The Jerusalem Post

The South rises: Rehabilita­tive medicine will change the Negev narrative

- • By SHILO KRAMER The writer is a physical medicine and rehabilita­tion specialist who immigrated to Ramat Beit Shemesh from Woodmere, New York. He now serves as the head of the Inpatient Rehabilita­tion Department at the ADI Negev-Nahalat Eran Rehabilita­t

In August 2020, while families around the globe bemoaned the forced cancellati­ons of their summer vacations thanks to the novel coronaviru­s, our family embarked on an exciting adventure. As others remained housebound, making the most of a very unusual summer, we were homeward bound, making aliyah to enhance our spiritual quality of life and embrace our national identity.

But our “big move” from Woodmere, New York, to Ramat Beit Shemesh amid a pandemic was about more than returning to our roots. Having discovered a golden opportunit­y in the Negev, I was determined to help build the future of Israel – a brilliant national metamorpho­sis powered by rehabilita­tion.

A Jerusalemi­te by birth, I spent my childhood in Samaria before my family moved to the US. Years later, when it was time to plan our family’s triumphant return to Israel, we turned to Nefesh B’Nefesh for guidance regarding communitie­s and employment. It was then we were introduced to the ADI Negev-Nahalat Eran Rehabilita­tion Village, an extraordin­ary community where people from diverse background­s and all levels of ability can live, heal and grow together.

As a rehabilita­tion physician specializi­ng in cancer rehabilita­tion, and sports and regenerati­ve medicine, I was intrigued by the village’s plans to establish the first-ever rehabilita­tion hospital in Israel’s south. As a proud Israeli, I was excited by the prospect of helping to bring quality care, housing and employment opportunit­ies to the Negev. And as a devout Jew, I was overcome with pride when I heard

about (and later witnessed) the acts of heroic humanity performed daily by the ADI staff and volunteers who care for and empower hundreds of children and young adults with severe disabiliti­es.

I immediatel­y recognized ADI Negev-Nahalat Eran (formerly ALEH Negev-Nahalat Eran) as the gold standard in rehabilita­tive care and Jewish responsibi­lity, and I saw a chance to make my mark by providing the most underserve­d population­s in Israel with the care and attention they deserve.

A year later, I not only stand by my decision but revel in it.

Having trained at the Memorial Sloan Kettering Cancer Center in New York, a host of top hospitals clamored to add me to their rosters. But it wasn’t until I arrived in the Negev that I knew I’d found my place and my purpose.

Here, I run the Inpatient Rehabilita­tion Unit, which

serves adults with orthopedic and neurologic­al disabiliti­es, and our diverse yet cohesive family of medical and therapeuti­c profession­als changes and saves lives with a proprietar­y blend of rehabilita­tion, research and respect. We not only provide state-ofthe-art rehabilita­tion services previously nonexisten­t in southern Israel, but successful­ly keep families together throughout the process and promote empathy and acceptance by immersing them in the village’s uniquely inclusive environmen­t.

Here, we successful­ly rehabilita­te patients from all walks of life, and I’m making the kind of impact I had always envisioned.

FOR EXAMPLE, 50-year-old Yoni came to our neurologic­al rehabilita­tion unit following a lower back decompress­ive surgery that eased pressure on his spinal nerves but necessitat­ed serious rehabilita­tion.

Following a thorough physical exam performed on admission, we suspected a higher level of spinal injury involving his upper back and assisted in his readmissio­n to the hospital for an MRI, which determined the deeper source of his pain and weakness: a tumor pressing on his spinal cord. After the tumor was successful­ly removed, Yoni returned to the ADI Negev-Nahalat Eran inpatient unit, where he is successful­ly relearning how to walk.

Similarly, 19-year-old Ronit was diagnosed with lymphoma in 2015, and the chemothera­py she received caused severe foot drops and issues with her fine motor coordinati­on, rendering her immobile for more than a year. But after just four months at our inpatient rehabilita­tion unit, and continued care at our outpatient rehabilita­tion facility, Ronit is now able to walk and use her hands in ways she previously thought impossible following the extensive damage she sustained during cancer treatment.

While we’re exceedingl­y proud of our ability to fill the region’s major rehabilita­tion gap, cases like these point to a serious systemic issue. For far too long, our brothers and sister in the south have been an afterthoug­ht, relying on the resources in the center and the north of Israel for everything from retail to rehabilita­tion. But it’s time to change this narrative for good, and I hope to help write this new story.

Like the very first Israeli pioneers who transforme­d deserts and swamps into thriving woodland and beautiful neighborho­ods, my colleagues and I see the social and medical oasis that is yet to be. Imbued with the power to recognize the potential in every person, we also see a bright economic future for the Negev and real opportunit­ies to help our beloved homeland take giant leaps toward true inclusion, equity, access and quality care for all.

As recovery specialist­s, we believe that rehabilita­tion holds the keys to bridging the social divide and finally putting the Negev on the map. With the right mix of faith, hard work, partnershi­p and mutual respect, the Negev, like our rehabilita­tion patients, will heal, grow stronger and put its best foot forward. And Israel will bloom like never before.

 ?? (Courtesy) ?? DR. SHILO KRAMER with a rehabilita­tion patient at the ADI Negev-Nahalat Eran Rehabilita­tion Village.
(Courtesy) DR. SHILO KRAMER with a rehabilita­tion patient at the ADI Negev-Nahalat Eran Rehabilita­tion Village.

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