Israel 4,
July 7, 2026,
Hi Everyone,
Today I did my 1st shift on an MDA ambulance. The day started off slowly and ended up even slower. I was with a very good team so the shift was fun anyway. One of the paramedics was doing his last year of training. He had already done his 3 years of military service and then spent 2 years travelling around the world. He is hoping to get into medical school the following year.
The 1st call was reported to us as a drowning. While racing along to the beach, the call was cancelled as the would be patient started swimming. The 2nd call was for a lady unconscious but breathing and lying on the street. On the way to the scene, the call was cancelled as the lady woke up and walked away.
The 3rd call was a terrible tragedy. We were called to one of the wealthiest neighborhoods in Tel Aviv. The house was a beautiful white bungalow on a large property that was in the process of being renovated. We were told that a young 22 year old man was unconscious on the floor. The family had not seen him since the evening before. When we arrived it was obvious the man was dead and had been dead for several hours as rigor mortis had already set in. There was a computer with several screens on the desk and empty bottles of psychiatric medications near by. The young man was a Muslim and in service with the IDF. His father was away on business, apparently a CEO of well known bank. The police, 2 motorcycle ambulances, a white BLS ambulance and us in a yellow MICU ambulance were all present but there was nothing to be done except to pronounce him as deceased. I can say no more. We were all saddened by the apparent suicide.
The 4th call evolved an elderly woman living in a hospice. She had a severe history of cardiac disease and had had a stroke in the past. Her medical history, type written on 3 pages was given to us. We made the initial diagnosis of septic shock and did the appropriate management, IV fluids, epinephrine, history and physical exam, etc. She appeared to improve in the ambulance on the way to the hospital. On arrival, she was transferred to the hospital stretcher, placed in an ER room and had medical attention with physicians and nurses immediately. In Israel, I have always been impressed with the efficiency of the medical system when we bring a patient to the hospital.
The last call at 3:00 just as our shift was ending was a psychotic patient who had stabilized so the call was cancelled.
I returned to my hotel and went down to the beach. There were 1meter waves making swimming difficult. I swam ¾ of the way to the breakwater and back twice. Going out any farther would have been dangerous. The life guards were whistling people in if they swam out too far. I then ran 5k on the beach in less than 44 min.
I took a short nap and then went to La Mer restaurant to eat and watch the Egyptian – Argentina game. The place was packed with chairs and tables extending out onto the sandy beach. There were at least 1000-2000 fans present. Everyone was routing for Argentina especially after the incident which occurred after Egypt won their last game. The Egyptian coach ran onto the field after the win with a Palestinian flag saying that the team had won the game for Palestine. Politics are not supposed to be allowed at World Cup tournaments, but the incident was ignored by the refs. Egypt erected a huge high wall between Gaza and Egypt to keep the Palestinians out. I guess that he forgot about that wall. The restaurant was dead silent after Egypt took the lead with 2 goals. I was still hopeful that Mesi would prevail with goals. He did not disappoint us. In the closing minutes of the match, Argentina took the lead with 3 goals winning the match. The place went wild with everyone celebrating and congratulating each other. What a win!!
I struck up a conversation with a gentleman sitting beside me at the table. His name is Mikolaj Zalasinski and is a famous opera singer. He has been invited all over the world to be the lead singer in several operas. He will be singing in the opera, Tosca in the Tel Aviv opera house. He will try to get me invited as a guest. They have been practicing for several weeks. I love opera and will be very excited if he can get me a ticket. He was very impressed that I wrote a book about Israel. Apparently, his grandmother is Jewish.
Love,
Brian






























































































