EMA Care Blog

Thankfully, the coronavirus sanctions are lifting. The kupahs are getting back to normal working hours, and it is time to stop ignoring your important medical care. Top 5 Areas of Healthcare 1. Family doctor - Many of us may have seen our family doctor via telephone call or Zoom meeting, but there is nothing like an in-person consultation with your doctor. If you have not been feeling 100% (not coronavirus related) and/or you need prescriptions refilled, now is the time to go. Request referrals from your family doctor to see specialists. 2. Pharmacy – restock medication, including over-the-counter medication. Make sure any...

Advanced age increases the risk of health complications which can lead to chronic pain. Unlike grey hairs and wrinkles, chronic pain is NOT part of the normal aging process. Chronic pain is described as pain lasting 3 months or longer. The following conditions often result in chronic pain: ArthritisNeuropathy, spontaneous or a diabetes side effectCancer, as well as its treatmentBone Fractures Chronic pain disrupts the quality of life for many elderly. The resulting distress can lead to sleep deprivation, depression, and anxiety. It's a vicious circle: without proper sleep, the body reacts with even more pain. How we can help EMA...

 The Coronavirus has introduced most people to a new kind of life. We can’t see family unless we follow certain conditions, we can’t socialize without wearing masks, and it is hard to get into the spirit of the upcoming holiday, Shavuot. Shavuot is a very spiritual holiday; it is when the Jews were given the Torah and became the Jewish nation. Every year, we renew our acceptance of God’s gift. It is important to focus on the atmosphere of chag, rather than on events that usually take place. Usually, people go to shul and sing along with the community, some people...

When you are unwell the last thing you want to deal with is the frustration of trying to get a timely doctor's appointment. However, whether it's an appointment with a family doctor for a sore throat or with a specialist for a chronic medical condition, you may find that the process does not run as smoothly as you would like. In Israel, appointments with kupat doctors are made via the kupah website, the kupah app or their 24-hour phone service (moked).One major advantage of using the app or the website is that you will see a listing of all doctors and available appointments in the location you choose...

Choosing the Right Doctor Visiting a doctor for the first time can be overwhelming. Will this doctor listen to your concerns? Will this doctor spend the appropriate time to answer your questions clearly and with patience? Will this doctor have the bedside manner that you expect? Do they have the medical experience needed to manage and treat your particular diagnosis? These are all valid concerns that go through one’s thoughts when thinking about their medical care. How do you know if you are at the right doctor for you? Before going to your first visit to a doctor it’s important to...

Due to government regulations, schools, work, and stores have all been shut down. During our time at home, it is easy to get frustrated by family members and get into fights. Here are a few EMA Care tips for having your own space while also spending quality time with one another. Parents who are working from home should have their own areas of the house where they work. Children in school should also study in their own rooms or their own spaces around the house.There should be times of the day that the family spends quality time together. Families should make...

Dr. Eliana Aaron spoke on World Mizrachi on the recent Coronavirus outbreak.  Click here to learn more Response from World Mizrachi: Just reaching out to thank you for the talk you gave today. The feedback has been tremendous! May you continue to have the strength to inspire the Jewish People and the entire world at this challenging time! May your efforts merit you and your family's continued good health and happiness. World Mizrachi Representative

Parenting a Parent During Covid19 Pandemic Everyone agrees the elderly and the older adult populations rate highest for serious complications from the Covid19 (corona) virus creating challenging for parenting a parent during this pandemic. Many adult children understand this and are trying to protect their parents from the illness. Many adult children are also facing parents who are not cooperating in following proper safety rules and regulations. How to parent a parent? Do not assume the parent completely understands the situation. Explain clearly how contagious Covid19 is and explain the risk to their age group. This is the time to empathize...

The COVID-19 outbreak is a stressful time for people. Under current regulations, individuals are not allowed to leave their homes unless essentially necessary. Fear and anxiety about the disease can be overwhelming and cause strong emotions in adults and children. Everyone reacts differently to stressful situations. Those who are more vulnerable are: Older people and people with chronic diseasesChildren and teensWorkers helping with the response to COVID-19, like healthcare workers, or first respondersPeople who currently have an underlying mental health condition Common signs of stress during a disease outbreak include: Fear and worry about your health and the health of your...

  With the spread of COVID-19 throughout the globe, people are looking for the best ways to protect themselves and their families. Between masks and avoiding air travel, there are any number of tips floating around the internet that may not actually be as useful as they seem. So, what are the best ways to keep your family healthy? And which online tips have merit, and which do not? Wash Your Hands This one sounds obvious, but when breaking it down it actually becomes a little more complicated than it seems. It turns out that most people do not adhere to...

Throughout history, Jews have always lived in close communities. It has long been a defining characteristic of Judaism. The synagogue is the center of the Jewish community, people gather together to pray, as well as for communal gatherings. Since the recent Covid-19 outbreak, people have been advised to not be in gatherings of more than 100 people. In Israel, this has been lowered to 10 people! This includes Bar/Bat Mitzvahs, funerals, weddings, and even prayer. For many this is devastating.   Rabbinical councils are urging members of Jewish communities to protect themselves. They are limiting access to prayers in synagogues to 20...

Do the N-95 masks help?  Do masks work? This is a question that many people have asked us in the past few weeks. The COVID-19 (Coronavirus) was discovered in China in December of 2019. It is widespread in Asia, especially in China and Japan, to see people walking around wearing surgical masks to prevent the inhalation of pathogens and pollution. Surgical masks aren’t effective against COVID-19 (Coronavirus). The N-95 mask has been recommended for medical professionals providing direct care because they are thicker than a surgical mask. Still, neither Schaffner nor the CDC (Centres for Disease Prevention and Control) recommends public...

Over the past few weeks, the media has exploded with news on the Covid-19/ Novel Coronavirus. There have been many reports of outbreaks in 73 countries worldwide (as of February 29, 2020). Many more people have been panicking about the possibility of getting infected. During the peak of seasonal flu season in the Northern hemisphere, this outbreak has occurred, making identifying Covid-19 vs. flu very challenging as they share the same symptoms. So far, the new coronavirus (Covid-19) has led to more than 79,000 cases and 2800 deaths in China and more than 7000 cases, and 150 deaths worldwide. The overall...

We would all like to hope that our children will behave responsibly throughout their year in Israel. However, it is important to educate your children on alcohol consumption, especially with Purim coming soon. The day after Purim, people who overindulge in drinking will feel the effects. Hangovers are awful.  What happens when a person knows he/she will be drinking? Are there ways to prevent a hangover? What are hangover remedies? A hangover is defined as disagreeable physical effects following a disproportionate amount of drinking. Symptoms may include headache, nausea, vomiting, and difficulty concentrating. It can take 8-24 hours for symptoms to...

As seen in many photos from China and Asia, many ordinary people have been wearing masks when outdoors to prevent catching the coronavirus. In the photo – some people are getting creative due to mask shortages in specific Asian countries. Is wearing face masks effective against coronavirus?  Most people do not know when masks are effective, when they are a waste, and how to manage if you need a mask to prevent illness. Basic rules of mask-wearing for Novel Coronavirus from the World Health Organization: People with suspected Novel Coronavirus should wear a medical-grade mask if possible and have as much...

With all of the news surrounding the Novel Coronavirus the past few weeks, many people are scared to travel and possibly expose themselves to the new, dangerous virus. Israel has gone to many lengths to prevent the disease from spreading in Israel.  These actions aim to prevent the virus from spreading and allow people to feel safe in Israel. The Novel Coronavirus is a new kind of virus that started spreading in China. Coronaviruses are a large family of common viruses in many different species of animals, including camels, cattle, cats, and bats. Coronavirus is a type of virus responsible for...

Inflammatory bowel diseases (IBD), which include Crohn’s disease and ulcerative colitis, affect as many as 1.4 million Americans, most of who are diagnosed before age 30. Crohn’s disease causes the immune system to attack healthy tissue in the gastrointestinal tract, causing inflammation. It is a life-long condition that can be treated but not cured.  Therefore, Crohn’s Disease can significantly affect patients’ quality of life and may have a high financial burden.   Ashkenazi Jews are at significantly higher risk for the disorder, and research is being conducted to understand what causes the illness and how it is connected to the Ashkenazi gene. ...

Allergy-free baked goods Every Jew dreams of vacationing in Israel with their family and friends. When you go on vacation, you want to have a stress-free vacation, and not have to worry about having any medical problems or allergic reactions. Sadly, Israel is very bad with labeling products for allergens, especially since all of the spices are processed in the same machine as nuts and sesame. Until now, allergy-free baked goods were simply a dream in Israel. Unless you take precautions, Israel may not be a great place to visit if you have food allergies.  Depending on what you are allergic...

The Health Ministry released a report on Tuesday (24/12/19) showing a decrease of 1.5% in citizens getting flu shots. According to the Ynet news site report from Saturday, some 1.8 million people have been vaccinated so far this season in Israel, as the country’s four healthcare organizations are estimated to have just 150,000 vaccines remaining.  The shortage of flu vaccines is because last year, Israel health clinics had to throw away many flu vaccines, and this year, the production of flu vaccines started later than last year. This has resulted in a huge shortage of flu vaccines. Israel is expecting more...

Traveling to the east or southeast  Traveling after serving in the army is very common amongst Israelis. They usually travel to eastern countries such as India, Thailand, Vietnam, and the Philippines. These countries are third-world countries that have different diseases than Israel and lower the quality of healthcare. Due to the climate and local hygiene standards, the risks of illness are generally higher than in more developed parts of the world.  Therefore, it is essential to be prepared and make sure you have updated standard vaccines. Recommended vaccines Typhoid – this is a very infectious disease that is spread through water...

Eating Disorders 10 million people in the U.S. have an eating disorder.  It is the third most common and chronic illness in the U.S.  More women than men suffer from this illness, and while the numbers are climbing in the Jewish population, the exact number of Jewish people with eating disorders is unknown. Most people know about two eating disorders:  anorexia and bulimia.  Not known to most people, the most common eating disorder is actually EDNOS –  or “Eating Disorder Not Otherwise Specified.”  Here is a short description of the three: Anorexia- A disorder in which an individual refuses to maintain...

Ingrown toenails occur when your nails' edges or corners grow into the skin next to the nail. Your big toe is most likely to get an ingrown toenail, but any toenail or even fingernail can be affected. This condition is prevalent among people with sweaty feet, like teenagers and students, particularly those who wear fitted closed shoes for long periods of time. An ingrown toenail's causes include cutting your toenails incorrectly, particularly nails with jagged edges when you have irregular toenails when you drop something heavy on your toe. Sometimes, there can be a genetic predisposition to this condition. An ingrown...

  Have you ever traveled to a new place and experienced constipation? Over the past few years, we have had many gap year students complain about constipation – usually within the first 2 months of being in the country. We had a vegetarian student who was eating only tofu- no vegetables, fruits, and definitely not a balanced diet.  Another student was eating only potato chips and soda because they were too tired to cook or even go out at the end of the long day.  This student ended up gaining weight and developing skin problems! Constipation refers to bowel movements that...

Donating Blood Donating blood is an amazing thing. According to the Red Cross, one donation of blood can save three lives. Blood donation is safe for healthy adults. There’s no risk of contracting the disease. New, sterile equipment is used for each donor. Donating blood helps people who go through disasters or emergencies, loss of blood during surgery. It can also help women who have at-risk pregnancies. It’s not only the blood receiver that benefits from a blood donation. Donator has many benefits, as well. In order to donate blood, one must go through a health checkup. This test checks blood...

Sties among students A sty is a red lump near the edge of the eyelid that accumulates bacteria in your oil gland. Sties can cause pain or itchy feeling around the eye, swollen eyelids, eye pus or tearing, and redness around the eye. Sties are extremely contagious, especially among students who dorm together. Eye sties can be caused by viruses, bacteria, and/or allergies. Leaving makeup on overnight, rubbing your eye excessively, and trying to extend the life of old contact lenses may cause bacteria to accumulate around the oil glands around your eye. Once you have a sty, if you don't...

A new treatment for celiac: Celiac disease is an immune disease in which people can't eat gluten because it will damage their small intestine. About 1 in 100 people suffer from Celiac disease (1% of the world). The only way to avoid inflammation is to be on a strict gluten-free diet. Gluten is a protein found in wheat, barley, and rye. Therefore, people who suffer from Celiac can’t eat foods such as bread, pasta, cookies, or any food that contains gluten. In Israel, there are laws regarding labeling food for gluten. There are sections in supermarkets that are gluten free and...

The Flu Shot Myths and Guidance for Dorms Influenza or “flu” is a dangerous, highly contagious virus that can cause high fevers, fatigue, achy muscles, chills, sweats, and headaches. The last flu season (2018-2019) was the longest in 21 years. According to the CDC, millions of people were hospitalized, and 61,000 people died in the US alone. To avoid this debilitating illness, we recommend getting the flu shot. The flu shot is a vaccine with weakened antibodies that stimulate normal immunity processes and protect people from the flu. The formulation changes every year and is different in the Northern and Southern...

Fasting in Israel It’s hard to recall a Yom Kippur in Israel that did not include hearing someone fainting from dehydration.  Fasting in Israel can be a different experience from fasting in other countries. Even though this year Yom Kippur falls late on October 9th, and we hope for cooler weather, the dry, hot weather in Israel puts fasters at a higher risk of dehydration. Preparing for Yom Kippur a few days in advance is a sure way to fast safely on this High Holiday. When a person fasts, everyday behavior results in a loss of fluid that is not being...

Vaping is a common trend among college students and young adults. 34% of college students use E-cigarettes.  Smoking and vaping are a social habit with poor health consequences. Most people have a preconceived notion that vaping, or E-cigarettes are safer than regular cigarettes. This is false. Vaping is a relatively new trend, therefore there isn’t a lot of information about the negative side effects that it can have. Vaping is very popular because it is (slightly) healthier than cigarettes, and you can choose whatever flavor you want. The smoke from vaping doesn’t have a smell, therefore you can vape inside a...

One of EMA Care's amazing students, Aliya Markowitz,  has been written up in the AZ Jewish Post.  EMA Care is helping Aliya this year, as she studies in Israel and manages Crohns Disease. The Markowitz Family is looking for someone to take Aliya's medication in May 2020.  Are you planning a trip to Israel in May?  Please be in touch with EMA Care. Read here what it's like to prepare for a year in Israel when you have a chronic illness.  We at EMA Care always say our students and their parents are the most dedicated people we know!   

Summertime is here, and bug bites in Israel can be a bit unique due to being in the Middle East and a part of Asia's continent. Here are some common bug bites, how to identify and treat them, and when to get help. 1.Mosquitos – In the hot, humid areas of Israel, mosquitos are everywhere. Mosquitos are usually present in the early morning and late afternoon to evening hours. Mosquito bites are identified as a single bite surrounded by localized inflammation (a red bump) The vast majority of mosquitos in Israel are just annoying. However, Culex and Asian tiger mosquitoes are...

Dr. Eliana Aaron contributed to the international epidemiological reporting system for proMed -,mail. ProMED-mail is a program of theInternational Society for Infectious Diseases http://www.isid.org. An Israeli expert panel sub-committee recommended vaccinating children withMMR at age 1 and age 2 years to provide an additional booster to thisvulnerable age-group. Children ages 1 to 4 years remain the most affected bythe measles epidemic.Routine vaccinations of 6-year-olds will continue in school-based clinics.This is in light of an ongoing epidemic in Israel affecting primarilyultra-orthodox Jewish populations and sporadic communities of anti-vaxxers.This epidemic has spread to other ultra-orthodox communitiesinternationally.The recommendation is that the Ministry of Health has nobudget...

Early in the summer, and there have already been numerous drownings and near-drownings of (mostly) children and babies in Israel. Children drown in pools, at beaches, and even in buckets of water. Adults usually drown because of poor judgment – jumping into rapids or going deep into the sea without swimming skills. “Near drownings” oftentimes cause irreversible brain damage due to prolonged lack of oxygen. Contrary to popular belief and Hollywood imaginations, drowning is almost always a silent process. If someone can call for help and wave their arms, they may be in trouble, but they are not drowning. Dangers of...

The gap year program is a great experience. It allows young adults to become independent, mature, and expand their education. However, this year is also a major transition for most students, which can lead to anxiety amongst themselves and their parents. Some students develop temporary anxiety during their year because they are in a foreign country by themselves for the first time. Others come to Israel with pre-existing conditions that are being managed by medication or a therapist. These conditions should not prevent young adults from coming to Israel because they are very manageable. Over the years, we have seen many...

Dental care in Israel for gap year students is not covered under most student health insurance policies.  Some policies do cover up to $300 of emergency dental care for specific insurance dentists. These dentists are excellent professionals and usually speak English fluently. This is for emergency care only, however! It does not include checku...

EMA Care staff are not only health care case managers.  EMA Care also cares for hundreds of students through our EMA Care clinics.  Our talented, experienced nurses travel to different programs throughout Israel. Our campus based clinics diagnose students with everything from stomach viruses, dermatological issues, strep throat, to broken limbs and dehydration.  Our nurses write referrals to specialists and blood lab work.  If you are interested in your school having EMA Care clinics, contact EMA Care today. This Purim, EMA Care received the best gifts from our EMA CareClinics.    

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The Jerusalem Marathon 2019 The marathon has become a rite of passage for many gap year students in Israel. It is a beautiful route, complete with running past the Old City walls and into modern Jerusalem. Many students are using the Jerusalem Marathon to run for different chessed (charitable) organizations. Whether they are running the full 42 km, 21 km, 10 km, or 5 km, we wish all the runners stamina and luck! There are important medical guidelines to follow as per the Jerusalem Marathon organizers: The Ministry of Health recommends that a family or sports physician examine runners before running...

The Israeli health system for students is based on a national, socialist healthcare system.There is excellent medical care available in Israel. However, the student needs to learn how to access the care. This means that there are two tiers to the system. 1st tier – health care through national insurance (or tourist insurance). 2nd tier – private medicine. There is also a serious shortage of specialists throughout the country, especially outside major cities. When specialists are needed is when the health system gets complicated for the average tourist. Examples of Specialist Medical Care Dermatologist – new onset acne. The family doctor...

For the Winter of 2019, EMA Care sent out the following guidelines to over 30 Israeli programs, seminaries and, yeshivas that are catering to gap year students from outside Israel.  Dorm life is prone to the spread of illness.  The fact is there is an 80% reduction of disease when people follow these guidelines for proper hygiene. “The Common Cold” and “Stomach bugs” are VERY popular in the winter time. Here are some ways to prevent spreading the “joy” to others and to protect yourselves:WASH YOUR HANDS WITH SOAP AND WATER!! before and after every mealafter every bathroom useafter every tissue...

Explaining Israeli health insurance for gap year students keeps EMA Care staff busy. EMA Care currently assists several hundred gap year students studying in Israel plus several hundred more in clinics managed by EMA Care. Almost all students are on tourist or student visas, which mean each student has health insurance especially designed for students and tourists. Israeli health insurance for students usually covers 100% cost of doctor visits, tests, and medication for routine, new issues. It does not cover any appointments, treatments, tests, or medication for a preexisting health condition. Some plans will allow a student with a preexisting condition...

Recently, several gap-year students experienced sudden onset panic attacks, and they reached out to EMA Care. Panic attacks can be frightening and disorienting to any adult! When an 18-19-year-old is far from home, living in a dormitory with many other people, it’s even more frightening, especially when it is the first time having a panic attack. When a person has a real phobia, such as fear of flying or fear of heights, the brain perceives a real danger. The brain is designed with a flight or fight response when the brain perceives danger. The brain triggers adrenaline and other hormones to...

Unfortunately, we have gotten to the point of managing measles in student dorms of gap year programs. As most of you know, there is currently a measles outbreak in Israel (and concurrently in Jewish communities in the New York area). According to the Israel Ministry of Health, as of December 10th, 2018, there were 2400 reported measles cases in Israel, but many more cases go unreported. Most cases have been in Jerusalem (1200+), Tzfat, Tel Aviv, and Petach Tikva, although almost every region has been affected. Since August, the number of people with Measles has doubled every month from 116 cases...

We have noticed a significant uptick in the number of gap year students diagnosed with mononucleosis (“mono”) in the last few weeks. This affects many gap year programs – both yeshivas and seminaries – and lots of misunderstandings about mono are going around from parents and program administrators. We want to educate the public about this condition. Mononucleosis is a contagious illness caused by the Epstein-Barr Virus (EBV). It is spread through saliva, and in Israel, it is actually called the “kissing disease.” Spreading by saliva can include sharing utensils, drinking glasses, toothbrushes, or eating implements (think about a family dinner...

In recent weeks there has been a surge of West Nile Virus in Israel. A few hundred people have been infected, and several people (elderly or immunocompromised) have died in recent weeks. West Nile Virus is a virus spread by mosquitoes that have fed off of infected birds. The incubation period is 5-21 days on average. The virus peak activity, according to the Israel Ministry of Health, is from mid-August to mid-October. According to the CDC, 80% of people infected have no noticeable symptoms. West Nile Virus's symptoms for the remaining 20% of infected individuals are usually mild flu-like symptoms, including...

Yes, there has been an outbreak of leptospirosis in Israel, particularly in those who have been on water hikes and locations with rivers. What does this mean for your child? How will this affect your child? Here are some simple answers which will answer frequently asked questions about this. 1) What is leptospirosis? Leptospirosis is a bacterial disease that can affect people and animals. People can get leptospirosis through exposure to infected animal urine (or soil/water contaminated with infected urine). 2) Where was leptospirosis found? In Israel, leptospirosis was found in several rivers in the Golan heights that include popular hiking...

Participating in a research team from Yale University (alma mater), Dr. Eliana Aaron, The Max Stern Yezreel Valley College, and Rambam Medical Center meet to discuss their palliative care research project in Israel. The goal of palliative care is to improve the quality of life for both the person suffering from life-limiting illnesses and their family.  Dr. Eliana Aaron looks forward to the team moving forward in bringing excellent palliative care to Israel.   July 2018

Medical concierge stands for personalized, caring, inclusive health care case management for both tourists and residents in Israel. EMA Care is one of the few medical concierge companies in Israel. The only service managed and run by the highest level of experienced health care professionals and clinical experts. For residents in Israel, EMA Care offers the total package of medical case management and health care supervision and guidance in Israel. Each client has a customized service packaged based on their individual and family needs. This tailored package can include: 1. Case management for chronic health conditions. EMA Care will pull all...

Gap year students and dehydration have been a bad mix for decades. Unfortunately, with springtime heat waves in Israel, EMA Care has been called in recently to assist gap year students experiencing serious medical conditions stemming from dehydration. Dehydration can set it quickly in otherwise healthy people when the weather gets dry or hot – but heatwaves in Israel magnify the problem with both heat and dry winds. Student #1- Complained of serious back pain urinary tract infection symptoms. She believed her back pain was due to tossing and turning all night. Her urine test showed that she was severely dehydrated...

This past year, EMA Care has assisted hundreds of gap year students in all different types of medical crises. What happens when your child is far away and experiencing poor health or, G-d forbid, in an accident? The following are medical nightmares that became medical success stories because of EMA Care involvement. 1.  Allergic anaphylactic shock – A student with a dairy allergy was promised the sherbet he bought was dairy-free. It may have been, but the spoon used was cross-contaminated ice cream on it. The student went into shock immediately; his friend did not know how to use his epi-pen....

Are you coming to Israel for Passover? Travel insurance provides you with protection against medical costs. Many tourists arrive in Israel without any medical insurance or with a plan that requires tourists to pay out of pocket for any medical surprises while they are away. When tourists return home, they need to deal with the paperwork and bureaucracy to get reimbursed for medical expenses. Medical Problems on Passover Medical problems and emergencies can happen anywhere, anytime. We cannot anticipate them with hundreds of thousands of tourists coming to Israel for Passover, the likelihood of medical problems arising increases. Some common unexpected...

When people are overwhelmed dealing with their own health or the healthcare of another, stress is inevitable. Many of our clients report tension headaches, insomnia, high blood pressure, difficulty making decisions, and fatigue. Some even report developing their own medical problems!EMA Care works hard to alleviate your stress. Our professional staff has extensive knowledge of medical issues plus the workings of the Israeli healthcare system. This powerful combination will take the stress out of healthcare for you and your loved ones. EMA Care now offers new affordable service packages. This includes more flexible, customized intakes, more options for health care management,...

Our previous blog here encourages parents to talk to their children about appropriate alcohol use during the holiday of Purim (or anytime!). The day after Purim, people who overindulge will feel the effects – hangovers are awful. What happens when a person knows he/she will be drinking? Are there ways to prevent a hangover? What are hangover remedies? A hangover is defined as disagreeable physical effects following a disproportionate amount of drinking. Symptoms may include headache, nausea, vomiting, and difficulty concentrating. It can take 8-24 hours for symptoms to go away. Tips for Avoiding a Hangover 1. Before you go out...

The custom of drinking alcohol on Purim stems from a quotation in the Talmud attributed to a fourth-century rabbi, Rava: “One must drink on Purim until that person cannot distinguish between cursing Haman and blessing Mordechai” (Megillah 7). This custom has become a green light for people, especially students in Israel, to drink lots of alcohol on Purim. Unfortunately, many gap year students drink until they are sick, passed out, or exhibiting dangerous or inappropriate behavior (such as vomiting in your rabbi’s yard). Although alcohol consumption in the US is illegal for people under the age of 21, in Israel, it...

There are common misconceptions about food allergies.  Click here to read about certain misconceptions and what the true facts are about food allergies. Food Allergy Concierge is your expert service for traveling with food allergies. Our food allergy travel experts separate facts from misconceptions. We understand food allergy dangers, we understand how one sesame seed can be life threatening, and we are experienced in preventing cross contact in hotel and restaurant kitchens.

Marijuana-induced psychosis is real and dangerous. This is perhaps most important to remember when gap year students are away from home for the first time. The average cannabis user, seller, and manufacturer want you to believe that marijuana is an innocent, harmless drug. It is mainly described as a relaxing way to unwind. As marijuana usage becomes legal and more popular, people need to know the facts about marijuana and its possible side effect. While there are some medical benefits to medical cannabis, which medical cannabis can take under the auspices of a physician for specific conditions, there are lesser-known adverse...

Head lice. It’s a subject nearly no one wants to admit exists, let alone think or talk about. However, head lice have reached epidemic proportions all around the world. It’s difficult to get statistics, but an estimated 7% of children between ages 3-11 experience lice infestation each year in the United States. No statistics are available for adults with lice. In Israel, it’s 15% among children! Experts believe the higher number in Israel is because of larger families with siblings passing around lice. EMA Care spoke with Penina Neustadter, a very busy “lice lady” in Israel. Penina became a lice lady...

Winter is THE season for both bacterial and viral infections. Understanding the difference between bacterial and viral infections can help manage expectations regarding treatments available. Viral infections include the common cold, flu, most coughs, bronchitis, and chickenpox. Bacterial infections include pneumonia, strep throat, urinary tract infections, and most sinus infections. Bacterial and viral infections have many things in common: 1. They are microbes too small to be seen2. They can cause both acute or chronic infections3. Both cause mild, moderate, or severe disease4. Both may have similar symptoms such as fever, cough, diarrhea, fatigue, and vomiting – although a good health...

  Last week, we wrote here about students arriving in Israel with a preexisting emotional issue. What happens when a student develops an emotional problem while he/she is in Israel? How can the student or parent recognize the signs of a serious problem? Who can the student turn to? How can the parent who is thousands of miles away, help? There is a lot of assistance and support available to students who are having an emotionally difficult time during their year in Israel. If this is the student’s first time experiencing depression, anxiety, eating problems or “disturbing” thoughts, it can be...

Now that the holidays are over, it’s time for gap year students to really settle into their year in Israel. This can be the time when emotional issues begin to surface, especially if the student has already experienced some emotional problems in the past. Common Gap Year Stressors are: 1. Trying to make friends 2. Academic pressure 3. Being on one’s own in a new environment 4. Financial responsibility 5. Changes in relationships, including family relationships 6. Exposure to new people and new ideas This list can potentially lead to a lot of stress for the most stable person. If a...

  If you are one of the hundreds of visitors coming to Israel for the holidays, EMA Care offers you tips on eating healthy on vacation!! In Israel, eating healthy when on vacation can be a double whammy……on vacation plus Jewish holidays!! Vacation is a time to relax, to not be at home, and to enjoy a different culture and foods. Some people look at a vacation as a time to indulge. Jewish holidays are based on lots of time praying in the synagogue and lots of time eating large, delicious holiday meals. This combination can result in an indulgent holiday...

 Most tourists are frightened of a medical emergency occurring while they are traveling far from home.The good news is the frequency of tourists requiring medical care while traveling is low. Tourists requiring medical treatment: Outpatient treatment ​ ​ 1 per 1,000 trips​ ​Hospital admission​ ​1 per 2,000 trips​ Medical evacuation ​1 per...

It's probably safe to say that the Gap year packing list your child received did not include a medical checklist. There are many reasons to give your kids some medical supplies and medicines before they leave. First of all, many over-the-counter medications in the US are available by prescription only in Israel!  Medical supplies are only...

Here in Israel we are experiencing extremely hot weather. High of 40 C, that’s 104 Fahrenheit!! When I walk outside it’s as if I am in a sauna. Hot weather usually just makes people feel HOT, but it can also lead to serious and alarming health problems. Experts say that when night time temperatures do not drop much lower than daytime temperatures, there is added stress on the body. It’s important to follow some simple rules to stay healthy during these high temperatures. 1. Drink lots and lots of cool water. You should have water with you at all times.2. Wear...

Organizing medical records at home can be a daunting task. While more and more processes may be done online, there is still a substantial amount of paperwork for each medical procedure. The cumulation of years of paperwork can make finding the document you do need - more difficult. Organizing your medical records can save you time, money and can he...

That’s Life with Miriam L. Wallach – March 17, 2016 - NSN Enter some description here... https://nachumsegal.com/thats-life-with-miriam-l-wallach-march-17-2016/

The pertussis vaccine is not just for babies and children.  Pertussis (whooping cough) is one of the fastest-growing preventable diseases in the US.  The disease rate has more than doubled since 2003, with 92% of hospitalizations occurring in infants less than 6 months old!  We have seen pertussis spread among gap year students in Israel.  The best way to prevent pertussis among infants, children, teens, and adults is to get vaccinated.  Although anyone can get pertussis, the disease can be most dangerous, even fatal for infants.  Getting vaccinated against pertussis is especially important for families with infants and caregivers of infants. Although...

Medical cannabis management in Israel can be challenging, especially for people who are older with chronic pain or medical conditions.   Israel is among a growing number or countries that authorize the use of medical cannabis for specific chronic medical conditions, including certain types of chronic pain.  There are currently over 20,000 medical cannabis licenses in Israel.  Medical Cannabis (MC) has been shown to be effective in improving symptoms for (among other conditions): Certain chronic pain syndromes including neuropathic pain (pain from nerve damage) Certain chronic diseases Cancer treatment side effects Terminally ill patients Mid- to Late-Stage Dementia in the elderly Many patients who have failed conventional...

Sending students with a pre-existing health condition to Israel for a gap-year program is difficult for many parents.   The young adult population can experience many varied health conditions.  Some of the more common ailments are: Severe Allergies Autoimmune conditions  Type 1 Diabetes  Depression  Crohn’s Disease  Anxiety  Asthma  Eating Disorders  Physical disabilities    It’s not easy to send your child thousands of miles away, knowing his/her illness could experience a flare-up.  A student with allergies could go into anaphylactic shock. Your child with a gastrointestinal disorder or diabetes needs to be sure he/she is receiving the proper treatment in a foreign country.  Mental...

There are many reasons to change your kupat holim (health plan).  Your favorite doctor may no longer be covered at your kupah, you may have moved, and a different kupah is right down the street.  Your decision may be based on a kupah’s easier online access, or the complementary medicine services offered is more inclusive.  As you age, your medical needs change, and perhaps your current plan is not providing what you now need. Whatever the reason is, you are lawfully able to change your kupat cholim whenever you want.  According to Israeli law, kupot holim may not bar applicants on...

Carrie Fisher’s untimely, sad death has put in-flight medical emergencies in the headlines.  Understanding how in-flight medical emergencies work can help people be better prepared and better understand what an in-flight emergency is, who responds, and what help is available mid-flight. link here! In-flight medical emergencies on commercial flights occur on about 50 flights A DAY, or over 17,000 times a year in the United States alone. Among the most common in-flight medical emergencies are cardiac problems, loss of consciousness, seizures, respiratory problems such as asthma, and musculoskeletal problems, such as strains, sprains, and fractures. Each year, several babies are born aboard airplanes as well.  In-flight medical...

Hopefully, you paid attention to our blog here and received the flu shot.  However, for those who did not get the vaccine, the influenza season is in full swing in Israel.  Knowing what treatment is best may help you feel better sooner and can prevent others from becoming sick. The flu is highly contagious!! It’s important to take precautions!  Common flu symptoms are: Fever higher than 38 C (100 F) Muscle aches Feeling tired or weak. Runny nose Sore throat Influenza is a virus, and distinguishing it from other viral illnesses can be tricky.  The flu vaccine is considered 60% effective, as defined by the CDC. Still,...

Until now, allergy free baked goods were simply a dream in Israel.   Unless you take precautions, Israel may not be a great place to visit if you have food allergies.  Depending on what you are allergic to, finding allergy-free baked goods may be especially problematic.  The prevalence of sesame, eggs, and tree nuts in foods such as cakes, cookies, breads, burekas, and pastries is common.  Even if the product does not contain sesame or nuts, there is a very high probability the product had been mixed and/or baked with utensils that have been used with these common allergens.  Going into any...

Prescription medications in Israel can oftentimes be different than in other countries.  Whether planning a trip or sending a child for a Gap Year, understanding the availability of medication locally can help guide decision making and planning for health needs. Here are 10 rules about prescription medication in Israel: Some medications are not available here.  Medications in Israel must be approved through a lengthy bureaucratic and often political process.  Some medications, deemed either unnecessary or too expensive, or too rarely needed – are simply not available.Medications may come in different doses.  For example, thyroid medication is not available in 25mcg increments. ...

If you are a student with food allergies and living in a dorm, you must take precautions to assure you live in a safe environment.  It’s very important to realize that people who don’t have any exposure to anaphylactic allergies often don’t understand how dangerous they can be. For example, an allergy sufferer meets his roommate for the first time, he says I am allergic to peanuts. The roommate enjoys peanut butter and he says he will be very careful whenever he eats peanut butter in the room. “The peanut butter won’t go anywhere. How dangerous can it be?”. This is...

I would like to recommend Eliana (EMA care) for her sensitive and timely help for clients who are having difficulty navigating the health care system Israel, specifically for Anglos, whether new olim or those of us who been here for many years.The obstacles of interfacing with the health care system here is daunting, especially at a time when one is going through an acute or chronic condition that is protracted and complicated. Often one doesn’t know whom to turn to or where to go, especially when one’s Hebrew is limited or lacks the proper resources and connections to the best health...

Aging in place is the phrase used to describe seniors who choose to stay living in their home – even when aging becomes more challenging.  Aging in place is a popular choice instead of moving to a skilled nursing facility, and over 96% of older adults in Israel are currently aging in place!  Aging in place requires coordination and utilizing services and resources available to ease the burdens often encountered as people age.  With aging in place, more people can choose where to live, and to maintain a higher level of independence for a longer period of time. Aging in place...

The Flu vaccine in Israel is available now!!  It’s important that you go now while flu vaccine supply lasts!! In previous years, there have been shortages of the vaccine.  Why should people get the flu vaccine? Influenza is a serious disease that can lead to hospitalization and sometimes even death.Between 80% and 90% of flu related deaths occur in people 65 years and older. So the vaccine is a must for seniors! Other people at risk include people of all ages with pre-existing chronic health conditions, children, and pregnant women.Even healthy people can get very sick from the flu and spread...

Medical care during the holidays can get a little tricky in Israel. During the holidays, many medical offices and hospitals are operating on Shabbat mode.  Shabbat mode means that personnel are cut to a minimum staffing, many clinics are not operational, and routine, non-emergency health services are not provided.  These hours can include hospitals, emergency and urgent care centers, pharmacies, clinics, and private medical offices.  Medical offices have less operational hours (or none), so the few hours they are open, they are typically overbooked. Don’t forget that Medical Care during the Holidays includes the eve of holidays!  The eve of a...

Fasting in Israel can be a different experience from fasting in other countries.  It’s hard to recall a Yom Kippur in Israel that did not include hearing someone fainting from dehydration. Even though this year Yom Kippur falls late on October 12, and we hope for cooler weather, the dry, hot weather in Israel puts fasters at higher risk of dehydration.  Preparing for Yom Kippur a few days in advance is a sure way to fast safely on this High Holiday.   When a person fasts, everyday behavior results in a loss of fluid that is not being replaced in the course of...

Crohn’s disease in Israel can be challenging to manage, especially for students and tourists who do not have access to the full-service Israeli health care system. Inflammatory bowel diseases (IBD), which include Crohn’s disease and ulcerative colitis, affect as many as 1.4 million Americans, most of who are diagnosed before age 30.   Crohn’s disease causes the immune system to attack healthy tissue in the gastrointestinal tract, causing inflammation. It is a life-long condition that can be treated but not cured.   Crohn's Disease Management in Israel Ashkenazi Jews are at significantly higher risk for Crohn's disease, and research is being conducted to...

What we can all learn from Hillary Clinton’s coughing spell? Cough hygiene - The Jerusalem Post For most illnesses, staying about a meter away from someone sick will keep you in the safe zone. https://www.jpost.com/Opinion/What-we-can-all-learn-from-Hillary-Clintons-coughing-spell-Cough-hygiene-468261

There may be parental stress as your child leaves for his gap year in Israel. The gap year is an extraordinary time for young adults to grow spiritually, emotionally, and psychologically. However, it can be a bittersweet experience for many parents.  You are excited for your child but missing and worrying about your child may be inevitable. EMA Care provides some guidance for parents to cope with their own stress… and make it easier for their children to have a successful year. You are nervous about your child being so far away, constantly scanning the news for anything going on in...

How does socialized medicine work in Israel? How does it impact health care delivery? Every resident of Israel must have government-subsidized health care guaranteed to them by Israel’s Health Insurance Law of 1995.  How does this differ from private health care found in other countries? A 2015 Bloomberg report ranked Israel as tied for second place in health care efficiency!!  The United States ranks 50th (right above Azerbaijan, Algeria, Russia, and Brazil)!   Israel is credited with long life expectancy, emphasis on preventative care, and low-cost medical care.  This means you get better health care in Israel for a lot less money...

Managing  medicine in Israel can be challenging for anyone.  Medication in Israel is not the same as medication in other countries, especially if you are from the United States.  Managing medicine in Israel is an important consideration if you are here for a longer stay, whether a tourist, resident, volunteer, or diplomat.   You will need to do research before you arrive, as not every medication is the same when traveling to foreign countries.   If you are coming to Israel for a short stay, be sure to bring your medication with you.  For example, common medications may have different names in Israel. ...

Pour un touriste ou tout nouvel immigrant francophone, appréhender le système de santé israélien peut s'avérer difficile. En raison des barrières linguistiques et culturelles, les immigrants et les touristes ont de moins bons résultats en matière de santé. Particulièrement, lorsque vous avez une condition médicale préexistante. Lors d'une situation d'urgence (problème médicaux, blessure), il est essentiel de disposer des ressources adéquates afin de résoudre au mieux votre problème. Qu'il s'agisse d'information sur les médicaments disponibles, de superviser l'aide soignant d'une personne âgée, ou de faire face à un événement médical grave, EMA Care fournit le soutien dont vous avez besoin. EMA...

Most people experience confusion when they need to be in a hospital.  Confusion is the inability to think as clearly or as quickly as you want to. Whether you are a patient or a relative of the patient - hospitals are confusing.  Without a medical background, it can be an almost helpless feeling.  What’s going on?  Should I ask that question? What is going to happen next? Why did the doctor say that?  Why isn’t the nurse coming?  Why do I feel so out of place? There are 3 types of confusion people have in hospitals: Situational confusionFamily confusionDelirium confusion  ...

Bien qu'étant couverts par une assurance de santé, tous les étudiants méritent de recevoir des soins de qualité lors d'une blessure mineure (ou grave) ou lors d'une maladie survenant en Israel. Les compagnies d'assurance assurent, en effet, une protection médicale  mais n'incluent pas dans leurs services: la traduction des professionnels de santé sur place, l'assistance, afin de mieux comprendre le suivi médical, la protection juridique, ni la communication parentale. Ces besoins sont essentiels pour la sécurité, la santé et le bien-être des étudiants . Etre en relation avec des personnes compétentes qui gèrent les besoins essentiels de santé de l'étudiant réduit...

Parents of Gap Year Students in Israel: Did you know that most Gap Year Programs have no medical personnel?  Health Care for Israel Gap Year students is complicated. Nearly every program requires that students have health insurance, but this coverage leaves parents and Gap Year Programs wanting. Health Insurance does not cover pre-existing conditionsFor pre-existing conditions, parents and students must fend for themselves and find providers and solutions to the student’s needs Health Insurance pays for health coverage, but no one monitors the quality of service provided. If your child gets sick or suffers an acute injury (like a sprained ankle), he or...

People have been asking “why do gap year students need EMA Care??” The answer is: Student health plans do not cover essential health needs that parents want for their child.  EMA Care provides those services and fills in the gaps left by local insurance programs.  Each year thousands of students come to Israel to work, study, and have fun!  After high school, it has become a rite of passage for Jewish youth from all over the world to spend 1-12 months in Israel.  The programs are varied from yeshiva/seminary or university study to volunteering in the Negev desert. These varied programs have...

Medical decisions are daunting even for the Israelis that have been living here their entire lives. All the more so, for Israeli residents that did not grow up here with a network of informed friends and family. EMA Care helps people choose the best health plan for YOU! With our research and thoroughness we will spend the time, that you don’t have, to understand fully what you need. We sit down with you to figure out what works best for you according to your health needs, where you live, and your language proficiency. EMA Care is the only health advocates that will customize a health...

During our recent visit to Israel, we really struggled to find food for our son who has anaphylactic level allergies to egg and sesame. We approached both restaurants and hotels and were told they were unable or unwilling to take responsibility for preparing his food.  After learning about Dr. Eliana on-line, we contacted her in the hopes that she could provide a ‘normal’ restaurant experience for our family.  Both she and Shani were meticulous in their preparations with the restaurants to ensure that our son had a wonderful and safe experience.  We truly appreciate their efforts to take care of our...

Food poisoning is an illness caused by eating or drinking food or water contaminated with viruses, bacteria, toxins, parasites, or chemicals. Typical symptoms of food poisoning are vomiting and diarrhea. In Israel, during the long hot summer, the possibility of food being contaminated is greater due to food exposure to extreme temperatures, or food that does not have sufficient refrigeration.  Many food vendors display their products on the street, and it’s important to be cautious!! This year EMA Care has assisted scores of students hit by food poisoning after food served by the schools was contaminated. Food poisoning has been known to...

The hushed fact is that many teens spending a gap year in Israel will be drinking alcohol.   Another hushed fact is that tens of gap year students will be treated for alcohol poisoning or other alcohol related injuries and illnesses during their time in Israel. In past years, gap year students have even died because of alcohol poisoning.  The legal drinking age in Israel is 18 years old.  For American youth in particular, this is an exciting novelty and it is tempting to enter pubs and drink. Do the math: The availability of alcohol + the absence of parents + the...

Over Passover, 3 tourists from different part of the world had strokes while visiting Israel. Besides the trauma of a sudden health event which affected the whole family, compounded by being in a foreign country, the outlay of money was substantial. After overcoming tremendous culture gaps, they received excellent care in Israel. None of these previously healthy people had travel insurance.  Most did not get reimbursement for their hospitalization and treatment. This is but one example of why tourists need to get travel health insurance for visits to Israel. Here is information on tourist health insurance and getting optimal coverage when in Israel.  Who pays your bills when...

There are many cultural differences between Israel and other countries.  Anyone who has had any business interaction here will vouch for that! But did you know that culture also affects your health care? We are not only talking about a language barrier. A visitor to Israel who ends up in the emergency room will undergo an overwhelming, disorienting, truly foreign experience. The three ways cultural differences may affect your healthcare in Israel:   1.Chutzpah- Israeli chutzpah is world famous. It is how the commandos raided Entebbe and freed the hijacked passengers 40 years ago this week. It is also why other people...

Poised for change: Nursing gets new leader - The Jerusalem Post The stars are aligned in favor of Israeli nurses, and Goldberg will lead the way towards a brighter future for nurses and healthcare in Israel. https://www.jpost.com/Opinion/Poised-for-change-Nursing-gets-new-leader-459480

Many elderly are choosing to live their golden years in Israel.  About 14% of immigrants to Israel are over the age of 65. What happens when a parent becomes ill and you, the children, are not living here?  Long distance care giving is tough, if not impossible.  What will you do if your parent deteriorates in function?  Has a stroke or a heart attack?  When a crisis occurs it can be daunting to understand where to turn, what to do next, and how to get information even if you are in proximity of your parent!  Imagine how incredibly difficult it will...

It’s inevitable that somewhere, somehow, a teen from one of the many Israeli summer programs, could be in a hospital emergency room this summer.  There are hundreds of teens here and the sad, but true fact is that someone is going to get hurt or sick.  The program director, a counselor, or an ambulance will take the teen to the hospital. What happens when the teen arrives in the ER? Emergency rooms in Israeli hospitals follow typical ER protocol.  However, hospitals are even more crowded here. Hospitals in remote locations may offer sub-optimal care.  Patients are treated based on the severity...

The warm Mediterranean Sea on Israel’s coast may be fun to swim in, but jellyfish season is upon us!  Every summer, Israeli beaches suffer from jellyfish for a number of weeks.  Whether in the water or washed up ashore, jellyfish pose a (potentially life threatening) hazard.  EMA Care gives you tips on what to do if you get stung by a floating cell or jellyfish tentacle. Fact: Jellyfish is one of the most intimidating creatures of the sea. In Hebrew the word for jellyfish is “medusa”. In classic Greek mythology Medusa is a monster (gorgon) in the form of a woman with snakes...

Any person with food allergies traveling to a foreign country knows how dangerous it can be. If your child with allergies is arriving in Israel for a summer program or in the fall for a yearlong program, it’s time to take action NOW. The lack of knowledge of the local language, local cuisine, and local customs can be frustrating and life threatening.  EMA Care provides a customized allergy card (in Hebrew) to our clients with food allergies. EMA Care’s allergy cards include: Customized Allergy Information about your childKnowledge of Israeli food products as it pertains to your child’s allergiesDirections on how...