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DecemberFeb. 2010 2005 . • Issue Issue No. No. 6824 News of Hamaspik Agencies and General Health O.C. Commissioner of Social Services David Jolly Pays First-Ever Visit to Hamaspik Orange County leader hosted for lunch, tour of Admin/Day Hab Building

The warmth inside Hamaspik of where Hamaspik of Orange County Orange County’s Admin/Day Hab maintains its Day Hab program building contrasted strongly with the spread across several spacious, bone-chilling cold outside on brightly lit activity rooms. Tuesday, December 29, 2009, as The entourage’s first stop was a David Jolly, Orange County room in which higher-functioning Commissioner of Social Services, consumers stopped scrutinizing their paid his first-ever visit to Hamaspik math workbooks to greet their visi- of Orange County. tors. “Hi! I’m David!” said the affa- The Commissioner had been ble Commissioner, himself an expe- planning to attend the building’s rienced family crisis professional, to grand opening and ribbon-cutting one young man. “Nice to meet event two months prior, but was you!” unable to make it due to last-minute The scene was repeated in the concerns. next several rooms, where con- However, Jolly did express sumers of various levels of function desire to compensate for the missed reacted happily and excitedly to their event—a desire that came to fruition guests, readily displaying their hand- with a personal visit, tour and lunch- iwork. eon as Year 2009 came to a close. Having popped in on the entire The event began at 11:00 a.m. as Day Hab wing across the entire first a select group of staffers from floor, the group then boarded the Hamaspik of Orange and Rockland cavernous elevator to the third floor. Counties hurriedly dashed from their The doors slid open to reveal an United under the same banner: The commissioner at the start of his visit with Hamaspik staffers parked vehicles to escape the biting enormous banner draped across the wind. Commissioner Jolly, who had greeted by Executive Director entrance, and a walking tour began. staffers, Mr. Wertheimer showed the picture windows overlooking the arrived a few moments earlier, was Meyer Wertheimer at the front Trailed by a cluster of Hamaspik Commissioner around the first floor, Continued on Page E5 Joubert Syndrome in Ashkenazi Jews Linked to Genetic Mutation INSIDE * Researchers find disability-causing gene; Special-Needs Parents Dor Yeshorim-driven discovery makes future testing possible Weekend Coming — E2 Two teams of scientists, one fied the precise genetic mutation that cated to the prevention of the inci- The disease has been increasing- studying 13 Ashkenazi Jews afflict- gives them the rare condition. dences of recessive genetic diseases ly studied in past decades. Among * ed with Joubert Syndrome and the The teams of researchers were affecting the worldwide Jewish com- the most important breakthroughs in 38th St. Shvesterheim other scrutinizing a single affected spearheaded by Dor Yeshorim, a munity. years past was a possible Joubert- child and the child’s parent, identi- Brooklyn-based organization dedi- Joubert Syndrome is named for causing link between certain genes, Opens — E4 Dr. Marie Joubert, the Canadian but only in individuals of Italian or physician who identified the fre- Swedish heritage. * quently debilitating condition in In recent years, however, a rising 1969. number of Ashkenazi Jews have A Day in the Life of a The syndrome is diagnosed a been diagnosed with the syndrome, few days or weeks after birth, and largely because definitive MRI test- Hamaspik Nurse — E5 affects roughly 1 out of every 10,000 ing and increased information has births. The condition affects numer- reduced the number of misdiag- * ous developmental areas, including noses. (Joubert is sometimes mis- What’s Happening balance, muscle tone, and brain and taken for standard mental retarda- lung function. Symptoms are mild tion.) In Your Health — E12 to severe, and differ with each patient. Continued on Page E4 Annual Hamaspik weekend retreat for special-needs parents approaching Yearly event designed to inspire, educate and boost morale

Shabbaton at the Marriott in Somerset, New Jersey to further that critical sense of commu- nity belonging and integration among parents of children with special needs. Long a propo- nent of full inclusion, Hamaspik has seen a significant positive change in community atti- tudes towards children with special needs since its 1986 inception. However, as Gazette readers surely know, there’s always room to improve. That’s why Hamaspik turned the Shabbatons into annual events, with each big- ger and better than the previous one. Increasingly prominent speakers were brought in each year to inspire Hamaspik’s consumer parent body, and larger, more detailed sched- ules were planned. Last year’s events required the largest-ever number of room reservations for the English- language program as well as its Yiddish-lan- guage counterpart. Additionally, while earlier Shabbatons were held in the summer, the past two years’ events were held in the winter, allowing for longer Friday- and Saturday-night group ses- sions. “I’m very excited. I could use one!” said Flying high: At last year’s Shabbaton, spirits soared, live music played and feet flew all Saturday—to 4:00 am Sunday morning Mrs. Berzesky, a Monroe, New York parent of a very medically involved Hamaspik con- Hamaspik will be organizing its 8th and sumer, upon hearing of the upcoming event. 9th annual grand Shabbatons, or Jewish Mrs. Berzesky attended Hamaspik’s Yiddish- The Shoppers Haven DAILY 6:45AM - 11:00PM Sabbath retreats, this coming February and language Shabbaton in the winter of 2008. “It 27 Orchard St. Monsey, NY 10952 THURS. 6:45AM - 1:00AM FRI. 6:45AM - 2 HRS. BEFORE ZMAN March, 2010. gave us life for the entire winter,” the grateful 845-425-2266 MOTZEI SHABBOS ½ HR. AFTER Z'MAN-11:00 FAX: 845-425-2371 The events are exclusively for parents of parent reports. children with special needs who benefit from What did Mrs. Berzesky like the most   Hamaspik’s At-Home services. about the 2008 event? “Everything!” The first of the two Shabbatons, geared Rabbi Akiva Tendler, a noted lecturer with for traditional Yiddish-speaking parents, will Monsey’s respected Ohr Somayach organiza- Appetizing be held over the February 5-7 weekend, and tion and a Hamaspik parent, is effusive in his the second, exclusively for their English- praise for Hamaspik in general and the event DELI DEPTS. preference peers, will be held over the March in particular. As parents of a child with special 5-7. Both will take place at the Radisson needs, Rabbi and Mrs. Tendler attended a past ¹±­²²¾¶²­¿¯¶³¶Å­ Hotel Piscataway in (you guessed it!) Shabbaton. Piscataway, New Jersey. Asked by phone what he liked most about º¿µ¿µ²¯­¼²­ƶÅÁƶ»¶¶± Parents are “excited” about it, points out the event, Rabbi Tendler pauses for a weighty SATISFACTION GUARANTEED Å­½¼Ã¶½Ŷ» Mrs. Brenda Katina, Hamaspik’s Event moment then asks through an audible smile, SUGAR FREE SELECTION Ƕ³¼»ÆÅ¿°­¹¶²­¿¹­½¿Ä Coordinator, explaining that its superlative “Where do I start?” track record is its own best advertisement. “The best part was that it was a stress NO PRESERVATIVES ¼³¶¶ÅÁ¿¯¶¹¶® The event’s purpose is “to bring people reliever. Everything was done so well and in the same situation together to strengthen coordinated to the tee. You got there and you |rm„m{†o each other,” continues Mrs. Katina, touching had no worries left in the world. You left real-

±¿¸µ¸¸·Áï upon the unique needs of parents of special- ity,” first says Rabbi Tendler. “It was the „vumq m} needs children—and their oft-times sense of greatest opportunity, and a highly recommend-

ȸ¸»Ã isolation. “More and more people come out ed opportunity. The programming was per- of the closet each year.” fect.” The program will feature a number of Rabbi Tendler remembers a richly diverse Restaurant sessions on various disabilities, stress man- but precisely executed program comprising Appetizing agement, public programs and support avail- everything from ample food, inspiring music Produce able to the developmentally disabled popula- and vocal performances to “endless” opportu-

·º´ÇÃ Grocery tion, and opportunities for integration and nities to connect with peers and even a thera- EXCFL involvement in the community. peutic percussion session.

ȸà Q M W C P X U W X J W U F  X Bakery E T X VEUGG PFUJXWUX Most importantly, participating families “The support: talking about challenges V V R Meat  [ J M C G I C [ V M will enjoy the once-a-year opportunity to with children, sitting together by the meals— Deli transform complete strangers into trusted you realize you’re not the only ‘normal’ person Fish friends over bonds of shared experience. going through this challenge. You’re in good Scrumptious meals will be provided by a company,” says Rabbi Tendler. “That alone ‰/:.(*'&7 CUSTOM CUT top caterer under scrupulous kosher supervi- was a tremendous chizuk [Hebrew for morale ‰3>1499*7> sion. Still, for the parents, hospitality and boost—ed.].” comfort are “side dishes” compared to the As the Gazette went to print, Project ÁȸÇà event’s “main course”: The combination of Coordinator Mrs. Katina and Hamaspik MSC ”“‹‡š„ inspiring speeches, relevant lectures, refresh- staffers were busy sending out personalized Š‚Ž„’‹™š‚– ȸà ing rest and relaxation, and, above all, a per- invitations to a select group of parents. ›‹–”Š“’‹‹š‹ ‘‡–Š“‡‚‡‡‚ƒ vasive atmosphere of inspiration and rejuve- Hamaspik will keep its parent body informed 
 
  
  nation. of all further Shabbaton details as they become ȸÃÁ·»¸ÃÁ±¾´Ã»³¯´´À¸´¯¯ In March of 2004, Hamaspik held its first available.

E2 Feb. ‘10 | Hamaspik Gazette New 38th St. Shvesterheim Opens Doors

As the Gazette went to print, As reported in the most recent and iron out any and all paper- Hamaspik’s newest IRA, the 38th St. issues of the Gazette, construction work—a transition for some that was Shvesterheim in the Borough Park and interior design was completed, a years in the making. section of Brooklyn, officially team of competent staff was hired, With final state inspections just opened its doors to its first residen- and furniture was purchased and completed satisfactorily, the resi- tial consumers on Sunday, January delivered. dence’s group of young women got 10, 2010. A full mezuzah-mounting Additionally, the new Shvester- the green light to move in at last, and grand opening ceremony for the heim’s caregivers met with parents’ culminating over three years of converted Brooklyn brownstone is consumers to smooth their daugh- work. planned for the near future. ters’ transition to their new home According to Home Manager Yomtov Malik, the new residents will move in one at a time, the better to allow each a smooth adjustment to her new surroundings. As men- tioned, each consumer’s individual strengths, weaknesses, preferences, proclivities and particular health and therapy requirements have been painstakingly taken into account, primarily through careful consulta- tion with caregivers and parents. The residence joins the existing 61st St. Briderheim and South 9th Inzerheim to become the newest A grand entrance: Facilitating consumers, the original New dining room (furniture): Consumers will feel—and member of the Hamaspik of Kings exterior staircase was replaced with a ramprecalling eat—right at homerecalling personal experiences County family. personal experiences Hamaspik of Orange, Rockland Holds Training Event MSC Supervisors, Coordinators converge for joint session

On December 24, 2009, MSC newest MSCs. many part of the OMRDD’s critical procedures, handling and/or avoid- ents of young consumers what Supervisors at Hamaspik of Orange At the behest of MSC Part 624 rules, including the impor- ing body fluids, and performing would best work, or not work, for and Rockland Counties held a joint Supervisors Mr. Arthur Sabel and tant Jonathan’s Law, precise defini- hygienic emergency medical tech- their kids. annual training session for the Mrs. Nechama Nissenbaum of tions of “abuse” and “neglect”, and niques on consumers with special Veteran Hamaspik Service Service Coordinators under their Rockland, and Mr. Moshe Sabel and specific procedures for NHTD and needs. Coordinator Mr. Joseph Ergas, cur- supervision on the premises of Mrs. Perry Zelik of Orange, TBI consumers. The third and last of the ses- rently working out of the Orange Hamaspik of Rockland County. Hamaspik of Rockland County Mrs. Evie Steinhart, RN, a sion’s three parts consisted of a County offices, notes that knowing Close to 20 Hamaspik staffers Director of Residential Services Mr. Family Care Nurse with Hamaspik review of normal developmental what children ought to be doing at from both agencies met on a Shaya Wercberger opened the ses- of Rockland County, followed with stages for children of various ages. each age makes all the difference in Thursday for three hours of state- sion with an informative, detailed an overview on infection control. The review, presented by Rockland crafting individual profiles. “It mandated training in incident report- and current review on all incident Mrs. Steinhart’s presentation IRA/Day Habilitation Nurse Mrs. helps when you’re working on ing and infection control, plus a reportage rules. covered all pertinent infection-con- Riva Naiman, RN, equipped Service goals,” he says. presentation on human growth and Mr. Wercberger’s presentation trol information. This included Coordinators with the authoritative The training session ran from development for Hamaspik’s two covered a wide range of issues, hand-washing and other hygiene knowledge required to advise par- 10:00 a.m. to 1:00 p.m.

Leading by example: Wercberger recalls personal expe- riences

Always growing: Seasoned MSCs Eliezer Eizicovits and Mordechai Follman listen thoughtfully

Hamaspik Gazette Feb. ‘10 E3 for a thorough examination of the TMEM216 gene. “Given its small Joubert Syndrome Breakthrough size in comparison to other JSRD [Joubert Syndrome] genes, sequence analysis of TMEM216 is warranted Continued from Page 1 position of reliable authority—to Most human beings carry many on the eve of the Jewish holiday of in every JSRD patient, especially stand shoulder to shoulder with the chromosomes whose genes are Sukkos. those who suffer from associated Getting started experts, not one step behind. mutated, or changed. But because Most significantly, the research anomalies,” it said. About one year ago, because of each mutated gene has a healthy demonstrated that roughly 1 out of The breakthrough raises the pos- Dor Yeshorim is best known for the rise in Joubert Syndrome diag- twin, the mutation causes no medical every 92 Ashkenazi Jews carry a sin- sibility for Dor Yeshorim to add its trailblazing efforts to prevent noses among Ashkenazi Jews, Dor problems. gle mutated TMEM216 gene—mak- Joubert Syndrome to the list of Tay-Sachs, a recessive genetic disor- Yeshorim began concentrating part However, when both copies of ing them otherwise healthy Joubert genetic diseases detected by its cur- der disproportionately affecting of its ongoing scientific exploration the same gene have the same muta- Syndrome carriers thanks to the rent compatibility-test system by Jews of Ashkenazi descent. Today, on the syndrome. tion, various genetic diseases or con- gene’s intact twin. means of a simple blood test. however, the organization’s screen- The anonymous subjects of Dor ditions are created. This also means that 1 in 8,000 The study was published in the ing and compatibility program cov- Yeshorim’s study were 13 Previous research had found couples who are carriers of the January 8, 2010 issue of The ers many other genetic conditions Ashkenazic Jews with Joubert seven different genetic mutations in mutation and who marry each other American Journal of Human that are recessive, or appearing only Syndrome: one adult, two teens and Joubert Syndrome patients in Asia, have a 1 in 4 chance of having a Genetics, and listed Dor Yeshorim if both the patient’s parents carry the ten children all ranging in age from Italy and Sweden. But intriguingly, child with Joubert Syndrome. founding executive Joseph Eckstein mutated genes that cause them. 26 to 1. Funded by Dor Yeshorim, Dor Yeshorim’s research did not find The study concluded with a call as a key study author. These include cystic fibrosis, the two scientific teams were provid- any of those mutated genes in any of Fanconi Anemia, and Familial ed with substantial data, and the the 13 Ashkenazi Jewish Joubert ruchy lebowitz Dysautonomia. research began. Syndrome patients in its current Key to the self-education that study. Selling diet cheese has defined the organization, Dor Finding a missing link However, further research found cakes, soups, kugels Yeshorim’s staff maintains ongoing a new mutation in all 13—a muta- & muffins. communication with genetic The human body contains bil- tion that was not present in the researchers the world over, constant- lions of cells: skin cells, bone cells, aforementioned patients. In the ly staying on the cutting edge of muscle cells, blood cells, brain cells, group of Jewish patients, the Brooklyn medical genetics. nerve cells and so on. Each cell con- TMEM216 gene was discovered to 718.302.5622 One unintended benefit of regu- tains 46 chromosomes—two sets of be mutated. larly amassing the newest knowl- 23 each. And each chromosome is The research teams made their Monsey edge is Dor Yeshorim’s ability to comprised of genes—numbering independent discoveries of the same A balanced and healthy eating explore new possibilities from a from the thousands to the millions. genetic mutation this past October, program for the whole family 845.352.2082

SIMPLY TOUCHING

Sensory Integration Therapy, a method of stimulating developmentally delayed children, is an important tool in Early Intervention. These sensory stimulation boards, handcrafted by Hamaspik of Rockland County EI Director Mrs. Lalouch, are headed for the walls of Rockland’s new EI classroom program at the Ramapo Freshman Center, where tiny hands are sure to feel their way along to an improved future.

E4 Feb. ‘10 | Hamaspik Gazette “I’m not going to speak for very Director Mr. Meyer Wertheimer, to long,” quipped Hecht, setting a for- share a few words. Commissioner Jolly Visit mal but friendly tone. “It’ll just In his brief comments, Mr. seem like it.” Wertheimer touched upon the scope ing’s main entrance. However, due as they began visiting the third-floor After another icebreaker that had Continued from Page 1 and range of Hamaspik’s services, to the prohibitive outdoor tempera- administrative workspaces. the crowd laughing, the emcee recit- pointing out that through referrals building’s front walkway. tures (the mercury was well below Stepping onto the floor, the ed an English translation of an from the Orange County Dept. of The banner read: “Hamaspik of 20 degrees Fahrenheit at the time), Commissioner found himself speak- ancient Hebrew prayer traditionally Social Services, its Access to Home Orange County Welcomes David the banner and its concomitant group ing to Mrs. Perry Zelik, a Hamaspik recited upon the visit of government program had helped consumers in Jolly, Commissioner of Social photos were moved to the building’s of Orange County MSC Supervisor. leaders. The prayer, adapted for Montgomery, Otisville, Port Jarvis, Services, Orange County, December toasty interior. Mrs. Zelik introduced herself and today’s times, solicited G-d’s bless- Port Jervis, Newburgh, New 29, 2009”. “Oh, wow!” Jolly react- After a group of camaraderie- the Coordinators of the Early ings for several public servants from Windsor and Warwick, New York. ed in pleasant surprise. building group shots were snapped, Intervention department, and the U.S. President Barack Obama on “Since we have a unified mis- The event had originally called the entourage of 20-plus Hamaspik Commissioner and hosts moved down to Commissioner Jolly. sion and we want to be on the same for the banner to be mounted out- staffers trickled after the from cubicle to cubicle, striking up The translation was followed by page,” said Mr. Wertheimer to the doors, across and above the build- Commissioner and Mr. Wertheimer several friendly conversations. a cantorial rendition in the original Commissioner, “we want to make In one such dialog, a brief chat Hebrew by Mendel Rosenfeld, sure that you’re not just on the same about Early Intervention, the Hamaspik of Orange County Family page, but on the same time and same Commissioner shared that veteran EI Care Liaison—and a professionally minute, every minute of the day.” professional Sharon Jolly of Sharon trained chazzan, or cantor. He then presented Commissioner Jolly & Associates LLC in Highland By way of an amusing anecdote, Jolly with Hamaspik’s token of Mills, New York was actually his Hecht then introduced a short but appreciation for his visit: an elegant own esteemed mother. Hamaspik informative and inspiring video wood and brass desk clock crowned has used EI evaluators from the pri- about Hamaspik and what it does. with a personalized message. vate firm on numerous occasions, Visiting a restaurant with his Commissioner Jolly then shared Mrs. Zelik informed the mother, a little boy was asked by a a few personal words with the Commissioner. waiter what he’d like. The child crowd. At a second cubicle, just-pro- requested four frankfurters with all “I bring my best from the moted Director of Early Intervention the trimmings but his mother, with a County Executive, Edward A. Mrs. Leah Klar, a longtime knowing look, instructed the waiter Diana,” he began. “It was a real Hamaspik of Orange County to bring him a bowl of mashed pota- wonderful opportunity I got here employee, described how Hamaspik toes instead. The mother was horri- today to meet some of the people Joining forces: Commissioner Jolly and Transportation Coordinator encourages appropriate Medicaid fied when the waiter returned with you serve.” Lazer Farkas hit it off consumers to purchase and use pri- the frankfurters—but the child was Touching briefly on the two vate insurance plans as well. “We elated. “Look, Mom!” he said. “He organizations’ shared mission, the saved the County 1.5 million dol- thinks I’m real!” Commissioner said that his mission lars,” Mrs. Klar informed the The point, Hecht elaborated, was was to determine what consumers Commissioner, citing one consumer that “at Hamaspik, our consumers need and get them what they need. in particular. are real, and their needs are real”—a “That’s our job. And that’s the job I After touring the workspaces corporate philosophy that was com- know you’re doing here every day,” and briefly passing through a section municated by the ten minutes of he concluded. “You’re looking at of the floor still under construction, footage showing Hamaspik con- everybody individually and you’re the Commissioner and the crowd sumers, mostly group home resi- talking to them about what their made their way back down a hall to dents, being cared for lovingly. needs are.” a corner conference room, where an “Wasn’t that a great video?” Hecht wrapped up the event by elegant lunch had been set up. Hecht asked after it ended. “I could sharing one last anecdote—one that The 20-plus attendees took their watch it all day… But there’s one he had actually personally overheard seats around the three tables as thing better than that video: the real on his first day on the job. A gov- emcee Mendy Hecht, Editor of the thing.” ernment official, once visiting Familiarization tour: Mr. Wertheimer acquaints the Commissioner Hamaspik Gazette, formally began Hecht then introduced “the Hamaspik’s Dinev Inzerheim ICF with Hamaspik goings-on as covered in the Gazette’s last issue the proceedings. father of Hamaspik,” Executive just adjacent to the Admin/Day Hab Building, remarked that the bed linens in one consumer’s bedroom were the same as the ones she had in her own home. “That’s the idea,” her host tellingly replied, highlight- ing Hamaspik’s uncompromising treatment of consumers as the full- fledged members of the community that they are. The Commissioner was thanked once again for his visit, and the crowd slowly broke up and headed to the rest of their day. For Orange County participants, that meant merely walking back to their offices a few paces away. For Hamaspik employees from Rockland County, that meant a brief 30-minute drive back to Monsey. But all of them came away with one thing: a renewed sense of pride in their mis- sion, backed no less by the partner- ship and support of the Orange County Department of Social Services. As the Commissioner himself put it, “You should be very proud, and that’s really why I wanted to come visit today—to tell you how proud I am of you and the work that Hamaspik does both in Orange and Standing together: Hamaspik staff join the Commissioner in common cause in Rockland County.”

Hamaspik Gazette | Feb. ‘10 E5 ““II LLoovvee SShhaabbbbooss!!”” aatt HHaammaassppiikk

Editor’s note: This colorful, heart-warm- Friday, 2:00 p.m.: The next few hours are a rush of splashing Forshay Briderheim visit their parents on Erev ing and exclusive feature was originally Welcomes and Work water, sudsy soap, and physical exertion. With Shabbos to braid challah with their mothers. penned two years ago by popular freelance various degrees of assistance, residents show- Once the loaves are baked to golden perfec- writer Ruchama Jacobs, capturing the world Consumers return to Hamaspik from their er, nails are cut, payos [traditional side locks— tion, they are tenderly wrapped and sent back of the Hamaspik IRA from the perspective of schools and Day Habilitation programs. After ed.] are curled and hair is neatly styled. They with the boys to Hamaspik. its residents and staff (several of whom have disembarking from buses and vans, each is emerge a while later, bedecked in Shabbos fin- Consumers are occasionally taken home to since moved on). It has not been published— greeted with a cheerful hello and a light snack. ery, freshly-scrubbed faces glowing with joy. spend Shabbos with their families, and these until now. “When the boys come home on Fridays,” absences are keenly felt. “Each girl adds a relates Mrs. H. of the Arcadian Briderheim, Friday, 5:00 p.m.: Moving special flavor,” says Mrs. Landau, “When any It was a warm summer evening. At the “they notice the Shabbos staff present, and Moments and Going Places girl leaves to spend Shabbos with her parents, I 61st Street Briderheim, supper had been react with unusual excitement and pleasure. really feel that she’s missing.” served and cleared and bedtime routines were Each consumer, in his own unique way, dis- While the requisite preparations have been Thoroughly prepared, thoroughly relaxed, about to commence. Mrs. Schwartz, devoted plays his elation at the approaching Shabbos.” completed, the Hamaspik Erev [late after- and in the highest of spirits, the Hamaspik staff member, suddenly noticed Moishy stand- Soon, the table has been clad in festive noon—ed.] Shabbos experience is far from family stands ready for the treasured ing at the door, flapping his hands strangely in white and adorned with silverware and over. moment… the direction of the still-bright sky. “Moishy, sparkling candlesticks. Residents sit down for Fridays are often special occasions for what happened? What are you doing?” the traditional “toamehah” [pre-Shabbos interacting with parents and family members. Zero Hour: The Queen Arrives Moishy’s voice rang with innocent intensi- Shabbos meal—ed.] and delightedly sample Consumers happily pick up the telephone and ty. “I’m pushing away the sun,” he explained, potato kugel and farfel. But there’s no time to dial their home phone numbers to wish their A match is struck, a flame is lit, and soon “so Shabbos should come faster!” Grinning linger over the food. Shabbos is coming and parents a “good Shabbos”. Mrs. Fisher mov- several candles illuminate the Shabbos table widely, he declared, “I love Shabbos!” there’s still so much to do… ingly relates how three residents of the like glowing jewels. Mesmerized, all eyes fol- Who doesn’t love Shabbos? It’s a day to relax, a day to recharge, and a day to refocus. It’s a day of singing, satisfaction, and spiritual joy. Special consumers seem to display a par- ticular affinity toward Shabbos, and at the Hamaspik group homes, the seventh day pos- sesses an extra sweetness. Shabbos is much anticipated during the week, eagerly embraced throughout its duration, and then enthusiasti- cally awaited once more. Starting Sunday, one consumer from the Concord Briderheim can be heard exclaiming, “It’s almost Shabbos already!” When that day finally does come around, he’s in his element. And not only consumers love Shabbos at Hamaspik. Several staff members who regu- larly spend Shabbos at Hamaspik admit to a feeling of deflation during “off-Shabbosim” that are not spent at the group homes. The aroma of Shabbos can be detected on Thursday, when dedicated Hamaspik cooks prepare the complete Shabbos menu. From fish and cholent to gourmet desserts and cakes and even fresh, homemade challah, nothing is overlooked, and the “heaven-scent” aromas tease consumers’ senses. By the time Friday dawns, pots and pans have been replaced by a peaceful and poignant sense of excitement. The day begins typically enough with the usual morning routines. At approximately midday, however, two commu- nity-member couples arrive to spend Shabbos at the group home. Once the Shabbos staff is Bearing the family torch: Still bedecked in Shabbos finery, the young son of a live-in IRA staffer “helps” his father hold the present, the countdown begins in earnest. Havdalah candle, furthering the family atmosphere

E6 Feb. ‘10 | Hamaspik Gazette low the gently-moving hands of the women in Shabbos, 8:00 a.m.: Morning, the house, as they encircle the radiant lights Musings, and Mealtime and then rest over their faces in silent prayer. My Shabbos Visit to Hamaspik One can only guess if, amid prayers for their It’s morning. Residents awake one by one, own families, these special women are plead- get dressed, make their beds, and meander “Is this it?” I wondered, standing in front of a two-story home that blended in perfectly ing on behalf of their beloved Hamaspik toward the kitchen for breakfast. On Shabbos, with the rest of the block. Unsure of the exact address I was seeking, I eyed the trim structure “kinderlach” [Yiddish for children—ed.]. that usually consists of special fare like cake for any outward signs that it was a Hamaspik group home. Finally, my gaze rested on a walk- The hands are lowered and a thrill of and drinks. One Shabbos morning, it was er next to the entrance. Ah… this must be it. excitement grips those present. The Queen has unusually quiet at the 61st Street Briderheim. Having heard so many extraordinary details about Hamaspik over the phone, I was eager to arrived. The atmosphere is saturated with a Mrs. Freund, a devoted staff member, headed come and personally verify what it was really like. I knocked lightly at the door. It was opened contented calm. Consumers are happy, up the stairs to check if, perhaps, the boys had almost immediately by a warm-eyed young woman in Shabbos apparel. “Good Shabbos,” she serene… and tired. No time is wasted so that all overslept. The sight that met her eyes still smiled, and I knew immediately that I had found the right address. the meal could begin as soon as possible. warms her heart today. “They were all sitting We entered the tasteful, uncluttered dining room. At the opposite wall stood a china closet During the summer weeks, that means that on the couch,” she remembers, “and looking at filled with the family’s silver and basic seforim [holy books—ed.]. From my vantage point, I Shabbos is ushered in at the earliest opportuni- a book together. One resident was explaining had a narrow view of the cozy kitchen. But the real focus of my attention was the large dining ty and the men do not linger in shul [syna- the story, while the others listened and shared table filling much of the space. Seated placidly around the Shabbos table were several con- gogue—ed.]. their comments. It was a family snapshot I’ll sumers. For a short while, quiet reigns. Consumers always cherish.” Despite my lack of previous interaction with special consumers, within minutes of my who are not able to remain up any longer are Pinchas, an adorable 12-year-old from the arrival, I felt remarkably at home. What registered first was the complete nonchalance with fed and put to bed. Many others, who can han- Arcadian Briderheim, routinely goes to shul which the staff addressed the residents. “Chezky,” Mrs. Freund said to a teenager whose back dle the later bedtime, help put the finishing with a staff member on Shabbos. Along their was turned to us, “Please give Rafi a fork.” When her instructions were ignored, she repeated touches to the Shabbos table. While awaiting regular route, they often passed a scary-look- them calmly, with motherly firmness. the menfolk, staff and consumers engage in ing watchdog, which frightened Pinchas terri- We sat down on the couch facing the table and observed the peaceful scene. In one corner, spirited Shabbos song. bly with its incessant barking. One week, as Mrs. Knoblach was feeding Alter, a wheelchair-bound young teen. Consumers were relishing And then there’s a knock on the door. The Pinchas and Mr. H. were nearing the watch- their slices of watermelon, cake and rugelach, nuts and chips. More residents straggled in from men walk in, with broad smiles and hearty dog’s usual spot, the boy began raising his their naps, all wearing proper Shabbos attire and happy grins. I watched the goings-on in won- “Good Shabbos” greetings. The much-awaited arms heavenward in the classic expression of der. Shabbos seudah [meal—ed.] is about to com- tefillah [Jewish prayer—ed.]. Mr. H., familiar After a while, the male staff members arrived, merrily greeting the consumers and loving- mence. with Pinchas’ unique style of communication, ly adjusting one boy’s yarmulke and another’s payos. We women arose to “tour” the rest of the understood. “Are you asking Hashem to take home, passing through an extra-wide hallway clearly constructed with wheelchairs in mind. Catered to Perfection away the dog?” he asked. The child’s vigorous Avromi, a resident with a budding reddish beard, obligingly led us to his bedroom, which was nodding confirmed his interpretation. large and airy, outfitted with charming light blue furniture. The stirring strains of “Shalom Aleichem” “Pinchas cannot talk,” explains Mr. H., The second bedroom held a curious surprise: one of the beds consisted of just a mattress [the opening Friday-night table hymn—ed.] “but he is extremely articulate in his unique placed directly on the floor. The staff explained that Moishy was prone to many sudden echo in the air, as the young men at Hamaspik way. And you know what’s really interesting? seizures. To avoid any falls in case of a seizure during the night, he slept on the mattress. join voices with devoted male staff members. Since that incident, we’ve never seen the We stood for a while, shmoozing about the ins and outs of Hamaspik life. My respect and After the last notes fade, Kiddush [wine bene- watchdog again.” amazement increased steadily, as the devoted women shared their experiences and thoughts. diction—ed.] is recited, with consumers taking The girls, meanwhile, are pleasantly pass- By now acquainted with many of the consumers residing in the home, I wondered how it was part to the best of their ability. ing the time taking walks and setting the possible to focus on each one’s diverse needs. The food is, of course, a highlight of the Shabbos table once again. Challahs and drinks Take Chezky, for example. “When Chezky first joined our home, he was always edgy and meal. Mrs. Landau describes the lavish abun- are placed on the table, the silverware is laid irritable. We realized that he needed to be constantly occupied and active. So he became one dance. “There’s more than enough of every- out, and details like napkin holders and salt of our biggest ‘helpers’ and we keep on finding jobs for him to do. This approach was com- thing. We serve all the traditional Shabbos shakers are not forgotten either. Gefilte fish is bined with more effective medication, and today, Chezky is so happy, helpful, and settled,” foods, and then some! Our table boasts five sliced into individual portions and the eggs for says Mrs. Knoblach. types of dips, and a variety of drinks… the second course are shelled and diced. She pauses for a moment and then adds thoughtfully, “You know, that’s one of the incredi- Nothing is overlooked.” When all is ready and the men have ble things at Hamaspik. The entire staff at each group home is all comprised of caring men and Good food and song define Shabbos meals returned, consumers gleefully partake of the women. The results are a thoroughly dedicated environment.” everywhere, but Hamaspik is unique in that second Shabbos meal. Residents from the There’s more. We discover that the home boasts a basement and an upstairs level with much more than scrumptious food is served up Forshay Briderheim are sometimes invited out additional bedrooms. We hear about the heartwarming way in which the residents interact and at each meal. The Shabbos seudos [meals— to meals by their wonderful neighbors. At the how each pair of roommates are so uniquely suited to each other. ed.] are literally and lovingly catered to each group homes, the meal is, once again, an The beautiful sound of singing draws us back to the dining room, where we witness a individual consumer. They’re opportunities to unsurpassed blend of good food, sweet song, touching family scene. Mr. Freund and Mr. Knoblach are seated on dining room chairs, facing showcase each resident’s strengths and to and individualized attention. Cholent, every- the consumers who are settled on the couch. Together, they are raising their voices in Shabbos make every member of the Hamaspik family body’s favorite, is devoured with delight along song. Individual struggles melt away as the residents unite into one big, happy family. shine. with sumptuous servings of kugels and meat. Ice cream is distributed, with the men keeping the atmosphere warm and light-hearted. As would be expected in any large family, By the time consumers bentch [recite the And suddenly, the women gasp in surprise. It’s late! The time has flown and Shalosh Seudos consumers take part in bringing each course to Grace after Meals—ed.] at the end of the meal, must be served. As they head off into a flurry of preparations, I reluctantly take my leave. The the table, and then clearing the dishes after- they are physically and emotionally sated. warmth and vibrancy of this loving family are hard to resist, and I suddenly understand how wards. But that’s often easier said than done, Hamaspik manages to touch so many lives and change them for the better. as Mrs. Schwartz elaborates. “When I ask a Shabbos, 4:00 p.m.: resident to take the fish container out of the Pastimes and Partying fridge, I have to precede my request with so from personal milestones to the engagement of beautiful singing as well. As the hour grows many additional instructions: ‘Look on the Following the seudah, Hamaspik con- a family member.” late and the sky darkens, younger consumers second shelf of the refrigerator, on the left sumers engage in various leisure activities. succumb to sleep. The older ones relish the side, and find the clear container with a blue Though different in each home, these activities Shabbos, 7:00 p.m.: Last Licks last precious moments of a beautiful day. And cover. And be careful to hold it straight and are all characterized by relaxation and bond- then, the first stars appear, dusk turns to night, steady so nothing should drip…’ Really, it ing. Residents of the Acres Briderheim lounge Shalosh Seudos, the third and final and the Shabbos Queen takes leave. would be a lot simpler for me to just go and around Mrs. Laufer as she devotedly reads Shabbos meal, is one last opportunity to savor Reluctantly, the table is cleared and Havdalah get the stuff myself. But, of course, we’re not book after book for them. “Story time is a the exquisite Shabbos spirit. Mrs. Katz, man- [the Shabbos-closing ceremony—ed.] is made. looking for shortcuts here. The boys feel so beloved and relaxing aspect of Shabbos in our ager of the Seven Springs Shvesterheim, much more special when they help. I think it’s home,” she states. describes the camaraderie that marks this Saturday, 10:00 p.m. what turns this motley group into ‘family’.” Boys of the Arcadian Briderheim linger on meal. “The girls and staff prepare a beautiful So despite the extra time and patience the porch and front yard, while South 9th spread of salads and fish together. Often, The residents are settled safely in bed, the involved, residents are given the star roles at Inzerheim residents jump furiously on the friends from the community join us for the dining room has been tidied and the friendly these Shabbos meals. “Our meals stretch over trampoline, swing, and play ball. meal and it’s a wonderful time of fun and banter has died down. It’s silent in the group more than two hours,” shares Mrs. Laufer, “but And finally… it’s time for the Shabbos friendship.” home, and for once, there’s no special action every moment is worthwhile.” party! Consumers are treated to an array of At the Arcadian home, where most resi- going on at Hamaspik. At the Concord The winter months afford additional relax- goodies, from fruit and nuts to ice cream and dents are painstakingly spoon-fed, Shalosh Briderheim, one consumer’s head rests on his ation and “together time” after the night meal. cake. Besides the noshing, many group homes Seudos is nevertheless a memorable occasion. pillow and his face wears a pensive look. Refreshments such as nuts, cake, and fruit are utilize this opportunity to celebrate birthdays “I try to serve foods that the boys will enjoy,” Shabbos has ended, he reflects sadly. But in a served, and consumers shmooze or read and other happy occasions on a grand scale. says Mrs. H., “while still maintaining the moment, his eyes brighten. “It’s almost next together. Droopy-eyed and satisfied, they “There’s hardly a week when we don’t find unique Shalosh Seudos flavor. Tuna sand- Shabbos!” he reminds himself, drifting off into finally head off to bed. something to commemorate,” laughs Mrs. wiches and nosh are often on the menu.” And his happy dreams. Laufer. “Anything is cause for celebration— in many group homes, the meal is a time for The countdown has begun again.

Hamaspik Gazette | Feb. ‘10 E7 A Family, Not a Job: A Hamaspik Employee Adventure

It was roughly 7:30 p.m. on a bitterly cold card feature; the few dollars would be deduct- night in the largely deserted, dark streets of ed from my bank account. Brooklyn. It was Tuesday, December 29, Or so I thought. 2009, and winter’s frosty fury was in full One card had 95 cents on it. The second force, as if the season was trying to get in its had 50. The third, $1.95. After a few screen last licks in the old year’s waning hours. touches, the machine swiftly swallowed the The wind was howling, the temperature third MetroCard, and I dipped my ATM card hovered in the low tens, and the wind chill ren- and not-so-patiently waited for the transaction dered the mercury close to zero as I found to process while a rumbling train approached. myself pounding the unforgiving stone corri- “WE’RE SORRY, BUT WE CANNOT dors of Williamsburg on the way home from PROCESS YOUR REQUEST AT THIS work. TIME” read the screen before me. Great. Shivering against blasts of frigid air, I Computers are like people, I reminded myself: worked my way down Rodney Street, across Sometimes, you have to tell them twice before the usually teeming commercial thoroughfare they do it. So I tried the other machine. Same of Lee Avenue and up Williamsburg Street result. Something wasn’t working. Whatever. towards the Marcy Avenue elevated subway So here I was, in the middle of forlorn, platform. windswept Brooklyn, surrounded by strangers Having navigated Division Avenue to turn and not able to get home. the corner onto Broadway, I trotted up the long I stood in the station for a few indecisive flight of outdoor stairs to the suddenly appeal- moments, wondering what to do. ing indoor elevated station, half-frozen hands I supposed that I could have walked into The silent brownstones and apartment a voice from above echoed my repeated burrowed deep in my pockets and head down any nearby synagogue, explained my situation complexes lent no clue as to their residential or “Hello?” This was Robert Neuwirth, Chief against the wind. and collected a bit of cash from a friendly commercial contents. Hamaspik group homes, Financial Officer [?] of Hamaspik of Kings At the top of the staircase, I pulled open stranger to get me on the train. For a fleeting as I had long since learned, bear no signs that County. the door and practically fell into the heated second, the thought of ducking the turnstile identify them as “HOME FOR SPECIAL Unbeknownst to me until that moment, the interior. Reprieve—at least for a few minutes. crossed my mind. I pushed it away. NEEDS” or any such cliché that would only premises of the South 9th Inzerheim also A few straggling transients, equally numb My native New York cynicism kicked into further thankfully-eroding stereotypes about house the Williamsburg offices of Hamaspik of from the cold, stood or sat around the station, high gear, in defiant contrast to the cold. I individuals with various challenges. At Kings County (another office is located in silently trying to warm up. headed back down Broadway and turned the Hamaspik, that labeling, disabling philosophy Borough Park). In my capacity as editor, I had I stepped over to the MetroCard machines. corner onto Division, heading nowhere in par- is virtually taboo. called that office quite a few times. I just had Reaching into my coat pocket, I pulled out my ticular while half-seriously, half-wishfully cal- But meanwhile, I was freezing my foot off. never known it was here. And now, I got to wallet and fished out three MetroCards. I culating that I’d run into some sort of commu- I asked a man emerging from a multi-unit see it first-hand, under the most unexpected knew that none of them had enough fare for a nity-support option—that someone or some- home whether he knew of any group home in circumstances. single ride—but not a problem: I would mere- thing helpful would magically appear. the area. “Um, not that I know of, but you can Robert Neuwirth, who I had met before at ly recharge the card using the machine’s ATM At the corner of South 9th, however, some- ask my neighbors, the Cohens,” he offered, a Hamaspik luncheon event in Orange County, thing struck me like the blast of opening the door to his building’s narrow stair- gladly showed me to the conference room, cold air which actually was strik- case. “They’re on the third floor.” where I took a few minutes to massage my ing me rather insistently at the At the top of the winding steps, a timid foot back to a relatively tolerable state. I don’t moment. “Isn’t Hamaspik young teenager cracked open the door upon know if it helped, but I felt better. around here somewhere?” I my knock. Her appearance, and that of the Meanwhile, Mr. Neuwirth went back to his thought to myself. home behind her, shouted “certified local,” and office. From down the hall, he explained that See, I continued, it’s good in a moment, I had been told exactly where he had stayed late “to take care of a few things you work for them. Then, when Hamaspik was, street address and all. that had to get done today.” you get stuck in the middle of I was now really, really dangerously cold. Upon hearing that, a newfound apprecia- nowhere and you need to get in It was getting late. And South 9th seemed to tion for Hamaspik’s work ethic hit me like a out of the cold and get your bear- be running out of street. I was getting to the bolt of lightning. ings, you can always just pop end of the road—in more ways than one. And True, if no one was there at the offices, I into a Hamaspik office. then I saw it: a tiny awning above a front door probably could have at least gained admittance And so I found myself strug- just off the end of the block, displaying that to the Inzerheim next door, where I could have gling up the stone pathway all-too-familiar logo. used their office to make some phone calls and between the Marcy Avenue hous- Suddenly, that little flame had so much figure out what to do. And if worse came to ing project buildings, banking on more meaning. worst, I could have dashed out again to the another hunch that Hamaspik’s I rushed up the stairs. An impromptu nearest synagogue two or three blocks away, South 9th location was north of doorbell rehearsal flashed through my mind. where I could have stabilized my body temper- Division, not south. (One block Yes, this is Mendy Hecht, Editor of the ature while ironing out my circumstances. later, my hunch was proven cor- Hamaspik Gazette. I just happened to be in But here I was, in a place where I felt rect as a fellow pedestrian the area freezing to death. Could you save my warm and accepted, in a place where I informed me that South 9th only life? belonged, in a place where I was an important ran up that way, not the other But the buzzer conversation was a lot less contributor, a part of a team… and a member way.) alarming. After introducing myself as “fami- of a family. I was home. Crossing Bedford, I started ly,” the kindly fellow Hamaspik employee Was I an employee? Or a consumer? getting worried about my imme- informed me that while “there’s no one here, It was not the first time I was stuck on the diate physical health and safety you can come in for a few minutes.” Um, I street. As such, of course, I panicked not. for the first time. Because my sure hope so! I do work for Hamaspik, you Things worked out. I got home. And I even leather dress shoes were not know—and if you don’t let me in, I might not managed to stop at my daughter’s school for equipped for hikes to the North be working for anybody in the near future… PTA before stumbling through my front door Pole or trans-Siberian treks such The door buzzed and I thrust my way in to the at 10:00 p.m. MetroCards and money come as the ones I was currently endur- vestibule. I was home. For now. and go. ing, the extremities in my left Inside, I trudged up a creaky Brooklyn But a profound new understanding of foot, for some reason, were staircase. As I crossed the second-floor land- Hamaspik will stay with this writer forever. becoming painfully numb. ing and approached the flight to the third floor,

E8 Feb. ‘10 | Hamaspik Gazette Nursing An Interest In Others A Day in the Life of a Hamaspik Nurse

If there’s one thing that defines a However, Mrs. Steinhart has extensive ed the right course of action for one consumer. Hamaspik nurse’s typical day, it’s: No one Getting it done duties outside of the group home under her “It was really rewarding to me to see her be so thing defines a Hamaspik nurse’s typical day. jurisdiction—primarily involving the young much happier,” says Mrs. Steinhart. “She was Speaking to a few of Hamaspik’s full-time “I have to cover a lot of bases in a lot of Family Care consumers, and their caregivers, a different person. She told me so herself. I nursing professionals, the Gazette discerned a territory,” cheerily says Mrs. Schwartz, a nurse in her hands. do care about the consumers and make sure picture of highly organized chaos. Mrs. Riva with Hamaspik of Kings County. That’s where “I’m a medical resource for them, espe- that they get the best medical care that they Naiman, Judy Schwartz, Lolly Hutman, and 30-plus years of experience helps. cially in the beginning,” she notes, providing can.” Evie Steinhart, all RNs, found the time to share “The last few days were unbelievable,” personal training and referrals. “That’s the “I really love them all—I really and truly over 75 years of combined experience… and continues Mrs. Schwartz, commenting on the most important part of the job.” do,” says Mrs. Schwartz of her consumers. convey a kaleidoscopic range of requirements. mandatory training she just finished providing “Especially the ones in the residences: you get Work can begin as early at 7:00 a.m., and to all staffers of the just-opened 38th St. Above and beyond to know them so well.” 13-hour days are not atypical. Then there are Shvesterheim. “There is tremendous love and care” at the weekend or late-night emergencies; For example, a New York State regulation Hamaspik’s nursing staff subscribe whole- Hamaspik group homes, Mrs. Schwartz con- Hamaspik RNs are part of the staff rotations on called AMAP dictates an exact method of heartedly to the organization’s corporate cul- tinues. “It’s a family, it’s a home—and I’ve call at the agency’s 24-hour emergency hot- administering liquid medications to IRA con- ture of genuine love, good cheer and rigorous worked in group homes all my life. These kids line. sumers—and also dictates that staff be AMAP- professionalism delivered in a seamless syn- have family.” Between Hamaspik’s community resi- trained by a nurse. thesis. “I’m crazy about S. He’s so cute!” dences, Family Care consumers and other resi- “Everyone has to be AMAPed,” indefati- “When I walk into the Day Hab, they greet declares Mrs. Naiman, mentioning one con- dence- and center-based programs, there’s gably smiles Nurse Schwartz. “You have to me very warmly!” says Mrs. Hutman. “They sumer. The Gazette had just asked what she more than plenty for Hamaspik RNs to do. work with every single staff member,” person- think I am a special person when I think they most likes about her job. The Gazette took a look. ally witnessing that they have been duly edu- are… They made me a more spiritual person.” “He’s a real personality,” Mrs. Naiman cated. Mrs. Hutman expresses not only pride on continues, explaining that after not seeing him Like Mrs. Hutman, Mrs. Schwartz is being on Hamaspik’s team, but admiration for some time, he approached her, smiling and A healthy organization busier than a beehive, what with Family Care towards all her coworkers too. “Everyone is wagging a finger, saying “I’m mad at you!” in consumers all over Brooklyn, Queens and even expected to do their best, and they do,” she mock anger. “The primary role of nurses at Hamaspik is Far Rockaway to care for, plus more in says. “I like the connection; they’re very endear- to oversee the medical and health needs of the Hamaspik’s IRAs. For Mrs. Steinhart, a product of the presti- ing to me,” Mrs. Naiman comments on her individuals we service,” Mrs. Naiman explains Still, despite the intense workload, Mrs. gious Beth Israel School of Nursing, that com- numerous charges. “Some really pull on the in an e-mail to the Gazette. Schwartz maintains that “That’s the nice part passion was communicated when she suggest- heartstrings. I wish I could do more.” Standard duties include regular blood pres- of the job—there’s no typi- sure monitoring and injections as required, cal day. It’s never boring.” writing semi-annual pharmacology reports and Chaotic? “No—well, quarterly nursing reports, and working with kind of,” she confesses. home staff. “There are a lot of differ- “This includes being involved in medical ent kids, a lot of staff, and issues as they arise, interfacing with physi- a lot of needs.” cians and, in the IRA setting, working closely Yet Mrs. Schwartz still with the group home managers,” Mrs. Naiman loves her job. “I love all writes. the consumers and the Besides regular visits, nurses also visit kids. You become Hamaspik group homes to provide triage when attached to them,” she issues arise, evaluating individual consumers explains. “And the staff is to determine the need for any further medical fabulous. Hiring the right treatment. staff is what makes a With the various prescription medications home.” required by some Hamaspik consumers, nurses are also responsible for each group home’s Bringing the caring medication closet—and for administrating its home contents. “As nurses, we make every effort to Generally, Mrs. remain current with happenings in the medical Steinhart spends her morn- community. Many of us attend [the ings tending to Family OMRDD’s] Nursing Quarterly Updates,” Mrs. Care consumers in their Naiman adds. homes. Finally, Hamaspik’s nurses serve the rest Afternoons are gener- of its staff as “teachers and trainers,” Mrs. ally spent conquering Naiman notes—including orientation and med- paperwork, phone calls ication-certification training to all Direct Care and assorted due diligence. Workers. But as a Hamaspik of Rockland County nurse, On the go Mrs. Steinhart must fre- quently juggle her sched- “I never know what’s going to happen,” ule, applying the nurse’s testifies Mrs. Hutman, a Hamaspik of Orange calm competence to the County nurse, when asked for her daily rou- most important task at tine. “Nurses must be flexible.” hand. “What’s most med- Mrs. Hutman describes her work as a ically urgent has priority,” Hamaspik nurse as “very exciting.” Asked for she explains. her chief contribution, Mrs. Hutman offers, Mrs. Steinhart’s duties “Maybe a sense of fun”—in addition to com- also encompass consumers petence, she says. at the Fosse Shvesterheim Then the French-speaking Montreal expa- IRA, where she visits reg- triate adds, “Joie de vivre—you know, doing it ularly to execute such sta- seriously but having fun… it is very fulfilling ples as checking the med- to be of service.” ication closet and speaking to the group home manag- er.

Hamaspik Gazette | Feb. ‘10 E9 who have a urinary tract infection. These stones can grow very large and can block the kidney, ureter, or bladder. Cystine stones can form in people who have cystinuria. This disorder runs in families and affects both men and women. Furthermore, as was explained to this edi- Kidney stones: tor, some stones can also have “antlers” or pro- jections that get stuck in the walls of the ureter, making them more difficult to pass and often Painful but avoidable requiring lithotripsy, an ultrasound procedure, to remove. Treatments

Kidney-stone treatment is twofold: Firstly, to relieve the painful symptoms by taking painkillers, passing the stone, breaking it up or otherwise removing it, and secondly, to imple- An agonizing bout of kidney stones drove painkiller (and potentially addictive narcotic) kidney stones. ment preventive measures, usually changes in the editor of the Gazette to the emergency that had been prescribed, I finally sat down to Individuals living in areas with hot climate diet, to prevent further kidney stones. room on a recent Saturday night. Seven hours learn more about kidney stones. Here’s what I and poor fluid intake, such as the southern Treatment depends on the type and size of later, this editor made his way home having found. United States, may be regularly dehydrated, stone and how severe the symptoms are. learned first-hand about the condition the hard allowing more stones to form in their kidneys People with severe symptoms might need to be way. In the hope of preventing such pain Causes and symptoms than individuals in other regions. hospitalized. (The Gazette editor can tell you among the Gazette’s worthy readership in the One’s diet may also be an issue, especially about that!) first place, we find it prudent to present basic The kidneys filter the body’s blood to if the cause is simply not including enough If a fever is associated with the symptoms kidney-stone facts. remove waste products. A narrow tube called water-drinking in one’s diet. Ongoing exces- of a kidney stone, medical care should be the ureter (pronounced YOUR-eh-tur) runs sive consumption of calcium-rich foods, sought immediately. Also, urinary tract infec- Learning the hard way from the kidneys to the bladder. When the diuretics, or “water pills,” and calcium-con- tions associated with kidney stones often bladder fills and nature calls, the bladder emp- taining antacids may also increase the risk of require urgent assessment and may need inter- Kidney stones are concentrated deposits of ties through the urethra (you-REETH-ra), a kidney stones. Higher calcium levels have vention by a urologist to remove or bypass the various minerals and chemicals in the body’s much wider tube than the ureter. also been linked to excess amounts of vitamins stone. waste system. But certain chemicals sometimes clump A and D. Additionally, some commonly pre- Symptom control is very important, and Normally, the body’s waste-processing together inside one or both kidneys to form the scribed medications associated with kidney- medication for pain and nausea may be provid- system—the liver and kidneys—filter the beginning of kidney stones. These tiny crys- stone formation include Dilantin, a seizure- ed before the confirmation of the diagnosis bloodstream and expel waste from the body. tals are smaller than a grain of sand when they prevention drug, and antibiotics like Rocephin occurs. Pain can be severe enough to need However, certain minerals and chemicals can form but gradually can grow over months to a and Cipro. narcotic pain relievers—or at least prescribe slowly build up in the kidneys over several one-tenth of an inch or larger. Several chronic illnesses are also associat- them. As mentioned, this editor was pre- months until they form tiny rocks or crystals. But the size of the stone doesn’t matter as ed with kidney stone formation, including scribed the narcotic Percocet, which proved to These deposits then get stuck in the urinary much as where it is located. inflammatory bowel disease, renal tubular aci- pack too powerful a side-effect punch: over- tract—at which point excruciating pain and/or When the stone sits inside a kidney, it dosis, and cystic fibrosis. whelming nausea and vomiting. Because of urinary incontinence can erupt. rarely causes problems. But when it passes Percocet’s side effect, this editor discontinued In this case, a mild cramp in the side short- into the ureter, it acts like a dam, partially or Diagnosis and detection the drug, taking only prescribed 600mg pills of ly after midnight dramatically escalated to completely blocking liquid waste from reach- Motrin, a far milder painkiller. excruciating pain in less than five minutes. A ing the bladder. As the kidneys continue to Pain of high magnitude in specific areas of Today, most treatments are much less inva- comfortable position could not be found, and produce liquid waste, pressure builds up the body is usually the first indicator of kidney sive than in the past. Lithotripsy is used to breathing became very ragged. It felt like a behind the stone and causes one or both kid- stones. But once the patient is in the hospital, remove stones slightly smaller than a half an knife in the side, and like an invisible hand neys to swell. urinalysis will first be performed to detect the inch that are located near the kidney. This with a crushing grip wrapped around my lower It is this pressure that causes the often-ter- presence of crystals, red blood cells, calcium, method uses ultrasonic waves or shock waves spine. I later learned that this is all too typical rible pain known commonly as “kidney oxalate or uric acid, as well as possible infec- to break up stones, which then flush naturally for kidney-stone patients. My wife called stones” (and medically as renal colic). tion of the kidney, ureter or bladder. from the body. Hatzolah, the community volunteer ambulance However, the pressure also helps push the Kidney stones (and other blockages of the However, surgery is usually needed if the corps. stone down the ureter towards the bladder. ureter) can also be detected with such common stone is too large to pass on its own, the stone While lying in an emergency-ward bed at When the stone finally breaks free of the ureter devices as CT scanners, MRI machines, and is growing, or if the stone is blocking urine Brooklyn’s excellent Methodist Hospital, an into the bladder, the symptoms usually disap- X-rays. They also can be decisively detected flow and causing an infection or kidney dam- injection of the classic painkiller morphine, pear. using kidney ultrasounds. age. Ureteroscopic surgery may be used for deftly administered by a male nurse named The main symptom is severe pain that However, the most commonly used diag- stones lodged in the lower urinary tract—and Matt, an imposing but affable former correc- starts suddenly and may go away just as quick- nostic test is CT scanning. The scan will standard open surgery (nephrolithotomy) may tions officer from Georgia, brought the pain in ly. Pain may be felt in the abdomen or side of demonstrate the anatomy of the kidneys, be needed if other methods do not work or are the left kidney area down to a tolerable level. the back (as in my case). The back might feel ureter, and bladder and can detect a stone, its not possible. At the same time, the associated pain and mus- tender to the touch. Other symptoms can location, its size, and whether it is causing cle spasms in my lower left-side back also sub- include abnormal urine color, blood in the dilation, or widening, of the ureter and inflam- Prognosis sided. urine, chills, fever, nausea and vomiting. mation of the kidney. Several samples were taken during first But what causes these stones to form in the In those patients who already have the As time passes, so do kidney stones. two or three hours of my stay. This is the first first place? diagnosis of a kidney stone, plain abdominal Methodist’s Dr. Hadpawat elaborated that this step in determining whether one actually has a The leading cause of kidney stones is X-rays may be used to track its movement process usually takes “two-three days,” during kidney stone, explained on-shift physician dehydration: not drinking enough water every down the ureter toward the bladder. which an abundance of water and drinks con- Angeleta Taylor, M.D., noting that the blood in day. A level of water in the body that is regu- taining electrolytes (electrically-charged liq- my laboratory sample was a strong indicator larly lower than it should be can allow the Types of kidney stones uids important for the body) was to be imbibed but not a confirmation of kidney stones. chemicals that form stones to build up a pres- so as to help the stone along. The presence of a two-millimeter stone—a ence and crystallize inside one or both kid- Calcium stones are the most common type In the meantime, my personal physician “medium”-sized one, attending resident Dr. neys—instead of flushing out as they normally of kidney stones. They occur more often in suggested ten 5-ounce cups of water a day, Hadpawat responded when asked how big— do. Other causes include heredity, geographi- men than in women, usually appear in patients together with 1 quart of electrolyte-boosting was later discovered in a CT scan. cal location, diet, medications, and underlying between the ages of 20 to 30, and are likely to Pedialyte mixed with grape juice to make it Following the high-tech scan, I was illnesses. recur. Calcium can combine with other sub- more palatable. wheeled back to #21, my assigned station in Because the majority of kidney stones are stances, such as oxalate, phosphate, or carbon- Bottom line: Prevention is always the the emergency ward, where I half-slept, half- composed of hardened calcium, people with ate to form the stone. preferable way to treat kidney stones. snoozed into the early morning hours before family histories of hypercalciuria (high levels Uric acid stones—the second-most com- Remaining well-hydrated will help prevent my 7:00 a.m. discharge. Matt even shut the of calcium) are more susceptible to kidney mon type, my doctor later informed me—are kidney stones from forming in the first place. lights for me. stones. Some rare hereditary conditions such more common in men than in women. They As for any potential pain, this editor will cross Two days later, having weathered several as renal tubular acidosis, or problems absorb- can occur with gout or chemotherapy, but usu- that bridge when he gets to it—Motrin, and, if attacks of thoroughly debilitating nausea and ing cystine (an amino acid), oxalate (a type of ally do not. absolutely necessary, Percocet, at hand. vomiting brought on by Percocet, the salt) or uric acid, also create a predisposition to Struvite stones are mostly found in women

E10 Feb. ‘10 | Hamaspik Gazette U.S. pressured to ratify global disabled-rights treaty Obama White House seeking Senate approval

With over 70 nations having rat- adopt the treaty so as to frame his standards: Austria, Belgium, the city personally guided by former Associate Dean of Disability ified the U.N. Convention on the domestic health care agenda as part Czech Republic, Denmark, England, Pennsylvania Gov. Rick Programs at the University of Rights of Persons with Disabilities, a of a bigger global picture. Germany, Hungary, Italy, Portugal, Thornburgh, a former Attorney Pittsburgh’s School of Health & first-ever global agreement on the The previous Administration Slovenia, Spain and Sweden. General under the first President Rehabilitation Sciences, which the rights of disabled individuals, inter- resisted signing the treaty for fear of Driven by Parliament member Bush, a disabled-persons advocate in group visited. national pressure is mounting on the foreign dictation of domestic policy Steven Fletcher, who remains active recent years and a prominent figure “They were greatly interested by United States to become a domestic towards the disabled population of despite being paralyzed from the in the global disabilities-rights com- the ramps on street corners,” added party to the treaty as well. the U.S., which the Bush White neck down, the treaty has even been munity. Seelman, noting that they were most The treaty, which was intro- House felt led the world in quality of domestically adopted by Canada. “They were wide-eyed in total struck by how most disabled duced in the United Nations in life and rights for individuals with The U.S. Senate, however, does not wonder at how people with disabili- American individuals were not September of 2006, has since gar- disabilities. currently have enough support for ties are active in society and daily “placed in nursing homes away from nered the signatures of over 150 Bush had also noted that of the domestic adoption. life, with jobs and with having society.” countries, 74 of which have ratified 26 global civil rights treaties created The treaty calls for full and almost all the opportunities in life What will strike the Senate as it in their parliamentary bodies as since the founding of the U.N., the equal opportunity for people with enjoyed by everyone else,” said vote-worthy about the treaty, howev- well. Another 36 are pursuing U.S. had only signed only three. disabilities in all areas of modern Katherine D. Seelman, PhD, er, remains to be seen. domestic laws to further rights for However, on this past annual life, including employment, access individuals with disabilities. International Day of Persons with to public transportation, running for The Obama Administration has Disabilities, December 3, 2009, the public office, protection from dis- thrown its support behind the treaty, Obama White House released a sup- crimination and homeownership. Job Opportunity at Hamaspik with the President instructing U.S. portive statement. The EU Contrary to conventional wis- ambassador to the U.N. Susan Rice Parliament ratified the treaty on the dom, Obama’s support for the treaty to sign the treaty in July of 2009. same day, adding European weight is not another slap in the face to Obama is also pressuring Senate to the 12 EU member countries that Bush policy, but just the opposite. Hamaspik of Orange County Democratic leaders to domestically already domestically adopted its Bush believed that America sets a moral standard for the world, and is seeking to hire a Registered Nurse. Obama apparently believes the same—at least when it comes to ele- Experience in dealing with the developmental disabilities preferable. vating disabled individuals within American society, believing as he FT Job - Warm Environment - Great Benefits - Will Train does that signing the treaty positions the U.S. as a disabled-rights leader, Apply now by sending your resume to: not follower. This leadership was brought to EMAIL: [email protected] the fore at the G-20 Conference in or FAX to 845.782.8461 Pittsburgh this past summer, at which top officials of the 20 most powerful countries convened to dis- or CALL us at 845.774.8400 ext. 366 cuss the global economy and other issues. Who’s leading who? The United Nations building on New York’s Several leaders used their free East River time at the Conference to tour the

Friedman. “It took four hours.” During that block of time, which Hamaspik of Orange County Day Hab began at 9:30 a.m., the solitary audi- tor first observed the breakfast pro- ceedings, next personally inspecting passes CACFP audit the kitchen and even the refrigerator. The program’s menus, which must Food program meets dietary-law requirements, government standards contain a specific choice of foods to ensure consumption of nutritional staples as previously mentioned, Everything is kosher at ents, such as protein, carbohydrates, six hours after the consumption of requirement of the child nutrition were perused next. Hamaspik, and the proof is in the Vitamin C and riboflavin, are includ- meat or poultry products. programs which requires that milk In wrapping up the inspection, pudding—and the meat, milk, ed in each meal. “I provided her with the rules be served with all lunches and sup- the auditor scrutinized every item- orange juice, and fruits and vegeta- Towards this end, the govern- from FNS that exempts Jewish pers.” ized receipt for all purchases made bles too. That’s because, on ment provides exacting guidelines as organizations sponsors of the milk The CACFP program is under under the auspices of the program, Thursday, January 7, Hamaspik of to which types of foods are accept- component on a day that meat is the auspices of the Food and ensuring that all items bought were Orange County’s Day Habilitation able and/or required under the aus- served. She checked with Albany Nutrition Service, a division of the warranted. Scrutiny of the receipts Program passed a CACFP audit. pices of the CACFP program. and it was confirmed,” wrote Joel federal-level USDA. In New York was followed by a personal observa- In addition to being qualified For example, a serving of milk is Friedman, Hamaspik of Orange State, the CACFP is administered by tion of lunch, and an exit conference recipients of state and federal required at every CACFP-funded County’s Director of Day Services, the state’s Department of Health. was then held. Medicaid programs, the consumers meal. However, if dietary or com- in an e-mail to Hamaspik staff. Participating organizations are The audit was completed with attending Hamaspik’s Day munal restrictions such as the tradi- According to official govern- subject to a review every three years no recommendations or findings Habilitation program on a daily basis tional kosher laws bar the consump- ment documentation, “FNS may by an auditor dispatched by Albany. noted by the visiting auditor. “The also participate in the federal-level tion of milk, then an approved sub- approve variations in the food com- “It’s a very thorough, very reviewer was amazed [at] how effi- Child and Adult Care Food Program, stitute may be served instead. ponents of meals served in the child detailed review,” explains Friedman, cient our agency operates and how or CACFP. This minor but critical detail was nutrition programs … where there is also telling the Gazette that neat and organized our records are The program allows participat- appropriately raised by the auditor evidence that such variations are … Hamaspik successfully applied for, maintained,” wrote Friedman in his ing organizations to provide nutri- mid-audit upon observing that necessary to meet ethnic, religious, and procured, the food program at initial e-mail to Hamaspik staff noti- tious, balanced meals to its serviced Hamaspik consumers were being economic, or physical needs.” the same time it launched its Day fying them of the results. community—so long as the meals served turkey without an accompa- The documentation also states, Hab program over ten years ago. “You are what you eat,” the old meet the program’s rigorous nutri- nying serving of milk. Kosher laws, “In addition to this variation, the “They review the menu, the saying goes. And if what you eat is tional requirements. These require- strictly observed in the communities aforementioned entities (schools, paper trail, the kitchen; they observe kosher, then certainly your food pro- ments include ensuring that adequate serviced by Hamaspik, forbid the institutions, and sponsors) may be how the staff serves the meal and gram—and its audits—are kosher levels of daily vitamins and nutri- consumption of dairy products for exempted from the meal pattern how the consumers eat,” continues too. At least at Hamaspik.

Hamaspik Gazette | Feb. ‘10 E11 So, What’s Happening in Your Health Today...?

H1N1 Flu update including blurred vision, disorienta- tem to target alveolar macrophage that pill! cancer-causing genes. tion, shortness of breath and vomit- (AM) cells inside the lungs of mice The announcement, which was At least 60 million people in the ing. But unlike the flu, these symp- that had alpha-1 antitrypsin deficien- In the first week of 2010, The made at the start of the New Year, U.S. have received the H1N1 flu toms disappear when they leave the cy. AM cells play a key role in the Journal of the American Medical also noted that Dr. Varmus, 70, vaccine, according to a December home and breathe fresh air. development of emphysema. Association published a study that would remain in charge until the 22, 2009 briefing at the CDC. One Minnesota woman said she The results showed that a single questions the effectiveness of antide- hospital found a successor. According to the CDC’s informa- thought it might be the flu when she treatment of the gene therapy suc- pressant drugs. For most patients, it Dr. Varmus started in 2000 at the tion, twice as many doses have gone was too tired to get out of bed the cessfully delivered healthy human said, the most commonly used anti- cancer center after a stint directing to children than adults, with 111 mil- Sunday after Thanksgiving. But she alpha-1 antitrypsin genes to 70% of depressants are generally no better the National Institutes of Health lion doses still available. didn’t worry until two days later, the AM cells in the mice. than a placebo. since 1993. Varmus also co-chairs In the meantime, as previously when both her teenage children com- As a result, researchers say the Indeed, many patients with President Obama’s Council of reported in Gazette, swine flu cases plained of the same thing. Then she symptoms and progression of depression get better with no drug at Advisers on Science and have fallen off, with only 11 states called her clinic. “It’s very rare that emphysema in those mice were all, just a placebo pill and attentive Technology. reporting widespread disease activi- our whole house is sick at all, let significantly improved compared to treatment by a therapist—as many as ty. alone at the same time,” she said. untreated mice—which may bode 50% in some studies. White House creates new “Things just weren’t adding up hopeful for humans in the future. top FDA position to right.” streamline inspection, Health Care Overhaul? A nurse asked a few questions Panel: No Evidence to safety Pain before Gain and, suspecting it might be carbon Hazelnuts Recalled Due to Suggest Digestive Link to monoxide, told her to get the whole Possible Salmonella Risk Autism Career FDA official Michael R. The costs of health care reform family to the emergency room. As it Taylor was recently appointed to the being pushed through Congress by turned out, the nurse’s assessment An Oregon company is recalling A panel of experts said there is newly created position of Deputy Democrats will be felt long before was fortuitously correct. 114,350 pounds of shelled hazelnuts no evidence that digestive problems Commissioner for Foods at the Food the benefits. Proposed taxes and that have “the potential” to be con- are more common in autistic chil- and Drug Administration. The pow- fees on upper-income earners and taminated with salmonella, an organ- dren than their peers, and the experts erful new slot will oversee all the insurers will take effect quickly. So New Gene Therapy May ism that can cause serious illness, refuted the notion that autistic chil- agency’s many food and nutrition would Medicare cuts. But benefits Halt Emphysema even death. dren should be put on special diets, programs. such as subsidies for lower middle- The nuts, also known as filberts, according to a new report in The FDA currently comprises 13 income households, consumer pro- A new type of gene therapy may have been distributed across the U.S. Pediatrics. different and oft-times overlapping tections for all, and eliminating the help stop the progression of emphy- and Canada, according to a news Though the panel calls for more agencies; Taylor has been charged prescription coverage gap for sen- sema in young people who have an release by Willamette Shelling Inc. rigorous research on the subject, it with streamlining this bureaucracy iors, will come gradually. “There’s inherited form of the deadly disease. of Newberg, Ore., that was posted said there is no evidence of "leaky and stemming the creeping rise of going to be an expectations gap, no Researchers say previous on the FDA’s website. gut" or "autistic enterocolitis," food-product recalls in recent years. question about that,” said Drew attempts to correct the gene mutation Ben Mitchell, president of which some people believe is a At the same time, Congressional Altman, president of the nonpartisan that predisposes young people to Willamette Shelling and manager of digestive problem unique to children legislation slated to pass in spring of Kaiser Family Foundation. “People emphysema have failed to achieve Willamette Filbert Growers, says with autism. 2010 will boldly empower the FDA are going to see their premiums and lasting results. that Willamette Shelling recalled “a Another study published in the to take a noticeably more aggressive, out-of-pocket costs go up before the But a new study shows that a total of 114,350 pounds” of shelled Pediatric Infectious Disease Journal pro-active stance against contamina- tangible benefits kick in.” different approach that targets cells hazelnuts because of possible salmo- also found no link between autism tions and unsanitary food packaging Significantly, most of the 30 mil- known as alveolar macrophages, nella contamination. No illnesses and the measles-mumps-rubella vac- and preparation. Among Taylor’s lion uninsured helped by the bill delivering the gene therapy to the have been reported. cine or the measles-only vaccine, first responsibilities will be easing won’t get coverage until 2013 at the lungs of mice with this form of Whole Foods, the giant grocery further discrediting the theory, the agency into its powerful new earliest, well after the next presiden- inherited emphysema, was success- chain based in Austin, Texas, has Reuters reported. role. tial election. ful in treating the condition in those also announced in a news release on The legislation is expected to Still, more than two-thirds of mice for two years. the FDA website that it is a recalling Memorial Sloan- grant the agency the power to Americans get their coverage Emphysema is a progressive an unspecified amount of raw organ- Kettering’s Nobel-Winning increase food inspections, force anti- through large employer plans—and lung disease that causes severe ic hazelnuts. A spokesperson for head to step down contamination plans upon manufac- their premiums won’t go up because shortness of breath. There is no cure Whole Foods says that the hazelnuts turers and recall questionable items. of the legislation, according to num- for the disease. being recalled originated with One of the few hospitals in the Taylor is known in the industry ber crunchers at the nonpartisan People born with a genetic muta- Willamette Shelling and Willamette world to be headed by a Nobel as a tough reformer unafraid to take Congressional Budget Office. But tion that causes a deficiency in Filbert Growers. The recall covers Prize-winning president and CEO, on mega-corporations. Congress can’t abolish medical alpha-1 antitrypsin, a natural hazelnuts sold through its stores in New Nork’s renowned Memorial inflation, so don’t hold your breath [enzyme?], are predisposed to an California, Colorado, Kansas, New Sloan-Kettering Cancer Center, will Schumer calls for cadmi- waiting for premiums to drop. early form of emphysema. Mexico, Oregon, Utah, and soon no longer bear that distinction. um ban in kids jewelry In the study, published in the Washington. For the past 10 years, the leading Journal of Clinical Investigation, medical institution was led by Dr. U.S. Senator Charles E. “Chuck” Carbon monoxide can researchers at the Boston University Harold E. Varmus, who garnered the Schumer (D-NY) is proposing legis- cause flu symptoms School of Medicine developed a sys- Feeling blue? Don’t pop 1989 Nobel Prize for his research in lation that would ban cadmium, a toxic heavy metal, as a hazardous You’ve got symptoms of the flu: substance from products and toys. headache, nausea, fatigue. You go to Reports of high cadmium content in your doctor. He may think it’s Hamaspik Gazette children’s jewelry imported from H1N1. But it could be carbon © 2003-2009 All Rights Reserved China prompted the U.S. senator to monoxide poisoning. Published Monthly by “Hamaspik” act. This year, with the H1N1 flu Distributed free Cadmium is known to cause pandemic on everyone's mind, even USPS Presorted Non-profit Mail cancer, and according to recent doctors may confuse the two, Harris Postmaster: Return service requested research, can hinder brain develop- said. That’s why Regions Hospital in ment in young children. S. Paul, Minnesota and the S. Paul “There is enough evidence about Fire Department recently issued a President Executive Director Editor Writers and Editors how dangerous this metal is that we joint public alert on how to distin- Hershel Weiss Meyer Wertheimer Mendy Hecht Isaac Schnitzler must take action immediately so no guish between the two problems. It more children are put in harm’s Joseph Landau can “mean the difference between Letters or Address Change? way,” Mr. Schumer said. “It’s time life and death,” the alert read. to get this toxic metal out of chil- With carbon monoxide poison- Tel: (845) 356-8400 ex. 212 Fax: (845) 503-1212 dren’s jewelry and toys and keep it ing, several people in the home may Mail: Hamaspik Gazette, 58 Rt. 59, Suite 1, Monsey, NY 10952 out wake up with the same symptoms,

E12 Feb. ‘10 | Hamaspik Gazette