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4 Kislev 5765 - November 17, 2004 | Mordecai Plaut, director Published Weekly
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Home and Family

Your Medical Questions Answered!
by Joseph B. Leibman, MD

Director of Emergency Services at Bikur Cholim

Dear friends and readers. In my new position as the Director of Emergency Services at Bikur Cholim hospital — the oldest (179 years) hospital in Israel, which was started by Reb Yosef Chaim Sonnefeld — since this hospital serves downtown Jerusalem including the area of Meah Shearim and Geula, it is a great privilege as well as a challenge to provide the best possible care for this important community. I would like to request from my foreign readers in Europe, South Africa and Australia, to contact me if they can help organize groups to help the hospital. I am willing to come and speak at parlor meetings to help move this forward.

I have often quoted articles from the scientific literature and I was recently shown an article on fat printed in the Aug 04 edition of National Geographic. I will summarize the article, with the statistics which are very interesting.

More than 25 percent of people have a fat problem. This is true in the USA, South Africa, Russia, Turkey, Egypt, Bahrain, Thailand, the Pacific Islands (where fat is considered attractive), and of course Israel. This leads to sky-high risks of colon cancer, heart disease, arthritis, high blood pressure, gall stones and diabetes.

More statistics: Ride the elevator, you'll burn 3 calories. Take the steps — 19. Washing the dishes burns 80. Bike for 45 minutes at 10 km/hr burns 175.

Surgeries for obesity have risen from 16,200 to 103,000 in ten years. That is in the USA, but in Israel the statistics on surgeries should be even worse as the Kupot realize that dieting strategies are less likely to work.

The article quotes Barbara Rolls from Pennsylvania: We tend to eat everything that is on the plate put in front of us. Other experts note that we live in a restaurant society where food is designed to be good tasting, but unhealthy. Putting that together with finishing all that is put before us is a green light to obesity. Advertising geared to children makes things worse. The array of candy, Shabbos treats and spicy snacks is a multi-million shekel business. This is the problem.

There have been many dietary solutions proposed, including the food pyramid with its low fat recommendations, to the Atkins diet which avoids carbohydrates at all costs.

Let me remind you that food is made up three components: proteins, fats and carbohydrates. Proteins can be found in nuts, beans, meats, dairy products. Fats are in oils, butter, cheeses, margarine, avocado, nuts. Carbohydrates are sugars, starches, bread, rice, cereal.

We'll see about these diets next week. Write me in care of the Yated.

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