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doomsday,
Very simple for anyone with a basic science background. All drugs are based on a bell curve within two and three standard deviations. There will be always people to the right or left extreme. On the basis of cost benefit and risk analysis, human society and the far far majority of people are best served by medical profession. If a specific individual is know to be very sensitive to a specific drug, they will modify the treatment plan for such as highly unusual case. All based on fundamental science and not belief.OURTorah, good point.
Anti-vaxxers, have you every seen the permanent and life altering effects of polio on a person? My mother had to live the city in the summer because of the fear of getting polio. If you polio is dead, it still exists in other parts of the world and if it comes to USA or Israel, are you ready to accept responsibility for your children getting polio or its terrible effects? I would not and could not.
Kavod HaBrios,
Are you an Eved HaShem or Eved Ini?
An Eved HaSehm follows our Gedolim but Eved Ini follow his own path despite what our Rabbis are saying.
Please answer my previous questions because as much as we much have Emuna, HaShem expects us to place our own effect as guided by the Gedolim.Get it clear,
what will you say when your child dies or causes another child to die because of your decision?
What will you say if your children have mumps and can NEVER have children when a vaccine would have prevented that?
If we are al servants of HaShem, that should be first and foremost; since our Gedolim have repeated said to vaccine, why are anti-vaxxers not following our leaders. In other words, are they placing their own views above the Torah?
I am not a “pro-vaxxer”, I try to be servant of HaShem and when my rabbenim said I should get my children and grandchildren vaccinated based on the very far majority of doctors, I following them.ANT-VAXXER,
Do you trust science and engineering?
Do you listen and follow our Gedolim?
Do you understand risk management?
Do you know the acceptable risk for environmental release of chemicals?
If not, what do you believe in?The citation mentioned above does not exactly tell you how to do the Gorah HaGra. I have seen it first hand and it was not done by such people as Rav Ayrah Levine.
In these matters, that should always be the case as the Re’ma states that you need to be over 40 and full of Shas and Halacha. Look it up.
Yes, I do but I will not make public via this format.
After you have finished Shas a few times, you can approach your Rebbi for this.
Wife’s Minhagim? Her’s are nullified to her husbands and therefore considered as if they do not exist. If he does not have minhagim, he can either:
1) Found the minhagim from his father’s father’s hometown.
2) Follow the minhagim from his Yeshiva
3) Follow the minhagim from his Rebbe.Mod 29
Based on stories he’s told me before: yes, the doctor has to prescribe the medication and he can only fill what he’s told to fill. However, he does have the right to overrule the doctor and say that he will not fill the medication. It has to be for a good reason (overdose, patient is abusing medication, drug interaction) and is done infrequently but he does have that power. It’s a two way street. The prescriber is, in some ways, at mercy of the pharmacist too.
Health
He and I have talked about this before – when one fellow asked him if he has eye drops for pink eye (he sent him to urgent care and told him not to use Visine). It comes from the fact that doctors are busy and some patients have high copay or aren’t insured at all. Pharmacists are known as the most accessible healthcare providers and people come to them with medical questions – many of which they can answer. When you add low health literacy to the mix combine with people don’t understand what we are and are not allowed to do is when you have people coming in asking for a diagnosis and a medications which for the most part we cannot provide (exceptions: Narcan [state dependent], human insulin, contraceptives [state dependent]).
CTLawyer raises some interesting questions so I asked my pharmacist is licensed in both NY and another state. This is his responses:
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About diagnosing an illness: you think of a podiatrist as a doctor specializing in the foot, think of a pharmacist as specializing in medication. They recommend, they do not diagnose. If I were to say “you have the flu, take medication x”, CTLawyer is correct. What I should and do say is “You sound like you have the flu, I would try X.” The latter is not a diagnosis, it is a recommendation – well within my licensure.
Similarly, I cannot diagnosis a swollen toe. I review what you’ve told me and recommend therapy. We are extensively trained in red flags that preclude self-treatment. (to Health – you do make a good point. However, we are aware that a purple toe could be many things – gangerene, warfarin-induced, an extensive bruise among others. We take a history and make a recommendation – which could very well be “See a physician – I will not recommend anything over the counter.”) If I am certain that the disease state is something that can be treated by an over the counter medication, I will make a recommendation; if not, I will refer you to your physician – even if it means I lose a sale.
Pill-dispenser? I must say this is an offensive misconception. I refer you to the American College of Emergency Medicine, the American College of Cardiology and others who all have released policy statements to the effect of pharmacists have a unique base of knowledge and are an extremely valuable resource. The law permits us to vaccine and we are held in responsible for the clinical appropriateness for every prescription (ie. if an overdose leaves the pharmacy on my watch, I must be to justify why I felt it appropriate to dispense and how I mitigated the risk to the patient)
Mod-29: I have made recommendations to prescribers since I was student and have had them followed exactly. Sometimes prescribers do turn to us for medication selection. You are correct in that we do not diagnose. Also, we train extensively to give medical/lifestyle/pharmaceutical advice – we have semester-long classes on this kind of thing.
Which is what I thought I had said, correct? I believe they probably know better than some docs what would work, but they are still at the mercy of the prescriber.
CTLawyer – A. Why Corporate chooses to have a 24 hour store in the area has nothing to do with the profession. That is a corporate decision. B. That being said, it may be that American trained pharmacist are not willing to practice in CT because of the extremely loose narcotic laws in CT and knowledge of some very lawsuit-happy law firms not too far south in NYC. C. In order to get licensed in NY, you actually need to demonstrate that you know how to make capsules, liquids, creams and IVs. You would be hard pressed to find someone who will make tablets for you as that requires a good amount of physics and chemistry not traditionally taught in school.
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I’ll be happy to pass anything along to him. Just post.
Suppose the person were taking seizure meds? or ADHD meds? Would the situation change then? Are you going to track down the reason for every antibiotic on the slim chance it was prescribed because of some horrible disease that no Ben/Bas Yisroel should have? Suppose the person has bad genes and is taking high blood pressure meds, cholesterol meds, or diabetes meds? Suppose the person is a Type I diabetic or has the BRCA gene?
Maybe the shidduch crisis that has been so popularized is because we have certain people who are waiting for everything to line up to their satisfaction buoyed by people telling them that they have all the advantages and can afford to wait; perhaps those others who ‘act’ more desperate are more down-to-earth and know that Mr./Ms. Perfect won’t come because HaShem gave us an imperfect situation for the express purpose of testing us and having us grow?
Maybe the increased divorce rate is because people think they found the perfect one and discover that they aren’t? Barring situations in which all would agree are untenable, when faced with a minor problem do these people throw in the towel or rely on their maturity to work through it?
Every person has their bashert but whether they miss them (yes, you can miss your bashert) because of their own preconceptions is up to them.
I’m not Some Common Sense.
Health – the point that you’ve missed is that we do much more than most health professionals think. The attitude of “count and pour – lick and stick” that the public and many professionals hold of the function of pharmacy is absolutely false. We aren’t a roadblock for patients to have their medication; we check patient’s drugs/vitamins/supplements from a unique point of view.
MRSA? Two antibiotics? I can think of six! Which two are you thinking of?
Phenytoin is not that common but is used because it works. Just like clozapine. The pharmacokinetic dosing of phenytoin, on the other hand, is a function unique to pharmacy.
This is the Borrower of Some Common Sense’s account.
This discussion of the double slit experiment and resonance structures is eye opening. Yes, I know exactly what each one is and how to explain them.
Sparky, overconfidence is the number one cause of mistakes.
Health, I don’t know what your credentials are so I can’t gear my explanation to your specific field. But to answer your questions, every single drug, vitamin and supplement (even ubiquitin) that passes through our hands is checked. Be it simple drugs like Tylenol or Motrin or complicated drugs like vancomycin and phenytoin (the PK on these drugs gets extremely complicated).
You ask why bother checking for simple drugs? But did you know that Zyvox, a wonderful antibiotic, interacts with psych meds? Not many do. Would you consider a drug interaction between high dose Tylenol with valproic acid and carbamazepine (two common mood stabilizer and anti-epileptics)? I would. How about Contrave (weight loss) and Percocet (pain relief)? Okay to take together? There are interactions between even the most common drugs that we are concerned about.
In terms of mistakes, no one is perfect; we have several check points to ensure we get everything right but human error does occur. How many times would you mix up hydroxazine and hydralazine? Clomiphene versus clomipramine? And yes, we are the last line of defense – how often to patients know what drugs they’re taking? Research says that most patients do not know a whole lot about their meds. Take a look. Should they know – absolutely; but do they know – uncertain.
Everyone makes mistakes; the question is how serious and how permanent. Everyone – doctors, nurses, technicians, pharmacy – makes mistakes, everyone.
FFG,
you are very correct. The same applied when I took OChem 1 and 2 in 1982.
Sparkly,
I humbly recommend that you memorize the naming, basic group and fundamental reactions; you will need them over and over again. That is how I got B’s in OChem 1 and 2; it is a lot of work and take 1-2 hours/hour of class. Also, be thankful that you do not need to take PChem or IChem!
The borrowed “Some Common Sense” is a very close relative who I trust.
This is the one borrowing Some Common Sense’s account.
WinnieThePooh – No, I don’t mind. Resveratrol seems to cause it’s antineoplastic effects in the G0/G1 – S phase transition via the induction of Caspase-3. The raw chemical has a very short half-life in circulation requiring gram doses to be effective in raw form. The glucuronidated form is more stable and has a greater Cmax resulting in a greater biological effect.
Mods – I wonder if there is a way to share emails. This is not the right forum for this discussion.
Ubiquitin – Your point is quite true. I was referring to medications such as vancomycin and aminoglycosides which individually dosed based on CrCl. The actual math behind the protocols is heavily based on various patient factors and an accurate CrCl is one of them. The situation you mentioned about an apart change in CrCl based on an increase in SCr become quite relevant.
Health – my comment was simply that neither group is incompetent. Each try to do their best but make mistakes. I don’t think that any prescriber tries to be incompetent no matter how it may seem to other people. But enough trivialities.
Sparky – 2-3 orgo-hard courses and 2 easier courses. Weekly exams. A teaching technique that is consistent with straight memorization but a testing format that demands application of said knowledge (oh and they never tell you how to apply what you learned plus many of the applications are based on the professor’s experience so you never really know if you have the right thought process). As Some Common Sense said, application is not something that many people are capable of in undergraduate study.
Sparkly,
I am the true Some Common Sense. As a Professional Chemical Engineer, I had to take a LOT of chemistry, physics and math. OChem does not have to be hard except most people find it so because 1) there is a lot of material to memorize and 2) you must apply it. Most students learn to memorize and regurgitate what they memorize; this one of the first major classes they must apply what they learn. So, use this class to adapt to learn this skill; you will need to for your future.
Borrowing Some Common Sense’s account again:
Sparky: how hard is pharmacy school? Remember tthat sense of “why this class is so hard” that you just expressed – that’s about standard for all clinical courses. Imagine two or three of those kinds of classes with two others that are only a bit easier and you have a reasonable expectation for what a semester is like. Find a job in a pharmacy and you’ll have a better idea of what happens.
Winnie: nice line about acridine orange. Current data is unclear about the effects of resvertrol metabolites but I still have a thirty some odd studies to sift through to find some info. Where did you look for literature?
Ironpenguin: niacin has a histamine related reaction and that is indicative of efficacy (one other drug will cause a headache and if it doesn’t the medication expired – which one?) but that reaction is very troublesome and usually requires premedication for a period of time. Few people take it, beside for the fact that many insurances will usually not cover it. So fenofibrate. Pop quiz – What wrong with gemfibrozil?
Antipsychotics – which class? There are several classes of antipsychotics – typicals, atypicals, SSRIs, SNRIs, mixed – which do you mean?
Health – foreigners are no different from American trained prescribers. They all try to be accurate but everyone makes mistakes. Dosing is only one of a battery of things we check for before a prescription leaves out hands. Rest assured, your prescriptions undergo a through review before you get them.
My experience is that prescribers try to titrate up a dose and exceed recommended levels (what’s wrong with Valtrex 2g twice daily for ten days? What should it be?). And we will call you out on it. It stems from a lack of knowledge of how far a certain drug can be pushed before becoming dangerous. What’s the maximum amount of Tylenol you can give in a day? Foreign trained or not, it’s the same issue across the board.
Remember – all substances (yes, even water) can be poisons, it’s the dose that matters. Nitroglycerin is an explosive but when dosed in micrograms, it is very helpful for reducing cardiac preload. Warfarin was originally designed as a rat poison but is extremely widely used as an anticoagulant. Even drinking alcohol has its place (what do you use it for?). Dose is extremely critical.
Ubiquitin – the doctors use the CrCl that shows up in the computer system and is automatically calculated from the patient’s height and weight. This can be erroneous because some CrCls need to be adjusted for various reasons as you pointed out. Medicine and Pharmacy use the same number, except that occasionally Pharmacy will hand calculate CrCl when doing high-risk medications (phenytoin, heparin, vancomycin…) Also, drugs are given dosing ranges precisely because of the factors you mentioned.
I am not Some Common Sense.
Health – I have several corollaries I can derive but for your privacy, I won’t continue this.
WinnieThePooh – In retail/community pharmacy, most of the information relating to drug classification, adverse events, dosing, duplicate therapies and drug combinations are used daily. Most pharmacy systems have a tool to identify drug interaction and therapeutic duplications and it’s my job as the pharmacist to decide what is real and what is not, what I know to be a problem and what is not. Some interactions or duplicate therapies are not a problem. Some are major problems. That’s my call.
Some of the information learnt is not used on a day-to-day basis but will pop up when least expected. Just the other day, I was asked by a doctor to recommend a dose of a certain antibiotic and how the medication could be converted to a liquid. That requires knowledge of dosing, antibacterial coverage, drug formulation and compounding techniques. That is not a frequent question but one that I have to be prepared for.
Mind you, if I’m in a hospital, those types of questions come up much more frequently. Or if I’m industry, I’m going to have very few clinical question but will spend most of time doing drug formulations.
There is a system of counting and verifying that does take control of the day but there is always those few things that occur every shift that make it interesting. Be customer behavior, customer questions, be it a hilarious mistake in a prescription, be it a life-threatening mistake in a prescription or a life-threatening drug combination that occurs – there’s always something that throws off the monotony.
I’m not Some Common Sense – I’m borrow the account.
Health, I’m not going to argue over trivialities but to offer advice to those who want. My point was simply that the information came from memory and was a small example of what sparky will be learning. I’m most happy for you that you’ve been taking Pravachol with “tons” of NSAIDs and have had no deleterious effects. You can proudly join the many millions of people worldwide that have had the same experience.
Now that you’ve decided to bring it up – would you like me to take a few accurate guesses at your health conditions and other personal data based on that bit of info? I didn’t think so.
Did you want to play drug information some more?
Again, I’m borrowing Some Common Sense’s account.
Health,
Lipitor = atorvastatin calcium
Mechanism of action: 3-hydroxy-3-methylglutaryl-coenzyme (HMG-CoA) reductase inhibitor
Indications: hypercholesterolemia, cardiovascular protective agent. Contraindications: active liver disease, pregnancy, lactation, allergic and unexplained increases in LFT at least 3x ULN
Pregnancy category: X
Dosing range: 10 – 80mg once daily with or without food
Most common adverse events: increase in LFTs, myopathy, myalgia | Evidence of modulation of side effects by CoQ – 10 / ubiquitin is spotty and uncertain.
Drug interactions: CYP3A4 metabolised (how many drug interactions can you derive from this statement, Health?)
There are several others in the class. Look at the ATP IV guidelines (found on NIH website)- you may very well end up taking it (they’re class effects of all the HMG CoA inhibitors).
Likewise, for anyone worried about statin-induced rhabdomyolysis, do you take ibuprofen (Do you have any idea how many doses consumed a year)? Naproxen? Meloxicam? Piroxicam? Aspirin? Ketorolac? Do you know what the most serious adverse event associated with NSAIDs are?
Sparky, concentrate on the courses you will need most. You need not re-take Gen Chem II if you can focus and do well on the subsequent courses. Again, the concepts are important – you will not be using the equations in Gen Chem very often but you do need to know all the concepts.
In terms of your course schedule in pharmacy school – in undergrad, you’re taking a few courses in different tracks of study – one in chem, another in bio, a third and fourth in some elective or core. In pharmacy school, you are still taking electives and unrelated course but your primary focus is on three sequences – pharmaceutics (drug formulation), pharmacology/medicinal chemistry (how, exactly, do drugs work and comparison of drugs in similar classes) and therapeutics (how to use drugs).
Pharmaceutics tends to be heavily based in mathematics and does require understand of concepts and being able to follow the purpose of an equation. Pharmacology is founded on physiology and requires a strong understand of the subject. Medicinal chemistry is based on biochemistry and requires a good deal of memorizing.
Therapeutics is about knowing mechanism of actions and treatment guidelines. Included in this is a knowledge of antibiotic spectrums. You can either memorize your way through the sequence (which does work but fails rather spectacularly when you need to apply something) or understand what is taught and deriving the treatment guidelines (difficult to do as most people don’t think this way).
The trend now is to have these courses line up so that at any given time you are discussing the same drugs. You will get very sick of hearing about certain drugs. So to answer your question, there is no comparison as there is a complete paradigm shift of course study. This is not easy street and you will spend a lot of time studying.
Hi, I’m borrowing Some Common Sense’s account to offer some advice.
Sparky – you’ve chosen a very ambitious goal for yourself. Hatzlocha rabba! Be prepared, none of the schools that I know of are not coed and all (Touro being the one exception that I know of) have classes on Yom Tov and expect you to study on Shabbos. It’s very manageable but just be prepared to have “the religious discussion”. Yichud comes up every so often but not much. Also note, you will be asked to work with students from the opposite gender and saying no will almost instantaneously cause problems.
As a practicing pharmacist myself, let me offer my own view of A&P and Orgo and offer some advice. ironpenguin and the others are correct – A&P and Orgo are very intense courses with wildly different skills necessary to excel. A&P requires a procedural memory allowing you to track the various physiological process across the anatomical structures. Orgo is almost entirely theoretical – it requires memorizing many reaction, the physical forces driving the reaction and their requisite conditions (cofactors, coreactants, catalysts and environments) with the ability to think/apply the processes to reach your destination – it has very little to do with memorizing a process; it is about applying facts and constructing a process. It’s the thinking and applying that throws off many people because most of collegiate courses are taught to memorize, not to apply.
As a student pharmacist and as a practicing pharmacist, anatomy and organic chemistry synthesis is almost entirely useless (unless you enter research). However, physiology and the concepts of organic chemistry become absolute requirements. First semester is a course in biochemistry that assumes you know all the concepts of organic chemistry on your fingertips. Our field is derived from biochemistry – the chemistry of biological systems. So Some Common Sense is correct – the exact differences between tissues is determined on a molecular level. Why are tendons easy to snap but a rope of human hair the same size can hold many pounds? They’re both connective tissues but the difference is determines at the biochemical level.
All bioactive substances are affected by many process in the body. Be it hepatic action, renal clearence or protein binding, the pharmacist must understand all of this. Physiology courses become critical. How does the kidney work? Why do some drugs work with a decreased renal function and why do some become hyperactive and still others become inactive? Physiology answers that and you must know it because you will be asked about it.
Some general pharmacy advice – a very strong majority of pharmacist enter the community and work in stores. You will be administering vaccines (read: injections) and asked about Over-The-Counter products. From medicated shampoos to foot creams and everything in between, patients will look to you for advice. Even family, neighbors and friends will call you asking for advice – I relish the opportunity to teach and help people help themselves – to each their own. You will need to know for what and how these are used; you will be asked to offer recommendations using these medications – happens every day. Find a job in a local pharmacy – it will serve you very very well. During school, you will be asked brand/generic names for drugs and be required to tell them apart. What is the generic for Lipitor (the world famous cholesterol medication)? What is the difference between Miralax and Mirapex? Hydralazine and hydroxyzine? How do they work? What are they used for? Dosing? Contraindications? Adverse events? Flash cards and memory games become very important.
Don’t get me wrong – you will have a wealth of knowledge at your disposal such that you can extemporaneously teach a high school course in biology without a lesson plan or even refreshing your memory. Maybe 5 minutes to figure out what you want to say but that’s it. Don’t let that run away with you – looking down other health professionals from that tower of knowledge will net you a miserable situation almost immediately. I’ve seen in happen. Medicine is a very small world.
Patient manner is also very important. Ask any pharmacist – they can tell you about patients who were nice, rude and anywhere in between. An enormous amount of patience and self-control are necessary; a nice helping of a sense of humor always seems to follow. Be short with a patient or a holier-than-thou will fly as far as a lead brick in terms of being able to get a patient to trust you and follow your advice. Remember, patients will take your word as the absolute truth and may, many times, take your word over that of their physicians. We have a great responsibility as we are their last line of defense from inadvertently hurting themselves.
In summary, focus on doing well in the prerequisite courses as you will need the knowledge (except physics – kinetics, mechanics, sound, light, relativity have extremely limited use in pharmacy and is only something you would need if you went into formulation development in industry). Find a job at a pharmacy – chains will hire you as an intern. Depending on the state in which you live, you may be granted certain authority above that of the regular employee. Develop the specific character traits you will need. Be prepared to work hard – the end is well worth it. You’re walking into a field that possesses enormous possibilities to prevent harm and to help people. We have a tremendous responsibility. Hatzlocha rabba on your decision!
Sparky – my Orgo final had the question “Synthesize alanine with a radioactively marked C2 carbon, given certain starting materials.” That’s it.
The answer to the question you ask about tissues is not taught in either of the classes you ask about but it only understood at the junction of the two. The more you understand, the more wonderous Creation becomes. ?????? ???? ????” ???? ??, ??”
ironpenguin,
I understand the question very well. Given the lack of current leadership, we have to look out for own family most to ensure their best education as frum yiden. If that means a financial sacrifice, HaShem will reward us more so. The money HaShem loans to us are not for our pleasure but for his service. Nevertheless, the schools are NOT off the hook and will need to answer for every penny which I think will not be pretty; if it was, they would open their books for all to see.
Ari K is correct. However, it is critical for serious student to learn Talmud Yerushalmi because there are topic and laws that are not mentioned in the T.B. The general rule is that where the T.B. and T.Y. argue we follow the T.B. BUT where the T.Y. states a law not mentioned in T.B. or not argued with it, we follow the T.Y. when you learn Hilchos Berchos, the Rosh mentioned many laws from T.Y. That is why I’m on my second cycle of T.Y.
You are missing the point! You must allow the girl to marry and the married to have their babies. It just requires good management in the yashivas. The public schools in America have no problem with this issues because they use substitute teachers. The reasonable way to do it
1) Have the teachers sign contract for the year to teach. They can get married or have babies within the contract. New mother can get the time they need with substitute teachers. The new wives will have to fulfill the contract for the year after they are married.
2) BUT, the yeshiva has to fulfill their side of the contract, like paying them on time. If not, they have the legal and halachic right to consider this a braking of the contract and can resign.
Look at the Hebrew Mo’em Lo’ez Parshea Ki Tzilo; I saw it in there.
In these concepts, those who know don’t say and those who don’t know say. Golem are possible.
IMHO, it is rather rare but very worthwhile. I know such an earner/learner and has done more than most full time learners . He has supported his family bekavod and finished Sahs Babvi twice on his own and shas Yershami once, all without daf yomi and artscroll. Most full time leanrers after many years have significant worries that either forces them to live in poverty and suffering on social programs, which are not enough with tuiton, food and housing, or to get a starting level job.
Good luck and it’s worth the wait.
Can we raise the level of the discussion please?
As Torah believing Jews, the standard is the Torah and the Jewish Law; this is codified for us in the Shulan Aruch. When anyone places themselves and what they want above that, it is wrong; it does not matter if you are MO or Yeshivish. Rabbi Frand once stated that this is today’s idol worship.
bubka,
that “Rabbi”, in my view, does not deserve to have his name mentioned because he does not want to remember Jewish history that we never moser to the non-jewish government!
Look people, after some more life experience, you will learn they are not!
Zahavasdad,
I’m sorry but you are incorrect but meditation is a very jewish thing. HOWEVER, it is resevered for those at a very high level of knowledge of Sod and purity. Most modern day meditaiton is not that and are from non-jewish sources many of which are actual A”Z like TM.
Rabbi Kaplan’s books say some things but of course hide a great deal. Please remember that the Shulchan Aruch states (RM”A) that you should only learn sod after 40 years old and when your stomach is full of Gemara and Halacha.
So why didn’t the wife of the Vilna Gaon learn Gemorah? Could it be she had better uses of her time in things that were Mitzvahs rather than devar rishus or maybe she did not need it because the generation she lived in didn’t judge women and make their self worth in terms of intellectual accompliments.
Don’t lose the form for the purpose. Tznius is a wonderful thing to eleveate men and women beyond physical bodies to spritual beings. I don’t care that some people use it a weapon to control others in substitute of controling their own yesher haras; it is defined by halacha with slight modifications for the times. As such, tznius is even for yourself without anyone else as a reflection to the world of whether you want to looked at as more physical or more spirtual. HaShem wants us to be normal and rational within his laws, not crazy following views not said or meant for most people.
See http://www.theyeshivaworld.com/article.php?p=127441 for one possible cause.
Rabbaim,
I have spoken to the parents and they are good strong Litvish people and therefore are davening and saying tehillem. What else do you suggest?
Question: what happened to the oath we all swear at Har Sinai to be responsibile for each other especially in this Galus surrounded by ever increasing anti-Semitism?
Question: What happened to not throwing our children and making them OTD by the way they are treating through this process?
Question: What happened to these individuals, who push themselves as being role models, to actually being role models and ensuring that no child is told no and rather yes to their #2 or #3 option?
Question: What happened to the idea of Chillel HaShem in that we are treating our most treasured gift as rags for disposal if they “don’t fit in” or some other untangible rational?
A few thoughts to await your respond.