Health

feivel –

Hi feivel -Eye Doc -Mod 80 (retired) or whatever you call yourself.

Glad to have you back as another medical poster instead of a taskmaster.

From Web MD:

“Barrett’s Esophagus: Symptoms, Causes, and Treatments

Barrett’s esophagus is a serious complication of GERD, which stands for gastroesophageal reflux disease. In Barrett’s esophagus, normal tissue lining the esophagus — the tube that carries food from the mouth to the stomach — changes to tissue that resembles the lining of the intestine. About 10%-15% of people with chronic symptoms of GERD develop Barrett’s esophagus.

Barrett’s esophagus does not have any specific symptoms. Patients with Barrett’s esophagus may have symptoms related to GERD. It does, though, increase the risk of developing esophageal adenocarcinoma, which is a serious, potentially fatal cancer of the esophagus.

Although the risk of this cancer is higher in people with Barrett’s esophagus, the disease is still rare. Less than 1% of the people with Barrett’s esophagus develop this particular cancer. Nevertheless, if you’ve been diagnosed with Barrett’s esophagus, it’s important to have routine examinations of your esophagus. With routine examination, your doctor can discover precancerous and cancer cells early, before they spread and when the disease is easier to treat.

GERD and Other Complications of Heartburn

What Is GERD and How Does It Relate to Barrett’s Esophagus?

People with GERD experience symptoms such as heartburn, a sour, burning sensation in the back of the throat, and other symptoms such as chronic cough, laryngitis, and nausea.

When you swallow food or liquid, it automatically passes through the esophagus, which is a hollow, muscular tube that runs from your throat to your stomach. The lower esophageal sphincter, a ring of muscle at the end of the esophagus where it joins the stomach, keeps stomach contents from rising up into the esophagus.

The stomach produces acid in order to digest food, but it is also protected from the acid it produces. With GERD, stomach contents flow backward into the esophagus. This is known as reflux.

Most people with acid reflux don’t develop Barrett’s esophagus. But in patients with frequent acid reflux, over time the normal cells in the esophagus may be replaced by cells that are similar to cells in the intestine to become Barrett’s esophagus.

Does GERD Always Cause Barrett’s Esophagus?

No. Not everyone with GERD develops Barrett’s esophagus. And not everyone with Barrett’s esophagus had GERD. But long-term GERD is the primary risk factor.

Anyone can develop Barrett’s esophagus, but white males who have had long-term GERD are more likely than others to develop it. Other risk factors include the onset of GERD at a younger age and a history of current or past smoking.

How Is Barrett’s Esophagus Diagnosed?

Because there are often no specific symptoms associated with Barrett’s esophagus, it can only be diagnosed with an upper endoscopy and biopsy. In general, doctors recommend that people over the age of 40 who have a long-term history of GERD be screened for Barrett’s esophagus.

To perform an endoscopy, a doctor called a gastroenterologist inserts a long flexible tube with a camera attached down the throat into the esophagus after giving the patient a sedative. The process may feel a little uncomfortable, but it isn’t painful. Most people have little or no problem with it.

How Is Barrett’s Esophagus Diagnosed? continued…

Once the tube is inserted, the doctor can visually inspect the lining of the esophagus. Barrett’s esophagus, if it’s there, is visible on camera, but the diagnosis requires a biopsy. The doctor will remove a small sample of tissue to be examined under a microscope in the laboratory to confirm a diagnosis.

The sample will also be examined for the presence of precancerous cells or cancer. If the biopsy confirms the presence of Barrett’s esophagus, your doctor will probably recommend a follow-up endoscopy and biopsy to examine more tissue for early signs of developing cancer.

If you have Barrett’s esophagus but no cancer or precancerous cells are found, the doctor will most likely recommend that you have periodic repeat endoscopy. This is a precaution because cancer can develop in Barrett tissue years after diagnosing Barrett’s esophagus. If precancerous cells are present in the biopsy, your doctor will discuss treatment options with you.

Can Barrett’s Esophagus Be Treated?

One of the primary goals of treatment is to prevent or slow the development of Barrett’s esophagus by treating and controlling acid reflux. This is done with lifestyle changes and medication. Lifestyle changes include taking steps such as:

Make changes in your diet. Fatty foods, chocolate, caffeine, spicy foods, and peppermint can aggravate reflux.

Avoid alcohol, caffeinated drinks, and tobacco.

Lose weight. Being overweight increases your risk for reflux.

Sleep with the head of the bed elevated. Sleeping with your head raised may help prevent the acid in your stomach from flowing up into the esophagus.

Don’t lie down for 3 hours after eating.

Take all medicines with plenty of water.

The doctor may also prescribe medications to help. Those medications may include:

Antacids to neutralize stomach acid.

H2 blockers that lessen the release of stomach acid.

Promotility agents — drugs that speed up the movement of food from the stomach to the intestines.

Proton pump inhibitors that reduce the production of stomach acid.

Are There Treatments That Specifically Target Barrett’s Esophagus?

There are several treatments, including surgery, that are designed specifically to focus on the abnormal tissue:

Photodynamic therapy (PDT) uses a laser that’s inserted into the esophagus with the endoscope to kill abnormal cells in the lining without damaging normal tissue. Before the procedure, the patient takes a drug known as Photofrin, which causes cells to become light sensitive.

Endoscopic mucosal resection (EMR) lifts the abnormal lining and cuts it off the wall of the esophagus before it’s removed through the endoscope. The goal is to remove any precancerous or cancer cells contained in the lining. If cancer cells are present, an ultrasound is done first to be sure the cancer hasn’t moved deeper into the esophagus walls.

Surgery to remove most of the esophagus is an option in cases where severe precancer (dysplasia) or cancer has been diagnosed. The earlier the surgery is done following the diagnosis, the better the chance for the cure.

It’s important to keep several facts in mind:

GERD is common among American adults.

Only a small percentage of people with GERD (one out of every 10) develop Barrett’s esophagus.

Less than 1% of those with Barrett’s esophagus develop esophageal cancer.

A diagnosis of Barrett’s esophagus is not a cause for major alarm. Barrett’s esophagus is, though, considered a precancerous state. So a diagnosis is a reason to work with your doctor to be watchful of your health.”

Back to Me:

The professional article (from Medscape/Emedicine -all one company as well as Web MD) states regarding the treatment options above -that to use them only in dysplasia (severe/high grade).

It’s not really done in regular cases of Barretts’. And even in dysplasia, not e/o agrees to treat, some say wait until cancer develops. The PDT & EMR -they are using in place of surgery.

2scents -“is simply because we have more children, meaning that a mother of five or six, will wait till the last minute (washing laundry and dishes) as opposed to a non Jewish family of one and a half.. (including the pet)”

Btw, we aren’t the only group out there with a lot of kids. Read my previous posts.

This isn’t an excuse to waste other people’s time because you wait till the last minute. Because you waited till the last minute, now you have to have either Hatzolah or EMS take of you.

Let’s say while you are wasting their time -they are needed at a life-threating emergency and the other ambulances are futher away!

Waiting till the last minute and saying “Oh, I can just call Hatzolah or EMS”, is the most selfish thing I’ve ever heard.

That doesn’t mean you shouldn’t call when you have a childbirth emergency -that isn’t due to your negligence!

Mod and RB –

“I guess you’ll just have to take her word for it that 1) she is educated and 2) this was her experience.

I have read enough of your posts to know that I cannot to take your word on anything in the health field – even if you are a “student of health sciences” and even if you teach people CPR.”

“Health – I don’t see any reason to belive it.”

Noone should take my word for anything more than any other poster -this is an anonymous blog. If you don’t belive (for RB) or believe me that’s fine -do your own research. I just know from my own experience, but you can believe whatever you want.

Mod -I can’t reveal more about myself than I already have, being that there are info stealers/gatherers here.

Also, I actually did take her word for it, but I asked her to prove it by answering my question. If she doesn’t, then I’ll have to assume she isn’t as educated as she thinks!

frumnotyeshivish -“Touro is very well known… as a place that got caught selling degrees.”

Sorry -you have a different version of Frum than I do -so just call yourself – Not Frum or Yeshivish! I’m no Chossid of Touro, but to besmirch a whole institution because a few years ago – a few unscrupulous individuals did something – might be OK in the Goyishe or in the Non-Yeshivish world, but it is a Big Issur from the Torah to do this!

“Touro is in any way respected anywhere is ludicrous.) An undergrad degree from anywhere is not worth that much these days; your desired profession (if you have one) should be your goal, anything else should be a means not an end in itself”

The reason that Frum people go to Touro is not because they are looking for a degree from an Ivy league school. If they were – they wouldn’t go to YU either. Most Jews are smart enough to get into Ivy league schools. Touro with their schedule and hours in some schools are very much accommodating to the Frum lifestyle.

They also provide useful degrees in a lot of areas that you can start working in with a BA or a BS. This is why their School of Health Sciences is very popular.

Shvartza Wolf -“I didn’t say that YU’s better in every single major, and I didn’t say that it’s “sooo much better than Touro”.”

That’s right you didn’t -I exaggerated your comments. Ya know why?

They say the definition of Hypothesis is an educated guess. Most people post their opinions here and have sort of reason to post their beliefs -logic, experience. You openly admit you have No experience in either school and no logical reason to post what you did, but that didn’t stop you from denigrating Touro with your Uneducated guesses. Perhaps you even heard what you posted from others -Ya know Rumors. Did you ever hear of Motzay Shem Ra?

yenta -“ya right they get next to none. in a shift and a half, he was called to 9 (!) deliveries. yes i said 9. one set of twins IIRC. after the 9th his chief/head of ems in his area sent him and his partner home. he got off the rest of the week, his partner the end of the shift b/c it was only her third or something. (note, this was in BP).”

You just proved my point -It was BP -they never get so many so they got OFF time. And it also proves Frier wrong -the women that don’t want to be treated by Frum Hatzolah men -will indeed call EMS! And don’t tell me all these calls were Goyim, because I won’t buy it.

“and if you live in a frum area there is a chance a frum man will show up when you call 911. no givens.”

And your point is? Calling Hatzolah -you have a zero chance of either a female or Goy (male) showing up.

“and there is such a thing as precocious labor. not everyone has a few hour warning when to go to the hospital”

Well thank you. Did you ever see this or are you just quoting your nursing textbook? Please tell us what the nursing book says about how common this is? From experience -it ain’t too common.

Hold on -wait a sec. -it’s very common by the Frum community.

The Frum Maidlach have different stats that e/o else. -NOT/FALSE!

They just aren’t educated enough.

Mike – You couldn’t have said it better than your last post. E/o has to give a Cheshbon in this world what they have done and what they have Not done.

tom -I don’t envy you. It’s the hardest Nisoyon in the world -not being part of anything. Learning will be extremely hard, but it will keep you sane in this time of Nist Ahin and Nist Aherr!

kfb -Politically connected and academics aren’t the same. Most people don’t get jobs nowadays from fairs or websites -they get them from networking. While there are some professions that a way in the door is through internships, most aren’t like that.

RB – Maybe you should change your name to Chochom from the Ma Nish

Taneh? I actually was waiting for s/o to post what you wrote.

I wonder how many people believe you?

First of all, in the Goyishe non-white communities they also have a lot of kids. Second of all & the most important point, I’m not talking about percentages. Even if the percentage of Frum Jews being born is greater, no way are Frum Jews even close to any percent of the population. In other words, there are millions of them and not that many of us. So a lot more of them are being born each year. And how many of them are born pre-hospital? Not that many.

And the next thing some Chochom will write is that they all plan their births. Another myth -some do, but again from the total amount of childbirths -it’s a small percentage.

So RB, if you have kids -did your wife deliver at home?

kfb -“DO NOT GO TO TOURO!! I REPEAT DO NOT GO THERE!! IF YOU WANT A JOB OUT OF COLLEGE, GO TO YU!!”

So I guess YU is different that any other college/university in America -they have 100% placement rate. Wow!

And I guess Touro is also different -they have a 0% placement rate.

If the student is a loser, he/she won’t find a job no matter what school they went to!

mamashtakah -“Actually, when growing up in Baltimore we referred to it as “Candle University.”

How long ago was that? I never heard it -please explain.

2qwerty -“As long as the person is removed from children”

Yes, this would have solved the problem. But what happenned was they only say this after the victim(s) reports it to the authorities. I’m still waiting for them to remove some of these perps who haven’t yet been reported.

real-brisker -“Health – Don’t forget even if they call 911 they have a 50% chance on getting a male emt.”

Male doesn’t seem to be the issue, but some Frum guy whom they are aquainted with -is. I think they just added on male provider as a secondary issue. While it’s true that some women don’t want to be treated by any male -most don’t care. The few that care realize that as much as they demand total female care in the hospital, which some hospitals will accommodate -it’s definitely not a guarantee that this will occur.

The reality is – this is a non-issue because anything more than simple childbirth cannot occur/be treated in the pre-hospital arena. So why does the Frum community have so many childbirth related calls? Simple -because they are uneducated. Freier & company would accomplish much more by setting up an org. that educates women about childbirth and other related women issues. Then Hatzolah would have as many deliveries as other EMS – next to none! Look I knew s/o many years ago who wanted to be an EMT like her husband who was on Hatzolah. So since she couldn’t join Hatzolah -she joined some volly org. together with her hubby. Therefore all the Halachic problems were avoided. If these women want to practice EMS -I’m sure they could join some squad. Childbirth calls are probably just a red herring. Either that or these women are just as uneducated and think everybody doesn’t make it on time to the hospital.

a mamin -“A question : I probably was contagious before I even knew I had it? How long am I contagious for pregnant women?”

From NYS DOH:

“How long can an infected person carry CMV?

CMV remains in the body throughout a lifetime. Infected people may occasionally shed the virus in urine or saliva. Several studies have found that from three to 11 percent of normal adults and up to 50 percent of healthy children shed the virus in either urine or saliva. The virus rapidly dies once outside the body.”

These diseases are one of those things that almost e/o has. You don’t have to stay away from anyone, but when you’re acutely ill -you don’t have to have close contact with women of child-bearing age.

ajk -“new square has a female team for female emergencies”

The fact is that the other Hatzolas -eg. NYC, Lakewood and others won’t consider taking them. This isn’t MY opinion -I haven’t really given it much thought because it’s not reality. So Frum women who are uncomfortable with Frum male providers have three choices -either call Hatzolah & get over their uncomfortableness or call 911 or start another Frum First Aid Squad with women providers. I see no reason to even discuss it right now because the Hatzolas that don’t have it, aren’t going to start.

1818 -“there are physicians that feel that bacterial overgrowth is one of the main issues in IBS.”

Yes, this is one of the prevailing theories out there – amongst the movement theory of too fast or slow & too strong or weak. The small intestine is supposed to be relatively bacterial free -somehow bacteria is able to set up home there -so it’s not really “overgrowth”, just growth.

“There is an antibiotic called Rifaximin that has given some people significant relief.”

This is considered experimental -so you have to find a Doc who is treating with this.

Mod 80 (retired) – When you were Feivel you had openly admitted you were an eye doc, and when you were 80 -you never told us you were (and I believe I asked). Why? Did you think people would put 2 & 2 together? And if yes, so what?

snjn – “1) it is definitely caused by food you eat”

This is Not true (actually Not proven) as you will see from the following article from EmedicineHealth, but diet can help symptoms as you’ll read:

Irritable Bowel Syndrome (IBS)

* Irritable Bowel Syndrome Overview

* Irritable Bowel Syndrome Causes

* Irritable Bowel Syndrome Symptoms

* When to Seek Medical Care

* Irritable Bowel Syndrome Diagnosis

* Irritable Bowel Syndrome Treatment

* Irritable Bowel Syndrome Self-Care at Home

* Irritable Bowel Syndrome Medical Treatment

* Irritable Bowel Syndrome Medications

* Irritable Bowel Syndrome Diet and Lifestyle Changes

* Irritable Bowel Syndrome Prevention

* Irritable Bowel Syndrome Prognosis

* Synonyms and Keywords

* Author and Editor

* Read more on Irritable Bowel Syndrome from Healthwise

* Viewer Comments: Irritable Bowel Syndrome – How Was Diagnosis Established

* Viewer Comments: Irritable Bowel Syndrome – Symptoms

Irritable Bowel Syndrome Overview

Irritable bowel syndrome (IBS) is a chronic gastrointestinal disorder of unknown cause. Common symptoms include abdominal cramping or pain, bloating and gassiness, and altered bowel habits.

Irritable bowel syndrome has also been called spastic colon, functional bowel disease, and mucous colitis. However, IBS is not a true “colitis.” The term colitis refers to a separate group of conditions known as inflammatory bowel disease (IBD).

Irritable bowel syndrome is not contagious, inherited, or cancerous. It is estimated that 20% of adults in the U.S. have symptoms of IBS. It occurs more often in women than in men, and the onset occurs before the age of 35 in about half of the cases.

Irritable Bowel Syndrome Causes

The cause of irritable bowel syndrome is currently unknown. IBS is thought to result from an interplay of abnormal gastrointestinal (GI) tract movements, increased awareness of normal bodily functions, and a change in the nervous system communication between the brain and the GI tract. Abnormal movements of the colon, whether too fast or too slow, are seen in some, but not all, people who have IBS.

Irritable bowel syndrome has also developed after episodes of gastroenteritis.

It has been suggested that IBS is caused by dietary allergies or food sensitivities, but this has never been proven.

Symptoms of irritable bowel syndrome may worsen during periods of stress or menses, but these factors are unlikely to be the cause that leads to the development of IBS.

Irritable Bowel Syndrome Symptoms

Irritable bowel syndrome affects each person differently. The hallmark of IBS is abdominal discomfort or pain. The following symptoms are also common:

* Abdominal cramping and pain that are relieved with bowel movements

* Alternating periods of diarrhea and constipation

* Change in the stool frequency or consistency

* Gassiness (flatulence)

* Passing mucus from the rectum

* Bloating

* Abdominal distension

The following are NOT symptoms or characteristics of IBS (but should still be brought to the attention of a physician since they may be signs and symptoms of other conditions):

* Blood in stools or urine

* Black or tarry stools

* Vomiting (rare, though may occasionally accompany nausea)

* Pain or diarrhea that interrupts sleep

* Fever

* Weight loss

When to Seek Medical Care

If a person has any of the symptoms of IBS as discussed previously, or if a person with known IBS has unusual symptoms, a health care practitioner should be consulted. Go to a hospital emergency department if problems are severe and/or come on suddenly.

Irritable Bowel Syndrome Diagnosis

Irritable bowel syndrome can be a very difficult diagnosis to make. IBS is called a diagnosis of exclusion, which means a doctor considers many other alternatives first, performing tests to rule out other medical problems. Some of these tests may include laboratory studies, imaging studies (such as a CT scan or small intestinal X-rays), or a lower GI endoscopy (colonoscopy). An endoscopy is a procedure in which a flexible tube with a tiny camera on one end is passed into the GI tract while the patient is under conscious sedation.

* A combination of history, physical examination, and selected tests are used to help diagnose irritable bowel syndrome.

* No single blood test or x-ray study confirms a diagnosis of IBS.

Irritable Bowel Syndrome Treatment

Irritable Bowel Syndrome Self-Care at Home

Many people may have already modified their diets before seeing a doctor. Temporarily avoiding dairy products may help assess whether symptoms of lactose intolerance are mimicking those of irritable bowel syndrome. Persons who avoid dairy products should exercise and consider taking calcium supplements.

* Certain foods, such as cruciferous vegetables (cauliflower, broccoli, cabbage, brussels sprouts) and legumes (beans) may worsen bloating and gassiness.

* Dietary fiber may lessen symptoms.

* Individuals with IBS should drink plenty of water, and avoid soda, which may cause gas and abdominal discomfort.

* Eating smaller meals may lessen the incidence of cramping and diarrhea.

* Low fat and high carbohydrate meals such as pasta, rice, and whole grain breads may help IBS symptoms (unless the affected individual has celiac disease).

Medical Treatment

Most people with irritable bowel syndrome have problems only occasionally. A few may experience long-lasting problems and require prescription medications.

* A common treatment for IBS is the addition of fiber to the diet. This theoretically expands the inside of the digestive tract, reducing the chance it will spasm as it transmits and digests food. Fiber also promotes regular bowel movements, which helps reduce constipation. Fiber should be added gradually, because it may initially worsen bloating and gassiness.

* Stress may cause IBS “flares.” Doctors may offer specific advice on reducing stress. Regularly eating balanced meals and exercising may help reduce stress and problems associated with irritable bowel syndrome.

* Smoking may worsen symptoms of IBS, which gives smokers another good reason to quit.

* Since many patients with irritable bowel syndrome report food intolerances, a food diary may help identify foods that seem to make IBS worse.

Medications

* Antispasmodic medicines, such as dicyclomine (Bemote, Bentyl, Di-Spaz) and hyoscyamine (Levsin, Levbid, NuLev), are sometimes used to treat symptoms of irritable bowel syndrome. Antispasmodic medicines help slow the action of the digestive tract and reduce the chance of spasms. They may have side effects and are not for everyone. Other treatment plans are available, depending on symptoms and condition.

* Antidiarrheal medicines, such as loperamide (Imodium), a kaolin/pectin preparation (Kaopectate), and diphenoxylate/atropine (Lomotil), are sometimes used when diarrhea is a major feature of IBS. Do not take these on a long-term basis without first consulting a doctor.

* Antidepressants may be very effective in smaller doses than those typically used to treat depression. Imipramine (Tofranil), amitriptyline (Elavil), nortriptyline (Pamelor), and desipramine (Norpramin) are some commonly used medicines that may alleviate irritable bowel syndrome symptoms. Some other antidepressants are more commonly prescribed when depression and IBS coexist.

* The following medications are typically reserved for patients with symptoms that do not improve with the above treatments:

o Lubiprostone (Amitiza) is a type of laxative used to treat irritable bowel syndrome with constipation in women who are at least 18 years of age. It is a capsule taken orally, twice a day with food. It is used to relieve stomach pain, bloating, and straining; and produce softer and more frequent bowel movements in people who have chronic idiopathic constipation.

o Alosetron (Lotronex) is a restricted drug approved only for short-term treatment of women with severe, chronic, diarrhea-predominant IBS who have failed to respond to conventional IBS therapy. Fewer than 5% of people with irritable bowel syndrome have the severe form, and only a fraction of people with severe IBS have the diarrhea-predominant type. Alosetron was removed from the United States market but was reintroduced with new restrictions approved by the FDA in 2002. Physicians must be registered with the pharmaceutical manufacturer in order to prescribe the medication. Serious and unpredictable gastrointestinal side effects (including some that resulted in death) were reported in association with its use following its original approval. The safety and efficacy of alosetron has not been sufficiently studied in men; therefore, the FDA has not approved the drug for treatment of IBS in men.

o Tegaserod (Zelnorm) was a medication used to treat IBS but was removed from the market in 2008 due to increased risk of heart attack, stroke, and ischemic colitis.

Irritable Bowel Syndrome Diet and Lifestyle Changes

Diet and lifestyle changes are important in decreasing the frequency and severity of IBS symptoms.

The first thing your doctor may suggest is to keep a food diary. This will help you figure out foods that trigger your symptoms.

* Limit foods that contain ingredients that can stimulate the intestines and cause diarrhea, such as:

o Caffeine

o Alcohol

o Dairy products

o Fatty foods

o Foods high in sugar

o Artificial sweeteners (sorbitol and xylitol)

* Some vegetables (cauliflower, broccoli, cabbage, brussels sprouts) and legumes (beans) may worsen bloating and gassiness and should be avoided.

* Dietary fiber may lessen symptoms of constipation.

* Drink plenty of water, and avoid carbonated drinks such as soda, which may cause gas and discomfort.

* Eat smaller meals and eat slowly to help reduce cramping and diarrhea.

* Low fat, high carbohydrate meals such as pasta, rice, and whole-grain breads may help (unless you have celiac disease).

In addition to dietary changes, there are some healthy habits that may also help reduce IBS symptoms.

* Maintain good physical fitness to improve bowel function and help reduce stress.

* Stop smoking for overall good health.

* Avoid coffee and chewing gum.

* Reducing or eliminating alcohol consumption may help.

* Stress management can help prevent or ease IBS symptoms.

o Use relaxation techniques: deep breathing, visualization, yoga

o Do things you find enjoyable: talk to friends, read, listen to music

Irritable Bowel Syndrome Prevention

Follow the diet and lifestyle recommendations as outlined above, and as discussed with your physician. Avoiding triggers is the best way to prevent symptoms of IBS.

Irritable Bowel Syndrome Prognosis

Because irritable bowel syndrome is a chronic (long-term) disease, symptoms usually return from time to time. This may be influenced by factors such as stress, diet, or other environmental causes. No known treatment cures IBS. Multiple factors may play a role in aggravating IBS, so it may be difficult to predict which may make IBS worse for a particular person. Establishing a good relationship with a doctor may help alleviate concerns over symptoms and allow rapid recognition of changing or worsening symptoms.

OneOfMany -“Dictionary definitions don’t prove anything.”

So whose opinion counts – what words mean -YOURS?

“YOU are guilty of bad word choice.”

I’m not guilty of anything. I’m sorry that your education didn’t include all the definitions, but now that I educated you -why don’t you say Thanks?

“Quit picking on BaalHabooze.”

Perhaps you didn’t read all the posts?!? He attacked me, not the other way around. I guess you believe in the best defense – is an offense; but my only question to you is -Why are You the one on the defense? You aren’t both the same, are you? You should familarize yourself with what Chazal say about people who mix into other’s convos!

littleapple – Anybody can say Ossur -that is easy. Do you have any Gedoley Poskim whom Assur? Anyway in my family -my Zaida was Mattir and he once was a Rov. I told you a Svara of Sholom, but there could be other reasons.

BaalHabooze –

“1- why UNfortunately?

2- the only way to translate burden in that sentence is #2.”

1. You should have asked this question before you cursed me out.

2. Again you aren’t being Dan L’caf Zecus.

I’ll tell you why it’s unfortunate because even though there are many people here who do have it easy in Gashmius, there are plenty who don’t. I would say the percentage of these type of people are higher here than in other Frum communities. (And they all aren’t Yungerlieght.) So when a person whom has a big family and little financial resources and all of a sudden has an added burden (defined as responsibity -for those who want a definition), it is an unfortunate situation.

mdd – Who says that B’shogeg is considered B’chlal Amesecha? Is this his own Chidush or does he say he got this from s/o -somewhere? Oh, I think I know who Rabbi Berkowitz is -Did he come from California and Silver Spring and originaly learnt in NIRC?

oot for life -I see nothing wrong with approaching him and saying I know you’re a drug addict & I want to help. Don’t be scared that he will deny it because even if he won’t admit it, all druggies know that it’s wrong deep down! He might deny the addiction or tell you so what, but don’t be pushed off because of this. Make sure you have researched it first and know where he can get a Doc who will give the right medicine and know of a therapist that deals with this and how to contact NA. Feel free to post any other questions here -I have some medical training including drug addiction.

“If a frei Yid is a tinok she’nishba, you can not say loshon hora about him. If he is not, you may.”

Who said? Why not?