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For war-related rehab, leading Israeli hospital uses innovative simulation system and unique tools

Even before the smoke began to clear from Hamas’s deadly Oct. 7 attack, Israeli healthcare professionals realized they were facing a series of unprecedented challenges.

Not only would wounded civilians and soldiers require treatment, but the entire nation was traumatized, including caregivers.

“By the afternoon of October 7, we knew this was a huge event that nobody had ever encountered in Israel,” said Prof. Amitai Ziv, a former combat pilot and director of the Integrated Rehabilitation Hospital at Sheba Medical Center near Tel Aviv. “We immediately realized we will have two major challenges, each one a tsunami. One is the number of patients that require rehabilitation, and two, the largest numbers ever of people suffering from acute stress disorder, which might lead to PTSD — post-traumatic stress disorder.”

Ziv, a physician, is also the founder and director of MSR – the Israel National Center for Medical Simulation at Sheba. The center enables healthcare providers like doctors and nurses to practice challenging clinical procedures and encounters in a simulated environment using tools such as robotics, surgical simulators and even role-playing actors so that real patients are not put in any danger. Since its establishment, over 300,000 healthcare professionals have been trained and certified by MSR.

In the days immediately following Oct 7, MSR switched to focus on new wartime needs. The center transported high-tech, full-body mannequin simulators to train army medical teams serving in both major conflict zones — in the Gaza area and along Israel’s northern border with Lebanon — to improve their trauma management skills and prepare them for the lifesaving scenarios they were about to encounter in the battlefield. The center also used actors for “high-touch” simulations of interactions with people experiencing trauma to help prepare psychosocial teams to manage stress-related issues. 

The hostage issue presented the most difficult challenge.

Even if the hostages’ release could be secured, how could they be reintegrated into Israeli life under such extreme circumstances — with relatives still being held by Hamas, family members murdered, their homes destroyed, entire communities displaced and the nation in the midst of an intense war with mounting casualties? 

Ziv launched a series of intensive training courses involving simulations to prepare Sheba physicians, psychologists, and social workers, as well as Israel Defense Forces psychosocial professionals, to receive the hostages and accompany them during the early hours and days after their return from captivity. Out of the over 100 captives that were released in November, 30 went to Sheba.

Treating the hostages is just part of Ziv’s war-related work at Sheba, Israel’s largest hospital. As soon as the war started, Ziv began moving around entire departments and retraining staff to add capacity in the rehab hospital, which consists of three divisions: physical, mental and geriatric rehabilitation. Quick renovations added 122 new rehab beds to the 140 existing beds. 

“We made a decision that we would not say no to any patient who needs to be here, war- as well as non-war-related, and we do not push anyone out,” Ziv said. “We pushed ourselves to accommodate all evolving patient needs.”

Sheba has received more war-related rehab patients than any other hospital in the country. Most are recovering from complex injuries involving abdominal, surgical, and orthopedic injuries, amputations, or neurologic, spinal, or head injuries. Pain management and mental support are major priorities.

“PTSD is going to be the main, long-lasting condition requiring treatment,” Ziv said. He estimated that the numbers will be in the thousands and warned that even before the war, Israel had a 40% national staffing shortage of mental health professionals.

Yotam Polizer, IsraAID’s CEO, at a field school that the relief organization set up in the southern Israeli city of Eilat to serve Israeli families displaced by the Oct. 7 war. (Yehuda Ben-Itah/IsraAID)

Patients, most of whom spend two to three months in rehab, have access to an array of therapies at Sheba, including physical, occupational, and hydro therapies, as well as complementary therapies such as art, yoga, and even animal-assisted therapy using Sheba’s four trained dogs.  

“It doesn’t feel like a hospital,” said Avishai Shoshani, 49, a combat soldier at Sheba injured in both legs during combat in Gaza. “Here you feel like you’re with a bunch of friends. And this is a very important aspect of rehab.”

Unlike most other rehab facilities in Israel, Sheba’s integrated rehabilitation hospital is part of the larger medical center, giving rehab patients full access to the acute care hospital where many of them have been treated initially. The integration helps ensure continuity of care for patients who need surgery and other medical treatments during the rehabilitation process.

The war also brought an unprecedented partnership between Sheba and IsraAID, the Israeli disaster relief organization that provides emergency medical response, post-trauma mental health support, and humanitarian relief after disasters such as earthquakes, tsunamis, floods, fires, and wars. IsraAid and Sheba had collaborated in the past on global disasters, but they never before had to work together in Israel. 

Both Ziv, 65, and IsraAID CEO Yotam Polizer, 40, are members of a unique group: They are laureates of The Charles Bronfman Prize, an annual $100,000 award given to a Jewish humanitarian under age 50 whose work benefits humankind and is grounded in Jewish values. 

The Prize was established in 2004 by the children of Canadian philanthropist Charles Bronfman — Ellen Bronfman Hauptman and Stephen Bronfman together with their spouses Andrew Hauptman and Claudia Blondin Bronfman — to honor their father’s values and philanthropic work.

Ziv received the Prize in 2007 and is now one of the judges on the prize committee; Polizer won the award last year. As part of the prize fellowship, laureates get to know one another and sometimes end up collaborating. IsraAID recently facilitated a partnership with the State of California to donate a field hospital to Sheba.

While IsraAID has worked in many countries, including post-tsunami Japan and post-earthquake Haiti, the current war in Israel is unlike any other disaster it has dealt with because it’s happening at home, Polizer said. 

“This is a new challenge for us to give professional humanitarian support while we are at the same time part of the community that is affected,” Polizer said. “Being able to do something, even if it is small, also helps our team from a mental-health perspective. My coping mechanism is doing something and getting into action.” 

Soon after Oct. 7, IsraAID began working with displaced Israeli families who had been relocated to hotels from their homes in Israeli communities in the conflict zone.

Ziv, too, is touched personally by the war, as is practically every Israeli. He has two sons who serve in the army reserves, one a surgeon in the medical corps in Gaza. His staffers also have family in the army or friends injured or killed or displaced.  

“This is a long journey. We will be dealing with the outcomes of the war for years to come,” Ziv said. “Yet I trust the solidarity and courageous spirit of the Israeli people. These unique, exceptional qualities are of utmost significance for successful rehabilitation — and for resiliency, strength and cohesion of Israeli society.”


The post For war-related rehab, leading Israeli hospital uses innovative simulation system and unique tools appeared first on Jewish Telegraphic Agency.

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Why Does the Media Not Tell the Truth About Hezbollah’s Attacks on Israel?

Firefighters respond to a fire near a rocket attack from Lebanon, amid ongoing cross-border hostilities between Hezbollah and Israeli forces, near Kiryat Shmona, northern Israel, June 14, 2024. Photo: REUTERS/Ammar Awad

Last month, the BBC News website published a report by the BBC Jerusalem bureau’s Lucy Williamson under the headline “Fires in northern Israel fuel demands to tackle escalation with Hezbollah.”

The following day, the BBC News website published another report by the same journalist on the same topic titled “Israelis using gardening tools to fight wildfires sparked by Hezbollah rockets.”

A couple of weeks later, that pattern was repeated. On June 19, the BBC News website published a report by Williamson headlined “Israel and Hezbollah play with fire as fears grow of another war,” which was previously discussed here.

Late on June 22, the BBC News website published another report titled “Unable to back down, Israel and Hezbollah move closer to all-out war,” which is credited to “Lucy Williamson, Reporting from the Israel-Lebanon border.”

If one assumed that the reason for the appearance within days of a second report on the same topic by the same journalist was the emergence of new information concerning the situation on Israel’s northern border, one would be wrong.

A considerable proportion of Williamson’s second report (which was also translated into Swahili) consists of interviews with people on both sides of the border: Israelis from Kiryat Shmona and Malkiya, and two residents of southern Lebanese villages.

Failing to clarify that her interviewee lives in a town described as one of the “bastions of strong Hezbollah support” where a strike against a Hezbollah command center took place in March, Williamson tells her readers that:

Fatima Belhas lives a few miles (7km) from the Israeli border, near Jbal el Botm.

In the early days, she would shake with fear when Israel bombed the area, she says, but has since come to terms with the bombardments and no longer thinks of leaving.

“Where would I go?” she asked. “[Others] have relatives elsewhere. But how can I impose on someone like that? We have no money.”

“Maybe it is better to die at home with dignity,” she said. “We have grown up resisting. We won’t be driven out of our land like the Palestinians.”

Readers may recall that just days earlier, another BBC report from southern Lebanon promoted that same “Nakba” comparison.

Similarly failing to note Hezbollah’s presence and infrastructure in Mays al Jbal (also Meiss al Jabal), Williamson continues:

Hussein Aballan recently left his village of Mays al Jbal, around 6 miles (10km) from Kiryat Shmona, on the Lebanese side of the border.

Life there had become impossible, he said, with erratic communications and electricity, and almost no functioning shops.

The few dozen families left there are mainly older people who refuse to leave their homes and farms, he told the BBC.

But he backed the Hezbollah assault on Israel.

“Everyone in the south [of Lebanon] has lived through years of aggression, but has come out stronger,” he said. “Only through resistance are we strong.”

Williamson fails to remind her readers that Israel withdrew from southern Lebanon 24 years ago, and that the only “aggression” has been in response to attacks by Hezbollah and other terrorist groups, such as the cross-border attack that sparked the war in 2006.

As in her previous report, Williamson portrays the events resulting from the Lebanese terror group’s decision to attack Israel on October 8 as “tit-for-tat”:

But as the tit-for-tat conflict grinds on, and more than 60,000 Israelis remain evacuated from their homes in the north, there are signs that both Israel’s leaders and its citizens are prepared to support military options to push Hezbollah back from the border by force.

Also, as in her own previous reports and in most other BBC content, Williamson fails to explain to her readers that according to UN Security Council Resolution 1701, Hezbollah should be nowhere near the border with Israel ,and that the UN’s “peacekeeping force” in Lebanon has failed to enforce that resolution since it was passed in 2006.

Williamson’s framing of the situation in the north of Israel includes the following:

The dangerous stalemate here hinges largely on the war Israel is fighting more than 100 miles (160km) to the south in Gaza.

A ceasefire there would help calm tensions in the north too, but Israel’s Prime Minister Benjamin Netanyahu is keeping both conflicts going, mortgaged by his promise to far-right government allies to destroy Hamas before ending the Gaza War. [emphasis added]

And:

Demands for political change are likely to increase when Israel’s conflicts end.

Many believe Israel’s prime minister is playing for time: caught between growing demands for a ceasefire in Gaza, and growing support for a war in the north.

In other words, Williamson’s framing ignores the fact that Hamas chose to attack Israel on October 7, and that Hezbolah chose to attack Israel on October 8, and almost every day since then. She erases the fact that Hamas has rejected multiple ceasefire offers in order to promote a narrative whereby it is Israel’s prime minister alone who is “keeping both conflicts going”.

Moreover, she tells BBC audiences that:

The problem for Israel is how to stop the rockets and get its people back to the abandoned northern areas of the country.

The problem for Hezbollah is how to stop the rockets when its ally, Hamas, is being pounded by Israeli forces in Gaza.

Williamson cites a statement made by the UN Secretary General on June 21:

Hezbollah is a well-armed, well-trained army, backed by Iran; Israel, a sophisticated military power with the US as an ally.

Full-scale war is likely to be devastating for both sides.

The UN Secretary-General, Antonio Guterres, said it would be a “catastrophe that goes […] beyond imagination”.

Like the UN Secretary General, Williamson has nothing to tell her audiences about the Lebanese state’s decades-long failure to tackle the Islamist terrorist organization that has repeatedly dragged that country into conflict, and has nothing to say about the failure of the United Nations to enforce its own resolutions designed to prevent further conflict.

The BBC’s sidelining of UN Security Council Resolution 1701 and its whitewashing of the failures of the UN forces that are supposed to enforce it, did not begin in October 2023: that editorial policy has been evident for many years.

Now, however, that policy is being used to advance framing of a potential escalation after over eight months of continuous attacks on Israeli communities by Hezbollah and other terrorist organizations, as something that is the responsibility of Israel alone.

Hadar Sela is the co-editor of CAMERA UK – an affiliate of the Committee for Accuracy in Middle East Reporting and Analysis (CAMERA), where a version of this article first appeared.

The post Why Does the Media Not Tell the Truth About Hezbollah’s Attacks on Israel? first appeared on Algemeiner.com.

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University of Toronto is granted an injunction to dismantle a pro-Palestinian encampment that has been on campus for two months

The University of Toronto has received an injunction to dismantle the pro-Palestinian encampment on its property. The 98-page decision from Justice Markus Koehnen of the Ontario Superior Court of Justice said that members of the encampment must take down the tents within 24 hours, by 6 p.m. on Wednesday, July 3. Toronto Police will have […]

The post University of Toronto is granted an injunction to dismantle a pro-Palestinian encampment that has been on campus for two months appeared first on The Canadian Jewish News.

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Jewish Cemeteries Vandalized in Cincinnati, Montreal

Vandals in Canada targeted a Jewish cemetery. Photo: Screenshot

Vandals have targeted notable Jewish cemeteries in Cincinnati, Ohio and Montreal, Canada, sparking outcry and concern over mounting threats of antisemitism.

Vandals at Montreal’s Kehal Yisrael Cemetery placed memorial stones in the shape of a Nazi swastika on top of tombstones. Ones with the last names Eichler and Herman were targeted in the antisemitic attack. 

Placing memorial stones on graves is an ancient Jewish custom to memorialize the dead. Jewish cemeteries oftentimes have stones nearby tombstones for mourners.

Canadian leaders decried the vandalism.

“It is absolutely abhorrent and revolting to defile the dead with swastikas,” Jeremy Levi, the Jewish mayor of a Jewish-majority suburb of Montreal, commented on X/Twitter. “This desecration at the Kehal Israel cemetery in Montreal is beyond contempt. [Canadian Prime Minister] Justin Trudeau, step aside and get out of the way so we can reclaim our country. May this Kohen’s neshama have an Aliyah on high.” One of the tombstones vandalized belonged to a Kohen.

The leader of the Conservative Party in Canada’s parliament and candidate for prime minister, Pierre Poilievre, lambasted Trudeau and denounced antisemitism. “We cannot close our eyes to the disgusting acts of antisemitism that are happening in our country everyday,” he posted on X/Twitter. “The prime minister must finally act to stop these displays of antisemitism. If he won’t, a common sense Conservative government will.”

Canada, like many countries around the world, has experienced a surge in antisemitic incidents since the Palestinian terrorist group Hamas’ massacre across southern Israel on Oct. 7.

Meanwhile in Cincinnati, vandals targeted two historic Jewish cemeteries this past week, toppling and shattering ancient tombstones — some dating back to the 1800s. 

According to a statement from the Jewish Federation of Cincinnati, 176 gravesites in Cincinnati’s West Side were ruined “in an act of antisemitic vandalism.”

“Due to the extensive damage and the historical nature of many of the gravestones, we have not yet been able to identify all the families affected by this act,” the statement continued. “Our community [is] heartbroken.”

The Cincinnati Police Department and the FBI are investigating the incidents.

The destruction of monuments is the latest in a greater trend of antisemitic vandalism. In an incident over the weekend, vandals in Australia targeted war memorials dedicated to Australian veterans who sacrificed their lives in Korea and Vietnam with pro-Hamas graffiti.

A couple weeks earlier, vandals in Belgium defaced two memorials for Holocaust victims with swastikas and a phrase calling for violence against Israel. In Germany, meanwhile, at least seven stolpersteine, or stumbling blocks in the sidewalk meant to mark Jewish homes seized by the Nazis, were defaced with the message “Jews are perpetrators.”

The US, Canada, Europe, and Australia have all experienced an explosion of antisemitic incidents in the wake of the Hamas atrocities of Oct. 7, and amid the ensuing war in Gaza. In many countries, anti-Jewish hate crimes have spiked to record levels.

According to the B’nai Brith, antisemitic incidents in Canada more than doubled in 2023 compared to the prior year.

The post Jewish Cemeteries Vandalized in Cincinnati, Montreal first appeared on Algemeiner.com.

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