etiology pathogenesis and treatment of Dementia and Alzheimer's

This past weekend I attended a seminar given by the  Upledger institute  on Craniosacral Therapy of Longevity and Reversal of the Aging Process.  On the first day, the presenter made a statement that deeply moved me, and is prompting me to get unstuck, change the topic of my Capstone dissertation and complete my DAOM.  He stated that research has shown that 40% of Alzheimer's patients coincidentally suffer from diabetes and many others from other inflammatory diseases and processes.  By promoting the production and flow of cerebral spinal fluid (CSF), CranioSacral therapists have (validated by published studies one of which was a pilot study that the presenter conducted funded by the NIH) demonstrated a reversal of Alzheimer's symptoms. The presenter was Michael Morgan, LMT CST-D.   Based upon his conversations and studies with the late John Upledger, DO,  he theorized that inflammatory "hot spots" in the body caused by any number of  precipitants such as diabetes, musculo-skeletal diseases,  cardiovascular disease, digestive dysfunction, cancer and chemo and radiation treatments, and the sequela of surgery and medications among others causes, connect over time, accelerate the inflammatory response, percolate upward (inflammation involves heat, and heat rises upward in the body, right?) and compromise and cross the Blood Brain Barrier leading to Dementia and Alzheimer's.  It seemed to me that this complements beautifully the  two theories of aging that I am aware of in Chinese medical theory--those of Blood Stasis and depletion of  Yin manifesting as severe Yin and Jing Vacuity, for what is the CSF if not a form of Yin and Blood?  

My idea is, therefore, to explore these and other theories of aging in the Chinese Medical literature, come up with an anti-inflammatory treatment protocol, and perhaps even conduct a study to determine its efficacy in the diminution of symptoms. 

If anyone can direct me to specific additional research or studies that would support this premise I would be very grateful.     

Kehillas Chasidei Breslov d'Los Angeles

Dear Friends,

B'Chasdei Ha-Shem we had 3 wonderful Shabbosim together, but for at least this Shabbos we will  be meeting neither Friday afternoon nor Shabbos for mincha, as far as I know.

Let me share with you the 5 remarkable criteria that were the basis of our  minyan, and why this week we won't be meeting (and BTW, special thanks  to our friend and comrade Seth Merewitz for the inspiration and our meaningful exchange).

1. Achdus(unity)-This is everyone's minyan,  such that we would hope that each person would take initiative and feel a pride of ownership, working to spread the word, and feeling that we all  share our  davening and  activities with caring friends, and with a vision of forming a community.
2. Leibedickeit(warmth and spirit)- Everyone feels a warm spiritual lift from the avoda that brings us all together,  and  this is expressed with singing and dancing at appropriate times.
3. Kevod b'vais ha-tefila(decorum)-Together with these expressions of inclusiveness and expansiveness (hispashtus as an expression of Chesed) we also feel an awe of being  in a holy place, a house of prayer, with our behavior reflecting this awareness.
 4. Iyun tefila(prayer as reflection)-Davening is a thoughtful opportunity and not a mechanical obligation which one wants to get over with.
 5. Learning Breslover Chasidis- There is nothing like learning Rebbe Nachman's toras inside to speak to our inner depths, especially on Shabbos, and even more so with a community of friends.

I don't know about you, but these five principles really resonate with me and really made for amazing Shabbosim.  So what went wrong?  As a Breslover, one must answer emphatically, NOTHING and recognize the sweetness in everything that comes our way!  Yet one must also listen carefully to the hevel halev, that small inner voice which lovingly and carefully guides us  towards refinement and completing our tasks in this world.

The truth is that each of the 3 weeks our numbers dwindled for a number of reasons: Some people felt uncomfortable leaving their established minyanim, some felt that it was just too far, some just weren't prepared to make a firm weekly commitment, and some just didn't like the idea of learning before davening and davening slowly and thoughtfully.

But whatever the reasons, without a solid core, to put the minyan together becomes a burden on just one or two people rather than a group project which it needed to be to succeed.
 
That being said, personally, BE"H  I will continue bringing in Shabbos early and will continue learning Likutei Moraran each week at Congregation Tifereth Tzvi on Beverly Blvd 15 minutes before candle lighting time. Anyone is welcome to join me, this week at 4:25 pm

With much gratitude to Rabbi Huttler, president Phil Yankofsky and the congregants of Etz Jacob for the warmth and hospitality.  May you and all your loved ones be blessed with abundance, good health  and  harchavas  hada'as  (a  breadth  of  knowledge  to  always recognize what will please Ha-Shem).

Much simcha and brocho,


Yidel

An Uman Remembrance: 3:00 AM Friday Morning

I returned two  nights ago from Rosh Hashana in Uman, Ukraine spent basking in the light of Rebbe Nachman. Words give but a small glimpse of the transcendental and transformational intensity of the week that  I spent there, in therapy with 55,000 fellow Jews.  I want to share with you just  one of many amazing remembrances from the trip:

I was blessed to connect closely with some of the highest souls in the world, and even merited to treat one of them on numerous occasions. B"H the tzadik that I treated said that he now has much more energy and feels remarkably better.  Anyway, the  night before I first treating him, I chose to go to the mikvah first, and completed  the treatment at about 12:45 at night.  It that  point I headed for my apartment, but as I sat down to say Shema and prepare for bed, I suddenly had this strong urge to go to Rebbe Nachman's tzion (tomb) and just talk to him.  It's funny, that invariably, when I daven, when I talk to Ha-Shem during hisbodedus (personal prayer), I invariably will speak about my family, my friends and my patients.  But this time, it was the wierdest thing, I suddenly had this overwhelming need to talk about myself and how at age 60, though perhaps others may not recognize it,  parts of me are beginning to not work as well as they used to.  So from 1:00 to 2:00 am, I started going 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 small voice tell me, "you can have it, but you'll have to pay."

As I left the Tzion, I suddenly realized that my only towel that I had brought with me to the mikvah, I no longer had.  So from 2:15 till 2:30 am I scanned the benches and racks in the Uman mikvah,  unsuccessfully, looking for my towel.  As I was about to leave,  one of the Ukrainian guards, 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 chasid 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 out to the the guard that awaited  him. 

So at 3:00 am I again found myself walking back in the cold of the Ukrainian autumn,  to my dormatory-like apartment (shared by 24 fellow travelers) feeling strong and incredibly invigorated, and profoundly grateful for having been given by Rebbe Nachman, the opportunity to "pay" in such a sublime way for the gift that was bestowed upon me.  Oh, and  my towel? It was right where I left it, at the tzadik's house waiting for me, right where left it.

Jewish dietary laws relative to Chinese Medicinal Substances

The  great medieval Jewish philosopher, scholar and physician Moses Maimonides (also known as The Rambam),  teaches in his magnum opus on Jewish law The Mishnah Torah,  that  physical pleasure  should be viewed as a  Divine gift, and  when  partaken in a permissible manner is both sanctified  and elevated  through  awareness and  practice.  This is the meaning, The Rambam says, of the verse in Proverbs (3:6)  "Know Him in all your ways, and He will straighten your paths." How though can mortal Man begin to know which pleasures and foods are permissible and which are not?   To answer this question, the observant Jew turns to the Torah, which is made up of the Written  (The Pentateuch) and Oral (The Talmud) laws, and encompasses both the revealed and mystical traditions for guidance.     

In Leviticus, the Torah explicitly lists which animals are  permitted to be eaten and which are not. According to the Jewish mystical tradition, one reason why the Torah restricted certain foods,  was because food is viewed as spiritually potent, and just as certain medicines can nurture one's Divine spiritual connectedness, so to, other foods can contribute to a spiritual dullness and physicality.    To understand this idea, the Midrash Tanchuma brings the following parable:

"A physician went to visit two patients. He saw that one of them was in mortal danger, therefore instructing the members of his household to, 'give him whatever he asks for.' He saw that the other was destined to live and said to them, 'He may eat such and such food, but may not eat other specific foods.' They asked him, 'Please explain why you say that the first person may eat any food he asks for while the second you say may not eat certain foods?"

The physician answered, "Concerning the one destined to live I said, "this eat and this you may not eat." But regarding the one destined to die I told them," Give him whatever he asks for, for he is destined to die anyway."

So, too, the Holy One Blessed be He, allowed idol-worshipers  to eat swarming and creeping thing. but  Israel who is destined to Life Eternal, he  told , "Be holy for I am holy," so don't make your souls abhorrent."

Beside the spiritual benefit that this Midrash addresses, it is interesting to note that many 
non-observant  Jews as well as non-jews, as well, often go out of their way to buy kosher meat and food products, in the belief that they are healthier and of  better quality. But is it so?

This issue is actually debated by the great medieval Jewish commentators.

The Rambam, explains in his Guide to the Perplexed (3:48), that  "It is not the signs of a kosher animal which make it kosher, nor the signs of the non-kosher animal that make it non-kosher. These signs only serve to indicate which animals are permitted and which are forbidden. Rather, the reason that forbidden animals and fish do not have these signs is because they damage people's health. G-d knows of the injury that forbidden foods cause to man."

The Spanish commentator Abravanel, on the other hand, says, "Far be it from me to believe this, for then the Torah given by G-d is no more than a minor medical treatise, and this is not in keeping with its holiness and eternity. In addition, we ourselves see that other nations do eat these forbidden foods, and they not in any way affect their health. In addition, if the reasons were medical, then there would also be various plants which are harmful, yet the Torah does not forbid them...therefore, the Torah prohibits the consumption of non-kosher foods because of spiritual destructive effects that they have on a person's soul."

This approach  seems to be consistent with the Gemara (Yoma 39a), which learns that the word "venitmeitem" (and you will become contaminated) Vayikra(11:43) also includes "venitamtem" meaning to be spiritually blocked.  Rashi explains that this means becoming insensitive to the entire Torah experience. With respect to the eating of forbidden foods,the Sefer Hachinuch (Mitzva 73) notes that the harm caused by eating these foods is not physical. Rather they prevent a person from being able to 'tune-in' to the A-lmighty, His Creation and His Commandments - and to reach a higher spiritual level.  For that reason the Rama rules that it is forbidden to give small children non-kosher foods (Yoreh Deah 81:7).

But what of non-kosher foods and medicines ingested not for nutrition or pleasure, but rather for purely medicinal reasons? Would they be permitted to be used internally?  It is interesting to note, that  in  both the Chinese Materia Medica and pharmacopeia as well as  The Rambam's Glossary of Drug Names, though most,  perhaps  90% of the substances used do come from the vegetable kingdom, some most definitely are of   mineral and animal sources.  

 In all cases, when preparing formulas or prescribing medicines,  the Jewish observant practitioner needs to consider the following  questions:

1.   What is the degree of prohibited severity in  each substance considered, assuming that it would be used culinarily? The most severe prohibition involves ingesting insects (including their shells) and reptiles, followed by edible parts of non-kosher animals, animals not slaughtered in a kosher manner, prohibited  parts of kosher animals (ie. the sciatic nerve), non-kosher sea animals, and finally inedible parts of animals and inedible shells.With this in mind,  whenever possible one should display the greatest degree of care when considering the use of prohibited substances, even for medicine. A practical example of this would be the medicinal use of Quan Xie (scorpion) or Wu Gong (centipede) in the treatment of neurological conditions such as Parkinson's or Seizures.  When indicated, these should be taken  in capsule form and prepared with vegicaps.   

2.   Are the substances of animal origin  clearly inedible or bitter including such substances as sea shells, snake skins, and bear bile,  or are they edible or pleasant tasting? 

In my practice of traditional Jewish and Chinese medicine, I avoid using non-kosher ingredients in the preparation of formulas or the prescription of medicines in powdered or pill form, unless I am unable to achieve the desired effect or result without including them (for example, in cases of infertility, potentially life threatening illnesses or conditions, or conditions that seriously compromise a patient's quality of life), and when faced with the decision to  use these substances, whenever possible I will try to use substances whose prohibition is less severe and which are inedible.  That being said though, it is interesting to note that there is a section in the laws of blessings in the Code of Jewish Law, The Shulchan Aruch (Orech Chayim 204:8,9), that clearly states that if a non-kosher substance or medicine is used for medicinal purposes and it has a pleasant flavor, that one actually makes a blessing on it.

The bottom line, of course, is that the Jewish observant physician needs to consult with a recognized and competent Orthodox Rabbinic authority whenever in doubt, and needs to carefully consider all of his options when prescribing  non-kosher substances, weighing carefully the immediate and/or long term benefit of prescribing such substances  against the "timtum halev" (dulling of one's spiritual awareness) that we spoke of earlier,  when one eats them.   

Why go to Rabbi Shimon on Lag Ba'omer--A guest article by Yechiel Frischman

The question is commonly asked, even by religious people,   Why make such a big deal about Lag Ba'omer and going to to the grave of Rabbi Shimon Bar Yochai?  We rarely even paskan like Rabbi Shimon in the Gemara, and  besides,  aren't there many other equally great and  holy Tanaim such as Rabbi Yosi, Rabbi Meir, and Rabbi Yehuda that  we could go to and ask to intercede on our behalf?   Why should one go to all the trouble of traveling all the way to Meron, and waste so much time which we  could be spending learning Torah? And why specifically me? Why do I need to go! I don't have any family crises or issues that necessitate a deliverance. And even if you want to contend that Rabbi Shimon was unique in that he revealed the Holy Zohar, I would answer you that I am not a kabbalist, and I've got plenty of revealed Torah, meaning Gemara which I need to learn first.  So what does Rabbi Shimon have to do with me and what do I gain by going to Meron? The answer to all of these questions can be found in the Gemara Shabbos 138b, which tells us that after the Holy Temple in Jerusalem was destroyed, the sages moved from Jerusalem to Kerem B'Yavneh and lamented that the Torah was destined  to be forgotten.  But only Rabbi Shimon emphatically disagreed, quoting the verse in devarim 31:21, "  For [the Torah] will not be forgotten from the mouth of his offspring." Why however,  didn't the other great Tannaim also consider  this famous verse? Didn't they know of it?  The answer  though, and the deep meaning of this story as explained in the holy books,  is as follows:  Of course the tannaim were familiar with the verse and understood it's meaning.  But what they were unable to grasp was just how  the Torah could continue to live as  a  vital guide to communal life after the destruction of the Holy Temple? As we say in davening, "for they (the Torah and the Mitzvos)  are our lives and the length of our days." And though the Torah would certainly continue to be observed, at least for one generation, how could they be assured that without the prophets and without the Bais Hamikdash,  that there would not be a great disconnect, and that their children and grandchildren would not be able to withstand this enormous challenge and G-d forbid, assimilate?! It was to this troubling problem that Rabbi Shimon triumphantly declared, The Torah itself explicitly guarantees that what you fear, will never happen, as the verse says, "  For [the Torah] will not be forgotten from the mouth of his offspring." It's also interesting to note that Rabbi Shimon is even hinted at in that verse, for the last letter of each word of that verse spells out Yochai.   But why specifically through Rabbi Shimon will this promise be fulfilled?  Because as Rabbi Shimon writes in the Zohar (Nasso 124) ‘With this composition, (The Zohar) the Jews will come out of the exile.’ Meaning that in the merit of the holy Zohar, which reveals to us the inner meaning of the Torah we learn the great mercies of Ha-shem how He is with us and cares for us even in our most bleak situations,  and  how to apply this mercy to our daily lives.   This is the essential message of the Zohar,  and it is this great mercy which has enabled the Jewish people to attain a great quality of holiness, even to this day, and which has kept the Torah vital and alive, and has made us worthy of being redeemed.  So why go to Rabbi Shimon on his Yahrzeit and "waste time" from your learning?  Because your entire existence is due to his vision.   Therefore,  shouldn't you  show your appreciation,  and give thanks to the one who has  enabled you to have a Torah from which you can  learn with peace of mind, and has  assured us  that the Torah would remain living, vital and eternal,  even in the darkest of hours and after the greatest of tragedies? Hope to see you there! Signed,  Rabbi Shimon

Iyar and Healing

We now find ourselves in a very special time of year, the counting of the  ha'omer in general, as we refine our character traits,  and the month of Iyar in particular.  The letters of the month IYAR, are an acronym for the words: "Ani Ha-Shem Rofecha" (Exodus 15:26) which translated means, I am Ha-Shem, your Doctor.   Indeed, the Holy Bnei Yisisschar  tells us that this month  is particularly conducive to healing since, during this month our forefathers began eating the Mon (manna) though which  all who were sick  among the Children of Israel were completely healed in preparation for the Giving of the Torah.

I was reminded, this unusual rainy late April evening,  here in Los Angeles, that there is a special segula connected with the month of Iyar.  A segula (literally meaning treasure) is a spiritual cure which defies logic, which has been handed down trough oral tradition from generation to generation, and which clearly works. It is brought down (I've seen it quoted in the name of three holy rebbes: The Ohev Yisrael of Apt, The Rebbe Reb Pinchas Koritzer and The Rebbe Reb Menachem Mendel of Riminov) that any rain that falls during the month of Iyar is a great remedy to cure all illnesses.  To affect the cure, one needs to stand in the rain with one's open one's mouth an let  the rain  fall directly in.

May the merit of all the holy tzidikim protect us, and may this month bring you any healings and deliverances that you need.

Pesach, ghetto slavery and balance

Having been raised in LA, in a color blind home, I was always taught to view people based upon their actions, behavior or spirit as opposed to the color or their skin or their features. And yet, it is important to consider what factors do contribute to the resentment and contempt that so many white folks have towards blacks. What I speak of, though, in my humble opinion has little to do with racism or discrimination, but much more so to a social phenomenon, one that my educated black friends and associates tell me causes them to cringe as well. This is the phenomenon of the "ghetto" stereotype, which to my thinking is deeply inbred and whose roots go back 150 years. In Erich Fromm's book, "Escape from Freedom" he speaks about two types of freedom, freedom from and freedom to. Freedom from is the freedom without considering what comes next, and without structure and a framework, a slave remains a slave, even though he is no longer in physical bondage. This, I believe, is the root of our tragic Afro-American experience, which has resulted in a demographic group which has significantly higher crime, much low rates of 2 parent families, a generally lower level of education, a much higher rate of cardio-vascular disease, a much shorter life span, and so much anger and resentment toward mainstream society. It is a culture where "bad" is good, and where it is cool to not smile (with the notable exception of Magic Johnson!).

Yet, I strongly believe that had an internal "Marshall Plan" of sorts been instituted after the Civil War to promote and encourage integration into mainstream society, teaching skills, and making available educational opportunity, that we would be a very different country today, a country which with each successive generation would be farther away from this slave mentality. Yet sadly, our ghettos not only perpetuate it, they glorify it, ironically serving as role models for white young people to imitate. This is the essential flaw that Chesed (kindness) without Tiferes (the beauty that comes from balance) presents, and is also, the avoda, the character trait which we are specifically enjoined to work on today, this 3rd day of the omer, in our journey toward the receiving of the Torah, a little less than 7 weeks from now. And it is that Torah which enabled our forefathers to receive as their freedom some 3300 years ago, a freedom which not only enabled them to escape from the bondage of Egypt, but much more importantly gave them the structure and purpose to become a covenantal community, free to serve G-d and connect with him 24/7, and free to fulfill all the many commandments that could only be observed in the holy land of Israel.

So too, as we are l watch events in the middle east continuing to unfold, I fear that this same problem is repeating itself, just as it did when colonial Africa was freed a generation ago: That without strong leadership, education and moral guidance the exhilaration of liberation will be short lived and will be replaced by a new tyranny.

It is important to understand, also, that freedom and balance have a connection to our health and well being, as well. Rabbi Nachman of Breslov tells us that the root of all illness is internal conflict and lack of balance, and just as we find in Chinese medicine, all phenomena are relative, both internally and externally. For if any organ or system dominates another, or if any is weaker than another, illness will result. Our goal with every activity that we engage in, should be to have a consciousness and awareness of what we are doing, making sure to always promote health and balance by our actions. This was the lesson that Hillel Hazakein, made sure to teach his students. Once, when he was about the leave the Beis Hamedrash (study hall), his students asked Hillel where he was going. He answered that he was going to do a mitzva, "and what mitzva would that be?", they asked. "I'm going to the bathhouse" He answered. "And that's a mitzva?" " Yes, just as they wash and carefully maintain the statues of he king to keep them clean, how much more so should I who was created in the image of G-d, show my respect for that image by keeping it clean." Another time, again, Hillel's students asked him where he was going. This time he answered that he was going to do an act of kindness for a guest in his home. "But do you have a guest every day? rebbe?", they asked. "But is not my poor soul a guest in this body? Today it is here, but tomorrow it will be gone!"

a few seconds ago

Why I live in Los Angeles (and why, maybe, I shouldn't?) Part III

Back around 6 months ago I wrote about why, after all these years I am still here in LA, and really quite happy and fulfilled. In the last two weeks, though, 2 occurrences have got me reflecting and reconsidering where I need to be:

Last week we had the wonderful opportunity of hosting our son Yechiel and granddaughter Chayale (age 1 1/4) for a week. I had hoped that this trip would ignite a spark to perhaps set the wheels in motion so as to have Yechiel, Rivki and family relocate here in LA for a couple of years, at least. I considered three possible advantages of having them move here: 1. It has been tough for them to make ends meet, and each month they seem to fall a couple of hundred dollars short. Perhaps there might be a position enabling them to save up a little. 2. Yechiel is a gifted and charismatic teacher and scholar in halacha, gemara, chasidus as well as kabbalah, and though he has followers in Elad, Israel, where he lives, I feel that his talents could much better be realized in a place like LA. and 3. Living here in LA for a couple of years would enable our grandchildren to learn and master English. Indeed the trip was clearly informative, but in a very unexpected way.

As I have written of before, I absolutely believe in and constantly work on focusing in on my "hevel ha'lev." I believe that we are constantly being spoken to by Ha-Shem, a message that our hearts receive, deep inside, of guidance on what is in our best interests, and how we can best connect to our Source. This communication, the kabbalists call "hevel ha'lev" and we all have it within our grasp to fine tune our receivers. Getting back to Yechiel and Chayale, though, it was interesting to note that this trip was probably the first time that Chayale had ever seen a dog, and rather than being afraid, she was delighted--chasing it with her doll stroller laughing and barking back, "uf uf!" in pure delight as the bewildered dog ran away from her! It got me thinking, this purity, this joi de vivre, how long would it last living in a city like Los Angeles? Opportunities? I made it very clear to a number of community leaders and educators who knew Yechiel growing up here in LA that he might be available should an appropriate opportunity present itself, and essentially the impression that I received was that the economy here in Los Angeles was actually worse than it is in Israel, and it probably would not change any time soon. But if something did come up, they would call me. (yeah, right!)

Bottom line, to relocate and uproot everything, based upon a nebulous maybe, seemed to be as clear a message as could be. (furthermore, it now seems that a local "Zevulun" is interested in a learning partnership with Yechiel, which should put his finances in balance, IY"H anyway!). So though it was bittersweet saying goodbye to them, in my heart I know that Israel is the place where he needs to be.

The second incident that I want to share with you happened this morning. My sister Hope has needed to move as her apartment is being converted to condos. Last week she excitedly shared that she had found a guy on Craig's list who owned a condo in a nice area who wanted to lease it out for 6 months for a reasonable price. They met with him last week, and gave him $5000 for first last and security, and moved in yesterday. But as they were moving in, the building manager chased after them, and informed them that the lease was fraudulent and the name he used wasn't even his, and the guy not only didn't own the condo, but was being evicted for not paying his rent. Therefore, the $5000 was lost, and they needed to get out of the apartment within 3 days. Hope called me this morning asking me what she could do, and I told her what I would have told myself, had I been in her situation, that everything that happens is guidance and communication from Ha-Shem, we need to reflect and hone in to discern what that message is, and we need to have absolute certainty that everything that happens comes from Him and is for the very best. But how to do you explain this to someone who has suffered so much already and is trying so hard to put her life in order? And who now seem to be on the threshold of losing everything she owns and being out on the street?

As I told her, I believe that the message is exactly the same, and even though one might think "easy for him to say!" nonetheless, do we have any constructive alternative to consider? Yes, this approach is asking someone to blindly go against all logic. Yet, it is that strength of character and optimism which is the essence of Judaism. As King Solomon says in Mishlei (proverbs) "know Him in all of your ways, and He will straighten you paths." It is the knowing and the trusting that opens new opportunities for us, and often, what we think is in our best interest really isn't, and only our Wise and Loving Father can see the total picture.

So what's going to happen with Hope, her husband and son? Well first, I offered to have them stay with us as long as they need to, but our place is just too small. I told Hope to contact all of her friends to see if someone might be able to take them in, for at least a month, so that they could find a place, but it seems that now that the chips are down, no one seems to be able or willing to help.

I've put out feelers and have made it clear that I will 100% vouch for them should someone have for rent a two bedroom ground floor or apartment with an elevator, in a decent area of LA, preferably in the west side, but really anywhere.

G-d willing they won't lose everything they have and G-d willing the story will have a sweet and happy ending, but again, I see this as another reflection of the filth, deceit and financial instability that our lives are surrounded with, as well as the lack of depth that so many relationships have (consider "friends" on Facebook?)

As I said, if anyone reading this has apartments for rent, please do contact me, and I will guarantee that you could not find better tenants, and I will stand behind them. As our sages tell us, a good name is a cherished possession indeed!

Again, as I review these last two weeks, I reflecting on whether it really is wise to stay here for the indefinite future or whether the time to start slowly considering a move to Israel has now arrived.

Know him in all your ways--with all Five senses

The wisest of all men, Shlomo Hamelech (king Solomon) tells us in Mishlei (Proverbs) "Know Him in all your ways and He'll straighten your paths. This amazing idea is really the essence, foundation and first principle of Traditional Jewish Medicine. It essentially serves as the roadmap as to how we need to conduct ourselves and lead our lives. Essentially, what Shlomo Hamelech is saying is that we need to constantly recognize how Ha-Shem is interacting with us, literally on a moment to moment basis. But even more, this relationship should not be misconstrued as one of a stern Father watching, intimidating, or as some might mistakenly assume, even manipulating us. On the contrary, our loving Father is constantly coaxing and encouraging us to protect us from harming ourselves and is directing us toward the path which best enables us to bring harmony, success and real spirituality into our lives. This is the concept of "Hevel Halev" that there is a still, small voice which is constantly broadcasting into the depths of our hearts and minds. But there's a caveat: we have to take the first step: we have to recognize his involvement in EVERY aspect of our life in order for us to tune in, hear His voice and feel His love and sweetness.

So how does one come to the cognizant appreciation of "knowing Ha-Shem" of acquiring this quintessential Knowledge? I believe that the key is to learn to focus all of one's senses to that purpose, so that what we hear, what we see, what we smell, what we feel, what we taste, and even what we say (which at first glance does not seem to be a receptive sense but can actually also be "received" when we make ourselves into "Chariots" of the Shechina (Divine presence), that all of these senses can be pathways to connecting with Ha-Shem.

I think that two examples can be informative: The first one comes from the wonderful weekly Shulweek bulletin sent out by Rabbi Baruch Lederman of San Diego. He shares with us a story of how easily our vision can be distorted and how important it is to "see" through bright lenses, as King David teaches us in Tehilim (Psalms): "The Mitzvos of Ha-Shem are clear, they enlighten the eyes:"

"A young couple moved into a new neighborhood. The next morning while they are eating breakfast, the young woman sees her neighbor hanging the wash outside. "That laundry is not very clean", she said. "She doesn't know how to wash correctly. Perhaps she needs better laundry soap." Her husband looked on, but remained silent. Every time her neighbor would hang her wash to dry, the young woman would make the same comments. About one month later, the woman was surprised to see a nice clean wash on the line and said to her husband: "Look, she has learned how to wash correctly. I wonder who taught her this."

The husband said, "I got up early this morning and cleaned our windows."

And so it is with life. What we see when watching others depends on the purity of the window through which we look."

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A second story is told of the great Chasidic Master: the Rebbe Rav Zishe of Anipol. In his younger days before he was known as a Rebbe, Reb Zishe took upon himself the practice of "praven Galus," leaving the comforts of home and wandering from town to town is order to share the pain of the Divine Presence in exile. One day, Reb Zishe was sitting in the Beis Hamedrish (house of study) of a town where he was completely unknown, sitting and learning, when in charges a woman and screams out, "Where's my husband?" The story, it turns out was that this woman was an aguna, a chained woman whose husband had disappeared ten years earlier, and not knowing if he was dead or alive, and without receiving a formal bill of divorce, she was unable to remarry. Reb Zishe looked up from his sefer (holy book), and matter of fact tells her, " You'll find him in the hekdesh (communal poor house)." Well off she went, and lo and behold, there he was! Suddenly, Reb Zishe was the talk of the town. Was he a prophet? Did the holy spirit rest on him? Was he a hidden Tzadik? But Reb Zishe was clearly unimpressed with all the excitement. "Well how then did you know where her husband who had disappeared so many years earlier, how did you know where to find him?" the people asked. "Very simple," answered Reb Zishe. " This morning I was in the kretchmer (coffee house) having breakfast when in the next table over, I overheard one fellow say to his friend, "Did you hear, there's a new guy in town who's staying at the hekdesh." "Well it bothered me all day, why I would hear this useless bit of information," said Reb Zishe. "Because I only hear what I am supposed to hear, and so when the aguna suddenly demanded to know where her husband was, I realized that that was the reason why I heard it!"

For us to develop such a sensitivity seems astounding and out of reach, but for the holy Rebbe Reb Zishe, it was obvious and a matter of fact, but this is the challenge that we should all take upon ourselves. Ha-Shem wants us to hear, see, feel, taste, and smell the pure unpolluted emanations that he is sending our way. But one must never say that they are too far away to feel His presence. Rabbi Nachman of Breslov teaches us that we must never give up, and just having the desire to get close to Ha-Shem, "to return" to the main highway, just to have a real sincere desire is enough to transform us into the status of tzadikim (the totally righteous)!

Never underestimate the power of will. The Torah guarantees us that if we make the effort to know Him in all of our ways, with all of your senses, He will unblock you and open up all of the pathways to enable us to feel the sweetness of His presence. The fact is that we are only limited by our fears and imagination.

Holistic Healing Found in Torah Sources

Dear friends,

Back in 2006, I gave a lecture Entitled, "Holistic Healing found in Torah Sources," as part of a seminar on Torah, Kashrus and health. Some of the other lecturers in the program included Rabbi Elchanan Tauber of Congregation Bais Yehuda and Rabbi Eliezer Eidlitz of KosherQuest.

Though I knew that the lecture was recorded, I just found out that and it is available to hear online. To follow is the link to it. I hope that you enjoy it and find it to be enriching.

http://www.englishtorahtapes.com/listen/Great%20Torah%20Lectures/Holistic_Healing_in_Torah_Rabbi_Yehuda_Frischman.mp3

Self esteem, problem solving and Shabbos

I want to share with you a letter that I wrote to one of my patients who has been having problems with his self-esteem and resolving personal difficulties. It also so happens that he is attending graduate school and is so overwhelmed by his work load, that he has felt compelled to compromise on his Sabbath observance. (Significantly, in the 10 principles of Jewish Medicine that you will find on my website, principle #7 is Shabbos.) This letter clarifies how I view Shabbos as a healing tool and how it can deeply change us from the inside out. The gist of his arguments are that the approach I take oversimplifies complex problems. As you will soon see, I beg to differ:

Dear brother,

I believe that it was in one of our first conversations that we spoke of the myth of "self-esteem". If you recall, then, too, you were shocked that I considered self-esteem to actually be a cynical excuse for ego-gratification. But as I explained then, our priority in all cases needs to be to consider whether our actions please Ha-Shem or the opposite. As I have said on many occasions, the concept of neutrality, of "Switzerland" is a lie. There is no such thing as a neutral stance in any relationship. We either engage and exist in an environment of peace and harmony, or we are in conflict. So too with one's actions. Our actions either bring more G-dliness into the world, or create more emptiness and dissonance. This was the case in our previous discussion, and this is the case here. What I want you to think of is not what feels good or what hurts, but rather how your actions help you to connect or,

G-d forbid, do the opposite in your relationship with Ha-Shem. When faced with a difficult solution, you have 3 strategies to consider: 1. Talk to Ha-Shem and if you lay all of your options open on the table you will usually be able to get a sense of clarity as to how to proceed. 2. Speak to your wife. Respectfully, ask her for her feedback, expressing that you are having difficulty making the correct decision, and that you value her input.

3. Speak to those who are your mentors and role models and get their feedback, whenever possible.

I can assure you, that if you can follow the above when confronted with difficult situations, you will ALWAYS make wise decisions and Ha-Shem will bless you with peace of mind, clarity of thought, and abundance of blessing. I guarantee it !

Remember, it's always OK to make mistakes. But it's absolutely wrong to wallow in depression or consider oneself a sinner. Such a concept is completely incongruous with Judaism. The word "chet" usually translated as sin, really means that one missed the mark, and got off the main road. The key is to be aware of oneself and get back onto the King's highway. But no good ever comes from being stuck! The key to success in life is to recognize who your are, where you are and where you are going, making corrections when you need to.

(At this point, our discussion addressed a decision of his to turn on the heater on Shabbos because he felt that his children might get sick--but remember, this is Los Angeles, California, not a cold climate).

Now lets come full circle and discuss the issue of turning on the heater. I want you to consider the following:

1. your action was taken unilaterally, without discussing how your wife felt about it.

2. Why does one keep Shabbos? Because it is a time to be together as a family? Because we work 6 days and are tired on the seventh? I don't think so. Rather, The Holy One, Blessed Be He, gave us a prescription for healing and connecting our bodies and souls, and freeing us from the servitude that we are enslaved to the 6 days of the week. This wise Doctor knows much better than we do what is good for us and what is not, and He declares that keeping Shabbos meticulously is the potion of life extending our lifespan and enriching our eternal souls that seek to be attached to Ha-Shem. But keeping Shabbos can be very complicated and requires an extensive knowledge and review of its many laws. My point is that not being terribly knowledgeable, it is critically important that just as with issues relating to domestic tranquility, so too with issues relating to Shabbos, decisions should not be made cavalierly and without going through the three steps I listed above.

Furthermore, I must tell you, that from our conversations, I don't think that you really grasp just what Shabbos is and what it can do for you. If you did, what happened this past Shabbos wouldn't have happened, and you wouldn't ever even want to study on Shabbos--These things would be unthinkable, and not because they are forbidden, because that's just not the point! But rather from a complete lack of comprehension of what Shabbos is and what it can do for you , to enrich you and connect you to your neshama (soul). I hope the time comes sometime soon, we can spend Shabbos together. But tragically, you should know, that you are not alone. Many, many Sabbath observers are in the same boat as you are, and just don't get what Shabbos is. So why do they keep it? Well, first of all, many don't really, though they may contend that they do, for if they discuss weekday activities, or sports or entertainment or business, then they are not immersed in Shabbos, and for all intents and purposes are not really keeping Shabbos, radical as that may sound! Essentially, they are disconnected from their Neshamas, really no differently than one who puts a TV on a shabbos clock to watch a show or a sporting event. So, again, why do they keep it? Some keep it out of habit. Some out of fear of Divine punishment or retribution. Some do it because it's the Jewish thing to do. But they're all wrong, and what usually happens is that their children get fed up with their hypocracy, and stop keeping what they see their parents don't really believe in.

I want to conclude by having you ask yourself this question: Why do I keep Shabbos? Please consider all of the above carefully and answer honestly. I hope that your careful reflection is able to change your perception.

The bottom line is to always remember that Shabbos is for YOU, not for Ha-Shem, and if you are not able to comprehend that, then you need to really reconsider the quality and balance of your life.

Thoughts on Atonement, forgiveness, decision making and groups

As we approach the holy day of Yom Kippur, I would like to reflect upon some of the dynamics which we often unconsciously take for granted, and what actually are involved in atonement and forgiveness, relative to interpersonal relationships.

What makes human beings unique is our free choice, and our ability to make thousands and thousands of decisions, some conscious and some unconscious daily. This choice is not a question of belief, but rather a statement of awareness and of opportunity. For example one might choose to forgive or not grant atonement to another. Another might be whether one chooses to interact and function in society with others or to isolate ourselves, and even if he chooses to integrate himself into society, does he cultivate relationships and develop friendships, or does he just go through the motions, superficially functioning in order to survive, but still living and feeling very much alone. Either way, though, whether he chooses to isolate himself, living alone, off the grid as it were, or he does live in society, but chooses to isolate himelf, there is no question that he will be lonely, will have difficulty dealing with unexpected decisions and probably will be miserable. As a physician, I can vouch for the fact that such behavior will also compromise his health and lead to premature death.

But let's examine one other choice, this one more subtle and often made subconsciously: If one indeed decides to cultivate relationships does he base them upon reciprocity or on unselfishness. Reciprocity means that one will do something nice for someone else because he expects to get something in return. The problem with this approach is that the first time someone doesn't live up to his expectations, the relationship becomes cautious, later cynical and finally ends. Tragically and unthinkingly, too many relationships are based upon this simplistic and flawed value system, which has the underlying priority message of "what about me?" One need only consider the high rate of divorce and dysfunctional households to confirm how pervasive and insidiously destructive this self-aggrandizement is to the fabric of society.

But there is another choice that one can take to function in society, and this is the conscious decision to integrate chesed (kindness) and gevurah (structure), to act unselfishnessly and engage in acts of kindness. There are two imperatives as to why this is beneficial and works, but they really are both the same: One is because The A-lmighty teaches us that this is the correct way to conduct ourselves and this is why He created the world, in order to bestow kindness, and two, because this behavior promotes a more balanced and harmonious world. When one gives to another solely because its the right thing to do, without any expectation of reciprocity, this creates a new dynamic of freedom, celebrates our humanness by cultivating a mature joy, and encourages forming people into groups and communities. But without forgiveness and atonement, this is impossible. By holding grudges and refusing to give another the opportunity to reconnect, one reinforces an isolation which damages both body and soul.

When considering what decisions should go into forming a group, members of the group need to reflect upon whether each member's behavior best serves the interests of the group. They need to be made aware that their actions must demonstrate an ability and willingness to engage in healthy interaction with the group, pr tp discpnnect.. Choosing to remain connected with a dysfunctional person, undermines the integrity of the group and encourages that member's dysfunctionality, much as a parent spoils a child by threatening consequences, when he acts inappropriately, but then does nothing. When taking apart any team, group or relationship the dynamics are exactly the same when successful. Even in a relationship of just 2 people, each person needs to recognize their various strengths and weaknesses. In successful relationships, responsibilities and leadership roles are delegated based upon the wisdom of the group. BUT THERE IS NO DIFFERENCE BETWEEN 2 PEOPLE, A FUNCTIONAL GROUP AND SOCIETY AS A WHOLE--There must be engagement and there must be a balanced distribution of responsibility.

From the individual perspective, it is the wise person, who connects with those that he resonates and harmonizes with, recognizing what he gains by contributing to the group, while at the same time setting and maintaining his individual integrity to protect himself. It is important to consider that group relationships should be flexible, dynamic and unselfish, that there must be a balance between the actions and agendas of each individual, while appreciating the beneficial strength and integrity of the "group". But again, there must remain the opening for healing through forgiveness and atonement when mistakes are made by human error, poor judgement, or even ignorance. Ironically, it is the decision to not allowing for the possibility of forgiveness or atonement, that brings one to the "safety" of isolation, but is that really a desirable goal? Again, will the resulting probable consequences not be misery, depression, and illness? . Alfred Lord Tennyson put it well, when he said, " Tis better to have loved and lost than never to have loved at all."

As we approach Yom Kippur, the Day of Atonements, then, please carefully consider these wonderful gifts which forgiveness and atonement are , as opportunities to celebrate our membership in the community of mankind, and realize that by denying oneself this opportunity, by holding a grudge, one only hurts and damages oneself, like the foolish person who gets mad at an infected toe nail, and in his fury cuts off the toe. If it's sick doesn't it make more sense to heal it rather than cut it off?

Why I live in Los Angeles-and not Israel (part 2)

A colleague who I assume lives in Israel, expressed to me after reading part one of this article, that "with all of the positives regarding other Jewish communities, let me remind you that only Israel is our real home - period."

I can only speak for myself, but I believe that these sentiments reflect anyone who has been to Israel, and has the depth and vision to appreciate what they have seen and experienced. I want to share with you my experience: Back in '74, I graduated from YU, and was accepted to Shaalavim. My intention was to go and learn for a year, become more proficient in hebrew, raise up a notch the level of my learning, return to YU, learn for smicha, and consider the opportunities that would be presented as that point. It was exciting, the prospect of going to a foreign country (As an immature 22 year old I had never been to Israel, and spoke a very broken hebrew), but my exposure to Israel and Israelis, heretofore has been anything but endearing: I had found Israelis to be pushy, aggressive, dogmatic, smelly, and anything but what I had viewed as spiritual. In LA where I grew up, I had been an NCSY kid, and we viewed the Bnei Akiva kids as reactionary Israeli cheerleaders, with little depth, seeming to worship Eretz Yisrael above the Ribono Shel Olam and the Torah . BTW that's one of the reasons why I chose Shaalavim, specifically because it was not a Mizrachi Yeshiva, as it was associated with Poalei Agudat Yisrael, which at the time was a much bigger tent, far more inclusive and quite different than Kipa sruga Mizrachi, but I digress. A funny thing happened: though, when I got there: I fell in love with Israel, was overwhelmed and totally caught off guard by the depth and intensity of its kedusha, and I have longed to return ever since. I have gone back many, many times since, trying to spend Tishrei and the period betwen Lag Baomer and Shavuos there each year, though alas, I haven't always been successful in doing so. As a great mekubal in Bnei Brak told me, I'll know when the time is right for me to make aliya. But the biggest problem that I face each time, leaving Israel, is the "chalal", the void that I feel. It is enormous and unbearable. So how have I learned to cope and function in Galus? By talking to Ha-Shem on a daily basis, really, talking out loud in a place of privacy without distraction, I have come to the realization of the importance of bringing Eretz Yisrael with me into Galus. There is a different mindset, a different set of values and a connectivity that contagiously infects, wisens and deepens one's neshama being there, at least it does to me. By carefully considering how important every decision I make is, and by constantly asking myself whether my actions will please the Ribono Shel Olam, I am comforted in feeling that I have brought Eretz Yisrael with me wherever I am, even in Los Angeles. Of course, nothing replaces being there, and I long for each opportunity that presents itself for me to come, but in the meantime, I find solace and joy in each day, even here, and am extremely grateful for the enormous blessings that He has granted me as I continue to long to be there.

Why I live in Los Angeles

LA has been my home, 53 of my 59 years. I was born in Cedars of Lebanon Hospital (now the Scientology center, believe it or not) in East Hollywood. I remember playing football on the street while growing up on Elm Dr, and never needing to lock the door at night. I saw my first homeless person when I came to NYC in 1970. I'll never forget getting off the subway on 34th Street, and as I walked down the street, with hundreds of people milling around and walking back and forth, there was this homeless guy lying right in the middle of the street. I was shocked and wanted to call the police, because I was sure that something was wrong. My NY buddy from college looked at me like I was nuts and told me "figet about it, welcome to da big city!"

After 4 years of college and 2 overseas I came back to a different city in '76. A meaner, rawer, less innocent and more dangerous LA than I left. But I've learned since coming back, that this still is the city that I grew up in, the city that feels like home. I've learned not to let the uptight people get to me, and breathe and smile as I navigate my way through the soundtrack of my life, never taking myself too seriously. 'Tell you the truth, I could live almost anywhere in LA, as long as the place is clean (except for maybe the Valley because it's too hot in the summer and too rainy in the winter.) I love the LA weather, I love the ocean breeze that does make it all the way to my neighborhood in the Fairfax district. I love the moderate sunshine, with temperatures between 70 and 85 degrees more days than not. I love the fact that I can get almost anything I want almost anytime day or night. Sure LA has become a third and a three world city: there's us West Coast natives. There's the refugees from the neurosis of the East Coast and the cold of the North and Northeast particularly, and then there's the many Latino refugees looking for a future, often that future being their children and grandchildren. For me, as I say, the key is to go with the flow, sharing my different way of thinking with each individual who comes into my sphere of influence. I'm here for now. My wife is slowly getting better. Hopefully my Dad and sister will find a place close by and we'll be able to share good times together during his golden years, and we can all grow together. We all miss Mom terribly, but her loss has paralyzed them, whereas I've kept moving and growing, grateful for the enormous blessings that have continued to rain down to me from the blue LA skies. Someday I want to move to Israel to be close to our son. But for now, I'm home. We have our wonderful daughter Ariella and her family close by. We have our wonderful daughter Chavi and her family a hop, skip and jump away in San Diego.

When I was in Israel a couple of years ago, I had the privilege of seeing one of the great Kabbalists in Bnei Brak, Rav Sharya Tiplitsky, Shlit"a. I asked him when my wife would have a complete recovery and when I would be able to move to Israel. He closed his eyes, took a deep breath, looked me squarely in the eye, and told me, "You'll know when the time is right."

So with the A-lmighty's continued benevolence, I love life, I look forward to the adventure that each day brings, and ... I L O V E L A !

resetting ourselves when we get stuck

One of the fascinating parallels between Classical Chinese Medicine, going back at least, over 2000 years to the time of the Huang Di Nei Jing (The Yellow Emperor's Inner Classic), and Traditional Jewish Medicine, is the importance that both traditions give to emotions. With specificity, by treating organ or channel imbalances, a skilled practitioner is also able to help balance and resolve severe emotional problems as well, whether depression, anger, mania, worrying and over-thinking, fear or fright. However often, when we are confronted with the unexpected, we just don't have the tools, or the presence of mind, to do anything constructive, and we get stuck, despite our best intentions.

Getting unstuck requires a sensitivity and a realization that we are in a bad place and are disconnected from what really matters: ourselves, our environment and our Maker. The Torah teaches us that this requires us to listen to the female aspect of our psyches, and by setting boundaries for ourselves, we are able to conquer these destructive emotions, for as the Mishna asks, "Who is the strong person (gibor-meaning the one who masters the trait of gevuva or boundaries)? The one who conquers his inclinations."

But, again, this is easier said than done, particularly in the heat of the battle, for as our sages tell us concerning last weeks Torah Portion: "When you go out to war against your enemy...." This enemy that that the Torah is speaking about is that force which drives us to disconnect from

Ha-Shem.

I want to suggest, therefore, that there are 6 basic things that we can do, when we realize that we are stuck, to reset and reconnect ourselves to the Lifeforce to whom we all depend:

1. Blink. Blinking resets our nervous system by helping to stimulate our parasympathetic nervous system (the "rest and digest" part of the autonomic nervous system). It provides moisture to the eyes, and will usually stimulate #2:

2. Sigh. Rabbi Nachman of Breslov teaches that there is no activity more important that we can engage in than Hisbodedus (speaking to Ha-Shem out loud the way you would speak to a dear friend, giving over your burdens to Him), and an essential component to successful hisbodedus is "krechtzing" or unloading a deep sigh. For as Rabbi Nachman teaches in Likutei Moharan (1, 109): "When you sigh and groan over your unfulfilled yearning for holiness, it causes you to be attached to the ruach (the life-force) of holiness. This is because sighing is drawing breath – which is life itself!"

3. Smile. Smiling brings about some amazing biochemical changes, such as lowering blood pressure, strengthening the immune system, releasing endorphins (the body's natural pain killers) and serotonin (the feel-good neurotransmitter), and, of course, making us feel happier (even a fake smile!)

4. Drink water. Our bodies, as is well known, are over 2/3 water, but what is not as well known, is how delicate our fluid distribution system is, ( which the Chinese call the San Jiao) and how easy it is to become dehydrated. From my experience, I have found without exception, that those who allow their emotions to get the best of them ALL become dehydrated. Furthermore, dehydration creates a more acid pH, which causes our bodies to break down and become sick.

5. Powernap. Nothing exhausts us more than losing control of our emotions. But there's a wonderful antidote for exhaustion: The powernap! The trick is to not sleep for more than 15 minutes to a half hour, for amazingly, each 15 minutes that we sleep during the day, is worth an hour at night! But always remember to gratefully give over your soul for safekeeping to Ha-Shem, even for 15 minutes.

6. Hope. The Midrash (Braishis Rabba: 98:20) teaches us:

"Rabbi Yitzchok said, 'Anything is possible with hope! Suffering can be released with hope! Sanctifying the Name of Ha-Shem can be achieved through hope! The merit of our forefathers can be tapped to reach Ha-Shem with hope! The spiritual pleasure of the world to come can be achieved with hope!

...Undeserved grace is granted by Ha-Shem with hope! (And) one is granted forgiveness by Ha-Shem with hope!"

Wishing everyone a wonderful new year, a year of hope, and a year when we are able to vigilantly keep an awareness of ourselves, so that our actions cause our friends to smile and our Most Beloved Friend to smile.

Name of Ha-Sh