The Shortest Distance Between Two Points

Home / News & Events / Newsletter

The Shortest Distance Between Two Points

Mar 2, 2015

Prior to 1816, it was common practice for doctors to place their ears to the chests of patients to detect the workings of hearts, lungs, and other organs. That year, French physician Dr. Rene Laennec, who was uncomfortable placing his ear against the chest of a young female patient, invented the first stethoscope. Laennec's stethoscope was around 12 inches long, but over time, the instrument's tubing grew in length. In the 1830's the flexible monaural stethoscope was introduced. It was around 16 inches long. Then in 1852, George Camman introduced the first binaural (for two ears) stethoscope, which was around 20 inches. Today's stethoscopes are up to 30 inches long. Born of one physician's modesty, the most widely-used medical instrument has become symbolic of the increasing distance between patients and their doctors.

In the 20th century, many other tools were created to help clinicians assess the workings of their patients' internal organs without having to be near them — cardiac rhythm monitors, echocardiograms, CT, and MRI machines, to name a few. Now, in the 21st century, doctors and nurses routinely obtain data on their patients via the Internet, and can do so from virtually anywhere in the world.

The words medical professionals use also reflect the diminishing connection between patients and their caregivers. The comedian George Carlin made this issue the focus of a popular routine. He noted that, in WWI, we used the words "Shell Shock" to describe traumatic reaction to the experience of battle. In WWII, the condition came to be called "Combat Fatigue." In the Korean Conflict, it was known as "Operational Exhaustion." Most recently, as a result of the war in Vietnam, the same phenomenon is called "Post Traumatic Stress Disorder." Each of the phrases described the same condition. With time, however, they grew longer and more clinical, eventually becoming utterly devoid of emotional content. The increase in syllables had the effect of insulating caregivers and other civilians from the unpleasant reality of our soliders' suffering, but the result has been to put more distance between clinicians and the people who need their help.

The gap between patients' expectations and the care they receive is also growing, as is the difference between the ideals of health care professionals and the reality of day-to-day practice.

One remedy for the disturbing trend we've identified is for clinicians and their patients to take every opportunity in their interactions to close the space that's grown between them.

We can all reduce that space — physically, verbally and figuratively. Figuratively speaking, we can bring our ears closer to each other's chests so that we may hear each other's "hearts." Doctors can do that by taking the time to listen to patients' concerns and personal stories, any one of which may contribute significantly to their current condition. Listening to patients and their families can help guide clinicians to more successful decisions and long-term outcomes. Therefore, it is important for patients and their families to share their stories and what is important to them with their doctors and nurses.

Sometimes the origin of a word or a literal translation can lead us to surprising insights and metaphorical wisdom. The word stethoscope comes from the Greek "stethos" or breast, and "scope," to look at or see, which taken together can be interpreted as, "I see your heart." This simple phrase is the core of all successful medicine and a wonderful prescription for wise care amid the rapidly evolving world of medical science and caregiving.

In the months ahead, I look forward to sharing some of the remarkable stories I've heard from the community that is the Los Angeles Jewish Home. In doing so, I hope to make it easier for you to see the hearts of the dedicated professionals who have been entrusted with the care of a remarkable group of people who are the residents of the Home.

Noah Marco, M.D.
CMO
Los Angeles Jewish Home

Prev Page Next Page

Share

Sign up for the Los Angeles Jewish Health newsletter, Connections.

First Name

Last Name

Email

Recent Articles

Nov 5

New Resident-Led Club at LAJHealth Is Helping to Energize Senior Life

Central to Los Angeles Jewish Health’s commitment to caring for seniors is ensuring residents feel heard, respected, socially engaged, and intellectually challenged. With his lively We the Seniors club, resident Jerry Davis accomplishes all this and more, providing his peers with weekly opportunities for social enrichment and dynamic topics for learning, conversation, and even healthy debate.We the Seniors began as a men’s club—a weekly gathering for male LAJH residents to share ideas and opinions about issues relevant to them and their lives. However, it quickly evolved into something larger and more inclusive.“We started with about two or three guys, but within the first two weeks, it wasn’t just a men’s club, it was for everybody!” Jerry says. “Today, we get more like 35 people, and there are twice as many women as men who participate, which I think is wonderful.”A Meeting of the We the Seniors ClubThe club, which meets weekly on Saturdays in the main dining room of the Joyce Eisenberg-Keefer Medical Center, engages participants in discussions focused on a wide range of topics that interest or affect them personally.“The idea is to have a forum for seniors, led by seniors, that covers subjects they want to explore,” Jerry says. “So, for instance, we spent about four weeks talking about antisemitism and the way it’s impacting all of us in the world.”For Jerry, who turns 84 this month, the group has been a highlight of his time at LAJH, where he has spent the past two years. He and his wife of nearly six decades had been living in their home in Westlake Village when Jerry became ill and required a skilled level of daily care.“I moved into LAJH, and my wife stayed at our house, but she comes and visits just about every day,” Jerry says.The move was a positive one for Jerry, who credits the people at LAJH for making it such a hospitable environment.“Living here is great: The staff is incredibly supportive, and the other residents are very social,” he says. “I especially like the activities and the fact that, with clubs like We the Seniors, the staff is so open to helping residents turn their ideas into reality.”Jerry and his fellow club members have channeled their natural curiosity about the world into activism with impact beyond LAJH’s walls. Recently, We the Seniors invited Los Angeles City Councilmember Bob Blumenfield to come speak at a club meeting.A Conversation with Councilmember Bob Blumenfield Hosted by the We the Seniors club“We’re excited to take action and feel like we are contributing to our community,” Jerry says. “It feels extremely rewarding to hear from people like Councilmember Blumenfield—for them to know we’re here, we have a voice, and that our opinions can help make a difference.”At the meeting, Councilmember Blumenfield answered questions on a range of national, state, and local issues and discussed a recent grant from the California Department of Health Care Services that will support the expansion of inpatient behavior health facilities at LAJH. He also presented Jerry with a certificate of recognition for his outstanding leadership in establishing We the Seniors and advocating for older adults in the community.In addition to special guest speakers, We the Seniors welcomes other visitors to its gatherings, including family members of LAJH residents.“We want everyone to know they can contribute to our discussions,” Jerry says. “We believe that, in our community, everyone should be heard.” A Meeting of the We the Seniors clubSenior Vice President of In-Residence Services Ilana Springer, Jerry Davis, founder of the resident-led We the Seniors club, Los Angeles City Councilmember Bob Blumenfield, LAJH President and CEO Dale SurowitzA Meeting of the We the Seniors clubMembers of the We the Seniors club attend a special visit by Councilmember Bob Blumenfield

Melodies, Memories, and New Beginnings at LA Jewish Health

Reflections Following My First High Holy Days at Los Angeles Jewish Healthby Rabbi Marc Kraus, LMFT - Campus Rabbi, Eisenberg VillageThis year, I stood on the bimah for the High Holy Days at Los Angeles Jewish Health’s Eisenberg Village campus for the very first time. In some ways it was new—new place, new faces, new customs to absorb. Yet the holidays didn’t feel like an introduction. Like the rest of my time at LAJH, they felt like being gathered in by a family.As Campus Rabbi, I move between three very different sacred communities that share one campus and one beating heart. I was assisted by our Chief Mission Officer, Rabbi Karen Bender, Joel Stern, and Ben Tzion Kogan.In the Newman Building, our assisted living community, we honored the familiar structure of the traditional prayers—the same Hebrew words, the same moments of whispered private prayer—while making space for each person’s unique needs and story.At Fountainview, where residents can live independently, we were able to gather for these holidays as a shared adventure. Together rabbis and residents experimented with new melodies, reflective intentions, and gentle pauses for back-and-forth conversation. Residents asked probing questions, shared memories, and helped shape services that felt both rooted and fresh.In Goldman Ziman Special Care Center, our memory care community, the High Holy Days felt the most profound. We centered on the core melodies that live on even when so much else feels uncertain: “Avinu Malkeinu,” “Unetaneh Tokef,” “Oseh Shalom.” I watched faces soften, eyes fill with tears, and lips move along to words that sometimes could no longer be spoken in everyday conversation—but were still there, held safely in the music. After Rosh Hashanah and Yom Kippur came the joy of Sukkot. We gathered staff in the Eisenberg Village sukkah for a staff appreciation celebration, recognizing how much we all give to make these holidays meaningful for our residents. To rejoice there—surrounded by greenery, laughter, and so many caregivers who pour their hearts into the Home—felt like stepping into the heart of this community.At Fountainview, sitting in the sukkah with residents around the dinner table, I heard stories of Sukkot from long ago, of childhood backyards and synagogue courtyards in other cities. We passed platters, made blessings, and felt the fragile walls of the sukkah holding something very strong: our shared Jewish time.What has stayed with me most from this first High Holy Day season is how fully I was welcomed—by residents and by staff across every department. To lead the Days of Awe and Sukkot here is to be reminded that holiness is not confined to a sanctuary or a sermon. It is found in a whispered “amen,” a hand gently held, a melody that unlocks a lifetime of memory, and a simple meal shared under branches open to the sky. For that privilege, and for the embrace of this community, I am deeply grateful. MORE IMAGES OF HIGH HOLY DAYS ACROSS LAJH CAMPUSES:

AltaMed Health Services Teams up with Los Angeles Jewish Health and Annenberg School of Nursing in Helping to Train Tomorrow's Nursing Workforce

LOS ANGELES, Oct. 30, 2025 -- AltaMed Health Services, in a partnership with Los Angeles Jewish Health (LAJH) and the Annenberg School of Nursing, recently hosted a ribbon-cutting ceremony to announce the creation of the AltaMed Health Services School of Nursing. The school is located at AltaMed's East Los Angeles Campus. The program is designed to help meet the ongoing staffing needs for Licensed Vocational Nurses (LVNs) and Certified Nursing Assistants (CNAs).AltaMed Health Services, in a partnership with Los Angeles Jewish Health and the Annenberg School of Nursing, recently launched the AltaMed Health Services School of Nursing. The program is designed to help meet the ongoing staffing needs for Licensed Vocational Nurses and Certified Nursing Assistants.A nursing class of the Annenberg School of Nursing on AltaMed's East LA Campus"From the very beginning, our vision has been to build a nursing workforce from within, one that reflects the communities we serve and carries forward the AltaMed mission," said AltaMed President and CEO Cástulo de la Rocha. "Over the years, we have worked towards this vision. We aim to address the shortage of bilingual, culturally responsive nurses, and today with our partners from Los Angeles Jewish Health and the Annenberg School of Nursing, that dream has become a reality."The school's new location opened last month with plans to graduate more than 24 nurses during its first year. Serving more than 700,000 people across 60 sites in Los Angeles and Orange counties, AltaMed continues to expand access to high quality health services in the Southern California region."We are delighted to be bringing our state-of-the art nursing school to the team at AltaMed and look forward to expanding the program offerings as their needs evolve," said Dale Surowitz, President and CEO of Los Angeles Jewish Health. "Perhaps most important, this program helps to create a culture where nurses in training learn to better understand the backgrounds, language, and lived experiences of their patients and the critical role that should play in the care experience."With more than 5,700 employees, AltaMed is one of the region's largest employers, providing services to approximately 8% of the Los Angeles population. AltaMed provides comprehensive primary care, pediatrics, dental services, HIV/AIDS care, senior care, behavioral health services, pharmacy services, health education, and more."For more than five decades, AltaMed has remained steadfast in its mission to provide access to high quality health services, regardless of the ability to pay," said de la Rocha. "Our new school of nursing underscores AltaMed's commitment to improve health outcomes in the communities we serve."About Los Angeles Jewish Health: Founded in 1912, non-profit Los Angeles Jewish Health (LAJHealth) is the largest single-source provider of comprehensive senior healthcare services in the Los Angeles area, serving nearly 4,000 people each year. Thousands of seniors benefit from community-based and in-residence care and services. Programs include: Independent Living; Assisted Living; Senior Behavioral Health; Short-Term Rehabilitation; Skilled Nursing; PACE; Hospice & Palliative Care; Geriatric Health; Memory Care. In addition, LAJHealth is home to the Annenberg School of Nursing.About AltaMed Health Services:AltaMed understands that when people receive care that considers their individual health needs and respects their cultural preferences; they grow healthy—and help their families do the same. Since 1969, we have delivered complete medical services to communities across Southern California. Our team of qualified multicultural and bilingual professionals—from these same communities— is focused on eliminating barriers to primary care services, senior care programs, and essential community services. With more than 60 accredited health centers and service facilities, we remain committed and ready to help you grow healthy at any age.