home sweet home: this pesach, ten hamaspik group ...it’s a day of civic joy at the u. s. mint home...

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Those who happened to be driv- ing down the NJ Turnpike South on the morning of Wednesday, March 5’Th, may have come across a trio of 15-passengar Hamaspik vans com- mandeering the road. Perhaps one wondered where the destination for this attention-grabbing group would be. What adventure was Hamaspik up to now? * Fresh and clear dawned the morning, with the sun shining brightly and the wind blowing light- ly. The smiles of the consumers at the Hamaspik Day Habilitation cen- ter in Williamsburg revealed the excitement of the day. With brown- bag lunches in hand, staff and con- sumers alike boarded the Day Hab vehicles and set off to explore the US Mint in Philadelphia, PA. Once settled inside of the vans, a booklet – where the purpose of trip was written in a lively manner – was handed to all. A trip to the US Mint was underway In an effort to instill ***** ***** INSIDE INSIDE ***** ***** "Purim on Pony"......... E5 ***** ***** Hamaspik Brooklyn Staff Learning "Sign Language"........................ E2 ***** ***** "What's Happening in Your Health" - Double Edition............................ E10 ***** ***** Farewell to a Great Hamaspik Day Hab Manager.............................. E6 ***** ***** Hamaspik Gazette Hamaspik Gazette Hamaspik Gazette Hamaspik Gazette Hamaspik Gazette Hamaspik Gazette News of Hamaspik Agencies and General Health December 2005 Issue No. 24 April. 2008 . Issue No. 46 HAMASPIK GAZETTE Published and © Copyright April 2008 by: HAMASPIK 58 Rt. 59 Suite 1 Monsey NY 10952 Telephone: (845) 503-0212 / Fax (845) 503-1212 Non Profit Org. US Postage PAID Monsey NY # 50427 PURIM GELT: For Williamsburg Day Hab Consumers, It’s a Day of Civic Joy at the U. S. Mint HOME SWEET HOME: This Pesach, Ten Hamaspik Group-Homes Will Host Yom Tov for Special Consumers In these days, every Jewish home extensive pre-Pesach prepara- tion are under way: People are cleaning their house and car; huge grocery and Matzo orders are being made; last minute dishware flatware and silverware shopping take place; and clothing for the family are bought. Simultaneously… the same is taking place in the Hamaspik Group Homes all over New York, so that in the holy night, the homes should sparkle and the consumers should shine as princes would. As we draw closer to Seider Nacht, when G-D and the Angels come and join us, Hamaspik Group Homes will surely glow as a source of pride, of how His children commemorate the Pesach albeit the circumstances. This is not the first Yom-Tov Pesach is being observed in the majestic Hamaspik homes. In fact, several years past already since the first time our Agency has been privi- leged to celebrate the Seder night in one group home with precious con- sumers. Subsequently another home joined and then another. However, the approach, the ambiance, the joy, sanctity and elation hovering in the atmosphere, never ceases to amaze everyone involved. This year, Hamaspik will have the privilege of hosting the Pesach in no less than 10 Group Homes. It must be emphasized that the “Seder Night” along with everything these two words entail, is being played out in these special homes in all its glory: Kadesh – Orchatz and Ma Nishtanuh resonate loud and clear; the white Kittle’s gleam resemble the sun’s rays; and the K’zais’im are eaten in a most heav- Continued on Page E9 FOSSE SCHVESTERHEIM Girls IRA in Rockland County Continued on Page E4

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Page 1: HOME SWEET HOME: This Pesach, Ten Hamaspik Group ...It’s a Day of Civic Joy at the U. S. Mint HOME SWEET HOME: This Pesach, Ten Hamaspik Group-Homes Will Host Yom Tov for Special

Those who happened to be driv-ing down the NJ Turnpike South onthe morning of Wednesday, March5’Th, may have come across a trio of15-passengar Hamaspik vans com-mandeering the road. Perhaps onewondered where the destination forthis attention-grabbing group wouldbe. What adventure was Hamaspikup to now?

*Fresh and clear dawned the

morning, with the sun shiningbrightly and the wind blowing light-ly. The smiles of the consumers atthe Hamaspik Day Habilitation cen-ter in Williamsburg revealed theexcitement of the day. With brown-bag lunches in hand, staff and con-sumers alike boarded the Day Habvehicles and set off to explore the

US Mint in Philadelphia, PA. Once settled inside of the vans, a

booklet – where the purpose of tripwas written in a lively manner – was

handed to all. A trip to the US Mintwas underway In an effort to instill

* * * * ** * * * *I N S I D EI N S I D E

* * * * ** * * * *"Purim on Pony".........E5

* * * * ** * * * *Hamaspik BrooklynStaff Learning "SignLanguage"........................E2

* * * * ** * * * *"What's Happening inYour Health" - DoubleEdition............................E10

* * * * ** * * * *Farewell to a GreatHamaspik Day Hab Manager..............................E6

* * * * ** * * * *

Hamaspik Gazette Hamaspik GazetteHamaspik Gazette Hamaspik GazetteHamaspik Gazette Hamaspik GazetteNews of Hamaspik Agencies and General HealthDecember 2005 • Issue No. 24April. 2008 . Issue No. 46

HAMASPIK GAZETTEPublished and © Copyright April 2008 by:HAMASPIK 58 Rt. 59 Suite 1 Monsey NY 10952Telephone: (845) 503-0212 / Fax (845) 503-1212

Non Profit Org.US Postage

PAIDMonsey NY

# 50427

PURIM GELT:

For Williamsburg Day Hab Consumers,It’s a Day of Civic Joy at the U. S. Mint

HOME SWEET HOME:

This Pesach, Ten Hamaspik Group-HomesWill Host Yom Tov for Special Consumers

In these days, every Jewishhome extensive pre-Pesach prepara-tion are under way: People arecleaning their house and car; hugegrocery and Matzo orders are beingmade; last minute dishware flatwareand silverware shopping take place;and clothing for the family arebought.

Simultaneously… the same istaking place in the Hamaspik GroupHomes all over New York, so that inthe holy night, the homes shouldsparkle and the consumers shouldshine as princes would. As we drawcloser to Seider Nacht, when G-Dand the Angels come and join us,Hamaspik Group Homes will surelyglow as a source of pride, of howHis children commemorate thePesach albeit the circumstances.

This is not the first Yom-TovPesach is being observed in the

majestic Hamaspik homes. In fact,several years past already since the

first time our Agency has been privi-leged to celebrate the Seder night in

one group home with precious con-sumers. Subsequently another homejoined and then another. However,the approach, the ambiance, the joy,sanctity and elation hovering in theatmosphere, never ceases to amazeeveryone involved. This year,Hamaspik will have the privilege ofhosting the Pesach in no less than 10Group Homes.

It must be emphasized that the“Seder Night” along with everythingthese two words entail, is beingplayed out in these special homes inall its glory: Kadesh – Orchatz andMa Nishtanuh resonate loud andclear; the white Kittle’s gleamresemble the sun’s rays; and theK’zais’im are eaten in a most heav-

Continued on Page E9

FOSSE SCHVESTERHEIM Girls IRA in Rockland County

Continued on Page E4

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E2 April '08 | Hamaspik Gazette

Good news is always worthsharing, and Hamaspik of Rocklandis happy to share some excitingupdates to the Early InterventionProgram.

Hamaspik's Early InterventionDepartment has recently extendedtheir contract through the RocklandCounty DOH Early InterventionProgram. Under Hamaspik'samended contract, it will now beable to provide a full array of earlyintervention services for infants, tod-dlers, and their families. This expan-sion of services will benefit familiesthroughout Rockland County thatqualify for I.E. services.

Until now, Hamaspik was only amediator between families and otheragencies who provide EarlyIntervention services. Hamaspik ofRockland will now be able to hire astaff of therapists and evaluatorswho meet the agency’s standards ofprofessionalism to provide a higherquality of service. Operating with anin-house staff will enhance commu-nication between service coordina-tors, therapists and parents.Hamaspik's Early Intervention thera-

pists will make themselves availableat times convenient to families.Hamaspik is committed to rising to anew level of superiority and qualityof service.

The array of services for infantsand toddlers with disabilities anddevelopmental delays include evalu-ations, home based visits; special

instruction; speech and feeding ther-apy, occupational, physical, andvision therapy; nutrition services andsocial work, along with other sup-port services. Hamaspik ofRockland is also looking forward tothe opening of a new EarlyIntervention classroom in Rockland.Currently, Hamaspik of Orange cur-

rently runs a Group DevelopmentalModel called “Kinder-land,” wherethey offer special education servicesto children under Early Interventionin a playgroup type setting. Thisgroup is geared towards helpingchildren improve their developmen-tal skills in all areas. This dynamicprogram will be duplicated by

Hamaspik of Rockland. In addition,preschool related services, i.e.speech, physical, and occupationaltherapy will be available to pre-school children, ages 3-5.

Hamaspik Of Rockland is alsoplanning to host parent-child groupswhere parents and children can learnhelpful techniques in a therapeuticsetting to help their child achievehis/her goals.

The “new and improved” con-tract presents a dream come true forHamaspik of Rockland. Hamaspik iscommitted to providing an unsur-passable level of service and qualitythat will focus on the unique needsof every child serviced. Hamaspikunderstands that a child's lifelongdevelopment depends on this criticalperiod of infancy and toddlerhood.Therefore, Hamaspik of Rockland iseager to accept this new responsibil-ity to directly offer these crucialservices to infants and children withdevelopmental delays.

For more information, contactHamaspik of Rockland’s EarlyIntervention Program Coordinator,Mrs. Lalouch, at 845.503.0219.

In Rockland County, Hamaspik EarlyIntervention Program Broadens with

Agency's Own Therapists & Evaluators

True to Hamaspik's tradition ofconstantly adding services whileenhancing the current ones,Hamaspik of Kings County arranged

Sign Language training for the staffof the 61st street Briderheim and theBrooklyn Day Habilitation.Interpreters, hard of hearing people

as well as their friends and families,usually use sigh language.

Through a non-profit organiza-tion, which routinely trains signersprofessionally, the Hamaspik staffwas trained for sign language.

The training took place so thatthe staff members should have theability to accommodate the needs ofone dear consumer who communi-cates by means of sign language.After many years of wandering fromone institute to another, unable tofind the ideal place to accommodatehis needs, Hamaspik of Kings tookhim under their wings. The devotedstaff of the Hamaspik Day-Hab inWilliamsburg and of 61st streetBriederheim completed the trainingwith a renewed sense of accomplish-ment and satisfaction, being betterpositioned to provide specializedservice to this precious consumer.

In addition to the everyday staffthat received training, Hamaspikalso trained the night shift andShabbos-Yom-Tov Staff, to assurethat the consumer benefits fromunlimited communication at alltimes, in all circumstances, from all

the staff members who work directlyor indirectly with him.

Sign Language uses manualcommunication, body language andlip patterns instead of sound, to con-vey meaning-simultaneously com-bining hand shapes, orientation andmovement of the hands, arms orbody, and facial expressions toexpress fluidly a speaker's thoughts.

In linguistic terms, sign lan-guages are as rich and complex asany oral language, despite the com-mon misconception that they are notreal languages. Sign languages havetheir own grammatical structures,syntax, rules, like any spoken lan-guages. Professional linguists havestudied many forms of sign languageand found them to have every lin-guistic component classed as truelanguages.

As a whole, sign languages areindependent of oral languages andfollow their own paths of develop-ment. Like spoken language, signlanguages around the world are asdifferent as spoken English and spo-ken Japanese. However, unlike spo-ken languages, sign languages have

advantages in which an experiencedsigner can communicate with otherforeign signers more easily, usinggestures, body language, pictorialexpressions and others in combina-tion than verbal language.

Oral language is linear; only onesound can be made or received at atime. Sign language, on the otherhand, exploits the unique features ofthe visual medium; hence, a wholescene can be taken in at once.Information can be loaded into sev-eral channels and expressed simulta-neously.

For instance, in English onecould utter the phrase, "I drovehere." To add information about thedrive, one would have to make alonger phrase or even add a second,such as, "I drove here along a wind-ing road," or "I drove here. It was anice drive."

However, in American SignLanguage, information about theshape of the road or the pleasingnature of the drive can be conveyedsimultaneously with the verb 'drive'by inflecting the motion of the hand,or by taking advantage of non-manu-al signals such as body posture andfacial expression, at the same timethat the verb 'drive' is being signed.

The recent sign language train-ing for Hamaspik staff will indeedpermit them to simultaneously do alltasks needed to selflessly serveHashem's special children.

Fair Hearing:

Special Sign Language Sessions set for 61st Street Briderheim Staff in Brooklyn

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E3Hamaspik Gazette | April '08

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E4 April '08 | Hamaspik Gazette

in the consumers a sense of culturalidentity, coincided in the weeks ofParshas Shekalim, the passage in theTorah that commands every Jew togive a coin, that was a half-shekel inweight, towards the building of theTabernacle in the desert. Because ofthis, the Day Hab was en-route tolearn about the making of coins.

Such a trip requires more thansimple planning. Days in advance,the blueprint for the trip was beingmade. Each step of the way wasanticipated and taken into considera-tion, including when the consumerswould eat breakfast in the morning,and what type of activities would bedone inside of the van, etc. Specialidentification badges were made foreach person who would walkthrough the doors of the governmentbuilding. A six-page activity bookletwas put together to entertain andeducate the consumers during thetwo hour travel. Reservations weremade in advance, and finally, thejourney was ready to be embarkedupon.

Two hours of traveling startedout with a mixture of excited chatter,bouncing music, and an educationalprogram where the consumerslearned words of Torah about theParsha of the week. Soon however,a quiet hush overtook the vans as thegentle movement of the vehiclelulled everyone into a peaceful

sleep. Although the way was rela-tively smooth, the girl’s van pulledover for a few moments to examinean unexpected noise coming fromthe windshield. A piece of rubberholding the windshield had comeloose and was flapping loudly in thewind. After a quick fix, theentourage continued on its way, anda while later arrived at its destina-tion.

Pulling up to the US mint allnoses was glued to window aseveryone started with awe at theimpressive government building.Gleeful cries of “We’re here!” couldbe heard throughout the group. Asthe vans began to unload it was feltthat the location was no longer thesunny Brooklyn that had been leftbehind. A strong wind whippedthrough the Philadelphian streets,and the US Mint building lookedmore inviting than ever. Goinginside, the building engulfed its visi-tors and made them feel happy to bein it.

All eyes turned upon the specialgroup as they entered. The securityguards gathered all and cordiallywelcomed the Day Hab. One byone, the representatives of Hamaspikwent through the security check-point and on their way to a day ofactivity.

The tour started on the secondfloor, which is filled, with historicalartifacts of the US Mint building, aswell as a show case of collector’s

edition coins. After exploring therelatively small second floor, thegroup headed up to the third floorwhere the real action began.

At the first stop on the third tierof the building, the group witnessedthe very first steps of what it takes toproduce a new coin. Inside a spe-cially sealed safe-room an artist satat his “thinking desk” where hesketched out plans for future coins.Every now and again he wouldapproach the viewing window andshow the onlookers the progress hehad made. He showed each step ofthe process – from the sketching, tomaking the coin mold in giant, toshrinking the mold to the size thatthe world is accustomed to, andfinally, hammering out the designupon a model coin.

As the group moved on throughthe exhibition hallways, they saw alltypes of historical artifacts. Coinsfrom the first days of American his-tory were on display, as well as oldledgers with yellowed pages record-ing all the activity that went on dur-ing the very beginning of the USMint. The consumers were shockedto see coins the size of large foodplates! Some girls chuckled as theyimagined carrying such a coin insideof their pocket books.

Continuing the corridor of thethird floor, the group arrived atcolossal viewing windows wherethey were saw American coins inmass production. The Lincoln

Penny was the coin being mintedthat morning. Enthralled, the crowdlooked on as gigantic tubs ofsparkling copper gleamed under thebright lights. Each coin sparkledwith an intensity that one does notfind often. The sight was truly areminder of the beauty of creation.Such a pure element brought outfrom within the earth now rested as anew form, ready to be used. Theconsumers tried to figure how manycoins were in each of the massivetubs, and imagined what worlds ofriches could be bought with theplethora of coins that lay within afew hundred feet of them.

It was hard to tear away from thewindows of dazzling copper, butthere was much more to explore.From exhibits in the hallway, theconsumers learned how gold wastransported in the early days of thecountry. Small boxes that weighedan immense amount of weight wererequired to be carried by four peopleat time. It was hard to imagine thatmoney once was transported in sucha manner, when everyone now car-ries paper bills within their pockets!

As their minds continued togrow with each exhibit, the boys andgirls of the Day Hab became moreaware of the value of a dollar. Thework that goes into creating a singlecoin is enough to make a person inawe!

After a day of education of theU.S.’ currency production and histo-

ry, the Day Hab was ready to headback to the vans and begin the wayhome, but one more stop was to bemade: Strategically placed at theexit of the building was the US Mintgift store. It was amazing to seehow many different items can becreated while implementing coins asan integral part of design. All sortsof souvenirs were for sale- watcheswith coins as the face plate, jewelrywith diamond studded coins, andvarious other trinkets.

When finished perusing the giftstore, the group headed to the vansfor a belated lunch. On the way out,the kindly security guards presentedeach consumer a pencil and abrochure of America’s largest mint-ing factory - The US Mint inPhiladelphia.

Before hopping into the vehiclesto begin the long journey home,everyone gathered for a few happygroup pictures with The Mint build-ing as a backdrop. In compliancewith the prohibition, there were nogroup photos, or for that matter, anypictures at all of the Day Hab beinginside. However, the happy looksupon everyone’s face seen on thephotos taken outside, shows the joythey had while being inside.

Four PM rolled around, and theDay Hab vans rolled back into theirparking spots at 295 Division Ave.The trip ended in a complete successthanks to Day Hab director Mr.Isreal Lichtenstein who found itimpossible to let such a specialTorah portion go by without doingsomething unique for his specialconsumers at Hamaspik Day Hab.With such a director, is it any sur-prise that since its opening nearlyone and a half years ago, theWilliamsburg Day Habilitation pro-gram has been renowned for alwayssurpassing the expectations? Thanksto all of the dedicated staff, this fan-tastic outing was possible.

We all look forward to seeingwhat the Hamaspik Day Habilitationhas next in store!

Continued from Page 1

PURIM GELT:

For Williamsburg Day Hab Consumers,It’s a Day of Civic Joy at the U. S. Mint

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E5Hamaspik Gazette | April '08

Unparallel-able Purim Party “Clip clop, clip clop,” echoed

throughout the crisp air and downthe streets of a still-sleepy Brooklyn.All who were awake turned inquisi-tive eyes towards the horse-drawnbuggy that marched its way throughthe heart of the Chasidishe commu-nity of Williamsburg and towards itsdestination at 295 Division Avenue.

It was just before 9 am on themorning of March 18, 2008 and theworld was beginning to come alive.Excitement hung thickly in the airsurrounding the Williamsburgbranch of Hamaspik DayHabilitation program where brightlycolored balloons gave testament tothe festivities that were soon tocome. The week of Purim hadarrived, and the Jewish communitywas given over to merry-making inhonor of the holiday that celebratesthe continued existence of theJewish community in spite of adecree made by an ancient king ofPersia to eradicate all traces ofJewish life from upon the face of theearth. The annulment of the diktatcame about through a hidden man-

ner, and thus Hamaspik was ready tocelebrate the holiday incognito.

One by one the troupes pulledup- nine Hamaspik vans. As the firstvan rolled into sight lively musicbegan pouring from loud speakerspositioned around the Day Hab andthe level of excitement was quicklyon the rise. Bright-eyed and bushy-tailed, guests of all characters spilledfrom the vehicles, anxious to seewhat the day would hold for them.Mickey Mouse, fire-fighters, south-ern confederate soldiers, “NewYork’s Best” and a vast array ofother costumed consumers could befound dominating the sidewalk out-side of the Day Habilitation whereawaiting them was the first surprise

of the day…A trio of dedicated Hamaspik

day habilitation managers decked inspecial Purim hats gathered aroundto greet their consumers. For themanagers, the day had begun longago. Mr. Lichtenstein Day hab man-ager of Kings County had comeearly to work on create an inviting,festive atmosphere; while Mr. Engaland Mr. Appel Orange and RocklandCounties Day hab managers lefttheir homes early to be able to wel-come their consumers with a smile.As each consumer stepped from thevan he was greeted with the familiar,friendly face of his manager whosebright salutations vaulted the dayinto a fantastic beginning.

As soon as all consumers hadarrived and were settled, the high-light of the day was able to begin.Quietly waiting across the avenuewas a beautiful white horse hitchedto a multi-passenger buggy thatpatiently waited for the moment itwould be called into action to bringlight into the lives of a very specialgroup of passengers. When the con-sumers realized that they would havethe opportunity to ride through thestreets of Williamsburg upon such aworthy steed, a buzz of enthusiasmspread through the crowd and eachconsumer could barely wait for hischance.

The first eight consumers board-ed the horse-drawn buggy for athrilling 20 minute tour ofWilliamsburg, while the rest of thecrowd remained outside of the DayHab enjoying the lively music, com-pany of good friends and an assort-ment of refreshments. An intensefeeling of unity permeated the aircausing everyone to enjoy the gath-ering on an intense level.

After three hours of socializa-tion, lunch, and buggy rides it wastime for the grand finale. Each dayhabilitation van opened once againits doors to accept its honored pas-sengers. As each consumer returnedto his seat, the horse and buggybegan its final trip of the day. One ata time, each van pulled into linebehind the horse-drawn buggy, cre-ating a long chain of Hamaspik vans

snaking its way through the mainstreets of Williamsburg. Lights wereflashing, horns were honking, musicwas blaring from overhead speakersattached to one of the vans, and on-lookers were waving happily at theHamaspik parade of masqueraders.

Leading the wagon-train werethe three day-habilitation managerswho rode aristocratically upon thebuggy wearing matching Purim hats.Behind them was a full army ofcounselors who had dressed as theUS National Guard, and the con-sumers in their various costumes.The community was enthusiastic tosee such a magnificent display ofSimchas Purim by the motley crew.

Upon the horse and buggy wasan exquisitely designed banner bear-ing the Hamaspik logo and theHebrew words from the book ofEsther, “U’Mordechai yatza b’le-vush malchus,” (“and Mordechaiwent out in the Kingly clothing”).Reigning foremost in the mind ofevery spectator was that this was atruly royal event created especiallyfor noble princes of Hamaspik DayHabilitation.

After the magnificent processionfinished its final route throughoutthe province, each visiting day habil-itation program began its journeyagain towards its own palace in thelands of Orange and Rockland,while the Williamsburg DayHabilitation headed back to its baseat 295 Division Ave to begin plan-ning the next big event…

Hamaspik is thankful for ourdevoted Day Hab staff and theirmanagers, Mr. Israel Lichtenstein ofKings County Mr. David Appel ofOrange County and, Mr. YakovEngel of Rockland county, for theirpromote work to bring a smile forour dearest consumers.Thank YouAll.

It was truly an Unparallel-ablePurim Party!

FFFFoooorrrr WWWWiiii llll llll iiiiaaaammmmssssbbbbuuuurrrrgggg::::PPPPuuuurrrr iiiimmmm oooonnnn PPPPoooonnnnyyyy

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E6 April '08 | Hamaspik Gazette

As an agency with hundreds of employees who deliver awide range of health and human services to thousands of fami-lies, Hamaspik has often hosted many enjoyable parties formany events including ribbon cuttings, getaway weekends, andChanukah Parties.

Never before however, did Hamaspik host a “HakorasHatoiv - Recognition of Gratitude” party such as the onearranged for in honor of Mr. Shaul Katz due to his retirementafter many years as the dedicated manager of the “DayHabilitation” of Hamaspik of Orange County.

The beautiful occasion took place February 5’th, Tuesdayevening Parshas T’rumoh, in the majestic ballroom “Hamaspikterrace,” at the agencies Headquarters in Rockland. The ball-room setting was, with the talented help of Hamaspik’sMaintains Dept. staff, planned and arranged by CommunityRelations Director, Mr. Joseph Landau.

Instead of filling the pages with imaginary introductionsand glowing phrases often used, we will instead state the chainof events in its chronological order and let the facts describeitself.

Day Hab in the SnowThe evening was chaired by Mr. Shaya Wercberger,

Director of Residential Services at Hamaspik of RocklandCounty, who worked for many years with Mr. Katz in the Day-Hab Program.

With his unique style, Mr. Wercberger opened the eventwelcoming the immediate family, relatives and friends of Mr.Katz who came to participate in this special occasion. So werewelcomed the consumers of the Day Habilitation, their parents,and all participant staff.

Starting with the weekly parsha, V’yikchu Lee T’rumah –Li Le’shmi, L’shem Shoomaiyi. The Mr. Wercberger tied theevent with the Parsha, lengthily explaining the holy workHamaspik staff does on behalf of these holy souls in a pricelessmanner and therefore making it L’shem Shomayim. This isespecially true regarding a Program Manager of Mr. Katz’s cal-iber, a manager whose great dedication was always known.

His dedication to his work was made even more popularfollowing his decision during a blizzard a few years ago. Mr.Katz, who managed the Orange County Day Hab, was stranded

in his hometown, Rockland County. At the same time, the man-ager of The Rockland Day Hab, was stranded in "his" home-town, Orange County. Instead of using the snow as an excuseto shut down both day hab programs, Mr. Katz recommendedthat he will switch with his counterpart and both will operateeach other’s program for the day. Exactly this took place, to thejoy of the consumers and the delightfulness of the parents.

From a health standpoint Mr. Katz took an active role in theConsumer’s conditions, doing the maximum possible, includingaccompanying consumers to doctor appointments, and followedup with the medical progress. Reb Shaul did not acceptDoctor’s initial opinions as the final decree. Instead, the dedi-cated caretaker worked vigorously to get doctors to give a “sec-ond look” and in several cases proved that doctor’s despairanalysis was all but wrong.

The chairman concluded by saying that the farewell eventis the least Hamaspik can do for Mr. Katz, as a display of grati-tude for his relentless work spanning many years with a dedica-tion of heart and soul.

Staff Speak OutThe chairman then called upon Mr. Eli Bash, a long time

Direct Care Staff at Hamaspik’s Day Habilitation in OrangeCounty, who serves as the Rosh Yeshiva of Yeshivas TorahV’chesed – a group of higher functioning consumers in KiryasYoel, affiliated with the Day Hab.

“The Torah V’chesed group” is well-known as a shiningdiamond in the Hamaspik crown, a place for high functioningconsumers to learn and pray. The boys attend Yeshiva daily andthen come home in the afternoon happily list pass the teachingsand occurrence of the day to their parents who “KVEL” fromtheir son’s accomplishments and happiness.

Due to the success of the Kiryas Yoel Yeshiva group, it has

Farewellfor a

Great Friend:

Appreciation Time:

Mr. Shaye Wercberger Served as Chairman

Direct Care Staff Mr. Basch, praising Mr. KatzSurrounded by boys of Hamaspik Day Hab

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E7Hamaspik Gazette | April '08

become the wish and hope for the special boys and their parentsin Rockland county to have the same. As a result, Hamaspiksoon thereafter established a Yeshiva group based on the sameprincipals as the first and produced stellar results, thus receiv-ing numerous heartwarming responses from the happy parents.

For the success of the yeshiva, Mr. Bash said, we owe adebt of gratitude to Reb Shaul, who invested his energy toestablish the Yeshiva group. From day one, the Day-HabManager had great aspirations for the boys, and once the yeshi-va curriculum started, he felt as if his dream came true.

At the beginning of Reb Shaul’s career at Hamaspik, Mr.Bash Said, “I asked him where he gained his experience whichis evident of the results with the consumers.” Reb Shaul credit-ed his success to the many years of heading the Shabess“Chevras Tehilim” in the Shinuveh Shul in Monsey, a holy taskwhich he took upon himself with utmost dedication and respon-sibility. When “The Yeshiva” was established, Reb Shaulincluded in the curriculum reciting a few chapters of Tehillimon a daily bases. In fact, Reb Shaul participated in the dailyTehillim sessions knowing that the Tehillim of the precioussouls reaches the Kisai Hakovoid with positive returns from theOne above.

“Ashrechu Reb Shaul, Ashrechu” - How fortunate you areReb Shaul, Mr. Bash concluded in fervor.

A special giftThe consumers at the Day Hab hold various jobs, each

according to their skills, while earning some money along witha good deal of satisfaction in addition to developing skillswhich will help them in the future. Having saved up somemoney, Reb Eli tells us, the boys decided to buy a nice gift fortheir beloved manager and hand it to him at “Hakoras HatoiveEvent.”

The boys went to a Judaica store where they hand-pickedthe most beautiful Tehillim and had it Custom-binded with thename of their longtime manager engraved in gold lettering. Thefirst highpoint of the evening arrived as Mr. Bash called all theDay Hab consumers to join together and present to Reb Shaulthe beautiful gift. The scene was such that the most creativeexpressions pale in comparison, so we’ll just let your imagina-tion do the rest.

Hamaspik’s CantorOne can find many talents amongst Hamaspik staff.

Someone is into computer graphics; another is a violinist, thethird as a poet. People with talents such as naturopath, archi-tect, or computer techs, to singers and cantor fill posts in thisAgency. Each and everyone contribute when needed.

One such specialist is Mr. Moshe Friedman, a longtimeHamaspik staff in the “Acres Briderheim” in Orange County.The boys in the briderheim often enjoy his pleasant voice on adaily basis. No different was this special occasion.

With the clarity of his voice and the precise rendition of thismasterpiece, the talented cantor sang the famous “BrichSh’mei” composed by world famous Cantor, YosseleRosenblatt. Inspired by the grand Chazzunes part, the crowdcontinued within the musical sphere with the known “L’maanAchai V’rei’ui” which felt just right for the event.

Parents’ wordIn order to address the prominent

event in name of the Day HabConsumers, Mr. Chaim Riesman fromKiryas Joel, was called upon toaddress the gathering. Mr. Reisman isthe Father of Shlomy – a boy withDown syndrome who attends DayHab.

Reb Chaim stepped up to thestage, and spoke along the theme ofthe event: “Hakuras Hatoiv” –Recognition of Gratitude. MosheRabeinu, Mr. Riesman said, had noless than seven names. In all of theTorah, however, he is only identifiedas Moshe, the name Basya, Paraoh’sdaughter gave him after hauling thecrying boy from the water. Why is

only this one name used? It’s As recognition of gratitudetowards Basya, so that we always remember her part in the res-cue of the savior of the Jewish Nation and the father of allprophets. The same is with the event of the evening: it’s a grat-itude for Reb Shaul’s work with our special consumers.

The momentous event, Reb Chaim said, is comparable to a“Siyum Hashas,” a true recognition of gratitude for Reb Shaultoward the Siyum of his long-standing career as Day-HabManager whose climax was being instrumental in the foundingof the Yeshiva group. As such, the sense of gratitude from thedepths of the heart, transcend the spoken word, as it is said at a“Siyum Hashas”; Lo Nisnashe Minuch, V’loi Sisnashe Minon”– We shall not be forgotten from you, and you will not be for-gotten from us! We will always live in each other’s memories.

Mr. Reisman concluded his inspiring speech with warmwishes for Reb Shaul, to which the crowed warmly answeredAmen.

Special OratorsThe precious Day Hab boys now had their chance to step up

and have their say in favor of Mr. Katz for investing his best toguide them in the right direction.

The chairman called upon Eluzar Feldman, one of Mr.Katz’s best friends in Hamaspik’s Day Hab. In a short yet finespeech, the tireless speaker, in the name of all his colleagues,expressed appreciation to Reb Shaul. Next was Vulvie, anotherconsumer at the day hab, who will not refuse to amuse thecrowd with his talking talents. With his distinctive style hethanked Reb Shaul and staff for making the Yeshiva group areality and again, Impressing the crowd immensely.

Both embraced Reb Shaul at the end of their speeches, amoving and lovely moment which words are too poor todescribe the emotions.

As a refreshing pause in the program, Cantor Friedmansang the renowned “Acheinu Kol Beis Yisroel” also composedby the memorable Yossele Rosenblat. When Mr. Friedmanarrived at the “Hamokoim Yeracheim Aleihem,” he instilled thesensation of the genuine request that Hashem shall with hisgrace bless the special children, their parents, and dedicatedstaff, Amen.

Working with GemsMr. Yoel Friedman, Director of Day Services at Hamaspik

of Orange County, was asked to address the gathering, sinceReb Shaul, as Day-Hab manager, worked in this Agency dept.

Mr. Friedman started with the Parsha. “V’yikchu li Trumah– Li Leshmi.” Mr Friedman explained the three type’s princi-

ples of “Tzedukah” and“Chesed”. One per-

son does them i t z v a h

with con-tent and

delight, another as if forced, yet the third person is a Gabai orAskon which gets others to do Chesed in addition to him selfbeing involved in helping others.

At the Hamaspik Day-Hab program, Mr. Katz had theopportunity to teach by example all the good ideals of G’milusChesed and Askonus. He lead the program with dedication andexceptional tolerance, and advocated persistently in favor of theboys and all Day-Hab consumers -- far beyond the require-ments of a Day-Hab Manager, beyond the physical borders ofthe Day-Hab program, as a result pleasing countless consumersand instilling rays of hope for numerous parents and families.

When Reb Shaul originally entered the Day Habilitationfield, the program was a relatively small fraction of its currentsize. There were some boys in the Men’s section and not manymore in the women’s division. Ever since, the program evolvedunder the leadership of Mr. Katz, akin to a General directing hisarmy.

When the longtime wish of the Yeshiva group became areality through the determined effort of the Manager Mr. Katz,Hamaspik’s range of services was thereby completed, proudlyperforming upon the worlds three foundations; Torah, Avodahand G’milus Chasudim.

Mr. Friedman then related a conversation he had with Mr.Katz, shortly after he assumed his position as Day ServicesDirector which includes oversight on the Day-Hab, and afterschool respite program. I asked Reb Shaul, “What did you dofor a living before you joined Hamaspik?” Mr. Katz replied, “Idealt with diamonds,” and then added, “believe me, I’m now inthe same line…”

Retirement?One of the high points of the evening was when the chair-

man introduced Mr. Wertheimer, Founder and executive direc-tor of “Hamaspik.”

When Hamaspik celebrates such a memorable event inhonor of a long-time manager, Mr. Wertheimer began, we firstneed to find it mentioned within the Torah, since Hamaspikalways conducts its affairs according to the Torah way. Onlyonce do we find the idea of retirement in the Torah, it was bythe “Leviyim” in the “Mishkan” and later in the “BeisHamikdosh”. The Posuk says, when the Leviyim came of age“Yoshuv Mitzvuh Hu’avoiduh V’lo Ya’avod oid” – they shouldstep of of work, and shall no longer work.” however, then itsays: “V’sheireis Es Echov” – He shall serve with his brothers,a clear indication that even after retiring from a satisfyingtenure, one still remains “in service”, never to be alienated norforgotten, staying within the same territory of divine work.

Mr. Wertheimer noted, that Chazzal teach us the same idea.When seeing off a friend before his journey, one should say aHalacha so that they shall remember each other. The reasonbeing, when a Yid starts off on an arduous journey he needs tohave lots of merits to make it safely to the other side, yet hecan’t utilize the merit of studying Torah since that would con-tradict the “Al Tirgezu Badurech” – Don’t argue when on theroad. Therefore one should study before leaving, since torah

Mr. Chaim Reisman

Eluzer Feldman at his speech

Direct Care Staff Mr. Hersh Levy

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E8 April '08 | Hamaspik Gazette

protects even in the long run. At this point Mr. Wertheimer elaborated extensively about

the rigorous work Mr. Katz carried out since the first day on thejob, which systematically continued in the manner of aManager of the highest caliber to be studied throughoutHamaspik.

Mr. Wertheimer told the story of success, where HamaspikDay-hab was at when Mr. Katz joined its ranks, and how today,largely due to Mr. Katz’s methodic and hearty work, the Day-Hab has grown way beyond original expectations where it nowcounts in all Hamaspik agencies approximately one hundredand fifty consumers, all receiving the best care and services.

“This is his work and this is his legacy”, Mr. Wertheimerapplauded the Manager. Mr. Katz led the way for all. He was aliving lecture of what a “Day Habilitation” should signify,investing his heart and soul.

So I ask you, Mr. Wertheimer continued dramatically; “Canthis be considered retirement”? Absolutely not! His work bene-fits from constant continuation, the mission is ongoing, and thetrue retirement will only take place with the coming ofMoshiach, since all consumers together with the rest of KllalYisroel will have a Refuah Shleimuh.

Recognition of GratitudeThe speech was followed by a dramatic scene, where

Hamaspik presented to Mr. Katz a stunning, gold plaque as anhonorable “Recognition of Gratitude”.

Mr. Yoel Bernath, Director of Operations – Hamaspik ofRockland, was honored to present Mr. Katz with the plaque,while Mr. Katz and Mr. Wertheimer stepped up to the podiumand the crowd applauded with a standing ovation.

Mr. Bernath read out loud the several lines, written withartistic flair, which placed in accurate perspective the extensivegood days the Hamaspik Day-Habilitation has with Mr. Katz asits manager.

Cameras flashed and eyes shed tears as Mr. Katz, standingin the center at the podium, received the spectacular, well-deserved Plaque.

A Hamaspik DegreeNaturally, the true highpoint of the evening was when Mr.

Katz took center stage of the Hamaspik Terrace with the samehumble firmness as if in the center of the Day-Hab program inKiryas Yoel while directing staff. The only difference was theloud microphone and the mass gathering. Speaking, Mr. Katzsaid, was alays part of the job, only not to such a huge popula-tion...

Mr. Katz started off with a talk of his career as Manager of

the Hamaspik of OrangeCounty Day Habilitation pro-gram. Mr. Katz spoke in greatdetail about the responsibilitythe job requires and which heproudly accepted as symbol ofhigh value. He then expresseddeep gratitude and appreciationto Hamaspik for granting himthe privilege to engage in thisheavenly profession duringmany years.

Mr. Katz emphasized thewonderful fact that mostHamaspik personal do not holda degree yet they are all profes-sional and punctual at theirwork, as demonstrated time andtime again at all governmentaudits where Hamaspik tookfirst place thus bringing a greatKiddush Hashem. Quality andefficiency dominating in allareas, coupled with affectionate devotion, says Mr. Katz, thedesired consequences did not wait to arrive as the governmentofficials congratulated us numerous times because of our unpar-alleled competence.

Mr. Katz then recounted an episode which took place sever-al years ago at the Ribbon Cutting ceremony for the Hamaspikof Rockland Day Habilitation. Mr. Thomas A. Mall, the leg-endary former commissioner of the N.Y. State O.M.R.D.D.,attended the ceremony. Being his friendly self, Mr. Katz had asociable chat with the commissioner who asked Mr. Katz offhand where he got his college degree. “Nowhere” replied Mr.Katz, to the commissioner’s utter amazement. How then, askedMr. Mall, can you be managing a “Day-Hab” without a degree?I received my “degree” from my dear consumers themselves,said Mr. Katz, and you would have to agree, seeing their happyreaction whenever I step through the Day-Hab Doors.

Mr. Katz told the gathering. “When the consumers showgratification to a staff I know success is soon to follow,” a wellknown Hamaspik principle which serves as one of the mainfundamentals. “This is the best score for a good Hamaspikemployee,” The Manager said.

How does one receive such a positive reaction from a con-sumer? Mr. Katz’s advice is: giving it all you got; by beingkindhearted, compassionate, gentle and caring. “We are proudwith our staff,” Mr. Katz exclaimed fervently!

Aiming the “Recognition of Gratitude” spotlight back at“Hamaspik,” Mr. Katz thanked Hashem for meriting him the

opportunity to serve him through Hamaspik for so many years,thereby helping countless consumers and their families. Mr.Katz then directed gracious words toward the ExecutiveDirector Mr. Meyer Wertheimer, his colleague supervisors andmanagers, and for all those who provided the Day-Hab with ahelping hand throughout the years.

Last but not least, Mr. Katz thanked his family, wife, chil-dren and grandchildren, relatives and friends, who came to par-ticipate in this special event.

In conclusion, he wished all the best to the consumerswhom he had worked with. He heartily thanked and wishedwell to all attendees. “As my father would say”, Mr. Katzenthusiastically said; “you shall always have whatever youneed, and never need what you don’t have, until the arrival ofMoshiach speedily in our days, Amen.”

MemoriesAs a pleasant surprise for the crowd, a beautiful slide-show

was presented. When the pictures full of vibrant color appearedone after another, some of the beautiful history and greataccomplishments of Mr. Katz came to life. As a shepherd tendsto his flock, Mr. Katz cared for his Day-Hab consumers.

In the slides, Mr. Katz is seen helping consumers at theirjobs; taking the boys for an outing; guiding the Direct CareStaff on proper handling of a custom-made complicated wheel-chair; presenting a gift to a consumer; and finally, participatingat a Rosh Chodesh party with the Day Hab consumers.

One scene chassed another, memories were refreshed, nos-talgia kicked in and emotions ran high. The lights went on, thecrowd wipes their eyelids, and Mr. Katz was honored withBirchas Hamozoin.

The event was over, but the participants aren’t ready toleave. Standing in groups surrounding Mr. Katz, they listenedintently to episodes he readily shares. On the table next to himwas the custom-made Tehillim – gift from the day hab con-sumers, the Gold plaques from Hamaspik and the G.P.S.Navigation system, a special gift he received from his Day-Habstaff, so that Mr. Katz finds his way back often.

Everyone shook his hand and wished him a healthy andhappy retirement and many more great golden years for a trueHamaspik Legend.

Mr. Meyer Wertheimer Presenting the plaque for Mr. Katz

Mr. Katz at his emotional address

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E9Hamaspik Gazette | April '08

enly fashion. The kitchen of course,flooded with the tastiest foods, fish -real and faux, to soups, potatoes,meats, salads, and throng of dishes.

The entire Yom-Tov in all grouphomes, during all meals and espe-cially the Seder meals, special atten-tion is paid to assure that everyoneupholds the same standard ofKashrus as in their parent’s home.For instance, a family which doesn’teat fish Pesach, staff will not servefish to this consumer. Whether thisparticular family uses potatoesand/or radish for the Carpas, thechild will receive the same. Thisapplies to each Minhag andChumrah where staff is informedabout a certain consumer’s familytradition. The utmost possible iscatered to ascertain that every con-sumers follows in the footsteps oftheir parents.

No matter the price, Hamaspikbuys the most Mehudar Matzos,meat, and all other foods, with thenotion that the precious childrendeserve the best, all year round, andespecially Pesach at the Seder.

*

We in Hamaspik do not take allthis for granted. The above does not“just happen.” It takes a devotedstaff of many in every HamaspikGroup Home, countless tirelesshours and great effort combined withperfect teamwork to assure a beauti-ful and joyous Pesach of ultimateperfection, so that young and old inevery Hamaspik Residence feels thetrue definition of Zman Chieruseinu– the time of our liberty. From anyperspective, this is a massive projectfor the agency to take on and a grandresponsibility to assume, but theconsumers collect the dividends.

Throughout recent years, newHamaspik Group homes were con-stantly added to the growing list ofalready open “Full-time Yom-TovGroup homes”. Therefore, additionalstaff members and “Live In” fami-lies were hired to be among the fewprivileged families who celebrate aunique “Seder night” In a GroupHome.

MonseyAt the “Fossi Shvesterheim” the

Yom-Tov festivities will be lead bythe live-instaff couple, MordechaiYosef Raab and family.

At the “Concord Briederheim”the Yom-Tov festivities will be leadby the live-instaff couple, Yoel Gelb

and family, along with his Brother-in-law Boruch Glauber and family.

At the “Forshay Briederheim”the Yom-Tov festivities will be leadby the live-in staff couple, AylonMeudah and family.

At the “Grandview Brieder-heim” the Yom-Tov festivities willbe lead by the live-in staff couple,Moshe Guttman and family.

This year the brand new“Arcadian Briederheim” will beadded to the list of Full-time Yom-Tov Group homes, and the Yom-Tovfestivities will be lead by theWeingarten and Holender and fami-lies.

MonroeAt the “Acres Briederheim” the

Yom-Tov festivities will be lead bythe live-in Home Manager, LipaLaufer and family.

At the “Dinev Inserheim” theYom-Tov festivities will be lead bythe night and Shabbos-‘nYom-Tovstaff, Eliezer, and son YoelHeilbraun and families.

For the very first time the“Seven Springs Shvesterheim” willbe fully functioning throughoutChol-Hamoed and the second daysof Yom-Tov with the usual Shabbos-‘nYom-Tov staff.

BrooklynFor the very first time two

Hamaspik Group Homes will func-tion on Pesach. The Double “61st St.Briederheim” will celebrate theYom-Tov festivities and the Sedorimwill be lead by the Direct Care staff,Mr. Shaul Knoblech and Mr. MosheSchwartz with families.

*Understandably, it is quite diffi-

cult to digest the idea of a wholefamily moving into a Group Homefor the entire Yom-Tov, investingeverything, mentally and physically,to ascertain the success of a picture-perfect Yom-Tov for every con-sumer. This year it is even more dif-ficult considering that Erev Pesach isa Shabbos, which includes but is notlimited to last minute clean-up ofChometz and preparing the Yom-Tov, while paying attention to pro-vide medications on time, schedul-ing activities and staying awake dur-ing full night shifts. The mitzvah ofthe above listed prominent and fortu-nate families is grand and theNachas gratifying, but it sure is noteasy. A nice paycheck after Yom-Tovtoo, nevertheless, it is still not sim-ple.

Therefore, we must express ourfeelings of gratitude and apprecia-tion, as much as possible by meansof mere terminology, for all theadmirable families who are privi-leged to provide this beautiful Yom-Tov. You and only you are the oneswho really know and realize what ittakes, and yet, happily and heartily

you took upon yourselves the diffi-cult task. When Eliyahu Hanoviewill dignify you with his yearly“Seder Night Visit” and report abovewhat he has seen at the group homes,Hashem will certainly bestow uponyou and your families heaps ofblessings, Parnasah and Nachas, andadvance the arrival of Moshiach.

We also wish to extend similarfeelings of gratitude and apprecia-tion, to the staff of the Group Homeswhose incessant work and dedica-tion smoothed the progress ofarranging the Yom-Tov in a meticu-lous and pleasant manner. Thankyou for your year-round devotion onbehalf of the precious consumers,and special thanks for being hereduring these demanding pre-YomTov weeks. You have made itall possible, and in this Z’chus maywe all soon be Zocheh to be Makrivthe Korban Pesach in YerushalayimBB”A.

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A plan proposed by TennesseeGov. Phil Bredesen (D) aims toreduce state health care spending byallowing elderly residents to receivecare in their own homes rather thanmoving to a nursing home. Accordingto the Director of TennCare(Tennessee’s Medicaid system), itcosts, on average, approximately$12,000 per person for one year ofhome, or community-based care,compared with between $45,000 and$60,000 for nursing home care.

The Tennessee plan is long prac-ticed in N.Y. and elsewhere.

* * *

The Washington Post reports thenumber of geriatricians who practicein the U.S. is "falling seriously behindneeded levels."

Currently, only about 7,000 geria-tricians practice in the U.S. Expertsattribute the lack of geriatricians inlarge part to low reimbursements, theattraction to other specialties that paymore and a lack of interest in treat-ment of elderly and severely illpatients.

In response to the problem, geria-tricians encourage primary carephysicians to receive extra trainingand certification in the treatment ofelderly patients; the AmericanGeriatrics Society has lobbied forgovernment support; medical schoolshave added geriatricians’ courses totheir curricula, and several founda-tions have provided grants to fundsuch courses.

* * *

Quest Diagnostics Inc. swung to afourth-quarter loss posting a net lossof $5.3 million compared with aprior-year net income of $149.3 mil-lion.

The diagnostic-testing companyalso forecasted 2008 earnings belowanalysts' view. The loss stems from a$51 million reserve Quest set aside inconnection with a federal investiga-tion on NID, a test-kit manufacturingsubsidiary which Quest shutdown in2006.

The investigation includes allegedviolations of civil and criminalstatutes including the False ClaimsAct and the Food, Drug andCosmetics Act.

* * *

If you are a member of the mid-dle-age couch-potato society whodecided to exercise regularly, you canlearn, through a so-called “stress test”monitored by a physician, if yourheart is up for it. In a stress test –which can take from a half hour tothree hours – you get on a treadmilland exercise while your heart is mon-

itored. The test, often covered byinsurance, can cost $200 to $1,000,and is available at some doctor'soffices or at testing labs.

But Raymond Gibbons, a cardiol-ogist at the Mayo Clinic in Rochester,Minn., and past president of theAmerican Heart Association, says formost people a stress test poses anunnecessary hurdle to healthy exer-cise. Dr. Gibbons says anyone whohas been inactive is safe to begin witha "moderate" program, such as walk-ing 30 minutes, three times a week.Physicians say, middle-age peoplewho want to dive right into vigorousexercise, such as jogging or singlestennis should see a doctor for a check-up.

* * *

Surgery for a common back con-dition known as spinal stenosis result-ed in significantly reduced back painand better physical function thantreatment with drugs and physicaltherapy, according to results from theSpine Patient Outcomes ResearchTrial (SPORT).

After two years, of those who hadsurgery, 63% reported major improve-ment, compared with 29% amongthose who got nonsurgical treatment.Many people in the study randomlyassigned to get nonsurgical treatmentsdecided to get surgery instead, whichhas led to criticisms of the studies.

Spinal stenosis involves a nar-rowing of a passage in the spinethrough which nerves pass, and it canresult in debilitating pain in the lowerback, hips and legs. The surgical solu-tion costs $10,000 to $12,000. It isamong the most common operationsperformed in the U.S.

* * *

Eli Lilly and Co. becomes the lat-est drug maker to abandon the once-promising concept of inhalableinsulin for diabetic patients.

The Lilly withdrawal comes onthe heels of Pfizer Inc. pulling out lastOctober of its partnership to sell aninsulin inhaler called Exubera, a drugwhich has sold poorly because of itsunwieldy size and long-term safetyconcerns about ingesting the medicinethrough the lungs. Denmark'sNovoNordisk A/S also discontinuedstudying an insulin inhaler.

The Lilly exit leaves MannkindCorp., of Valencia, Calif., as the lastmajor player in this field. Mannkindaffirmed its commitment to itsinhaler, which is in Phase III studiesand which the company expects tosubmit for Food and DrugAdministration approval by the end ofthe year.

* * *

Advances in technology haveraised the costs of prosthetic limbs,which in turn had made them a targetfor cutbacks by many private health

plans that now cap prosthesis cover-age at $2,500 or $5,000 a year, or payfor just one device per limb in a life-time, sometimes even for a growing

child. The most basic devices can costbetween $3,000 and $15,000.Advanced or computer-assisted mod-els can cost up to $40,000.

So, What's Happening in Your Health Today...?

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E11Hamaspik Gazette | April '08

Interests are pushing state legisla-tures to pass laws that will force pri-vate health plans to offer coveragecomparable to that provided byMedicare, which pays at least 80%prostheses costs and allows regularreplacement of artificial limbs. Somestates have passed laws mandatingMedicare-level coverage, while twodozen other states have consideredlegislation, but faced stiff resistancein some places.

The Amputee Coalition ofAmerica, an advocacy group backedby prosthesis makers and individualamputees, has launched a campaignto introduce a bill in Congress.

* * *A novel, non-invasive device

invented by an asian firm calledPneumedicare to detect respiratoryproblems at an early stage in prema-ture babies, children and adults inintensive care units (ICU) is due to goon the market in about 15 months.According to the firm, the device canimmediately detect common and less-common lung problems found in ICUpatients. Early detection of suchproblems reduces the risks of compli-cations, damage to vital organs andirreversible brain damage.

With hospital costs for a prema-ture baby there estimated at $2,000 aday, the device also carries long-range financial implications. Earlydetection of problems will reduce thelength of hospital stays, as well aslong-term costs associated with treat-ing those disabled as a result of respi-ratory problems.

* * *

Taking just a brief daytime nap -even for as little as six minutes - isenough to enhance memory, accord-ing to a new study by psychologists atthe University of Dusseldorf inGermany. Only a handful of sleepresearchers today deny the connec-tion between sleep and memory.

It is not yet clear whether the roleof sleep in memory consolidation is apassive or fundamentally active one.Further research using more complexmemory tasks is needed to confirmand extend knowledge about nappingand declarative memory.

* * *

In an effort to help Oregon’s600,000 uninsured residents, thestate’s Medicaid program, introduceda health converge lottery intended forlow-income adults who lack privateinsurance and do not qualify forMedicaid or Medicare.

The state led a promotional effortthat culminated with a one-monthwindow, ending in late February, inwhich people who wanted to be con-sidered for the program had to submitbasic information. Of the more than

91,000 who have asked to enroll,about 3,000 initially received applica-tions based on a computer selection.Those applications were reviewed foreligibility, and for the lucky ones,state-provided health care was soonunderway.

* * *

Approximately 800,000 patientshave had Lasik eye surgery annuallysince 2000, spending about $2.5 bil-lion on the procedure every year.Most ophthalmologists are confidentabout the efficacy of Lasik, as well asphotorefractive keratectomy, orP.R.K. Both are designed to correctnearsightedness, farsightedness andastigmatism. The American Societyof Cataract and Refractive Surgeryreports a 95.4-percent patient satis-faction rate for Lasik, based on aworldwide research.

It is important to note, that those4.6% who cannot report satisfaction,complain between others of long termdry eye, double vision, decreasedcontrast sensitivity and decreasednight vision may take place. Thisaffects can occurs even after success-ful surgeries yet only for a short term.

* * *

The threat seems largely theoreti-cal, but computer hackers mighttamper the human heart. However, ateam of computer security researchersgained wireless access to Maximo, acombination heart defibrillator andpacemaker. The group reprogrammedit to shut down and to deliver jolts ofelectricity that would potentially befatal — if the device had been in aperson. they also collected personalpatient data by eavesdropping on sig-nals from the tiny wireless radio thatMedtronic, the device’s maker, hadembedded in the implant as a way tolet doctors monitor and adjust it with-out surgery.

The researches made clear thatthe hundreds of thousands of peoplein this country with implanted defib-rillators or pacemakers have no need

yet to fear hackers. The experimentrequired more than $30,000 worth oflab equipment and a sustained effortby a team of specialists to interpretthe data gathered from the implant’ssignals. And the device theresearchers tested, a combinationdefibrillator and pacemaker calledthe, was placed within two inches ofthe test gear.

Medtronic, the industry leader incardiac regulating implants, said itwelcomed the chance to look at secu-rity issues with doctors, regulatorsand researchers.

* * *

Two sets of parents in Belgiumwere recently handed five monthprison terms for failing to vaccinatetheir children against polio. Each par-ent was also fined 4,100 euros($8,000). The parents were able toavoid prison if they chose to vacci-nate their children.

The polio vaccine is the only onerequired by Belgian law. Exceptionsare granted only if parents can provetheir children might have a bad phys-ical reaction to the vaccine. Asidefrom Belgium, only France makespolio vaccinations mandatory by law.In the United States, children must bevaccinated against many diseasesincluding polio, but most states allowchildren to opt out if their parentshave religious or "philosophical"objections.

Incidence has dropped by 99 per-cent since the World HealthOrganization and partners began theireradication effort in 1988.

* * *

The Centers for Medicare andMedicaid Services said it would con-tinue to cover an increasingly popularCT scan procedure to detect heart dis-ease, despite its earlier misgivingsover whether there was enough evi-dence to justify paying for the teststhat can cost $600 or more.

Medicare paid for roughly 70,000of the heart scans in 2006 at a cost of

$40 million to $50 million. For peo-ple not yet eligible for Medicare,thousands of other such scans werepaid for by commercial insurers orfrom patients’ own pockets, at pricessometimes close to $1,000. As manyas 1,500 centers around the countryare estimated to be offering the scans,with some centers advertising theirservices.

In December, the Centers forMedicare and Medicaid Services hadsaid it would not pay for the scansunless patients were enrolled in astudy to test the technology’s effec-tiveness.

* * *

A six-month, home and pre-school-based obesity prevention pro-gram, instilled healthy eating habitsin children aged 2 to 5. The study byresearchers at the University ofMiami Miller School of Medicine,included children from ethnicallydiverse, low-income families whowent to eight subsidized child-carecenters in Miami Dade County.

At the end of the trail, the percentof children with a normal weightincreased by more than 5%, and thepercentage of children who were atrisk for overweight decreased from16 percent to 12 percent. Theseresults were made possible after thechildren ate less junk food, morefruits and vegetables, and drank lessjuice and more 1 percent milk.

* * *Dental erosion -- the loss of the

teeth's protective enamel -- is on theincrease in the United States,researchers say. Acids found in manycommon products, including softdrinks, sports drinks, some fruitjuices and herbal teas, cause dentalerosion. When consumed in excess,these products can easily strip theenamel from the teeth, leaving theteeth more brittle and sensitive topain.

Regular use of some types ofmedications, such as aspirin, alsomay cause dental erosion. Certain

medical conditions, such as acidreflux disease or eating disorders(such as bulimia) associated withchronic vomiting, can cause dentalerosion because of the gastric acidsthat are regurgitated into the mouth.

Because dental erosion creates asmooth and shiny appearance of theenamel and causes no pain or sensi-tivity in its early stages, most patientsare not aware that they are sufferingfrom the condition until the problembecomes severe.

* * *

While most people are aware ofthe relationship of diet and exerciseand weight control, Researchers atthe Sleep Disorders Center at SentaraNorfolk General Hospital in Virginiaconducted studies and found thatthose who reported sleeping lesstended to weigh more.

Another recent study included 12healthy men in their 20s. Each of themen slept only four hours for twonights. The study found that levels ofleptin, a hormone that tells the brainit's time to stop eating because thestomach is full, decreased by 18 per-cent during the two-day study period.Levels of another hormone, ghrelin,which turns the hunger mechanismon, increased by 28 percent.

Besides the hormonal changes, atired person is less resilient to stressand other common emotional triggersfor eating. Eating to cope with emo-tions is more likely to include com-fort foods like chocolate, ice cream orchips. In addition, since eating onlyhelps temporarily, stressed-due-to-tiredness people may find themselvesreaching for food again and again totry to feel better.

* * *

A Pediatric Allergies in Americareport - based on a national opinionsurvey with funding from Sepracor,which makes allergy medicines -found widespread unhappiness withavailable treatments for children withallergies. Half the parents of childrenwith nasal allergies say their medi-cine does not provide 24-hour relief.More than a quarter are so dissatis-fied that they asked their doctor tochange drugs, while 15 percentdropped treatment entirely.

Instead of using antihistamines toblock respiratory allergies, Edward S.Schulman Schulman and colleaguesat Drexel University College ofMedicine think they can shut downthe specific gene in a type of tissuecells - so-called mast cells - that pro-duce histamine, a chemical that trig-gers allergic reactions. He currentlyis testing the technique on culturedcells in the laboratory. If the approachcan be made to work in people it hasthe potential to transform the treat-ment of respiratory allergies.

So, What's Happening in Your Health Today...?

Hamaspik Gazette© 2003-2008 All Rights ReservedPublished Monthly by "Hamaspik"Distributed free.USPS Presorted Non-profit Mail.Postmaster: Return service requested.

President Executive Director Managing Editor Contributing Writers & EditorsHershel Weiss Meyer Wertheimer Isaac Schnitzler Shaya Rothbard

A. J. M.Joseph LandauJoseph Gestetner

Letters or Address Change?

Tel: (845) 356-8400 ex. 212 Fax: (845) 503-1212

Mail: Hamaspik Gazette 58 Rt. 59 Suite 1 Monsey NY 10952

Page 12: HOME SWEET HOME: This Pesach, Ten Hamaspik Group ...It’s a Day of Civic Joy at the U. S. Mint HOME SWEET HOME: This Pesach, Ten Hamaspik Group-Homes Will Host Yom Tov for Special

Simchas Purim in Hamaspik canonly be achieved when the con-sumers are happy and joyous. Inorder to achieve that, the tirelessHamaspik staff works relentlesslyduring the year to bring the mosteffective services to the preciousconsumers. Before Purim, theHamaspik service coordinators per-sonally deliver a Purim Gift to eachand every consumer as a token ofappreciation for being given theprivilege of working with them yearround.

The receipt of a gift, any gift,illuminates the mood of the receiver.Especially when so much thoughthas gone into figuring out the ulti-mately perfect gift. It can’t be asimple gift, and it needs to be useful,so that the consumers can actuallyenjoy it. It needs to be a “one sizefits (almost) all” gift, since there arevarious consumers in severalHamaspik homes and sometimesseveral consumers in the same

household and it just wouldn’t beright to cause friction as a result ofgiving a gift. Add to that the factthat Hamaspik Service Coordinatorsdistribute gifts twice every year, onChanukah and Purim. Mrs. Katina,the Project Coordinator ofHamaspik, is in charge of pickingthe best brains in Hamaspik, filteringnumerous opinions numerous times,and finally landing with the cr?mede la crop idea which turns into thesupreme gift presented to the dearconsumers.

This Purim, Hamaspik ServiceCoordinators presented the con-sumers with the famous “ShabbosLamp” as a Purim gift. The lampcomes in several shapes presentingdifferent themes, and is a safe, prac-tical and suitable for use by youngand old. It can be used during theweek as well, so that the memory ofPurim lightens up every dark day ofthe year. The lamp is alsoavailable in different colors

such as pink and beige, it even has ateddy bear version, and the kids justlove it!

Sub title?Consumers from the Concord

Briederheim surprised their servicecoordinators with a visit to theiroffices dressed up in their full Purimattire. The service coordinators hada hard time figuring out who’s who,which only added to the excitingPurim atmosphere at the office. Theconsumers then received theirMishloach Manos from theiradmired service coordinator and allthe coworkers joined in a festivePurim dance with the consumers.

When exiting the office it wasthe consumers turn to be pleasantlysurprised. Mr. Meir Wertheimer,Hamaspik’s Executive Director,made a sudden appearance. Aftersome pleasantries were exchangedwith each consumer, Mr. Wertheimer

handed out the traditional “PurimGelt” (Purim Money) to the con-sumers. Alive with joy for the unex-pected treat, they gently thanked himand one by one wished him all thebest in their distinctive style.

In this manner, another hour wasutilized productively in theHamaspik Headquarters, where kin-dling happiness in another preciousindividual’s soul is part of the stan-dard routine.

E12 April '08 | Hamaspik Gazette

A report published by theUnited Hospital Fund reports a55% increase in statewideMedicaid enrollment, whichreached 4.3 million in 2005, upfrom 2.8 million five years ear-lier. New York City residentsaccount for 66% of the state'sMedicaid program; 2.8 millionwere enrolled in the programin 2005, up from 1.8 million in2000.

New York’s Medicaid hasan annual price tag of nearly$47 billion. The state’s spend-ing grew at an average rate of7.7%, compared with the 8.2%growth rate for national healthcare spending.

Between the reasons forthe statewide enrollmentincrease, includ policy changesand an effort to enroll eligible,uninsured New Yorkers.Following the September 11,2001, the state temporarilysimplified the Medicaid appli-cation process for thousands ofnew enrollees. Around thesame time, the state rolled outFamily Health Plus, a programfor individuals and familieswith incomes just above theMedicaid cutoff. In addition, a2001 court ruling overturned a1997 ruling that discontinued

its coverage of certain immi-grant populations. Under the2001 decision, immigrantswith green cards or those in theprocess of obtaining greencards are eligible for stateMedicaid benefits.

In 2005, 2.2 million NewYorkers were uninsured, downfor three million five years ear-lier. The number of uninsuredNew York City residence was1.3 million down 1.6 from ‘01.

Medicaid eligibility isbased on income as it relates tothe federal poverty level.Individuals earning up to 80%of the federal poverty level areeligible for Medicaid. Familiesof three that earn up to 100%of the federal poverty level areeligible. Under Family HealthPlus, individuals and/or fami-lies are eligible for publichealth benefits even if theyearn quite more.

Nearly 6 million NewYorkers were enrolled inMedicaid, Medicare, or otherforms of public health insur-ance in 2006, according to themost recent data from theKaiser Family Foundation. Thepopulation at that time was justmore than 19 millionstatewide.

Medicaid Program Risesin New York State

Special Lamps Bring Purim Joyto Hamaspik CConsumers