to meet with the Board, OPPD Directors periodically schedule evening meetings at varying locations. Time is made available for comments and questions from the public at all OPPD monthly Board meetings.
WHEN: Thursday, July 15, at 7 p.m. WHERE: OPPD's Energy Plaza Training Room 444 South 16th Street Mall, Omaha, Nebraska N.P. Dodge Jr. Michael J. Cavanaugh Chairman of the Board Vice Chairman of the Board Metropolitan Subdivision Metropolitan Subdivision John K. Green Kirk E. Brumbaugh Board Member Board Member Suburban Subdivision Metropolitan Subdivision
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The stress of sugar by Or. Art Epstein
(Editor's note: Art Epstein's PhD is an honorary one given to him for the work he did as Command Executive Chef, Strategic-Air Command (SAC), and for his non-credit healthy heart and diabetic cooking classes at St. Joseph and Bergan Mercy Hospitals, Metropolitan Community College. He is the author of Cardiac Cuisine and is a diabetic and heart patient himself.) Those who are watching their weight, for any reason, probably know that the suggested allowable intake of fete in a diet should be only 30% of one's total intake. But how many know the allowable amount of table Bugar suggested for daily consumption? According to the United States Department of Agriculture's Home and Garden Bulletin # 252, the department has set guidelines for table sugar intake for average (non-diabetic, non-heart) patients. Table sugar is defined as the additional sugar added to beverages, cereals and fruits, etc. Syrups, pancake mix, ice cream, pastries, candy, frozen desserts, low-fat pastry and ice cream, may also have added sugar. For example, a low fat popular cookie has 50 calories per cookie, however, 36 calories alone are from sugar. While the USDA does not consider the natural sugar in milk, fruit juice or fruit as added sugar, it does when the contents are labeled "heavy syrup* which does mean added sugar.
It should be noted that even the USDA allows for some "cheating" by reducing one's sugar intake one day and consuming a "combination* the next. This is not, however, recommended on a regular basis! . These are the guidelines for daily sugar intake in accordance with recommended calorie intake: •1600 calories for most older adults and sedentary women (about six teaspoons of sugar or 96 calories and 480 calories from fats); •2200 calories for most children, teenage girls and sedentary men (12 teaspoons of sugar or 192 calories and 660 calorieB from fats); •2800 calories for teenage boys and active men and women (18 teaspoons of sugar or 288 calories and 840 calories from fats). Notice the difference. Three to five times as much fat is allowed than sugar, yet more people are aware of the problems created from consuming too much fat Sugar is a "hollow* calorie; it adds nothing to the body except for weight No one should eliminate sugar without consulting a healthcare professional first, but cutting some sugar from the diet can be beneficial. Here are some examples of sugar intake that could be reduced: one level teaspoon in each cup of coffee can use up your entire sugar allowance for the day, if you are a heavy coffee drinker. A 12ounce bottle of cola has nine teaspoons of sugar. That means one cola drink per day means no added
sugar for your cereal, no syrup on your pancakes, no cookies or candy. No one said it would be easy! If you already fit the pattern of someone who eats 2800 calories per day, the chances are good that your sugar intake may not be that high. Just check the labels on the foods you eat, not just for fat content, but also for sugar. The first ingredient listed on product packaging is always the highest amount. Listed first on manly low-fat mayonnaise products is sugar, so be careful. Gaining weight can be a forerunner to bad health. Sugar doesn't cause diabetes, but being overweight can. Here are a few "tricks* you can use to substitute healthier products and still have that sweet taste. Slice a fresh medium banana and combine with 1/4 cup of ice cream and a dash of vanilla flavoring. Put into a plastic bag and close securely; freeze at leaBt 24 hours. Run a little warm water over the bag to loosen and combine with six to eight ounces of non-fat milk in a blender or food processor. This makes a wonderful vanilla malt, without "extra* sugar. Other fruit may be substituted. Another suggestion is to have banana flambe for breakfast! Saute sliced bananas in a teaspoon of margarine; add a 1/2 cup of orange or pineapple juice and a touch of maple syrup. Heat thoroughly and use instead of pancake syrup. You can also cut the sweetness of orange or grapefruit juice by adding water. Bon appetit!
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Page 14
July 9,1999
Jewish Press, Omaha, NE
Cataracts Cataracts, like many other conditions, are included in the aging package. Symptoms can include blurred or dimmed vision, poor night vision, and sensitivity to light and glare, like looking out of a dirty windshield in the sun. Everyone over the age of 65 naturally has some degree of lens clouding, or cataracts. Clouding may or may not lead to significant visual impairment. If you have diabetes, a family history of cataracts, a previous eye injury, or are taking certain medications, you may be at a greater risk of developing cataracts sooner. Those who consume excessive amounts of alcohol, and/or experienced excessive sunlight exposure or smoke, are also at a higher risk. A study recently conducted by ophthalmologists found that people who had high levels of Vitamin E in their blood were about half as likely to develop cataracts as people with lower levels of the vitamin in their blood. The study of 764 people, most of whom were 65 years old or older, also found that taking multi-vitamins cut the cataract risk by about one-third. The Nebraska Medical Association reminds you that between the ages of 40 and 65, an eye examination is recommended every two to four years. If you are 65 or older, exams are suggested every one to two years.
Do summer shoes give you summer blues? by Karta Schmit, Pharm D Candidate Kohll's Pharmacy and Homecare
As the days are getting longer, so is the time spent on your feet. Summertime fondly welcomes leisurely walks through the park, hiking through uncharted territory or pounding the cement with cool morning runs. Whether it be through fitness or recreation, shoes are often the cause of blisters and calluses. Traditionally, the band-aid has been the dressing of choice for prevention or protection from these injuries. However, being aware of the range of products available to you may improve healing time or actually prevent blisters or calluses from forming. The Blister Kit, made by Spenco, prevents blister formation during any activity. The three products that make up this kit are 2nd Skin Pads, Adhesive Knit, and Pressure Pads. The 2nd Skin Pads reduce friction caused by a rubbing shoe. Adhesive Knit protects'the skin from blister and callus formation, and will even stay on when wet. The Pressure Pads hold securely in place to absorb • pressure, and can be cut to any size or shape. 2nd Skin Moist Pads are also available through Spenco. This unique dressing will cool and soothe minor burns and scrapes. It also aids in keeping the wound clean and protected. The moist dressing environment provided by 2nd Skin Moist Pads can help a blister heal more quickly and may even reduce infection rates. When changing dreBBings a moist environment allowB very ut^e tissue trauma. Moist dressings available by Spenco include 2nd Skin Smart Wound Dressing and 2nd Skin Moist Burn Pads. Spenco is just one of many brands to utilize the moist dressing environment theory. For severe wounds, or if infection occurs, be sure to consult a physician.
Heel test for osteoporosis Just last year a device called a bone sonometer was approved by the Food and Drug Administration. The sonometer offers a fast, simple and accurate way to screen for osteoporosis, a condition in which bones slowly lose strength. Because of the sonometer's small size, it is available in some places you might not expect to see health testing equipment, some grocery stores, pharmacies and doctors'offices offer the service; The sonometer uses ultrasound to scan your heel bone and measure its density. The density of the heel bone, which carries a large portion of the body's weight, provides an assessment of your overall bonestrength. The best part is that the test is fast and painless. If your test results, family history,-and diet indicate a risk of developing osteoporosis, the Nebraska Medical Association advises you to see your physician. Your doctor may wish to do more definitive testing such as using a DEXA test of your spine and hips. The DEXA test is considered the standard for diagnosing osteoporosis and is generally only available in medical settings.
Lynne M: Popp M.S. in L.D. Learning Disability Specialist
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We are a true medical equipment and supply source. Helping families and individuals for many years. A n d as always, you can rely on us for all your pharmaceutical needs. Just call us, we are here for you. Marvin, Louis, Justin & David Kohll
July 9,1999
How safe is your nest egg?
Car travel with kidsbe prepared
by G. Michael Ramm
Each year, too many Americans are becoming financially devastated because of uncovered health care expenses. Even in this day of Medicare and Medicare supplements, our senior citizens have a tremendous gap in health care. It is a tragedy that more and more people are saying it has reached the crisis point. This financial black hole has many names-nursing home, home health care, assisted living. Many people have the misconception that Medicare will provide. The reality is that Medicare only provides short term recovery benefits for skilled care in a nursing home following a hospitalization and pays nothing for the eight-hour shifts at home, and Medigap policies juBt fill in the short term co-insurance gaps. Most long term care is of a custodial nature and is not covered except by the Medicaid Welfare Program; but to qualify for Medicaid, you need to spend down your estate to poverty level. Many homes and services have dropped out of the Medicaid program leaving long waiting lists and few choices to those remaining. New legislation severely restricts transferring assets to qualify for Medicaid. Asset transfers can create periods of ineligibility and can be a very bad idea for a number of legal reasons. Be sure to investigate your situation thoroughly before tackling this problem alone. It takes a financial planning team when it comes to protecting your nest egg.
The whole family packed into the car with hours or days to spend together-alone-in a very Bmall space-can be a delight or a strain. The Nebraska Medical Association recommends that you spend the first several minutes every time you get back into the car making sure everyone is safely buckled in before you begin the next leg of yourjourney. Because air bags can kill a child in the frflnt seat, children (age 12 and under) should sit in the back seat, if your car has front air bags. Next, be sure everyone else is buckled in before the car moves. When using a car seat, know what size you need and how to safely install the seat in the car. Infant seats, which must face the rear of the car, are recommended for children under the age of one. Convertible car seats, which look like a small chair and face forward, are for children ages one to four. Check Beat belts to make sure the shoulder harness crosses the chest of the child and the lap belt crosses the child at the hip and thigh area. If they don't, the child needs a booster seat. Family +• Fitness Nebraska Department of Health
Falls: tough torecoverfrom, easy to prevent One out of every three people over age 65 falls each year. Falls are the second leading cause of injuryrelated death in people age 65 to 84, and the leading cause of injury-related death in people age 85 or older. Sixty percent (60%) of all deaths related with falls occur in people age 75 or older. The most common fractures resulting from falls are of the pelvis, hip, thigh, spinal bones, bones between the elbow and shoulder, hand, forearms, leg, and ankle. Hip fractures are most serious and cause the most deaths. They generally take a long time to heal, may require surgery, and can cause a person to be bedridden, which can lead to weakness and further illness. For people 65 and older, 60% of falls occur in their homes. The Nebraska Medical Association recommends you create an atmosphere which prevents falls in your home. Minimize alcohol consumption and have your vision checked regularly. Wear properly fitted, lowheeled, non-slip footwear. Be physically active to improve your strength, mobility, and flexibility. Work with your doctor to minimize sedative medications and to control medical conditions that can contribute to falls.
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Jewish Press, Omaha, NE
July 9,1999
Yoga and your health American Heart Association.'
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Yoga is a time-honored discipline of breath control, stretching and strengthening exercises and meditation that promotes mental, physical and spiritual well-being. ' There are several types of yoga which emphasize different parts of health. It has been suggested that the practice of yoga can lower blood pressure, increase energy and relieve mild depression. Yoga can increase strength, balance, and flexibility and. many people claim that it gives them more energy and makes them feel calmer. The Nebraska Medical Association suggests that if you have not found an exercise program you like, or if you are just curious, give yoga a try. The best way to find a good teacher is to ask others who have taken a yoga class, yoga videos, or to contact a local recreation or exercise center. If you have not exercised in a while, contact your physician first to establish an exercise plan that is safe for you.
My child has red, dry skin. What could it be? According to Dr. Mark Boguniewicz, an allergist at National Jewish Medical and Research Center in Denver, it might be a condition called "atopic dermatitis* or allergic eczema. Usually more of a problem in the winter than other times of year, atopic dermatitis is the most common chronic skin disease of young children, affecting about 10% of children in the United States. Atopic dermatitis is characterized by chronic skin inflammation with redness, areas of hard, rough Bkin, and severe itching, and is often complicated by bacterial infections of the skin. Allergies to foods, animal dander or dust mites may play a role in the chronic inflammation. Current treatment includes the use of topical corticoateroids, but they niay have unacceptable side effects. To find out if your child has atopic dermatitis, consult your pediatrician. For chronic inflamma. tion, consider meeting with an' allergist
Child-proofing your home even when you don't have children Child-proofing a home is not juBt for parents of young children. The Nebraska Medical Association encourages anyone who has young children as visitors to take the time to protect them. Keep unsafe products put of reach and locked up. Get down on your hands and knees and view the world from a child's level to find potential hazards. Place breakables, small objects and cords for curtains and window blinds out of reach. Regularly check the floor for small objects that could be choking hazards. Remove poisonous plants and move unstable furniture out of the way. XJBB safety devices such as safety plugs in unuBed electrical outlets and safety latches on drawers and cabinets and use safety gates on etairs. An important consideration that many people overlook is the temperature of tap water. Adjust your water heater and keep temperatures under 120 degrees to prevent burns. Keep emergency numbers by all telephones. List the numbers for the child's doctor, the hospital emergency room, and the poison control center..
CHIP provides health care to those with medical problems Nebraksa's Comprehensive Health Insurance Pool (CHIP) currently provides coverage to more than 3500 individuals across the state. CHIP was created by the Nebraska Unicameral in 1986 to provide health care coverage to those Nebraskans whose medical conditions have prevented them from being accepted into other plans. To qualify for CHIP coverage, an individual must have been a Nebraska resident for at least six months and meet five other guidelines. All insurers authorized to issue or provide health care coverage in Nebraska are members of the Pool and are assessed a specific amount based on annual premium income. .. Blue Cross and Blue Shield of Nebraska has been the administrator of the CHIP program since its inception. For more information, call 390-1814 or 1-800-356-3485.
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401 E. Gold Coast Road. Suite 237 . ''•>••'•• Midlands Medical Center Papillion, Nebraska 68046
July 9,1999
Jewish Press, Omaha, NE
Page 17
Help your heart recipes These recipes are intended to be part of an over ail healthful eating plan. Total fat intake should be less than 30 percent of your total calories for all day—not for each food or recipe. •••' These Help Your Heart Recipes are from the American Heart Association Cookbook, Fifth Edition, American Heart Association. SPICY GREEN BEANS 1 tablespoon acceptable margarine* 1/4 cup finely chopped onion 1 tablespoon water 2 tablespoons chopped pimento 19-ounce package frozen, no-salt-added, French style green beans 1 tablespoon cider vinegar 1/4 teaspoon dill seed Freshly ground black pepper to taste 1/2 cup finely chopped celery ; ,; Place, margarine and water in a saucepan ouer medium heat. Add frozen beans and heat slowly, using a fork to separate. Cover and cook until beans are tender. Add remaining ingredients,,toss lightly and heat thoroughly. (Celery and onion should remain crisp.) Serves 4. . *Select margarines that have no more than 2 grams of saturated fat per tablespoon. Nutrient Analysis per Serving; 47 Calories; 0 mg Cholesterol; 1 gm Saturated Fat; 1 gm Protein; 52 mg Sodium; 1 gm Polyunsaturated Fat; 5gm Carbohydrate; 3 gm Total Fat; 1 gm Monounsaturated Fat -
HEARTY BAKED MACARONI CHICKEN WITH SPANISH SAUCE Vegetable oil spray 2W- to 3-pound fryer, cut into serving 16-ounce can tomato puree pieces, skinned, all visible fat removed 1 cup water 2 tablespoons acceptable vegetable oil 2 teaspoons Italian herb seasoning 1/2 top. fresh ground black pepper, or to taste 1/2 teaspoon garlic powder 1/2 cup minced onion 1 IAS pounds low-fat cottage cheese 172 cup chopped green bell pepper 112 teaspoon onion powder 1 clove garlic, minced 1/2 teaspoon garlic powder 1 28-ounce can no-salt-added tomatoes 18-os package elbow macaroni, uncooked 1/2 cup white wine 4 ounces part-skim mozzarella cheese, sliced 1/2 teaspoon thyme Preheat oven to 350 degrees. Lightly spray a 9-x 2 bay leaves 9-x-2-inch casserole with vegetable oil. Preheat oven to 350° F. In a small bowl, combine tomato puree, water, Rinse chicken and pat dry. ' . Italian seasoning and 1/2 teaspoon garlic powder. Heat oil in heavy skillet over medium-high heat. In another bowl, combine cottage cheese, onion Add chicken pieces and brown them quickly. powder and 112 teaspoon garlic powder. Remove chicken pieces to a casserole and add black Spoon one-third of tomato mixture into prepared pepper. Set aside. casserole. In order, layer half of macaroni, all of In the same skillet, lightly brown onions, bell pepcottage cheese mixture and one-third of tomato mix-per and garlic Add mixture to casserole, along with ture on top. Add remaining macaroni and cover tomatoes, wine and, herbs. Cover and bake 1 hour, with remainingtomatomixture. or until chicken is tender. Remove bay leaves before Cover and bake 1 hour. Uncover casserole and topserving. Serves 4. with mozzarella cheese. Return it to the oven, uncovered, for 5 minutes, or until cheese is melted. . Nutrient Analysis per Serving: 313 Calories; 92 Let stand for 10 minutes. Serves 6. , • ,.-. mg Cholesterol; 3 gm Saturated Fat; 34 gtn'Proteiri; 117 Nutrient Analysis per Serving: 336 Calories; 19 mg mg Sodium;, 6 gm Polyunsaturated, Fat";,'l2"gm Cholesterol; 4 gm Saturated Fat; 27 gm Protein; 684 mg Carbohydrate; 14 gm Total Fat; 4 gm Monounsaturated • Sodium; 0 gm Polyunsaturated Fat; 42 gm Carbohydrate; Fat 6 gm Total Fat; 2 gm Monounsaturated Fat (Continued on page 22)
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Page 18
Jewish Press, Omaha, NE
July 0,1999
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MARINATED TURKEY FILLETS , ' lifl pounds skinless turkey fillets, all visible fat removed 2 cups low-fat pareve non-dairy creamer 1 tsp. vinegar Cosmetics 1 cup plain bread crumbs 3 tablespoons acceptable vegetable oil • 2 cups low-sodium chicken broth 1 cup finely chopped onion 3 stalks celery, finely chopped 1 tablespoon finely chopped fresh dill 1 large onion, finely chopped 1 tablespoon finely chopped fresh tarragon 2 egg whites 1 tablespoon finely chopped fresh cilantro 1/2 tsp. freshlyground black pepper, or to taste 1 tablespoon finely chopped fresh rosemary 112 teaspoon sage or poultry seasoning Preheat oven to 350 degrees. Lightly spray a large 1 teaspoon freshly ground black pepper The Most 1/4 teaspoon salt baking dish with vegetable oil. Natural Looking Rinse turkey fillets and pat dry. Set aside. Combine remaining ingredients in a large mixing Permanent Make-Up In a small bowl, combine remaining ingredients. bowl. Mix well. eyebrows • eyeliner Pour into rectangular enamel or ovenproof glass Turn into prepared baking dish, cover and bake full lips* lip liner baking dish. Add fillets, turning to coat evenly. botox available 45 minutes. Optional Cooking Method: Stuff dressing loosely Cover and refrigerate for several hours or overnight, Safe • Non-Allergenic into cavity of 10- to 12-pound turkey just before turning fillets several times. •Affordable Grill or broil marinated fillets. roasting. Serves 8. Call for a complimentary consultation Nutrient Analysis per Serving; 104 Calories; 1 mg Serve hot. The dish is also good chilled and sliced Cholesterol; 0 gm Saturated Fat; 4 gm Protein; 190 mg over salad greens. (Keep covered in the refrigerator^ 392-0209 Serves 6. DOTTIEADLEY, RN., Sodium; 1 gm Polyunsaturated Fat; 17gm Carbohydrate; *Canola, corn, olive, safflower, soybean or sun2 gm Total Fat; 1 gm Monounsaturated Fat. CJfLNA. flower oils. Mkroplpnentetkin Spedalift Nutrient Analysis per Serving: 238 Calories; 71 mg 8420 W. Dodge Rd., Cholesterol; 2 gm Saturated Fat; 29 gm Protein; 236 mg Suite 107 (Continuedfirompage 21)
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QUICKAND-EASY MOCK HOLLANDAISE SAUCE 2 tablespoons hot water 1/2 cup light, reduced-calorie mayonnaise 1 tablespoon fresh lemon juice In the top of a double boiler over medium heat, blend hot water with mayonnaise, stirring until thoroughly heated. Add lemon juice and stir to mix well. This sauce may be served with broccoli, asparagus, cauliflower or other vegetables. Makes 112 cup. Serves 8; 1 tablespoon per serving. y Nutrient Analysis per Serving: 44 Calories; 4 mg Cholesterol; 1 gm Saturated Fat; 0 gm Protein; 88 mg Sodium; 2 gm Polyunsaturated Fat; 2 gm Carbohydrate; 4 gm Total Fat; 2 gm Monounsaturated Fat. LEMON LAMB WITH MINT Vegetable oil spray* 2 teaspoons acceptable vegetable oil** 2 small cloves garlic, minced 1/2 cup water 1 tablespoon fresh lemon juice 1/2 teaspoon freshly ground black pepper, or to taste 2 tablespoons chopped fresh mint leaves 8 loin lamb chops
Preheat broiler. Lightly spray a broiler pan with vegetable oil. Pour oil into a skillet over medium-high heat Add garlic and saute. Stir in water, lemon juice and pepper. Bring to a boil and reduce heat to simmer. Sprinkle Nutrient Analysis per Serving: 108 Calories; 0 mg mint over mixture and simmer about 10 minutes. Cholesterol; 1 gm Saturated Fat; 2gm Protein; 99 mg Cover and set aside. Place chops on broiler pan about 6 inches from heat Sodium; 1 gm Polyunsaturated Fat; 16gm Carbohydrate; 4 gm Total Fat; 2 gm Monounsaturated Fat source. Broil 5 minutes on each side, or until done to taste. . Transfer chops to serving dish and pour hot lemonmint mixture over meat • Serves 4; 2 chops per serving. *Do not use vegetable spray near an open flame or heat source. Read and follow directions on can before using. **Canola, corn, olive, safflower, soybean or sunflower oils. Patrick W. Bowman, MD Erie D. Phillip*, tSD Nutrient Analysis per Serving: 247 Calories; 104 Michael CLongley,MD H. Randal Woodward, MD mg Cholesterol; 4 gm Saturated Fat; 34 gm Protein; 89 Kurt V. Gold, MD Jonathan S. Fuller, 1UD mg Sodium; 2 gm Polyunsaturated Fat; 1 gm Carbohydrate; 12 gm Total Fat; S gtn Monounsaturated 11819 Miracle Hills Dr. F a t . • • . . • " • . . ' .: •.'•• Suite 102 Omaha, NE 68154-4438 Phone:402-496-0404 Fax:402-496-7766
NEBRASKA SPINE SURGEONS RO
July 9,1999
Jewish Press, Omaha, NE Page 19
WestMaple Dental Specialists 14270 West Maple Road Omaha, NE 68164
(402) 491-3100
Dental hygiene for babies and toddlers
Lourdes M. Secola-Ocanto, D.D.S., M. SC. O. Infants • Children 'Adolescents • L Young Adults'Special Needs
by Lourdes Secola, DPS, M.Sc.D
: Babies and toddlers suffering from "baby bottle mouth," caused by bottle feeding or breastfeeding, are becoming more common. It is important for parents to learn about this disease and its prevention as soon as possible after they have children. Pediatricians are becoming more aware of early referral to dentists' for the child's first check up (to be done before or by the baby's first birthday for children with no apparent problems, history of trauma). The rationale behind this early visit to a dental office is to introduce parents to preventive measures for home care, ascertain dietary/snacking habits, and hear the parents' point of view on fluoride supplementation, and then making the appropriate suggestions. Dental hygiene for babies can begin with wiping the baby's gum pads with a moist gauze or a clean washcloth after every feeding. This is to reduce the amount of bacteria in the mouth and prepare the child for future home-care routines and is useful for both bottle and breastfed babies. Particular care must be taken by nursing mothers who breastfeed on demand to clean their babies' teeth frequently. The lactose in either human or bovine milk can produce acids that could demineralize the enamel. Once the teeth erupt, a moist soft-bristle brush can be used to gently remove plaque and any other food debris from all surfaces of the teeth. Oral hygiene practices can easily be done while baby is on a changing table or on the child's bed when she or he IB somewhat older. frequently inspecting your child's teeth will alert
you to changes in color or texture of the tooth's surface which might indicate the presence of a pathology. Feeding habit can also be discussed with a dentist or a pediatrician. Formulas, breast milk, and even regular milk could be contributing factors to nursing decay, especially if oral hygiene practices are not followed. It is very important that baby not be put to bed with a bottle. If a bottle is absolutely necessary, it should be limited to water. The use of bottles either with milk or sweet liquids (juices, sodas, etc.) should also be discouraged if the bottle is used for prolonged periods of time each day as a pacifier. Well-balanced feeding/meals will tend to decrease the need for snacking. Fingerfoods such as vegetables, soft fruits, cheeses and unsweetened peanut butter could be judiciously given to toddlers and older children. Candies, apples and other fermentable carbohydrates such as potato chips have potential to develop tooth decay. Insist that your children either rinse their mouths or drink a few sips of water after eating snacks at school, or even cake at a birthday party. A well informed decision should be reached with your dentist as to whether or not to use flouride supplementation. It is of utmost importance to know the fluoride content of the child's drinking water before starting any supplementation in order to ascertain the correct amount. Morning and evening brushing, with the introduction of flossing and additional preventive measures as the child grows older, are realistic goah. Remember, tooth decay is preventable! ,
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The facts point to Chiropractic There has been and there continues to be a great practic treatment is a vital, impressively safe, and interest in complimentary and alternative methods clinically effective form of health care. for many health problems, leading the pack is chi-Chiropractors have, beyond reasonable doubt, a ropractic, a very safe and effective way to treat more thorough training in spinal mechanics and spinal manual therapy than any other health promany problems that are physical in nature. Did you know that a ten year British government fessional. It is in the public's best interest to have study found that chiropractic is twice as effective and total cooperation and integration of chiropractic in safer than any other current treatment for back pain? mainstream health care as it is better for the body The Saskatchewan University Medical Center per- ailments to be relieved, if possible, by natural formed a research study utilizing chiropractic care for rather than artificial or chemical means." chronic back pain suffers and got an 87% result rate Chiropractic care is covered by most insurance within 2-3 weeks with a group of 171 medically unre- plans and Medicare. So if you are suffering from sponsive patients suffering for seven years. aches and pains and are looking for some help join A New Zealand Government Commission conducted the following list of celebrity chiropractic advocates: an extensive 20 month study and found that "chiro- the last four presidents of the United States, John Travolta, Tiger Woods, Phyllis Diller, Jack Nicholson, MGfcri Gaynor, Bruce Willis, Demi Moore, Mel Brooks, Steven Spielberg, and Joe Montana.
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Page 80
Jewiah Press, Omaha, NE
July 9,1090
It's more important than you thinftf
ISE There's bad news for the 90% of Americans who do too little exercise and even worse news for the 25% who lead sedentary lifestyles. Recent statistics show that a sedentary life, now more than ever begun in childhood, leads to obesity, a weakened heart muscle, a lack of energy, a sluggish metabolism, and even some forms of cancer. The great news is that studies prove It is never too late to begin exercising. Scientists are discovering the process of aging is, in many cases, reversible! Many body parts don't wear out—they degenerate from lack of use. One study group of seniors (65 and older) added 2.5 pounds of muscle and lost 4 pounds of fat after just 8 weeks of endurance and strength exercise. They increased their overall muscle strength by almost 50%. In another study, a group of 90-year-olds exercising three times a week amazingly showed gains In muscle size, K. strength and ability to walk. ) \ \ Some actually resumed walking after being confined to wheelchairs. ^ ^ ^* Declines In aerobic capacity and bone loss ^are associated with aging and not exercising. We , '/"sb-lose muscle as we grow older. Exercise slows — and many times reverses — this loss of muscle and bone mineral density, producing a stronger musculoskeletal system. Bone fractures and osteoporosis may be prevented. We've known for many years that you should eat a healthful diet, maintain a low cholesterol level — and obviously DO NOT smoke. Exercise is a major component of the health package which will allow you to lead a long, fruitful life.
DID YOU KNOW...? • Three 10-minute brisk walks or other exercise are as effective for improving fitness as a single 30minute session. B Exercisers alter their body chemistry so it burns up more fat. Fit people burn fat better and faster than fat people. ; • The benefits of regular exercise for both men and women are improved strength, increased energy, stronger bones, a strong heart muscle to withstand heart attack risk, increased resistance to cancer and an overall feeling of wellnessl • Coronary heart disease can frequently be reversed with exercise. (Adding the statin drugs to your regimen may bring amazing results!) • Only 1/3 of high school students get regular vigorous exercise, a steep decline from almost 23. Just ten years ago. Among twelfth-grade girls, only 17% exercise regularly. yThe health of our child r e n Is in jeopardyl
RATE YOUR ACTIVITY LEVEL (Worst to Best) Get on the plus side! -100 Completely sedentary. You walk slowly.. .only to the refrigerator, the couch, the kitchen table, or to bed. (The only thing worse is if you also smoke!) -20 Trying not to be a couch potato. Leisurely household activities. +20 Easy-paced gardening, lawn-mowing^ housework. +40 One-mile stroll a day — or the equivalent. +60 10 minutes of aerobic exercise 3 to 4 times a week. +80 20 minutes of aerobic exercise/ 3 to 4 times a week. +100 30 minutes of aerobic exercise 4 to 5 times a week.
National Heart Savers Association 9140 WMi Dado* Road Omaha. Ncbratka 6«l M 402-3«a-l99J PhUSotololPieiWonl
Exciting new research on the benefits of exercise shows startling statistics. Quality of life and longevity are dramatically improved. Yet even more important, the 25% of adults who are sedentary shorten their life spans by many years! The most frightening fact of all is that among today's generation of children, a large number are becoming obese couch potatoes.
Changes must be made! We must.... • teach our children to eat a more healthful diet, • • find a way lo keep teenagers from beginning a life-long smoking addiction,
One of the major negattvos In a health profile is being completely sedentary. It may lead to obesity and potentially shortens your life span.
THE GREAT BENEFITS OF EXERCISES • Strengthens your heart and lungs" • Increases the level of HDL ("good" cholesterol) in your blood • Lowers high blood pressure • Cuts the risk of heart disease substantially • Improves posture, appearance, and self-esteem • Strengthens bones, reducing fractures and the risk of osteoporosis • Boosts your Immune system • Helps control weight and reduces the chance of obesity, a major risk factor for heart problems, diabetes, cancer, and other diseases • Improves sleep
• interest our youth in wanting to build strong, healthy bodies through .sports and exercise. The young generation can learn to thrive in a wonderful new world of plenty!'•
CARDIOVASCULAR EXERCISE To Improve the fitness of your heart through exercise, use your heart rate to measure how hard you should exercise. The best level is 50% - 75% of the maximum rate at which your heart can beat. This chart gives you a target rate in beats per minute. II you are not In reasonably good physical condition, consult your doctor before beginning an' exercise program. Most people should start at the lower range ol the target heart rate, and gradually build to a higher level. AGE TARGET HEART BATE ZONE
20 25 30 35 40 45 50 55 60 65 70 75 80
100 -150 beats per minute 98-146 beats per minute 95 -142 beats per minute 9 3 - 1 3 8 beats per minute., 90 • 135 beats per minute 88 -131 beats per minute 85-127 beats per minute 8 3 - 1 2 3 beats per minute 80 -120 beats per minute 7 8 - 1 1 6 beats per minute 7 5 - 1 1 3 beats per minute 73 r 109 beats per minute 7 0 - 1 0 5 beats per minute
• Increases energy and boosts productivity • Reduces anxiety and depression • Possibly prevents diabetes by enabling your body to use insulin efficiently • Reduces stress • Improves your muscle-to-fat ratio by building or preserving muscle • Strengthens and tones muscles
EXERCISE QUIZ True or False??? Get at least five right and you're an expert! 1. Rubberized or plastic clothing will enhance the good effects of exercise. False. The weight you lose by sweating will be quickly replaced by drinking fluids again. This clothing can also cause dangerously high body temperatures, possibly resulting in heat stroke. 2 . To be affective, exercise must hurt. Go for the buml False. Overdoing and ignoring warning pain can result in injuries to joints, feet, ankles, legs and back. 3 . All types of exercise, even walking, are enhanced by stretching, warming up, and cooling down. True. Limbering up and cooling down slowly and gentry can prevent even minor stiffness in muscles. You'll be more likely to exercise again tomorrow.
Y \ t - ^ \ To take your pulse (mea/ ^"7a5L> s u r e y° ur neart beat), 4. Regular, moderate activity can reduce your
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|| n g 8 r s ughtly over one of the blood vessels •onyoumeckoronthe inside of your wrist lust below the base of your thumb. Count the beats for 15 seconds and multiply by 4. The average heart rate is 60 to 70 beats per minute. For optimum cardiovascular health and protection from heart disease, maintain these target heart rates for 20-30 minutes, three to four times a week if you are In reasonable physical condition. The low end should be relatively easy . . . even for those beginning exercise. If you can't make that commitment, don't despair. In studies, the greatest cardiovascular benefit is derived at the first level of exercise—when people just become active: housework, gardening, walking. tW(J
risk of heart disease.
True. Scientists used to believe 20 to 30 sustained minutes of exercise were critical to cardiovascular health. Thafs still your best bet, but the key is to get' up and moving on a regular basis. 5. Physically active people are more likely to have sudden, fatal heart attacks than Inactive people. False. No research has shown this. In fact, a number of studies have proven a reduced risk of sudden death for people who are physically active. 6. Strength training (lifting moderate amounts ot weights) makes women look muscle-bound and masculine. False. The women in weight training studies ended up smaller, not larger. Bodybuilders go to great lengths using extremely heavy weights to build big muscles.
Check it out...
'
www.heartsavers.org... It could save your life!
July 9,1099
KILLER CHOLES
r•!•
71
BOW TO AVOID ITS TRAP
"Good" Cholesterol- "Bad" Cholesterol The All Important Key
, Jewish Press, Omaha, NE
Pag*e21
irn and 480,000 angtoptasttes are performed each yaw In the United States. . V you h m had a b y p a u n to aH llw mom tav*n0w that you havt a low cholesterol<tawaL Saphenout veins from yew leg become your heart arteries, and they tend to dog up faster than your own original arteries. So you have an increased chance of a bypass artery shutting down. (Ordinarily the mammary artery is used for one graft because it has a greater patency.) If you have had angioplasly, you obviously have clogged arteries (plaque build-up is never confined to only one artery) so lowering your cholesterol will help reduce further build-up. Obviously, smoking, which constricts your arteries, is absolutely forbidden. Exercise regularly, at least 3 or 4 times a week for 20 lo 30 minules. Reduce your tension level as much as possible and see a cardiologist regularly. By all odds he will prescribe one ol the slatin drugs to lower your cholesterol. They will ordinarily increase your HDL, but not significantly. However, they should substantially reduce your LDL. (The statin drugs are unbelievably effective and reduce heart attack deaths by up to 42%l)
Just knowing your total cholesterol level Is not enough. Nor does having a 200 or lower cholesterol mean that you are not at risk of a heart attack. You need to know what types of cholesterol comprise your total level. This is called a cholesterol profile. II measures HDL and LDL, Iwo types ol "lipoproleins." or protein packages made by the liver lo transport fal and cholesterol, through Hie blood. LDL is the low density lipoprotein that contains the greatest amounts of cholesterol and deposits it against artery walls. The higher your level, the more build-up in your arteries: For lhat reason, il is called "had cholesterol." HDL is the high density tipoprnlein- that Major Factors that Affect Cholesterol Levels contains a greater amount ol piotein and less Saturated fat in the diet is Urn main culprit in raising cholesterol. II sweeps cholesterol away (rom cholesterol levels. Meat and dairy products contribute threearterial walls and transports it back lo the liver fourths ol the saturated lat in the typical Amuncan diet. lor removal fiorn Ihn body, nnscntcheis have Dietary cholesterol also raises yom cholesterol level, bul found that people vvilh higher levels of HDL somewhat less than saluraled fal. have less chance ol heart disease, so. HDL ' Being overweight can raise your LDL level and lower . is known as "good cholesterol." If you have your HDL level, a double threat to your heart health. Losan extremely high level of HDL, you will ing weight will lower your LDL and raise your HDL. II you never have a heart attack. Pre-menopausal reduce Ihe fat in your diet, you cut down on the richest women generally have higher levels ol HDL, source ol calories. One gram ol carbohydrate or protein and this explains in part why younger provides 4 calories; one gram ol fat provides 9 calories. A women have fewer heart attacks than men. diel higher in carbohydrates and fiber is a good way to But there does come a day ol reckoning. reduce and control weight and lower your heart attack risk. A low-fat diel and weight loss also reduce your risk ol many How high is "high"? other diseases. There is a strong, proven link between a In adults, a total blood cholesterol level above 240 high-tat diet and many types of cancer, including breast mg/dl warrants Immediate medical attention. Any other and prostate. level requires evaluation. The chance that your Exercise lowers LDL and boosls HDL, so it is an excelcholesterol level may lead to a heart attack depends on how high your LDL Is and the ratio of HDL to total lent weapon against heart disease. In addition to strengthThe Killer-The Proof cholesterol. Jheaverage HDL for women is 55, for men ening and toning your body and burning excess calories to help you lose weight, exercise lowers blood pressure, Your blood cholesterol level is the major predictor of heart 45. The average LDL for women is 125, for men 130. attacks. The higher your blood cholesterol, the greater your The presence ol other risk factors — smoking, reduces triglyceride levels, and improves the fitness ol your risk. Cardiovascular disease kills one million Americans obesity, high Mood pressure, angina or other evidence of entire body, particularly your heart and lungs. every year. It claims more lives each year than the next coronary artery blockage — all heighten the seriousness A major heart attack risk factor is being sedentary. seven leading causes of death combined, and kills thirof your cholesterol level and the likelihood that you will Twenty to 30 minutes ot exercise 3 or 4 times a week is teen times as many women as breast cancer! ideal,'but you will benefit Irom exercising in 10-minute have a heart attack. , The ratio of HDL to total cholesterol is a reliable increments whenever possible. However, il you are unable What Causes Heart Attacks? predictor ol heart disease. The Ideal is a sustained to work this into your schedule, at least take walks and Saturated fat in our diet raises cholesterol levels, and the ratio of 3.5 to 1 or less. For Instance, il your total stay active as much as possible. Being a couch potato Is • excess cholesterol builds up as "plaque" In the arteries (ath- cholesterol is 180 and your HDL is 60, your ratio is 3 to 1, extremely dangerous to your well-being! erosclerosis). Arteries become narrower and narrower, and plaque is not building up in your arteries. However, a Some people have an inherited tendency toward high much as old water pipes build up scaly mineral deposits. total cholesterol of 200 and an HDL ot only 40 Is a 5 to 1 cholesterol levels. When they try lo lower their cholesterol Eventually, one of two things happens. A clot in the blood- ratio, indicating potential risk. • by changing their diets, their reductions are influenced by . stream reaches a constricted artery, seals off the flow of whether they are high or low responders, that is whether a This is why total cholesterol does not tell the whole blood, and provokes a heart attack. Or, more commonly, low-fat diet causes a large or small decrease in their.: the deposits themselves become so big that they close off story. Vbu should know your HDL and its ratio to your total cholesterol cholesterol. the artery's flow. The heart is starved for oxygen and its levels. Uost Note thai the average American man, with a 45 HDL ability to pump blood to the body is impaired. A heart attack people can has occurred/causing permanent damage to the heart, and level, would have a total cholesterol level ol 158 to meet significantly the ideal 3.5 to 1 ratio. perhaps death. lower their This is a far cry from the blood cho200 cholesterol level The "Cholesterol Era" Begins. lesterol by generally considered The most expensive and broadest research program in following a 'desirable." (Most cartfmedical history began in 1974. The federal government diet lower In ologists are pleased would spend $150 million on a ten-year study which would saturated tat when patients achieve forever alter American lifestyles. and cholesterol; for those who are low responders, the a 4 to i ratio.) The The National Heart, Lung and Blood Institute recruited 10 average American "statins* — ellective, cholesterol-lowering medications — ot America's top research cardiologists to open testing cenwoman, with a 55 HDL, can get them the rest ol the way to a healthy level.. ters across trie U.S. Over 3,800 men between the ages of Age and gender also play a role. In the United States, would have a total cho35 and 59 were selected for the long-term monitoring of lesterol level ol 193 to blood cholesterol levels in men and women start lo rise at blood cholesterol. The study proved unequivocally that lowabout age 20. Average cholesterol levels in women prior attain an ideal ratio. ering your cholesterol reduces your risk of heart attack. For every 1 % that participants lowered their cholesterol Diet changes do not to menopause are lower lhan those of men of thei same levels, they achieved a 2% reduction In the Incidence of raise HDL, but lowering your total cholesterol will Improve age, and heart attack rates are quite low. Estrogen is a heart attack. The average cholesterol level of the men your ratio. A life-saving class ol medications (called protector against heart attacks. Alter menopause,.women tested was a high 265 mg/dl (milligrams per deciliter) of 'statins') will raise your HDL, but only to a small degree. quickly catch up and actually overtake men's cholesterol blood. When they reduced that level by 25% (a reasonably There are three principal ways to raise your HDL: lose levels and heart attack rates. Heart attack is considered attainable goal), their risk of heart attack dropped 50%. a male disease; however, more women than men die of weight, exercise, and slop smoking. This earthshaking study led the government in 1984 to cardiovascular-related diseases! Every woman should Since LDL Is the bad cholesterol circulating In your convene a group of eminent lip id experts to formulate check with her doctor during menopause to see il she is a arteries, the lower your level the better. It is recommended guidelines for Americans to lower their cholesterol levels to candidate for estrogen replacement, which reduces the risk that your LDL be under 130. II you have had any heart live longer, healthier lives. of heart attack. problems, your LDL should be under 100. Cardiqloglsts Americans soon became aware of the dangers of cholesare gravitating more to lowering LDL levels because of You're In Charge terol. Our 'Poisoning of America" national advertising campaign made the public aware of the high saturated fat con- the difficulty of raising HDL. The statin drugs can Most people can benefit Irom reducing their cholesteroL tent of coconut oil and palm oil in thousands of food prod- substantially reduce your LDL level, many time* down Lowering cholesterol slows the fatty build-up in the arteructs. The products were soon reformulated without these to 40 or 501 ies and In some people can actually lessen the build-up deadly oils. That campaign made the public aware that satTriglycarides are another blood (at measured by a lipkl already there. Even II you have no other risk factors, you urated fal Is the major culprit in raising cholesterol levels. profile. There is evidence thai a high triglycerlde level (over will greatly reduce your risk of heart disease by lowering (Dietary cholesterol also raises blood cholesterol levels, but 400 mg/dl) alone does not raise your heart attack risk. your high blood cholesterol. Eating low-fat, heart-healthy not nearly to the extent of saturated fats.) However, in conjunction with a low HDL or a high LDL, foods, being physically active, and losing weight are imCongress's passing the landmark Nutrition Labeling and high Irirjiycerides do Indicate increased risk. There are portant things everyone can do lo help lower their levels. Education Act now allows the public to read labels and excellent medications to reduce triglyceride levels. You are In charge of your destiny and h a w the opporgauge the amount of fat and other important nutrients in the If Y o u H a v e A History o f Heart D i s e a s e . . . . tunity to make changes that will greatly reduce your food they eat. And because of public demand manufacturAlmost one in three adult Americans have some form chances of having a heart attack and enable you to laad ers are providing a veritable proliferation of low-fat and fat' ol cardiovascular disease. Over 400,000 bypass surger- a longer, more healthful life. free foods for a more health-conscious America" '
Page 22
Jewish Press, Omaha, NE
July 0,1099
Nonmelanoma skin cancer:
Keep it cool
protection even more important
The Nebraska Medical Association reminds you that, especially during the warmer montbB, it is best to insure your food is stored in cool areas, or in the refrigerator. Even nonperishable foods benefit from being stored in a cool, dark dry place. Make sure you store foods in your coolest cabinets - away from the stove, oven, dishwasher or hot water heater. The temperature in your refrigerator should be between 34" and 40°F to slow the growth of bacteria. An appliance thermometer is a good, inexpensive investment in proper food storage. Be sure to place it at different locations in your refrigerator to check the temperature.
A new study from researchers at the American Cancer Society and Emory University suggests that people who have had skin cancer have a slightly increased risk of dying from other cancers. According to the study, men and women who had skin cancer (generally basal cell or cell carcinoma) had approximately a 25% higher annual risk of death from any cancer (excluding skin cancer or melanoma) than did people without skin cancer. The researchers also found that a hiBtory of skin cancer was associated with small increases in risk from many cancers rather than large increases in a few. Five of six previous studies have found a similar association between a history of skin cancer and later diagnosis of the other cancer. Each year in the US there are approximately one million cases of highly curable basal cell or squamous cell cancers. The Nebraska Medical Association and the American Cancer Society note that most of theses cancers are preventable. . They recommend limiting sun exposure between the hours of 10 a.m. and 4 p.m.; covering as much skin as possible when in the sun by wearing longsleeved shirts and long pants and a hat that shades the face, neck and ears; and using sunscreen with a, gun Protection Factor (SPF) of 15 or higher. Most skin cancers can be cured by regular checkups, early detection and removal by a doctor.
He k track of
. I,
Swinging the golf clubs can be good for you by Jane Potter, M.D. Chief of Geriatrics University of Nebraska Medical Center
Golf has long been a popular recreational pastime; it is attractive to all ages and talent levels. For seniors, it is popular as a sport that can last a lifetime. And guess what? Golf can be a Bource of exercise, not to mention a fantastic way to spend an afternoon socializing with others. Some of the potential health benefits of walking and playing golf can include: Improved muscle strength and fleribilityThe main reason people lose muscle strength as they grow older is because of lack of use. Golf helps people move muscles and joints through a full range of motions. Swinging the gold club, walking over the course, and pulling the cart all improve, muscle tone and strength. Cardiovascular health—Generally, people do not work out so hard on a golf course that they get' out of breath. Still, there are health benefits from golfs start-and-stop play. Additionally, golfers who walk the course on a regular bases to lose weight will also gain cardiovascular strength. Mental health-Many people exercise not only for the physical improvement, but for how it makes them feel. Exercise can lead to a better body image and a feeling of increased relaxation. You may sleep better, as well. Low injury risk-Other than an occasional sore back or arm, golfers take part.in a lqw:risk sport. Playing two or three times 'a' week shouldn't put undue stress on your body and is enough to make a real difference in health. ''•'
MIDWEST EAR, NOSE & THROAT, PC ADULT & PEDIATRIC CARE Gerald B. Simons, M.D. (402)552-3020
his PSA? S ports. Men hist lova to talk stats and scores, don't they? II only It wislhs same with their health. Most men don'l know their PSA number, or even what a PSA Is. Most women don't either, so read on. A PSA Is a simple blood test used to detect prostate cancer in Its earliest, most curable stages. The tact Is, prostate cancer Is the second largest killer ot men in the U.S.
today. Mates over 40 are the most susceptible, with Alrlcan Americans at even greater risk. So. this Fathei's Day. urge your lather, husband, brother, uncle, orandfather or any guys you know over 40, to ask their doctor about taking a PSA test at their next physical. It's simple, painless, and It could be the gilt ola lifetime. Ten them during the seventh-Inning stretch
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July9,1099 Jewish Press, Omaha, NE Page 23
NEW LOCATION!
New advances in dental care
Hadassah scientists
discover gene that causes cancer to spread Scientists at HadaBsah Hospital in Jerusalem have discovered a novel gene that helps the spreading of cancer cells to other tissues and organs. This discovery may prompt new diagnostic and treatment options for cancer metastasis and autoimmune disorders, Haddasah researchers announced this month. The research team a t Hadassah's Sharett Institute of Oncology, headed by Prof. Israel Vlodavsky, has published its results in the July issue of Nature Medicine magazine. The discovered gene, called "hpa", causes the cancerous cells in tumors to produce an enzyme called heparabase. This body chemical is one of the factors that allows the tumor cell to metastaaize, travel, and invade distant tissues and organs. Using biochemical and molecular biology techniques, the Hadassah research team purified and sequenced the heparanase protein. This is believed to be the first time a mammalian heparan sulfate degrading enzyme has ever been cloned and expressed. Virtually all people who die of colon and breast cancer, as well as other cancers, succumb, not to the primary tumor, but to its offspring elsewhere in the body. "On the basis of the discovery, we will work now to develop new substances to block or neutralize the enzyme, aiming to inhibit tumor cell invasion and metastasis," Vlodavsky said. This also paves the way for developing molecular probes and antibioties that will enable an early detection of micrd-metastases in biopsy specimens and fluids." Details of the study can be found on the Web, at http://mediclne.nature.coin .
by Benton Kutler, D.D.S. President of the Nebraska Dental Association
Many welcome changes have occurred in dental care in recent years. The rate of dental decay has been reduced by half in children and young adults due to flourides and sealants. More and more adults try to keep their teeth by having crowns and root canal therapy. As a result, despite longer active lives, the percentage of adults wearing full dentures has declined dramatically. Improved technology is also changing dental care. Computerization and sensors are replacing X-ray films. Lasers may eventually replace the dental drill, scalpel and root canal files. Computer directed technology can manufacture crowns and inlays in one visit Even whitening of the teeth has been greatly improved in efficiency and safety since introduced a number of years ago. New cosmetic dentistry and oral surgery procedures to correct crooked, discolored or deformed teeth as well as lip contours, facial profiles and abnormal bites produce remarkable results. New sonic vibration toothbrushes for home care help dislodge bacteria from the tooth surface. Silver amalgam fillings containing mercury are being replaced by tooth colored composite fillings that bond to the tooth. Newer types of crowns appear more natural, and root canal therapy takes much less time and saveB almost all teeth from being removed. Newermethods of anesthetization can be more efficient and pleasant. Dental implants which are continually being improved are replacing conventional bridges and dentures. Gum treatments, both surgical and non-surgical, are accomplishing results thought impossible a few years ago. In the past year three effective new non-surgical methods were introduced. Recent research has shown gum disease to be related to coronary artery disease. . Advances in dental treatment leads to better health, comfort and appearance.
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Page 24 Jewish Press, Omaha, NE July 9,1009
When should orthodontic treatment begin? by Dr. Kort Igel, D.D.S., M.S., P.C.
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Talking to your kids about sex: everything parents wanted to know but couldn't ask
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Zina Rutkin found the following advice in a par- accordance with hftw they feel." enting book at the library: On your child's eighth "It's more how you act than what you say," states birthday, take him or her out to dinner and have Paulette Bourgeois of Toronto, author of Changes material ready that will explain the facts of life. in You & Me: A Book about Puberty Mostly for Girls Rutkin's daughter, Ariella, had turned eight-years- and a parallel title for boys. "If the parents are old three months earlier. _ • •'••' comfortable with their own sexuality and with 1 came home and told my husband I blew it," Rutkin showing affection to one another, you're already ten says. But "the book lit a fire under me* and she decided steps ahead." it was still importanttohave The Big Talk, v Touching, hugging and cuddling children from So when Ariella, who had been hounding her par- babyhood on helps them feel comfortable with their ents to have another baby, broached the subject bodies, she adds. As they grow and begin to ask questions, find out what they really want to know. again, Rutkin launched in. •"'':' "I asked her if she knew how we'd go'about hav- •Failure'-to-doi:thislt!ari'lead'1to'8oni«''h«tmorous ing a baby," Rutkin recalled. "She started to wrig- results, as illustrated in the following anecdote, . gle and look embarrassed, and said she didn't want Bourgeois recounted. to talk about it. I said, 'Let me tell you what I want A five-year-old child asked, "Dad, what's'sex?" tb'tell you.' After I finished, she lookedat me and Dad took a deep breath and delivered The Big Talk. said,'! know that!''" '' '•'•" ' The child took an identification card out of his new - iuIt"*ps enlightening forme to find out how much wallet "So Dad," he asked, "Do T write M or F?" 1 : SHe'knew. But I was disturbed that she was einbarGensler also recommends just answering the rassed.. I said, 'It's more'than okay to talk about question that is asked. "Between ages three) and ; iJifs.'Td'rather you come to'me if you have ques- five, kids Have a curiosity that' includes wanting to tions than get information or misinformation from know where babies come from. Where does a baby your friends." ' '"'''"• '•"''•' come from? It grows iii itsmotiier's uterus. Don't go ' Rutkin's training as a psychologist, with a spe- into a' long lecture about how a baby gets in there cialty in child and family counseling, didn't make or what it grows out of. Let the child take in the answer and let it perk around; When there's anothher any less nervous. : "This is still sex and this is still my kid," she. er question, the child will ask it. says. 1 wasn't sure what was the right amount to "This is not about withholding information,* he say so she would get the message that 'Mommy's explained. "The same thing applies to non-sexual here anytime you want to talk to her,' but not over- questions. How does a car go? You put gasoline into whelm her with information." the fuel tank and the gas works inside the engine Rutkin's story reflects common worries among to make the car go. The child is not asking about parents in talking to their kids about sex. When combustion engines." should I start? How should I start? What should I Why do adults feel they have to give the whole say? What should I say when they're four? Eight, lecture? 12,15? How much information should I give? What "Parents are nervous," Gensler said. "When you if I'm uncomfortable? As a Jewish parent, what talk about Bex, ypur own attitudes are right on the Jewishvalues can I convey? : •";'": line. In parenting, you learn as you go along. You As a freelance journalist who has learned a lot have to grow into 1a comfort with the subject." Knowing when the time is right from the advice given in this article. I recently found my three-year-old daughter pretending that Samuel Klagabrun, executive medical director of a piece of cloth she had rolled up was a baby. Four Winds Hospitals in New York and chairman The cloth kept unrolling and the girl became frus- of pastoral psychiatry at the Jewish Theological trated. "Mommy," she asked, "how do you make a Seminary, offered another explanation. baby?" "To prove they are up to date," he said, "parents Remembering to "find out exactly what it is your feel pressured to be far too informative at too young child wants to know,* I answered, "You mean, how an age for the child. It's confusing, overstiinulating can you roll this cloth back up into a baby?" and unnecessary. The key is to deal with children ^ "Yes," my daughter replied. •• ', in age-appropriate ways and not read adult sexual-' What the experts have to say ' ity concepts into a child's curioBity." There's no one correct way to talk about sex," Physiologically appropriate language sets an says Daniel Gensler, Director of the Child, important tone. Inappropriate language, Hagsbrun Adolescent and Family Clinic at the Postgraduate points out, can be an invitation to Bexual exploitaCenterforMental Health in Manhattan. "There's a tion as kids grow into adults. Talking about "scorhuge range of what's normal that varies according ing," for instance, can contribute to developing to people's religion, culture, and socioeconomic unhealthy relationships. class. It's important for parents to act in
(Continued on page 29)
July 9,1999 Jewish Press, Omaha, NE Pace 25
HORIZON DENTAL CENTER P.c.
Talking to your kids about sex
NORMAN M. SHELDON, DDS 12100 W. Center Road Omaha, NE 68144
330-5080
• (Continued from page 28) • "We have a system that we try to adhere to in all body part If kids don't know the appropriate terms, later on, when you need to give information, they will aspects of our lives," Kalker said. "Sexuality fits CONTEMPORARY into that system." have trouble." . Kalker teaches her children that "sex is a wonderful Pamela Shrock, a sex therapist and clinical psyEYEWEAR chologist, suggests-that parents clarify for children thing that has its proper place, like eating food and making a blessing over i t Every act has a physical and what constitutes appropriate.and inappropriate Chqose from among frames by designers including touch. "Tell th% child, The body feels good and it's spiritual component" Her younger children know that DKNY, Polo, Laura Ashley and Giorgio Armani okay to touch," she said, "but there are some things "first you get married, then you have babies." At the other end of the spectrum is Arthur we don't do in public." , Fashionable, Functional • Between the ages of six and 10, kids need factual Waskow, a founder of the Jewish renewal moveand Affordable! information about puberty. It's especially impor- ment and author of Down-to-Earth Judaism: Food, 210 Regency Parkway • 392-0170 tant for girls, because some begin menstruating as Money, Sex and the Rest of Life. Because he early as the age of eight She points out that televi- believes it is unhealthy to remain celibate until the 141 Doctor's Building North, 4242 Farnam • 554-1315 sion and movies, with their open treatment of sexu- age of 25 or 35, he told his children, now 32 and 29, ality, provide good opportunities for talking about "Sex is very powerful. I urge you to approach it with care and I hope you won't wait until you get sexual issues. Care Consultants married to have a serious sexual relationship." Father-daughter, mother-son shmoozes Modern conflicts in the Jewish religion for the tying While fathers often feel more comfortable talking But, for the many parents who fall somewhere to sons, and mothers to daughters, it's also imporSince 1991 tant for parents to talk to children of the opposite between Kalker and Waskow, the conflict between • Finding Caregivers for you or your family sex, experts say. Bourgeois, who is separated from what Jewish tradition teaches, what society members for continued independent living her husband, recalls that her daughter got her encourages, and what makes psychological sense is and assistance. Our Referral Registry can hard to bridge, Klagsbrun acknowledges. period when she was with her father. , provide you with Companions, Health Aids, I f you live in both camps, finding a level of permis"When she called to tell me, she said she'd be Certified Nursing Assistants and Nurses. embarrassed to tell her dad," Bourgeois says. 1 spoke sible sexual behavior in modern society is quite a • Our rates are affordable with no minimum hours. to my husband and told him what to buy at the drug- task," he admitted. 'Parents not only have the right - store. Later he gave her a big hug and said, 'You're but the obligation to set standards, including stan(402)398-1848 dards within the tradition. Kids need to live within a growing up. Let me know what I can do." . 7701 Pacific S t , Suite 100, Omaha, NE 68114 familiar structure. If they want to rebel against it, so . The importance of parental influence As kids move into the preteen and teenage years, be it, but parents do not have to apologize or soft-pedKlagsbrun advises parents to "shift gears from watch- dle their rules or regulations." "If sexuality is a way towards holiness," Novick ing and being available to influencing and directing." How to make decisions is one of the most impor- said, "the ultimate decision-making criteria in sextant things parents can teach teenagers about sex, ual issues is what will result in more God-like , says Bernard Novick, author of Making Jewish behavior or goodness.". He stressed how different Jewish, secular, and Decisions About the Body. GastroenterologyrLUG. Teenagers are moving from dependence to inde- Christian views of sex are. "The secular attitude is pendence, trying to figure out who they are and what that we're animals, so we do natural things, and is pleased to announce they stand for. They need information about the facts sex is natural. Christianity looks at sex as the the opening of its new office a t source of original sin and a necessity for procreof life, where Judaism stands, and where the family 1730 South 70th Sfc, Suite 110 stands. They also need to learn the skills of making ation. In Judaism, we find that everything God creLincoln, NE 68506 ated was good. If sexuality was a part of Creation, decisions, using those standards as criteria." Tel: (402) 441-5600»Fajc (402) 441-5606 ' Novick. also emphasizes the importance of role then sexuality is good too." Tbllfree: ' modeling. "Children learn how to treat the opposite Whatever you choose to teach your children, 1-888-5-GASTOO (1-888-6-427876) sex from how their parents treat each other. Kalker says, don't be afraid to make mistakes. I f We are also proud to offer on-site endoscopy in Parents should set a model of love and respect." they didn't hear what you said in the way you the new Lincoln Surgery Center Endoscopy For kids to feel comfortable with their own sexuality, wanted them to hear it, you can always find anothServices unit next to our office in Suite 120, parents need to go beyond the facts, Shrock pointB out er appropriate time," she said. "There are lots of beginning later this summer. "Sexuality is how we feel about ourselves as male or moments for important conversations.* female....Tell kids that there are different ways of How to make talking about sex easier Donald E. Waltemath, MJX expressing sexuality-holding hands, touching, kissing. •Deal with children in age-appropriate ways. Don't Michael N. Eppel,MJ>. I talk to kids about romance,'which doesn't occur read adult sexuality concepts into a child's curiosity. Chris F. Maasdam, MJX much anymore. Stress that intercourse is done •Find out exactly what it is your child wants to between two loving, caring and committed people." know, then answer that question only. Don't feel "In Jewish tradition," Klagsbrun noted, "respect you have to give the whole lecture. •Use appropriate language for body parts and for the other person is paramount. Don't be insulting, abusive or exploitative of another person, espe- sexual acts. Euphemisms and slang terms will comcially your mate. You can teach sex in a moral and municate discomfort or shame. •Clarify for your children what constitutes approreligious context that preaches relationships, priate and inappropriate touch. rather than sex, as a goal." •Give factual information about puberty between the Yet if parents have trouble explaining the facts of life, they may have even more difficulty explaining ages of six and 10, so that when a girl reaches menarche that sex is part of an intimate relationship. she already knows what is happening in her body. Clarifying family values and setting standards is •Keep the lines of communication open. Talk to crucial for children, and it's something they won't all of your children; don't leave it up to your partget in health education classes. ner to talk with children of the opposite sex. •Go beyond the facts. Talk about values, including Talking about sex provides an opportunity to transmit values like responsibility for one's own responsibility, respect, privacy, and commitment. body, respect for another person's body, privacy, Stress relationships, rather than sex, as the goal. We help one in three Nebraskans •As children become teenagers, shift gears from and commitment. . , take good care of themselves. being available to influencing and directing. Teach Conflicting family values Depending on their religious outlook and family your teenager how to make decisions. values, parents should, share their views on absti•Give teens information about sexual, responsibilnence or "safe sex." ;.•;.., ,, ••,,..•.•.•••• ' ' : ity, contraception, and sexually transmitted disSharon Kalker, a social worker and a n Orthodox eases. Depending on your religious outlook, share ..'.,.. • mother of four children ages 1 4 , 1 1 , eight, and six, your views on abstinence or "safe sex." BlueCrossBlueShield •Don't be afraid to make mistakes, There will be . says h e r children know the facts about safe sex,' but they alsoknow t h a t their parents do not believe i n opportunities to clarify your views in the next conof Nebraska? versation, .,.'•• SMMci M t t * torn 8W Qw»wrffl»» SNtU dNtbmla, sex before marriage. . . , •;
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Page 26 Jewish Press, Omaha, NE July 0,1099
Occupational therapy: skills for the job of living by Yvonne Parde, M.S. Director, Occupational Therapy Assistant Program, Clarkson College
Prevent hidden household poisonings
by Brlgette Young Most unintentional childhood poisonings happen During the month of April, Occupational Therapy need to do in their everyday life may benefit from in a matter of seconds and often come in innocent Month, the American Occupational Therapy occupational therapy services. Occupational therapy helps by adapting tasks and unexpected forms. Household products - mediAssociation (AOTA) kicked off its "Skills for the Job of Living Campaign" to educate the public and environment so that a person is able to com- cines, cleansers, detergents, and insecticides - can prove deadly if left within reach of young children. about the significance and impact of occupational plete those identified tasks. They may work in many settdngB such as hospi- Even seemingly harmless items such as iron suptherapy in people's lives. Occupational therapy in a rehabilitation profes- tals, mental health community programs, nursing plements and household plants can poison a young sion working closely with speech and physical ther- homes, private and public schools, early interven- child in a matter of seconds. Annually, more than one million unintentional poiapy. Occupation is defined as 'activities done each tion programs, home health care agencies and sonings among children ages 12 and under are reportday that are purposeful and important to the indi- orthopedic and hand therapy clinics. Depending on the employment environment the ed to all U.S. poison control centers. In 1993, nearly vidual' or those activities that "occupy" our time. Occupational therapists and occupational thera- occupational therapist and occupational therapy 130 children ages 14 and under were fatally poisoned. "Children ages four and under are particularly vulpy assistants help people achieve as much indepen- assistant may: fabricate splints and adaptive dence as possible in their daily lives and/or to equipment and devices, educate people on compo- nerable to poisonings due to their curiosity and natur"~ nents of health and well- al desire to put everything into their mouths," said improve the quality of life. ness, adapt home envi- Iinda Schlake with the Safety and Health Council of The three main areas ronments for people who Greater Omaha SAFE KIDS Coalition. "Parents are that occupational therahave had a stroke, and advised to childproof their homes against poisonings py impacts a person's life create learning environ- by removing all potentially poisonous products from are work (i.e. home manments for children who within a child's reach." The Greater Omaha SAFE KIDS Coalition offers agement, care of others, are physically chalthese poison prevention tips: Keep poisonous products educational and vocalenged. tional activities); leisure For more information out of reach of young children. Stay alert while using (i.e. exploration and perabout occupational ther- poisonous products such as bathroom cleaners or formance); and activities apy visit the AOTA web- bleach. Never refer to medicine as candy- Throw away old medicines and other potential poisons. Beware of of daily living (i.e. groomsite at wwwmota.org ing, hygiene, dressing, For more information certain cosmetics and personal products such as aftereating, etc.). about educational oppor- shave, cologne, perfume, hair spray, shampoo, artifiPeople who have had a permanent or temporary tunities as an occupational therapy assistant, con- cial fingernail polish remover. Also, keep products in original containers. Buy childloss in function (pl^sitally, mentally or emotional- tact Clarkson College at 552-6139. resistant packaging. Keep poisonous plants such as ly) and are unable to complete tasks they desire or dumbcane or devil's ivy out of reach of children. Install carbon monoxide detectors in the home. Teach grandparents and relatives to take precautions. Eliminate hidden household poisons. Storing A little activity goes a long way Take the stairs. Walk a little farther. household cleaners, medicines, and vitamins toward improving your.health.. Get out in the yard. locked away, out of reach is a smart and simple safety intervention that can save your child's life. Nebraska Department of Health For more information, call the Safety and Health Council of Greater Omaha at 896-6332. ttmWHKlMOTWM
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July 9,1999 Jewish Press, Omaha, NE Page 27
NOW AVAILABLL Early detection is the key when treating breast cancer
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by Megan Burnett, American Cancer Society She could be standing behind you in mammography for women age 40 and line at the grocery store or parked older. next to you at the traffic signal. It's "As women age, their risk increasdifficult to know who will be next. It es," said Dr. Kay Ticen, Breast could be your mother or aunt. It could Diagnostic Clinic, "early detection folbe you. The American Cancer Society lowed by treatment provides a woman projects 180,300 women in the U.S. with a better chance for long term will learn for the first time this year survival." they have breast cancer. According to Dr. Ticen, monthly Another 43,500 will lose their lives. breast self-exams, regular exams by Men are not immune from breast canTeLJ A P R I P K I D ^ o u r Phy8'0*811' a n d annual mammogcer, 400 men will die this year from ^~ " - N raphy beginning at age 40 are the the disease. most reliable methods for detecting breast lumps. It is estimated in the state of Nebraska alone, Here are some breast cancer facts: Women have a 1,100 new cases will be diagnosed, with 300 women one in eight risk of getting breast cancer; 85% of losing the battle against breast cancer this year. women who get breast cancer have no family histoNumerous studies have shown early detection ry. The five-year relative survival rate for localized with prompt treatment can significantly reduce the breast cancer has increased from 72% in the 1940s sufferings and deaths caused by this disease. The to 97% today. Early detection is the key and mamOmaha Community Office of the American Cancer mographyds the single most effective screening Society is promoting the importance of early detecBreast cancer is the most common cancer among tion and mammography, an x-ray of the breast, is women; more than 180,000 new cases will be diagthe single most effective method of detecting breast nosed this year and 43,900 are expected to die from changes that may be cancer long before physical breast cancer. The incidence of breast cancer is symptoms can be seen or fell higher among white women, but the death rate is American Cancer Society recommends breast self higher for black cancer. examination monthly for women age 20 and older For more information about early detection and and clinical breast examination every three years mammography facilities in your area, contact your for women between 20 and 39, annually if over 40. local American Cancer Society office at 393-5800 or American Cancer Society also recommends annual 1-800-642-8116.
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Page 28 Jewish Press, Omaha, NE July 9,1899
The mitzvah of organ donation (Continued from page 2) . like saving life and health," said Dorff, whose book life?" said Address. Matters of Life and Death: A Jewish ApproachtoModern Beyond confronting our own mortality, especially Medical Ethics includes a chapter on organ donations. a sudden and unexpected one, there are questions "This widespread misperception is based on a people may have about organ donation. good intention: the important principle in Jewish "Some people think the donor pays for it, but all law is reverence for the body, which extends even costs are paid for by the recipient and the recipient's after death," said Prouser, who authored the insurance," said Dorff of the University of Judaism. In Conservative teshuvah. fact, because of moral and ethical principles, there are Confronting death strict laws prohibiting the sale of organs. People also may fear that if a potential consenting The one thing no one disputes is that organ donations save lives.-A well-known case in the Jewish donor is in a perilous situation, the attending doctors world is that of Alisa Flatow, the 20-year-old will not provide all the medical care necessary, and American college student killed by a terrorist bomb in instead will hasten the death so that the organs can Israel in 1995. Her parents, after consulting with be removed. But doctors are quick to reassure people their rabbi and Rabbi Tendler, donated her organs to that such medical behavior is not only illegal, but six people, including one who received her heart. anathema to the principles of medicine. "People don't want to talk about it. Do you want "It's outrageous to think that! It's contrary to to talk about the fact that to give away your heart, every tenet of medicine. How could you then trust a you have to die? It's as brutal as that, it raises doctor?" said Dr. Alfred Soffer, a Chicago cardioloissues of death," said Address, of UAHC. gist and world-recognized medical editor, who reguYoung people, especially, who are statistically at larly lectures to synagogues on Judaic bioethics. the highest risk for fatal accidents, should be Finally, there are psychological effects connected approached on this sensitive topic. to organ donations that linger long after the trans"One of the groups usually overlooked is kidB. plant has been done. "There is often a psychological Tragically, [teenagers] do get into automobile acci- transfer. The question of self-identity: I have somedents, and the question is, do we not have the one else's heart, am I still I?" said Dorff. obligation in the religious context if, God forbid, Compounding these concerns is a system less something happens, to [show them that] there is a than perfect. Given the sheer magnitude of the Jewish response to tragedy, one can give the gift of demand for available organs, the United Network
for Organ Sharing, the central registry established in 1984, after the National Organ Transplant Act was passed, for everyone in the country waiting for organs, has divided the country into regions. This means that a person waiting for an organ in one region can't receive a compatible organ from another region, unless no one in that region is compatible. UNOS says the system works because organs are too perishable to transport too far away. But other concerns also exist, such as what many doctors refer to as the "rationing of health care." "The trouble is the desperate need for organs. Who gets the organs? We must establish an equitable system which would identify the patients most likely to experience successful transplantation. It will have to change," said Chicago cardiologist Soffer. The long wait In the meantime, as rabbis and Jewish educators spread the word, and as medical scientists work on new technologies, new advances, possibly the development of new immuno-suppressors that would enable the successful transplant of animal organs into humans, people like David Yomtoob wait. "What we went through we wouldn't want anyone else to have to go through," said Parichehr Yomtoob, who co-wrote the book, The Gift of Life, about David's ordeal soon after David recovered 18 years ago. But the possibility of going through it all again is very real.
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