A 36-year-old previously healthy woman presented with a 2-day history of severe chest pain and epigastric pain associated with nausea and vomiting. Physical examination showed moderate abdominal tenderness, without guarding or rebound in the epigastrium. Laboratory tests, including cardiac enzyme levels, were normal.
An electrocardiogram and a radiograph of the chest were normal. The patient reported that she had consumed uncooked salmon approximately 2 hours before the chest pain developed. Computed tomography of the abdomen revealed diffuse thickening of the gastric wall. Gastroscopy revealed multiple anisakis larvae penetrating into the mucosa in the esophagogastric junction, fundus, upper body, middle body, and antrum of the stomach.
Eleven larvae were removed with the use of endoscopic forceps (see video), after which the patient’s symptoms resolved. Anisakiasis is a parasitic infection of the gastrointestinal tract in humans that is caused by the consumption of raw or inadequately cooked seafood containing third-stage larvae of the nematode Anisakis simplex or related species.
Thursday, August 25, 2016
Sunday, August 21, 2016
From an email re: Orange Juice filters
Rav Shein, The reason not to use the 230 mesh filter for orange juice is
because according to many puskim you don't have to filter bichlal if you use a
230 mesh.
The 230 mesh removes so much from the oroanje juice that it loses it's juice taste.
I even think reb shlomo miller says the same ting.
[The Aida Bdatz Yerushalem juice filter is "80" mesh.] ys
[The Aida Bdatz Yerushalem juice filter is "80" mesh.] ys
Wednesday, August 17, 2016
The Churban of our children-Who's at fault?
My dearest Chaim,
As I
fasted today, I sat and reflected on what our fast is all about. Why was our
beautiful home in Yerushalayim
destroyed? Why did the presence of Hashem leave us? What did we do to drive
ourselves into this long bitter golus?
I always knew the answer, but I don't think I understood it as well
as I do right now. It was destroyed because we were judgmental of those who did
not ACT the way we wanted them to act. We were embarrassed of those who did not
DRESS the way that we wanted them to dress. We looked down at those that did
not TALK the way we wanted them to talk. And our misplaced ego caused us to
think that we are better than they are. This is what caused us to destroy
ourselves completely. Without having an ayin tovah, a
favorable and understanding eye on those around us, we are not deserving of
having the divine presence of Hashem live among us. We threw ourselves out with
our self-righteous mindset.
Which group of us caused the destruction? The ones "on the derech" or the
ones "off the derech"?
On this I sit and cry... my eyes fill with tears... the epiphany
just hit me like a ton of bricks: It was not the ones wearing the jeans (as an
example) that caused the destruction, rather, it was the ones not wearing jeans
that then looked down upon those who wore the jeans! WE are the ones who
destroyed the beis Hamikdosh and we have not yet corrected our sin! In fact,
with Torah and mitzvos being so strong... we have perhaps even strengthened our
sin... we have taken it to a higher level.
I look at myself... am I not part of the group who uses our
beautiful religion to look down at others? And if so, am I not the one
responsible for our current exile? What good is my fasting and sitting on a
floor if I cannot face the truth that "I" am currently responsible
for this tragedy?!
I now fully realize that it is not you and your friends who are
preventing Moshiach from coming... it is me and my friends!
I wrote my own kinniss: Woe is to me for I have repeated and
repeated the original sin that caused the churban! Woe is to me for I have
stabbed my own flesh and blood! Woe is to me for I took the holy Torah that is
supposed to be sweet and peaceful "dirachehuh
darchei NOAM vichal nesivosehuh SHALOM" and
I used it to form a dagger which I then used to stab you - and others - over
and over again!!
And so after a long day of fasting and contemplation, I look back
at the way that I treated you and for this I now sit and cry. My dear sweet
beloved Chaim !! How can I ever take back the pain that I caused you? How can I
ever repay you for the smiles and hugs that you so deserved... but didn't get
from me because I was too busy justifying to myself why it is OK for me to look
down at you... to judge you harshly... and to actively destroy the Bais Hamikdosh? How can I
give you back the lost years?
My dear Chaim, a long long time ago, I looked into the future and
dreamed about the day that you would grow up, mature, learn right from wrong,
wake up from your selfishness and finally come ask me for forgiveness. but
after alot of inner searching... "I" grew up, and "I"
matured, and "I" learned right from wrong, and now "I"
finally woke up from MY selfish, haughty, egotistical, judgmental attitude! And
now on this painful day I turn to you and I ask you - no, I BEG you - for
forgiveness!!
I
accept upon myself to shower you with love and affection, with hugs and kisses,
and to do everything in my power to always be there for you through thick and
thin! I pledge to work so so hard to make up for all of the pain that I caused
you. I pledge to never look down at you, your friends, or on ANY JEW ever
again. I am DONE with the negative attitude! I am DONE with being the judge and
jury to another Yid! I am DONE with thinking that I am BETTER than ANY other
Jew in Klal Yisrael. I am DONE
being a part of the problem... and I pledge that as of right this moment... I
will become a part of the SOLUTION!!
My Chaim, please open your heart to me... please open your arms to
me... hug me, hold my hand and let us build the Beis Hamikdosh together...
Tuesday, August 16, 2016
Hisachdus Harabonim di'Lakewood vi'haglilos
We also arrange Kosher supervision at food service establishments, and at affairs.
We also issue kosher alerts for the kosher Consumer.
We do kosher Inspections for compliance.
Monday, August 15, 2016
OU Alert V Heimish Barley Alert.
OU KOSHER ALERT – UNGER’S PEARLED BARLEY August 15, 2016 Brands: Unger's Products: Pearled Barley
Company: Quality Frozen Foods
Issue:
Unger’s Pearled Barley, in particular lot #26917 and #62318, has been found to be infested and should not be used without checking the product thoroughly. Measures are being taken to prevent the rampant infestation of the barley.
The OU's Alert is very clear- "have been found to be infested" Measures are being taken to prevent the rampant infestation of the barley.
On the other hand- The Heimish Hashgocha for the English speaking Tzibur they write "signs of infestation" For the Yiddishe speaking Tzibur they write ." It is infested" . Why is that? Is the English speaking Tzibur any less makpid on infestation, than the yiddish speaking Tzibur? At least the OU was clear in their alert to everyone, and they are taking measures to prevent.........
Sunday, August 14, 2016
2nd UPDATE: ALERT: by Hisachdus Harabonim di'Lakewood- All NORI wraps used for Sushi are infested
UPDATE: THERE ARE "SOY-WRAPS" & "RICE-WRAPS" AVAILABLE!
Sushi is also made without any wrap at all!
ALERT: All Nori Wraps (used for Sushi) are infested
[The "copepods" in the nori are of various colors, & not the same as the ones in water which are "translucent". ]
The infestation was verified by Rav Moshe Vaye,
the Aida and R' Revach
התמונה שם זה ממוצר עם הגחה חדשה שהגיע השנה לארץ ישראל,
Even the ones with hashgochas have the "copepds" and other small insects and other non kosher !
Sushi is also made without any wrap at all!
[The "copepods" in the nori are of various colors, & not the same as the ones in water which are "translucent". ]
The infestation was verified by Rav Moshe Vaye,
the Aida and R' Revach
התמונה שם זה ממוצר עם הגחה חדשה שהגיע השנה לארץ ישראל,
הבעיות מקיפות את כל ההכשרים. שניאור רווח
Even the ones with hashgochas have the "copepds" and other small insects and other non kosher !
Sunday, August 07, 2016
Lakewood בעלי שמחה avail yourselves (at no charge) to a service from the Hisachdus Harabonim Di"Lakwood
Wednesday, August 03, 2016
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