Sarah Herzog Hospital, established in 1894 is Israel’s foremost center for geriatric, respiratory, mental health and psychotrauma care, treatment and research. With the construction of the new Editha and Dr. Heinz E. Samson Medical Pavilion that will add 240 much needed beds, bringing the total number of beds to over 550, Herzog Hospital will become the second largest hospital in Jerusalem.

Today the Hospital specializes in the full range of problems associated with aging: acute medical problems; physical rehabilitation; Psychogeriatrics; with special emphasis on the diagnosis and treatment of Alzheimer’s and Parkinson’s Disease; senile dementia; Chronic Respiratory Care; Complex Medical and Nursing Care, Dialysis and Osteoporosis. A special new Children’s Chronic Respiratory Care Department provides respiratory care for children ranging in age from six months to 18 years. The Department of Research has earned an outstanding international recognition in for its work in Alzheimer’s and Parkinson’s Diseases, schizophrenia, and other brain disorders and diseases. Thirty percent of those treated by Herzog Hospital are Holocaust survivors.

The new Medical Pavilion will consist of six floors of clinical departments and two basement floors, including a sheltered underground emergency hospital. The new Pavilion will incorporate the latest in hospital design, and be a totally ‘green’ environmentally friendly facility.

The Pavilion will house a number of departments, including a Department of Psychogeriatrics to treat people with dementias, such as Alzheimer’s Disease; a greatly expanded Children’s Chronic Respiratory Care Department and significant additions to the Adult Respiratory Departments. Other departments will include Internal Medicine, Acute Geriatric Care, Complex Nursing Care and Dialysis.

The Sheltered Underground Hospital will be built to withstand the impact of missiles and provide protection from chemical and biological attack. This is a direct result of the Second Lebanon War and Gaza conflict, when hospitals in Israel were specifically targeted by Israel’s enemies. In addition, an expanded Radiology Suite and a new synagogue will be built into the side of the mountain on one of the hospitalization floors. This will enable them to continue operations during a missile attack and will also double as shelters.

The new Samson Pavilion will incorporate some of the most advanced “green” technology available, with the aim of reducing to a bare minimum the building’s possible negative environmental impact. Designed as a pathfinder in the construction of green hospitals around the world, the new facility has been planned in accordance with the latest Israel Standards Institute (ISI) standard for “green” medical buildings.

Relying on recycled water, energy conservation and solar power, it is expected that the Hospital’s “carbon footprint” will be close to zero. The Hospital, built away from environmentally sensitive places and built on infill, has been designed to protect and enhance two adjacent archeological sites. In addition, other innovations such as the planned use of robotics, pneumatic transportation systems, and other labor reducing technologies will hopefully reduce the energy required to actually run the hospital.

Completion of the mainframe is expected by May 2013, with patient occupancy starting January 2014. The Children’s Chronic Respiratory Care Floor will be the first to be occupied.

There are many dedication opportunities available for a variety of needs.

For further information, and to make a tax deductible donation contact:

American Friends of Herzog Hospital

136 E. 57th Street, Suite 803

NY, NY 10022

(212) 683-3702

Visit afherzoghospital.org or email: info@herzoghospital.org

for more information

Sylvia Hamowy

Do you have time for makeup? Do you find yourself so busy in the morning that makeup is the last thing on your list or have you left it off your list entirely? We’re rushing around doing so many things in the morning that for a  lot of us, makeup is the last thing we think of. Yet when we are doing our errands, we most admire the  women who took the time to apply their makeup flawlessly and look put together.

Applying makeup can be like brushing your teeth, something you do quickly and automatically every morning. If you have a three minute look for the days when you are too busy to spend lots of time on your makeup you will feel good all day long.

Applying makeup in three minutes is possible if you keep it simple!  Have your cosmetics handy. Keep your pencils, your favorite lipstick, and the few items that you can put on quickly easily accessible. Also keep your brushes clean so you don’t have to wash them before using them.

Three Minute Makeup

Apply your moisturizer. Put on foundation or tinted moisturizer. Dot concealer on eyelid and under eye. Stroke on a neutral eye shadow or one that gives your eyes a boost. Apply eyeliner (liquid is the fastest), then put on mascara. Use a cream blush, lipstick or gloss.

Using a magnifying mirror makes everything faster. Moisturizer is important, if you use tinted moisturizer you can skip the foundation. Concealer will brighten your eyes and keep eye shadow on all day. Eyeliner gives your eyes definition and elongates your lashes. Blush makes you look happier and lipstick gives you that finishing touch.

If you have a little more time, put on your regular foundation for more stay-power. Use a gel eyeliner, which looks better and a powder blush. If you still have more time, line your lips before you apply lipstick.

There’s no reason to leave the house without makeup. Remember, just three minutes will make you look and feel good all day long.

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Sylvia Hamowy is the owner of Reflections Cosmetics. She is a professional makeup artist, beauty editor, and former radio show host. She is featured in the International Who’s Who of Entrepreneurs.

If you’re like most people, when you think of braces, you think of straight teeth. What you may not realize is that orthodontics is a lot more than that. Yes, we straighten teeth but we also consider the effects it will have on the appearance and dental health of each patient. A beautiful smile, with properly balanced facial aesthetics, is the foundation of our treatment philosophy. Creating facial balance and harmony between soft and hard tissue is what we strive to achieve for all of our patients at Midwood Orthodontics. This facial balance helps maintain the long term health and alignment of teeth and also results in the most pleasing smile.

Delivering the proposed treatment in a timely manner, with the most up-to-date technology available is another priority of ours. The technology that is being offered today has enabled far fewer extractions of permanent teeth, improvements in airway function, a reduction in treatment times and above allthe best results with the least discomfort. We offer treatment that requires less compliance from our children and fewer appointments to our office during treatment.

The American Association of Orthodontists recommends that all children be seen by an orthodontist at the age of seven to evaluate bite development. Drs. Klapper and Zarabi will examine your child to determine if treatment is necessary to attain a well-balanced facial profile and proper occlusion/bite. Although most patients at age seven will not require any treatment, this initial visit will allow Drs. Klapper and Zarabi to evaluate any existing developmental problems, such as impacted or missing teeth, cross bites or overbites, and gives the doctors the opportunity to discuss your child’s future orthodontic needs with you, so there are no surprises in years to come. Early treatment, when necessary, may yield results that are not possible at a later date when the full growth and developmental potential of the child is decreased.

Adult Treatment

It is just no longer true that orthodontic treatment always takes years and years to complete, that braces are “just for kids,” ugly, and painful to wear or, that extraction of teeth is very frequently needed. It is our goal to create beautiful and lasting smiles for each of our patients, this includes adults. We offer Invisalign clear aligners for patients who don’t want to wear permanent braces. There may be reasons why a patient may not be a candidate for Invisalign and for them technology exists that allows for customized brackets and wires that are placed on the back/tongue side of each tooth. Using CAD/CAM technology these braces, called Incognito Braces, are 100% customized for each patient and each individual tooth. Robots bend the wires! Dr. Zarabi is excited to now offer this wonderful treatment to his patients in Brooklyn. There is a technique, called Wilckodontics or Accelerated Osteogenic Orthodontics, that enables faster movement of teeth, less extractions, and reduced need for jaw surgery. Dr. Zarabi is one of only three orthodontists in New York City to be fully trained to offer this revolutionary approach to his patients.

Midwood Orthodontics specializes in providing customized, comprehensive orthodontic treatment to patients of all ages. They feature a pleasant, forward thinking office environment, the latest in clinical techniques and a warm and friendly team of professionally trained staff.

About Dr. Klapper

Dr. Bernard J. Klapper, the founder of our orthodontic practice, has over 30 years of experience in dental specialties. After starting a Pediatric Dentistry practice in the Five Towns and Manhattan, he returned to NYU College of Dentistry to obtain his certificate in Orthodontics.

For 10 years, Dr. Klapper was a clinical associate professor at NYU College of Dentistry. He has published scientific papers in the Journal of Pediatric Dentistry, Caries Research, and the Journal of Dental Research.

Dr. Klapper has given professional lectures for the Lenox Hill Hospital, the Beth Israel Medical Center and the Greater New York Dental Meeting. He continues to search for new ideas and techniques to improve our orthodontic results.

About Dr. Zarabi

Dr. David Zarabi is a certified orthodontic specialist. He attended SUNY at Stony Brook where he received his DDS degree and graduated 2nd in his class. He was inducted into the OKU honors fraternity.

Upon completing dental school, Dr. Zarabi entered the Orthodontics program at Stony Brook. He completed his three year residency in 2001 and has been dedicated to private practice ever since. Dr. Zarabi has lectured at the Greater New York Dental meeting and held the position of associate professor at NYU for a number of years where he taught post graduate orthodontic residents.

Dr. David Zarabi is a member in excellent standing of many local and national orthodontic societies. He prides himself on constantly seeking the continuing education courses which enhance the patient experience. Technology is his passion as is total excellence. He views orthodontics not just as a profession but more importantly as a mind-set. This will become obvious when you meet both Dr. Zarabi and his team. Dr. Zarabi splits his time between his offices in Brooklyn and Manhattan and recently appeared on an episode of America’s Top Model.

Visit midwooodorthodontics.com to learn more about treatments offered by Drs. Klapper and Zarabi.

We work with many insurance companies and offer free parking to all of our patients. Please mention this article at your new patient consultation visit and receive a free gift.

We are located at 977 East 12th Street. If you would like to make an appointment call (718) 336-6112

As we get older, we begin to worry about the possibility that we may get sick and end up in a nursing home. Paying for a nursing home can drastically reduce a person’s savings. In New York, the average cost of nursing home care is a little more than $75,000 per year, with the cost of better nursing home care being upwards of $170,000 a year.

Most Americans will drain their savings while paying for nursing home care until they qualify for Medicaid, but with proper planning, this unfortunate result can easily be avoided, and people can go to a nursing home and still leave an inheritance for their children.

Medicaid is an entitlement program for people and families with low income and limited resources. In order to qualify for Medicaid, you must be impoverished under the guidelines prescribed by the program. Essentially, there are two types of Medicaid, “plain” and “nursing home,” each with very different requirements.

Plain Medicaid: To be eligible for medical care, the monthly income limit for an applicant aged 65 or older living in a one-person household is $792. The monthly income limit for an applicant aged 65 or older living in a two-person household is $1,159. The resource limits for applicants aged 65 or older are $14,250 (plus a separate burial account of $1,500) and $20,850 (plus a separate burial account of $1,500), respectively for a one-person and a two-person household.*

Nursing-Home Medicaid: To be eligible for nursing home care, the program states that the applicant’s income must be $50 or less per month, and the community spouse (the spouse remaining in the home) cannot have income exceeding $2,841 per month. The community spouse resource allowance ranges from $74,820 to $113, 640 in resources (plus a separate burial account of $1,500).*

The New York Department of Social Services requires persons seeking Medicaid to meet the previously listed limits in order to qualify. Without proper Medicaid planning, most people will have to spend most of their assets before being eligible to qualify for Medicaid. Therefore, if a person thinks he or she may apply for Medicaid in the future, certain measures must be taken today in order to avoid that unfortunate result of being denied Medicaid in the future.

The Basics of Medicaid Trusts

A Medicaid trust is a way to transfer money to someone you trust with restrictions so that they cannot just keep the money. If you no longer qualify for long-term care insurance, a Medicaid trust is a great way to secure your future eligibility for Medicaid. The key word here is “future” because a Medicaid trust will not qualify you for Medicaid immediately. There will be a penalty period, which can be up to five years (but is often less). If you have an immediate need for Medicaid, there are a number of other techniques that can be used, such as a “gift and loan” or a “spousal refusal.”

As a part of creating a New York Medicaid trust, you will have to transfer your assets to the trust (i.e. transfer your money to a bank account in the name of the trust and re-title your brokerage accounts and real estate to the trust).

Example: Sam creates a Medicaid trust called the “Sam Medicaid Trust.” For the trust to work, Sam has to transfer most of his money and stock to an account belonging to the “Sam Medicaid Trust” and deed his house to the “Sam Medicaid Trust.” This is the only way Medicaid will accept the premise that Sam no longer has the money.

Once assets are put into a Medicaid trust, it is impossible to take them out. It goes without saying that once you take the assets back from the trust, you lose Medicaid eligibility. It is this inability to revoke or amend the trust that makes the trust untouchable by Medicaid. Now that you no longer own the property, you prevent Medicaid from asserting that you don’t meet the Medicaid resource limit. The trustee of your choosing will manage the trust. This is usually the person who is very close to you, such as a son or daughter, although some trusts are managed by an attorney or a bank. Some people opt to have more than one trustee, for example, two children and an attorney or a banker. You can receive income from the trust, as long as the income is below the Medicaid eligibility limit. Medicaid will count the income but ignore the principal of the trust. Any income over the Medicaid limit will have to be put back into the trust.

Once again, planning in advance is key. A proper Medicaid trust that is more than five years old will qualify you for all types of Medicaid, but a “younger” trust may incur a period of ineligibility (the waiting period).

When the Medicaid trust is more than five years old, you will qualify for Medicaid without a waiting period. Otherwise, a period of ineligibility is calculated by taking the dollar value of the transfer divided by average monthly cost for nursing care, which equals the number of months you will be ineligible for Medicaid.

Example: Dad gives his son a gift of $100,000. Medicaid will consider the $100,000 figure and divide it by the average monthly cost of nursing care, let’s say $10,000 which equals 10. Therefore, Dad will be ineligible for Medicaid for 10 months.

Additionally, you may be able to have a Medicaid trust without the imposition of a penalty period if the transfer is made to: (i) a qualifying relative; (ii) your child who is either under 21 years of age, blind or permanently disabled; (iii) your sibling, if he or she has an equity interest in the house and was living there for at least one year before you went into a nursing home; or (iv) your adult child, if that child has lived in the home at least two years before you went into a nursing home and that child was taking care of you.

Speaking with an experienced trusts and estates attorney will be useful to you because the attorney will advise you on the options available to you which will allow you to use Medicaid to cover the cost of medical care without depleting your assets. In addition, planning in advance is a good option because the penalty period will likely expire before you may need to be admitted to a nursing home.

Forming a New York Medicaid trust allows you to protect your family’s assets from being used to pay for your medical and nursing home care by justifying the need to receive Medicaid in the future to cover those expenses. Additional benefits in forming a New York Medicaid trust are the usual lifetime trust benefits, which can help save money on estate taxes, keep assets out of the probate court, maintain privacy, avoid the hassle of multi-state probate proceedings, avoid interruption of income and use of assets after your death, and provide planning for mental disability.

* The income and resource levels stated are based on 2012 guidelines and may increase or decrease in future years.

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Isaac Yedid and Raymond Zeitoune are Partners at Yedid & Zeitoune, PLLC