Wednesday, October 29, 2014

Why practice Chinese medicine if Hashem controls it all?

The question was asked of me, "why practice Chinese Medicine if  G-d controls it all?"  But first, to answer this question, we must clarify exactly what is Chinese medicine, what is Jewish medicine, and why we are here.

Chinese medicine is based upon the integrative observations by brilliant ancient physicians and philosophers of relative cosmological phenomena in a very global  sense, and considering and applying parallels to the human being.  This way of looking at things is a very useful tool in helping to bring balance to the "dis-eased" patient, but specifically, not only physically. For Chinese Medicine also recognizes the profound relationship between physical symptoms of imbalance, and mental, spiritual and emotional components and manifestations of illnesses, a principle which is completely consistent with the Torah and  traditional Judaism, and which particularly manifests in the pulses.  BTW, pulses also play a significant role in the Jewish Kabbalistic tradition in the determining of spiritual imbalances which manifest physically.  

From the Jewish physician's perspective, Chinese medicine and other brilliant modalities are valuable tools to be used and applied, much as a skilled craftsman would use a hammer, screwdriver or computer, to diagnose disharmonies and bring healing and balance. However, Traditional Jewish medicine (TJM) goes one step further: By applying specific principles from the Torah and Jewish traditional sources, traditional Jewish medicine guides the patient and physician to understand why specifically the patient has gotten out of balance, what the messages are  in how this imbalances manifest  themselves, and what can be done to not just treat symptoms, but affect a paradigm shift to bring balance and healing.   Each patient's individual constitution, nature and life experiences ( including traumas ) represent significant pieces to be considered and honored in the individuals path that brought him to his present situation. We consider the present inner-conflicts that have engendered the imbalances (aka differential diagnosis), trace backwards in time the path of illness to seminal events before which there wasn't illness or a particular layer, thereof (pathogenesis), while honoring the patient throughout this whole process, never imposing our will upon him, meeting him where he is, (even if he is philosophically opposed to my beliefs) and helping to put the pieces together allowing the patient to heal himself, as a detective, a translator, and a tour guide, uncovering clues, making sense of chaotic signs and symptoms, and safely facilitating the journey back to health.

With that introduction, let me answer your question:  Though, indeed G-d controls it all, He also specifically has given man, the crown of creation, free choice.  The reason for this, our sages tell us, is for us to take those skills, emotions, and attributes that we were given, and use them to fulfill our specific individual purpose as to why we were created. Each person is a distinctly unique piece in the magnificent cosmic puzzle, and each piece is needed for the puzzle to be complete.  Each of us is special and unique, and we need to find out where we belong and how we fit, but even more importantly, what we are supposed to do.  It doesn't matter the degree to which we are brilliant, strong, artistic or charismatic. We are not expected to be like anyone else, and so the concept of jealousy in Judaism is anathema.  Rather each of us needs to figure out what we are supposed to do, based upon what we have been given, and do everything within our power to fulfill that goal.   G-d helps us, much like a GPS, in guiding us towards our life goal and purpose, but gives us absolute free choice, without which we couldn't make creative decisions.  Alas, many spend their lives, hedonistically pursuing pleasure, or mechanically living chaotic lives, yet we are all spoken to and guided towards our goal and life purpose.  Those who don't succeed, this time around come back again, and we keep coming back until we have fulfilled all that we need to do. (In this sense, Jewish reincarnation is very different from Eastern reincarnation, in that in Judaism, the consequences of our choices determine if we need to come back again.)  Maimonides tells us, therefore, that each person needs to direct his inner-thoughts to "Know" G-d.  (It's interesting that Biblically, we are told that Adam "Knew" Eve.  For as our sages tell us, the definition of "knowledge" is unselfishly melding, connecting and intimately becoming one with the other.)  "But," he continues, it is impossible to "Know" G-d if one is hungry, sick or in pain!"  Furthermore, our sages tell us that one who is in prison, does not have the keys to help himself escape.  So to determine one's specific life purpose, or soul correction, one needs to be connected.  And to be connected one needs to be healthy, in balance, and not distracted by noise, hunger or pain.  Therefore to slough off the filth, pain and old baggage that got us into the mess we're in, and get to that place of clarity, health and happiness, we need to find and utilize the most prudent and effective tools. The Chinese medical modalities can be enormously effective tools toward that end, when used wisely.     

Monday, October 27, 2014

Illness and Nature


Upon hearing of the premises in The Garden of Healing,  a colleague of mine wrote that he was  astonished that I could possibly view illness as anything other than a natural phenomenon.  To quote him:

"In all respect, neither the Black Plague nor Ebola are "divine messages" to the afflicted, although certainly they call on us to bring forth the best traits in ourselves in our care for the other, rather than fear and much worse.  Disease IS a natural process, living leads to dying, and from saber-tooth tigers to filoviruses, nature is "red in tooth and claw." 

I responded that  as convinced as he was of his opinion, I was at least as  convinced to the contrary, for the following reason:

As an observant orthodox Jew, among the basic tenets of my observance are  2 statements made by Rabbi Doctor Moses Maimonides:

1.   "I believe with complete faith that the Creator, Blessed is His Name, creates and guides all creatures, and that He alone, made, makes and will make everything." 
2.   "I believe with complete faith that the Creator, Blessed is His Name, is not physical,  is not affected by physical phenomena, and that there is no comparison whatsoever to Him.  

As such, we observant Jews believe that nothing occurs arbitrarily and nothing, specifically, not disease, illness or suffering is by chance. Far from being some old man who created the world and left it to its own designs, or some Olympian god who plays with people like some large soap opera,  we believe that nothing, not even the seemingly most insignificant event such as  a falling leaf occurs without being commanded to do so and regulated by G-d.   The fact that we may not be able to understand as physically and temporally limited beings as to why a certain illness or epidemic occurs, and  who gets sick and who doesn't,  is merely a reflection of our fallibility and lack of spiritual sensitivity.  For our goal as human beings should be to sensitize ourselves to all the events in our lives and reflect upon them, in order to begin to understand the messages that we are clearly given.  This takes work and focus.  We live in world of sound byes, quick one-liners and very limited attention spans.  ADD is rampant.  It is my firm conviction that we can fine tune our spiritual receivers (with proper guidance, of course) and  just like with radios when one is not precisely tuned in to a specific channel  hears static and it's hard to hear the message, so too, we have the ability to tune in in a more refined manner, to clearly hear the very personal messages from our Creator, who created us to connect with, to commune with  and to develop a loving relationship with Him.  

Judaism, and more specifically, Chasidus and Kabbala further teach that we have a choice: We can, indeed become beholden to nature and its rules; to  defer and become swept away, as the existentialists teach, to its tide.  Or we can view this short sojourn that we have been given as an opportunity to develop relationships:with ourselves, with those that we interact with, with our environment and  with our Creator.  Most importantly, it is through clearly hearing these messages, and developing these relationships, that we are able to determine our jobs and purposes that we were brought into this world to accomplish.  

We practitioners, who are the inheritors of the brilliant legacy of Chinese medicine have been taught of the importance of looking at the larger picture and seeing relationships.  And as the great Chassidic master, Rabbi Nachman of Breslov teaches, there is no such thing as neutrality or detente.  The concept is inherently flawed.  Rather, in all  areas of interaction, there can only be  balance and harmony or conflict.  This holds true internationally,  inter-personally, and internally.  He tells us that when there is internal conflict there is illness.  This is  exactly consistant with Chinese medical theory.  We have been given  wonderful diagnostic tools.  So we are able  to determine that if there is vacuity,  we nourish and boost, if there is repletion or superfluity we reduce or moderate.  If an outside force (which the Chinese call "Wind") invades, we expel it, and so on. If one aspect of the body is replete and another is deficient, we take therapeutic steps to bring balance to the whole person.  So too, as with Judaism, we look at the emotional, mental and spiritual manifestations of illness and imbalance related to specific organs and organ systems.  The founder of Chasidus, The Baal Shem Tov, would say that "if someone has a small hole in their body, they have a large hole in their soul."

Indeed, as my colleague suggested,  one can take the path that Western Biomedicine has taken, looking with greater micro-detail at disease, play with molecules and tweak genes in order to attempt to confound and trick disease.  But I'm telling you, it won't work.  I remember, growing up in the 50s and 60s, hearing that soon the war on cancer would be won. What a lie that was and how deceitful Western medicine has been to con innocent people into shelling out billions of dollars with nothing to show.  Nobody gets well from disease without addressing the  fundamental aspects of our lives:  How we eat, how we hydrate ourselves, how we move our bodies, how we breathe, how we sleep, and how we nurture ourselves spiritually and make ourselves happy.  150 years or so ago, a great debate took place in France between Louis Pasteur and Antoine Bechamp as to the cause of illness.  Pasteur claimed that microbes were the cause of disease, whereas  Bechamp contended that microbes only become virulent in an environment which is toxic and out of balance.  Visualize, if you would, what happens to a river which stops flowing:  Fish die, algae proliferate and the river becomes toxic and foul smelling. So, too, with the human body.   At the end of his life, Pasteur admitted that he was wrong.  

To try and tell you why epidemics or global tragedies occur would be to arrogantly say that I can see the larger picture. That would be a lie.    But for myself, for my patients and for those whose live's impact me, yes, I believe I can begin to tune into the "Divine messages," we are given.  The point is that we are given the choice:  if we choose to address it as such, disease can be a process of nature, and to fight nature we are not only not  going to succeed, but we'll die miserable, empty and alone.  But I choose to take a very different approach, and am constantly learning,  growing and connecting from the remarkable messages I am sent on a daily basis.  (and no, I'm not nuts, and I'm not hearing voices!) 

Hope that you have the opportunity to read and learn from the book.

2 years in preparation and now available: The Garden of Healing


I am delighted to announce the publication of The Garden of Healing,  by Rabbi Shalom Arush. I have had the great privilege of translating and editing this 450 page masterpiece on Traditional Jewish medicine, originally written in Hebrew, and have been honored by Rabbi Arush to add a glossary and compose an additional final chapter, based upon my experience and philosophies in the  practice of Traditional Jewish medicine.  My wife Yocheved, who served as my proofreader, on multiple occasions exclaimed: "This book is amazing and it sounds like  you could have written it!" (which is easy to understand as  Rabbi Arush's presentation is  consistent with the approach that  I take to medicine). 

The book is quite comprehensive,  and Rabbi Arush beside being an extremely sensitive, G-d fearing  and highly developed spiritual individual, is also a scholar in Jewish Traditional Literature of enormous proportions. He is a gifted orator, and his ability to to disseminate his message of emuna  is legendary as can be seen by the fact that his best selling book, The Garden of Emuna, has sold over 2,000,000 copies worldwide and has been translated into  ten languages.  

This is not a book for those looking for quick fixes or  who attribute illness and pain  to natural phenomena. The original Hebrew text was entitled, "Hashem Rofecha" (from the verse in Exodus),which means "Hashem is your Doctor."  As I often say, it is a book whose goal is to get the reader to think differently, and to learn to listen to illness, pain and adversity as Divine messages, even "love letters" from G-d, given to us to wake ourselves up and make changes in the way we relate to ourselves, those whose lives we impact, our environment, and, of course, Hashem.  It is a unique opportunity to  immerse oneself in the pure unpolluted waters which nourish and cultivate the garden of healing.     

Tea and Fluoride--thinking differently

Though I am personally not a tea drinker (Both green and black tea are energetically cooling and I tend to be cold), a recent article stated, ""It turns out that both green and black tea products contain high amounts of naturally occurring fluoride. Tea leaves accumulate more fluoride (from air and soil pollution) than most other edible plants." What  should that mean for us?  Does that mean that one should avoid drinking tea?

From a Traditional Jewish Medicine perspective, I wouldn't be concerned about tea, and I am not simply sticking my head in the ground like an ostrich!   The fact is that the Western model is flawed, and here's why: One of the important lessons we learn from thinking "Eastern" is to not look at minutia, nor substances in isolation.  So much in Chinese medicine cannot be explained biochemically, ie. why certain formulas may be effective to completely resolve certain conditions whereas the individual constituents do not have properties that would seem to be useful or effective, but synergistically or in-vivo, they do work.  

A second important consideration that Western naturopaths and other "health" proponents espouse and which I believe is flawed is the myth of nutritional content.   It is largely irrelevant how much of a certain nutrient a food or substance contains,  but what is really important is the degree of absorption.  For that which is ingested and is not utilized by the body can put  a toxic  burden on the body.  The same may be true with certain toxic minerals or chemicals such as fluoride. Tea may very well contain other constituents which bind or transform the fluoride, rendering it benign and easily allowing it to be eliminated from the body.  Empirically, is there any history of fluoride poisoning by those who drink 2-3 cups of tea daily?  The classic symptoms of fluoride poisoning are mottling of the teeth, and (like with mercury) hypersensitivity of nerves. So if someone is exhibiting these symptoms, indeed they should avoid tea, but others?  I personally wouldn't be concerned.

 Third, and here I speak from an esoteric Jewish perspective:  (and this also relates back to the first point).  According to Jewish tradition, all substances in nature have biochemical properties, which can be explained, but they also have non-explainable, mystical healing properties which are not governed by the laws as nature and will never be able to be rationally explained, no matter how advanced or developed biochemistry becomes.  Sometimes people of science just have to have the humility to accept that which is beyond their scope.  So too, here.  If a food or drink has been used for thousands of years safely, and yet it contains a toxic chemical, fluoride,  maybe, the fluoride in tea is different than the fluoride synthetically prepared?

Friday, March 14, 2014

Seeing and understanding the Kindness of Hashem in everything that happens!

For those of you who don't know, B"H I am engaged to marry a wonderful woman who Hashem has bestowed upon me with His enormous kindness, sweetness and love.  G-d willing, Yocheved Krems and I will be getting married on the night of the 10th of Nissan (corresponding to April 9) in the holy city of Yerushalayim, where she has lived for the past 25 years.  We will be spending Pesach (Passover) there, and then returning to Los Angeles to begin part II of our lives. With G-d's help and approval may they be long and  fulfilling years of sweetness, rewewal and discovery, years that we always merit to feel Hashem's love with clarity.

Yesterday, I brought Yocheved to the airport to begin her trip eastward, flying to icy  Boston where she will be spending Purim with her son Zalman and his family.  It will be a wonderful reunion in that they haven't seen each other for some years, before her return to Israel.  

I want to share with you a remarkable glimpse into the amazing deliverances that  Hashem constantly sends us--the key being to have the  the humility to see and the openness to understand.  After davening mincha, I picked up Yocheved from Bed Bath and Beyond where she was buying some new items with which to begin our new life.  Before leaving LA, we wanted to go together to one of my mashpiyim  to receive his brocho, a dear friend and great holy man who has helped me through many trying and challenging times over the past 20 years, and who has, each year that she was sick, read the megillah for my Chana Fayge, A"H).  He was wonderful and blessed us for many years of unity and  love,  that every day of our new life should be filled with G-dliness, and that the greatest tool that the "other side" uses to challenge our closeness to Hashem is stress!  With that in mind, when we came out to our car, there was a ticket for $68.  But instead of being upset, the two of us resolved to thank Hashem that he gave us what we needed and not rush to the airport, though Yocheved's flight what scheduled to leave in an hour and 20 minutes.  
Thanks to Hashem's continued great kindness, we made it to LAX without especially rushing at 8:35 (the flight to Boston was for 9:30) and we parted ways with the hope of next seeing each other soon in Israel.  Strangely, though, after eating something that Yocheved had packed for me,  driving out the airport, and turning onto 96th St, for some reason, I had looped around and was going back into the airport.  OK.  So, I tried exiting again, and... again, as I turned left, to exit the airport, I realized that I was supposed to turn right, so here I was again going back into the airport.  I paused, looked on my right, and there on the passenger seat was...Yocheved's winter coat and scarf.  "Oh, no!" I thought to myself, Yocheved is on her way to freezing Boston without a winter coat.  It was now 9:00 o'clock, and instinctively, though I was now out of the airport on Airport Blvd and Manchester, I turned around to go back.  But then stopped, realizing that it was 9:05, and it would be impossible to meet Yocheved, even if she realized that she didn't have her coat and scarf, for how could she possibly run all the way back to the street, meet me, and then get back wait in line to again clear TSA security  and make her 9:30 flight?  It was clearly impossible.  But as i was turning around and thinking this, I received an unfamilar phone # on my cell phone with a 203 area code.  I usually don't answer strange #'s but for some reason, I decided to answer. It was Yocheved!  (That afternoon, we had dropped her cell phone off to be repaired...so she didn't have one.)  She asked where I was, and I told her that I was just 3 minutes away from the airport, and another two minutes G-d wiilling to come around to American Airlines. We agreed to try.  I want to now share with you her end of this wonderful G-dly kindness: 

"So, after you brought me the coats/sweater (it's COLD here!!!), I ran to the TSA checkpoint. I had been shunted to a second line before I came out to you, and asked to go back in that line. Thank G-d. The agent recognized me and let me pass into that line. Which turned out to be a TSA pre-check line. I didn't have to remove my laptop  or my jacket/shoes, and I breezed through, curious about the long line from the other line. I made it to the gate just before they closed it - I was the second to last person to board the plane and they shot my carry-on into the luggage hold, as they had no more space in the overhead cabinets.

Imagine if I'd been in the other line. (Still waiting to hear what happened to you!)

Hashem is good."

Indeed!!!!!!

Oh, and by the way, I realized that $68, the amount of the ticket is the gematria (spiritual numerical value)  of "chayim"-life.  I realize that this fine that I will gladly pay was a pidyon, a redemption or ransom for my/our souls.  Our sages tell us that the world we live in operates like the tides, ebbing and flowing between kindness and harsh judgments. Often, we don't see exactly what is going on, or more accurately, we are not supposed to see what is really going on, for if we did, it would take away our free choice, and how can one express his love if something is so obvious and compelling that he doesn't have free choice?!   And yet, because Hashem loves us so much, He gives us a special escape hatch--that when we realize that the attribute of harsh judgement is in operation and at the for, we can mitigate it and sweeten it in several ways, creating a new Universe!!  How do we do it?  By doing acts of kindness, or by redeeming ourselves with money.  Sometimes we merit being given the opportunity to give tzedoka, to help those in need with our money, and sometimes, like in my case, Hashem, lovingly, envelopes me and gives me the ticket of redemption.

May you always merit to see His love and wishing you all a wonderful glowing Shabbos and the happiest Purim ever!

Thursday, February 13, 2014

The power of prayer on purim kotton

The Jewish calendar as you may know is lunar based, and as such has 354 days in it.  But this can present a problem, as Pesach (Passover) must always come out in the spring time. Because the solar calendar has  approximately 365 1/4 days in its yearly cycle, this can present a problem, as each lunar year is approximately 11 days shorter than the solar year.  As such, within our Oral tradition which was simultaneously given on Mount Sinai to explain and understand the written Torah,  we find the concept of a "leap month," an extra month that is added seven times within a cycle of nineteen years in order to keep Pesach in the Spring.  That month is always the last month of the lunar year, or Adar.  So, for example, this year we have a thirteenth month, Adar Sheni (the second Adar).  Practically, the significance of the month of Adar relates to the holiday of Purim which in a regular, non-leap year comes out on the 14th day of Adar.  On Purim we recall the remarkable miracle which occurred more than 2300 years ago, in which a  plot to annihilate all the Jews on one day, was miraculously overturned. There are very specific commandments that were legislated by the Jewish Sages related to Purim. They include, reading the story of Purim twice from a megilla (a scroll), giving gifts of food to ones friends, giving special charitable gifts to the poor,  and making a festive meal with our friends and family, involving also drinking wine.  All of this relates to Purim, which is celebrated on the second Adar in a leap year (in order to connect it with the other great deliverance Pesach, which occurs exactly one month later.  But what of the 14th of the first Adar, which is called Purim Koton (the little Purim). Does it have any special significance?  
A very close friend of mine sent me the following that I want to share with you (and which I have edited): 
Rav Avraham Schorr Shlita, of Flatbush, NY spoke about the power of prayer on Purim Kotton.

He quoted the Chidushei Harim (the first Gerer Rebbe) who explains a reason for the mitzvah of drinking on Purim.
In the times of the Bal Shem Tov, there was a terrible decree against the Jews. Everybody prayed and did various mitzvahs but nothing changed and the decree was still in place. Finally the Bal Shem Tov instructed one of his followers to go to a distant town and bring a certain drunkard  back to him. The messenger was advised not to allow the drunkard to drink so that he would be sober when he was brought to the Bal Shem Tov. When the drunkard was brought to the Bal Shem Tov, he asked the drunkard for a blessing for the decree to be abolished and when he gave the blessing immediately the decree was annulled.

The Bal Shem Tov explained to his close followers that this person had done an unbelievable mitzvah of saving a girl, and  the mitzvah of Pidyun Shevuyim (redeeming captives).  The heavenly court,  was so moved that it was decreed that whatever this person would ask for would be granted immediately.
Suddenly though,  there was a great debate in heaven:  how could a simple person be given such unbelievable power of blessing, might he not use it for the wrong purposes?  Therefore, it was decided that he would be a drunkard and  not even realize the power he was given.

The Chidushei Harim explained that on Purim there is a special law that anyone who extends his hand to you in need, must be given.  But this is also true with regard to davening!  For  when we pray to Hashem on Purim, He HAS to answer our requests. So, to counter this unbelievable power of prayer, our sages legislated the law of drinking on Purim so that we don't use the day of Purim to pray for the wrong things! It is also wrong, says the Chidushei Harim, to NOT drink on Purim and to sit and daven all day, for by doing as such, one is going against the will of the sages, and will certainly not see blessing in his actions."
Now, continued Rav Schorr, the Mishna is Megillah speaks specifically of the differences between the two Adars and points out that the only difference between them is that we do not read the Megilla in the first Adar, nor do we give gifts to the poor. 
HOWEVER, THOUGH THE POWER OF PRAYER REMAINS EXACTLY THE SAME EXCEPT THAT ON PURIM KOTTON THE SAGES DID NOT LEGISLATE AN OBLIGATION TO DRINK WINE..

SO TODAY THEREFORE IS A  REMARKABLE  DAY WITH REGARD TO THE TREMENDOUS POWER OF PRAYER YET WITHOUT THE OBLIGATION TO DRINK, TO COUNTER IT!

LET US THEREFORE, USE THIS DAY TO DAVEN TO HASHEM FOR ALL THE RIGHT THINGS.  WE ARE LIVING IN  DIFFICULT TIMES, SO MANY PEOPLE SUFFER  AND THERE ARE SO MANY THINGS TO DAVEN FOR.  
MAY WE DAVEN WISELY AND MAY WE MERIT TO SEE THE ULTIMATE REDEMPTION WITH THE COMING OF OUR RIGHTEOUS REDEEMER, THE MOSHIACH QUICKLY IN OUR DAYS.

THIS SHOULD BE A ZECHUS FOR THE NESHAMA OF MOSHE DOVID BEN PINCHUS DOV, HIS NESHAMA SHOULD HAVE AN ALIYA.

Saturday, January 11, 2014

My Dad, gratitude and Tu Bishvat


How wonderfully exciting life is for me, and how incredibly kind and loving Hashem has been to me to give me so much abundance.   I learned gratitude from my father, and I'm so  grateful to have been able to celebrate his 90th birthday last month together with him.    Growing up we used to have some wonderful discussions, and in reflection, I remember that invariably he would comment about how lucky and grateful he was for all that he had been blessed with.  My dad was born and raised in Scranton, and I remember how often he would reflect on his enormous good fortune that  his grandparents had decided to leave Europe and come to America.  How easily it would have been for them to remain, as so many cousins did, and be swept away by the holocaust.  He was the seventh of seven children, the only one still alive.  We often speak about his idyllic upbringing in the 30s.  How he was the apple of his father's eye, a ben zekunim (son of old age, much like Yosef was to Yaakov). How despite growing up during the great depression, for a religious Jewish kid growing up in a small town in Pennsylvania,  life was sweet, exciting and without want, due to to wise foresight of his father,my Zeide who I was named for. How he was part of a select group of 5 boys who learned after school, every day,  for years,  together with one of the great rabbinic leaders of pre-World War II America, Rabbi Henry Gutteman, OBM.   During World War II my dad was the only one from his entire company who was miraculously saved an ambush by Rommel in North Africa.  (I'll tell you more about that in the  future.)   My dad had a messenger service business.  He would always tell me that many times he had been solicited by potentially lucrative customers, and he would always turn them down,  because of how grateful he was for what he had, and that he didn't need anything more.  He was the luckiest man in the world, he would say to have my mother, OBM,  his one and only love, and they knew each other for exactly 63 years, almost to the day.  And yes, now, at age 90,  we reflect together on how grateful he is to be alive, and to be loved and cared for by my sister Hope and myself.  Ironically, in the past, when I would ever suggest that Dad consider making changes to his life, or possibly visiting Israel for a simcha for the first time in his life, he would  lovingly rebuke me by saying, "Leo, s'iz shoyn noch ne'ila!"  (it's already after the culminating prayer of Yom Kippur, meaning it's too late, now!). 

Yet, life runs in cycles, and, as the Meiri points out, Tu Bishvat the exact midpoint of the winter, and can serve to give us an awareness, that the barren coldness that we have lived through, can change.   Interestingly, also, 'you know whose birthday is Tu Bishvat?  Rebbe Nosson of Breslov, who single-handedly revitalized Judaism by disseminating the brilliant light of Rebbe Nachman, a light which gets brighter year after year.    So as we approach from a great distance the first glimpses of Spring and rebirth, in honor of my Dad and Rebbe Nosson,   I would like to share with you some ideas and  personal reflections about Tu Bishvat. 
 The Mishna tells us that Tu Bishvat is one of 4 "Rosh Hashanas", the first of Nissan,  the first of Elul,  the first of Tishrei, and the 15th of Shvat (Tu is the numerical equivalent of 15, this according to  the opinion of Beis Hillel), that the Rosh Hashana l'ilan, the New Year's day for trees is Tu Bishvat.    Why Tu Bishvat specifically?  The gemara tells us that since the majority of the rainy season has now passed, fruit now begins to form on trees.  As I mentioned, The Meiri points out that Tu Bishvat is EXACTLY the middle point of winter, which began on Rosh Chodesh Tevet and ends on Rosh Chodesh Nissan.  Tu Bishvat then,  is a time when the bitterness, coldness, and  darkness of winter begins to wane and a new hope is felt as manifested by new buds that begin to appear on trees which is called Chanata.  Halachically, Tu Bishvat is the cut off date in two areas:  Maaser (tithing) in Eretz Yisrael (Fruit produced from one year are not allowed to be tithed with fruit from the next year) and orla  (Fruit is not allowed to be eaten for the first three years after being planted, and it has to pass at least 3 Tu Bishvats in order to be allowed to be eaten). 
The Magen Avraham brings down that there is a special custom that  Ashkenazim  have, to eat many kinds of fruit on Tu Bishvat, and the sefer, Shevet Musar, brings down from the ethical will of Rabi Eliezer Hagadol, that he commanded his son to be diligent and careful to make brachos on fruit on Tu Bishvat,  which   is a "minhag Vasikim" (ancient custom).  
From the  Chassidic traditions, the holy Bnei YIssaschar brings down that we should daven to HaShem on Tu Bishvat  for  a Kosher and beautiful Esrog for the coming Sukkot.  He bases this on the fact that the mishna calls Tu Bishvat the Rosh Hashana l'ilan (singular) and not l'ilanot (plural).  This,  he tells us,  is implying that it is a special time for davening and introspecting concerning the unique  tree which the Torah refers to as "beautiful and praiseworthy"--the Esrog.   In the same vein, the Likkutei Maharich from Sighet brings down a tradition of preparing the Esrog from the previous year right after Sukkos, and  eating  it on Tu Bishvat,  as well as wearing special Yom Tov clothes.   The reason behind this, is that the Torah Tells us  "Ki HaAdam etz hasadeh" (For man is a tree of the field) and since this is Rosh Hashana for trees,  one should reflect on this day with a reverence reminiscent of Rosh Hashana.  

As a side, we can also learn a great lesson in gratitude from the context  of this verse:   Specifically,  this verse adjures Jewish soldiers not to cut down fruit trees in the heat of battle, because, as the  Sifri explains, the life of a person can come from a tree of the field,"  meaning that someday, a fruit tree could  save someone's life.  Therefore, as the Torah Temimah elaborates,  even if   an army's progress will be delayed or impeded,  we are forbidden to cut down fruit trees, because a person's very survival may one day come from that very tree that we want to cut down.   What an amazing lesson this is!  The Torah is teaching us to have humility, to recognize that we are stewards of His  Earth, and to have the sensitivity to  realize that the bounty we are given  is a gift never to be treated frivolously, and  never to be taken for granted. 

And yet, We live in a world which runs contrary to this thinking.   Each part of our lives and our bodies, is viewed as a separate entity, and complications are dealt with in the most expedient  and mechanical manner possible.   If a part breaks, mechanically replace it;   If we get a rash, take steroids.   Yet as Jews we are taught to think differently, for as our Sages tell us, the wise person is the one who is able to see that which is just being born, is able to reflect on what his actions will bear, knowing that in a very quantum way,  everything we do and say affects ourselves, each other, and our world.  Consider, for example,  the Chinese herb  Ge Gen.  In the South, this wonderful healing plant is considered the scourge of agriculture, and farmers do everything in their power to obliterate it. Yet, in Chinese medicine,  we know that this wonderful root, known in English as Kudzu, among other things,  is used to heal many of the headaches and problems of hypertension that farmers think it causes them!  

 In conclusion, I would like to suggest, yet another analogy--that Tu bishvat  really more resembles  a different one of the four Rosh Hashanas--Rosh Chodesh Elul.  Perhaps the darkest moment in Jewish history occurred on Shiva Asar B'Tamuz--the making of the golden calf and the subsequent shattering of the first tablets.  From that incident, the Bnei Yisrael were completely alienated from HaShem--He didn't want any part of us.  Only after 40 days of Moshe Rabenu literally pleading for the spiritual survival of Bnei Yisrael, did HaShem give us a second chance.  Moshe was allowed to go up again on Har Sinai on Rosh Chodesh Elul.  The job ahead was still daunting, but at least we had a chance to reconcile ourselves with Him.  Since then, Rosh Chodesh Elul has been an incredibly important date--a time for us to wake up from our complacency, and start preparing for the days of Awe.   So too, I would suggest that Tu Bishvat is a time of waking up and reordering our  priorities.    That just as  trees are now waking up and starting to blossom,  so too, we need to stir ourselves up and make our actions fragrant to HaShem, as we prepare ourselves for the other coronation day: Purim!  For as it says in the Megilla, "kimu v'kiblu," the Jews in Persia accepted upon themselves HaShem as their king and voluntarily agreed to follow the dictates of His Torah.   But not only that,  we can go even further!  Once we accept HaShem as our king and his mitzvot as nutrition for our souls,  we can then  proceed and grow to the third level--to consider ourselves as children of HaShem, actually living in his palace!  On Sukkos, the Shechina actually returned to the Yidden in the form of the Clouds of Glory,  and on Pesach, like a pure child, we are led by the Hand of our Tatty,  HaShem, out of Mitzrayim!
Happy birthday, Rebbe Nosson!  May we all merit and  deserve a beautiful Etrog, and may the works of our hands be pleasurable and  fragrant to our loving Father in heaven.

Sunday, December 29, 2013

The Process part II: Empowering ourselves through our diet with conscious eating (updated December 2013)

In Part I of this series on transformation, we addressed the roots of illness in Western civilization, both globally and individually. In this part we will begin to address specific behavior and lifestyle changes necessary to make the transition from dysfunctionality and pain to wellness and connectivity. This process involves developing one's sensitivity in five specific areas: The way one eats, breathes, exercises, sleeps, and nurtures his spirit. In this article, I will share with you specific guidelines that I give my patients on how to eat.

The wisest of all men, King Solomon, tells us in Koheles (Ecclesiastes 4:12) that
"... A rope with three strands will not quickly come undone," that though a single string can easily be pulled apart and two threads twisted together with greater difficulty can also be undone, a rope that has three intertwined strands, will always hold up under stress. From this we can learn that for anything to be sustained and accepted, it needs to be established, strengthened, then reinforced.

In developing nutritional guidelines for my patients, I have used this idea of the
three-stranded rope: integrating together the latest research information from biomedical nutrition, the brilliant categorization and observational analysis of Chinese medicine, and the wholistic and mulitfaceted, and Divinely given wisdom of the Torah, to develop a diet which promotes healthy digestion, absorption and elimination, makes one feel good, reduces cravings, and bring one gradually and gently to a weight which looks good and feels good. I want to add, parenthetically, that losing weight should not specifically be our goal, but rather to lose fat. Programs that emphasize weight loss generally cause patients to lose water weight, muscles mass and electrolytes (minerals that control water balance), and can create serious health problems including kidney failure.

The great 7th century CE Chinese physician and philosopher, Sun Si Miao wrote that the physician should "first treat with food and with modification of lifestyle. If this does not work then he should use acupuncture and herbs. Those who are ignorant about food can not hope to survive." This concept, that there is a vital connection between food and health is also espoused by the great 11th century Jewish scholar and doctor, Moses Maimonides, who prescribes balanced foods based upon their qualitative energetic properties, the parts of the body that they affect, and their flavors and temperatures.

Furthermore, the Torah views eating as a spiritual activity, not only affecting our bodies, but also impacting our emotions, thoughts and souls. The latest Biomedical research constantly reaffirms the role that food plays in affecting our moods, clarity of our thinking, and ability to concentrate. In Hilchos Deyos, chapter 3, The Rambam tells us that Man's ultimate purpose should be "to direct his heart to know G-d." Yet adds the Rambam, it is impossible, for one to connect to Ha-Shem, if one is hungry, sick or in pain! In the following chapter he gives us clear guidelines on how, what and when the Jew should eat. These ideas, then, contribute greatly to how we should begin to think about food, in the process of developing greater sensitivity.

Before we actually go into specifics of what each meal should look like, first,let us consider certain important rules:

1. Warm your body up for 15 minutes before eating each meal, by walking or exercising, making sure to breathe deeply, exhaling slowly.

2. Each meal must contain a balance of 40% protein, 40% carbohydrates, and 20% fats. By protein I mean free range-eggs (which should be poached, soft or hard boiled only), fish, chicken, other poultry, and on rare occasion, perhaps once a week, meat (preferrably organic or free-range, if available). Also some legumes such as peas, garbanzo beans, peanuts and soy are good sources of protein. Note, however, that I do not recommend soy products UNLESS, they are fermented (eg. miso, tofu and tempeh) and even then, only if one is certain that he is not sensitive to it as soy is highly reactive. By carbohydrates I mean cooked vegetables, (the only exception being celery, parsley, cilantro and sprouted grains, beans, and seeds, which may be eaten raw) whole grains and either a white organic aromatic rice like basmati or jasmine, white quinoa, or kasha (buckwheat). Also, with carbohydrates, be careful to limit those with high glycemic loads (carrots, potatoes, corn, rice, and grains) to one per meal. By fats, I mean avocados, oily nuts and nut butters like macadamias, cashews and almonds, sesame tehini, olives and coconuts.

3. Try to integrate some kind of naturally fermented food with each meal,(making sure that they do not contain sugar or preservatives!) such as sauerkraut, cured olives, pickles, miso ( but don't cook miso, as if will kill the good bacteria it contains. Instead, add miso to foods after cooking.) cultured coconut milk, or potentially (if there aren't any issues such as allergies, poor digestion, candida or other fungal infections) fermented raw goat milk or cheese.

4. Try to determine if you are allergic to any of the foods mentioned or recommended.
The most reactive foods are dairy, sugar, wheat, corn , nuts but especially peanuts, soy, eggs and the nightshade family (potatoes, peppers, tomatoes, eggplant and tobacco). Be suspicious of any of them if you have any allergic symptoms. See my website for symptoms of food sensitivity, and how to test yourself to determine sensitivies. Also consider salicylate sensitivity if you find yourself highly sensitive or reactive to your diet. Read about it at: www.feingold.org.

5. Even if you are not allergic to them, avoid dairy, raw vegetables (see above exceptions), cold drinks, cold foods, sugar, corn syrup, cocoa and chocolate, artificial sweeteners, colorings and flavorings, coffee, alcohol, fried foods, greasy food, and spicy foods, ESPECIALLY at night.

6. Eat breakfast like a prince (or princess), lunch like a king (or queen) and dinner like a prisoner, making the evening meal, the smallest of the day, and making sure to maintaining the proper balance of foods.

7. NEVER eat fruit or melon with any other type of food, and never eat fruit or other sweet foods at night. Fruits to especially avoid, unless you have a strong digestive tract, include oranges, apricots, peaches, and nectarines. Melons are particularly cold energetically and should never be eaten in the winter, when cold, or even with other fruits.

8. Make sure to drink 4-6 glasses of water daily, even if you're not thirsty, and with meals drink only enough to wash your meal down, in other words, as little as possible. Never drink straight fruit juice, always dilute with at least 1/3 water, and squeeze the juice from a 1/4 of a lemon into water each time you drink.  Also, never gulp down your water.  Sip it slowly, as drinking a large amount of water at one time can damage the digestive tract and make you more vulnerable dysbiosis, dampness and fungal infections.

9. Never multitask when eating. Chew your food well and eat slowly. Never eat when stressed or emotional. Be happy, and consider that you are engaged in a holy activity. Have in mind that you are distributing all the nutrition in the food to where it is needed in your body, as you eat, eating with awareness. Never walk around while eating. If you are healthy, eat until you are 3/4 full and then STOP! If you are not that healthy, consider stopping when you are half full.  If you eat slowly and are not multi-tasking, it will be easy for you to determine when you are approaching satiation.

10. Wait after eating a meal at least three hours before going to sleep.

11. If you've eaten a big meal, wait at least 15 minutes after eating before walking, and at least a half hour before exercising.

12. Never eat if you have to use the restroom, and never delay eliminating for any reason!

13. Eat warming foods in the winter and cooling foods in the summer.

14. Make sure to eat 3 meals every day. If you are not hungry or don't have a good appetite, 20 minutes before each meal either have one to two tubes of Po Chai (a chinese medicine that will stimulate appetite), or else have a cup of ginger/tangerine peel tea, prepared by taking 3 thin slices of ginger root, and the peel from a half a tangerine, dried in the oven until it's crisp, bringing it to a boil and cooking for 10 minutes.

15. Avoid eating cold desserts at the end of meals as they prevent heavy meals from being digested. Especially avoid cold fruit.


Sample Meals:

Upon waking, have a glass of energetic water: place a half-cup water in the fridge over night, and bring a second 1/2 cup water to a boil. mix the two halves together, and squeeze the juice from a 1/4 of a lemon into it.

if you are thirsty or weak, and don't have any problems with  blood sugar, consider have a fruit such as a pear, kiwi or 4-5 non-sorbate pitted prunes, that have soaked overnight (Don't drink the water that the dried prunes soaked in as it is loaded with sugar). If you are not feeling weak or thirsty, skip this.

Even a better alternative to have after your energetic water is to have a cup of green smoothie. In my vitamix I blend the following ingredients:  4 cups of water, 2 bananas, 2 pears, an oz. of liquid coconut oil, 6 strawberries,  a shpritz of Stevia, an oz of goji berries, and one handful of arugula, and one handful of a salad blend called "power to the greens" which I get from Trader Joes, here in LA.  This usually lasts around 3 days.

Also spread throughout the day, have six teaspoons of fresh wheat grass juice.

If you are taking Chinese herbs, have them now.

Breakfast:  have a whole grain cracker or bread (remember wheat and some other grains, soy and corn tends to be very allergic, so be mindful of how you feel and make sure that it doesn't contain sugar). Watch out for reactions such as gas, belching or bloating which may be signs of allergy, and if so, consider a different kind of whole grain cracker such as rye, spelt or kamut. Eat with it some kind of spread, such as almond butter, humous, techina, guacamole, eggplant, etc. As each meal should have protein, for breakfast a good choice might be free-range eggs, either poached, soft or hard boiled (don't eat scrambled eggs, omelets or eggs fried in oil ), fish, or even chicken, if you like it.  Remember, breakfast should be nourishing but not too big. After your meal, before you set out on your day, have a relaxing cup of a warming tea.  I like to mix 1 teabag of chamomile with 2 bags of Ruby Red Roibbos Chai (available from Trader Joes).

Lunch (largest meal): cooked vegetables or perhaps a hearty vegetable soup, chicken or turkey, and a grain such as white organic basmati rice, Bhutan red rice or kasha. A glass of cultured coconut milk.

Dinner: Again, cooked vegetables or soup, fish, 1/2 an avocado, again a grain, and a glass of cultured coconut milk.

Unless eaten for religious reasons such as on Shabbos, bread should only be eaten once a day, at breakfast. I would not recommend "Ezekiel Bread" because among other things, it contains soy. If you have issues with bloating, consider using a simple and non-reactive unleavened bread such as spelt matza as an alternative.

Make sure to season foods well with aromatic spices such as turmeric, cardamon, cumin, curry, cilantro, tarragon, basil, oregano, parsley, sage, rosemary, thyme, marjoram, lavender, and a little sea salt, garlic, onion, or ginger if you like them. A very nice herb blend that is available at health food stores called "Herbes de Province."

Different kinds of vinegars can be used based upon your constitution: If you tend to be irritable, and your digestion is weak, consider seasoning with apple cider vinegar which strengthens the Spleen and liver, sweet rice vinegar also strengthens the spleen, wine vinegar strengthens the lungs, and Japanese Umeboshi plum vinegar, which is available at health stores strengthens the Kidneys. (It has pleasant and distinct salty-sour flavor, and is a great salt-substitute. I would not recommend regular white vinegar.

Mid afternoon or evening snacks: Even though I said not to eat raw vegetables, an exception is celery, which you can have as a snack with peanut, almond or other nut butter, 1/2 avocado, a handful of nuts if you feel good when eating them, a whole grain cracker with a spread, sprouted beans, grains or nuts, and/or a cup of one of the herb teas that are recommended. Also, sprouted grains, beans and seeds are a nourishing and invigorating snack. Remember to not eat fruit mid-afternoon unless you will be eating your supper within an hour thereafter, and never eat fruit in the evening.

Do not nap mid-afternoon, if you have trouble sleeping at night, but remember that a 15 minute power nap in the daytime is equivalent to an hour at night.

Eat at proper intervals so you don't get too hungry or compromised.

Remember that Chinese Herbal medicines should be taken before meals to promote proper digestion and utilization (take either 30 min before and 60 min after meals).

Also, if you notice that you feel particularly heavy, bloated or tired after eating meat or animal protein, consider that your stomach may not produce adequate Hydrochloric acid necessary to digest it. If so, take supplemental Betaine Hydrochloride right before eating protein, and as your body moves toward greater balance, you will find that you will need less and less!

Other specific foods to include:

If Blood vacuous: chicken liver, tahini, beets, yams, celery, parsley, cilantro, canned tuna and sardines in water, and, of course, wheat grass juice, the highest food form of chlorophyll which is an analog for hemoglobin.

If Yin vacuous: gooey foods such as cooked vegetables, (again, yams are particularly good) almond and other pure nut butters, avocados, legumes like garbanzo beans, rice, string beans, kasha, etc.

Many people are iodine deficient, which affects the thyroid, the adrenals and fibrocystic breasts. One of the best ways to make sure to get adequate iodine is by adding seaweed (I recommend Wakame and Kombu as they contain good amounts of iodine) to your cooked vegetables or making soup with it.

good teas: Rooibos, black cumin seed, chamomile, and green tea (except in the winter, and unless you tend to feel cold, have cold feet or knees, or are Yang Vacuous)

Try different grains, as many of them tend to be allergic, so experiment. Best approach is keep it simple: one grain at a time, (eg. white organic basmati rice,red Bhutan rice, kasha, barley, spelt, oats, kamut, millet, sesame, amaranth, white quinoa, and teff) and see how you feel.

Instead of vegetable or canola oil, use cold or expeller pressed olive oil, sesame oil, almond oil, walnut oil or sunflower oil, and don't fry them on a hot flame. Make sure to refrigerate all oils except olive oil. Though one should never use margarine or butter, an acceptable alternative is Earth Balance Organic Coconut Spread.  Avoid other spreads as they usually contain dairy, corn or soy.

About Sweeteners:

Avoid sugar, all chemical artificial sweeteners (eg. aspartame, saccharine, sucralose and splenda) and ANY corn syrup or sweetener. Options to consider are Stevia (the best I have found is Kal Brand raw stevia powder), raw unpasteurized  organic honey, blackstrap molasses, xylitol, coconut sugar, sucanat or fruit juice. Syrups, such as rice syrup, barley malt syrup, date syrup, agave, or maple syrup, even if raw, are just too concentrated to healthily process.

All sugar alcohols, such as xylitol,  mannitol, sorbitol, erythritol and maltitol all can cause diarrhea, but of them xylitol besides tasting just like sugar, does have the benefit of preventing tooth decay.

Avoid preparing or storing foods in plastic wrap or soft plastic containers whenever possible. Don't warm up foods in a microwave oven.

A main goal in each of the areas of growth should always be to gain a greater awareness of ourselves. Two important clues should guide us in this pursuit: one, how we feel, and two, what our tongue looks like. If we make changes in our life, and we don't feel good, although it is entirely possible that we are having a Hexheimer's reaction or healing crisis, we can't assume that for sure. When in doubt, when you don't feel good upon making changes, contact your physician for guidance. Secondly, look at your tongue: ideally, it should be neither pale, nor red, nor purple but rather be pink, with a thin white coat throughout. It should be neither excessively moist, nor dry, it should neither have cracks nor be swollen, it should be neither long nor short, should be balanced and not veer to one side, and shouldn't quiver. Study your tongue, and if you notice any of the above signs, monitor them as you change the way you eat. Hopefully as you feel better, your tongue will look better. May eating always be looked at as a gift, as a holy yet thoroughly enjoyable activity, and never as burden or necessary evil. B'tayavon (Bon apetite)!

Monday, December 2, 2013

Thank you

Thank you all so very much! Many of you have written to me privately The Jewish sages tell us that we humans are indeed different than any other creation, and what makes us different? It is the gift that we are given of speech articulating from our mouths, taking our thoughts, some of which get stuck (the source of most psychological disorders) and bringing them out through our mouths. As  Rebbe Nachman says, this is connecting Chochma to Malchus.  Sometimes it's reflected in talking to each other with sensitivity and connectivity, sometimes it's expressed in personal prayer with our beloved Maker, sometimes it's crying, sometimes it's screaming, sometimes it's laughing, and sometimes it's simply singing or humming a melody.  But just as we are told that He created the world with power of speech so too we who are in His image, and are G-dly (and goodly) when we share, when we talk, when we thank and when we comfort.  I often read out loud written  sentiments that are sent to me for that very reason, and it is also for that reason that I don't have texting on my phone.  Again, thank you all for your sweetness and love. As Chana enriched, refined, changed and matured me (Chen Pi (aged tangerine peel)is less harsh than Qing Pi (immature tangerine peel), so too, at least for me, time and connecting has made life so much smoother and really very sweet (good for the spleen(the digestive function)!      

Friday, November 29, 2013

Further thoughts on aging

Dear Friends and Colleagues,

My musings of yesterday elicited a lot of warmth and friendship  to which I am deeply grateful, yet many thoughts were provoked  which, it is  clear to me,   I need to clarify more of, in terms of  what I do and the conclusions that I have come to.

First, as some of you have pointed out, there is much more to longevity and wellness than just eating right.  I really try to practice what I preach, and I encourage my patients to daily address six aspects of their lives:  what, how the amounts and when they eat, proper hydration, proper breathing, gentle stretching exercises, sleep in the right amount and at the right time, and nourishing the soul and mind with joyful, expanding activities (for me as a Jew that means learning Torah, particularly Chasidus).  I don't want to go into details here as to the specifics of these activities, but would be glad to answer any questions that you have concerning them.

Second, though I don't wish upon any of you the loss of a loved one, it's very important not to project what you "think" I feel or need when relating to me, or anyone else for that matter.  I want to share with you the following story which illustrates this point: A soon to be five year old's parents asked him what he wanted for his birthday.  Without hesitation he answered, "A bike!" So came along his birthday, and after the party, his parents excitedly told him to close his eyes as they walked him down the hall to his bedroom where they would bring him to his birthday present.  He opened his eyes and lo and behold, there in front of his was...A racing car bed set!  They were all excited, but he was crushed. They just didn't get it: We must always remember that  bestowing kindness is predicated on having the sensitivity to give what the recipient wants and needs, not what the bestower projects that he needs.  Many people have come up to me and have related to me solemnly, telling me how sorry they are about my loss.  I've had close friends and relative who have actually not called me at all, or have delayed calling me because, as they confessed, they just didn't know what to say.  Though I can't speak for anyone else, and as I said, I don't wish my experience on anyone else, I will tell you this:  for someone so raw as I still am, to act solemnly around me brings me down and makes me feel depressed.  That's the wrong thing to do.  The most important thing for me is to connect.  I feel enormously blessed to have had my Chana Fayge for 35 years, and I feel comforted and aware of her loving protection constantly.  I really feel that she and the many holy people I have connected with, alive or eternal, are looking out for me, and that makes me enormously happy and grateful.  And, as I said, I keep VERY busy.

Now to wheat grass juice and my nutrition in general:  Indeed, as some of you have pointed out wheatgrass juice is energetically cold, and for someone like me, who tends to be Yang vacuous, integrating wheatgrass juice certainly requires more of an explanation.

First, though,  I must  make several comments relative to the above: One,  upon reflection   I would add two more major contributing major  factors to aging and death:

 Particularly for men,  who by our very nature are physically, emotionally and spiritually more Yang than women,  a third major factor contributing to aging and death must be the increasing inability to warm the Yang. This can be seen in many ways.  Biochemistry clearly has noted, for example, lower levels of androgens in the aging male population.   This is just one of many examples.

A fourth major contributing factor to aging and death is conflict and discord.  This should not  be confused with stimulation or competition.  Rebbe Nachman of Breslov notes an amazing phenomenon, that there is no such thing as "neutrality," whether it be internationally, interpersonally or internally. The concept of detente or peaceful coexistance is a lie.  There can be only conflict or harmony.  Now that harmony can be tense complex and multi-faceted, but if must  based upon trust and integrity.  Otherwise it is disingenuous, dishonest and doomed to failure.  The great author, systems theorist, inventor and futurist, Buckminster Fuller coined the term "Tensegrity" (combining the words tension and integrity) to describe this very idea.  And this concept applies to all relationships, which flourish when there is dynamic energy and interaction.  (I work a lot with married couples, and as with Chana and myself, we each grew enormously because of the dynamic energy and trust that we worked on and developed.)  The Jewish sages tell us that the word for peace is the same word as perfection, and the definition thereof, is when two opposites are made to work together, harmoniously complementing each other.  The same applies internally.  What is the result of unresolved conflict that leads to discord? irritation and inflammation.  This can show itself on many levels, not just physically.  And when it does the result can be autoimmune disease, cancer, deterioration and death,  and the four cardinal signs of inflammation: redness, pain, heat and swelling are all manifestations of this unresolved conflict in the body.   More than two hundred years ago, Rebbe Nachman in the most brilliant macro and very non-Western perspective recognized that internal conflict of the body's organs, systems and structures is the root cause illness.

One other observation that I have noted, is the shocking lack of purpose and awareness in general that I have noticed with students of Chinese medicine and natural healing in the  way they eat.  It was astonishing to me as I attended both masters and doctoral programs to see the junk food that these future doctors, leaders and teachers of the sick were themselves ingesting.  Now in retrospect, a little bit older wiser and more tolerant, I understand why--and I can explain by presenting you with the following image:  imagine a cone. at the bottom it's wide and the higher it goes the narrower it gets. This cone really reflects what we can get away with in terms of what and how we eat.  When we are in our 20's most of us have the latitude to eat pretty much what we want without consequence. In our 30's a little less so, in our 40's a little less so.  Once we hit our 50's we had better wake up, because eating wrongly, even if we've eaten that way our whole lives will begin to cause us pain, suffering and illness.  And this latitude gets narrower and narrower as we age.  That's the down side.  But the good news is, if you DON'T cheat.  If you train yourself to eat ALWAYS in a manner in which you listen to your body and  put yourself  in touch with your body, not eating what you, specifically shouldn't  (of course also following the recommendations in the 2nd paragraph above) I believe that you can live happily and healthily well past 110.  The holy Jewish  sages, (Maimonides and others) by the way, tell us, that in the early days of mankind, when lifespans were enormously long, some longer than 900 years, not everyone lived such long lives.  Only the select people mentioned in  Genesis lived long, and specifically because of how they lived, ate, breathed and conducted themselves.  For us as we age, it's important that we think less about the pleasure that we give ourselves and more about the pleasure that we give others, our environment, and our Creator.

Now to wheatgrass juice and me:  So if I, as a 61 year old male also have to concern myself with my Yang, (as well as inheriting a weak digestive tract from my mother  and my father's father)  how can I ingest and benefit from something as cold as wheatgrass juice? (By the way, for those of you who are not familiar, at least here in LA, wheat grass juice is inexpensive and readily available. Virtually every health food store in my area has a wheat grass juicer.  They grow it on trays, cut it with a scissors while wearing disposable gloves, and juice it with a special juicer used only for wheat grass, so there is no issue with kashrus.  Generally the cost is somewhere around $2.00 for the first ounce, and $1.00 for each additional ounce.  I buy 3 ounces at a time spending under $10 per week.)

 The answer is that daily, three times a day, I take a number of Chinese herbal formulas in pill form, as well as drinking  thrice daily, home-made room temperature green smoothies (to which I add a spritz of Vietnamese cinnamon and ginger powder).  Again, I've grown to know my body quite well, knowing what I need, as well as how much of each medicine I need, and as such have developed a protocol (doses and elements of which I vary slightly based upon how I feel each day) which addresses the following issues:  mildly nourishing The Kidneys while also warming, nourishing and harmonizing the  Spleen and stomach Yang and Qi, draining dampness and dispelling cold.  Regulating the Middle Jiao Qi, eliminating food stagnation, and mildly moving the Liver Qi, and finally, mildly moving the blood, and  dissolving and dissipating phlegm and nodules, softening hardness.  Though this may sound overwhelming, it is important to know that this is for me, and though elements may apply to someone else, we all need to look within, train ourselves to filter out all the noise and distraction that pollutes our lives,  fine-tune our receivers and   become better listeners.

A practice that I engage in daily is to go to a quiet and natural place, and literally just talk, like a child talking to a loving parent or as one friend to another.  I start off by reviewing the past day, what I've done, even small things that I regret and could have done differently, articulating my regret and resolving to make the next day better. Then I say thank you for the enormous blessings that I have in my life, again out loud, and again, even for little things, because they too matter!  Finally, I acknowledge that I'm not so great, I don't really deserve anything that I've been given, but nonetheless, You, my Father, my Friend and my Lover, you are so good to me.  And if you could maybe give me such and such that I don't have,  I could really serve you better.

In terms of Mankind's ever-longing search for longevity, for the fountain of youth we must view this search with the right perspective.  This is a wonderful world in which we live.  This is the only world in which we can better ourselves and those that come into our sphere of influence by our actions. Our lives must be used to unselfishly love, give and expand ourselves, until we have truly completed what we were brought into this world for, our soul correction.  Perhaps there are those who can influence themselves, others and the world by going into a monastery, meditating and peacefully harmonizing themselves internally.  But this is not the Jewish way.  The Jewish way of longevity is to interact, to actively heal and to resolve conflict while maintaining individuality and integrity, not just getting along. It is the antithesis or being boring!

I have a lot yet to do, and G-d willing I hope to be around for quite some time. I look forward to sharing the ride together with you!

Thursday, November 28, 2013

Thoughts of Aging and What to Do About It.

Dear friends and colleagues,

As you may know, I lost the love of my life, my precious Chana Fayge a little over 2 months ago.  Thank G-d I've kept very busy with changes that I've made in my life (to help elevate her soul) and with my practice. We were blessed to know each other exactly 35 years, almost to the day.

I've also thought a lot about the 23 years that she suffered, what I did, and what I could have done. 

I want to share with you what I think is a remarkable observation that I have made, and which has changed my life.  Follow me carefully if you will:  As any student of Chinese medical theory and gerontology will tell you, to the best of my limited knowledge as a clinician, there are essentially two prevailing schools of thought as to what precipitates aging and the debilitation that accompanies it:   Blood Stasis and  Yin Vacuity. I would contend that they really are two manifestations of the same phenomenon.  Think about hemoglobin:  Hemoglobin is the iron containing and oxygen/Co2  transporting protein constituent of the red blood.  Amazingly hemoglobin makes up 97% of the dry weight of erythrocytes and over 1/3 of the total weight (counting H2O). Remember also, that we humans are over 2/3 water.   Now from a Western Biomedical perspective, there are any number of factors that we know contribute to aging, but certainly three such common contributing factors are malnutrition/malabsorption, dehydration and oxygen deprivation. These obviously have a major impact on the Blood and Yin, both in terms of volume and motility. 

So with that background in mind, I began to think: what can one do differently to nutritionally nourish the Yin and move the Blood.  Or to state it differently, what can one do to promote the production of healthy hemoglobin?

Then I remembered reading in Victoria Boutenko's book, "Green for Life" that chlorophyll is essentially an analog of hemoglobin, meaning that they're almost identical chemically.  And what food substance is the most concentrated form of chlorophyll?  Wheat grass juice.  

So I started drinking wheat grass juice, (and as a matter of fact, a half a dropper of wheat grass juice was the last food that Chana ingested before her passing) but there was a problem.  I was getting a little headachy and nauseous having it, and it tended to give me a little diarrhea.  I read that this is a typical Herxheimer die-off reaction, but I didn't buy that entirely.  Rather, I recalled yet one more interesting phenomenon of biochemistry: the Goldilocks principle when administering any medicinal substance: Too little will be ineffective, and too much will illicit a toxic reaction.  The dose has to be "just right!"

 So instead of taking small amounts, one or two ounces at a time, I started experimenting with much smaller doses: one teaspoon with each meal, and with each green smoothie (which I make myself), essentially ingesting 6 teaspoons or one ounce per day. (BTW, wheat grass juice is very volatile, must be refrigerated and should be used up within 3 days).  

The result is that I have no side effects whatsoever, and I feel like I have a new lease on life:  I have remarkable energy, I am clear-minded and  my vision has improved.  I am very aware of my intestinal motility (it's actually a pleasant sensation) and my elimination is efficient but not loose at all.  It's just very simply, a wonderful sense of feeling vibrant and alive, not slowing down and getting old.

Of course this is all anecdotal, but I wanted to share it with you for your consideration.


Friday, November 15, 2013

"Key" l'olam chasdo--For His kindness is endless

 For some unknown reason, when I was on the way to LAX (Los Angeles International Airport)  bringing my wife to her final resting place on Har Hazeisim, I brought along my keys, including one of my two electronic car keys.   Unfortunately, before I left Israel, I couldn't find my keys, but suspected that they fell behind a bookshelf in my grandchildren's room. I didn't really think about them much until last week,  but when I mentioned it to my son about a week about, he started looking for them, found them 2 days ago, and said that he would mail them to me.

Now yesteday afternoon., after a day of patients, I came home, had something to eat, walked down the alley to shul for  mincha, walked a few blocks to do two errands and then came home to go to my car to run a few errands for Shabbos. Though I did have my keys, and assumed that I also had my electronic car key, my Prius "did not detect" the presence of the key, so it obviously fell off. Anyway, I  retraced my steps first to shul, then to the fish store, then to the bank. No key.  I did some hisbodedus, happy that Hashem had given my this test and wondering what he was trying to teach me. I said the special segula to find a lost object, "Amar Reb Binyomin..."  and put aside tzedoko as a redemption, but. still no key. Then I remembered that my son was mailing me my other set of keys, and I realized that maybe Tatty (Dad) is telling me that I don't need to drive for a few days.  Who knows what would happen?   Also, it was a reminder of one of the 10 principles of Jewish medicine: He always creates the cure before the illness. 

I might yet find them, I dunno.  But whatever happens I know that Tatty gives me exactly what I need, and even in adversity, it could have been worse.  I find it compelling that my son and I just happened to speak of my keys earlier in the week and that the set in Israel were found, just before I lost my car key here. 

This morning, I realized when I woke up that it would be quite far for me to walk to Beis Yehuda (the shul where I have been davening for the last month each morning) so what should I do?  Then I remembered that when I came back from Israel, for the first two weeks I had walked each morning the 3 blocks to daven at the Mesivta, Rabbi Nechemia Langer's Yeshiva high school for some of the very best boys who had graduated from the Chasidishe Cheder.   The davening there is slow, intense, and enthusiastic. They also begin davening an hour earlier, than where I had been davening. I again realized, that  Hashem was talking to me, guiding me and directing me.  He knew that when I davened at Bais Yehuda, I was arriving late for my first patient.  He knew that my neshama needs to connect with a fiery and thoughtful davening rather than a rushed and mechanical davening which I wasn't keeping up with anyway.  So what did he do?  He woke me up by "guiding me" to lose my "key," and to remember my other "Key:" Key l'olam chasdo! 

   

Friday, May 31, 2013

My continuing Tikkun from Uman--8 months later




Those of you who follow my blog will recall that last September I had the life-changing opportunity to spend Rosh Hashana with Rebbe Nachman in Uman. 

http://traditionaljewishmedicine.blogspot.com/2012/09/an-uman-remembrance-300-am-friday.html
_______________________________________________________

As I reflect on the remarkable events that I am about to share with you, I realize now that this story actually begins four and a half months earlier, right after Lag Ba'omer.

B"H, a year ago, Lag Ba'omer, I merited to come again to Israel to participate in the third birthday celebration of my son Yechiel's second son, Dovid Matisyahu, by Rabi Shimon Bar Yochai in Meron.  It so happened, that on the way to Israel, I read a remarkable book entitled, "Escape From India," which details the larger than life story of an unfortunate fellow who is caught with drugs in the Mumbai airport, the living hell of his imprisonment as well as his transformation in prison as a true Baal Teshuva (penitent) and his remarkable and quite supernatural escape from the inescapable,  due to the pidyon nefesh (payment of ransom for his soul) that was accomplished through the efforts of a great Tzadik in Israel.  (This idea that when one suffers, particularly in the case of illness, a redemption is necessary to sweeten and mitigate any harsh Heavenly judgment, is addressed by Rebbe Nachman in Likutei Moharan Part II, lesson 3).

Quite intrigued by this concept of pidyon nefesh, when I arrived in Israel, I asked my son Yechiel if he knew who this tzadik was who accomplished this pidyon, and would I be able to meet him to perhaps accomplish a pidyon for my wife Chana--to which he smiled. When I asked him why he was smiling, he told me that his good friend was the brother of the chief gabbai (attendant) of the tzadik, Rav Eliezer Berland, and he would see what he could do, in the short time that I would be in Israel.

Truly guided by Hashem, doors opened seemingly by magic, and Monday after Lag Ba'omer, we were told to bring $1000 for the pidyon, and come to an address in Betar at a certain time to see Rav Berland.   Upon coming into his room, Rav Berland took the pidyon, but instead of speaking of Chana or giving me instructions, immediately gave me a number of vials of medicines, and commented very matter of fact but in his usual enthusiastic way, "take these medicines for your liver and you'll be just fine.  You see, when the blood vessels or the liver backs up, serious illness results.  Notice how your veins are protruding. This is because your liver is not working as it should.  But take the medicine and you'll be fine."    With that, his gabayim (attendants) began to scoot us out of the room. "But wait,"
I said.  "What about my wife and her seizures?  That's the reason why we came!"  To which Rav Berland took out four more medicines, quickly gave me specific instructions for her to take the medicines, and wished her a complete recovery.  Like a whirlwind, we left in a daze.  (I will say, by the way, that Chana is clearly better since taking Rav Berland's medicines, with her seizures now occurring, much, much less frequently than they had been for years previously.)

But what about me and what about my liver?  I never thought twice about it except that interestingly, 8 years earlier, while being worked on during a CranioSacral seminar, a therapist remarked that he had never seen a liver so hard and so stuck.

I should also note that while waiting in Rav Berland's entry room, we struck up a conversation with a wonderful fellow who happened to be the grandson of one of the great Breslov tzadikim of the previous generation, Harav Shmuel Shapiro, ZT"L.  Rav Yehuda Tzvi Shapiro mentioned that the previous week, the Spinker Rebbe from Brooklyn, happened to come to see Rav Berland.  The Spinker commented to him that Rav Berland's medicine was nothing but a cloak, and the real power of the medicine came from combinations, permutations and meditations on Hashem's holy names that Rav Berland "injected" into the medicines!  

Anyway, I took Rav Berland's medicine and really felt much clearer and stronger than before, but as I didn't change anything in my lifestyle, slowly, I returned to how things were before.
____________________________________________________

Fast forward again, to Erev Rosh Hashana in Uman

As I mentioned, I had the privilege of connecting with and treating a great tzaddik while there, as well as during a subsequent visit to Eretz Yisrael.

(When I saw the tzaddik some three months ago I asked him for a blessing for a safe and easy birth for my daughter in law, whose due date was June 6, and mentioned in passing that I would be coming to Eretz Yisrael for Lag Ba'omer again.  He immediately told me to change my ticket to be there for the bris mila.  As such, I changed it for the latest possible date,  arriving in Israel right before Shavuos, and staying for 2 weeks, which should have given enough time for me to be there for a simcha. But more on that later!)

As I mentioned in the uman blog, before treating the tzaddik  I went to  mikvah first, and then, after completing the treatment, headed back to my apartment, preparing to go to sleep, when I was suddenly taken by the strongest urge to go to Rebbe Nachman's tzion (tomb) and just talk to him.  It was the strangest thing: my whole life, whenever I daven, whenever I talk to Ha-Shem during hisbodedus (personal prayer), I invariably will speak about my family, my friends and my patients.  But this time,  I suddenly had an overwhelming need to talk about myself and how at age 60, though perhaps not recognizable to others, parts of me were beginning to not work as well as they used to.  So from 1:00 to 2:00 am, I went from head to toe sharing with Rebbe Nachman what I felt inside of myself.  Tears flowed from my eyes and the time just flew by, but when I finished I felt amazingly stronger and clearer minded, but I also seemed to hear inside of myself a  voice telling me, "you can have it, but you'll have to pay."

As I left the Tzion, I suddenly realized that my only towel was missing.  So back I went and from 2:15 till 2:30 am I scanned the benches and racks of the Uman mikvah,  unsuccessfully, looking for my towel. But then, as I was about to leave, this huge  Ukrainian guard, whose great-grandfather could easily have been one of the murderous Cossacks  suddenly bellowed out, "Meester!" and pointed to me to come to him. As I approached I became aware that next to him was a blind 20 something chassid who needed help going to the mikvah, and rather than being put out, I was thrilled that I was able to help this young man, at 2:30 in the morning, to get undressed, shower, go down the steps into the mikvah, help him out, help him to get dressed and walk him back to the the guard who awaited  him.  This I thought was my payment, and that what would follow would be  a year of new-found vigor.  Little did I realize, though, that my Uman mikvah incident was just a small down payment.

We all have our quirks. Ever since my college days, I have always loved the seductive quiet of the night.  I find that I think better and write better then.  But  this wonderful clear mindedness also causes me to lose track of time, and so, on a nightly basis,  needing to finish whatever project I happen to be working on, I invariably find myself staying up late, sometimes very, very late:  on an early night, until 2:30 am!  How is someone able keep it up:  Staying up so  late, and then being able to function the next day, let alone going to minyan?   Well, truth be told, I haven't always, and  what I have been able to do I wouldn't have been able to were it not for the Chinese herbs and Qi Gong exercises that  I essentially have used for the past decade to keep myself from collapsing. 

One would think,  as an intelligent person, that I would start to get it:  My eyes have become much more tired and my vision less clear,  my body in general, but my shoulders especially have become more achy,  and my ribs have increasingly become more sore and tense. But instead of looking within and stopping, I have just kept going (Were it not for Shabbos, I certainly would have collapsed sooner!).  That was until a month ago.  

Shortly after Lag Ba'omer, the generalized achiness became dramatically worse, first manifesting as chills, and then exploding as septicemia (blood poisoning) and cellulitis in my right leg.  All this occurred, mind you, as I am preparing to leave for a two week trip to Israel to spend Shavuos with our son, and hopefully, celebrate the birth and bris that I spoke of earlier. My intentions were to come as a proud Zeyde and doctor, b'malchus (as an aristocrat) as one who has accomplished much.  Even the night before traveling, I still didn't get it, and stayed up to take care of paperwork, packing and organizing late into the night.  The result?  Now in addition to the achiness and chills, I came down with the stomach flu, and had Hashem not sent a bathroom as I was walking towards the departure gate, I don't know if I would have been able to fly.

Finally Thursday morning, I arrived at Ben Gurion airport, rented a brand new Mazda, and headed straight to my children in Elad. I  took my herbs, and then out of sheer exhaustion, collapsed, and slept all day.  When I finally awoke, in the late afternoon, in addition  to my stomach feeling queasy, the chills and my right leg being still quite red, though the swelling was significantly reduced,  my lymph nodes were now swollen and in addition to all of the above, I now had lymphadenitis and sinusitis.  So with the exception of Shabbos, most  the next 4 days until Shavuos I spent in bed to the complete bewilderment of our little ones, ages 5, 3 3/4, and 2 1/2.

One small glimmer of light I would like to share with you in the midst of all this darkness:  B"H, Erev Shabbos I was able to drag myself to mikvah, and then, to the delight of Shimmy and Dudy (Yechiel's first two boys: Shimon and Dovid Matisyahu), I drove them in my car to the Breslover Shteibel before Shabbos.  And though I did drag myself to Shul Shabbos morning and again for Mincha/Shalosh Seudos, most of the time I was sitting  with my head down on the table.  After Shabbos, I was approached by one of the many holy Jews that daven at Breslov with Yechiel.  A mekubal and a sofer (scribe) he gave me a holy Kamaiya (amulet) with many combinations and permutations of Hashem's holy names to wear, but to make sure to return it before I left Israel.  I was also instructed to double wrap it in plastic and cover it to protect it from unholy influences.  Interestingly, within a day after placing it in my pocket, the nose piece of my glasses broke.  I don't think that this was just a coincidence.   In retrospect, I truly believe that the Kamaiya also had a major influence in my recovery.  

After Shabbos, though, I was back in bed where I pretty much remained, sweating, tossing and turning  until Shavuos.  

I really wanted to stay up all night Shavuous, and B"H, though my mind was foggy I did manage to go with my son, Yechiel,  to the Breslover Shteibel to say the Tikkun Leil Shavuous.  Around 3:30 am, Yechiel noticed that I was looking weak and dozing off, so he asked me if I'd like a cup of coffee.  Mind you, I hadn't drunk coffee for well over 5 years, and though hesitant, (knowing that besides being a tonic and a stimulant, coffee is also a mild purgative and a diuretic) I agreed to a weak cup of coffee.  Everything seemed OK for about a half hour, but then, as I went to the  mikvah to immerse myself to connect the night to the day in purity, as I walked the 4 or so blocks to the mikvah horrible cramps got worse and worse until, by the time I reached the Mikvah, I was doubled over in pain desperately needing a bathroom.  But this time, what came out was blood and pus mixed with stool--dysentery!  Somehow, I managed to immerse and Hashem even provided me an unexpected shortcut back to Breslov (I mistakenly thought that Breslov was on Rechov Rabbi Akiva, and intuitively I followed that street which led me right to the shortcut--actually the Breslover steibel is on Rechov Hillel!  Yet one more gesture of Hashem's amazing mercy!) I don't know how I did it, but I made it back to shul, davened shacharis at dawn and, doubled over in pain made it the 6 blocks back to Yechiel's apartment on Rechov Yehuda Hanasi. Arriving home, again, I took my herbs, went right to sleep, and woke up late afternoon, drenched in sweat and coughing spasmodically, bring up thick yellow phlegm, and almost aspirating my lungs from the intensity of the coughing.  Pneumonia!  Now, I could no longer lie down, for every time I would lie on my sides or back I would break into more spasmodic coughing, and so for the balance of the two weeks that I was in Israel, I slept sitting up on the living room couch, getting an average of 3 hours sleep a night, and a couple of more hours during the day.  Yom tov Sheni (the 2nd day of the holiday celebrated by Jews living abroad) Friday and Shabbos, were spent pretty much in a daze, dozing on and off, and taking my herbs, and though I really tried to participate in the Shabbos meals, my appetite was poor.

I want to tell you two stories now: One from Rebbe Nachman and one that happened to me.

Rebbe Nachman begins his famous story of the Seven Beggars with the following introduction:  "There once was a king who had an only son.  The king wanted to give over his kingdom to his son during his lifetime.  On the day of the coronation, the king made a great ball.  Whenever the king makes a ball there is great rejoicing, but now, when the king was giving over the kingdom to his son during his lifetime, the rejoicing was immense.  All the royal ministers, dukes, and officials were there and they rejoiced greatly at the feast.  Everyone in the land was also pleased by this.  It was a great historic event that the king was giving over his kingdom to his son during his lifetime, and there was great rejoicing.  There were all sorts of entertainment at the ball, including bands, comedians and the like; everything to make people rejoice.  When the rejoicing reached its peak the king stood up and said to his son: "I am an expert in astrology, and I see in the stars that you are destined to lose your kingdom.  When you lose power be careful not to become depressed; you must remain joyful.  If you are happy, then I will also be happy.  But if  you become sad, then I will still be happy--because you are no longer king.  if you are not able to remain happy when you lose your royal power, then you are not fit to be a king.  But if you remain happy, then I will be extremely happy."

Shortly after Lag Baomer, I was scheduled to see a patient on a Wednesday afternoon at 1:30 pm.  As the patient hadn't yet arrived, I went to the hall outside of my office to get something.  There, in front of me were two distinguished looking chasidic Jews who asked if I could give them a few minutes.  I told them that it was impossible, as I had a patient arriving any moment for an appointment.  During this interaction, suddenly the phone rang, and it was my patient running about 20 minutes late.  There are no coincidences, right?  Obviously, Hashem was guiding things and wanted me to welcome these guests, so I escorted them into my office and it turned out that  they were the principal and spiritual guide of the Breslover Cheder in Jerusalem.  Clearly, Rebbe Nachman was speaking to me again.  Seeing the obvious Divine involvement, I arranged some connections for them, introducing them to members of the community, as well as Shabbos and a parlor meeting.
When they came to LA, they knew almost no one, but now, B"H, Breslov Yerushalayim had a toe-hold.  


This set the stage for my trip to Israel:  When they heard I was coming to Israel, they went out of their way to meet me at the airport (at 6 am!) and invited me to come see the Breslover Cheder as well as Rebbe Nachman's chair which was smuggled into Israel and reassembled there.  Finally, Sunday afternoon, still doubled over in pain, Yechiel and I drove to Meah Shearim.  Limping from our parked car on Rechov Shomrei Emunim to Breslov,  the two blocks felt like ten miles.  Someone seeing me might have thought that I was in my 80s!  But like balm for the neshama (soul) we had the opportunity to view three classes in the Breslover Cheder.  In each class, I was given a mesechta (tractate) of the mishnayos they were learning and told to choose an arbitrary perek (chapter) and mishna. To my surprise, in each class, in beautiful harmony, the boys would sing the words of the mishna flawlessly (and with complete understanding) to different Breslover niggunim. The intensity and love that was invested into their chinuch (education) was obvious.

After mincha which I davened next door, at Toldos Avrohom Yitzchok, I went back to the Breslover Bais Hamidrash, set up a chair and table, and sat in front of Rebbe Nachman's chair, saying vidui (confession).  I was told that the great Lelover Rebbe, Reb Moshe Mordechai, used to daily come by and kiss the chair.  Our sages tell us that objects merely used by Tzadikim a quality of holiness which the great can discern.  Certainly, that would be the case with the very chair used by Rebbe Nachman, himself.  Though different than the sensations that I felt in Uman, putting my head down in front of the Rebbe's chair, I certainly felt its impact.  

Still very weak and very much in pain, we next drove to Gush Shmonim, to the Bais Hamidrash of the great mekubal and tzadik Rav Itche Meir Morganstern.  Rav Morganstern has written extensively about the halachic ramifications of alternative medicine, and I was fortunately able to ask him a specific question about my practice.  Those interested in finding out more should definitely purchase his annual voluminous text of issues and questions both in revealed and hidden aspects of the Torah entitled "Yam Hachochma".

From there, as it turned out, the great self-effacing Tzadik, Rav Nissan Dovid Kivak was making a bar mitzva for his grandson in Brachfeld (near Modi'in).  A little background about Rav Kivak:(Unlike other prominent figures in the Breslov movement, very little has been written about Rav Kivak, so what follows is based upon my experiences or what I've heard from others.  A native New Yorker, from what I understand, Rav Kivak learned in Yeshivos Tiferes Yerushalayim and Torah V'da'as, and received smicha (ordination) at age 16. Harav Moshe Feinstein was has mesader kiddushin.  As a young man he was the chavrusa of the present Skverer Rebbe, Shlit"a.  But drawn to the the writings of Rebbe Nachman and the charismatic leadership of Rav Eliezer Shlomo Schick, at age 19,  Rav Kivak moved to Israel. Rav Schick recognized Rav Kivak's greatness, and groomed him to be his right-hand man, but for whatever reason, they had a falling out, and Rav Kivak quietly moved to the new community of Kiryat Belz in Jerusalem.  As the story has it, as the Belzer Rebbe, shlit"a was building his magnificent community, he ran out of money and get extremely depressed.  One of his Chasidim knew of Rav Kivak, and convinced the Rebbe to speak with him.  In the Breslov tradition, Rav Kivak encouraged the Belzer to not give up, and it was this strengthening which provided the boost to allow the Belzer Rebbe to complete Kiryat Belz.  Slowly and gradually Rav Kivak has develop quite a large following. My first experience with him was 5 or so years ago, on Rebbe Nachman's yahrtzeit.  Quite in a state of ecstasy,my son Yechiel encouraged me to approach Rav Kivak to give him "Sholom," but warned me that  he probably would not engage me in conversation, and that under no circumstances should I refer to him with any title of honor.  To my surprise, Rav Kivak started asking me all about my medicine, and for a half hour, with people dancing all around, we engaged each other in conversation--until I made the mistake, when he asked me if I could treat back problems, of answering, "it would be my pleasure to treat the Rov"--to which he bolted away from me, screaming, "what's this talk about rabbis?" and that was it.  Subsequent to that, on multiple occasions, I have attended his shiurim, which are magnificent, and reach straight to the heart or each listener.  Rav Kivak as part of his presentation, actually makes fun of "Rebbes," mimicking their aristocratic and regal mores, promoting humility, honesty and optimism.  Yet, on Rosh Hashana night, in Uman, well over an hour after davening was finished in the large Kloiz, Rav Kivak was still immersed in prayer, like nothing I'd ever seen before.

So now, at his grandson's bar mitzva, all of a sudden Rav Kivak called me over and had me sit next to him.  After a while, he said, "let's go outside and talk," and for a good half hour, I gave over to him all that I had gone through since Uman.  All the while he listened quietly.  After I finished, in classic New York English, Rav Kivak told me, "Forget about it, man, and don't think about it any more.  You've go so much!  You've got Shabbos.  You've got the Rebbe.  You've got your beautiful family.  Just forget about what happened and focus on all that you have.  Be happy and grateful, and just move on."  With that we returned upstairs and still in pain, but slightly less, I davened with Rav Kivak and his followers ma'ariv, finally arriving home at around 1:30 am.

The next day, Monday I woke up late, moving very slowly--coughing, weak, and very much still feeling under attack.  I didn't have the time or strength to go to the Kosel (western wall), I had very much wanted to visit my elderly cousin who lived in the south, but I just didn't have the strength, but before I left, I knew that I needed to go to Meron and the shrine of Rabbi Shimon Bar Yochai, as well as to go to Tzfas, visit my granddaughter Rochel who was learning there, and go into the mikva of the Holy Arizal as well as daven by his and his rebbe the Ramak's graves. On the way, I intuitively thought it wise to add Yechiel as an additional driver on my rental car, a decision which turned out to be quite wise.  But once we got to Tzfat, I just didn't have the strength to go down the stairs to the  cemetery and the mikva, so Yechiel acted as my emissary After waiting for him, we proceeded to Meron.  

Meron felt very different, and after Davening Ma'ariv by Rebbe Shimon, I put the need to put my head down, and close my eyes.  I suddenly broke into a deep sweat, and again, heard that voice that I had heard originally in Uman which told me, "You can have it, but you have to pay the price!" This time though, the message was different: "All that you suffered until now is your tikkun.  You've learned your lesson, and now you will get better and will have a healthy and vigorous life.  But don't repeat the mistakes of your last 40 years.  Don't stay up so late.  You know what you've done, and you know that each aveira creates a prosecuting, malevolent angel.  I've waited patiently for you to get it, but you haven't gotten it. So now they are cleansing you, and if you're smart,  that will be the end of your suffering. But be happy and know that this is for your benefit.  The proof will be that no one in your family will get sick despite all the coughing, and phlegm and sickness.  This is your personal tikkun."  So I left Rabbi Shimon, and had much to think about as I drove home.

The next day with my daughter in law, Rivka, still not having given birth, I took the family to Ikea in Natanya, where they had a lovely amusement park inside the store which the boys loved.  At Ikea, the very expectant mom, was able to buy all kinds of different odds and ends to help feather her nest in anticipation of the coming event.

It was wise indeed, that I added Yechiel as an additional driver, and the wisdom become more apparent with the days.  I don't think I would have made my flight, had he not driven me, but I did.  Again, I thought that I had everything well planned out: and I flew business class direct from Berlin to LA.  But what a flight--the whole 16 hours for the most part, I was coughing, hacking and miserable, able to sleep very little.   

Ten hours after arriving home in LA, Yechiel called to tell me that they were on the way to Maayonei Hayeshua hospital in Bnei Brak, and two hours later he again called me to daven as the labor was seemingly stuck.  As I have done before, I enlisted the help of the Ramak who speaks about Bina giving birth to Tiferes, but the importance of involving Chesed to transform any harsh Judgments (Gevura). B"H within 15 minutes, I again received the wonderful news that we had a new baby boy! 

Over the next week, the car was indispensable, allowing Rivka to comfortably get to the hospital, for Yechiel to buy all the necessities for the Shalom Zocher in Bnei Brak by the Biala Rebbe, Shlit"a, to bring Rivka home with their new package, and of course to plan the bris.  

B"H I was able to participate at the bris nonetheless, as my granddaughter Rochel, my grandson Dovid and my daughter Ariella all have I-phones.  Preparing myself, I learned the passages from the Zohar, just as if I were there, and orally invited Eliyahu Hanavi (the Prophet Elijah), the angel of the Bris to join us in Elad, as well as here in Southern California to heal all the members of our family. (Our wonderful assistant, Connie Wiggins, tells me that though Chana Slept through the Bris, nonetheless, this morning, my Chana seemed different, like she'd gone through some kind of medical procedure!

 At 2:30 in the morning, not knowing even if the mikvah had water in it, I went to the shul down the alley from me.  Not only was the mikvah full, but the water was warm and inviting, and I felt my prayers connected on high with each immersion, as I invited the many tzadikim who I had connected with to join us for the bris.   

The bris began a little after 3:00 am, and Rav Morganstern was the Sandek (godfather), who held the baby, gave the blessings and announced the name.  Our new grandson's name?  Aharon Nosson, named for two great self-effacing tzadikim: Rav Aharon Strashelye, the main student of the Baal Hatanya (the Alter Rebbe of Chabad), and, of course, Rav Nosson of Breslov. 

The bris took place Thursday afternoon in Israel (Early Friday morning here) and now, Motzei Shabbos, I feel like a different person.  I absolutely believe that Eliyahu Hanavi was present at the bris as well as here, at 321 1/2 N. Genesee, in LA.  I am much, much better now. I feel that the illness is about 90% gone and I'm close to 80% back to my full strength.  During this process I lost 16 lbs, but over Shabbos, gained back two lbs and now weigh what  I did when I graduated high school.  But more importantly, my neshama (soul) feel clean. Though I was too weak and tired to go to Shul this morning, I went for Mincha this afternoon, and merited to go to Mikvah before Davening, as well as getting an aliya and making a misheberach (a blessing) for my daughter-in-law Rivka as well as for Aharon Nosson that they should have speedy and complete healings.  (Our sages tell us that the third day after a bris is the most difficult, so the timing was definitely opportune).  

When I went to Israel I thought that I knew what Malchus (Royalty) was, but what I really learned and integrated is that Malchus is not about me or my plans, but rather it is about feeling the absolute joy of being the King's son, constantly being honest with myself and judging myself carefully each day, seeing the good in all that befalls me, and knowing that everything that happens to me is a loving gift and reminder of what I need to know and reflect on, and even more importantly, what I need to do.

B"H, I continue to get stronger.  This amazing experience has enabled me to better understand the Chinese concepts of Wei Qi (superficial or defensive vitality) and Ying Qi (nutritive vitality).  I find that I now feel stronger than I have in many, maybe perhaps 30 years, and for the most part, that which attacked me is for the most part gone.  Nonetheless, the process of filling in the vacuity, and strengthening me from within I see as a much slower process.  During this process, when I have stayed up later, I've felt it quite dramatically the next day.  Yet, when I've acted prudently, I've felt remarkably stronger from deep inside.  Saturday evening, June 8, I celebrated  a  Seudas Hoda'ah (meal of Thanksgiving), to express my gratitude to Hashem and the tzadikim for giving me a second chance to live.  It was especially auspicious in that it also coincided with Seudas Malava Malka (The mystical meal of King David escorting out Shabbos) as well as a Seudas Rosh Chodesh (A meal honoring the beginning of the Lunar month of Tamuz, my birthday month 61 years ago).


With Hashem's help, I pray that I have the wisdom to have learned from my mistakes, and make the most of this second chance.