bat-yam – gobriantravel

Israel 20,

April 9, 2025,

Hi Everyone,

Good and hopefully wonderful news. The 4 month old baby that we treated 2 days ago has woken up with apparently no neurological deficits. It may however be some time until they see the long term outcome of the event. At the very least, we know that he is on the right track. In my mind, there is no question, the chief paramedic on our team who by his quick action, under difficult circumstances, saved the life of the child. Kol Hakavod. Way to go!

The news from around the world is getting worse and worse. Trumps tariffs, which have not been thought through by anyone who understands world economics, is wreaking havoc on the stock market in the USA, Canada, the EU and Europe. Now, even his billionaire henchmen who surround him, and lavish praise on him are having second thoughts as their portfolios decrease by the billions. No European country will ever trust the USA again. The good will that has taken 80 years to build since WW2, has been destroyed in one fell swoop, by one powerful man. Trump is 99% wrong in all his policies but may be 1% correct in his Middle East policies. He has announced that he will have direct talks with Iran in 3 days on Saturday about Iran’s nuclear policy. Iran has announced that the talks, which will take place in Oman, will be indirect through mediators. Has Trump misspoken and will he back down? I doubt it as it would cause him to lose face which he is not like him even if he is wrong. Here in Israel we are watching, this holding our breaths, with caution and hoping for the best outcome. One way or another, Iran must not acquire nuclear weapons.

Last evening I went to Bat Yam, a suburb of Tel Aviv for dinner with a friend who I met at Sar-el. We had dinner in a beach restaurant overlooking the beach. I ate a fish called mullet which I have only eaten once before here in Tel Aviv. It was delicious.

We had a quiet day with MDA today. The 1st case was a lady who called the ambulance because she had an anxiety attack. The paramedics spoke with her for 1 hour. When it came time for her to come with us in the ambulance to the hospital, she went into her kitchen and brought out a pot of soup that she insisted in bringing with her in the ambulance and to the hospital. This is absolutely not forbidden. A neighbour came over to try to convince her that she could not take the soup with her. In the end, we were forced to leave the lady and her soup behind at curb side.

The 2nd case was an 18 year old girl that had an episode of tonic, clonic epilepsy. This was her first episode and the parents were obviously very frightened. The epileptic fit had finished by the time we got there and had only lasted a few minutes. Her VS were normal as was the EKG. She had not fever. We brought her to the hospital for a full neurological exam, blood work and a CT scan.

The 3rd case was an elderly Russian patient who didn’t feel well. She only spoke a few word of Hebrew. The paramedics did the best they could to get a proper history from her with signs and gestures. They are very patient with patients in these cases. There were changes on her EKG with no discernible chest pain. We took her to Tel Hashomer for further evaluation including blood work, serial EKGs and tropes.

The 4th case concerned a 30 year old female patient who was crying, yelling and had broken a glass in the stairwell. On further questioning which took some time, we were able to conclude that the entire family including the husband, the mother and the father were partners in a totally dysfunctional family. There may have been a court order that a judge had ordered house arrest for the husband and that the wife, who was the patient, had to stay and look after him. Go figure. The police were called for back up but they did not interfere with us. Eventually, after much discussion, the woman came with us to the hospital for stabilization. I was able to talk to the policemen who were motorcycle cops. We got to talking about motorcycles and they were quite impressed that I own a 1973 Triumph 750cc Tiger.

Over the last few days, I have really seen a cross section of Tel Aviv society. If you walk on the beach in Tel Aviv, you falsely may get the impression that everyone is tall, beautiful and in good shape. Once you leave the beach however, you can be surprised with what you see. Some people are overweight. Many of the apartments are somewhat run down. Some apartments are beautiful from the outside and in the lobbies , but the individual apartments are not well kept at all. There is a large immigrant population with different ideas of cleanliness and neatness than our own. Of course, that is what makes a society.

Love,

Brian

Bat Yam Beach