Post 246: Ein Yahav farmers began raising a new breed of Thai bean pods – They are extremely long and sweet taste. How does the Rambam define patience? What Rest at Tel Ha Shomir offers – Are we elligible for Betuach Leumi-National Insurance- Worldwide Tikkun HaKlali – November 22

Israeli farmers raising long beans! This is exciting. I am reminded of the vegetable stalls on Grand Street on the Lower East Side, overflowing with cabbages, bock joy, and all varieties of lettuce. When I had a studio at the Educational Alliance on East Broadway, in 2000-2002, I’d find legal parking and fill up the back seat of my car with the latest crop.


Pa-O Long Beans

Finding long beans is worth the effort — the high heat of the wok is just too much for green beans, which aren’t as hearty.

Makes 4 servings
35 min
45 min


    • 1 1/2 lb Chinese long beans*
    • 1/2 cup unsalted dry-roasted peanuts (2 1/2 oz; not cocktail peanuts)
    • 2 teaspoons soy sauce or less
    • 2 to 3 small fresh Thai chiles** or spicy peppers (to taste), finely chopped
    • 1/2 teaspoon salt-can omit
    • 1 1/2 tablespoons peanut oil
    • 1 tablespoon chopped garlic
    • 1 large shallot, halved lengthwise, then very thinly sliced crosswise (1/2 cup)
    • 2 tablespoons fresh lime juice
    • Special equipment: a well-seasoned 14-inch flat-bottomed wok
    • Garnish: lime wedges


    1. Cook untrimmed beans in a 6- to 8-quart pot of boiling salted water, uncovered, stirring occasionally, until just tender, 3 to 5 minutes. Transfer with tongs to a large bowl of ice and cold water to stop cooking, then drain in a colander and pat dry with paper towels. Trim beans and cut crosswise into 3/4-inch pieces.
    2. Meanwhile, pulse peanuts in a food processor until about half of peanuts are finely ground and remainder are in very large pieces (do not grind to a paste).
    3. Stir together soy sauce, chiles, and salt in a small bowl.
    4. Heat wok over high heat until a bead of water dropped onto cooking surface evaporates immediately. Add oil, swirling to coat wok, then add garlic and stir-fry until garlic begins to turn pale golden, about 5 seconds. Add peanuts, and stir-fry until all of mixture is golden, about 30 seconds. Add beans, and stir-fry until hot and well coated, about 2 minutes. Remove wok from heat, then stir in soy sauce mixture and shallot, stirring until shallot has wilted. Drizzle in lime juice and season with salt, then transfer to a bowl. Serve warm or at room temperature.
    1. *Available at  Machana Yehuda market.
    2. **Also at  Local Markets
Cooks notes:
· Beans can be boiled, drained, and patted dry 3 hours ahead. · If you don’t have a wok, beans can be cooked in a 12-inch heavy skillet. (They will lack smoky flavor.)

By  the end of our stay at Hadassah Hospital Larry and I were chalishing for fresh vegetable. The second half of the post describes in detail the Heart Hospital at Tel Ha Shomer, where we chose not to park ourselves for five days.

  Ein Yahav farmers are offering to the public the freshest vegetables when fresh prevents the loss of nutritional value.

Ein Yahav farmers began raising a new breed of Thai bean pods that do not create gas in the digestive tract and thus solves one of the problems plaguing the enthusiasts of beans and their environment. Thai beans are very popular in Southeast Asia. The residents eat the pods with seeds in salads, steaming and cooking and also used for making desserts thanks to the natural sweetness. Thai beans grow by trailing to a large backpack/ support, whose length reaches 30 cm. The beans will mature to an attractive appearance without scuff marks and scars. Eating vegetables when fresh prevents the loss of nutritional value in the process of preservation or marinating so you can enjoy the content of proteins and vitamins. The new variety of beans became a hit among Thai workers Prairie, who can now enjoy their favorite foods from the land of origin . Even Ein Yahav farmer who tried the beans have reported a quiet night after dinner …

The Sheba Rehabilitation Hospital is Israel’s national center of rehabilitation. They offer long-term and life-long treatment and rehabilitation programs in areas such as orthopedics, neurology, respiratory, psychiatry, geriatric and trauma. They have the national responsibility for the long-term treatment and care of the most difficult and complex cases in Israel, such as injured soldiers and terror victims.
Pioneer and World leader in Rehabilitation Technologies
We are devoted to moving the rehabilitation field forward through research, education and the development of life-saving therapies and technologies. We are globally known for our specialized laboratories and centers where we develop innovative technologies in rehabilitation medicine, including Virtual Reality Training Facility, the Computerized Motion Analysis Laboratory, and the Isokinetic Laboratory.

They provide acute care, in-patient and outpatient rehabilitation. Our team of professionals works collegially with their patients, helping them to return to normal life as quickly as possible.

The Rehabilitation Hospital of the Sheba Medical Center has three divisions – Rehabilitation, Psychiatry, and Geriatrics. The Sheba Rehabilitation Hospital is also home to The National Multiple Sclerosis Center and the National Center for Spinal Cord Injuries.

Main treatment centers include:

• The Neurological Rehabilitation Department provides sub-specialized care for patients with head and spinal cord injuries, neurological diseases and, disorders.
• The “Steps” (“Tsa’adim”) Institute treats patients with mobility disabilities due to spinal cord or head injuries, stroke, peripheral nerve disorders or nerve damage, orthopedic injuries, amputations and more.
• The Head Trauma Rehabilitation Department treats people with an acquired brain injury (e.g. following accidents, stroke, trauma etc.), who require inpatient rehabilitation.
• The Orthopedic Rehabilitation Department uniquely provides surgical and rehabilitation services for a variety of conditions, including skeletal and bone injuries, amputations and diabetes-associated pain. They specialize in surgical limb amputation and prosthetic fitting of both upper and lower limbs.
• The Respiratory Rehabilitation Department provides a broad-spectrum of treatment options, aiming to successfully wean patients from mechanical ventilation as quickly as possible.
• The National Multiple Sclerosis Center is a multi-discipline holistic unit specializing in diagnosis, advanced treatment and rehabilitation of patients with MS and other neuro-immunologic diseases.
• The Eating Disorders Department is the only center of its kind in Israel. It offers outpatient services and hospitalization for adults (over 18) suffering from anorexia or bulimia.
• The Post-Traumatic Stress Disorder (PTSD) Clinic treats people who have been sexually abused or physically assaulted, post traumatic IDF soldiers, and survivors of natural disasters, wars and terror attacks.

After much discussion, Larry and I decided to head for home.

Are You Patient – or Are You Procrastinating?

“Procrastination is the art of keeping up with yesterday.”

~ Don Marquis
Are You Patient – or Are You Procrastinating?
By Andrea Novakowski

Living in Israel has added to my life as a wife, former mathematics teacher,  grandmother, artist, designer, Hebrew and Arabic student, blogger and a Jewish text lover. And we are still in the best of times during Larry’s recovery.

How to  plan  my day is always tick, ticking in my head. Relax? I call jumping rope relaxing. Or a yoga class. Or developing a recipe.

Retired FOR THE PAST 14 years has meant that I can take advantage of any opportunities that comes my way, or I can turn  some or all of them down.

So what concerns do I have? The fact remains that I am not submissive and being a patient means being submissive, that the patient must wait for the therapist to arrive, is just a small part. As a well person, that would bother me. I need to remind myself that I have been OK with trusting Hashem to heal me of minor and major health issues.

However, my husband, who is recovering from surgery is A Ok with waiting. In fact, he is really A ok. We met his physical therapist today, Sivan. She offered us the 8 AM slot 2 x per week, when I requested mornings because Larry is energetic at that time. I answered yes for both of us.

What does the Rambam say about patience? “The human psyche varies very much from one person to another, and one person’s character is far removed from another’s. I am one “Type”, moving, and my husband Larry is another “Type”, stable, stationary.

Some people are highly prone to anger; others are calm and perhaps get mildly angry once in many years. Some people are very arrogant; others are very meek. Some are dominated by strong cravings they are always seeking to satisfy; others are very pure of heart and do not crave even their physical necessities. Some are greedy and won’t be satisfied with all the wealth in the world; others deprive themselves; and still others squander all their wealth deliberately. And so it goes with all the other traits of character” (Hilchos Dei’os 1:1).
The Rambam is showing us a map of the human psyche, and it hasn’t changed a bit since his times. For better or worse, every one of us partakes of these traits in varying degrees and combinations. The Rambam then goes on to describe the proper way that a person is obligated to choose for himself:

“The proper path is the median measure in each trait; that is, the way that is equidistant from the two extremes. Accordingly, the early Sages directed that a person always aim for the middle way in order to attain perfection. How? He should not be an angry person whose temper is easily triggered, nor should he be like a dead man who feels nothing, but in the middle. He should not get angry except over an important matter that is worth getting angry about so that such a thing should not occur again…. Any person whose traits are at the midpoint is called wise.” (ibid. 2-4)
This middle way, in the Rambam’s view, is the “upright path” that Rebbi speaks of in Pirkei Avos, the way that is harmonious for the person himself and creates harmony with others. Others will surely admire his well-moderated conduct, based on inner balance between his various personality traits. Surely they will consider one who acts so wisely to be the perfect man.

Yes, the Torah is the one and only way for a person who wants to achieve perfection of character. But a person is given great freedom of action, and a broad field within which he must find his own personal Golden Mean. According to his own individual tendencies, he must strive for balance, always directing his conduct toward the middle, moderate way. Thus, in the Rambam’s view, our mishnah implies condemnation of extremism in personal and social behavior, while of course upholding the obligation to adhere to Torah principles.

So now we understand the theoretical peirush of the mishnah. A mode of conduct that strikes a moderate note is the wise and upright way that a person should strive for. But one problem has not yet been addressed, namely, how is a person to apply this principle of the Golden Mean in real life?
To illustrate the problem, let’s take one of the examples used by the Rambam himself. A person should not get angry, except in very rare instances. We all know that anger is a bad trait, including those of us who are subject to it. At the same time, however, the Rambam instructs us not to be like dead people, devoid of emotion.

So to a certain extent, one must use the trait of anger and become angry when the situation requires it, for instance, when one is in a parental role, or when one is a community leader who needs to restrain dangerous tendencies that are developing in society. The Rambam is saying, therefore, that no trait is to be beaten down completely, but rather each trait is to be used intelligently.
This is where the difficulty begins. How can a person know where to set the limits? We know how we operate. We’re on the road, and a driver passes us recklessly at a crossing. Angry words pop out of our mouth automatically, and we call him one of our favorite names. Is this the kind of situation the Rambam meant when he said that sometimes anger is the proper response? We don’t know.

All we know is that our defense mechanism will kick in to rationalize our outburst. (“Did you see what that idiot did? He almost caused a serious accident!”) We’re sure we’re right, of course, but is this the upright, middle way that Rabi Yehudah Hanasi teaches in Pirkei Avos?
Let’s be honest with ourselves. If we take a good look without distorting the truth, we’ll see how we justify whatever we do. It’s part of human nature. Anyone who is accused of any shortcoming has an answer. Whatever we do, we’re okay with it. This capacity for “being okay with it” comes from our ability to find justification for every act in the values accepted by society. And therefore, any path we feel like taking becomes the “upright way.” .

In other words procrastination is the flip side of stability. If the stable strong charachter is part of a persom’s midot, then this same persone may SEEM to procrastinate from a fixed position. For a person who seeks to be stationary, or that is his time to take action, but you’re not taking it.

How can you tell if you’re being patient or you’re just procrastinating? As I say, they often look the same from the outside. What’s taking place on the inside is a different story.

Patience Procrastination


What to do when you find yourself procrastinating. With patience, some part of your mind is still working on the task, even if you’re doing something else. With procrastination, your mind is avoiding the task, diverting your attention with unrelated activities like laundry and Facebook. You may not understand why you’re putting off your work. You just seem to be finding other things to do.



Below is information for National Insurance
Betuach Leumi JERUSALEM:
4 Ben Shatach
Fax: 02-6755691


Payment & Bill Collection:
(for health insurance issues)

Sun, Tue, Thurs: 8:00-12:30
Mon: 15:00-17:00 only at 4 Ben shatach st.

Income Support:
Ben Sira Building Sun, Tue, Thurs: 8:00-12:30

Ben Sira Building Sun, Tue, Thurs: 8:00-12:30

Sun, Tue, Thurs: 8:00-12:30 only at 4 Ben shatach st.

Shim’on Ben Shatakh Street 4
Eligibility requirements for Bituach Leumi’s Long-Term Care Benefit
* Residing in the community – the benefit is intended only for elderly people living in their own home or in a retirement home (not in an institution).

* Income Test – eligibility for the benefit and its exact rate are determined through an Income Test. A person whose income is above the upper limit set by Bituach Leumi will receive only half the benefit, or none at all. In calculating the benefit, the spouse’s income is also taken into account (the long-term care benefit is not intended only for people in the low income range).

* The elderly person is not receiving the Sherutim Meyuchadim (special services) stipend from Bituach Leumi, or the Ezra L’azulat (helping others) stipend from the Ministry of Defense.

*The elderly person is found to be greatly dependent on others in performing daily living activities.

In cases where the individual’s functioning is temporarily impaired, the benefit will be provided for a limited period of time. Eligibility is determined by a “dependence evaluation”, conducted by an assessor from Bituach Leumi (usually a nurse or a physiotherapist) in a home visit.

The salary range for a job in this field could be from NIS 22 to 33.50 NIS per hour at an agency, plus benefits such as Bituach Leumi and pension. Privately, the range is 30-45 NIS, without those same benefits.

Matan Care
Goldman Agency
Dinah Care
Short term care from Bituach Leumi
People who need immediate short-term care (9.75 hours a week for up to 60 days) can request “short term care” from Bituach Leumi. This often occurs after a period of regular hospitalization (not rehabilitation), or hospitalization as a result of breaking an arm or leg or pneumonia with high fever. The applicant must submit the regular request form for Bituach Leumi’s long-term care benefit. A professional medical evaluation must be attached to the request form, and the claims clerk at Bituach Leumi will decide, according to the medical recommendation, whether the benefit will be given on a short-term basis. This form can be submitted through the hospital . Eligibility for the short term care benefit will be immediately effective upon returning home.

Benefit continued for 14 days during hospitalization
In the past, when an elderly person receiving the long-term care benefit was hospitalized, the benefit would be suspended until his release. However, a 1995 amendment to the Bituach Leumi Act specifies that an elderly person hospitalized in a hospital (excluding long-term care, rehabilitative and mental institutions) is entitled to the benefit during the first 14 days of his hospitalization. If he remains in hospital for more than 14 days, the benefit is suspended after this period of time, and renewed upon his release.

Degrees of Bituach Leumi’s Long-Term Care Benefit
The benefit is determined according to a score attained in Bituach Leumi’s dependence evaluation:

91%: 9.75 weekly hours for a person found to be dependent on others for most daily living activities, or needs supervision.

150%: 16 weekly hours for a person found to be dependent to a very large extent on the help of others for most daily living activities, most hours of the day.

168%: 18 weekly hours for a person who is completely dependent on others, to the maximum degree, and need aconstant supervision.

Addition of weekly hours for those eligible for the long-term care benefit who employ an Israeli caregiver

The National Insurance Institute has been providing extra care-giving hours to persons in the higher levels of dependence, eligible for the long-term care benefit , who employ an Israeli caregiver , and do not employ any foreign workers, according to the following criteria:

* A person dependent to a very large extent on the help of others for most daily living activities, most hours of the day, who currently receives 16 weekly care-giving hours will receive 3 extra care-giving hours a week.

* A person dependent to a very large extent on the help of others for most daily living activities, most hours of the day, who currently receives 8 weekly care-giving hours (because of his income) – will receive 1.5 extra care-giving hours a week.

* A person who is completely dependent on others for all daily living activities around the clock, or needs constant supervision, and currently receives 18 hours – will receive 4 additional care-giving hours a week.

* A person who is completely dependent on others for all daily living activities around the clock, or needs constant supervision, and currently receives 9 hours (because of his income) – will receive 2 additional care-giving hours a week.

Bituach Leumi has forwarded this information regarding additional hours to agencies that provide nursing services, and there is no need to officially request these extra hours.

Receiving the long term benefit in cash
aperson who is entitled to a long- term care benefit who employ a full- time caregiver (foreign or Israeli) for at least 12 hours a day for 6 days a week, under certain circumstances , can choose to receive their benefit in cash, and employ the caregiver privately. they can also choose to continue employing the caregiver with the manpower company.

In order to receive the long-term benefit in cash, the applicant must meet certain conditions: the caretaker must be over 18 years of age, and cannot be a relative of the recipient; the caretaker must be employed and paid wages, based on a written contract; the employer must have a permit to employ a foreign worker; and the worker must have a legal permit to stay in Israel.

A person who choose to receive the long term benefit in cash, can also recieve the other long term services such as- a presonal alarm unit, absorbent products, laundry services and visits to a day care center.

How to claim the long-term care benefit from Bituach Leumi
To receive the long-term care benefit from Bituach Leumi, you must fill out a claim for long-term care benefit form, and submit it to the claims clerk at the Bituach Leumi branch near your home. If you find it difficult to fill out the form you can get help from the claims clerk, the Counseling Service for the Elderly at the Bituach Leumi branch or a nursing care agency. The form must include a written medical opinion from the applicant’s physician. Proof of income documents must be attached.

It is a good idea to request, on the form, that the nurse’s home visit should be arranged with a member of the family.

The assessor visit to the home of the elderly person
It is very important that you or another family member who is aware of your elderly relative’s condition be present during the visit of the Bituach Leumi assessor.

When the assessor arrives, ask to see her Bituach Leumi worker’s identification.

It is essential to understand that Bituach Leumi’s long-term care benefit is given on the basis of the person’s level of functioning in daily living activities, rather than his overall health. It is therefore important to stress the difficulties experienced daily by your elderly relative.

The law defines eligibility for Bituach Leumi’s long-term care benefit based on the person’s independence at home only, and not outside. Thus mobility limitations outside the home are irrelevant. The dependence evaluation examines the person’s ability to dress, bathe, eat, use the bathroom and walk inside the home, as well as his need for supervision at home for his own safety (due to deteriorating memory or other psycho-geriatric conditions that endanger him or his environment).

Update – October 2014: A special committee of Bituach Leumi recommended that major changes be introduced into the dependency assessment of elderly individuals applying for a long-term care benefit. Based on these recommendations, the approach has been altered: the general identical evaluation process will be replaced by an individualized assessment for every applicant. In some cases, the person will not be required to demonstrate his abilities, and an interview will suffice. For instance, when a person confined to his bed or to a wheelchair reports that he/she is totally dependent on the assistance of others, and presents medical documents attesting to this condition, and the assessor arriving from Bituach Leumi receives the same impression, there will be no need for a physical test of functional capabilities.

According to the new approach, a demonstration will only be required when the degree of dependency cannot be construed from indirect observation of other activities. For instance: persons holding and presenting their medications will not be asked to demonstrate how they wash their hands with soap.

If the maximum long-term care benefit has not been granted by Bituach Leumi, and the elderly person’s condition deteriorates, you can contact Bituach Leumi and request a re-evaluation due to deterioration. This application must include the appropriate documents, confirming the deterioration in the person’s daily functioning.

Procedures for appeal when an application has been denied
1. Appeal – The appellant may appeal in writing , enclosing relevant documents, directly to one of three appeal committees operating in three main Bituach Leumi branches:

* The Haifa branch – for people residing in northern Israel

* The Ramla branch – for people residing in the central region

* The Beersheba branch – for people residing in the south of Israel

In this way one may appeal Bituach Leumi decisions regarding initial applications for long-term care benefits, as well as applications for increasing the allotted number of weekly home-care hours due to a deterioration in the elderly person’s condition. The appeal should be made as soon as possible after receiving the negative response from Bituach Leumi. (This is to prevent situations in which the committee decides that the applicant’s condition has worsened and requires him to submit a new application).

Please note: the three branches mentioned above receive appeals from many different places in their regions, and therefore the processing of appeals takes a long time. The Bituach Leumi does not place a time limit on the processing of appeals.

2. Repeated application – If an elderly person’s request for the long-term care benefit was turned down, and later his condition deteriorated, he may apply to Bituach Leumi for reavaluation. Medical documents attesting to this deterioration should be attached to the request. Social workers or nurses from the person’s Kupat Holim can be very helpful, and should be consulted.

3. Filing a complaint – complaints about the committee’s decision with regard to an elderly person’s entitement to the long-term care benefit may be submitted to the claims clerk in the local branch of Bituach Leumi, closest to his place of residence.

What services does the long-term care benefit include?
The following is a list of services available to recipients of the long-term care benefit l- as long as they can be provided in their home communities:

* The assistance of a home caregiver in daily living activities (dressing, bathing, eating, bathroom assistance, walking inside the home), managing the home, and needed supervision. The quota of hours can be exchanged for payment to a foreign worker who is legally employed to care for the person.

* One working hour of the caregiver = one weekly home care hour.

* Care in a Daycare Center for the Elderly: The person can visit a daycare center for up to 5 days a week. Optionally, the hours allowed by the benefit can be split between home care and days spent in the daycare center.

Services provided at the daycare center: bathing, supervision, recreational activities, hot meals and social interaction, as well as transportation to and from the daycare center.

* A day spent at the daycare center is equivalent to the following number of home care hours:

For a person entitled to 9.75 hours weekly: 2 home care hours = one day at the center.

For a person entitled to 16 or18 hours weekly: 2.75 home care hours = one day at the center.

There is also a small fee per day for meals, transportation etc.

* A supply of absorbency products such as adult diapers, absorbent pads, sheets, etc. These products are provided to the elderly person according to his needs, and delivered to his home once a month. The value of the products is determined individually for every person, vis-à-vis home care hours. Products may be ordered directly from companies listed by the Bituach Leumi. For further details press here.

* Laundry service: Laundry is taken from the person’s home and returned clean. Up to 5 kg is considered one laundry unit.

* Usually one laundry unit = about 1.25 home care hours.

* Emergency alarm button: The alarm button makes it possible for the elderly person to contact an emergency call center simply by pressing the button, 24 hours a day, even when away from home.

The call center can order the following for the subscriber: doctor, ambulance, fire department, home repairman, etc. Payment for these services is decided directly with the professional. The fee for an ambulance is the same as set by the health funds.

* The emergency alarm button = approximately ¼ of a weekly home-care hour.

The social worker in your local authority’s Social Services office determines, together with the elderly person and his relatives, which services they would like to use. In other words, the care program of your elderly relative is a joint decision. The social worker also establishes the contact between the elderly person and his family and the service providers.

Assistance before long-term care benefit is granted
This service makes it possible to have a caregiver at home right away, until assistance from Bituach Leumi is approved. The service is provided for a limited period of time, based on professional considerations. It is free of charge, at the expense of the home care agency. The agency can also assist you in applying to the Bituach Leumi.

On Mon, Nov 9, 2015 at 12:22 PM, Rachel Berger
[nefeshbnefesh] wrote:

We had a seminar two weeks ago on Aging in Israel, if you missed it live you can catch it online. I watched it and there was a great deal of information about prescriptions and interactions with over-counter medications.

Alon Shvut

Worldwide Tikkun HaKlali – November 22


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