Wednesday, September 19, 2012

Obesity:Fitness more important then fat

NYTimes   In study after study, overweight and moderately obese patients with certain chronic diseases often live longer and fare better than normal-weight patients with the same ailments. The accumulation of evidence is inspiring some experts to re-examine long-held assumptions about the association between body fat and disease. 

Dr. Carl Lavie, medical director of cardiac rehabilitation and prevention at the John Ochsner Heart and Vascular Institute in New Orleans, was one of the first researchers to document the obesity paradox, among patients with heart failure in 2002. He spent more than a year trying to get a journal to publish his findings. [...]

But there were hints everywhere. One study found that heavier dialysis patients had a lower chance of dying than those whose were of normal weight or underweight. Overweight patients with coronary disease fared better than those who were thinner in another study; mild to severe obesity posed no additional mortality risks.

In 2007, a study of 11,000 Canadians over more than a decade found that those who were overweight had the lowest chance of dying from any cause.

To date, scientists have documented these findings in patients with heart failure, heart disease, stroke, kidney disease, high blood pressure — and now diabetes. 

Ad Calling Jihad ‘Savage’ Is Set to Appear in Subway

NYTimes  As violent and sometimes deadly protests consume much of the Muslim world in response to an American-made video mocking the Prophet Muhammad, New Yorkers will soon encounter another potentially inflammatory rendering of Islam: an advertisement in the transit system that reads, “In any war between the civilized man and the savage, support the civilized man.” 

It concludes with the words, “Support Israel. Defeat Jihad,” wedged between two Stars of David.

After rejecting the ads initially, then losing a federal court ruling on First Amendment grounds, the Metropolitan Transportation Authority said on Tuesday that the ads were expected to appear next week at 10 subway stations.

Why wasn't Malbim's commentary banned?

The Malbim is considered one of the standard commentaries to the Bible. He was also one of the strongest opponents of the Reform movement. And yet there are comments where he clearly rejects views expressed by Chazal and the Rishonim as not being compatible with the latest scientific facts.

This despite the fact that there was concern about heresy - the reaction against Mendelsohn is a good example. In fact there were some Chasidim who viewed the Malbim as a maskil. While the Reform viewed him as a fanatic reactionary. The Malbim apparently was trying to produce a frum Biblical criticism much as Rav Yisroel Salanter was trying to produce a frum haskala

Dr. Noah Rosenbloom in his biography of the Malbim notes that there were several books in Hebrew  - concerning with science -  which were published at this time for the frum world. The Malbim apparently took his information from one of them - Sefer HaBris. The author of Sefer haBris clearly was aware of the dangers of publishing discussions of science and he took the precaution of announcing that the work was merely an introduction to Rav Chaim Vital's Shaar HaKedushah - to explain the scientific basis. Of interest he makes no attempt to actually explain any particular verse. As Dr. Rosenbloom points out - if he really was concerned with clarify and explaining Shaar HaKedusha - he would have written it as a commentary rather than as a introduction. In addition he was careful to obtain many haskomas from important rabbis.

My point being that it is not so much the content but the perceived context that influences whether something is perceived as dangerous literature that needs to be banned.
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Malbim (Bereishis 1:1) ... This interpretation [which I just quoted] makes sense according to the view of the ancients who says that there exist Spheres  on which are fixed all the stars of the Heavens and therefore when it says that G-d created the Heavens it is referring to the Spheres which were created on the first day. And then the sun and the moon and the stars were created on the fourth day and attached to the Spheres that are referred to as the rakia of the Heavens. However it has recently been established that there are no such things as Spheres. Rather [the scientists] have stated that all the heavenly bodies  move in their orbits in an atmosphere which is called Ether which fills the entire universe. Therefore if the stars weren't created then nothing of the heavens was created because there is nothing to the Heavens except the heavenly bodies. Furthermore the scientists have recently established  that the stars in the Heavens are not composed of a fifth type of matter which is unique to the Heavens as the ancients claimed. The fact is that the  heavenly bodies which only reflect light such as the moon are composed of the exact same materials as we find here on our earth....

Tuesday, September 18, 2012

'Lizzie Beautiful': ‘Stop staring and start learning’


Lizzie Velazquez was born with a medical condition so rare that there are only three known cases in the world.

The “Lizzie Beautiful” author says she's used to standing out, but dealing with bullies, like people on the internet who dubbed her “World's Ugliest Woman”, is hard. Yet, in our beauty-obsessed culture, Velazquez always finds a way to thrive and inspire.

“I'm human … of course these things are going to hurt ... [but] I'm not going to let those things define me," she told HLN’s Dr. Drew Tuesday night.

She added, “The stares are kind of what I'm really dealing with in public right now … I'm starting to want to go up to these people and introduce myself or give them my card and say, ‘Hi, I'm Lizzie -- Maybe you should stop staring and start learning’.”


Saturday, September 15, 2012

Is sexual abuse an excuse for murder?

NY Times  The scheduled execution of a convicted murderer has prompted pleas for clemency from thousands of people who argue that he should be spared because he had been sexually abused by his victim. 

The inmate, Terrance Williams, 46, is scheduled to be executed by lethal injection on Oct. 3 for killing a man after what his supporters say was years of being abused by the victim, as well as by a teacher and an older boy who first raped him when he was 6.

Mr. Williams was 18 in June 1984 when he beat to death Amos Norwood, 56. [...]

Mr. Williams’s history as a victim of abuse was unknown to the jurors who sentenced him to death in 1986, according to affidavits signed by five of them who said they would have voted instead for life in prison without parole if they had known all the facts.


Friday, September 14, 2012

An oncologist's weekly music therapy

Tablet Magazine  I was a junior faculty member at a Philadelphia medical school many Septembers ago, racing to meet a research deadline, when my partner on the project announced that I’d have to finish the work myself because he intended to return home to Baltimore for the High Holidays. “I rarely attend synagogue services,” he explained, “but singing familiar holiday songs makes me feel like part of a community.” Up to that point, he’d done most of the work, so I couldn’t argue. Besides, his observation about the power in the music resonated for me.

Music can bring a community together; that’s something that many of us notice at this time of year, when Jews around the world gather for High Holiday services and share in the music we hear from cantors, choirs, and our fellow congregants. But music also has the power to elevate our souls and soothe our spirits, whether we’re sitting in synagogue or attending a concert. And as I’ve learned in my years as a doctor treating cancer patients, music is even a powerful medical tool, capable of healing our bodies, our hearts, and our minds. Music is so powerful, in fact, that I’ve made it a regular part of my therapeutic treatment.

It started when a young woman came to me for treatment of a tumor in the Broca’s area, a part of the brain that controls speech. Almost as devastating for her as her bleak prognosis was her inability to talk. As I finished planning her radiation therapy, by coincidence, my wife gave me a copy of Oliver Saks’ best-selling book Musicophelia. A New York neurologist, Saks describes the case of a patient who experiences a stroke as a result of a Broca’s area hemorrhage. Saks discovers that, although his patient has lost the ability to express himself in conversation, the man can still sing. I wondered: Would the same phenomenon hold true for my patient?

The next day, when I visited the woman, I started to hum a popular song. Her family was initially wary of this odd behavior, but they started to sing along during the second verse. By the time we reached the chorus, the patient chimed in—with the words. The latter verses of the song were more challenging to get through since we were all swallowing our tears. [...]

Also See Haaretz In sickness a path to spiritual health

Pearl Engelman: Who is Nechemia Weberman?

The following originally appeared on Yerachmiel Lopin's blog. Because of the importance of publicizing Weberman's trial on October 30th - he asked that I republish it here with the permission of Pearl Engleman and Yerachmiel Lopin. The full text is found here  Frum Follies

How an Entire Community Of Sheep Were Deceived By Weberman

Guest Post by Pearl Engelman

As I write, I hold a list of 8 other victims. Can it really be that our community is so gullible as to believe the PR campaign for Weberman? Can it really be that our community is so willfully ignorant? That we WANT to believe that which makes us more comfortable despite the damage to innocent victims?

Many of my friends and acquaintances assumed my presence and media outspokenness at the protest against the fundraiser for accused sexual abuser Nechemia Weberman was due to my bitter experience with my son Yoiely’s molestation case. Not exactly wrong but not the whole story either.

This past Monday, May 14th, I received a call from an unknown woman asking if she could speak with me confidentially. When I assented she said “my daughter was sexually abused by Nechemia Weberman!” I listened in shock as she told me “when my daughter was 15 years old she began to dress differently than our family’s dress code and my husband and I were very worried about what this signified. We were advised to take her to Nechemia Weberman, the chassidishe (Hasidic) therapist for “troublesome” girls. We trusted Weberman fully, as he was also my husband’s good friend. During the 2 something years my daughter was in “therapy” with him she did not tell us what went on during almost every session.” I glanced at the caller ID and realized she was calling from upstate NY. My caller continued – “After my daughter’s wedding, one day she told me,

Mommy if you would know what Necehmia Weberman did to me you would kill yourself! He showed me sex videos, he made me do ——- to him, he did —— to me, and he told me that I should never, ever tell anyone because no one would ever believe me as I was known as a “troublemaker” and he was known as a very chosheve (prominent) person; I would have no credibility and would only damage my reputation further! He tried to convince me that no one understood me, cared for me or loved me as he did. For sure my parents did not understand me or love me!

To say the caller took my breath away is an understatement. Listening to the sorrowful tone of her voice was awful. Then she said “in hindsight I now remember that whenever I called him for a progress report or an update on my daughter a strange thing happened. He would actually instigate me against my daughter! I used to wonder why doesn’t he say something like – Don’t worry – we are working with her – there is hope for improvement – instead he would say what an ‘azas ponim (brazen girl) she was, how she would burn in gehenim (hell)  for her behavior!’ I would be so very angry at her and she at me; we were going at each other all the time.”

And then my caller told me her name! This family is not “nobody”, this is a well known, beautifully functional family! Very frum (observant) family! She explained to me that because her husband’s livelihood was dependant on the Heimishe (ultra orthodox) public they could not openly expose Weberman. Being from the community they knew the backlash would be directed against their daughter and themselves. And because their daughter was happily married they did not want to rock that boat either.

Her story continued: “When the campaign in support of Weberman was started this winter and I saw the signatures of the Rabbonim (rabbis) I couldn’t bear it anymore. I myself went to Rabbi Teitelbaum (son of the Satmar Rebbe, Zalmen Leib) and to Rabbi Pollack and told them my story. They were shocked,  Oiy, oiy vey, we didn’t know, we were told he was the victim of a bilbul (libel). However, you should know – we are still yiddishe kinder (Jewish children) and for this Weberman doesn’t have to sit in jail. We will take care of him and he will never do this again, and do not hinder us from protecting him!”

How do we say it? REVICTIMIZING THE VICTIM! In essence they are telling this poor mother – go home, choke your feelings and do not stop us from supporting and helping the man who violated your child! Has there ever been anything as cruel, as pitiless, as UNJEWISH? Is this really us? Don’t we stand for the emes (truth), for yoisher (rectitude)? A thought just occurred to me: Al pi torah (according to the torah) what was their responsibility after hearing from the mother?

I gently asked her what could I do to help? Her sorrowful answer was: “I don’t know”. Why did she call me now? Because she feels so terribly sick when she sees the fundraising campaign for Weberman. [...]

NYC votes to Regulate MBP Circumcision Rite

Tablet Magazine  The New York City board of health has unanimously passed a regulation requiring that parents sign a consent form before the circumcision practice known as metzitzah b’peh can be carried out by a mohel. The rite, in which the mohel uses his mouth to remove blood from the incision, is a prevalent custom in some ultra-Orthodox communities.  

In recent months, rabbis, citing infringement on religious practice, have threatened to sue the city if measures against the rite are enacted. On the other side of the issue, a number of medical professionals have spoken out heatedly against the practice being allowed at all. After the measure passed (which has seemingly toothless penalties), one of the panel members, Dr. Joel A. Forman said that “it’s crazy that we allow this to go on.”

In many ways, this measure is a happy medium between allowing a controversial religious custom to continue unfettered and banishing the practice altogether. As expected, neither side is happy though.

Thursday, September 13, 2012

Rav Dessler: Nature of women IV p 116



בחירתם של האיש והאשה וענין דו פרצופיך

אמרו ז"ל (עירוביך י ח: ) בתחילה בבראו אדם וחוה בגוף אחד אלא שהיו לו שני פרצופים, ואחר כך הופרדו" עיין שם (:
והנה "גוף" פירושו הבחינה התחתונה שבנפש (כמבואר אצלנו במקום אחר). ושם בחירת האדם. ומה שבתחילה היה לאדם וחוה גוף אחד היינו שלכתחילה לא נבראה האשה אלא להיות כלי לאיש לענין העמדת תולדות ולא היתה לכל אחד מהם בחירה בפני עמצו, אלא בחירתם – "גופם" היתה אחת. 

‏והנה אדם הראשון היה חכם גדול מאד. היינו שהשגתו באמת היהתה גדולה כי היר קרא שמות לכל בעלי החיים, היינו שהכיר את תוכנם ותפקידם האמיתי בבריאה: ונאמר "וכל אשר יקרא לא האדם...הוא שמו" היינו שהסכימה דעתו לדעת המקום (חזקוני) . והוא בעצמו לא היה חוטא בשום אופן ולא היה מעלה על דעתו כלל לחטוא. כמו  שנראה שגם אחר כך לא אכל מן העז אלא לעשות רצון האשה כי  השגותיו היו גדולות כל כך שבהיותו הבוחר היחידי אי אפשר היה לשטן לפתותו  ‏ואז לא היה משקל שוה בין יצר טוב ליצר רע. ולכן הפריד ממנו השי"ת את האשה, היינו שנתך לה בחירה בפני עצמה, ועל ידי זה נתחזק כח היצר הרע עד שבין שניהם הושוה המשקל ביו יצר טוב ליצר רע. (כמובן הכל מדובר לפי מדרגת גן עדן עיין כרן ב, עמ' 137 ‏ ואילך) . 

‏והטעם למה לכתחילה נבראו באופן זה. שלא תהיה כניסה כלל ליצר הרע, היה כדי להעמיד את צד הטוב על חזקתו, שתתחזק הכרת האדם באמת.‏זה יהיה לו לסיוע אחר כך כשתהיה הסתה מצד היצר. ובמצב הראשון היתה האשה רק כלי לאיש בלי בחירה משלה, כמבואר לעיל.

‏ובאמת גם  עתה גדרה ובחירתה הם להיות כלי לאיש, באמרם ז"ל ‏(סנהדרין כב.) "האשה גולם היא ואינה כורתה בברית אלא למי שעושה אותה כלי" וטבע האשה להרגיש כבודה וחשיבותה בכבודו וחשיבותו של בעלה. והענין בזה הוא, כי תכלית האשה היא בבחינת "נר מצוה" וזו של האיש בבחינת "ותורה אור" (עיין זהר תרומה קסו.). והיינו שבחירת האשה היא בתיקון הגשמיות במצוות ומעשים טובים להכין את הנר (הכלי הגשמי, דהיינו הבית) ובחירתו של האיש – להתעלות בתורה ולהדליק את הנר באור תורה, שאור התורה הרוחני ימלא את הבית, וכמו שנר בלי אור אינו כלום, כך אור בלי נר אינו יכול להאיר (זהר שם) והיינו שבחירת האיש ובחירת האשה משלימות זו את זו)

Anti-Muslim film producer is apparently a Coptic Christian - not a Jewish Israeli

AP  The provocative anti-Muslim film implicated in mob protests in Egypt and Libya received logistical help from a man once convicted of financial crimes and featured actors who complained that their inflammatory dialogue was dubbed in after filming.

The self-proclaimed director of "Innocence of Muslims" initially claimed a Jewish and Israeli background and said he had gone into hiding because of the international controversy set off by the movie. But by day's end Wednesday, others involved in the film said his statements about his background were contrived, and evidence mounted that the film's key player was a southern Californian Coptic Christian with a checkered past.

Nakoula Basseley Nakoula, 55, told The Associated Press in an interview outside Los Angeles that he managed logistics for the company that produced "Innocence of Muslims," which mocked Muslims and the prophet Muhammad and may have inflamed mobs that attacked U.S. missions in Egypt and Libya.

Debate over MBP & written consent

NYTimes    The city estimates that metzitzah b’peh is used in some 3,600 local circumcisions each year. The city’s health department says that, between 2000 and 2011, 11 babies contracted herpes as a result, and 2 of them died. This spring, the Centers for Disease Control and Prevention declared that the procedure created a risk for transmission of herpes and other pathogens and was “not safe.” 

So on Thursday, the city’s Board of Health is scheduled to vote on a proposal that would require parents to sign a consent form indicating that they are aware of the risk of herpes transmission when a circumcision procedure, or bris, includes direct oral contact. 

The measure, which Mayor Michael R. Bloomberg strongly supports, would probably be the first governmental regulation of the ritual in the United States, rabbis say. It would not affect the way most Jewish ritual circumcisions are performed — gauze or a sterile pipette is used to pull blood from the wound — nor would it ban the practice. But the issue being raised in New York coincides with moves in Denmark, Germany and other countries toward restricting or banning infant circumcision. [...]

“There is no safe way to perform oral suction on an open wound in a newborn,” said Dr. Jay K. Varma, the city’s deputy commissioner for disease control. If the measure passes, he said, circumcisers who do not comply could face warning letters or fines.  

Ultra-Orthodox leaders plan to sue the city if the regulation is passed, arguing that the measure would constitute an unconstitutional infringement on their religious freedom. Some 200 ultra-Orthodox rabbis published a decree in late August warning adherents that it was forbidden “to participate in the evil plans of the New York City health department,” according to a translation by Yeshiva World News. And a Jewish religious court in Crown Heights, Brooklyn, went further, stating that oral suction was a mandatory part of the procedure that should be promoted.