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Matan Koch, disability advocate who urged Jewish communities to ‘let everyone in,’ dies at 44

(JTA) — Matan Koch needed little introduction as he rolled up to the podium to speak at his synagogue’s Disability Shabbat service in October. His wide smile and power wheelchair made him well known to many his Los Angeles congregation, Ikar.

Still, Rabbi Sharon Brous, beaming at him, described her congregant warmly before ceding the microphone.

“The most important thing for you to know about Matan is that he is a deeply soulful, profoundly decent, and incredibly kind human being. And every single day that you have been in our community, you have made our community better,” she said. “It’s an absolute joy and honor to dive in with you, to call you a friend, and to have you as a beloved member of our community.”

In the sermon that followed, Koch described times that he had felt excluded from Jewish communities, or struggled to be included, because of his own disabilities. He urged his fellow congregants to change the way they think about inclusion.

“Every time you’re looking for one more participant, one more volunteer, one more Torah reader, think about who is excluded from our community by disability or any other reason — and think about how we would be enriched if only they were here,” he said. “Then let that motivate us to create an inclusive community that truly lets everyone in.”

It was a synopsis of the mission that Koch carried with him in his personal and professional life. Koch, who used a wheelchair throughout his lifetime, and who was respected as an accomplished lawyer, a passionate advocate for people with disabilities, and a committed member of Jewish communities, died Friday in Los Angeles, after a brief but fierce battle against stomach cancer. He was 44.

“His condition declined far more quickly than he, and we, had hoped,” his family wrote as they shared the news of his death on his Facebook page, filled with remembrances from hundreds of friends and followers from across the country.

“Ever optimistic, he pushed to squeeze every drop of love and connection and intellectual engagement out of life,” they added. “Even as options narrowed, Matan remained focused on staying present and connected to the people he loved.”

At the time of his death, Koch was the Los Angeles’ ADA compliance officer and director of its disability access and services division, ensuring that the city comported with the requirements of the 1990 Americans with Disabilities Act.

In the last post he authored earlier this month, Koch expressed both anger about his illness and appreciation for the many people who were contributing to a crowdfunding campaign to allow him to die with dignity at home. He said he was feeling “fury that my life has been cut so tragically short, euphoric overwhelming at the outpouring of love and support, and awe and gratitude for my family as they work with all of you in a full court press to see my needs met.”

Born in 1981, in New Milford, Connecticut, Koch was both brilliant and precocious and from an early age moved through a world not built for his body with clarity and determination, according to Rabbi Shira Koch Epstein, one of his four siblings.

Born prematurely, he had cerebral palsy, a neurological condition that severely limited his mobility and required him to use a wheelchair.

It was just a few years after the passage of the Individuals with Disabilities Education Act, which reshaped the requirements for schools to serve students with special needs. Yet his parents, the late Rabbi Norman Koch and Rosalyn Koch, a Jewish educator, had to fight for services from their local public schools.

Koch advanced to Yale University at age 16 and went on to Harvard Law School when he was just 20, graduating in 2005. He held numerous appointments on disability rights committees, first at Yale and then as vice president of the New Haven Disability Commission. In 2011, President Barack Obama tapped him to serve on the National Council on Disability.

“His whole life was breaking glass ceilings,” Epstein told the Jewish Telegraphic Agency in a phone conversation just hours before Matan’s death.

“He had a body that was built for a world that doesn’t yet exist and he spent his whole life working to build systems that recognize ability, expand access and include people across the full spectrum of disability,” Epstein said, adding, “He sees the goodness in every person he meets, and he sees the possibility.”

The family of five kids grew up in a deeply Jewish home. Epstein recalled her younger brother having deep conversations about Jewish values and ideas with her and their father.

“That was something very important to Matan. He really loved to learn and loved to sing. He sang with gusto. And he loved camp,” added Epstein, who serves as executive director of Atra, the Center for Jewish Innovation.

Their parents were leaders at Camp Eisner, the Jewish summer camp in the Berkshires, and the family spent their summers there. “The Jewish community is his home,” she said.

Rabbi Jonah Pesner, director of the Religious Action Center of Reform Judaism and senior vice president for the Union for Reform Judaism, was the director of education at Camp Eisner when Koch was a camper. He recalled a time when Koch asked Pesner to help him to go to the bathroom.

Koch led Pesner back to the bunk and explained step-by-step, how to assist, with laughter and without making Pesner feel self-conscious. “From the earliest age, Matan was engaging, mature beyond his years and non-judgmental,” Pesner said.

After graduating from law school, Koch worked first as an associate at major law firms before striking out on his own as a consultant working to help businesses and nonprofits become more inclusive. From there, he joined a disability rights organization called Respectability, moving to Los Angeles to become its local director.

Many people assumed that because he was quadriplegic, Koch must be helpless, according to Jennifer Laszlo Mizrahi, the Jewish activist who co-founded the group, now known as Disability Belongs. In fact, she said, his abilities were remarkable.

She recalled the role Koch played during the Covid-19 pandemic, a perilous time for people with disabilities, who faced high mortality rates if they became ill from the virus.

Many of his staff were disabled. They — and countless other disabled people — couldn’t risk going to a grocery store before vaccinations were available.

Koch’s team partnered with Los Angeles and the federal government to change the regulations to allow SNAP beneficiaries to have their groceries delivered in California and in several other states. “That was huge,” Laszlo Mizrahi said.

In Los Angeles, Koch was an active and beloved member of Ikar. In his Disability Shabbat sermon, he recalled an experience in college that led him to take a deep dive into a Talmudic debate on excluding people who might be distracting from leading the priestly blessing, he told them. Ultimately, the rabbis reasoned their way into acceptance.

“In using that text, Matan acknowledged the reality of how a community might interact with someone with a disability,” recalled Morris Panitz, the congregation’s associate rabbi. “People might be uncomfortable at first. But the work of the community is to get to know the person.”

Koch delivered his sermon with conviction, but gently, with his warm smile, Panitz said. This was true of him generally. “He invited people along for the journey,” he said.

“Matan Koch left an indelible mark on our community,” the synagogue told its members in an email on Sunday that added, “Matan’s persistent belief and tireless work to ensure that everyone feels welcomed and known will endure as a moral vision in our community. We will miss Matan’s enthusiastic davening, wide smile, and generous love.”

Koch could hold court in meaningful conversations as easily with heads of businesses as with Jewish texts, said Jack Rubin, one of his closest friends since they met their first week at Yale. Until Koch could not anymore, they talked for hours at a time.

“Nothing was outside the bounds of his intellectual curiosity or his capacity to wonder,” said Rubin, whose family spent the first of Passover with Koch at Koch’s home earlier this month.

“We had seder with him, for as long as he had the energy. He asked my kids questions. It was amazing,” Rubin said, holding back tears just a few hours before Koch died.

Although Koch possessed a unique ability to persuade people to embrace inclusion and implement meaningful opportunities for disabled people, according to those who knew him well, he did face limits in his own life.

At one time, Koch hoped to attend Hebrew Union College and become a rabbi, Pesner recalled. He and others tried for a long time to make it happen. But Koch’s complex medical needs couldn’t be overcome within the school’s physical and programmatic constraints at the time.

“It’s the biggest regret of my career that we could not figure out how to get him rabbinic ordination,” Pesner said. “I think it was a loss for the Jewish people.”

Yet Koch never stopped pressing Jewish communities to rethink how they treat members with disabilities, challenging up-and-coming leaders at the Reform movement’s youth conference and being honored in 2016 by the Jewish disability inclusion organization Matan.

“Sometimes you can be a change-maker and be a person who’s putting out really big ideas, but sometimes it can come with a sharp edge,” Rabbi Rick Jacobs said in a movie compiled to honor Koch at the time, which also included a tribute from the actress Mayim Bialik. “With Matan, it comes with love, and he raises people up.”

Meredith Polsky, the director of the organization Matan, said in an email that her group would continue the mission of the friend and advocate who shared its name — a name meaning “gift” in Hebrew.

“Though his final breath came far too soon, we carry that charge forward, committed to building a Jewish community that reflects his vision of true inclusion and belonging,” Polsky wrote.

Koch’s father Norman died in 2015. Koch is survived by his mother, Rosalyn Koch, siblings Rabbi Shira Koch Epstein and Jason, Yonatan Koch, Adina Koch and Aytan Koch; nieces and nephews Amichai, Kobi, Avigayil, Duncan and Jason and his honorary family: Martin Smith, Jack and Stephanie Rubin and their children Olivia and Edward.

The post Matan Koch, disability advocate who urged Jewish communities to ‘let everyone in,’ dies at 44 appeared first on The Forward.

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Sacred fasting meets Ozempic

Millions of people worldwide – as many as 1 in 8 adults in the U.S. – are on GLP-1 medication, such as Ozempic, Mounjaro, Wegovy and Zepbound, for treating diabetes or for weight loss.

These drugs are adding a medical twist to religious observances that involve fasting, such as the Jewish holiday of Yom Kippur, which will be observed from sundown on Sunday until nightfall on Monday. Traditionally, fasting on Yom Kippur means forgoing food and water for about 25 hours, which can strongly affect a person’s metabolism.

Other religious traditions include different types of fasts. For example, Muslims who fast during Ramadan neither eat nor drink from dawn to sunset, but they break their fast each night. Christian and Hindu traditions also include dry fasts as well as partial fasts, such as Lent and Navratri, in which people avoid certain foods.

As a specialist in obesity medicine, I work with many patients who take GLP-1 drugs. Most people can safely fast for Yom Kippur or other religious or cultural observances. But depending on their circumstances, they may need to plan ahead, take certain precautions and be clear on when it’s medically advised that they break their fast.

Common GLP-1 side effects and fasting

GLP-1 drugs such as Ozempic, Mounjaro, Wegovy and Zepbound mimic a natural gut hormone– glucagon-like peptide 1 – that lowers your blood sugar by triggering insulin release when your blood sugar is high. These drugs also slow how quickly food passes through the stomach, which reduces appetite to aid in weight loss.

GLP-1s have some common side effects that can occur in anyone taking them, including nausea, vomiting, dizziness, constipation and dehydration. Fasting may exacerbate them, especially in people who are prone to an upset stomach. GLP-1 side effects are also more common when a patient is increasing their dose, which usually happens monthly as tolerated until they reach their full dosage.

That’s why, if you’re planning to fast for Yom Kippur, it’s best to avoid starting a new GLP-1 medication or increasing the dose of your medication sooner than two weeks or so before the holiday.

GLP-1 drugs work by simulating a gut hormone produced in the body, spurring the release of insulin and slowing down digestion.

Timing your dose

If you take GLP-1 drugs as weekly injections, which is the most common way of dosing these medications, you should stick to your schedule even if you plan to fast. These drugs stay in your system during the entire week, so moving or skipping that weekly dose right before fasting can interfere with their effects on blood sugar or weight loss.

If your weekly injection falls on Yom Kippur, you can generally go ahead and administer it as scheduled. Some patients do report increased nausea on their injection day – if that happens to you, you may wish to delay the injection until after the fast, if you’ve cleared it with your doctor.

Patients who inject GLP-1 drugs daily may need to adjust the timing. For patients taking these medications for diabetes treatment, it may make sense to do the injection right before the meal that breaks the fast or to hold off until after the fast. This helps reduce the risk of stomach side effects, which can occur when these medications are taken on an empty stomach.

More recently, many patients have switched to oral GLP-1 medications. These pills must generally be taken on an empty stomach with a small amount of water, at a set time before taking any other drugs or any food or beverages.

Because fasting for Yom Kippur includes abstaining from drinking, taking the pill as directed may involve breaking the fast. That means you’ll need to decide in advance whether to take the medicine before the fast begins, after the fast ends or on an alternative schedule. It’s best to avoid simply skipping the daily dose scheduled for Yom Kippur and taking a double dose after the fast.

Skipping the dose won’t be harmful if you’re taking the medication for weight loss. But if you have diabetes, skipping it could dangerously elevate your blood sugar. And doubling the dose later could lead to serious side effects, such as pancreatitis, an inflammation of the pancreas that can lead to hospitalization.

Diabetes versus weight loss

If you’re using GLP-1 medications solely for weight management, fasting for 25 hours should not pose serious issues beyond stomach upset. In rare cases, though, combining these drugs with fasting can stress the pancreas enough to cause pancreatitis.

Fasting on GLP-1s carries the biggest risks for diabetic patients. That’s because GLP-1 medications are often used alongside other drugs that work primarily by lowering blood sugar, which raises patients’ overall risk of a blood sugar crash.

The greatest concern is in patients taking a GLP-1 medication together with insulin or drugs that stimulate insulin production, such as sulfonylureas. The GLP-1 medication itself may not cause a drop in blood sugar. But because it suppresses appetite and lowers glucose levels, these other medications can magnify the risk of low blood sugar during a prolonged fast.

If that’s your situation, talk to your doctor about whether you can adjust the timing, dose and type of insulin you take and reduce your dose of sulfonylurea in order to fast safely.

In general, people who have Type 1 diabetes or poorly controlled diabetes are strongly advised not to fast – as are people who:

  • Experience frequent or severe drops in blood sugar.
  • Have hypoglycemia unawareness – an absence of warning signs for high blood sugar.
  • Are managing diabetes during pregnancy.
  • Have severe kidney disease with a high risk of dehydration.
  • Experience severe gastrointestinal side effects from GLP-1 medications.
Not overeating along with drinking plenty of water beforehand is helpful for anyone fasting – but crucial for people on GLP-1 medications.

From prefast prep to the post-holiday meal

Regardless of what GLP-1 medication you take and for what indication, if you plan to fast you’ll need to do some pregaming, monitor how your fast is going and be mindful of how you break it.

  • First, if you are unsure about anything, talk to the clinician who is monitoring your GLP-1 drug treatment so you can decide together whether fasting is safe for you and whether your situation requires any special precautions.
  • Before fasting, it’s important to eat a normal meal that includes protein and to avoid both overeating and undereating. Overeating is never recommended when on GLP-1 medications, and undereating can set you up for more side effects during the fast. Although GLP-1 therapy can substantially reduce appetite, patients should avoid skipping the prefast meal entirely.
  • GLP-1 medications don’t just decrease appetite – they can also suppress the body’s natural thirst signals. So before your fast begins, aim to stay hydrated to prevent getting dehydrated while fasting.
  • If you are diabetic, make sure you fast under close guidance from your doctor – and make sure you are checking your blood sugar during fasting. Using a glucose monitor is a good idea, particularly if you are taking insulin or other glucose-lowering medications. The goal is for your blood sugar to remain within your usual daily nonfasting range.
  • Be ready to break your fast right away if you start feeling dizzy, confused, faint, nauseated or acutely ill, or if your blood sugar dips too low or spikes too high. These symptoms are dangerous and need to be addressed immediately. Stash a rapid source of carbohydrates – even just some glucose tablets or a few hard candies – within reach so you can access them quickly if needed.
  • Finally, plan a gentle, balanced meal to break the fast rather than an unusually large meal, which may provoke nausea, abdominal pain, reflux or vomiting. It’s generally best to avoid higher-fat foods, too, since they can slow down digestion.The Conversation

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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A comedian went viral for saying he supports Israel onstage — he wasn’t even there

Menachem Silverstein’s High Holidays were interrupted by what he calls a beautifully ironic “monkey paw situation.”

“Like any good Jewish comedian, I’m in Rosh Hashanah services praying to God for a little bit of a boost in my career, for something to go viral, for something to hit,” Silverstein, a 30-year-old comic in Los Angeles, told me. “I turn my phone after hag. I have about 40-plus messages from people being like, ‘What the hell’s happening? Is this you?’”

Friends were sending him links to a video of a crowd leaving a theater in the middle of a standup set. The caption overlaid on the clip said, in English and Arabic, “audience walks out after comedian backs Israel.” On an X post with more than 2 million views, an account named “Truthseeker” identified the comic as Silverstein.

Silverstein knew immediately the video was of the Laugh Factory in Chicago, a venue he last played this summer. He had no memory of the crowd walking out — a traumatic experience for any standup. In fact, as he took a closer look at the video, he realized it wasn’t even him onstage.

“My most viral thing was not showing up to a comedy club, which is hilarious in itself,” said Silverstein, who estimates across platforms the clip has been seen more than 10 million times. “If I would have known, I would have missed more shows.”

By the time Silverstein was clued into his virality, it was too late to contain the disinformation.

Alex Jones picked the clip up, commenting, “It’s got one guy in a yarmulke. He literally says, ‘If you don’t support what Israel is doing in this war, leave.’”

No such statement is made in the clip. There’s no guy in a yarmulke, only a man in a dark t-shirt who appears to be blindfolded. This didn’t stop news outlets like Palestine Chronicle and the 1.1 million follower Global Reports Instagram account from running with the story.

Someone captioned the original clip — now deleted — indicating the comedian stated their support for Israel, leading to a mass exodus. From there, Truthseeker identified Silverstein as the comic, based, Silverstein believes, on a joke he retired about three years ago.

“Basically, the joke was, ‘Hi, my name is Menachem. I stand with Israel. It’s not political; they’re just the only people that can pronounce my name.’”

Grok and other AI models reinforced the claim that Silverstein was the person in the clip. But the real reason for everyone leaving their seats was something much less loaded: a prank.

David Fuhrer, president of the Laugh Factory said, based on an account confirmed by the Chicago Laugh Factory’s head of operations, that the video was from a Sept. 10 performance of a regular show called “What Could Go Wrong?,” in which practical jokes are played on comics.

“In this particular case, we had a comedian named Kieron Harrell and we blindfolded him and put headphones on him,” Fuhrer said. “They walked the entire audience out into the lobby as a joke so he had an empty room he was performing to.”

Fuhrer said it had “nothing to do with antisemitism or people walking out on Menachem.” He doesn’t know who repurposed the video, only that it had gone viral.

“It’s a shame because he’s a wonderful person and a great performer and a part of our family here.”

If you go to the “What Could Go Wrong?” Instagram, you’ll see a better image of the real comic, Harrell, who looks nothing like Silverstein.

A better look at the comic from the clip. Screenshot Instagram

Daniel Cassilagio, who produces “What Could Go Wrong,” captioned the images of the performer, saying the show was “so good that it was used as a geo political [sic] disinformation campaign.”

Cassilagio wrote on Instagram that the clip was recorded, uploaded without the producers’ knowledge and “then virally shared by what are most likely bots from China.”

People who don’t check their sources have “been harassing both the comic that was on stage, and a comic from LA who I’ve never even heard about or met,” Cassilagio wrote on a post that, judging by its 166 likes, has far less visibility than the fake account. “He wasn’t even in Chicago at the time.”

Silverstein told me that, while he added around 200 followers, he’s been inundated with hateful comments and his reach has dropped as people have been reporting his account. If you search his name now, the top hits are for his nonexistent scandal. When he’s looking to play clubs, he’s concerned that bookers will see he “walked a crowd” and deny him a slot.

Beyond the made-up controversy, there’s not much about geopolitics in Silverstein’s act. His material includes jokes on fatherhood, being 5’9” (“a Jewish 6’2”) and some well-deserved ribbing of Kanye West. In videos, he can be seen circumcising a baby carrot.

In an age when performers like Macklemore and Jerry Seinfeld have been canceled for their views on Israel and Palestinians, Silverstein sees a new frontier in his experience.

“It used to be you watch a podcast or watch a stand-up clip, clip someone out of context, post it, and get them canceled,” he said. “Now they’re getting away with just posting a random thing, putting your name on it, and then people believe it.”

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‘Run, hide, fight’: Synagogues make threat preparedness part of High Holiday services

Rabbi Yosef Kanefsky plans to open his Yom Kippur sermon this year in an unusual way: with an emergency evacuation plan.

It’s how he opened his Rosh Hashanah sermon, too.

“I mentioned [that] people should understand where the exits are,” Kanefsky said. “I mentioned what our plan is, God forbid, if we need to evacuate the children in the youth program — that we have volunteers for that.”

Kanefsky, senior rabbi at B’nai David-Judea Congregation in Los Angeles, acknowledged that the reminder to prepare for the worst could be “potentially a little bit jarring” on the holiest days of the year. But with synagogues on heightened alert, he said, it felt unfortunately necessary.

“It’s just part of our lives right now,” he said. “That extra measure of vigilance.”

Extra security measures at synagogues are nothing new. Since the 2018 shooting that killed 11 worshippers at Pittsburgh’s Tree of Life synagogue, Jewish institutions have invested heavily in infrastructure, personnel and training to counter the threat of violence. But this High Holiday season, several synagogues are taking the unusual step of integrating emergency preparedness into the services themselves, whether through verbal instructions like Kanefsky’s or written plans handed out alongside prayer books.

A flyer distributed at Beth Tzedec Congregation in Toronto outlines a three-point plan in the event of an attack: Run, hide or — as a last resort — “Be prepared to defend yourself.”

“Remember: Your actions before police arrive may save your life,” it reads in all-caps.

In August, the Jewish nonprofit Secure Community Network released a safety card that synagogues can customize with their own evacuation maps then place in their pews. While a range of scenarios could prompt a building evacuation, like a fire or earthquake, the card focuses on reacting to an attack.

It includes instructions for how to make a tourniquet to stop bleeding and tips for fleeing or fighting “the shooter.”

And at Congregation Emanu-El in San Francisco, a flyer advising congregants to run, hide, or fight in the event of an attack was placed on every other seatback during Rosh Hashanah.

“It brought home the potential dangers in a way I hadn’t seen before,” Frances Dinkelspiel, a member of Congregation Emanu-El, told the Forward. “You’re going in for services. You’re opening your heart. There’s a sense of community. You’re embracing one another. And then there’s this piece of paper that’s reminding you: Don’t relax too much.”

Kanefsky said he felt a responsibility to his congregation to provide safety instructions, noting that the High Holidays may attract out-of-town visitors unfamiliar with the building.

But he also acknowledged that such warnings “can take away from the spiritual mood that we’re working so hard on building,” he said.

Kanefsky said he tried to make the announcement as unobtrusive as possible — giving the instructions in what he called “a spiritual and emotional envelope” by thanking the synagogue’s security team and framing preparedness as “part of the devotion to one another and our devotion to God.”

Michael Masters, Secure Community Network’s CEO, said the High Holidays present an elevated security risk at synagogues compared with other times of year. Even basic preparedness measures, like knowing where the exits are, can make a meaningful difference in a threat situation, he said.

He cited the ramming attack on Temple Israel in West Bloomfield, Michigan, in March as a prominent recent example. Seconds after the assailant drove a truck filled with explosives through a building entrance, a security guard opened fire on the vehicle; after the vehicle caught fire, the campus was safely evacuated.

“The guard was there, and he was well trained, and he did an amazing job, as did law enforcement,” Masters said. “But the faculty and the staff and the students were all trained as well.”

Dinkelspiel emphasized that she feels safe at her synagogue, which has a modern security system and bollards around the sidewalk to prevent cars from driving onto the property. But that sense of safety, she said, was part of what made the flyer so unnerving.

“After all these security measures the congregation has,” Dinkelspiel said, “there was still this reminder on this flimsy piece of paper that Jews can be attacked at any time.”

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