decisions

Navigating Mental Health in Young Children [Mental Health Awareness Series #2]

A few weeks ago, I posted an Ask Aviva question about getting permission for a certain medication for a nine-year-old child with bipolar disorder. My answer addressed how to get permission, but one reader was shocked that a nine year old had been diagnosed with bi-polar. “Get a second opinion!” this reader advised, their underlying implication […]

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

  To quote myself in a post after the tragedy in Jerusalem: “Post-partum depressive order, which includes anxiety, panic, and obsessive-compulsive disorders, are also technically considered post-partum if they are diagnosed within four weeks of delivery. However, most providers agree that if an incident occurs within one year of delivery/pregnancy, it’s post-partum related.” Statistically, 1

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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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