decisions

PPD: What Does It Mean? And How Do You Diagnose It? [Mental Health Awareness Series #1]

The other day I met a woman who inspired me. She was a Haredi (ultra-orthodox) woman in her 40’s who had two children. As this is surprising in the religious community, I wondered if this was by choice or she had fertility challenges. It turns out that she had suffered such severe post-partum depression that …

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Ask Aviva #19: Can I establish advanced health directives in Israel?

Dear Aviva I receive your newsletter and have a question. How does one in Israel establish advanced health directives in the case of cognitive impairment, DNR orders and so on? I am very ill with a number of significant health problems but my situation is quite stable. My wife’s health is very good. We have …

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Emergency Services for Children: What are my options and what do I do?

  I remember a few years back, I was speaking to another mother at the park when I mentioned, laughingly, about how at one point I had asked Terem [medical emergency clinic] if they had a monthly membership fee. She looked at me funny and explained that she had never visited the ER (or Terem) …

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Ask Aviva #18: Why is the hospital discharging my mother if she isn’t well enough?

Dear Aviva, My mother has been hospitalized for the past two weeks. We feel she is not well enough to go home as she cannot get up to go to the bathroom or walk, but they seem ready to discharge her. Our family wants her to stay in the hospital because we are nervous about …

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Suicide in Israel: which resources are available to me?

When I was in fourth grade, I rode to school every day with four other children. All five families paid a lady driver to take us to school since all the parents worked and there was no school bus from our neighborhood. One of my fellow passengers, Josh, was a quirky, pale, boy in the …

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Contraception in Israel Part #4: Other Options You May Not Have Thought About!

Many women stop using the pill (the COC or combined oral contraceptive – estrogen and progesterone) because of negative side effects. Migraines, family history of heart disease, high blood pressure are all medical risk factors that prevent women from using the regular pill. Decreased libido is also a big non-medical side effect, although one less …

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How About My Non-Hormonal Options?: Contraception in Israel Part #3

About nine years ago, I spent three weeks tracking down the saga of why the Ortho McNeil all flex diaphragm was no longer available in pharmacies in Israel. I spoke to higher management in the Janssen office who distributes ortho products in Israel. (I caught her on vacation in Amsterdam.) Individual importers of contraceptive gel …

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Contraceptive Options in Israel #2 – IUDs: What’s Available in Israel and How Much Should I Pay?

Last week we began our discussion of contraception options in Israel. We introduced the main options for hormonal methods. Now, let’s review our longer-term methods, that can include hormones. The most popular LARCs, or long acting reversible contraceptives as they are referred to in the field, are IUDs (intrauterine devices); small copper devices (of various …

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3 Diseases We Should Understand

This week marks Duchenne’s Muscular Dystrophy Week to raise awareness of this disorder. I thought I’d take this moment to discuss more common muscular and skeletal disorders that plague us, especially as we age. First to explain: Duchenne muscular dystrophy (DMD) is a rather rare “genetic disorder characterized by progressive muscle degeneration and weakness. It …

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