The Shortest Distance Between Two Points

Connections to Care Mobile Hero
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

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

Recent Articles

Sep 3

Celebrating Independence and Excellence at BCSC PACE

September marks National PACE Month, an opportunity to celebrate Programs of All-Inclusive Care for the Elderly (PACE) and its ability to keep seniors living in their own homes as long as possible. Here in our community, Los Angeles Jewish Health’s Brandman Centers for Senior Care (BCSC) PACE program is making a tangible difference in improving local seniors’ health by giving them the critical resources and support they need to thrive.BCSC PACE helps coordinate care for seniors by providing them with all-inclusive primary care services, specialty healthcare services, adult day healthcare, transportation and meals. It’s a total gamechanger for program participants, says Paige Yaffe, director of rehabilitation at BCSC PACE.“It can be a challenge for anybody, but especially for older adults, to navigate the current healthcare system, and at BCSC PACE, we take care of all of that for them—making their appointments, driving them to the doctor, and ensuring they receive proper nutrition and medical management,” Paige says. “Our program is wonderful because it removes seniors’ stress about having to take care of their basic needs and allows them instead to start enjoying this phase of their lives.”A central component of BCSC PACE is offering seniors essential tools to help them live independently. This hands-on, in-home service distinguishes BCSC PACE from most other healthcare programs.“We do home safety assessments—something Medicare and HMOs typically don’t do—evaluating people in their own environments and figuring out what will help keep them safe and independent,” Paige says. “That could mean installing grab bars in their showers, putting ramps on their steps so they can get in and out of their homes with the use of a wheelchair or walker, or putting in adaptive equipment to make it easier for them to turn on the stove or open their doors. It’s very gratifying for me as an occupational therapist because I get to see what’s important to our seniors and then figure out how to help them accomplish it.”BCSC PACE has been an indispensable ally and advocate for so many seniors across Los Angeles, including:Guadalupe, an 88-year-old woman who fell in her apartment and broke her hip. After weeks in the hospital, where she underwent both complex hip repair and heart surgery, she was unable to walk or stand for several months. The BCSC PACE team provided vital therapy, and with patience and hard work, Guadalupe can now walk for short distances with a walker and use the bathroom instead of being bedbound for her self-care. She is also able to come to BCSC PACE to participate in activities and socialize with friends.Daniel, a 63-year-old man who built a celebrated career as a chef. He suffered a severe stroke but received very little after care, which left him unable to walk, speak or take care of his basic needs. With extensive physical, occupational, and speech therapies at BCSC PACE, Daniel can now walk with a cane and uses a white board to express his thoughts and desires. Today, he is even starting to participate in cooking activities at BCSC PACE, which allows him to reconnect with a core part of his identity.“BCSC PACE does so much good for so many people that it’s hard to capture it all in just a couple of stories,” Paige says. “I think what makes it so successful is that we evaluate seniors from top to bottom, not just treating one diagnosis or issue, but instead trying to figure out holistically how we can help secure their safety and improve their quality of life.”In honor of National PACE Month, this September BCSC PACE will host special events at its Reseda and West Los Angeles locations featuring musical entertainment, games, dancing, and a special menu.“We’re so excited to celebrate our program, the people who make it possible, and the seniors who benefit every day,” Paige says. “BCSC PACE is a place where people can come to be connected with services that help them find joy. Everybody deserves to find happiness, no matter their age!”
Read More
Sep 3

LAJH Resident and Restauranteur Helps Celebrate National Waffle Day

August 24th is National Waffle Day, though if you ask Los Angeles Jewish Health resident Joe Levoff, 95, every day is a great day for waffles. Joe, who opened iconic San Fernando Valley restaurant More Than Waffles 50 years ago, was in attendance this past August 24th as LAJH hosted a special event to celebrate the beloved breakfast food and toast to Joe’s enduring L.A. legacy.When Joe first opened the restaurant’s doors in 1975 in the Encino Town Center—the first shopping center on Ventura Boulevard— it was known as Belgian Waffle Chalet. The name was changed a decade later, and More Than Waffles became a Valley institution and must-visit breakfast destination. In 1998, Joe sold More Than Waffles to his long-time waitress and manager, Ika Taft, and her husband, Greg, who met at the restaurant and began their lives together there.Joe LevoffWith proceeds from the sale, Joe moved to Israel, where he had lived during his late teen years and 20s working as a farmer and serving in the country’s army. He stayed there for about 10 years before returning to the U.S. and retiring to LAJH’s Eisenberg Village in 2013.“I loved living at Eisenberg!” Joe recalls. “It’s such an amazing place.”Today, Joe and his partner, Marilyn Poliskin, live in the Joyce Eisenberg-Keefer Medical Center, located on LAJH’s Grancell Village campus. It was there that LAJH decided to honor Joe—and to share a little breakfast love with his fellow residents—by throwing its National Waffle Day celebration.The event was part of LAJH’s Achieve a Dream program—an opportunity for residents to find joy and fulfillment and make new memories.“We brought Ika to LAJH for a reunion with Joe, so she could catch him up on the latest More Than Waffles news and share with him how his beloved restaurant is still having an impact after half a century,” says Stacy Orbach, LAJH’s director of volunteer services. “It was wonderful: They were able to reminisce, and Joe got a chance to speak to the assembled residents about his life as a restaurant entrepreneur.”LAJH residents at the celebration also learned about how More Than Waffles continues to make a difference in people’s lives.“It’s still such a popular place. If you go during the weekend, you’ll have to wait for an hour!” Joe exclaims. They come for the food, the atmosphere—and perhaps for bit of More Than Waffles’ matchmaking magic: Ika and Greg’s daughter, Henny, helps them run the restaurant, and she met her husband there, too.Ika brought 50 jars of More Than Waffles’ homemade strawberry jam to the event, and LAJH’s Dietary Department brought out waffles for everyone in attendance.“It was a fantastic celebration with a delicious ending,” Stacy says. “At LAJH, we endeavor to make every day that sweet for the incredible seniors in our care.”
Read More
Aug 6

Los Angeles Jewish Health Welcomes Rabbi Marc Kraus

For new Los Angeles Jewish Health rabbi Marc Kraus, there’s something special about working in a residential community.“So many rabbis only have a chance to engage with their communities weekly, monthly, or even annually when they come to synagogue. But, at Los Angeles Jewish Health, I get to see people every day and to develop deep pastoral connections with them,” he says. “Finding this job was a dream come true.”Rabbi Kraus arrived at LAJH this summer as campus rabbi for Eisenberg Village, joining Rabbi Karen Bender, who serves as the organization’s chief mission officer. In his brief tenure, he has already gotten the flavor of what makes LAJH’s community unique.“It’s so wonderful to be part of this huge village in the middle of Reseda,” he says. “I’ve been breaking bread with residents at every meal, getting to know them and seeing just how beautiful Jewish life here really is. I feel so incredibly welcomed.”Rabbi Marc KrausA native of London, Rabbi Kraus has been in the U.S. since 2010. After completing his undergraduate degree in Hebrew literature at Oxford, he received his rabbinic ordination from American Jewish University and a Master of Education in Clinical Mental Health Counseling from William & Mary. Over the course of his professional career, Rabbi Kraus has served as both a pulpit rabbi and a licensed marriage and family therapist.“I’m a spiritual seeker, an academic, and a therapist,” he says. “I believe my diverse experience—whether it was facilitating Orthodox Jewish holiday services in England as a teenager, spending time at an egalitarian yeshiva in Jerusalem, tending to a Conservative synagogue congregation in Virginia, or logging thousands of hours as a marriage and family counselor—has prepared me well to provide LAJH residents with pastoral services that help them find meaning in their everyday lives.”Avoiding denominational labels is central to Rabbi Kraus’ rabbinic approach. “I see myself as a facilitator of people’s Jewish journeys, no matter where they’re coming from,” he says. “I think there is a lot of wisdom in every denomination, and my goal is to meet LAJH residents where they are—recognizing where they’re coming from and adapting accordingly. Ultimately, I want to help people connect with their spirituality in whatever way is most resonant for them.”Singing is another of Rabbi Kraus’ key areas of focus. “Music is such a powerful way to bring people together. As a vocalist, I feel being able to sing is a gift—and being able to share that gift with others is blessing,” he says.Rabbi Bender notes that the many blessings Rabbi Kraus brings are being felt by LAJH residents far and wide. “It is a mitzvah to ‘find yourself a rabbi,’ and we feel truly blessed to have found Rabbi Kraus—and even more so that he has chosen to join the LAJH family,” she says. “He is a gifted scholar, a soulful singer, and a deeply compassionate pastoral presence. In just his first month, he has already inspired minds and touched hearts across our community. We are profoundly grateful to welcome him as the rabbi for both Eisenberg Village and Fountainview at Eisenberg Village.”In the coming weeks and months, Rabbi Kraus looks forward to meeting as many members of the LAJH family as possible. His energy and enthusiasm are nothing short of infectious.“I was overjoyed on the day I started at LAJH,” he says, “and my excitement has only grown every day since.”Rabbi Kraus speaks to residents of the Newman Building 
Read More