Israel 34,

April 19, 2024,

Hi Everyone,

Yesterday I worked in Richon Lezion, a town near Tel Aviv. One again, after a slow start we ended up being busy all evening. I started my shift at 2:45 and finished tired at 11:00, an evening shift. We got an urgent call while driving in the ambulance. The driver who is also the leading para-medic on the team was a very experienced driver. He put on the siren, Rrrr rrrrr and wey yew, wey yew and wup wup varying the siren and tone at different times. We were in a race against time in a vehicle that drove like a Ferrari. We weaved in and out of the traffic, on the side walk, in between cars, on the mid line, on the opposite side of the road. Cars got out of our way. We hit speeds of 120 in town. I filmed part of the ‘race’ through the wind shield. For the team, this was routine, for me it was really stimulating….!

When we arrived, the motorcycle, the BLS and an ACLS ambulance were already there. The woman, 80 years of age had collapsed on the sidewalk, She had time to call herself an ambulance with her emergency button. We were 12 P-Ms to take care of the patient. We gave her cardiac massage, pumped , intubated, started an IV and gave her Adrenalin several times. We got her back to life, but she re-coded in the ambulance and expired in the hospital. It was a good team effort but at her age, she didn’t have a chance. I was very impressed as usual by the professionalism and the team work. Although we were 12 present, 1 person took charge and everyone else followed instructions. It is amazing how they work together. They are quiet, very fast and very effective. There is no panic. Everyone knows and does their job in the most efficient manner. We could learn a lot from their way of working and handling an emergency. A crowd had gathered on the street to watch us but this in no way distracted the P-Ms

The last call of the evening was a semi emergency. We were called to an apartment where an old, over weight 75 year old man was having trouble breathing. The couple lived in what appeared to be a moderately price building with their son. I was not prepared for what I was about to witness. The entrance to the building was nicely tiled. The elevator was clean. We opened the door to the apartment and the state or the apartment was horrible.

The people were hoarders. There was 3 feet of refuse piled on the floor in the kitchen, living room, dining room, halls and bedrooms. There were bags of clothes, food, broken furniture, lamps, everything that you can and accumulate in 20 years. The patient was sitting on a sofa. I don’t know how he got there. We had to move stuff aside to clear a 1 foot wide path to get to him. 4 of us lifted him onto a wooden chair that we dragged through the stuff to get him out side the apartment and onto a stretcher and into the ambulance.

The man was obese, didn’t speak much, was dressed in sweat pants and a sweat shirt. He had his whole medical file neatly typed out from a previous hospital visit. What was amazing was, in spite of the surroundings, he was clean shaven and relatively clean. He was not dirty in his appearance and did not smell bad, although for protection we all wore masks.

The 2 P-Ms on my team were young girls in their early 20s. 1 was a recent grad, the other was still doing her studies and wanted to finish the army and go into medical school. I had never seen anything like what I had just witnessed. They had! Once again I was amazed by their professionalism. They were not judgemental at all. The patient was a human being in distress. They treated him in a kind, dignified and respectful manner. We did all the usual, cardiogram, oxymeter, blood glucose etc. We made him comfortable. They spoke quietly to him to reassure him. They are very well trained for all types of circumstances. This is their job and they know how to react in an efficient manner.

The whole country functions this way, quiet, no fuss, seemingly easy going but extremely effective. They of course have constant stimulation from their neighbours. I just learned that Israel attacked Iran last night. I think that there will be some excitement here today. I am not worried. We are ready for them.

Love,

Brian

I will send the ambulance drive later

Israel 34,

April 19, 2024,

Hi Everyone,

On 1 of my shifts I met a urologist from Chicago who was also doing a stint with MDA. He is staying in a hotel 100M from my hotel. We arranged to meet for dinner 2 evenings ago. He is vegan and needs a gluten free meal so I let him choose the restaurant. Yes, I even ate at a vegan restaurant!

The restaurant was in the Neve Tsedek area of Tel Aviv. We walked there and sort of got lost on the convoluted streets, passing through the Florentin area. Neve Tsedek is an older area that has been completely renovated. It has upscale restaurants and shops and is more expensive to live in. Florentin is probably what Neve Tsedek used to look like before it got gentrified. The streets are very narrow and the area has 1 cafe and restaurant after another. It caters to the student, young adult and artistic crowd. Usually I don’t like graffiti but this type was really good quality art work. The food at the restaurant was wonderful.

Love,

Brian

Israel 33,

April 17, 2024,

Hi Everyone,

I was up at 5:30 this morning to join my MDA team at Bat Yam near Tel Aviv at 6:45. The hotel is kind enough to supply me with a light breakfast before leaving. Although the morning started quietly, we were busy all day. As usual, as soon as we finished 1 call, we received another one, never returning to our base for a rest.

I met 2 young high school students who were volunteers with MDA and may continue in the medical field. Both would like to come to Canada to ski with me one day. The driver was a medic with a lot of experience. The para-medic who was responsible for the team was doing his first shift with MDA. I was very impressed with his professionalism. In multiple cases, in what I would consider to be stressful situations, he was able to control the atmosphere by the calm way in which he took control of the situation and had an immediate calming effect on the patient. He knew how to speak with the patient and immediately gained the confidence of the patient. The entire staff present, as well as family and friends were put at easy by the way he spoke and at the same time, his direct and competent actions. The other p-m was still in training with MDA and is in the IDF. Eventually he will be a p-m with the army. This will of course involve more trauma cases. He would like to go into medicine in the future.

I have been in Israel for 5 weeks now. I am very impressed with the Israeli population. Israel has managed to integrate people coming from all over the world. Most of course are Jewish, however their beliefs vary greatly from secularism to the very religious. They have 1 thing in common, which is their dedication to Israel. In spite of the war which has gone on for 6 months, life continues as usual for most people. We have rocket attacks everyday but the people are not tense and seem to take it in their stride. I like the way they great each other in a friendly manner. They seem to be very together as a nation in spite of the serious political differences. They are sorry for the lack of understanding in other countries, but rejoiced when they received the help given to them by the US, GB, France and even certain Arab nations during the rocket attack by Iran.

Love,

Brian

FLACK JACKET, just in case

Israel 32,

April 16, 2024,

Hi Everyone,

Today I was given the option to go to Siderot. It is small city of 40,000, south of Tel Aviv, 1.5K from Gaza. Given the proximity to the ‘action’ there was no way that I would refuse. I was up at 5:00 and with the help of Waze, arrived in Siderot 1 hour later. The MDA base is much more relaxed and does not usually get the same type of cases that I saw yesterday. I was introduced to the team and made my own breakfast. Everyone was very friendly and asked me numerous questions about Canada. They were excited to hear about my case from yesterday.

The cases that I saw were very routine, mild chest pain, dizziness etc. Over the last few days I went into many houses and apartments. I was very impressed with the buildings. They are very modern with large tiles on the floors and balconies. The furniture looks to be moderately priced and very modern. The places are very well kept. At 1 point during the day we went to a very ultra religious village. It was horrible. The houses were not kept well and there was garbage everywhere. Very disappointing and shameful.

Siderot was terribly struck on Oct 7. They terrorists crossed easily into the city. Over 100 people were killed. There were many wounded patients, too many to treat. There was gunfighting in the streets as the police and IDF tried to respond. The 40,000 residents were evacuated several days later to hotels in Eilat and other places. They could only return to their homes 3 months later. Over 250,000 Israelis still can not return to their homes in the north due to Hezbolah shelling. This is never reported in the western press. They are only concerned with the plight of the Gazans. It makes me wonder who fired the 1st shots on Oct 7, the Palestinians (Hamas) or the Israelis. Many of the Siderot residents suffer from PTSD and will continue to do so for many years. The P-M that I worked with was on duty that day.

bomb shelter/safe house in the street

Israel 31,

April 16, 2024,

Hi Everyone,

Yesterday was my 1st real day for working with MDA, Magan David Adom. I receive my orders in the evening as to where I will work in the Tel Aviv area. My 1st assignment was in an area called Holon a 20 minute drive from my hotel. I have learned to use Waze which is very effective in Israel.

I was assigned to an ACLS ambulance. The driver, Rancho is a senior para-medic with many years of experience. A junior para-medic, Shilit was present as well. We were busy all day. As soon as 1 call was finished another call came in. We started work at 6:45 and did not finish until 4:30. We did at least 6 calls during the shift.

In Israel the 1st responder is often a p-m on a motor cycle. A BLS, basic life support ambulance is called for basic resussitation. They can do EKGs, give oxygen, take bloods, BPs, do CPR including shocking the patient if required. An ACLS ambulance can do more in depth diagnosis and treatment including giving major medications. There is also 1 ECMO ambulance, made in France, with an ECMO machine that I will describe later.

My 1st case was rather simple, a DOA that required only paper work. We had several other cases, requiring more advanced care and transport to a hospital. We had 1 CPR case that required cardiac massage and shocking. We saved the patient and he regained consciousness.

We then had 1 case that I have never witnessed before and will never forget. The 1st responder and BLS support team had already been called. They were giving cardiac massage when we arrived. We intubated the patient who had already been shocked to restore his rhythm. ECMO was then called. They are only called for CPR if the patient is under 65, salvageable and the cardiac arrest has been witnessed.

ECMO was called and arrived in another ambulance with 3 physicians. We were still doing CPR. They produced a machine that went around the patient and was able to do extremely effective chest compressions. A doctor then prepared a sterile field in the groin area. He then placed needles in the right femoral vein and artery. This was followed with wires that went up the vein and artery. A 1 cm tube was then inserted into each vessel. These tubes were connected to a portable heart-lung machine to take out the venous blood, re-oxygenate the blood and replace it in the artery. I didn’t even know that such a machine existed.

The patient miraculously regained consciousness. The fire department was called as we could not get the patient and all the equipment into an elevator. A hook and latter truck raised a platform to the 2nd floor. The patient was placed on a hard portable stretcher and moved onto the elevated platform. The platform was then lowered to the awaiting ambulance and transported to a hospital. We later learned that he had undergone an angiogram and will probably require a bypass. The LAD, the main cardiac artery was 99% blocked. ‘Been there, done that’ and played hockey 3 months later. I think that Israel is much more advanced than us for doing advanced CPR in the field. There training must by much more involved than ours.

Love,

Brian

ABSOLUTELY UNBELIEVABLE, miraculously saved the patient, what heroes.

Israel 30,

April 15, 2024,

Hi Everyone,

After my training with MDA, in Jerusalem, I had 3 hours to spare before meeting my cousin David. I took the light rail train from the main train station to the old city. It always amazes me from visiting Europe and Israel, how these countries can a build an inexpensive 4-6 car surface, light , electric train at a low cost with no fuss or bother. It is beautiful, efficient and quiet. Why do projects take so long and are so expensive to build and run in Quebec. Need I answer my own question?

For those of you who have not had a chance to visit Israel, the old city of Jerusalem is quite amazing. The history of Jerusalem dates back 2000-3000 years. The 3 religions, Christianity with its variations, Judaism and Islam, for better or for worse have their origins here. The old part of the city is walled and has undergone considerable renovation since I first visited her in 1979, 3 years after the 6 day war. The streets are very narrow with cobblestones. Very few cars can navigate the passageways. All of the famous prophets walked these streets at some point in time. The original city is in many places much below the surface. The ‘dust of the ages’ has accumulated to raise the level of the city as is true in many old cities.

The city is divided into 4 sectors, the Armenian sector, the Jewish sector, the Christian sector and the Muslim sector. Due to the war, sadly, the city is empty of tourists. The shops and the cafes are empty. There is no business being done here.I have been here many times in the past, so the jewelry and ‘authentic’ clothes don’t interest me. I stopped to have a coffee late in the afternoon to call Marion and congratulate her and Jeremy on their new born son. I was alone in the cafe. In some ways I am of course drawn to the old city. Although there is no danger walking here and I never feel uncomfortable, I know that there is tension among the various religious people.

Of course, even though I am Jewish, and have no religious affiliation with Judaism, I wanted to see ‘the western wall’. You may of course ask me if I have no affiliation with the Jewish religion, why am I here? I think that I have answered that question on several occasions in my blog. The plaza in front of the wall is beautiful. The part of the wall that is visible represents the western wall. It runs about 100 meters and is probably 10 meters high. This represents only ⅓ of the height of the wall. The original temple was about 500 meters long. It must have been magnificent. Israel has done a fantastic job of excavating below the wall to see the ancient structure without either disturbing the wall or the mosque. I may visit this another time.

I met my cousin David at 6:00 at a small market. I have not seen him since 1972, when I returned from France the 1st time. He was 9 and I was 23 and he was staying at my grandmother’s house in Trout Lake. We have both changed since then. 10 years ago, we renewed acquaintances on the internet as he was doing some research on our ancestry. Our grandparents came from the Russian Empire, now Moldova, Rumania, Lithuania, Belarus, Russia and Ukraine. They lived in shtetles, in very poor conditions and left due to the pogroms that killed 1.5 million Jews from 1880 to 1917. The programs only stopped with the Russian Revolution to be replaced with another form of anti-semitism.

David and I are diametrically opposite to each other on the religious spectrum. He is very religious although not Haredi, and spent the greater part of his career as a rabbi in the Air Force. He now does IT research with the government. In spite of our religious differences, we got along splendidly together. We went to a particularly kosher restaurant where the Italian style food was delicious. If you want to go to a good restaurant in any country, you can always count on Italian style food. We exchanged family stories and laughed and joked with each other until rather late in the evening. He has 8 children and his sister has 9. There are a lot of grandchildren. I bid him farewell with a promesse to meet again later in the month. He lives just outside of the Green Line in a religious village. We spoke a little about politics and the future of Israel, but like all the Israelis, no one knows what to do and what a good solution would be to the I-P problem.

SI worked with MDA just outside of Tel Aviv on an ambulance which was fabulous. I was up at 5:30 to make work on time. I don’t have time to tell you my adventures so I will combine 2 days in 1 tomorrow. Tomorrow, I will work in Siderot, 5k from Gaza…..Don’t worry, I will be fine.

Love,

Brian

soldiers are everywhere in Jerusalem

A photo of Yeminite Jews, 16 and 14 with a child

Israel 29,

April 14, 2024,

Hi Everyone,

I was awoken at 1:30 in the morning by war noises. I later learned the following morning what had transpired that night. Iran, in a surprise attack known to all, in an unprecedented manner had attacked Israel. Iran sent over 300 drones, cruise missiles and rockets to attack us. The Iron Dome aided by GB, the USA and France had intercepted 99% of the missiles. Several of the missiles were allowed to fall on open ground where they would do no harm. Unfortunately, 1 Bedouin child was injured as the Bedouins live out in the open without shelters.

Most of the missiles were intercepted over water without reaching Israel. You must remember that when a missile is taken out by the Iron Dome, there is still fall out with shrapnel which can be dangerous. Israel proved to themselves and to the world that they are capable of defending themselves. The Iron dome does come at a cost as each counter missile is expensive. Although I heard the attack, the sirens in Tel Aviv did not go off and we did not have to take shelter. Jerusalem was targeted and the Iron Dome intercepted missiles over the Muslim, Dome on the Rock. Imagine if a rocket had hit the mosque. Iran would have blamed the Israelis for letting it happen!

Everyone in Canada had heard the news by late afternoon and had seen the images on tv. I received dozens of emails asking me if I was safe. I am safe and am writing this blog. It is nice to know that my friends and family worry about me! I also saw images of Iranians dancing in the street, celebrating their victory. If a country fires 300 missiles at a target and missed the target 99% of the time, causing no damage, how can this be declared a victory? They obviously have a different idea of what is a win.

All of a sudden the world is now on the side of Israel against Iran. The security council met to condemn the attack. Iran stated that this is the end and there would be no further attacks if Israel did not retaliate. Biden suggested that Israel ‘take a break’. What country in the world would allow herself to be attacked with 300 missiles without doing anything? Just like on Oct 7, the world will be with Israel for 3 days. Afterwards, if Israel retaliates, she once again will be the aggressor. Here in Israel, the cabinet as well as the person on the street is divided as to what action should be taken. I am a hawk. It would not be difficult to guess what I think should be done. These countries respect strength. Failure to act will be deemed as weakness and will invite further aggression by Iran and her proxies.

I took a late morning train to Jerusalem and met my trainers at MDA. I was given a brief course on how MDA works. I will be in an ACLS ambulance with a driver who is a senior ambulance tech and a junior tech who is well trained. The ambulances are superb. There are large medical bags which contain dozens of medications, most of which I have some knowledge of but am certainly not an expert with their use as I have not done emergency medicine for many years. O2 is available. IVs with multiple solutions are available. Bandages, splints, tourniquets etc. The patient can be bagged, intubated and shocked if necessary. A senior is available by radio. A modern EKG monitor which can monitor the pulse, blood pressure, O2 saturation and can be used to shock the patient if necessary. I was re-assured that the techs are very well trained.

Love,

Brian,

PS I promise there will be pictures later.

Israel 28,

April 13, 2024,

Hi Everyone.

Here is a late night update that I sent to some of my subscribers. We have heard through reliable resources that Iran is planning a secret attack on Israel. Flights have been cancelled. There is a reduced train schedule. I was told to stock up on water, chocolate bars and food just in case…. They forgot to mention wine. Let them come. We are ready for them.

Tomorrow, I will go to Jerusalem for an MDA training course. Afterwards, I will meet my cousin, David, who I have not seen in 52 years. He was 9 years old and was staying in Trout Lake where my grandmother, Lily, rented a summer house. David and I share the same grandparents on my father’s side. I came up north with my MGB and took Bubbie Lily and David to Ste Agathe to do some shopping. Lily used to take the grandchildren to her place for a week or 2 in the summer. The house is still standing. David impressed me as being a smart kid as he asked me numerous questions on the MGB, the motor, the stick shift etc.

Love,

Brian

Israel 27,

April 13, 2024,

Hi Everyone,

I have not written my blog for a few days, 1) because until yesterday, my life has been rather ‘routine’ for a while, and 2) I wanted to allow my readers to get caught up with my adventures.

My last day at Matzrap was somewhat memorable as we finished off the fruits of a weeks labour. We had placed 12 card board boxes on our work tables. We then filled the boxes with various medications and bandages. We then took 1 or 2 items from each box and placed them into plastic bags which one of us then sealed. 775 bags, not one more or one less. We then placed the 775 bags along with other bags diligently prepared by another group, into big 2’ by 3’ boxes and sealed them. What an accomplishment. Our labour was accompanied by selected 60s to 70s music tracks generously supplied by Spotify with a small ampli-speaker. I said good-bye to my new friends and finished the job off by challenging Israel ( pronounced Yisrawale ) to an arm wrestle. This was the 1st arm wrestle that I ever lost in my life as I usually only challenge people I know I can beat.

We took a bus back to Tel Aviv where I am staying at Maxim Hotel as usual. I have not been making much progress with my Hebrew as there are too many English speaking people here. The Israelis switch to English on my 3rd word. I went out and bought a Hebrew grammar book that may help me with my tenses. There are only 3 tenses in Hebrew and somehow I can’t manage to learn them.

2 evenings ago I walked through the Florentine neighbourhood. It is an older area that has not been gentrified yet but may be in the process of doing so soon. The streets are very narrow, many do not permit a car to drive through due to the width. There are electrical lines everywhere. The area is packed with inexpensive bars, cafes and restaurants. The area caters to students and young working people and everyone seems to be out enjoying themselves. I had already eaten or I would have joined them. I took many pictures. I usually don’t like graffiti, however the buildings are covered with some great art work. I will return another day to take pictures.

Last night I drove out to my cousin’s place in the south half way between Gaza and Beersheva. She took me for a drive in the area. She showed me many farms and kibbutzim that had been evacuated and where the people are still living elsewhere. 250,000 Israelis have had to be evacuated in the north and near Gaza and still can not return to their homes. This is never reported in the western press due to the anti-Zionist fervour that has infected the world. The Israeli PR has been a complete failure for 20 years. Farms are privately owned. In kibbutzim all of the land and produce are owned and distributed to the community. It is true communal living that was popular here beginning in the 1880s but slowly decreasing over the last 30 years for various reasons. In a moshav where my cousin lives, the land and homes are owned by individuals but the major equipment is owned by the community.

We drove to the school where she used to teach but which has been evacuated since Oct. 7. The school is a sprawling complex with multiple low rise buildings housing 1500 students. The school has been located elsewhere due to its proximity to Gaza. The school complex resembles a summer camp, much different from Monklands High which I went to in Montreal. We drove as close to Gaza as possible and still be safe (relatively I suppose). There was some gun fire noise in the background coming from Gaza. I could see Gaza with binoculars and took some pictures which are too distant to discern anything. Shari lives in a lovely house on the moshav. She also owns another property which she might be willing to sell to me if I was interested in having a country house in Israel……She and her husband have 4 lovely children who I met and had Shabat dinner with. I drove back to Tel Aviv late in the evening. The drive took me about 1.5 hours and is very pleasant. The country side here is semi arid with a lot of agriculture which can occur with micro irrigation which was developed in Israel. The Arab countries could learn a lot from Israel if they chose to study the system instead of only pulling oil from the ground.

The news from Canada is horrendous. People on the military bases come from all over the world. 30% are not Jewish but are very pro-Israel. It seems to be 1933 all over again with the world once again finding a scape goat. Everyone has heard about Trudeau. What a bad reputation he has given to our country. How much money did it take to pay him off for his duplicity. Toronto is vying for the number 1 position for number of pro-Palestinian rallies that have taken place. There have been over 300 since Oct 7. It took his father much less time to ‘read the riot act’ and disperse these hoodlums. They are all cowards. At 74 years of age, I am here defending my beliefs. How many have gone to Palestine to defend theirs? It is much too easy to demonstrate against 12 year old students, or elder synagogue goers. Why don’t they come here and fight for Palestine or demonstrate in Israel. Afraid?…

Tomorrow I go to Jerusalem to meet my MDA co-ordinators and will have a short training course. I will go by train and spend the rest of the day visiting Jerusalem, a city that is home to 3 religions. I always try to stay away from religious places as I harbour a distinct allergy to organized religion.

Love,

Brian

Last day at the base

Florentine

Shari’s school

Along the road in the moshav. The cactus is called a sabra which is the nickname for

native born Israelis. Prickly on the outside, soft and juicy on the inside. Apparently you

can eat them.

There were about 100 boats out racing today in 10-15 knots of breeze without me. ‘Here I am in Motown with the Memphis blues again.

Israel 26,

April 8, 2024,

Hi Everyone,

Today we had a phenomenon that I have never seen before in Israel. Pouring rain! It only lasted for 1 hour and didn’t affect me as I was working in a warehouse. My job with a team of 6 was to unpack medical supplies including medication and then repack it into specific pockets in medical bags carried by medics.

At the end of the morning, we had a talk by the CEO of Sar-El. She stressed the importance of the work that we are doing. Sar-El usually has 4000 volunteers per year. This year if the numbers continue, they may have 5 to 10 times more. Essentially we are replacing the soldiers who have been called away to the front. Because of the war, there is a higher demand for this type of equipment. Many volunteers came to Israel and do day labour on farms and come back to Tel Aviv at night. Others, help out in food and clothing distribution in various sites in Israel. Others help out in rebuilding what was destroyed by Hamas.

In the afternoon we were given a lecture by a General in Israeli Intelligence. There was a major fault in intelligence work which began a long time before Oct. 7. Apparently, this is being addressed so that it does not occur in the future. There is a museum located north of Tel Aviv dedicated to Israeli intelligence which I will visit. Someone asked him if the Mossad functions like in the Netflix series, Fauda. He said that somethings are accurate but in the end, Fauda is a movie for the public. It is very popular in America but nevertheless it is still a movie. He also showed us a short film on a children’s camp that was founded by Paul Newman several years ago.

I was invited for a Passover Seder with my cousins.

Love,

Brian