msod123@... <mailto:msod123@...>  wrote "The same question I
suppose would come into play if one had to fill up the cartridge on yom tov
itself, would one be allowed to fill the cartridge with enough insulin for
the next day of yom tov as well?"



****** DISCLAIMER: The following is for discussion purposes only. Please
consult your RAV for PSAK HALACHA *******



I would think that this might fall under the same guidelines as OICHEL
NEFESH and how much TIRCHEH YESAIRA there is in filling up the reservoir.
For example, it is permissible to cook a whole chicken even if one needs
only 2 quarters. There is no extra TIRCHEH involved. However, if on wants
fried chicken and the chicken is already quartered, and you only need 2
quarters, then one can only fry the two quarters needed as breading and
frying the other pieces is considered TIRCHEH YESAIRA. (Please see "The
HALACHOS OF YOM TOV" by Rabbi S.B. Cohen, Mesorah Publications for further
details).



IMHO, filling up the reservoir does not require any extra TIRCHEH and would
be permissible as long as one does not have specific intent.



Yehuda Y. Scheff, Supervising Special Auditor Investigator
NYS AG MFCU
120 Broadway, 13th Floor
New York, NY 10271
Voice: (212) 417-5658
Fax: (212) 417-5410
E-mail address: yehuda.scheff@...

When the issue became a pracitcal one, I asked my Rav, who replied that an
insulin pump, is not
considered carrying as it is connected to the body. Not just worn on the body,
but literally
connected into the body.

Perhaps the question regarding the insulin was if one had to refill the resevior
on shabbos and
added more than was necessary for shabbos use would that in any way be a problem
on shabbos, as
well as after shabbos. Would it be a problem of "hachana" if in fact one did
have to fill up the
resevoir and filled up more than was needed for shabbos or yom tov? The same
question I suppose
would come into play if one had to fill up the cartridge on yom tov itself,
would one be allowed
to fill the cartridge with enough insulin for the next day of yom tov as well?

--- "Scheff, Yehuda (NYC)" <yehuda.scheff@...> wrote:

> IMHO, Rav Weissmandel's response is that one should not have specific
> "intention" to "carry" the excess insulin in the reservoir on SHABBOS for
> use after SHABBOS. Even if one does have that intention it does not
> necessarily mean that the insulin would have to be discarded.
>
>
>
> While I am far from an expert in HILCHOS SHABBOS, I do not recall ever
> learning that if one carries something on SHABBOS that the item becomes
> forbidden from use.
>
>
>
> I have not spoken with Rabbi Meisels about this issue, but the question that
> I have is it even HALCHACHICALLY considered "carrying"? The reservoir is
> connected into the body via the infusion set and therefore it might be
> considered as part of the body. In addition, there is no extra TIRCHAH
> (exertion) in carrying 100 units or 200 units.
>
>
>
> Yehuda Y. Scheff, Supervising Special Auditor Investigator
> NYS AG MFCU
> 120 Broadway, 13th Floor
> New York, NY 10271
> Voice: (212) 417-5658
> Fax: (212) 417-5410
> E-mail address: yehuda.scheff@...
>
>
>
>   _____
>
> From: JacknShelley@... [mailto:JacknShelley@...]
> Sent: Tuesday, October 11, 2005 9:55 AM
> To: JewishInsulinPumpers@yahoogroups.com
> Subject: Re: [JewishIP] Leftover Insulin after Shabbos
>
>
>
> In your Tishrei newsletter you have a section "Pumping on Shabbos".  The
> second question to Rav M.M. Weismandle, shlit"a states:
>
> Q: "The pump reservoir most often contains more insulin than one would
> normally use in a single day.  Would this excess insulin complicate matters
> and
> possibly alter the Rav's ruling about carrying the pump outdoors on Shabbos?
> A: The extra insulin may be carried along with the pump, but one should not
> do so with the specific intention that he will use the insulin after
> Shabbos."
>
> The answer is not really clear.  Is he stating that the extra insulin left
> in
> the reservoir after Shabbos cannot be used?
>
> Please clarify this.  Thank you.
>
>
> [Non-text portions of this message have been removed]
>
>
>
>
>   _____
>
> YAHOO! GROUPS LINKS
>
>
>
> *  Visit your group "JewishInsulinPumpers
> <http://groups.yahoo.com/group/JewishInsulinPumpers> " on the web.
>
> *  To unsubscribe from this group, send an email to:
>  JewishInsulinPumpers-unsubscribe@yahoogroups.com
> <mailto:JewishInsulinPumpers-unsubscribe@yahoogroups.com?subject=Unsubscribe
> >
>
> *  Your use of Yahoo! Groups is subject to the Yahoo!
> <http://docs.yahoo.com/info/terms/>  Terms of Service.
>
>
>
>   _____
>
>
>
> [Non-text portions of this message have been removed]
>
>


Mark Sodden



__________________________________
Start your day with Yahoo! - Make it your home page!
http://www.yahoo.com/r/hs

Pumpers: Just a quick reminder to turn off the "auto off" feature on your
pump before Yom Kippur, since there is a possibility not to need any boluses
throughout the entire fast day.
Have an easy fast!

IMHO, Rav Weissmandel's response is that one should not have specific
"intention" to "carry" the excess insulin in the reservoir on SHABBOS for
use after SHABBOS. Even if one does have that intention it does not
necessarily mean that the insulin would have to be discarded.



While I am far from an expert in HILCHOS SHABBOS, I do not recall ever
learning that if one carries something on SHABBOS that the item becomes
forbidden from use.



I have not spoken with Rabbi Meisels about this issue, but the question that
I have is it even HALCHACHICALLY considered "carrying"? The reservoir is
connected into the body via the infusion set and therefore it might be
considered as part of the body. In addition, there is no extra TIRCHAH
(exertion) in carrying 100 units or 200 units.



Yehuda Y. Scheff, Supervising Special Auditor Investigator
NYS AG MFCU
120 Broadway, 13th Floor
New York, NY 10271
Voice: (212) 417-5658
Fax: (212) 417-5410
E-mail address: yehuda.scheff@...



   _____

From: JacknShelley@... [mailto:JacknShelley@...]
Sent: Tuesday, October 11, 2005 9:55 AM
To: JewishInsulinPumpers@yahoogroups.com
Subject: Re: [JewishIP] Leftover Insulin after Shabbos



In your Tishrei newsletter you have a section "Pumping on Shabbos".  The
second question to Rav M.M. Weismandle, shlit"a states:

Q: "The pump reservoir most often contains more insulin than one would
normally use in a single day.  Would this excess insulin complicate matters
and
possibly alter the Rav's ruling about carrying the pump outdoors on Shabbos?
A: The extra insulin may be carried along with the pump, but one should not
do so with the specific intention that he will use the insulin after
Shabbos."

The answer is not really clear.  Is he stating that the extra insulin left
in
the reservoir after Shabbos cannot be used?

Please clarify this.  Thank you.


[Non-text portions of this message have been removed]




   _____

YAHOO! GROUPS LINKS



*  Visit your group "JewishInsulinPumpers
<http://groups.yahoo.com/group/JewishInsulinPumpers> " on the web.

*  To unsubscribe from this group, send an email to:
  JewishInsulinPumpers-unsubscribe@yahoogroups.com
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>

*  Your use of Yahoo! Groups is subject to the Yahoo!
<http://docs.yahoo.com/info/terms/>  Terms of Service.



   _____



[Non-text portions of this message have been removed]

In your Tishrei newsletter you have a section "Pumping on Shabbos".  The
second question to Rav M.M. Weismandle, shlit"a states:

Q: "The pump reservoir most often contains more insulin than one would
normally use in a single day.  Would this excess insulin complicate matters and
possibly alter the Rav's ruling about carrying the pump outdoors on Shabbos?
A: The extra insulin may be carried along with the pump, but one should not
do so with the specific intention that he will use the insulin after Shabbos."

The answer is not really clear.  Is he stating that the extra insulin left in
the reservoir after Shabbos cannot be used?

Please clarify this.  Thank you.


[Non-text portions of this message have been removed]

Where did you pick up that info?

----- Original Message -----
From: "Shelley (Feldman) Levey" <JacknShelley@...>
To: <JewishInsulinPumpers@yahoogroups.com>
Sent: Monday, October 10, 2005 4:24 PM
Subject: [JewishIP] Leftover Insulin after Shabbos


> Is it true that you must change your infusion set every Motzei Shabbos
> because you can't use the insulin that was left in your pump over
> Shabbos?
>
>
>
>
>
>
>
> Yahoo! Groups Links
>
>
>
>
>
>
>
>

Is it true that you must change your infusion set every Motzei Shabbos
because you can't use the insulin that was left in your pump over
Shabbos?

Hi,

My job is relocating us to the Chicagoland area for a couple of years
and I need recommendations for a pediatric endocrinologist for my
daughter.  She uses the Minimed pump. The insurance carrier will be
Cigna.

Please respond offline

Thank you,

Shalom Abowitz

The information contained in this message is proprietary of Amdocs,
protected from disclosure, and may be privileged.
The information is intended to be conveyed only to the designated recipient(s)
of the message. If the reader of this message is not the intended recipient,
you are hereby notified that any dissemination, use, distribution or copying of
this communication is strictly prohibited and may be unlawful.
If you have received this communication in error, please notify us immediately
by replying to the message and deleting it from your computer.
Thank you.

I live in Boro Park. I got a recommendation via direct email and
scheduled an appointment already.

Thanks,
Hershy Beck

Where do you live?



Devorah Heyman dx '81, pumping since 7/04 with my blue Minnie



   _____

From: JewishInsulinPumpers@yahoogroups.com
[mailto:JewishInsulinPumpers@yahoogroups.com] On Behalf Of kinghlb
Sent: Wednesday, August 24, 2005 3:11 PM
To: JewishInsulinPumpers@yahoogroups.com
Subject: [JewishIP] Looking for a recommendation



I have type 1 diabetes for three years now (I'm 27 yrs old). I have
been contemplating going on a pump for about a year now. I know what
Rabbi Meisels' opinion is regarding the pump, so I'm not asking if I
should. I am asking for a doctor recommendation because my current
doctor does not deal with pumps and has refered me to someone else.

This might not be the place for this dicussion. If this should be off
line, email me directly "kinghl@...".

Thanks in Advance,
kinghlb






SPONSORED LINKS


Jewish
<http://groups.yahoo.com/gads?t=ms&k=Jewish+friend&w1=Jewish+friend&c=1&s=19
&.sig=BfmLbkajzRmPs_xK9Z3odQ>  friend



   _____

YAHOO! GROUPS LINKS



*  Visit your group "JewishInsulinPumpers
<http://groups.yahoo.com/group/JewishInsulinPumpers> " on the web.

*  To unsubscribe from this group, send an email to:
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>

*  Your use of Yahoo! Groups is subject to the Yahoo!
<http://docs.yahoo.com/info/terms/>  Terms of Service.



   _____



[Non-text portions of this message have been removed]

I have type 1 diabetes for three years now (I'm 27 yrs old). I have
been contemplating going on a pump for about a year now. I know what
Rabbi Meisels' opinion is regarding the pump, so I'm not asking if I
should. I am asking for a doctor recommendation because my current
doctor does not deal with pumps and has refered me to someone else.

This might not be the place for this dicussion. If this should be off
line, email me directly "kinghl@...".

Thanks in Advance,
kinghlb

Disetronic Medical Systems and FDA notified healthcare professionals and
patients about a nationwide recall of D-TRON adapters, used with the
D-TRONplus insulin pump, because they can potentially over-deliver a maximum
amount of up to 1.8 I.U. of insulin. Use of these recalled adapters may pose
a potential life-threatening situation for children and others using the
pump who are insulin sensitive.

Home psychotherapy helps teens control diabetes
By Megan RauscherThu Jul 7,11:16 AM ET

Adolescents with poorly controlled diabetes do better with a program of
intensive, home-based, family-centered psychotherapy, according to new
research.

Teens with type 1 diabetes, which requires regular insulin injections and
careful monitoring of blood sugar levels, have been considered "very
difficult to manage clinically," Dr. Deborah A. Ellis told Reuters Health.
"Our study showed that families were willing to receive behavioral treatment
when it was provided in their home and that such intensive behavioral
interventions can result in improved outcomes," she said.

In their study, reported in the journal Diabetes Care, Ellis from Wayne
State University in Detroit and colleagues randomly assigned 127 adolescents
with a history of poorly controlled type 1 diabetes to standard medical care
only or to standard medical care plus 6 months of an intervention targeting
problems related to adherence to diabetes treatment.

The behavioral intervention was successful in improving diabetes control,
the team reports. Average long-term blood sugar control improved to a degree
that was both statistically significant and clinically meaningful, Ellis and
colleagues note.

The strategy led to more frequent blood glucose testing. "Frequent testing
of blood glucose has been linked to better metabolic control and may
therefore account for the improvements in metabolic control experienced by
the group," the investigators write.

This study shows that home-based therapy "holds promise in improving the
diabetes management and metabolic control of adolescents," the team
concludes, but they point out that longer follow up is needed to see whether
the effects are long-lasting.

SOURCE: Diabetes Care, July 2005

A good year (and a delicious key) to all:

Having gone through my second set of foot infections this year I'm wondering
if anyone else has been unfortunate enough to have had to devise a 'better
way' to deal with the problems:

1] I am experiencing CONSTANT itching on the feet.  While they are somewhat
dry I do not thing the dryness alone could be causing it (especially as I've
been using a cream twice++ a day on them, they've softened up and the
itching is WORSE)

2) While I realize edema comes with the 'territory' and the compression
socks are a necessity, is there ANYTHING else worth looking into??

[couldn't my feet have gotten the hint on Pesach that leavening was not good
and pretended to be matzos for at least Yom Tov]

To all our members -



I plan to be away from my office for all of Yom Tov. This includes Friday
April 22 (YUD GIMMEL NISSAN). I will check the list sometime tomorrow for
any pending messages. I will check the list during Chol Hamoed but I don't
know at what time of day. I apologize in advance if there are any delays in
sending out messages.



CHAG KOSHER V'SAMAYACH



Yehuda Y. Scheff, Supervising Special Auditor Investigator

NYS AG MFCU

120 Broadway. 13th Floor

New York, New York 10271

Voice: (212) 417-5658

Fax: (212) 417-5410

E-mail address: yehuda.scheff@...





[Non-text portions of this message have been removed]

Sorry for the cross post.



Some friendly reminders:



1. Check and/or change batteries on pumps (and meters) especially for
those outside Eretz Yisroel where we observe the so called "3 day yom tov".
2. Since the Seder Night(s) are carb heavy (as are most Pesach meals),
those using a pump should consider filling the reservoir with extra insulin
(more then they normally do). I usually fill my son's reservoir with 150
units and am planning to fill it with 200 - 250 units.



Chag Kosher V'Sahmayach







Yehuda Y. Scheff, Supervising Special Auditor Investigator

NYS AG MFCU

120 Broadway. 13th Floor

New York, New York 10271

Voice: (212) 417-5658

Fax: (212) 417-5410

E-mail address: yehuda.scheff@...





[Non-text portions of this message have been removed]

Dear friends;
I will be away from my computer until after Yom Tov Pesach, IY"H.  Messages
will still be moderated.
I can be reached by phone at the FWD tel  number.
A kosher and freilichen Yom Tov.

Rabbi Hirsch Meisels
Jewish Friends With Diabetes
www.FriendsWithDiabetes.org
www.KosherLowCarb.org

http://www.msnbc.msn.com/id/7080356/

How whole grains can fight disease
All adults should have 3 servings a day, say diet guidelines
By Karen Collins, R.D.
Registered Dietitian
Special to MSNBC.com
Updated: 10:17 a.m. ET March 4, 2005

For a long time, we've heard that whole grains like whole-wheat bread are
good for us.

advertisement

Many Americans, however, still look upon them suspiciously as "health foods"
that real people seldom eat. That attitude should soon change because the
latest edition of the USDA's Dietary Guidelines for Americans clearly states
that all adults should eat at least three servings of whole grains every
day.

A greater whole-grain consumption than Americans currently have is linked in
several studies with lower death rates from both heart disease and cancer.
Even after adjusting for the generally healthier weight, exercise and other
habits of whole-grain eaters, whole grain consumption can result in 17 to 35
percent fewer deaths from these two diseases.

The protection against heart disease may stem from whole grains' antioxidant
vitamins and phytochemicals, fiber, or trace minerals. Apparently, by
improving insulin sensitivity and decreasing the disordered insulin function
people experience with metabolic syndrome, whole grains also help prevent
diabetes. Some researchers suggest that these improvements in metabolic
syndrome may be another protection against heart disease.

High antioxidant levels
The same substances in whole grains that protect against heart disease also
seem to help prevent several kinds of cancer.

Fiber and certain starches in whole grains ferment in the colon and form
substances that may block the cancer-promoting effects of bile acids. New
research presented at the most recent American Institute for Cancer Research
(AICR) conference also shows that these foods contain much higher levels of
antioxidant phytochemicals called phenols than previously thought.

These and other antioxidants in whole grains can ward off, and sometimes
even repair, damage to cells that can occur from highly reactive molecules
called free radicals. In addition, scientists believe that other substances
in whole grains may affect hormone levels and possibly lower the risk of
hormone-related cancers like breast cancer.

Weight control is an added advantage to eating whole grains. In one study,
women who ate more whole-grain foods weighed less and gained less weight
during 12 years than those who consumed less whole grains.

By moderating levels of the hormone insulin, whole grains seem to deter fat
storage. Whole grains seem to cause less elevation in the hormone insulin,
which promotes fat storage. Whole grains also seem to satisfy hunger for
longer periods than do refined grains, allowing people to eat less.

For years, guidelines from AICR have urged people to eat grain products
mostly made from whole grains. With the release of the federal government's
dietary guidelines, last issued in 2000, people may at last realize the
health advantages of whole grains compared to refined grain products.
Hopefully, the average of less than one whole grain serving a day will rise
and meet the USDA recommended minimum of three.

http://www.insulet.com/news/item/147



The OmniPodTM Insulin Management System, designed to simplify intensive
insulin therapy, will be available later this year

BEDFORD, MA -- February 1, 2005 -- Insulet Corporation announced today
that its first commercial product, the OmniPod(tm) Insulin Management
System, has received 510(k) clearance from the U.S. Food and Drug
Administration. This innovative two-part system, combining the proven
healthcare benefits of continuous subcutaneous insulin delivery and
blood glucose monitoring technology, eliminates the need for daily
insulin injections, does not require the patient to be tethered to a
conventional insulin pump via tubing, and makes intensive insulin
therapy easier than ever. The System will be available by prescription
later this year.

A Safe, Convenient, and Discreet Solution

The OmniPod Insulin Management System builds upon the safety and
reliability of today's conventional insulin pumps, while incorporating
new technology and features that offer unprecedented performance,
convenience, and ease of use. Similar to currently available insulin
pumps, the System features fully programmable continuous subcutaneous
insulin delivery with multiple basal rates and bolus options, suggested
bolus calculations, safety checks, and alarm features. It also
incorporates blood glucose monitoring technology.

However, unlike current insulin pumps, the OmniPod Insulin Management
System features a fully-integrated design with only two, easy to use
components: the OmniPod and the Personal Diabetes Manager (PDM). The
OmniPod is a small, lightweight device that combines an integrated
infusion set, automatic inserter, and insulin reservoir. The pod is worn
discreetly and comfortably on the skin beneath the clothing, and
delivers insulin according to pre-programmed instructions from the
wireless, handheld PDM. Once the OmniPod is programmed, the PDM is used
to check blood glucose levels, give bolus dosages, and adjust basal
rates. Since there is no tubing connecting the OmniPod and the PDM, the
PDM can be carried separately in a backpack, briefcase, or purse when
the patient is not actively using it to manage their insulin or check
their glucose. Each OmniPod is designed to be worn for up to three days,
and then is removed and replaced with a new pod.

Other features of the OmniPod Insulin Management System include a
user-friendly, intuitive user interface, the ability to store and review
insulin delivery, carbohydrate, and blood glucose results, and a
built-in food reference library.

"Our goal has always been to improve quality of life for people with
diabetes by simplifying management and addressing the concerns of
individuals who live with diabetes every day," said Duane DeSisto,
President and CEO of Insulet Corporation. "The new OmniPod Insulin
Management System offers a safe, convenient, and discreet solution for
patients that want to take advantage of the many benefits of intensive
insulin therapy without the hassle of injections and the complexity of
conventional insulin pumps."

About Insulet Corporation

Founded in August 2000, Insulet Corporation is a privately-held,
innovative diabetes management company dedicated to designing and
developing products that provide superior treatment options and lifelong
health benefits for people with diabetes. Insulet Corporation employees
have extensive knowledge and experience in the diabetes and medical
device industries. The company is located in Bedford, MA.





[Non-text portions of this message have been removed]

BS"D

Dear friends;
We are currently arranging two upcoming inspiring events.  If you are not on
our phone list, please email us so we can contact you with more information.

1) Boys gathering [Melava Malka] in Brooklyn, ages 12 and up.
2) Girls Shabbos gathering in Rockland, ages 12-16

Rabbi Hirsch Meisels
Jewish Friends With Diabetes
www.FriendsWithDiabetes.org
www.KosherLowCarb.org

BS"D

As Pesach Cleaning season is soon coming.....we've got to make place for the
new shipment of "donated diabetes supplies."
Here is a list of our current inventory.
If you or someone you know can make use of any of the following supplies
please notify us for shipping arrangements.
It is our pleasure to save money for many....But we would like to get rid of
supplies that is of no use to anyone anymore.

BG Meters:

Prestige IQ meter new

Precision Extra meter new

Glucometer DEX Meter used

BD Meter used

Accu Check Advantage meter 1new and 1used

Freestyle meter used

BG Strips:

DEX Strips  15 boxes (1500)

Accu Check Comfort curve strips 200

Freestyle strips 350

Glucometer Elite Strips 650



Ketostix 3bx (150)



Insulin Supplies

BD 3/10  Short needles 14 boxes

BD 3/10 1 box

BD 1 cc 2 packs

BD ½ cc 1 box

BD ½ unit markings 2 bx

BD Ultra fine pen needles 3 bx

BD Microfine 12.7 MM pen needles 9 boxes

BD Pen Mini 1

Insulated insulin carrying case 1



Pump Supplies

Animas:

Batteries IR 1000 2 bx

Minimed:

Sof serter 2

Quick serter

508 Batteries 1 box

Paradigm Reservoirs 14 boxes

Paradigm Quick Sets 12 boxes

Sof Sets 6 pieces

Polyfin w wings set 1 box (bent needle)

Simple Choice:

Easy infusion set 1 box

Reservoir for MM 508 pump 1 Box

Disetronic:

D-Tron adapters 10 boxes

D-Tron batteries 2

Tenders (w/o tubing) 21 pieces



Whole assortment of pump cases

Whole variety of skin prep, tapes for pump sites, adhesive removers

Rav Morgenstern of Jerusalem told me 4 years ago to
press the buttons with a shinui - such as press them
with my knuckle instead of the tip of my finger.


--- Rabbi Hirsch Meisels
<RabbiMeisels@...> wrote:

> This is not according to the ruling of our (FWD's)
> Rav, Rabbi M.M.
> Weissmandl of Nitra, Monsey. He paskens: No shinui
> is needed when pressing
> buttons with pump on Shabbos. One should use pump on
> Shabbos as usual.
>
> ----- Original Message -----
> From: "Yehudit" <pizzapies@...>
> >>> I also spoke with my Rav, who basically had said
> that it's better if I
> >>> don't look at
> > the screen, because I would be using it directly
> to be doing a melacha. I
> > guess, if I use a shinui and use the buttons
> without looking at the
> > screen, then
> > I guess it is much more indirect.>>>>>>
>
>
>




__________________________________
Do you Yahoo!?
Yahoo! Mail - 250MB free storage. Do more. Manage less.
http://info.mail.yahoo.com/mail_250

I'm sorry to disagree with a Rav, but
to not look at the screen when pumping is potentially placing
oneself in sacanah - an issur doraysa.
vs "looking at the window on the pump" battery powered - an issur
drabanon.
if chas vsholom someone underboluses, or even worse, overboluses,
then a persons life could be in danger.  PLEASE LOOK, or
perhaps the Rov does not understand all the issues - he could
call me or call Rabbi Meisels just to be sure that he understands.

I went to a shiur sponsored by national Agudah, where we asked
shailos to Gedolei Yisroel.  One question was what to do when a Rav
paskened against standard medical advice (such as not having breast
surgery when a women had biopsy proven breast cancer!), the advice was
to explain it to the Rav.  (in that case, the Rav called back the woman and
asked her why she did not schedule the surgery sooner!).

if you do not look at your hands when pulling the trigger of a loaded gun
while it is aimed directly at your head (chas vsholom), is it any less
dangerous?  of course you would never do that, so of course, you would
never overbolus yourself on insulin.  why take a chance?  that is an issur
doraysa.  The Brisker Rov was once asked why he was meikil (lenient) in
issurei Shabbos when it came to potentially life threatening situations.  He
replyed that he was not meikil in hilchos Shabbos, but he was machmir
in hilchos Pikuach Nefesh (saving lives!)

B well
and gut voch!
P

Yehudit wrote:



I also spoke with my Rav, who basically had said that it's better if I don't
look at
the screen, because I would be using it directly to be doing a melacha. I
guess, if I use a shinui and use the buttons without looking at the screen,
then
I guess it is much more indirect.



While my understanding of Hilchos Shabbos is immeasurably below that of your
Rav, I have difficulty understanding how not looking at the screen is a
shinui. My understanding is that pressing the buttons is a melacha. How does
not looking at the screen lessen the melacha? What do you do for your BG
checks? Don't you look at the screen to see the results? How is that
different from looking at the screen to assure you are bolusing the correct
amount?



I can understand if your Rav feels that a shinui is necessary and you press
the buttons with your knuckles because that is an actual shinui in the
melacha. When my wife was pregnant with our oldest child I discussed with my
Rosh Yeshiva what happens if I have to call the doctor or Hatzaloh on
Shabbos. His psak was that when one needs to use the phone on Shabbos or Yom
Tov that a shinui is necessary in order to press the numbers whereby you use
your knuckles; however he never said that you can't look at the number pad
when dialing.





Yehuda Y. Scheff, Supervising Special Auditor Investigator

NYS AG MFCU

120 Broadway. 13th Floor

New York, New York 10271

Voice: (212) 417-5658

Fax: (212) 417-5410

E-mail address: yehuda.scheff@...



[Non-text portions of this message have been removed]

This is not according to the ruling of our (FWD's)  Rav, Rabbi M.M.
Weissmandl of Nitra, Monsey. He paskens: No shinui is needed when pressing
buttons with pump on Shabbos. One should use pump on Shabbos as usual.

----- Original Message -----
From: "Yehudit" <pizzapies@...>
>>> I also spoke with my Rav, who basically had said that it's better if I
>>> don't look at
> the screen, because I would be using it directly to be doing a melacha. I
> guess, if I use a shinui and use the buttons without looking at the
> screen, then
> I guess it is much more indirect.>>>>>>

So, just for the update, I decided to go with Animas as I was able to call up
and find out about the possibility of doing a 'blind' bolus.

I also spoke with my Rav, who basically had said that it's better if I don't
look at
the screen, because I would be using it directly to be doing a melacha. I
guess, if I use a shinui and use the buttons without looking at the screen, then
I guess it is much more indirect.

I recieved my pump today and have a pump appointment on the 28th. I can
wait to be able to use it.


Yehudit

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Hi. To clarify, not looking at the screen may just be my mishigas,
but I really recall my Rav mentioning that I can use the beeps so its
better than looking at the screen. I am trying to get in touch with
him to clarify.

When I cancell an audio bolus, or when it "times out," my pump makes
a failed noise (I hope you all don't understand my reference, but
think something along the lines of Family Feud's "servey says ..X")
When I audio bolus, I get to set the "setp amount" (the amount for
each button press) and every time I press the button, a different
pitch (sequence of 4) is sounded. Lets say I want a 5.0 bolus. I will
press the button 5 times (if it is set at 1.0 "step amount") and it
will go "beep" after each press. going higher for the 1st 4 and then
starting the melody again. When I hit the "ACT" button to let it know
that I want it to deliver 5 beeps worth of insulin, it will replay
the sequence to confirm. At that point I need to press the "ACT"
button once again to activate and hear the clicks of the lever
turning, or wait until it times out or press any other button to hear
the failed audio bolus sound, which cancells it. Hope this helps.

Yehudit

--- In JewishInsulinPumpers@yahoogroups.com, "Scheff, Yehuda (NYC)"
<yehuda.scheff@o...> wrote:
> While I cannot argue or question the psak of your Rav, I would like
to know
> the halachic reason why you can't look at the screen while
bolusing. By your
> own admission you sometimes have to cancel and redo because you hit
the
> wrong button. I would think that this shows the need for looking at
the
> screen. If you don't look at the screen how do you know if you are
blousing
> the correct amount and not too much or too little?
>
>
>
> Yehuda Y. Scheff, Supervising Special Auditor Investigator
>
> NYS AG MFCU
>
> 120 Broadway. 13th Floor
>
> New York, New York 10271
>
> Voice: (212) 417-5658
>
> Fax: (212) 417-5410
>
> E-mail address: yehuda.scheff@o...
>
>   _____
>
>
>
> [Non-text portions of this message have been removed]

While I cannot argue or question the psak of your Rav, I would like to know
the halachic reason why you can't look at the screen while bolusing. By your
own admission you sometimes have to cancel and redo because you hit the
wrong button. I would think that this shows the need for looking at the
screen. If you don't look at the screen how do you know if you are blousing
the correct amount and not too much or too little?



Yehuda Y. Scheff, Supervising Special Auditor Investigator

NYS AG MFCU

120 Broadway. 13th Floor

New York, New York 10271

Voice: (212) 417-5658

Fax: (212) 417-5410

E-mail address: yehuda.scheff@...

   _____



[Non-text portions of this message have been removed]

Sorry, I haven't responded to everyones advice till now. I've been busy with
things and this kept getting pushed back. I want to thank you all for your
advice. Anyway, I have a couple of main questions that I hope will finalize
what I should be doing at this time. My Pump nurse did show me a Deltec,
when she presented me with the different options, but because of its size, I
wasn't very interested in it.

In regards to the paridigm and the animas pumps, the small size should not
be an issue yet, as I am only using a small amount per day. However, I have
been wondering which pump will be more conveinent for me on shabbossim.
I currently wear my pump under my clothing, and as per my Rav, need to use
a shinui to press the buttons and don't look at the screen  becuase I rely on
the audio beeps my 507C has (there is no other way to do a "audio" bolus on
a 507C except through the beeps.) However, the beeps make me slightly self
concious, as I am very aware of them, as well as the annoying clicking sound
the lever makes when a bolus is in progress.

I want to find out which pump will let me program a bolus as if I am "blind".
Meaning through my clothes, as I have been doing at times when it is not
convenient to get to my pump. Additionally, the fact of knowing how much I am
programming and that the bolus is actually going through. I have had times
when I was in a noisy area (I don't recall if it was on shabbos or not -
possibly
it was under my winter coat and I was outside - didn't really want to start
taking
off my coat to do a bolus) and used the audio bolus, but wasn't sure if I
activated it or not - sometimes I miss the "ACT" button and hit a wrong one,
making me have to do the whole thing all over. I was glad for the clicking
function of the 507C at these times, because even though I couldn't really
hear the clicks, I could just put my hand on the pump, and feel the consective
clicks radiating through the pump and had the security of knowing that my
pump was bolusing.

Any recommendations?

Thanks and a good Shabbos!
Yehudit