Archives for 2011

8.24.2011 – Preparing a child’s body and mind for 1st day at school

LAST UPDATED: 08/24/2011 06:54

Remind children about meeting old friends, making new ones; tell your six-year-old she is not the first to feel nervous or excited.

First grade school children

With little more than a week remaining until school begins on September 1, children and teens should already begin to prepare physically, mentally and emotionally for class to begin.

For the majority who have gone to sleep late – even not long before sunrise – and awakened after noon, the time has come to re-set their biological clocks.

Experts at Tel Aviv Sourasky Medical Center, Sheba Medical Center at Tel Hashomer and Kaplan Medical Center in Rehovot offered ideas to help children – and their parents – cope with the return to normalcy and for first-graders to take their first day of school as easy as possible.

Tell your six-year-old she is not the first to feel nervous or excited about going to school for the first time. Teachers are aware of this and will make a special effort to make them feel comfortable.

Emphasize the positive aspects of the first day of class, meeting old friends and new ones. After the first day is over, remind the children they came back in a good mood and had fun. Try to find another child in your neighborhood who can accompany yours to school with you.

Make sure your child eats a good breakfast before leaving, as it is important to give energy and ensure concentration during the first part of the day. Studies have shown that children who have a nutritious meal, even a bowl of sugarless cereal with milk, a sandwich, energy bar, fruit or yogurt, do considerably better in their studies than those who come to school without first having eaten. Having breakfast also reduces the risk of eating junk food and obesity.

 If you think your child wants to go accompanied to school, go with her. If there is organized transportation, prepare in advance on how your child will get there and give instructions not to cross the street alone. Seatbelts should always be fastened in a car, minibus or van.

Older children should be taught and reminded how to cross streets at crosswalks and to look both ways. Jerusalem children must be specially briefed on how to cope with the new light rail.

Schoolbags now must be suited to the needs, height and weight of the children.

A poorly fitted bag can cause chronic back and shoulder pains. Don’t let the bag hang more than 10 centimeters below the waist. The contents must not weigh more than 15 percent of a child’s weight. The backstraps must be padded and positioned properly so the child can walk erect. The back should also be padded, and sharp objects should be covered and not reach the child’s body. Anything that doesn’t need to be taken home should be stored in a locker or another place in class.

If food is not distributed in school, prepare nutritious and appetizing food to take along every day.

First graders must undergo eye exams before starting school, according to Education Ministry rules. But there are children who are not tested and have problems seeing the board, causing problems with their studies. Problems in copying from the board and unwillingness to read and write regularly may mask vision problems. Headaches may be another sign.

Older children who have access to the Internet should be taught not to provide any personal information to strangers.

Warn your children in the event of them being threatened or otherwise disturbed by others in class or outside. Explain how and when to seek help.

It is not recommended that children younger than nine or 10 return to an empty home. They still need supervision unless they are unusually responsible. If you have no choice, set a time when the child must call you by phone.

Every child must have a permanent place for doing homework that allows privacy and quiet. Set rules by which TV is turned off while doing lessons.

Make sure the child goes to sleep at an appropriate time so she can wake up in time to leave for school. Those aged three to six should sleep 11 to 12 hours daily; aged six to 12 need 10 to 11 hours; ages 12 through 18 need nine hours sleep a day.

If a teacher or parent suspects learning, hyperactivity or attention-deficit problems, discuss the issue and ask for referral to a specialist.

Teachers, too, have to prepare themselves for the school year, which can often result in hoarseness from calluses forming on the vocal cords. Frequent shouting, stress, smoking, allergies, throat infections and other problems requires teachers to consult with an otolaryngologist.

Teachers with large or unruly classes should use a microphone to reduce the burden of speaking. Eliminate all unnecessary background noises. Demand that air conditioners and fans do not operate noisily.

8.23.2011 – US Envoy to Israel, Amb. D. Shapiro visits KMC – Video Feed

Ambassador Daniel Shapiro meets with wounded civilians in Kaplan Medical Center  post missile attacks on southern Israel.

“My visit was incredibly moving and I appreciate the opportunity to send a message of solidarity to you, your patients, and the people of Israel, in the face of such cowardly terror attacks. The professionalism, care and attention provided by the Kaplan Medical Center team is exceptional, and I reiterate the hope of President Obama and the American people for a full recovery to the patients I had the pleasure of meeting, and to all of those being treated at Kaplan. Thank you again for opening your doors to me.”

(From Amb. Daniel B. Shapiro’s letter to the KMC’s CEO, Prof. Jacob. Yahav, Aug. 24th, 2011 )

8.21.2011 – Israel fears further escalation in south

Man killed, dozens injured in rocket attacks in worst day seen in southern Israel since Operation Cast Lead. Defense officials say Gaza terror groups must suffer heavy blow. ‘We have to restore deterrence, make price clear to other side’Hanan Greenberg

Published: 08.21.11, 02:56 / Israel News
The defense establishment is preparing to escalate its response against Israel since one man killed, a woman critically injured and several people sustaining light to moderate wounds in a rocket attack on the city of Beersheba. A two-week-old baby was lightly injured in Ofakim.
Defense establishment officials fear that the extent of rocket attacks from Gaza will increase Sunday. Due to the situation, the National Emergency Management Authority storage facilities will be opened in the morning

זירת הנפילה בבאר-שבע (צילום: אוהד צויגנברג)
Scene of rocket attack in Beersheba (Photo: Ohad Zwigenberg)

While the government’s eight top ministers were holding a meeting into the night to discuss retaliation options, Israel Defense Forces officials said terror organization must suffer a heavy blow.

“We must restore deterrence, make it perfectly clear to the other side that it will pay a heavy price for hurting Israel’s citizens,” said a senior military source.

The IDF recently completed the preparation of different plans of action against Hamas and the rest of the terror organizations in the Strip – from surgical strike to a wide-scale operation.

Security sources say a variety of options for action were raised during weekend discussions, all focusing on the desire to boost Israel’s response.

“There’s no escape. We can’t ignore rockets fired at a civilian population,” one of the officials stressed.
טנקים בדרום. לפני פעולה? (צילום: AFP)
Tanks in south. Ahead of operation? (Photo: AFP)

According to estimates, the first stage will see the Israel Air Force increase its air strikes in the Strip. The IDF possesses a wide “bank” of targets, and it’s quite possible that during the current round, especially in light of Hamas’ growing involvement in the rocket fire, the army will hit targets it has avoided attacking so far.

Targeting the leaders of Hamas and the other terror organizations is also on the agenda, and may be the second stage of the Israeli response.

Military sources have admitted that this is a complicated period in light of the developments expected next month upon the Palestinian statehood declaration, and therefore “all considerations must be examined” before every operation.

 Dozens injured over weekend

According to police officials, Saturday was the worst day in terms of the number of rockets fired into Israel since Operation Cast Lead two and a half years ago – almost 60 rockets and mortar shells in 24 hours.

Massive police forces have been deployed in the southern cities and are working to maintain the citizens’ safety.

Dozens of people injured from the rocket fire were evacuated to hospitals over the weekend, including three illegal Palestinian residents, who were hurt while hiding in an orchard near Ashdod.

Ten people injured from a Grad rocket fired at Ashdod on Friday morning were evacuated to the Kaplan Medical Center in Rehovot. Eight of the injured have already been released, while the other two are still hospitalized in serious and moderate condition.

Three people were evacuated to the same hospital on Saturday, and another woman was rushed to the Rabin Medical Center in Petah Tikva.

The Soroka Medical Center in Beersheba is still treating six Israelis who were injured in the terror attack on the Egyptian border. Three people, two of them children, were evacuated to the hospital on Saturday following a rocket attack on Ofakim.

The hospital is also treating a woman in critical condition, three people who were seriously wounded and a person lightly hurt in Saturday evening’s rocket attack on Beersheba.

Attila Somfalvi, Ilana Curiel and Neri Brener contributed to this report

8.20.2011 – Rocket salvo hits south

Ilana Curiel

Latest Update: 08.20.11, 19:21 / Israel News

Gaza terrorists launched an incessant rocket and mortar offensive at southern Israel Saturday, wounding at least 11 people across the region.

The barrages followed a declaration by the Izz al-Din al-Qassam Brigades Hamas military wing – saying that its armistice with Israel was over.

Saturday morning, the Color Red alert sounded in the greater Beersheba area. A subsequent explosion was reported in the city around 9 am. The projectile landed in an open area just outside Israel’s largest southern city, injuring one person lightly. Magen David Adom paramedics attended to both.

Seven other people suffered light injuries while running to a nearby shelter. They arrived at the Soroka University Medical Center in Beersheba independently.

Also Saturday, security forces confirmed that two rockets landed on the outskirts of Ashdod around 6 am. Three people – identified as illegal Palestinian aliens working in the local industrial area – suffered mild to serious injuries and were rushed to the Kaplan Medical Center in Rehovot. The Color Red alert sounded in the greater Ashdod area shortly beforehand.

Iron Dome does it again

The terror offensive continued Saturday afternoon, with four mortar shells fired at Sha’ar Hanegev Regional Council. No injuries or damage were reported. Seven more shells landed in open spaces in southern Israel by early evening.

Earlier, two rockets landed in the Lachish Regional Council around 12:30 pm. The Color Red alert sounded shortly before the explosion, both across the council’s communities, as well as in Kiryat Gat and Gan Yanve, near Ashdod.

One of the rockets exploded on a section of Highway 35, from Ashkelon to Kirtay Gat, damaging it severely. No injuries were reported; security forces have closed the area to traffic.

Rocket site outside Ashdod (Photo: Avi Rokach)
Rocket site outside Ashdod (Photo: Avi Rokach)

Shortly after that, the Iron Dome missile defense system intercepted a rocket fired from Gaza at Ashkelon.

Four rockets hit Sha’ar Hanegev Regional Council shortly before noon: A mortar shell exploded in one of the council’s kibbutzim, causing one person to suffer shock as well as some property damage. Three other rockets exploded in open areas, causing no harm.

Around 8:30 am, a rocket fired from northern Gaza exploded in an open area in the Be’er Tuvia Regional Council, causing no harm.

Rocket-created crater in Be'er Tuvia (Photo: Yaniv Ohana)
Rocket-created crater in Be’er Tuvia (Photo: Yaniv Ohana)

Around 4 am, two rockets were launched at the western Negev, landing in an open area near the Eshkol Regional Council. No injuries or damage were reported.

The Popular Resistance Committees (PRC) claimed the rocket fire on Beersheba, while Islamic Jihad has claimed responsibility for Saturday’s earlier rocker fire.

Paramedics attending to the injured (photo: Shai Vaknin)
Paramedics attending to the injured (photo: Shai Vaknin)
Meanwhile, Israel Air Force helicopters targeted two terror tunnels and a weapons mill in south Gaza Strip and a terror hub in its north in a nightly operation, the IDF Spokesperson’s Unit said Saturday.

The IDF said the tunnels were meant to smuggle terrorists into Israel, adding that the pilots reported the targets were destroyed.

Palestinian sources reported of another IAF strike in northern Gaza strip at noon Saturday, in the area between Beit Hanoun and Beit Lahiya.

The Palestinian Ma’an news agency quoted medical officials as saying one person was injured in the strike.

The southern district was placed on high police and IDF alert Thursday, following the day’s deadly terror attacks and ensuing rocket fire.

Tova Dadon, Elior Levy and Neri Brener contributed to this report

08.19.2011 – Ashdod: Rocket fired from Gaza leaves 1 seriously injured

LAST UPDATED: 08/19/2011 08:47

5 others hurt from 2 Grad rockets; light damage caused to Yeshiva building; at least 10 other rockets land in South.

Smoke trails after rockets are fired in Gaza

One person was seriously injured and another moderately injured after a Grad rocket fired from Gaza landed in the courtyard of a Yeshiva in Ashdod on Friday morning. Four other people were treated for shock following the attack. All were taken to Kaplan Medical Center in Rehovot. An additional Grad that failed to explode subsequently fell in the area and was neutralized by the bomb squad.Light damage was caused to the building as a result of the rocket fire.The rocket attack came less than a day after a three-stage terror attack near Eilat killed eight people.

Earlier on Friday, at least 10 rockets were fired at various targets in the South including Ashkelon and Beersheba.

All of the rockets landed in open territory and no injuries or damage were reported.

IAF aircraft struck seven Hamas security installations in Gaza early Friday morning, killing at least one Palestinian, in further retaliation for the attacks on Thursday.

Gaza residents said three compounds controlled by Hamas were hit in the overnight raids. Medical officials said a 13-year-old boy in a nearby building was killed and 17 people were wounded.

Defense sources said the attackers infiltrated from Gaza via Egypt’s Sinai desert, despite stepped up efforts by Egyptian security forces in recent days to rein in Palestinian terrorists.

“If anyone thinks the State of Israel will resign itself to this, they are wrong,” Prime Minister Binyamin Netanyahu said in a brief television address about the most deadly attack in Israel since 2008.

The IDF said seven gunmen were killed in southern Israel, including two who blew themselves up in suicide attacks on one of the buses and in a confrontation with soldiers.

Egyptian soldiers apparently shot dead two gunmen, the military said.

08.19.2011 – Rocket hits Ashdod yeshiva; 1 seriously wounded

Two people seriously injured after rocket explodes near Ashdod yeshiva. Escalation in south continues as at least 12 rockets fired at area overnight.

Shmulik Hadad

Latest Update: 08.19.11, 10:14 / Israel News

A rocket fired at Ashdod on Friday exploded in the courtyard of a haredi yeshiva and left 10 people injured. Magen David Adom emergency services said two men were seriously injured.

Eight others were lightly injured in the attack. The victims were rushed to the Kaplan Medical Center in Rehovot. Minor damage was caused to the building.

The rocket fire, which took place at around 8:10 am, was preceded by a Color Red alert in Ashdod and Gedera.

Emergency services detected an additional Grad rocket which hit a synagogue located several blocks from the yeshiva. The rocket failed to explode, but caused extensive damaged to the building, which had to be demolished.

Eye witnesses said that the victims left the synagogue after hearing the siren, running for cover in an adjacent building. When they heard the first blast they came outside and were then hit by shrapnel caused by the second rocket.

Damage caused to Ashdod yeshiva (Photo: Avi Rokach)
Damage caused to Ashdod yeshiva (Photo: Avi Rokach)

“The fence was utterly destroyed and a deep hole had gaped in the ground,” Moshe Avramovitch, one of the yeshiva students said. “Windows and lamps were shattered in the caravan where the worshippers were praying. The yeshiva students were saying their morning prayers. They ran for their lives and the rocket got them on their way back when they sought to resume their prayer. ”

One of the victims described the scene from his hospital bed: “We heard a siren and ran to an adjacent building. We waited there for several minutes and then stepped out to resume our prayer. Suddenly we heard a loud blast. We couldn’t see anything, people were dropping to the floor. Luckily residents soon came to help us and rescue forces followed minutes later. It was a great miracle.”

Shattered glass at morning prayer (Photo: EPA)
Shattered glass at morning prayer (Photo: EPA)

A total of 12 rockets were fired at southern communities overnight, less than a day after eight Israelis were killed in multiple terror attacks near Eilat.

Meanwhile, the Home Front Command issued guidelines for residents of southern communities, including Ashkelon, Netivot, Ofakim, Beersheba and Ashdod, which ban the gathering of more than 500 people.

Earlier, at around 5:50 am, a siren sounded in Beersheba and shortly thereafter a blast was heard as a rocket hit an open field near the city.

A rocket also exploded south of Gedera. Rockets were also fired at the Eshkol and Shaar Hanegev regional councils. Sirens were sounded in Ashkelon and Ashdod. There were no reports of injuries or damage.

Security forces outside yeshiva (Photo: Avi Rokach)
Security forces outside yeshiva (Photo: Avi Rokach)
Beersheba Mayor Rubik Danilovitch called on residents to adhere to defense establishment instructions. An Iron Dome battery was deployed in the city.
Also Friday morning, a rocket was fired from the Gaza Strip at Gan Yavne and landed in an open field. Thirty minutes later an additional rocket landed in an open area in the Eshkol Regional Council. There were no reports of injuries or damage in both cases.

Earlier, a Color Red alarm was sounded three times across southern communities. In two cases, rockets hit open areas in the Shaar Hanegev Regional Council, and in one case in an open field in the Sdot Negev Regional Council.

A total of four rockets were fired at Ashkelon on Thursday, two of which – aimed at residential areas – were  intercepted by the Iron Dome system. The other two rockets exploded in open areas. Security forces scanned the area; no injuries or damage were reported.

Meanwhile, Israel’s Air Force launched extensive strikes in Gaza Strip. The IDF Spokesperson’s Unit confirmed that IAF jets attacked seven targets in Gaza in response to Thursday’s terror attacks and the rocket fire on southern communities.

According to the statement, two terror hubs and an weapons mill were attacked in the northern Strip, while two smuggling tunnels, a terrorist tunnel and a terror hub were attacked in southern Gaza.

Security forces up alert level in Eilat area (Photo: Reuters)
Security forces up alert level in Eilat area (Photo: Reuters)

The Palestinians reported that fire had broken out in one on the areas targeted, leaving one teen dead and dozens injured.

On Thursday, the IDF bombed a Rafah building where senior members of the Popular Resistance Committees, who were the masterminds behind the Eilat terror attacks, were staying.

Palestinian sources reported that six people were killed in the strike, including Kamal Nirab, commander of the PRC’s military wing and Khaled Shaath, a senior member of the terror group.

It appears Shaath’s son or daughter were among the fatalities. Imad Hamad and Khaled al-Masri, who were both involved in a number of terror attacks against Israel including the abduction of Gulad Shalit were also killed in the attack.

Ilana Curiel, Tova Dadon and Omri Efraim contributed to this report

8.19.2011 – ‘I heard an enormous explosion, and thought of my kids’

LAST UPDATED: 08/19/2011 15:24

Rocket attack damages a synagogue, leaves seven wounded; “I heard an enormous explosion, and thought of my kids.”

Police move grad rocket shell

A mother of two children from Ashdod described how she was caught by surprise by an air-raid siren on Friday morning during the Palestinian rocket attack on the city while assisting her ill father.

Two Grad rockets fired from Gaza slammed into the city on Friday morning, with one rocket falling near a Yeshiva, wounding seven people, including one seriously and one moderately. The second rocket struck a synagogue, but failed to detonate.

The wounded were on their way to morning prayers. The seriously wounded victim was evacuated to Kaplan Medical Center in Rehovot.

Edna (who requested that her last name not be published), age 44, was at home with her children and a guest when the first air-raid siren went off shortly before 6 a.m.

“I woke up in a panic and rushed to wake up my kids. My guest burst into tears from the shock,” she told The Jerusalem Post on Friday.

 A little under two hours later, Edna walked to her parents’ home, 200 meters away, to tend to her father, who is ill and confined to a wheelchair. As she wheeled her father to a car, the second siren went off.

“We didn’t know where to go.

We were stranded outside and I could not get my father indoors in time. Then we heard an enormous explosion. The rocket fell near my house. The first thing I thought about was my children,” she said. “I called them and they were crying in shock.”

Local officials canceled all sporting and cultural events in Ashdod and Beersheba as a result of the escalation in attacks. Police called on residents of the south to remain close to safe zones – enclosed areas that are less exposed to rockets – and to follow instructions issued by the Home Front Command.

8.19.2011 – Miracle in synagogue: grad fails to explode

Yeshiva students praying at Ashdod shul say prayer had saved their lives after rocket hits structure, fails to explode

Ynet reporters

Published: 08.19.11, 12:21 / Israel News

While 10 people were injured after a Grad rocket hit an Ashdod yeshiva’s courtyard, a much bigger disaster was averted just several blocks away. A rocket which landed near a synagogue where several worshippers prayed failed to explode on Friday.

“No doubt our prayers saved us,” one of the yeshiva students said. The synagogue was eventually demolished as security forces worked to clear the rocket parts. “This was a miracle,” another yeshiva student said.

Worshippers belonging to the Ger Hasidic sect pray at the Ashdod synagogue daily. Akiva Goldman said that after hearing a siren sound, the worshippers initially deliberated whether to stay inside. “We were wearing our prayer shawls and tefilin and people felt uncomfortable running outside and seeking shelter, and that’s why we stayed inside the synagogue.”

Damage caused to Ashdod yeshiva (Photo: EPA)
Damage caused to Ashdod yeshiva (Photo: EPA)

Seconds later Goldman and two of his friends heard a loud blast and watched as the room filled with white dust. “No doubt our prayers saved us,” Goldman said. The three yeshiva students, aged 25-30, plan to say the benediction of deliverance on Saturday.

The grad rocket landed and became stuck in the floor of synagogue, a caravan building. It was decided to demolish parts of it since the rocket could not be cleared otherwise. Torah scrolls and prayer shawls were moved to an adjacent building.

Yossi Tzemach, an MDA medic and ZAKA volunteer said: “We heard a Color Red alert and after the blast realized a rocket had landed nearby. We entered the synagogue where we found three frightened yeshiva students who appeared completely shocked. Luckily no one was hurt, as the synagogue is usually packed with worshippers during the day.”

Prayer services were also halted in the nearby yeshiva where a rocket exploded earlier. Two people were seriously injured and eight sustained light wounds. They were all rushed the the Kaplan Medical Center in Rehovot.

Shmulik Hadad, Tomer Velmer and Nir Cohen contributed to this report

8.19.2011 – Around 20 rockets fired at Israel from Gaza in past day
13:43 GMT, August 19, 2011

Around 20 Grad and Qassam rockets were fired at Israel from the Gaza Strip on Thursday night (August 18) and Friday morning (August 19).

Most fell in open areas in the Ashdod, Ashkelon, Be’er Sheva and Kiryat Gat regions. But two rockets hit populated areas in Ashdod and seven people were wounded, including one critically.

All the wounded people were transported to Kaplan Hospital in Rehovot.

Overnight, Israeli Air Force (IAF) aircraft targeted seven sites in the Gaza Strip, in response the terrorist attacks that took place near Eilat in southern Israel on Thursday as well as rocket fire.

In northern Gaza, two terror activity sites and a weapons storage facility were struck. In southern Gaza, two smuggling tunnels, a terrorist tunnel and a terror activity site were struck.

“The IDF [Israel Defense Forces] will continue to prevent terrorism and will respond decisively and with force in the Gaza Strip,” IDF Spokesperson Brig. Gen. Mordechai said on Friday. “At the same time, we are setting up investigations to learn the lessons of Thursday’s events.”

08.15.2011 – Do tried-and-true methods trump imaging in the ER?

By Brendon Nafziger , DOTmed News Associate Editor
August 15, 2011

Doctors in an academic hospital’s busy emergency room judged a patient’s medical history and a physical exam more valuable than high-tech tests, like CT scans, in helping to reach a correct diagnosis, according to a new study.
The study, carried out in Israel and published in the Archives of Internal Medicine, found that 90 percent of all correct diagnoses made over a 53-day period involved only a physical exam, patient’s history and basic tests, such as blood and urine tests, ECG or a chest X-ray.
“In conclusion, four of five of internal medicine inpatients could be accurately diagnosed close to their admission on the basis of little other than the traditional clinical information,” write the authors, led by Dr. Ami Schattner, with the Kaplan Medical Center in Rehovot, Israel.

In the study, a senior resident with at least 4 years training and hospitalists with more than 20 years experience separately evaluated the same patient. Senior residents made correct diagnoses in 80 percent, and hospitalists in 84 percent of all the 442 newly admitted patients evaluated in the study.

Of all the tools used by the doctors, history was the most “potent,” deemed valuable for making the proper diagnosis on admission 20 percent of the time. Physical examinations, by themselves, were not highly regarded, deemed to have been useful in making diagnoses only 1 percent of the time, according to the study. But history’s diagnostic power doubled when it was combined with exams, doctors said, making it useful in 40 percent of all diagnoses in the study.

Few patients in the study had advanced imaging tests. Those who did, mostly had head CT scans, the researchers said. Even so, CT scans were judged useful for only about one-third of patients who got them, according to the study. (All told, imaging — which in the study meant CT scans and ultrasound — were deemed useful for correct diagnosis on admission in around 6 to 7 percent of all patients.)

“Our results do not mean that sophisticated studies need not be used after admission, but they do suggest that their choice should be guided by the clinical data on presentation,” the authors said.

In an accompanying note, Dr. Rita F. Redberg, the editor of the journal, said the study “reminds us of the value of lower-tech ways of making a diagnosis of patients seen in the emergency department.”

But in a separate response, Dr. Melvin Cheitlin, a cardiologist at the University of California, San Francisco, said he would have liked to see two extra bits of information: the number of hospitalists involved in the study, and a list of the diagnoses made and missed by the doctors.

“The high diagnostic accuracy using predominantly the traditional tools of history, physical examination, and basic laboratory tests would be less exciting if the majority of the patients had asthma, upper respiratory tract infections, urinary tract infections, or psychological problems,” he wrote in the journal.

Nonetheless, he said when he first read the article, “I mentally recognized that ‘I knew it all along.'”

“As a teacher of medical students, house staff and cardiology fellows I have become increasingly aware that there has been ever decreasing time spent teaching the basic skills of history taking and physical examination,” he said.