EMA Care Blog

You have decided to make your Aliyah and currently take prescription medications. How can you continue with your medication regimen in Israel? How can you ensure that your medications are available in Israel and how do you communicate the need for these medications to your new Israeli Family Physician? This is a major stressor to anyone who moves internationally. In this article we are going to provide details about how you should prepare for your Aliyah with regards to transferring your prescriptions into the Israeli medical system, how much to bring with you, information to carry when traveling, and what to...

 It’s inevitable that somewhere, somehow, a teen from one of the many Israeli summer programs could be in a hospital emergency room this summer.  There are hundreds of teens here, and the sad but true fact is that someone is going to get hurt or sick. The program director, a counselor, or an ambulance will take the teen to the hospital. What happens when the teen arrives in the ER? Emergency rooms in Israeli hospitals follow typical ER protocol. However, hospitals are even more crowded here. Hospitals in remote locations may offer sub-optimal care. Patients are treated based on the severity of...

Tishri is a very special month. Sukkot occurs during this time and many people take time to reconnect with themselves and with their family. There are many activities that allow for people to rediscover each other and enjoy moments with people to matter the most. While many people choose to travel during this time there are activities to do at home. But what activities can you choose to participate in for this sukkot holiday? There are lots of possibilities which are simple, inexpensive, and fun. Here we have listed five activities that we hope will inspire you. Have a family picnic...

 As the Jewish year is quickly coming to an end and Rosh Hashanah upon the horizon many people are taking time to reflect on the past year. New Years resolutions are goals we would like to achieve over the next year. They vary from professional decisions, personal finances, individual goals, etc. Everyone has their challenges. What if maintaining or improving your health through a healthy lifestyle was high on your list? Health: A matter of choice Now that the summer holidays are over, the New Year is here with its share of lofty resolutions. Living healthier is a classic resolution that is often...

Eating disorders are common among teens and young adults.  Seminary students in Israel are not exempt from these dangerous conditions.  Awareness, recognizing the signs, and early intervention are essential to prevent these conditions from causing permanent damage to suffering students. Ten million people in the U.S. have an eating disorder.  It is the third most common and chronic illness in the U.S.  More women than men suffer from this illness, and while the numbers are climbing in the Jewish population, the exact number of Jewish people with eating disorders is unknown. Most people know about two eating disorders:  anorexia and bulimia. ...

Today is Schizophrenia awareness day. Schizophrenia is a chronic brain disorder that Dr. Emile Kraepelin first diagnosed in 1887. Even though Schizophrenia has been diagnosable for over a century, its cause is still somewhat unknown. To this day, it remains one of the most misunderstood and stigmatized disorders.  Schizophrenia is very complex, which is why there is a lot of false information surrounding it. People who have Schizophrenia do not always have a split personality disorder or multiple personalities. Most people with Schizophrenia are not any more dangerous or violent than people in the general public.  Schizophrenia is considered a syndrome,...

 Managing an elderly parents’ healthcare from afar is a challenging situation. That’s where Emacare comes in. We step in to help navigate, co-ordinate and ensure that all elements of your parent’s medical and health care management are organised and running smoothly. EMAcare’s extensive range of services include; consolidation and management of medical records, comprehensive patient and family intake, assessing medical needs, outlining long and short-term goals and patient advocacy and with our couples discount- you can’t go wrong! One of the beauties of living in the 21st century is the endless supply of online tools and new-age products that are designed...

1.     I have read the research about the reliability of antibodies in a strategy for public protection in a pandemic- does EMA Care support the government’s policies?  EMA Care believes in providing the public with quality medical care and equal access to opportunities. We don’t create the policies- the Israel Ministry of Health (משרד הבריאות) does.  EMA Care gives the public the chance to utilize the newly developed Covid-19 policies to their benefit. 2.     Who can receive this test? This test is available for everyone- Israelis, foreigners, tourists, students and people on a working visa. 3.     For how long after receiving...

The following article was published in the English addition of Hamodia. Written by Joel Rebibo

What will be the 'new normal' for Israel's gap year programs? According to EMA Care, an estimated 80% of programs will close down permanently if they are not able to reopen in the fall. By TZVI JOFFRE   JUNE 4, 2020 11:58   STUDENTS AT Yeshivat Migdal HaTorah return to in-person classes shortly after Yom Ha’atzma’ut.(photo credit: YESHIVA MIGDAL HATORAH) Spending a gap year after high school at a yeshiva or seminary in Israel has become a tradition for many Jews around the world in the past few decades, but as the coronavirus outbreak continues to affect both Israel and global Jewish communities, the nature of that tradition may...

Dr. Eliana Aaron spoke on World Mizrachi on the recent Coronavirus outbreak.  Click here to learn more Response from World Mizrachi: Just reaching out to thank you for the talk you gave today. The feedback has been tremendous! May you continue to have the strength to inspire the Jewish People and the entire world at this challenging time! May your efforts merit you and your family's continued good health and happiness. World Mizrachi Representative

One of EMA Care's amazing students, Aliya Markowitz,  has been written up in the AZ Jewish Post.  EMA Care is helping Aliya this year, as she studies in Israel and manages Crohns Disease. The Markowitz Family is looking for someone to take Aliya's medication in May 2020.  Are you planning a trip to Israel in May?  Please be in touch with EMA Care. Read here what it's like to prepare for a year in Israel when you have a chronic illness.  We at EMA Care always say our students and their parents are the most dedicated people we know!   

Summertime is here, and bug bites in Israel can be a bit unique due to being in the Middle East and a part of Asia's continent. Here are some common bug bites, how to identify and treat them, and when to get help. 1.Mosquitos – In the hot, humid areas of Israel, mosquitos are everywhere. Mosquitos are usually present in the early morning and late afternoon to evening hours. Mosquito bites are identified as a single bite surrounded by localized inflammation (a red bump) The vast majority of mosquitos in Israel are just annoying. However, Culex and Asian tiger mosquitoes are...

Dr. Eliana Aaron contributed to the international epidemiological reporting system for proMed -,mail. ProMED-mail is a program of theInternational Society for Infectious Diseases http://www.isid.org. An Israeli expert panel sub-committee recommended vaccinating children withMMR at age 1 and age 2 years to provide an additional booster to thisvulnerable age-group. Children ages 1 to 4 years remain the most affected bythe measles epidemic.Routine vaccinations of 6-year-olds will continue in school-based clinics.This is in light of an ongoing epidemic in Israel affecting primarilyultra-orthodox Jewish populations and sporadic communities of anti-vaxxers.This epidemic has spread to other ultra-orthodox communitiesinternationally.The recommendation is that the Ministry of Health has nobudget...

Early in the summer, and there have already been numerous drownings and near-drownings of (mostly) children and babies in Israel. Children drown in pools, at beaches, and even in buckets of water. Adults usually drown because of poor judgment – jumping into rapids or going deep into the sea without swimming skills. “Near drownings” oftentimes cause irreversible brain damage due to prolonged lack of oxygen. Contrary to popular belief and Hollywood imaginations, drowning is almost always a silent process. If someone can call for help and wave their arms, they may be in trouble, but they are not drowning. Dangers of...

Dental care in Israel for gap year students is not covered under most student health insurance policies.  Some policies do cover up to $300 of emergency dental care for specific insurance dentists. These dentists are excellent professionals and usually speak English fluently. This is for emergency care only, however! It does not include checku...

EMA Care staff are not only health care case managers.  EMA Care also cares for hundreds of students through our EMA Care clinics.  Our talented, experienced nurses travel to different programs throughout Israel. Our campus based clinics diagnose students with everything from stomach viruses, dermatological issues, strep throat, to broken limbs and dehydration.  Our nurses write referrals to specialists and blood lab work.  If you are interested in your school having EMA Care clinics, contact EMA Care today. This Purim, EMA Care received the best gifts from our EMA CareClinics.    

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The Jerusalem Marathon 2019 The marathon has become a rite of passage for many gap year students in Israel. It is a beautiful route, complete with running past the Old City walls and into modern Jerusalem. Many students are using the Jerusalem Marathon to run for different chessed (charitable) organizations. Whether they are running the full 42 km, 21 km, 10 km, or 5 km, we wish all the runners stamina and luck! There are important medical guidelines to follow as per the Jerusalem Marathon organizers: The Ministry of Health recommends that a family or sports physician examine runners before running...

The Israeli health system for students is based on a national, socialist healthcare system.There is excellent medical care available in Israel. However, the student needs to learn how to access the care. This means that there are two tiers to the system. 1st tier – health care through national insurance (or tourist insurance). 2nd tier – private medicine. There is also a serious shortage of specialists throughout the country, especially outside major cities. When specialists are needed is when the health system gets complicated for the average tourist. Examples of Specialist Medical Care Dermatologist – new onset acne. The family doctor...

For the Winter of 2019, EMA Care sent out the following guidelines to over 30 Israeli programs, seminaries and, yeshivas that are catering to gap year students from outside Israel.  Dorm life is prone to the spread of illness.  The fact is there is an 80% reduction of disease when people follow these guidelines for proper hygiene. “The Common Cold” and “Stomach bugs” are VERY popular in the winter time. Here are some ways to prevent spreading the “joy” to others and to protect yourselves:WASH YOUR HANDS WITH SOAP AND WATER!! before and after every mealafter every bathroom useafter every tissue...

Explaining Israeli health insurance for gap year students keeps EMA Care staff busy. EMA Care currently assists several hundred gap year students studying in Israel plus several hundred more in clinics managed by EMA Care. Almost all students are on tourist or student visas, which mean each student has health insurance especially designed for students and tourists. Israeli health insurance for students usually covers 100% cost of doctor visits, tests, and medication for routine, new issues. It does not cover any appointments, treatments, tests, or medication for a preexisting health condition. Some plans will allow a student with a preexisting condition...

Recently, several gap-year students experienced sudden onset panic attacks, and they reached out to EMA Care. Panic attacks can be frightening and disorienting to any adult! When an 18-19-year-old is far from home, living in a dormitory with many other people, it’s even more frightening, especially when it is the first time having a panic attack. When a person has a real phobia, such as fear of flying or fear of heights, the brain perceives a real danger. The brain is designed with a flight or fight response when the brain perceives danger. The brain triggers adrenaline and other hormones to...

Unfortunately, we have gotten to the point of managing measles in student dorms of gap year programs. As most of you know, there is currently a measles outbreak in Israel (and concurrently in Jewish communities in the New York area). According to the Israel Ministry of Health, as of December 10th, 2018, there were 2400 reported measles cases in Israel, but many more cases go unreported. Most cases have been in Jerusalem (1200+), Tzfat, Tel Aviv, and Petach Tikva, although almost every region has been affected. Since August, the number of people with Measles has doubled every month from 116 cases...

We have noticed a significant uptick in the number of gap year students diagnosed with mononucleosis (“mono”) in the last few weeks. This affects many gap year programs – both yeshivas and seminaries – and lots of misunderstandings about mono are going around from parents and program administrators. We want to educate the public about this condition. Mononucleosis is a contagious illness caused by the Epstein-Barr Virus (EBV). It is spread through saliva, and in Israel, it is actually called the “kissing disease.” Spreading by saliva can include sharing utensils, drinking glasses, toothbrushes, or eating implements (think about a family dinner...

In recent weeks there has been a surge of West Nile Virus in Israel. A few hundred people have been infected, and several people (elderly or immunocompromised) have died in recent weeks. West Nile Virus is a virus spread by mosquitoes that have fed off of infected birds. The incubation period is 5-21 days on average. The virus peak activity, according to the Israel Ministry of Health, is from mid-August to mid-October. According to the CDC, 80% of people infected have no noticeable symptoms. West Nile Virus's symptoms for the remaining 20% of infected individuals are usually mild flu-like symptoms, including...

Yes, there has been an outbreak of leptospirosis in Israel, particularly in those who have been on water hikes and locations with rivers. What does this mean for your child? How will this affect your child? Here are some simple answers which will answer frequently asked questions about this. 1) What is leptospirosis? Leptospirosis is a bacterial disease that can affect people and animals. People can get leptospirosis through exposure to infected animal urine (or soil/water contaminated with infected urine). 2) Where was leptospirosis found? In Israel, leptospirosis was found in several rivers in the Golan heights that include popular hiking...

Participating in a research team from Yale University (alma mater), Dr. Eliana Aaron, The Max Stern Yezreel Valley College, and Rambam Medical Center meet to discuss their palliative care research project in Israel. The goal of palliative care is to improve the quality of life for both the person suffering from life-limiting illnesses and their family.  Dr. Eliana Aaron looks forward to the team moving forward in bringing excellent palliative care to Israel.   July 2018

Medical concierge stands for personalized, caring, inclusive health care case management for both tourists and residents in Israel. EMA Care is one of the few medical concierge companies in Israel. The only service managed and run by the highest level of experienced health care professionals and clinical experts. For residents in Israel, EMA Care offers the total package of medical case management and health care supervision and guidance in Israel. Each client has a customized service packaged based on their individual and family needs. This tailored package can include: 1. Case management for chronic health conditions. EMA Care will pull all...

Gap year students and dehydration have been a bad mix for decades. Unfortunately, with springtime heat waves in Israel, EMA Care has been called in recently to assist gap year students experiencing serious medical conditions stemming from dehydration. Dehydration can set it quickly in otherwise healthy people when the weather gets dry or hot – but heatwaves in Israel magnify the problem with both heat and dry winds. Student #1- Complained of serious back pain urinary tract infection symptoms. She believed her back pain was due to tossing and turning all night. Her urine test showed that she was severely dehydrated...

This past year, EMA Care has assisted hundreds of gap year students in all different types of medical crises. What happens when your child is far away and experiencing poor health or, G-d forbid, in an accident? The following are medical nightmares that became medical success stories because of EMA Care involvement. 1.  Allergic anaphylactic shock – A student with a dairy allergy was promised the sherbet he bought was dairy-free. It may have been, but the spoon used was cross-contaminated ice cream on it. The student went into shock immediately; his friend did not know how to use his epi-pen....

Are you coming to Israel for Passover? Travel insurance provides you with protection against medical costs. Many tourists arrive in Israel without any medical insurance or with a plan that requires tourists to pay out of pocket for any medical surprises while they are away. When tourists return home, they need to deal with the paperwork and bureaucracy to get reimbursed for medical expenses. Medical Problems on Passover Medical problems and emergencies can happen anywhere, anytime. We cannot anticipate them with hundreds of thousands of tourists coming to Israel for Passover, the likelihood of medical problems arising increases. Some common unexpected...

When people are overwhelmed dealing with their own health or the healthcare of another, stress is inevitable. Many of our clients report tension headaches, insomnia, high blood pressure, difficulty making decisions, and fatigue. Some even report developing their own medical problems!EMA Care works hard to alleviate your stress. Our professional staff has extensive knowledge of medical issues plus the workings of the Israeli healthcare system. This powerful combination will take the stress out of healthcare for you and your loved ones. EMA Care now offers new affordable service packages. This includes more flexible, customized intakes, more options for health care management,...

Our previous blog here encourages parents to talk to their children about appropriate alcohol use during the holiday of Purim (or anytime!). The day after Purim, people who overindulge will feel the effects – hangovers are awful. What happens when a person knows he/she will be drinking? Are there ways to prevent a hangover? What are hangover remedies? A hangover is defined as disagreeable physical effects following a disproportionate amount of drinking. Symptoms may include headache, nausea, vomiting, and difficulty concentrating. It can take 8-24 hours for symptoms to go away. Tips for Avoiding a Hangover 1. Before you go out...

The custom of drinking alcohol on Purim stems from a quotation in the Talmud attributed to a fourth-century rabbi, Rava: “One must drink on Purim until that person cannot distinguish between cursing Haman and blessing Mordechai” (Megillah 7). This custom has become a green light for people, especially students in Israel, to drink lots of alcohol on Purim. Unfortunately, many gap year students drink until they are sick, passed out, or exhibiting dangerous or inappropriate behavior (such as vomiting in your rabbi’s yard). Although alcohol consumption in the US is illegal for people under the age of 21, in Israel, it...

There are common misconceptions about food allergies.  Click here to read about certain misconceptions and what the true facts are about food allergies. Food Allergy Concierge is your expert service for traveling with food allergies. Our food allergy travel experts separate facts from misconceptions. We understand food allergy dangers, we understand how one sesame seed can be life threatening, and we are experienced in preventing cross contact in hotel and restaurant kitchens.

Marijuana-induced psychosis is real and dangerous. This is perhaps most important to remember when gap year students are away from home for the first time. The average cannabis user, seller, and manufacturer want you to believe that marijuana is an innocent, harmless drug. It is mainly described as a relaxing way to unwind. As marijuana usage becomes legal and more popular, people need to know the facts about marijuana and its possible side effect. While there are some medical benefits to medical cannabis, which medical cannabis can take under the auspices of a physician for specific conditions, there are lesser-known adverse...

Head lice. It’s a subject nearly no one wants to admit exists, let alone think or talk about. However, head lice have reached epidemic proportions all around the world. It’s difficult to get statistics, but an estimated 7% of children between ages 3-11 experience lice infestation each year in the United States. No statistics are available for adults with lice. In Israel, it’s 15% among children! Experts believe the higher number in Israel is because of larger families with siblings passing around lice. EMA Care spoke with Penina Neustadter, a very busy “lice lady” in Israel. Penina became a lice lady...

Winter is THE season for both bacterial and viral infections. Understanding the difference between bacterial and viral infections can help manage expectations regarding treatments available. Viral infections include the common cold, flu, most coughs, bronchitis, and chickenpox. Bacterial infections include pneumonia, strep throat, urinary tract infections, and most sinus infections. Bacterial and viral infections have many things in common: 1. They are microbes too small to be seen2. They can cause both acute or chronic infections3. Both cause mild, moderate, or severe disease4. Both may have similar symptoms such as fever, cough, diarrhea, fatigue, and vomiting – although a good health...

  Last week, we wrote here about students arriving in Israel with a preexisting emotional issue. What happens when a student develops an emotional problem while he/she is in Israel? How can the student or parent recognize the signs of a serious problem? Who can the student turn to? How can the parent who is thousands of miles away, help? There is a lot of assistance and support available to students who are having an emotionally difficult time during their year in Israel. If this is the student’s first time experiencing depression, anxiety, eating problems or “disturbing” thoughts, it can be...

Now that the holidays are over, it’s time for gap year students to really settle into their year in Israel. This can be the time when emotional issues begin to surface, especially if the student has already experienced some emotional problems in the past. Common Gap Year Stressors are: 1. Trying to make friends 2. Academic pressure 3. Being on one’s own in a new environment 4. Financial responsibility 5. Changes in relationships, including family relationships 6. Exposure to new people and new ideas This list can potentially lead to a lot of stress for the most stable person. If a...

  If you are one of the hundreds of visitors coming to Israel for the holidays, EMA Care offers you tips on eating healthy on vacation!! In Israel, eating healthy when on vacation can be a double whammy……on vacation plus Jewish holidays!! Vacation is a time to relax, to not be at home, and to enjoy a different culture and foods. Some people look at a vacation as a time to indulge. Jewish holidays are based on lots of time praying in the synagogue and lots of time eating large, delicious holiday meals. This combination can result in an indulgent holiday...

 Most tourists are frightened of a medical emergency occurring while they are traveling far from home.The good news is the frequency of tourists requiring medical care while traveling is low. Tourists requiring medical treatment: Outpatient treatment ​ ​ 1 per 1,000 trips​ ​Hospital admission​ ​1 per 2,000 trips​ Medical evacuation ​1 per...

It's probably safe to say that the Gap year packing list your child received did not include a medical checklist. There are many reasons to give your kids some medical supplies and medicines before they leave. First of all, many over-the-counter medications in the US are available by prescription only in Israel!  Medical supplies are only...

Here in Israel we are experiencing extremely hot weather. High of 40 C, that’s 104 Fahrenheit!! When I walk outside it’s as if I am in a sauna. Hot weather usually just makes people feel HOT, but it can also lead to serious and alarming health problems. Experts say that when night time temperatures do not drop much lower than daytime temperatures, there is added stress on the body. It’s important to follow some simple rules to stay healthy during these high temperatures. 1. Drink lots and lots of cool water. You should have water with you at all times.2. Wear...

Organizing medical records at home can be a daunting task. While more and more processes may be done online, there is still a substantial amount of paperwork for each medical procedure. The cumulation of years of paperwork can make finding the document you do need - more difficult. Organizing your medical records can save you time, money and can he...

That’s Life with Miriam L. Wallach – March 17, 2016 - NSN Enter some description here... https://nachumsegal.com/thats-life-with-miriam-l-wallach-march-17-2016/

The pertussis vaccine is not just for babies and children.  Pertussis (whooping cough) is one of the fastest-growing preventable diseases in the US.  The disease rate has more than doubled since 2003, with 92% of hospitalizations occurring in infants less than 6 months old!  We have seen pertussis spread among gap year students in Israel.  The best way to prevent pertussis among infants, children, teens, and adults is to get vaccinated.  Although anyone can get pertussis, the disease can be most dangerous, even fatal for infants.  Getting vaccinated against pertussis is especially important for families with infants and caregivers of infants. Although...

Medical cannabis management in Israel can be challenging, especially for people who are older with chronic pain or medical conditions.   Israel is among a growing number or countries that authorize the use of medical cannabis for specific chronic medical conditions, including certain types of chronic pain.  There are currently over 20,000 medical cannabis licenses in Israel.  Medical Cannabis (MC) has been shown to be effective in improving symptoms for (among other conditions): Certain chronic pain syndromes including neuropathic pain (pain from nerve damage) Certain chronic diseases Cancer treatment side effects Terminally ill patients Mid- to Late-Stage Dementia in the elderly Many patients who have failed conventional...

Sending students with a pre-existing health condition to Israel for a gap-year program is difficult for many parents.   The young adult population can experience many varied health conditions.  Some of the more common ailments are: Severe Allergies Autoimmune conditions  Type 1 Diabetes  Depression  Crohn’s Disease  Anxiety  Asthma  Eating Disorders  Physical disabilities    It’s not easy to send your child thousands of miles away, knowing his/her illness could experience a flare-up.  A student with allergies could go into anaphylactic shock. Your child with a gastrointestinal disorder or diabetes needs to be sure he/she is receiving the proper treatment in a foreign country.  Mental...

There are many reasons to change your kupat holim (health plan).  Your favorite doctor may no longer be covered at your kupah, you may have moved, and a different kupah is right down the street.  Your decision may be based on a kupah’s easier online access, or the complementary medicine services offered is more inclusive.  As you age, your medical needs change, and perhaps your current plan is not providing what you now need. Whatever the reason is, you are lawfully able to change your kupat cholim whenever you want.  According to Israeli law, kupot holim may not bar applicants on...

Carrie Fisher’s untimely, sad death has put in-flight medical emergencies in the headlines.  Understanding how in-flight medical emergencies work can help people be better prepared and better understand what an in-flight emergency is, who responds, and what help is available mid-flight. link here! In-flight medical emergencies on commercial flights occur on about 50 flights A DAY, or over 17,000 times a year in the United States alone. Among the most common in-flight medical emergencies are cardiac problems, loss of consciousness, seizures, respiratory problems such as asthma, and musculoskeletal problems, such as strains, sprains, and fractures. Each year, several babies are born aboard airplanes as well.  In-flight medical...

Hopefully, you paid attention to our blog here and received the flu shot.  However, for those who did not get the vaccine, the influenza season is in full swing in Israel.  Knowing what treatment is best may help you feel better sooner and can prevent others from becoming sick. The flu is highly contagious!! It’s important to take precautions!  Common flu symptoms are: Fever higher than 38 C (100 F) Muscle aches Feeling tired or weak. Runny nose Sore throat Influenza is a virus, and distinguishing it from other viral illnesses can be tricky.  The flu vaccine is considered 60% effective, as defined by the CDC. Still,...

Until now, allergy free baked goods were simply a dream in Israel.   Unless you take precautions, Israel may not be a great place to visit if you have food allergies.  Depending on what you are allergic to, finding allergy-free baked goods may be especially problematic.  The prevalence of sesame, eggs, and tree nuts in foods such as cakes, cookies, breads, burekas, and pastries is common.  Even if the product does not contain sesame or nuts, there is a very high probability the product had been mixed and/or baked with utensils that have been used with these common allergens.  Going into any...

Prescription medications in Israel can oftentimes be different than in other countries.  Whether planning a trip or sending a child for a Gap Year, understanding the availability of medication locally can help guide decision making and planning for health needs. Here are 10 rules about prescription medication in Israel: Some medications are not available here.  Medications in Israel must be approved through a lengthy bureaucratic and often political process.  Some medications, deemed either unnecessary or too expensive, or too rarely needed – are simply not available.Medications may come in different doses.  For example, thyroid medication is not available in 25mcg increments. ...

If you are a student with food allergies and living in a dorm, you must take precautions to assure you live in a safe environment.  It’s very important to realize that people who don’t have any exposure to anaphylactic allergies often don’t understand how dangerous they can be. For example, an allergy sufferer meets his roommate for the first time, he says I am allergic to peanuts. The roommate enjoys peanut butter and he says he will be very careful whenever he eats peanut butter in the room. “The peanut butter won’t go anywhere. How dangerous can it be?”. This is...

I would like to recommend Eliana (EMA care) for her sensitive and timely help for clients who are having difficulty navigating the health care system Israel, specifically for Anglos, whether new olim or those of us who been here for many years.The obstacles of interfacing with the health care system here is daunting, especially at a time when one is going through an acute or chronic condition that is protracted and complicated. Often one doesn’t know whom to turn to or where to go, especially when one’s Hebrew is limited or lacks the proper resources and connections to the best health...

Aging in place is the phrase used to describe seniors who choose to stay living in their home – even when aging becomes more challenging.  Aging in place is a popular choice instead of moving to a skilled nursing facility, and over 96% of older adults in Israel are currently aging in place!  Aging in place requires coordination and utilizing services and resources available to ease the burdens often encountered as people age.  With aging in place, more people can choose where to live, and to maintain a higher level of independence for a longer period of time. Aging in place...

The Flu vaccine in Israel is available now!!  It’s important that you go now while flu vaccine supply lasts!! In previous years, there have been shortages of the vaccine.  Why should people get the flu vaccine? Influenza is a serious disease that can lead to hospitalization and sometimes even death.Between 80% and 90% of flu related deaths occur in people 65 years and older. So the vaccine is a must for seniors! Other people at risk include people of all ages with pre-existing chronic health conditions, children, and pregnant women.Even healthy people can get very sick from the flu and spread...

Medical care during the holidays can get a little tricky in Israel. During the holidays, many medical offices and hospitals are operating on Shabbat mode.  Shabbat mode means that personnel are cut to a minimum staffing, many clinics are not operational, and routine, non-emergency health services are not provided.  These hours can include hospitals, emergency and urgent care centers, pharmacies, clinics, and private medical offices.  Medical offices have less operational hours (or none), so the few hours they are open, they are typically overbooked. Don’t forget that Medical Care during the Holidays includes the eve of holidays!  The eve of a...

Fasting in Israel can be a different experience from fasting in other countries.  It’s hard to recall a Yom Kippur in Israel that did not include hearing someone fainting from dehydration. Even though this year Yom Kippur falls late on October 12, and we hope for cooler weather, the dry, hot weather in Israel puts fasters at higher risk of dehydration.  Preparing for Yom Kippur a few days in advance is a sure way to fast safely on this High Holiday.   When a person fasts, everyday behavior results in a loss of fluid that is not being replaced in the course of...

Crohn’s disease in Israel can be challenging to manage, especially for students and tourists who do not have access to the full-service Israeli health care system. Inflammatory bowel diseases (IBD), which include Crohn’s disease and ulcerative colitis, affect as many as 1.4 million Americans, most of who are diagnosed before age 30.   Crohn’s disease causes the immune system to attack healthy tissue in the gastrointestinal tract, causing inflammation. It is a life-long condition that can be treated but not cured.   Crohn's Disease Management in Israel Ashkenazi Jews are at significantly higher risk for Crohn's disease, and research is being conducted to...

What we can all learn from Hillary Clinton’s coughing spell? Cough hygiene - The Jerusalem Post For most illnesses, staying about a meter away from someone sick will keep you in the safe zone. https://www.jpost.com/Opinion/What-we-can-all-learn-from-Hillary-Clintons-coughing-spell-Cough-hygiene-468261

There may be parental stress as your child leaves for his gap year in Israel. The gap year is an extraordinary time for young adults to grow spiritually, emotionally, and psychologically. However, it can be a bittersweet experience for many parents.  You are excited for your child but missing and worrying about your child may be inevitable. EMA Care provides some guidance for parents to cope with their own stress… and make it easier for their children to have a successful year. You are nervous about your child being so far away, constantly scanning the news for anything going on in...

How does socialized medicine work in Israel? How does it impact health care delivery? Every resident of Israel must have government-subsidized health care guaranteed to them by Israel’s Health Insurance Law of 1995.  How does this differ from private health care found in other countries? A 2015 Bloomberg report ranked Israel as tied for second place in health care efficiency!!  The United States ranks 50th (right above Azerbaijan, Algeria, Russia, and Brazil)!   Israel is credited with long life expectancy, emphasis on preventative care, and low-cost medical care.  This means you get better health care in Israel for a lot less money...

Managing  medicine in Israel can be challenging for anyone.  Medication in Israel is not the same as medication in other countries, especially if you are from the United States.  Managing medicine in Israel is an important consideration if you are here for a longer stay, whether a tourist, resident, volunteer, or diplomat.   You will need to do research before you arrive, as not every medication is the same when traveling to foreign countries.   If you are coming to Israel for a short stay, be sure to bring your medication with you.  For example, common medications may have different names in Israel. ...

Pour un touriste ou tout nouvel immigrant francophone, appréhender le système de santé israélien peut s'avérer difficile. En raison des barrières linguistiques et culturelles, les immigrants et les touristes ont de moins bons résultats en matière de santé. Particulièrement, lorsque vous avez une condition médicale préexistante. Lors d'une situation d'urgence (problème médicaux, blessure), il est essentiel de disposer des ressources adéquates afin de résoudre au mieux votre problème. Qu'il s'agisse d'information sur les médicaments disponibles, de superviser l'aide soignant d'une personne âgée, ou de faire face à un événement médical grave, EMA Care fournit le soutien dont vous avez besoin. EMA...

Most people experience confusion when they need to be in a hospital.  Confusion is the inability to think as clearly or as quickly as you want to. Whether you are a patient or a relative of the patient - hospitals are confusing.  Without a medical background, it can be an almost helpless feeling.  What’s going on?  Should I ask that question? What is going to happen next? Why did the doctor say that?  Why isn’t the nurse coming?  Why do I feel so out of place? There are 3 types of confusion people have in hospitals: Situational confusionFamily confusionDelirium confusion  ...

Bien qu'étant couverts par une assurance de santé, tous les étudiants méritent de recevoir des soins de qualité lors d'une blessure mineure (ou grave) ou lors d'une maladie survenant en Israel. Les compagnies d'assurance assurent, en effet, une protection médicale  mais n'incluent pas dans leurs services: la traduction des professionnels de santé sur place, l'assistance, afin de mieux comprendre le suivi médical, la protection juridique, ni la communication parentale. Ces besoins sont essentiels pour la sécurité, la santé et le bien-être des étudiants . Etre en relation avec des personnes compétentes qui gèrent les besoins essentiels de santé de l'étudiant réduit...

Parents of Gap Year Students in Israel: Did you know that most Gap Year Programs have no medical personnel?  Health Care for Israel Gap Year students is complicated. Nearly every program requires that students have health insurance, but this coverage leaves parents and Gap Year Programs wanting. Health Insurance does not cover pre-existing conditionsFor pre-existing conditions, parents and students must fend for themselves and find providers and solutions to the student’s needs Health Insurance pays for health coverage, but no one monitors the quality of service provided. If your child gets sick or suffers an acute injury (like a sprained ankle), he or...

People have been asking “why do gap year students need EMA Care??” The answer is: Student health plans do not cover essential health needs that parents want for their child.  EMA Care provides those services and fills in the gaps left by local insurance programs.  Each year thousands of students come to Israel to work, study, and have fun!  After high school, it has become a rite of passage for Jewish youth from all over the world to spend 1-12 months in Israel.  The programs are varied from yeshiva/seminary or university study to volunteering in the Negev desert. These varied programs have...

Medical decisions are daunting even for the Israelis that have been living here their entire lives. All the more so, for Israeli residents that did not grow up here with a network of informed friends and family. EMA Care helps people choose the best health plan for YOU! With our research and thoroughness we will spend the time, that you don’t have, to understand fully what you need. We sit down with you to figure out what works best for you according to your health needs, where you live, and your language proficiency. EMA Care is the only health advocates that will customize a health...

During our recent visit to Israel, we really struggled to find food for our son who has anaphylactic level allergies to egg and sesame. We approached both restaurants and hotels and were told they were unable or unwilling to take responsibility for preparing his food.  After learning about Dr. Eliana on-line, we contacted her in the hopes that she could provide a ‘normal’ restaurant experience for our family.  Both she and Shani were meticulous in their preparations with the restaurants to ensure that our son had a wonderful and safe experience.  We truly appreciate their efforts to take care of our...

Food poisoning is an illness caused by eating or drinking food or water contaminated with viruses, bacteria, toxins, parasites, or chemicals. Typical symptoms of food poisoning are vomiting and diarrhea. In Israel, during the long hot summer, the possibility of food being contaminated is greater due to food exposure to extreme temperatures, or food that does not have sufficient refrigeration.  Many food vendors display their products on the street, and it’s important to be cautious!! This year EMA Care has assisted scores of students hit by food poisoning after food served by the schools was contaminated. Food poisoning has been known to...

The hushed fact is that many teens spending a gap year in Israel will be drinking alcohol.   Another hushed fact is that tens of gap year students will be treated for alcohol poisoning or other alcohol related injuries and illnesses during their time in Israel. In past years, gap year students have even died because of alcohol poisoning.  The legal drinking age in Israel is 18 years old.  For American youth in particular, this is an exciting novelty and it is tempting to enter pubs and drink. Do the math: The availability of alcohol + the absence of parents + the...

Over Passover, 3 tourists from different part of the world had strokes while visiting Israel. Besides the trauma of a sudden health event which affected the whole family, compounded by being in a foreign country, the outlay of money was substantial. After overcoming tremendous culture gaps, they received excellent care in Israel. None of these previously healthy people had travel insurance.  Most did not get reimbursement for their hospitalization and treatment. This is but one example of why tourists need to get travel health insurance for visits to Israel. Here is information on tourist health insurance and getting optimal coverage when in Israel.  Who pays your bills when...

There are many cultural differences between Israel and other countries.  Anyone who has had any business interaction here will vouch for that! But did you know that culture also affects your health care? We are not only talking about a language barrier. A visitor to Israel who ends up in the emergency room will undergo an overwhelming, disorienting, truly foreign experience. The three ways cultural differences may affect your healthcare in Israel:   1.Chutzpah- Israeli chutzpah is world famous. It is how the commandos raided Entebbe and freed the hijacked passengers 40 years ago this week. It is also why other people...

Poised for change: Nursing gets new leader - The Jerusalem Post The stars are aligned in favor of Israeli nurses, and Goldberg will lead the way towards a brighter future for nurses and healthcare in Israel. https://www.jpost.com/Opinion/Poised-for-change-Nursing-gets-new-leader-459480

Many elderly are choosing to live their golden years in Israel.  About 14% of immigrants to Israel are over the age of 65. What happens when a parent becomes ill and you, the children, are not living here?  Long distance care giving is tough, if not impossible.  What will you do if your parent deteriorates in function?  Has a stroke or a heart attack?  When a crisis occurs it can be daunting to understand where to turn, what to do next, and how to get information even if you are in proximity of your parent!  Imagine how incredibly difficult it will...

It’s inevitable that somewhere, somehow, a teen from one of the many Israeli summer programs, could be in a hospital emergency room this summer.  There are hundreds of teens here and the sad, but true fact is that someone is going to get hurt or sick.  The program director, a counselor, or an ambulance will take the teen to the hospital. What happens when the teen arrives in the ER? Emergency rooms in Israeli hospitals follow typical ER protocol.  However, hospitals are even more crowded here. Hospitals in remote locations may offer sub-optimal care.  Patients are treated based on the severity...

The warm Mediterranean Sea on Israel’s coast may be fun to swim in, but jellyfish season is upon us!  Every summer, Israeli beaches suffer from jellyfish for a number of weeks.  Whether in the water or washed up ashore, jellyfish pose a (potentially life threatening) hazard.  EMA Care gives you tips on what to do if you get stung by a floating cell or jellyfish tentacle. Fact: Jellyfish is one of the most intimidating creatures of the sea. In Hebrew the word for jellyfish is “medusa”. In classic Greek mythology Medusa is a monster (gorgon) in the form of a woman with snakes...

Any person with food allergies traveling to a foreign country knows how dangerous it can be. If your child with allergies is arriving in Israel for a summer program or in the fall for a yearlong program, it’s time to take action NOW. The lack of knowledge of the local language, local cuisine, and local customs can be frustrating and life threatening.  EMA Care provides a customized allergy card (in Hebrew) to our clients with food allergies. EMA Care’s allergy cards include: Customized Allergy Information about your childKnowledge of Israeli food products as it pertains to your child’s allergiesDirections on how...

We want to thank you from the bottom of our hearts for the amazing gift you have given us over this Pesach- the gift of having you with us!!!!We have NEVER felt more comfortable, calm, and at ease than we did these past 10 days. Your warmth, professionalism, kindness, and care shown through in all that you did.My children are so grateful that they were able to be with you this Pesach. You made sure that they were so well looked after and they felt so at ease and comfortable with you! You were so amazing and approachable to them! And...

People with gluten-free diets often struggle with traveling and touring, as their diets can be challenging. Good news:  Israel is becoming more aware of the need for gluten free food. In this article, EMA Care gives guidance to gluten-free eating in Israel. Celiac disease is an autoimmune disorder in which gluten damages the small intestine.   The number of people diagnosed with the disease is 1 out of 133, or a little under 1% of the USA’s population.  HOWEVER, it is estimated that 83% of the people with celiac are misdiagnosed or undiagnosed!!  Research shows celiac disease is also on the rise in young adults...

I write to express my hakarat hatov (positive recognition) and my gratitude to the two health professionals from EMA Care that have been from the start professionally involved and continue to be interested in my care and long-term recovery.After a serious fracture, I was hospitalized in the north, and my insurance company recommended EMA Care services to help me. After a surgeon was pressuring me to sign consent for surgery, I realized that I needed to remain alert and therefore declined their offer of pain medications.In the morning, the physicians had met and decided to proceed with surgery. My leg was not more swollen than the night...

From two-week summer volunteer programs to an eight-week all-inclusive tour of Israel, this summer there will be tens of thousands of young people visiting Israel. Whether it’s digging on an archaeological site, hiking from sea to sea, or studying in a yeshiva, it’s guaranteed to be a summer your child will not forget!  EMA Care wants to help parents support their teens' trip to Israel.  May is the perfect month to begin preparing your child on how to cope in a new country. Here are the top four things you can do to prepare your child for Israel: 1. Teach your child about...

Traveling in Israel with Food Allergies is challenging! Did you know that 15 million Americans have food allergies, and 1 out of 13 children have life threatening food allergies? Whether you are allergic to nuts, sesame, chocolate, certain cooking oils or fruit, the very real fear of allergic reactions may hinder your travel plans to Israel. In fact, there were several cases of severe allergic reactions this year in Gap-Year student in Israel. A client’s child had such a reaction at a social event when a child across the room opened a package of Bamba, a favored Israeli snack with air-popped peanuts. Indeed,...

When our son was injured in a car accident during his yeshiva year in Israel, he had to start navigating the medical system on his own. But once we contacted Dr. Eliana Aaron at EMA Care (www.HealthCareIsrael.com), she immediately flew into action. Dr. Aaron accompanied our son in the ER and made sure he and we knew at every step exactly what was done and what needed to be done, especially important for someone who suffered a concussion and might not have been able to keep all the critical information straight. She coordinated the insurance logistics, and she kept tabs on...

Did you hear about the new matzoh?  It’s made with whole wheat and bran and it’s fortified with Metamucil.  It’s called "Let My People Go".  LOL!  Actually, there are many people that would love this matzoh to become a reality. A well-known but rarely talked about complication during this time of year is constipation.  Constipation is defined as having difficulty passing or infrequent bowel movements. Matzoh is very low in fiber and during Pessach we eat matzoh, we bake and cook with matzoh meal, and we tend to eat a lot of cookies and cakes with high sugar content and potato starch. ...

EMA Care hopes you have a healthy, wonderful Pessach holiday, but if you or someone you know becomes ill or injured, we are a phone call away. Medical Concierge is becoming popular for tourists all around the world.  Many travelers have experienced firsthand the worry and anxiety when you or a family member becomes ill in a foreign country.  It’s challenging to understand where to go, or whom to ask for help.  Tourists usually end up in a hospital emergency room, waiting to be seen, and waiting some more, in pain or discomfort. Then there can be language difficulties, strange medications,...

Passover will be here in 3 weeks! Calm down...  Breathe... Remember that this springtime holiday is filled with joyous family times, beautiful Jewish traditions, and lots and lots of eating!  I loved my Bubbe’s kneidlach with chicken soup, I love eating matzah brei in the morning and delicious matzoh meal pancakes.  But... not exactly low fat!  Nobody wants to put on 5-10 pounds of Pessach weight just in time for swimming weather, right?  So enjoy the Pessach holiday, limit your food portions... but  also remember to... EXERCISE!   Exercise is one of the most important things you can do to reduce the risk of medical...

Purim is a fun holiday universally celebrated by all walks of life in Israel… but there are dangers involved… especially to teens who find themselves easy access to Alcohol and frivolity. Alcohol toxicity can lead to brain damage, neurological damage, and even death. Dozens of Gap Year students in the past have been injured or even killed as a result of this phenomenon. Purim is an excuse for excesses in alcohol, but caution is needed. It is a tradition, some even say a Mitzvah, to drink alcohol on Purim. But balance is needed between student’s health and well-being and alcohol moderation.  A...

Integration of advanced practice providers into the Israeli healthcare system | Israel Journal of Health Policy Research | Full Text Many countries around the world have integrated various types of Advanced Practice Providers (APPs) into their healthcare systems. The main motivating factors for recognizing and developing APPs worldwide include phys...

What are the value-added services EMA Care adds compared to current services and medical insurance alone? See our chart below to compare current practice with the value of EMA Care service...     ITEMCurrent Practice – Foreign StudentsEMA Care PracticeAttending emergencies or appointmentsStudent goes alone or the school sends a madrich/ counselor.  Some schools send non-medical faculty members.  Neither option has health knowledge to know if optimal care is being received.Health professional attends emergency or appointment, ensures optimal, US level services are being provided.CommunicationsParents call administrators regarding their child’s health situation.  Administrators are not medical professionals and cannot answer to quality and...

[caption id="attachment_1329" align="alignright" width="300"] Sick Gap Year student...learning or health care? Students often feel that they have to choose between their yeshiva or seminary learning program and attending (even the occasional) medical appointment. The student in Israel with pre-existing health issues has an ongoing debate between uninterrupted study and taking care of their medical needs.  Inevitably,  if left ignored, the health issue dominates and may even impede a student’s ability to stay in Israel. What is the problem? 1) Many students come to Israel with pre-existing health conditions, impacting physical health, mental health, or most often, a combination of both. Some...

Navigating the Israeli healthcare system is daunting even for those who were born and raised in Israel. There are many differences between the health care system in the US, Canada, France, or the UK and the system in Israel, especially in language and medical culture.  EMA Care is the only company in Israel providing case management, research services, and health advocacy for immigrants (Olim) and residents of Israel. When a crisis occurs, it can be even more frustrating without the medical language, connections, and understanding of the system – because in crisis mode no one functions optimally. This disorientation and even...

She gets it. Nurse Practioner, Dr. Eliana Aaron, gets it. Actually, someone has to because diaspora-based parents are concerned about their children in Israel. Who wouldn't be? Many of us, have received anxious phone calls from friend's overseas thinking about yanking their child away from their gap year in Israel. "Do you think things will settle ...

  How should you deal with stress?  Here is a guide for parents of students  in Israel. When you read the news and hear about rockets destroying homes in Israel, you are understandably worried about your child in Israel.  SO you call your son or daughter and you ask them how they are… and if people are pulling their kids out of school… and if they are NOT going out… and if they are worried…  THIS IS A MISTAKE. News Flash: Israel is chock full of people who have lived through many security situations, wars, intifadas etc.  Many of them are...

As parents of kids in Israel, it is nerve-wracking enough having your child so far away, much more so when the internet, news, and even the students have continuous reports of terror and violence in Jerusalem and the rest of Israel. Here is some advice on how to help your child cope with the  stress.   Safety First. There is no health without safety. If you see something that makes you uncomfortable – LEAVE.  Trust your instincts: The best defense is not to be there. During Succot, I met a seminary student in Jerusalem who had just seen  a violent protest. Lots of...

After the holidays, students are returning to Yeshiva and Seminary.  The long stretch begins.  Over the last few weeks, parents have posed questions to us; EMA Care has answers... Q: My son called me because he isn’t feeling well.  I am 7500 miles away.  What can I do? Q: Can I send my daughter to Israel if she has a chronic health condition? Q: If there is an urgent medical issue during the year, how can I be sure my child is getting appropriate care? Q: My son called me because he isn’t feeling well.  I am 7500 miles away.  What can I do?...

Eliana Marcus Aaron writes, "I was pleased to hear about Inbar ("Cultivating medical leaders," Health & Science, September 27), a joint project of MAOZ and the Health Ministry aimed at developing a new generation of medical leadership in Israel.While I wholeheartedly agree that medical leadership here, and often in other developed countries, is...