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Rabbi Eskovitz with his perpetual smile near the bimah

A MEETING WITH THE

GUARDIAN Rabbi Eskovitz, guardian of the famous historical Touro Synagogue, talks about his job.

GITTA BIXENSPANNER

A

short visit to Newport, Rhode Island, revealed a wonderfully friendly rabbi who is presently the guardian of the city’s famous historical Touro Synagogue.

Rabbi Mordechai Eskovitz has been the officiating rabbi of the Touro Synagogue for the past fourteen years. As visitors from all denominations and levels of religion streamed to the shul gate looking for an evening minyan, there stood Rabbi Eskovitz greeting all visitors and making them feel so welcome that many return for more historical snippets and welcoming remarks.

His presence certainly enhances the Newport experience.

Rabbi Eskovitz relates that the shul has been very fortunate to have steady minyanim during the summer months. Shacharis is at eight o’clock in the morning and Minchah time is dependant on the time of year, closely followed by Maariv.

Rabbi Eskovitz extends invitations for his visitors to lead the various prayers, making sure not to embarrass any visitor who does not seem fit to enter the shul. It is amazing to see the variety of people that come to the shul. Even non-Jews are constantly visiting this sacred place.

On a bus during an afternoon tour, one man – who could hardly be identified as Jewish – was led the Maariv prayers, much to my pleasant surprise. Mi ke’amchah Yisrael.

Vacationers from all over the world rely on Touro Synagogue for a place to daven. There are various hotels – with plenty of choices

religious school which better suited him. He continued his education in Telsh, Cleveland, followed by Yeshivas Chofetz Chaim in Queens, New York. He then attended the Rabbi Yitchak Elchanan Theological Seminary of Yeshiva University, where he received his semichah.

Rabbi Eskovitz’s original plan was to be a grade school teacher.

Indeed he ended up teaching in day schools across the country, until he accepted the position of rabbi of the Touro Synagogue.

Rabbi Chaim Shapiro, the community’s former Rabbi, left to set up a shul in Boca Raton. Rabbi Eskovitz took over and he has been officiating ever since.

He moved to Newport with his wife and mother, when his children were already grown. He is very happy living in Newport.

to suit every budget – conveniently located within a few mile of the shul.

SCHOOL TEACHER TURNED RABBI Rabbi Eskovitz was born in the small town of Old Forge, Pennsylvania, in a community built

by Orthodox Hungarian Jews. For lack of a better place of education, Rabbi Eskovitz attended public school in his birth town; at a very early age he saw the flaws of that system when he refused to intone the prayers that were indoctrinated in that school.

His parents eventually moved to nearby Scranton, Pennsylvania, where at age nine he switched to the

A HISTORICAL TOWN New England is considered the “heart” of real America. Rabbi Eskovitz has many stories to amuse and amaze visitors, who come from all corners of the world. At first the English were extremely wealthy and had a very strong army; they were about to conquer the New World. The early Jewish Americans, desiring freedom of religion, donated heavily to the cause. This helped the American Revolution win the war and recapture America, freeing it from English rule. George Washington was forever grateful for the support. He promised them freedom of religion; this became the law in the land, to the Jews advantage.

has officiated at many weddings with brides and grooms from all over the world, who consider it an honor to celebrate their nuptials in the oldest shul in North America.

SHUL HOURS During the winter months, the shul is closed during the week, and open only on Shabbos and Yom Tov. This measure is meant to save on heating bills for a building of its size.

During the winter,minyanim are held in an adjacent community house, which is 160 years old. It houses a library, and a small hall used for kiddushim and other community functions during the off-season.

Walking the narrow cobblestone streets around the shul area, one can notice many houses that are marked with the date they were built as well as their owners. One house was the home of the chazzan, while another belonged to the rabbi of the community. Reading those ancient dates certainly adds a nostalgic feeling to the place.

During the High Holidays, the shul

FOR THE PEOPLE The shul’s congregation boasts about 110 members, and Rabbi Eskovitz is responsible for officiating at brisos, bar mitzvahs, weddings, and funerals. Incidentally, Rabbi Eskovitz

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is filled to capacity, as many members invite relatives to come spend the chagim with them. The long candles that grace the numerous candelabras are used every Shabbos and Yom Tov to light the sanctuary, in the same fashion in which it was used in the Amsterdam shul after which this building>s interior was modelled.

A glass showcase on the side of the ark houses an antique sefer Torah originating from Amsterdam. The Jewish founding fathers brought it in the 17th century.

LOCAL MESIRUS NEFESH Rabbi Eskovitz recounted the incredible mesirus nefesh of the Newport Jews. Many Jewish men chose not to marry at all because there were not enough Jewish women who wanted to keep the tradition. They stayed celibate rather than intermarry.

If we thought we have a shidduch crisis today, it is nothing new and certainly not as severe as the late 1700s and early 1800s in the New World.

Looking on the bimah area one cannot help but notice a trap door.

Continued on page 30

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A BRIEF HISTORICAL OVERVIEW OF JEWISH NEWPORT, HOME OF THE TOURO SYNAGOGUE. Jews fleeing from the Inquisition in Spain and Portugal arrived to Rhode Island circa 1658. Allowed freedom of religion, many immigrants were able to perform the bris milah for the first time.

They discarded their Christian names and embraced their Jewish names with pride.

The founding Newport congregation who organized themselves as “Yeshuas Yisrael” (Salvation of Israel) never named the synagogue “Touro.” Those recognizing Abraham Touro’s generous gifts to restore the building, street, and boundary walls loosely called the synagogue “Touro’s Synagogue” in the mid19th century, and the name stayed.

Touro Synagogue was first dedicated on December 2nd, during Chanukah of 1763, the only surviving shul from the colonial era.

The synagogue was constructed by noted colonial architect Peter Harrison as per the detailed sketch given to him

by Aaron Touro, according to what he remembered from the great Sephardic synagogue in Amsterdam. It is considered one of the finest examples of 18th century architecture in America.

For over two centuries, the small synagogue standing on top of a hill on a quiet street in the New England seaport community of Newport, Rhode Island, has occupied a unique place in American history – not

only as a part of the American Jewish experience, but also as a symbol of religious freedom for all Americans. The symbolism displayed by the Touro Synagogue is truly amazing.

While synagogues around the world during that era were built in alleyways away from the public eye, the Touro Synagogue stands proud at the top of the mountain for all to see, as a symbol of religious freedom.

It is here that it was declared

by President George Washington, “that the right of the individual freely and without governmental restraint to follow the dictate of his own conscience in religious worship could be exercised without danger to the state.” In his famous letter to “The Hebrew Congregation in Newport,” written in 1790, President Washington pledged that the new nation would “give to bigotry no sanction, to persecution no assistance” and thereby set the standard for religious freedom and civil liberties in America.

This letter penned by President George Washington is reread in an annual celebration at the welcoming center, whereone can view the very beginnings of Jewish Newport through various fascinating mediums.

The shul was designated a National Historic Site in 1946.

Today, it continues to serve a sizable active congregation, welcoming guests from all corners of the world.

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Thank You.

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Continued from page 23

According to some, it was used to house runaway slaves as part of the Underground Railroad. Others opine that the it represents the Marrano tradition of remembering the perils of Jews living in Spain and Portugal during the Inquisition having to flee from soldiers of the Holy Office at a momentâ&#x20AC;&#x2122;s notice. A third opinion holds that it leads to a kosher mikveh. Today the trap door serves no purpose other than reminding visitors of its historical significance.

Many dignitaries, heads of state, and Rabbis from different countries and communities have visited the shul. One year ago Rabbi Eskovitz was delighted to welcome the Chief Rabbi of Israel, Rabbi Yonah Metzger.

Every esteemed guest is accorded the special honor of sitting on a special bench earmarked for such occasions.

This seat can be seen on the right side

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of the photograph.

An interesting incident happened in 1999, when Rabbi Eskovitz was told that the President of the United States, President Clinton, was slated to visit the shul. On the appointed day Rabbi Eskovitz, dressed in his Shabbos regalia, was awaiting the esteemed visitor, when he noticed that the presidentâ&#x20AC;&#x2122;s cavalcade passed right by. Disappointed, the rabbi set out to find the reason for what had happened, and learned that for security reasons it is presidential protocol to whisk in the head of state through a side door. Since the Touro Synagogue does not have a side entrance, the president>s security personnel did not allow him to enter the shul at all.

In another incident, the local Anglican Priest who is very interested in Judaism, learned Hebrew so he could read texts in their original form. On one occasion he joined the rabbi and the congregation for the reading of Megillas Eichah on Tisha Bâ&#x20AC;&#x2122;Av. The priest was extremely touched by the sincerity of the Jewish yearning for the Temple.

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“

“

If we thought we have a shidduch crisis today, it is certainly not as severe as the late 1700s and early 1800s in the New World.

KEEPING KOSHER “Thank Hashem for freezers,” Rabbi Eskovitz quips. Every kosher item is brought in from New York.

Consequently, it is imperative to be very organized and remember to place food orders in a timely fashion.

There is plenty of fresh produce available, which is consumed while waiting for the ordersto arrive.

QUIET WINTERS Even during the quiet winter months, Newport always has

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something going on, if not within the community then outside of it.

Rabbi Eskovitz is happy to have extra time to visit the elderly and the infirm, andteach the local children of various grade levels. He teaches a range of students, from those learning alef-bais, to those in older grades. He also attends rabbinical meetings and entertains the mayor whenever he visits.

The weather is in Newport is generally very nice. This helps make for a pleasant visit and brings a

constant stream of visitors.

Newport boasts one kosher bed and breakfast for those that want to be really close to the shul, particularly the especially hired chazzanim that come to officiate during the High Holy Days.

Rabbi Eskovitz, with his constant smile and encouragement is a breath of fresh air to both the Touro Synagogue and the Newport experience. I am extremely grateful that this friendly and unassuming leader agreed to this interview. We wish him continued success in all his endeavours.

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in the building to enable them to open in time the next morning. Never one to turn down someone in need, R' Alter headed over to assist. The ladder he was standing on suddenly cracked..... R' Alter, suffered serious head injuries and was niftar at just 40 years old the following evening...

He left a young almana with 11 yesomim, the oldest a chosson

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Â&#x17E; Â?Š§¼Â&#x2122;Â? ΢ Â&#x161;ÂĽÂ&#x161; ³­¹Â&#x17E;¥§ Â?Š¢­ª¤ ÂłÂ&#x153;Â&#x153;Â&#x17E;Š³§Â? Â&#x161;Â&#x17E; ÂŚÂ&#x2122; Â?ÂąÂ&#x17E;ÂłÂ? ³¤¹Â&#x161;ÂĽ Â?¤Â&#x;¢ Â&#x17E;Â&#x; ² Â? Œ¢§¢Â? ¼¤ Â&#x153;ÂŞÂ Â&#x17E; Â&#x161;Â&#x17E;ÂĄ ÂŁÂ&#x2122; ÂłÂ&#x17E;Â&#x2122;Â?Â&#x161;Â&#x203A;²Š Â?Â&#x17E;¯§ ¨§¼ Â?²§Â?Â&#x17E; Â?²Â&#x17E;ÂŤÂ? ¼¤  ¥Â&#x161;ÂĽÂ&#x17E; ¹¼ £££¼² ÂłÂ&#x2122;  §²§ ¢ŠÂ&#x2122; ¢¼² ÂłÂ&#x2122;  §²§ Â?ÂłÂ&#x2122; Â?Â&#x161;Â&#x203A;²ŠÂ? Â?Â&#x17E;¯§ Â&#x17E;¯§Â? Â&#x153;Â&#x17E;Â&#x161;¤¼  Â&#x17E;Â&#x17E;Â&#x17E;¤Â? Â&#x161;¢¥¢Â? ÂŤÂ&#x17E;Â&#x153;¢¤ Â&#x2122;ÂąÂ&#x17E;ŠÂ&#x17E; ÂŚÂ&#x17E;¢Â&#x2122; Œ² Â?Â&#x161;Âą Â?Â&#x17E;¯§Â&#x17E; ÂŚÂłÂ&#x17E;° Â&#x153;Â&#x17E; ÂŚÂłÂ&#x17E;¢Š Â&#x161;¯§Â? ¢¤ Â&#x17E;Â&#x; Â?²Â&#x17E;Â&#x153;° Â?Â&#x2122;¢¹°Â&#x161; Œ¢­¹¥¯§ Â&#x2122; Â&#x203A;Â&#x203A; Œ¢¢¢ª§Â? ¼¤Â&#x17E; ÂĽ ŠŠÂ? Œ¢ŠÂ&#x161;ÂąÂ? Â&#x161;¯§ ¥¹­Â&#x161;Â&#x17E; ÂĽÂĽÂ Â? ÂĽÂ&#x2122; ΢Â&#x161;Â&#x17E;¹°Â? Œ¢²ŠÂ&#x2122;§ ¢¹Â&#x161;Â&#x153;¤ ³¼Â&#x17E;¤¢Â? ¢­¤§ ¹³Â&#x17E;¢ ÂłÂ&#x17E;²¼Â&#x17E; ÂŚÂ&#x161;ÂĽ ÂłÂ&#x17E;ÂĽÂ&#x2122;²§ ¼¤Â&#x17E; ÂąÂ&#x17E;Â&#x;ÂŤÂĽ § Â? ¼¯Â?Â&#x17E; Â?¤¹Â&#x161; ­²Â&#x161; ¨Â&#x17E;¢¼ ¢­§ Â&#x17E;¤¹Â&#x161;³¢ Â&#x17E;Â&#x; Â?ÂĽÂ&#x17E;Â&#x153;Â&#x203A; Â?Â&#x17E;Â&#x17E;¯§¼

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Slice of Life

AS TOLD TO FAIGEL SAFRAN

I

â&#x20AC;&#x2122;m addicted to facebook but not in the way you would think. Most people sign in, link up with as many people as they possibly can, and proceed to amuse and entertain each other with little witticisms, family pictures, cute gadgets provided by facebook, etc.

Thatâ&#x20AC;&#x2122;s the not the facebook Iâ&#x20AC;&#x2122;m addicted to.

0\ IDFHERRN SURĂ&#x20AC;OH LV DFWXDOO\ IDFHOHVV and my name is an assumed one. And instead of the virtual linking of arms that everyone seems to be enjoying so intensively, I have no â&#x20AC;&#x153;friends.â&#x20AC;?

So if I have no face, and no friends, then what am I doing on facebook?

Facebook creator Mark Zukerberg didnâ&#x20AC;&#x2122;t even realize what a good thing he had stumbled on to. He wanted people to post their faces so he and his friends could meet others, and they had to see what they looked like. But in the whole world, is there anything more powerful than a face?

Isnâ&#x20AC;&#x2122;t a face everything? The eyes, long regarded as the windows to the soul, reveal so much about a person. The nose is more powerful than the fastest search engine: it can process a familiar aroma and bring up a memory of it even if it has been long forgotten from the conscious mind. And the tongue, as we know, is more powerful than the sword.

A few years ago, it became a trend for SHRSOH P\ DJH > @ JLYH RU WDNH Ă&#x20AC;YH \HDUV in either direction, to use facebook as a high school and college reunion tool. Like

mushrooms popping up after a long rain, there was almost nobody you couldnâ&#x20AC;&#x2122;t Ă&#x20AC;QG RQ IDFHERRN , IRXQG RXW DERXW LW when my sisterâ&#x20AC;&#x2122;s class arranged a reunion, and she opened a facebook account. I quickly discovered that the quickest and fastest way to contact her was through facebook, because she answered those messages immediately. Each message she was receiving was revealing an old familiar friend, and she never knew who would reappear next.

As I wandered through her â&#x20AC;&#x153;friendsâ&#x20AC;? list, I discovered quite a few familiar faces.

Since we were so close in age, many of our classmates overlapped, and I suddenly found myself staring into the matured but still recognizable faces of people who I had last seen when I ran out the doors of my sixth grade class on the last day of school, praying I would never, ever see those faces again.

Back then, there was no public awareness about school bullies and other social unpleasantness. Back then, there was no Ritalin and no anti-depressants, so we ADD people, depressed over the fact that nobody understood us, were forced to sit by ourselves in the back of the room and stay out of trouble, or else. There were no support groups or shadows â&#x20AC;&#x201C; it was really every man for himself, kind of like the Wild West, but worse, because we had no weapons to defend ourselves. And because I logged in at a ridiculously high IQ for a nine year old, I was placed in one of those

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experimental â&#x20AC;&#x153;open classroomsâ&#x20AC;? in 4th, 5th, and 6th grade. The good part about that was that at no time did I have to sit still â&#x20AC;&#x201C; we ZHUH IUHH WR URDP DV ORQJ DV ZH Ă&#x20AC;QLVKHG the weekâ&#x20AC;&#x2122;s work assigned to us on Sunday and due on Friday. The bad part was that if I was roaming around, so was everybody else, which left no hour that I was not fair game for some serious child-to-child abuse.

Today I know that both bullies and victims suffer from the same malignancy of poor self-esteem. But back then, I felt mighty put-upon. I wonâ&#x20AC;&#x2122;t bore you with the details, but it was rough going. You wouldnâ&#x20AC;&#x2122;t blame me for running away and never looking back.

My run of bad luck continued well into high school. I was again carted off to a high IQ school, where the tortures were that much more complex and thought out.

Somewhere around eleventh or twelfth grade, I woke up as if from a long sleep and looked around like I had never seen the world before in my life. I got with it, barely, just in time to graduate.

College was better, and eventually I found my own way and left the past behind. Not once did I make contact with anyone I knew from before I was aged 20, and nobody contacted me. It was like those years fell into the sea and sunk to the bottom.

Thatâ&#x20AC;&#x2122;V ZK\ , ZDV VR VXUSULVHG WR Ă&#x20AC;QG when I was checking out my sisterâ&#x20AC;&#x2122;s â&#x20AC;&#x153;friendsâ&#x20AC;?, that a lot of these people were

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still, somehow, roaming the earth, alive and well, married with families or whatever. As youâ&#x20AC;&#x2122;re reading this, I could imagine youâ&#x20AC;&#x2122;re thinking, â&#x20AC;&#x153;Well, where did you think they were?â&#x20AC;? My life had changed so thoroughly and radically, becoming religious, moving to a foreign country, changing P\ Ă&#x20AC;UVW DQG ODVW names, that I guess I had assumed that everyone else had done the same. But no! Most of them were still friendly with each other, still living in the same neighborhoods, or at least nearby where they grew up, and life had continued happily on for them regardless of how I felt about it.

And inexplicably, like there was some collective consciousness that, as usual, I had no access to, every last one of them had logged on to facebook!

We are talking about elementary school, junior high, high school and college. They were all present and accounted for, and I had no need to EHFRPH WKHLU ´IULHQGVÂľ DQG UHDG WKHLU SURĂ&#x20AC;OHV Their faces said it all.

I couldnâ&#x20AC;&#x2122;t believe how uninhibited they were!

Most people, I noticed ruefully, had aged far better than I had. You could tell who worked out at the gym, or had invested in serious tooth implants. Those who had been really homely in their youth were usually represented in the little picture box by their dog or their child, but most

otherâ&#x20AC;&#x2122;s friends lists, and you could almost feel the chemistry running between them as though thirty years had simply not passed. I clicked and clicked in amazement, one face after another, the memories rushing and pounding through my head as I recalled those many years spent in terror and envy. I couldnâ&#x20AC;&#x2122;t stop myself. I had so thoroughly put those years out of my mind, out of necessity, that I was simply in shock that the ones I held responsible for causing my suffering, were somehow, impossibly, still alive and well and within reach.

I skulked around the edges of facebook in much the same way I had conducted my social life all those years ago: silent, faceless, and watching.

Never engaging anyone or drawing attention to myself if I could avoid it.

I wonder what would happen if I actually put my picture into one of those boxes, and changed my fake name to my real one. If you put your high VFKRRO DQG FROOHJH LQWR \RXU SURĂ&#x20AC;OH DQG VRPHRQH searched that school and that year, anyone could Ă&#x20AC;QG \RX ,I , GLG LW DQG SHRSOH ORRNHG LQWR P\ face as it is today, I wonder, would my face tell its true story?

Would they be able to see, for example, that despite popular predictions that I would never amount to anything, I ended up a successful writer and published novelist? Would they see from my contented expression my nearly twenty years of happy, almost blissful, marriage and the pleasure I get from the beautiful children Iâ&#x20AC;&#x2122;m raising? Would they see in my eyes the pain and sadness, the longing I

people had no problem showing off the updated versions of themselves. Some people looked the same, but you could tell right away the ones who had been knocked around by life. Their faces had hardened, like they had been painted over with a clear layer of polish and left to dry like that. Their faces looked stuck, frozen, struggling to remain young-looking but unable to hide their battle scars.

Everyone, and I mean everyone, had found each other. Friends upon friends upon friends.

Invariably, former friends appeared on each

feel for the children I lost? Would they notice my KDLU FRYHULQJ DQG Ă&#x20AC;JXUH RXW IRU WKHPVHOYHV WKDW something really, really major had changed with me? And more importantly, would they care?

I donâ&#x20AC;&#x2122;t know. I donâ&#x20AC;&#x2122;t think theyâ&#x20AC;&#x2122;ll spend as much time staring at my face as I do at theirs. Itâ&#x20AC;&#x2122;s been a while since Iâ&#x20AC;&#x2122;ve gone onto facebook, and I donâ&#x20AC;&#x2122;t plan on doing it again, anytime soon. I donâ&#x20AC;&#x2122;t mind living a faceless life because my heart is full, my soul is happy, and my body is healthy.

The faces that surround me daily are all I need. I guess I canâ&#x20AC;&#x2122;t ask for more than that.

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MOLLYS

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Tasty Meat Cholent I remember my mother putting up cholent every week and tying it with a cloth so that the vapor stayed inside, just as it was done in the old country. With the advent of the crockpot, it became easier to master a perfect cholent week after week. We start savoring our cholent on Friday afternoon, the men enjoy it on the long Friday nights as a late snack, and then of course on Shabbat morning.

Ingredients 1 ½ cup navy beans ½ cup red kidney beans ½ cup barley 2 potatoes cut in cubes 1½ lb (750 gr.) butcher flanken or beef stew 2 marrow bones (optional) 1 large onion chopped

2 cloves garlic crushed 2 tsp paprika 1 ½ tsp salt or to taste 2 bay leaves 1 tsp celery seeds (optional) 6 cups water Instructions Soak beans and barley overnight to eliminate their gas producing effects. In a heavy skillet, fry onions and garlic until translucent. Cover bottom of crockpot with fried onions. Place all other ingredients into the crockpot and allow to cook on low overnight.

It is guaranteed to have evenly cooked cholent every week.

Preparation 20 minutes Serves 6 Fabulous (Pareve) Meat free Cholent Of the Shabbos morning meal, pareve cholent is my favorite because it is a full protein and is very healthy. In our home, we enjoy cholent on other days of the week.

Ingredients 1 cup navy beans ½ cup red kidney beans ½ cup black eye beans ½ cup barley 2 potatoes cut in cubes (optional)

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1 onion chopped 2 cloves garlic crushed 2 tsp paprika 1piece Kombu (a sea vegetable that also eliminates gas) (optional) 1 flat Tbs salt or to taste 2 bay leaves 1 tsp celery seeds (optional) Cover contents with water + one more inch of water.

Instructions Soak beans and barley overnight to eliminate their gas producing effects. A piece of Kombu a sea vegetable available at health food stores can also eliminate gas effects.

Place all ingredients into the crockpot and allow to cook overnight on low.

Preparation 20 minutes Serves 6

A good cholent comes along with a fluffy kishke, usually a favorite in most homes. This can be used for both the meat or vegetarian cholent.

Ingredients 1 cup whole wheat pastry flour or white flour 1 Tbs corn flakes 1 large carrot 1 large zucchini 1 tsp salt 2 tsp paprika 1 garlic clove crushed ½ cup boiling water 1/3 cup oil Instructions Mix all ingredients well and form into a log then place into your tcholent, allow to simmer overnight in the crock-pot.

Best Kishke Ever

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G N I D N I F RELIEF FOR

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HEADACHES ơ ǡ Ƥ Ǥ

M

ore than thirty million Americans live with migraines (many of whom suffer chronically, defined as a headache fifteen or more times a month); forty-five million people cope with chronic headaches of some kind.

Tension headaches are also considered chronic if you have one, fifteen days a month.

Many headache sufferers try to cope on their own. In one survey of twenty thousand Americans, researchers from Albert Einstein College of Medicine found that half of those who got migraines had never received a diagnosis – a key step toward reducing and preventing the pain.

The American Academy of Neurology is now updating its migraine-treatment advice, while the International Headache Society has called for new research on fixes for all headaches. But you don’t have to wait for the results to ease your pain. The first step toward finding relief starts with identifying your particular type of mistake.

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1. You Think It’s Tension Believe migraines are always a big deal and everything else is a tension headache? That could stand in the way of relief. By definition you have migraines if: t Your headaches fit two or more of these descriptions: moderate to severely painful, throbbing, on one side of your head, or worse when you move or bend over; t You also feel nauseous and/ or vomit, or are sensitive to light, sound or odors; t You’ve had at least five attacks that last from four hours to three days if untreated.

It’s a tension headache if the pain’s on both sides of your head; there’s no nausea or sensitivity to light, sound, or odor; and it doesn’t get worse with regular activities, such as walking. ¼REAL PAIN RELIEF Despite these seemingly neat divisions, experts now believe that the two headache types may have their roots in the same mechanism inside your brain – that shifting brain chemicals play a role in tension headaches, just as they do in migraines. If you write off your pain as “just a tension headache –not worth seeing the doctor,” you could be suffering more than you need to. Address it and you might even become headache-free.

“Strategies to control the mechanism behind migraines can effectively prevent whatever type of headache you tend to experience,” says David Buchholz, M.D., associate professor of neurology at Johns Hopkins University School of Medicine.

TAKEN TOO OFTEN, PAIN MEDS CAN BE SETTING YOU UP FOR NONSTOP HEADACHES 2. You Blame Your Sinuses

3. You Pop Pain Pills

Head pain plus congestion, a runny nose, and facial pressure feels like sinus trouble. But don’t swallow that decongestant just yet. In one multicenter study of 2,991 adults who thought they had sinus headaches, researchers discovered a whopping eighty-eight percent really had migraines.

The confusion is understandable.

When the trigeminal nerve – the brain’s superhighway for migraine pain signals – is activated during a migraine, it can cause sinus symptoms like congestion, too, Dr. Buchholz explains. And weather changes that bring on sinus pain, and shifts in temperature, humidity and barometric pressure also trigger migraines. “But sinus remedies containing decongestants just make things worse,” warns Dr. Buchholz.

“When the decongestant wears off, blood vessels in your head expand again, and your headache gets worse.”

Taken too often, pain meds, even including over-the-counter varieties, can be setting you up for nonstop headaches. In one new study of 7,417 men and women, half of those with chronic migraines had medicationoveruse headaches.

Other experts estimate that two out of three people who get frequent headaches (tension or migraine) are stuck in this pain-pills-pain cycle.

¼REAL PAIN RELIEF If you have head pain and facial pressure, but no fever or greenish or yellow discharge, you may be having a migraine, not a sinus attack. Talk to your doctor. Lifestyle changes could prevent future headaches, or, if that’s not enough, you may need medication.

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What happens in your body depends on the type of drug you’re taking.

Opioids, such as codeine, mute pain-sensing receptors on brain cells, but as a dose wears off, the receptors become exquisitely sensitive to the tiniest pain signals. Migraine-alleviating triptans, such as sumatriptan (Imitrex) and zolmitriptan (Zomig), work by helping the brain use more serotonin, a feel-good brain chemical that blocks pain signals in the trigeminal nerve. But, experts theorize, as each triptan dose wanes, serotonin levels plummet, leaving you extra vulnerable to another headache.

You may be getting overuse headaches if you’re taking overthe-counter remedies (especially those that contain a mix of aspirin, acetaminophen, and caffeine) or sinus headache formulas with a decongestant for fifteen days a month or more.

Some experts think even plain aspirin or acetaminophen taken this often can spur headaches, possibly by sensitizing brain cells to pain signals. Popping prescription pain relievers at least ten

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days per month may also set you up for medication-overuse pain. “Over time, these drugs lower the threshold.

You wake up with headaches more often, have more headaches throughout the day, and your medications stop working,” says Dr. Buchholz. ¼REAL PAIN RELIEF Stop taking your pain drugs, with your doctor’s help. Studies show quitting pain pills significantly reduces migraine intensity and frequency. “None of the other strategies that prevent migraines will work until you do this,” says Dr, Buchholz. “Once you’re free of rebound headaches, you can work out the best preventive and treatment strategies for you.

͘Ǥ ǯ ơ There’s a reason washing your pain reliever down with a cup of joe or a cola seems to vanquish pain: caffeine shrinks swollen blood vessels that make migraines and even tension headaches throb. That’s why it’s a featured ingredient in migraine remedies.

But as the caffeine wears off, your headache rebounds, maybe because

blood vessels re-swell, irritating already sensitive nerve endings. ¼REAL PAIN RELIEF If you are drinking coffee, limit the amount. “Stick to a cup or two and have it at the same time each day,” advises Carolyn Bernstein, M.D., clinical director of the Harvard Medical Faculty Physicians Comprehensive Headache Center at Beth Israel Deaconess in Boston.

“You don’t need a caffeine-withdrawal headache on top of a migraine!”

5. You Ignore Triggers When researchers at the Headache Center of Atlanta surveyed 1,207 men and women, seventy-six percent reported they had triggers. What set off their migraines? Eighty percent said stress,; sixty-five percent of the women blamed hormone fluctuations; fifty percent named sleep disturbance; forty-four percent had trouble with perfumes and other strong odors; thirty-eight percent were bothered by bright lights; thirty-two percent by sleeping late; thirty percent mentioned heat, and twenty-seven percent were troubled by certain foods.

If your brain is extremely sensitive,

your triggers can be obvious, days Dr. Bernstein. “You may get a migraine every time you eat a pomegranate. But if you’re less sensitive, something may bother you only when you’re already vulnerable.” ¼REAL PAIN RELIEF Keep a headache diary. “Chart when you got a headache, as well as weather changes, what you ate the previous day, whether you had alcohol (and what type), your stress level, and if you exercised, Dr. Bernstein suggests. Include medications you’re taking for other health issues; some antidepressants, bronchodilator drugs for asthma, and diet pills can trigger migraines also.

What is the next step? Avoid triggers, and be vigilant when you’re exposed to

NATURAL REMEDIES THAT WORK Studies show that biofeedback and cognitive ơ ǡ Ǥ Yoga

Acupuncture

Acupressure

In one Indian study of seventytwo migraineurs, researchers ơ performed routines that included yoga and who did breathing exercises had Ƥ Ȅ painful migraines.

Patients who received up to twelve acupuncture treatments in three months needed less pain medication, had twenty-two fewer headpain days per year, and went to ǦƤ less often, a multicenter study ͕͔͘ ơ reported.

In recent Taiwanese research comparing a month of acupressure treatments with muscle-relaxing drugs, the Ǧ Ƥ beat the pills at relieving chronic headaches.

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those things you can’t control – such as hormonal changes, sudden weather shifts, or high-tension days. “If you’ve got a big deadline at work and you know stress triggers your headaches, this is the time to be sure you’re getting enough sleep, not overdoing caffeine, and eating well,” says neurologist Christina Peterson, M.D., of the Oregon Headache Clinic.

Your diary may point to certain foods and additives that are triggers for you.

But since they’re such a frequent cause of migraines, some headache specialists recommend that all patients cut out common offenders, including caffeine, monosodium glutamate, chocolate, nitrite-processed meat and fish (such as cold cuts or lox)), cheese (especially aged types like cheddar and blue), nuts, and alcohol (particularly red wine, champagne, and dark colored drinks like rum).

Being alert to triggers can help you avoid milder headaches, too. Ones to watch include dehydration, skipping meals, skimping on sleep, and consuming too much caffeine or chocolate.

ANXIETY PLUS A LACK OF ACTIVITY IS A DOUBLE WHAMMY FOR YOUR POOR ACHING BRAIN. 6. You’re Too Stressed Out to Exercise Anxiety plus a lack of activity is a double whammy for your poor, aching brain. “Exercise reduces stress, helps you sleep, and boosts endorphins – brain chemicals that are natural painkillers,” says Dr. Bernstein. ¼REAL PAIN RELIEF Aim for thirty to forty-five minutes of brisk physical activity three to four days a week, Dr. Buchholz suggests.

In Swedish research, twenty-six migraineurs who rode exercise bikes three time a week for twelve weeks reported that their headaches became less frequent and less intense. If exercise tends to bring on pain, try taking ibuprofen or naproxen thirty to sixty minutes beforehand, Dr. Buchholz suggests. Also, skip activities that make your head bob up and down, such as running on a treadmill. (Switch to an elliptical trainer or exercise bike.)

Drink water before, during, and after your workout, warm up gradually, and exercise in a cool environment.

7. Your Sleep Schedule is Wacky In a 2006 survey conducted by the National Headache Foundation, seventy-nine percent of headachesufferers admitted they got hit when they overslept. But sixty-six percent said too little sleep was also a trigger.

And naps can be counterproductive; although they may dull the pain of a tension headache, they lead to insomnia, which can set off a new headache the following day.

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¼REAL PAIN RELIEF “Go to bed and wake up at the same time every day, even on vacation,” Dr. Bernstein suggests. “And get enough sleep – seven to eight hours each night.” In one University of North Carolina at Chapel Hill study of forty-three women with daily or neardaily migraines, those who improved their sleep habits – including abiding by a strict eight-hours-a-night sleep schedule – got migraines twenty-nine percent less often and found pain intensity dropped forty percent.

8. You Skip PainPrevention Drugs These pharmaceuticals – which include anti-seizure meds, tricyclic antidepressants, and certain high blood pressure drugs, could cut your risk for future migraines up to fifty percent, and may also benefit some other headache sufferers. But chances are, your doctor hasn’t recommended them. In one 2007 study of 162,576 Americans, researchers found thirty-nine percent of migraine patients were candidates for pain preventers, but only twelve percent were using them. ¼REAL PAIN RELIEF If lifestyle changes haven’t helped, ask your doctor about preventive meds. It takes patience to find the right one. However, if you’ve tried several and still haven’t gotten relief, see a headache specialist or neurologist, advises Dr. Peterson.

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