Its not right to poke fun at any community and especially not if Chabad as it is not possible to deny all the good stuff that they do, some of which all yidden are able benefit.

To make a statement to CS about their Chabad house was highly inappropriate regardless if CS is a man or a women, SH pointed that out and he did not play the race card.

Some of the Chabad posters including SH seem to be pretty knowledgeable and provide decent sensible arguments. They did not invent none of this, they are following what they were taught and are willing to discuss this.

A lot of arguments and disputes were provided here, most of them in a very respectful manner. Insults, personal or about any community have no purpose.

No one will change their BELIEFS one way or the other.

The ‘Rebbe’ alive or not, meant/still means a lot to Chabad, to the point that even stuff he didn’t really say, just are able to be nut picked out of his words are considered by a lot to be non negotiable, for them it’s a big deal, regardless of how it can be interpreted.

To the Chabad people, if someone asks you for a source , by pointing them to a Sicha, you will not not accomplish anything, the rest of the world thinks the Rebbe was a big Tzadik, most have high regard for what he was and what he did, but that does not equal Navi, to them these concepts are dangerous and wrong. Did the Rebbe go around proclaiming he is a Navi or he was focused on building Yiddishkeit? Therefore the Sicha to them, is nothing more than a Sicha.

To the others, Chabad is not perfect and so aren’t any other community and chassidus, exposing every minor negative detail that can probably be just as well attributed to others serves no purpose, other than making this entire conversation negative.

I think that the Lubabitch posters have already made it very clear that they meant no disrespect for not including Rav or Harav.

Bashing has no place, this should be respectful discussion or debate. The majority of people hold that the Lubabitcher Rebbe was a Talmid Chachim and Tzadid, and Lubabitch in general does a great deal of good stuff.

I like how most of this discussion, with some exceptions has been civil and respectful.

A few questions,
The notion of the Rebbe being the 7th Rebbe have any source besides for what the Rebbe said?

This question has been asked before, but I will rephrase it. Is it possible for anyone else other than the Rebbe to be Moshiach?

Do you find it hard to understand why most people don’t follow your belief, mainly due to the fact that most of it originates from the Rebbe. While lubabitch considers the Rebbe to be more like a Navi, the rest of the world doesn’t share this belief. Therefore most stuff that explain why the Rebbe was or still is Moshiach, is not taken seriously.

While everyone is using the publicized mass shootings as an argument (regardless of which side of the argument they stand), what about the simple muggings?

Putting aside the argument of having regular people arming up and what public policy should be, what about the individual? is it reasonable for you or me, a regular civilian to carry a weapon?

It might not have prevented some of the publicized shootings, but wouldn’t it make the individual somewhat protected against any violence that might come their way?

Any other credentials other than your user name?

ubiquitin, My information comes from reading the government websites and the very few people that I know that needed surgical intervention.

However, I believe that the doctors, not the patients decide on what is an emergent procedure. From what I understand, once one is in the system they have to wait their turn.

I was involved and familiar with a few cases of which the patients were flown to the US from the UK for more advanced life saving treatments. One of those cases was even done on Shabboss. Over here the patient was able to get the care they deserved while back home they were not.

Is there any situation in which such behavior would be acceptable and appropriate?

Of course I know nothing about this incident and if there is any correlation between this alleged incident and what happened afterward to this girl.

But is there any line that this girl would cross that it would be justified for parents to put their foot down?

Health, the paragraph that you posted directly concerns EHS, not other heat related illnesses. cellular injury and death is only from heat stroke, not other illnesses.

I did not read every post here, but I found this Interesting Letter posted on the AAAAI (America Academy of Allergy Asthma & Immunology) website.

8/27/2013
As a pediatrician and mother of a child with peanut allergy, I have a million questions/concerns as I battle to keep my daughter safe from accidental peanut exposure. Why do allergists not recommend banning peanuts from schools? Being that the mainstay of treatment is avoidance and having epinephrine, it seems to me it is impossible to avoid peanut in our public elementary school environments. I have read that the likelihood of outgrowing peanut allergy is greatest before age 8, so the early elementary years are CRITICAL for peanut allergic children if we are to maximize their chances of outgrowing this allergy.

In my opinion, Allergists are contradicting themselves by recommending strict avoidance but not peanut bans in schools. Allergists claim that banning peanuts would give a false sense of security. I strongly disagree with this reasoning. Young kindergarteners should not be made exclusively responsible for their well-being. They are not mature enough to know where hidden peanut may lay or to keep their hands away from their mouths/faces. I believe it is UNSAFE to throw our tiny kids into peanut butter jars, which is what our schools are, and expect them not to be exposed. No wonder so few kids (15-20%) outgrow their peanut allergy. Where is the evidence-based medicine that proves that banning peanuts from school is not helpful for avoidance? I haven’t found it. I know there will be parents who will not comply with the peanut ban, but most will. Reducing the peanut content in our kids’ environment will still be better than having a huge amount of peanut all over the schools. Peanut bans would not mean letting our guards down, we would still have epis, etc.

I strongly urge the AAAI to reconsider their peanut management recommendations, because the current ones do us a disservice. I am entering discussions with my schools administrators to seek a peanut ban and am having a very tough battle with them. The reason I seek a ban is because their current policies do not work. They do not ENFORCE a peanut-free zone in the classrooms. Posting a sign on the door does no good if parents are still allowed to pack peanut-containing products. No one checks snacks/lunches to ensure compliance. I refuse to accept the current lax policies and will not throw my child into the lions to fend for herself at age 5. If age 5 is considered mature for peanut self-management, then why don’t we teach sex education in kindergarten? Thus, we could start preparing them for the real world as early as possible. That’s ridiculous, right? That’s how I see the attempts to prepare a child for age 5 to manage her peanut allergy. There will be plenty of time to do that later when she is more capable to make decisions. My main concern at age 5 is to keep avoiding peanuts/treenuts strictly so she may have a chance to outgrow it! If she keeps being exposed to peanuts in school, her antibody levels may rise with each reaction and she would never outgrow it. I strongly urge the AAAI and all allergists to consider your stance on this recommendation. Having your strong support in favor of peanut bans would help families seeking strict avoidance if peanut in all environments, home and school. Thank you.

A:
Thank you for your letter.

I clearly understand your position, and from reading your e-mail, I also feel that you have become familiar with the position of experts in this field who have not advised the banning of peanuts. Some of the opinions you expressed make me realize that you are already aware of the rationales that have been employed to justify the opinion that banning peanuts in schools would be inadvisable. This is an issue which has been debated almost endlessly, and there are proponents of both sides of the argument. Both sides are sometimes strongly invested in their own views of this issue, as I can tell you are. Both sides can be argued vigorously.

We have many issues in anaphylaxis that fit into the same category. The reason for the debate is that such issues cannot be answered on the basis of controlled trials, and therefore we have no true definitive supporting evidence for either side of the issue.

One such issue, for example, revolves around when to administer epinephrine in a potential case of anaphylaxis. This occurs when a child, thought to be allergic to a food, ingests the food, but has no symptoms after the ingestion. There are proponents of administering epinephrine immediately and there are other proponents who state that the child should be watched and administered epinephrine only if symptoms occur. There are no clear-cut data to support either side. We will never be able to attain these data because we cannot do controlled trials.

We have no controlled trials to compare outcomes in schools where peanuts are banned versus schools where they are not. I do not think this study will ever be done, in part because of the emotional investment in the issue.

So, I do not think it would do a great deal of good to become, on this website, involved in these polemics. However, we are placing your letter online so it can be reviewed by our readers, many of whom are experts and publish in this area.

Thank you again for your interest in our website, and for the expression of your opinion.

Sincerely,
Phil Lieberman, M.D.

Health – What you are suggesting is not only not practical and dangerous but also not legal, an ambulance is required for patient transport. Not even sure why we are even having this nonsensical discussion.

True, blood is required for and NS or LR is not sufficient, but even blood is not definitive treatment and the patient might require first line drugs to control the hemorrhage or even surgical intervention.

That said, fluids is first step in the treatment.

Gamanit – I will not make believe that I did get the details, I did not, nor was I interested at the time. I do know first hand that emergencies like these do happen, especially in the more chassidishe communities as more childbirths means more OB emergencies. Being that I cannot prove that to you I will leave it at that.

Furthermore, most OB related emergencies occur in the hospital, the ones that do not are usually the very serious ones that require the staff to be fully prepared and rapid transport with early intervention makes a difference in patient outcome.

Gamanit – 1.5% is not second to nill, its a risk that is there and happens to some people, besides this is just postpartum hemorrhage there are a few other conditions that can cause life threatening hemorrhaging such as abruptios which can be life threatening.

There are a few grades of abruption with some being true life threatening emergencies, I am aware of several cases in which the patients life was saved with not much time to spare, these patients needed aggressive volume resuscitation and blood transfusions and of course life saving surgical intervention. I admit that this is not the every day occurrence but its there. Sometimes these can be treated without surgical intervention such as with medication like Pitocin which is even given prophylactically.

I am not familiar with the details of this case other than what was posted here and hearing of it this case at the time.

Health – Who were you quoting right here?

“Are you a Hatzolah guy? It sure sounds like it. Refusing to give information about the call, that doesn’t include private information is not a violation of HIPPA.
It sure sounds like you’re trying very hard to manipulate the public!”

Once again you resort to name calling. This discussion has become very childish not what one would expect from a “medical professional”

Health- “But the best defense is an offense.”
Is that why you very frequently try to offend other posters in many ways, by attacking what they wrote or trying to attack them personally?

Health – I do not think I will respond to any of your posts if you continue to make it personal. For starters would you mind revealing what degree you have in medicine and in which area you practice? I know that you never revealed that despite many questioning your self-proclaimed ‘medical professional’ status. If you yourself mind on offering this information, then please do not ask others to do so, especially when I have never claimed to hold any training or that I even practice medicine. I tried to make my points without making the point that I am in medicine, for all I care think of me as a teenager hitting some buttons on a keyboard, but respond to the context of my posts.

You, on the other hand, use your online persona to validate your arguments. It would be reasonable to ask you to reveal your level of training and certification. If you do not want to reveal this information then fold your self-established personal of a ‘medical professional’ and start making some sense.

I respect everyone else’s opinion and I do not think that everyone else has to agree with what I wrote.

Why are you quoting what you posted earlier, what relevancy does that have to the discussion at hand?

You were the one that decided on what was done and that it was inappropriate intervention, after being questioned you now decided that the details and documented times be provided to you, probably so that you can see if there were any wrong doings. Is there any reason that this should be provided to you?

Health – your feelings are irrelevant, it is the facts that matter. So far there was nothing that would indicate that transport was delayed, I find it puzzling that you are bashing the personnel that handled that patient without even knowing if there were any wrong doings.
If indeed transport was delayed with no appropriate justification, your attacks would have been justified.

Health –
a) I do not know what they did or did not do for that particular patient, I was just referring to what was written in the post. There is no point of delivering a patient that is beyond the point of saving when the patient could have been stabilized, so fluid resuscitation is a priority. If this should be done prior to transport or not depends on many details and dynamics of the situation.

b) I did not use any lingo, just listed some of the devastating and fatal syndromes that may occur without aggressive fluid resuscitation.

c) Rapid transport is without question a high priority, yet there are scenarios in which transport should be delayed for a couple of minutes in order to stabilize the patient. What is also as important is early notification to the receiving facility and to the unit that will be receiving this patient so that the staff is all prepared.

d) Ambulances usually respond from a central or designated location, it also takes a couple of minutes to bring in the equipment needed from the ambulance to safely extract the patient. The Hatzalah EMTs and Paramedics have a grassroots response and are usually within close proximity of the call location, which normally means that initial basic and advanced care has been initiated before the ambulance is on location. So the patient gets treated prior to transport without any of the treatment delaying transport.

ubiquitin – I agree.

But I believe having same gender personal as a bridge is a really minor detail when someone really needs help. they would probably be more focused on getting a better facility, better doctors and people that are able to navigate the health care system and get things done. As I mentioned the higher the acuity is, the less people tend to focus on some details (such as gender) that would otherwise seem significant to another individual, this is probably true for male and female patients.

your question has a simple answer, I would want whoever I believe can better help me at the time of need. I have very rarely seen anyone being uncomfortable with a provider that is of opposite gender in time of an emergency. If this were not an emergency some might take minor details such as gender of the provider into consideration.

ubiquitin – This is what I meant, due to it being a personal preference I do not think that I can make a blanket statement, everyone has their own personal preference. Some people prefer not to go to the hospital at all, or to call a cab. Yet I think its reasonable to say that people that deal with these situations on a regular basis are in a better position to respond to this than random people that do not have first hand knowledge.

Avram – Your missing basic facts, EN does not transport, they call 9-1-1 when they believe the patient would require transport or more advanced care, the vans that were mentioned are personal vehicles that are fully stickered in which they respond to the patients location.

Avram – Regarding Neonatal Resuscitation, true anyone can get a certification, all you really need to do in order to get the certification, is answer some questions on a test, although a class is recommended its a test that is required. the same goes for ACLS and PALS which doctors, some nurses and paramedics must have and remain current. The certification on its own does not allow anyone to actually do anything above their scope of practice or license.
On a Basic level, which is where EN operates, their scope of practice and license does not allow them to do any of the advanced procedures. The basic stuff, while life saving and important, is just basic.
In short, ALS and NRP are not the same, yet it is the ALS degree (Doctor, RN or paramedic) that allows the provider to follow the NRP guidelines.

I agree with DWKL1, this thread has gone off topic. Lets keep it on topic.

Unfortunately, this story did happen in BP, I was aware of this story at the time, the neighbors that witnessed this were aware of this, the EMTs and Paramedics from Hatzalah that treated this patient were aware of this.

I do not think that posting randoms stories as such is appropriate, if the author wants to really do what is right as they noted in their post, they should share their name. Otherwise, it seems as if there are people with an agenda just producing stories.

umiquitin – Your asking a question that has an opinionized response to it, It’s to each and their own to answer this.

But keep in mind, there are some that speculate and some that actually know, it’s those that deal with situations like these on a regular basis that have first hand regarding this matter.

health, it is exceptionally uncommon for a middle age frum woman to have advanced directives. other signs are usually associated with long downtime’s which does not seem to have been the case.

Each area is different, besides its the EMS that one wants not the police. Most out of NYC areas are having massive issues with basic coverage and heavily rely on mutual aide.

Winnie, I am not familiar with that, but wonder how the author determined the reason behind their findings.