2025-03 Israel

Israel 28,

April 18, 2025,

Hi Everyone,

The sirens went off at 6:40 in Tel Aviv and all over central Israel. I learned my lesson from last time when I was in Eilat, and put on a pair of pants and a fleece before heading out to the shelter. Everyone in the hotel stood in the stairwell for the 10 minutes that the sirens were going off. We learned later that the Houthis had fired a ballis I wandered over to Dizengoff Square for a late dinner last night and am doing the same tonight. On the circle are several restaurants, three of which I frequent often for dinner. Except for a few grandparents who are taking their children and grandchildren for dinner, I am well past the average age here. Great, I love to be with 20-30-40 year olds as it makes me feel young again. I am always shocked when I walk past a mirror and see a reflection of myself with wrinkles and white hair. I skipped grey and went straight from blond to white after my bypass, 12 years and 15 triathlons ago.

Last year and again this year while at the laundromat and waiting for my clothes to wash and dry, I noticed a storefront gym with young people doing shadow kickboxing without actually fighting, accompanied by loud rock music. Everyone seemed to be sweating and enjoy themselves so I decided, why not, maybe I will give it a whirl. With my 3 days of training in krav maga, why not try a new challenge. I spoke to the instructor who invited me to come to a group class this morning.

There were about 8 of us in the group class, mixed men and women, the oldest of whom could not be more than 35. Great, I felt really at home with the group. We donned 12 oz gloves and then stood in front of the boxing bags, quite heavy and hung from the ceiling. Each of us had our own bag. The instructor then went through different moves of punching and kicking the bag. For each round of 3, he added a new kick or punch. We then moved on to weights with a bar. Most of the students took 30 lbs weights. The instructor gave me 10 lbs to start. He told me to take it easy as this was my first lesson. After lifting the weights we did a series of push ups and sit-ups. Most of the students did 10, 3 times. I was ok for the sit ups but to my surprise, I could only do 5 push ups at a time. I will have to practice before my next session next year. I may consider purchasing a punching bag and gloves at home for my basement.

I came back to the hotel to change into my bathing suit. I learned my lesson yesterday and reserved a beach chair at 9:00 before going out for my kick-boxing lessons. The chairs are hard to come by at 12:00 which I found out yesterday. It was at least 35C today with a slight breeze. There was not enough wind for sailing or kite surging. My usual routine is to lie on the beach chair for 30-45 min and then take a dip in the sea. Today, I felt enthousiastic after my boxing lesson, so I swam out to the breakwater twice, a distance of 1 km.

I ate my Magnum ice cream cone and then went for a manicure in a shop near my hotel. The lady was really nice and did a great job on my nails. It was only the second time in my life that I had a professional manicure.

continuation from paragraph 1,

We learned later that the Houthis had fired a ballistic missile at us. The ballistic missiles are much more dangerous than rockets or drones. They obviously are being given to the Houthis from Iran. Well they asked for it and they are going to get it. The missile was taken out over the water by the iron dome and no damage was done to Israel. However this cannot continue to go on forever without punishment. Trump is again meeting with Iran this Saturday. Neither Iran nor Trump will back down on Iran’s nuclear strategie. Iran has so much oil that they really don’t need nuclear energy unless they are contemplating using it for making a nuclear bomb. If Iran gets a nuclear bomb, every country in the Middle East will get a nuclear bomb. This is like having babies playing with fire. It just won’t work if the world wants to have another generation of children. One way or another, be it through diplomacy or war, the nuclear capacity of Iran must be destroyed.

On this happy note,

Love,

Brian

Dizengoff

my kick boxing instructor

Sirens went off at 6:40 am due to ballistic missile fired by Houthis

2025-03 Israel

Israel 26,

April 16, 2025,

Hi Everyone,

Last evening when my new friend Boris and his wife left, 2 young girls sat down next to me. As usual, I cannot forego striking up a conversation with fellow patrons sitting at the bar. My opening line this time was ‘are you American?’ As they were both speaking English and were clearly not English or Australian, American was a safe bet. 1 young lady was here for a short visit. The other lady came after Oct. 7, and has been here for 1.5 years. She started a website on Facebook called Sword of Iron, Israel Volunteer Opportunities. It is a very successful website and has become the go to website for foreigners looking for opportunities to volunteer in Israel. I consult the site almost everyday and often read about the volunteering experiences of fellow travellers. I told her that I write a blog on a website and have been documenting my stay of 2 months last year and 1 month this year with the IDF and MDA. She was most interested in my experience and took note of my blog site. She also encouraged me to write my blog on her website which I will do ASAP. It may drive more readers to my site as well as helping me in the sale of my soon to be published book. I have decided that the proceeds of the book will go directly to MDA.

This morning as usual I was up at 5:30 am in order to get to my base on time. The hotel prepares me a breakfast to go as they only start serving at 6:30. It takes me 20 minutes to drive to the base but 45 minutes to return due to the heavy Tel Aviv traffic at rush hour. Rush hour here seems to be any time after 9:00 am to 7:30 pm. I worked with 2 paramedics with whom I have worked before on several shifts as well as the chief paramedic who is very experienced and according to his employees, has seen and done everything. They defer to him for his opinion on many cases. The cases were very simple today so I will not go into details.

The 1st case was a Californian lady who married an Israeli and has been living in Tel Aviv for several years. She is a runner and was suffering from a severe acute groin injury. She could not get out of bed due to the severe pain. We gave her an analgesic and muscle relaxant and her condition improved. I think that she has a coxo-femoral inflammation in her hip. I had a similar condition last month and could hardly walk. The radiologist gave me a cortisone shot in the hip joint under ultrasound guidance and I was better in 15 minutes. She will probably have the same treatment.

The 2nd case was an elderly patient with minimal chest pain that quickly improved when we arrived. He didn’t require transportation to the hospital.

The 3rd case was a young man with a cardiac history. He had midline abdominal pain. We brought him to the hospital for an u/s to r/o an aneurysm which was an unlikely diagnosis. I think that he has a semi acute pancreatitis and will have the appropriate tests.

The 4th patient was an elderly gentleman with mild chest pain. In cases of chest pain we always to the routine tests in the apartment and in the ambulance and then transport the patient to the hospital.

Today we finished on time at 3:30. I said good-bye to my colleagues and we took the usual selfies. I invited them to contact me if they ever come to Canada. I promised to take them skiing if they come in the winter or to go sailing on my boat if they come in the summer.

I cannot leave Tel Aviv without making some comments on the Israeli drivers. I actually find the drivers to be quite civilized as long as you follow the rules. They accelerate fast but rarely go more than 10-15 k/h above the speed limit. They are very much respectful if you have the right of way. On the other hand if you don’t have the right of way, forget about making a turn or changing lanes. It is faster to go around the block. Waze is superb here. Without Waze I could never get from A to B. There are too many one way streets and the streets go in circles rather than straight lines. Signalling is theoretical here if you want to change lanes. The horn is a most important part of the car and is used very frequently. I think that most drivers can hit the horn faster than they can hit the gas peddle. There is a green 2 way lane for bicycles, scooters and small motor bicycles. You must not make the mistake or walking in a green lane. They don’t expect you to be there and will give no quarter. They is virtually no J walking like in Montreal. Pedestrians have a green little man on the traffic light allowing them to cross. This very well respected both by cars and pedestrians alike. Pedestrians will stand for several minutes waiting for their turn to cross even if there are no cars in sight. There are also pedestrian cross walks in the middle of the the street with no lights. Cars jam on their brakes if they see a pedestrian showing an indication of wanting to cross. I rented a small Kia for getting around. You must have a small car here as parking is at a premium here and the parking spaces are very small. Israelis can get into much smaller spaces than I would willing to try. I mostly walk here for short distances or take the bus. A young man rolled down his window and asked me if I wanted to sell my car. He was disappointed when I told him that the car was a rental.

I am sitting outside at a table in a sushi restaurant. The sushi is ok but rather expensive for what you get. It is 20C, very pleasant to eat outside. I am alone at a small table writing my blog. As usual on a Wednesday evening, the restaurants are full and I had to visit several ones before getting a table, as many to the tables are already reserved. People really know how to enjoy themselves here.

Love,

Brian

My new MDA 1st responder motorcycle

Tel Aviv

Tel Aviv Hospital

Dizengoff Square, (which is a circle)

My final MDA Team

2025-03 Israel

Israel 25,

April 15, 2025,

Hi Everyone,

Today once again I had a great team with MDA. I had worked with one of the paramedic last week who is in her training period. I had a driver with whom I had worked as well as the chief of the station. It was like a reunion and I was happy to work again with these highly skilled paramedics. I learn something on every shift and this shift was no different.

Our 1st case was a simple elderly lady with an aspiration pneumonia. She was on IV antibiotics at home and was not improving so we transferred her to the hospital.

The 2nd case was much more exciting. We got the message that there had been an explosion in an apartment building. We could see the smoke rising in the air in the distance. We put the siren on and sped to the building at breakneck speed in the city. When we arrived, the firemen with fire trucks had already arrived. The police were there and there were already several ambulances present. This was a very poor area of town with many new immigrants from Africa. The lady was cooking with propane gas and the tank of propane exploded. The entire front of the apartment was blown out on the street. The firehoses were out and the firemen had already entered the building. If there is one job in the world that I would never do, it would be a fireman. I told that to the paramedic who smiled and said that they have to be very brave. In the end, there were 2 persons injured, not too badly and they were taken away in the first ambulance that had arrived.

The 3rd case was a trauma case that was bad, but could have been much worse. We got an alert that a child had been injured by a pipe and had a penetrating chest wound. We put the siren on and sped to the case. We were doing 150 km/hr breaking my previous record of 140 that I filmed last year. I have never gone so fast in an ambulance. I filmed a lot of the journey and will try to put some of it on my blog in the future. I was not wearing my seat belt as the paramedics usually don’t wear one behind the drivers. When we turned a corner I almost flew… When we arrived, the father had picked up the child and placed him in his truck on the front seat. The 11 year old boy was walking in between 2 buildings when a 2 meter rod, 2 cm in diameter had fallen straight down from the 3rd floor. The child penetrating chest wound 2cm in diameter and 2 cm deep in the anterior triangle of the neck above the clavicle. I never saw someone work as fast and as efficiently as the chief. He examined the wound and then covered it with a bandage. He then secured the arm to the chest with a bandage to prevent movement to the upper arm.

In trauma cases, the paramedics must stabilize and move the patient into the ambulance in 10 minutes. The case took 7 minutes and we were off to the hospital. The metal object had penetrated the skin and muscles but not the lung or chest cavity. The clavicle was visible. The child was very lucky. Had the rod struck his head, 4 cm away, the injury would have been fatal. The rod missed the subclavian artery and vein by 1 cm. That probably would have been a fatal injury as he would have bled out. We did not suspect a neurological injury as the child could move his arm. This will require further testing at the hospital. The child was extremely brave. He did not utter a sound of complaint. He will have a CT scan and surgery immediately on arrival at the hospital. The physicians in the ER were waiting for him when we arrived as we can message them in advance of the injury.

The last case was simple fractured or sprained ankle that we transported to the hospital.

I am sitting in a restaurant at the bar, eating supper, drinking beer and writing my blog. Wine in a restaurant in Israel is very expensive so I usually drink beer. I am at Dizengoff Square again at a different restaurant. Dizengoff Square is packed with people even on a Tuesday evening at 10:00 pm. The vibe here is indescribable. I like to sit at the bar when I am alone as often it gives me a chance to talk to my neighbours. I struck up a conversation with a charming couple who were originally from Soviet Union but have lived in New York for 40 years. He was a urologist in Russia but is now a pulmonary specialist after some retraining. His son is a urologist and does robotic surgery. His name is Boris. He laughed when I told him that I was named after my grandfather Boris but my mother refused to call me Boris Morris. Hence the name Brian Morris, very Anglo and dignified.

Love,

Brian

Dizengoff Square

Modern buildings in Tel Aviv

Explosion in a poor area of Tel Aviv

Severe Injury and Sourasky Hospital

My MDA Team

2025-03 Israel

Israel 23,

April 13, 2025,

Hi Everyone,

Yesterday was a quiet day. I spent the morning getting caught up on my emails. I like to classify my emails every day or so or the total number becomes unwieldy. I owed a few friends a return email. I then went up on the terrace and studied Hebrew. Progress is slow as usual but I give myself credit for trying. It was too cool for swimming and the beach was virtually empty. The sky was blue with a little breeze, the perfect weather for walking around and visiting Tel Aviv. There are always new neighbourhoods to visit.

There are facebook websites called Sword of Iron and Volunteers for Israel where anyone who is a member can post things. There is a useful amount of information about what is going on in Israel. Often one can find places to volunteer for the day or for a week. A lady made a posting for volunteers who were looking for a seder to attend. All of my relatives here were either going away or were having a seder with their in-laws. I decided to accept the invitation and brought a box of Belgian chocolates. One of the volunteers staying at Maxim’s was also invited so we walked over together, a 10 minute walk.

The seder was fabulous. The lady was originally from Montreal and had been living in Israel for 40 years. She is a professional comedian and travels the country and the world giving performances in English, French and Hebrew, an incredible accomplishment. Her husband was an accountant from London. My friend was from Ottawa and has lived all over the world. There was another lady from Montreal who had a long career with the Canadian government. The last fellow had an NGO that helps new immigrants adapt to Israel, finding them jobs and apartments. All together it was a highly intelectual group. It is rare that I meet people who have travelled and even lived in as many or more countries as me. Except for one person, we were all on the better side of 68, a real group of genuine real live hippies from the 60s. You can imagine the conversation or maybe you can’t.

The seder was brief as planned, even shorter than our seder in Montreal. Boray Pree Hagoffen and the meal began. We started off the evening with an orange wine that resembled a dry port wine followed by main course of brisket, salmon and salad. For desert we had cheese cake. The wine and conversation flowed until after midnight although I had to leave at 10:30 as I had to get up at 5:30 for work. The lady’s husband did all the cooking, a first quality home cooked meal.

This morning after a 3 day break a was back to work with MDA in Ramat Gan. I had a new team that as usual was very competent. The driver was an experienced paramedic who had spent time in Gaza and Lebanon. He carried a pistol which is common for the driver. We go into many different areas of Tel Aviv, rich and poor and we are never sure what we can meet. Although I have never had an incident in 2 years, it is reassuring. Although I am well trained after my 3 days training with Krav Maga, in orderto disarm an assailant with a gun, knife or baton, I would rather not have to put my lack of experience to the test. The chief today on our mission had 8 years experience with MDA and had just finished his medical training as a physician. He is in the process of deciding what specialty that he will do. I tried to convince him to do urology. Rounding off the team was a young girl who is still training to be a paramedic. The chief let her do the initial history and physical exam of the patient. Afterwards he gave her a lot of teaching in the ambulance, reviewing the case.

Our 1st case was an elderly female in the last staged of breast cancer. The physicians had stopped active therapy and she was having palliative care. The paramedics discussed the case at length with the family to get an idea of what they wanted for their mother. In the end we decided to bring the lady to Tel Hashomer for further palliative care.

The 2nd case was an elderly man of Yemenite origin. In 1948 Israel brought 48,000 Yemenite Jews to Israel in an operation called Magic Carpet. These Jews had lived in Yemen for almost 2000 years. However the antisemitism had become untenable after the foundation of the State of Israel in 1948. 800,000 were forced to leave their homes in Arab countries from 1948 to 1950. They had been living in these countries for 1000 years and left in 2 years with no compensation and not a word from the UN. The man didn’t feel well and all of a sudden, without warning vomited ‘coffee grounds’ all over himself and the floor. Coffee grounds often means partially digested blood in the stomach indicative of internal bleeding. The family, consisting of 6 people didn’t bat an eye lash. They just cleaned it up as if nothing had happened. The floors in most Israeli apartments is made of tile for large plaques of marble 75×75 cm making clean up much more simple than had the floor been made of wooded lattes. We transported the patient to the hospital.

The 3rd case was an elderly man with shortness of breath. He had some crackling at the base of his lungs so we diagnosed that he had congestive heart failure. We gave him 40mg of a diuretic, furosamide and transported him to the hospital. On arrival at the hospital, he voided a large amount of urine and felt much better. His shortness of breath had disappeared and his colour was much improved.

The 4th case was an elderly man who apparently had bradycardia, a slow heart beat. When we arrived he had a high blood pressure but no indication of bradycardia. He was in no acute distress and was not short of breath or had chest pain. We spoke to his family MD who will treat him as an outpatient.

I am writing my blog in one of my usual haunts called Mikes Place. They serve comfort food and the place has big screen TVs on the wall. There is football everywhere. It resembles some of the bars that you find in American ski resorts. On certain nights there is live entertainment but not tonight. I just spilled my bear, missing my ipad and cell phone so the waiter kindly offered me a refill.

Love,

Brian

My hippy friends

MDA paramedics and Tel Aviv

Mike’s Place

2025-03 Israel

Israel 22,

April 12, 2025,

Hi Everyone,

Yesterday I went to Richon Letzion, where I met up with my cousin Richard and his friends for a run on the beach. We usually meet up at Golda’s, the famous ice cream shop chain and then come back there after the run for an ice cream or frozen yogurt and a cappuccino. This time we ran for 10 km which I have not done for some time. My usual run is for 5 to 7 km. running time was 1:20 which is not bad for a 75 year old man with white hair. I am scheduled to do the World Championship Triathlon for Canada in Australia in October in the sprint division. If I get ambitious later in the summer, maybe I will try to do an olympic distance triathlon. The weather was perfect for a run, 18C with a breeze that made running rather pleasant.

In the afternoon I did some shopping. I walked to Hostage Square which has not changed much since last year except the posters showed some wear and tear from having been out in the weather for a whole year. I think that it gives you the feeling of how the health of the hostages must be with wear and tear that their bodies have suffered having been in the tunnels for over 500 days. The hostages, when released show obvious signs of weight loss and malnutrition. The Palestinians in Gaza, who according to the media, are on the verge of a humanitarian crisis and starvation since day 1, still appear to be fat and well fed.

I purchased a ‘bring them home’ necklace and pendant for my American friend who had forgotten to get one as a volunteer. He lives in Michigan and I will mail it to him on my return to Montreal as promised. I then walked over to the Asrieli complex and mall. The 3 buildings are very impressive from the outside and probably house offices. The mall was nice but resembles many other malls that I have visited. I purchased 2 boxes of Leonidas Belgian chocolate. I will give one to my cousin Shari and I will bring one to tonight’s seder. I took the bus back to my hotel. I have an Israeli bus and train pass that you can reload with shekels. I have become quite adept at negotiating the bus, train and metro system in Tel Aviv.

Last evening I drove to Shari’s house near Beersheba. It takes 1:20 to drive there on good roads and an autoroute. With Waze, I have no trouble getting around anywhere in Israel. I wonder if the members of BDS still use Waze to get around as Waze is an Israeli company. They probably still use it as they want you to desist from using Israeli products but not themselves. Shari lives on a moshav. A moshav resembles a kibbutz except that the homes are owned by individuals and not the community as in a kibbutz. The major equipment is owned by the community but each individual is responsible for his own produce. We had Shabat dinner with her family and extended family. Shari’s school was devastated last year on Oct. 7 when she lost many friends, former students and students. She says that is very sad to see the empty chairs where her students used to sit. It is an ongoing reminder of what happened on Oct 7 and what the world is doing to forget about in their efforts to ‘Free Palestine’ leaving Hamas in charge again. A ceasefire only means that Israel ceases and Hamas reloads and fires.

I am sitting out on the rooftop terrace writing my blog. The view of the sea is as beautiful as always. Yesterday and today there is a strong wind with 2-3 foot breakers crashing on the beach. It was not warm enough for swimming yesterday but hopefully it will warm up later in the afternoon. There are whitecaps everywhere making me wish that I could go out sailing. While in Jaffa a few days ago, I visited the old port and spoke with a man who was sitting on an older Benateau First, 35 foot sailboat. He lives on his boat most of the time and has an apartment in Beersheba. He goes to Greece sometimes which is a 4 day crossing. My dream life perhaps in another life…

Love,

Brian

Hostage Square, Tel Aviv,

Asrieli Complex and Mall,

The view from the terrace of my hotel on the beach in Tel Aviv

2025-03 Israel

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

An older and poorer area of Tel Aviv

The fruit and vegetable stores are always good

Motorcycle cops with their permission to publish. Who is the little guy in the middle with white hair?

2025-03 Israel

Israel 19,

April 8, 2025,

Hi Everyone,

It is 36C with cloudy skies, muggy and humid, not at all the weather that I am used to in Tel Aviv. Today was a boring, quiet day with MDA also what I am not used to with the ambulance service. We got our first call at 11:30. We arrived at a nice apartment building in a nice area of Tel Aviv and were shocked by the condition of the apartment that we entered. The couple were hoarders, something that I have only witnessed once in the city. Israelis, even if they are poor, are very clean in their personal apartments. This was an exception. There was rubbage piled up everywhere although the apartment was not particularly dirty. The lady appeared to be about 40, obese weighing 130 kg and lying in bed. Her husband was my size and cleanly dressed. There was a child of about 5 years old, sleeping. Why she was not at school is anybodies guess. We spoke with the woman for a while. She was in no acute distress although she thought that she was in anaphylactic shock from something that she ate yesterday. We convinced her otherwise, reassured her and left her in the care of her husband. What kind of future does the little girl have with parents like this?

The second case was a drug addict that was sleeping in front of a supermarket. She was in no acute distress and not a danger to either herself or the public. She did not want to come with us. The manager wanted us to take her to the hospital by force but we had no authority or reason to do so. We left her and eventually she will find her way home.

The third case was a 63 year old female who had just had an MI, cardiac arrest and resuscitation 3 months ago. She had chest pain that was resolving. Her EKG showed new changes. She refused to come with us to the hospital. 2 of the paramedics spoke with her for 1 hour to try to convince her to come with us. They always have incredible patience with patients. Her Phillipino helper had called the ambulance as she felt that her condition was deteriorating. At one point she asked the paramedic who I was. He introduced me as Dr Brian from Canada. The woman spoke English fluently. I reinforced the point that she had EKG changes and needed to come to Tel Hashomer for further evaluation including an echocardiogram and cardiac trops. She told me that she is afraid of hospitals. I then saw her looking at my chest scar. I told her that I knew from personal experience what chest pain feels like. I explained to her that I am also afraid of hospitals as a patient but sometimes you just have to go. She said that she would like to consult her rabbi, Reb Bal Shem Tov. I told her that it was not necessary as I had already consulted with the Reb and that he had sent me here from Canada to take care of her and have her come with us to the hospital. She laughed and then agreed to come to the hospital in our ambulance. The conversation with me had not taken more that 3 minutes. I later told the paramedics that I thought that had looked at my white hair and decided that I must be right with all my experience in these types of cases. Little did I know…..

Love,

Brian

Modern buildings in Tel Aviv. The architects here are not afraid to be original in their design.

2025-03 2025

Israel 17,

April 6, 2025,

Hi Everyone,

Today was my first day with MDA, Magan David Adom, Israeli civic ambulance service. We do not go to a war zone. Military ambulances take care of war casualties. I was posted at the MDA base in Raman Gan about 30 minutes from Tel Aviv. I was not posted there last year. I was introduced to my 3 paramedics. One was an experienced driver, 1 girl was 19 years old and in training and 1 was 28 years old and has done ambulance service with the army. I was up at 5:30 and had a quick breakfast as the hotel had generous supplied me with a breakfast and lunch to go. With Waze I had no trouble getting to the ambulance base. I have to be at the base at 6:30 to check the medications on the ambulance. They let me check all the medications and although every was written in Hebrew, I was able to make out ok.

Our 1st call was rather simple. A 16 year old girl with tachycardia probably due to stress. We went through the usual routine of a history and physical exam. The patient was not in acute distress. We brought her to the hospital for monitoring and further treatment if necessary.

The 2nd patient was an 84 year old lady with COPD, asthma and diabetes. She was on oxygen chronically. We took a history and physical, started an IV, EKG, blood sugar, temperature, blood pressure, blood oxygen level, pulse, resperation. Her temp was 39 C so she probably had a pneumonia with an exacerbation of asthma and COPD. She was wheezing. We gave her Oxygen, placed her on an ambulance chair and carried her down 3 flights of stairs to our ambulance and brought her to the hospital.

The 3rd patient was a 45 year old patient, overweight who had fallen down the stairs. She was sitting, leaning against the wall in severe pain. She had an open fracture of the lower tibia and fibula, bleeding with her left angulated at 70 degrees.

We started an IV and gave her fentanyl for the pain. She calmed down in a few minutes. We were then able to straighten out the leg and splint the fractured leg to the good leg. We covered the fracture with a bandage. We lifted her onto a sling and then placed her onto a stretcher. Present was a BLS ambulance (basic life support) with 3 paramedics and a ACLS ambulance (advanced cardiac life support) with 3 paramedics and me. It took 6 of us to carry her down 3 flights of a narrow staircase to get her into our ambulance. Then, with sirens blazing, we rushed her to the hospital. The treatment on arrival at the hospital was instantaneous.

I have nothing but good words and praise for the paramedics. They are calm and very kind to the patient and family. They are extremely well trained. They follow protocols which make them efficient and effective. No one ever gets excited. They always know exactly what to do to help the patient. Israel is very well served by the paramedics of MDA.

The 2nd patient was accompanied by her daughter who rode in the ambulance with us. She comes from New Jersey and is in Israel for 3 months to visit with her mother who was the patient. She bought her husband with her to Israel. He was in a wheelchair as he had a traumatic brain injury 12 years ago when, as a pedestrian, was hit by a car. He had 7 brain operations and has obvious deficits. I don’t know how she has the courage to face the day when she wakes up in the morning.

After my cases, I bought a pair of Nike running shoes to replace the shoes that I destroyed on the IDF base. MDA requires closed shoes so my sandals were not acceptable. Great, I needed a new pair of running shoes anyway. My old pair at home are 10 years old. Boy, have running shoes changed in 10 years. These new shoes bounce when I run. Maybe it will help me win more triathlon races. I can’t wait to try them out when I run this week.

Love,

Brian

2025-03 2025

Israel 16,

April 5, 2025,

Hi Everyone,

Today was a great day as usual. I woke up reasonably early, wrote my blog on my feelings of the events in Canada, went down to the beach and let my mind wander to pleasant thoughts. It was 21 C with a cool breeze. The beach had its usual amount of people but very few people in the water. It reminds me of what I have heard about Florida in December. The Florida natives are dressed up warmly and the Canadians are in their bathing suits and swimming. Only a small part of the beach was open for swimming, the rest was black flagged.

After lathering up with suntan oil, I lay in the sun on a rented lounge chair until I was warm enough to go into the water. I swam out to the breakwater as usual but I was the only swimmer out there. There were small waves today but there was a strong current blowing in a northerly direction. Although I had no trouble swimming to shore, I found myself blown 200 meters further up the beach onto the black flagged beach. The life guards didn’t whistle or say anything to me. I guess that they are used to me swimming out to the breakwater. I warmed up by taking a long walk on the beach and had my usual Magnum ice cream for lunch.

In the evening I went for dinner at my cousin Rochelle’s place. They bought a new apartment with 3 bedrooms and their own private safe room in the apartment itself. The safe room is reinforced with thick concrete. After a long talk to get us up to date with family news, one of her daughters took me for a long walk to see the neighbourhood called Peta Tikva. The Israel architecture is amazing. The taller build are no more than 8-12 stories high. Each apartment is different although most are built with the same stone. Each apartment faces in a different direction. There are many parks filled with young people playing soccer and basketball. I was very impressed.

Love,

Brian

my Krav Maga team

2025-03 Israel

Israel 15,

April 5, 2025,

Hi Everyone,

‘When this hole world starts getting me down, And people are just too much for me to face, I climb way up to the top of the stairs, And all my cares just drift right into space, On the roof,its peaceful as can be, And there the world can’t bother me.’

It’s Saturday morning, cool, sunny with blue skies and 18C. I am up on the terrace at my hotel over looking the beach. The sailboats are out but people are waiting for it to warm up before venturing into the water. The view here is sublime. I just had breakfast with 3 ladies from the States, Australia and Canada. I meet people from everywhere here. The words of the above song unfortunately ring clear to me today. The news from Canada is awful. At McGill, my alma mater and where I have a teaching position as Clinical Lecturer, the pro-Palestinian hoodlums are striking against classes for 3 days. They occupied buildings, broke windows and prevented legitimate students from attending classes. The police were called, made no arrests and didn’t use tear gas. Are the tariffs imposed on tear gas too high so there is a lack of it in Canada. Are the police still serving cappuchinos to the demonstrators? Can you still spit on a police man with impunity, an event that occurred in Toronto last year? Canada is the only country in the world where you can spit on a police man and be arrested. In every other country such as France, the USA or Saudi Arabia, you would be beaten into the ground so badly that there would be nothing left to arrest. I don’t recognize McGill anymore. In Toronto the demonstrators occupied Union Station and stopped transportation. Once again where are the police? Have they not heard of tear gas? Do they no longer use tasers to control violent protesters? You don’t have to taser a lot of them. Taser one and the other cowards will run away. These people are not French demonstrators from the 60s who knew how to dig up paving stones on the street and throw them at the cops. They are pro-Palestinians who are afraid of a good fight. If they really were tough and wanted to support the Palestinians, they would be in Gaza fighting

I blame the former Prime Minister, the mayor of Toronto, the mayor of Montreal and the Dean of McGill for letting this happen. This ‘protest’ should have been nipped in the bud 1 year ago when it first started. Instead it was allowed to occur resulting in an escalation in which saying ‘death to the Jews’ is a common occurrence and is no longer considered to be racist. Throwing paint or fire bombs at so called Jewish institutions is now considered to be one’s natural right to self expression. Is a bakery that sells bagel owned by citizens of Greek ancestry now considered to be a ‘Jewish Institution’ that must be stamped out. Last year I received a letter from the Dean of McGill saying that protest is a healthy reaction by students in a university setting. I warned him in a personal letter that of course was not answered, that violence will occur if nothing is done. Are they waiting for someone to be beaten up or killed for them to do something? Or will the reaction be ‘oh my, tut tut’. I received another letter from the same Dean on Holocaust Memorial Day saying that is a day of remembrance for the people that were killed in the Holocaust. So, to fight this racism, McGill has set up a committee to fight racism called the Committee to Fight Islamophobia and Antisemitism. Excuse me!! What does Islamophobia have to do with Holocaust Memorial day? Except for a few isolated incidents, where is there Islamophobia in Canada today? Islamophobia and Holocaust Memorial Day should not even be mentioned in the same sentence. As for the committee, why is Islamophobia and Antisemitism given equal footing in the name of the Committee. Islamophobia is obviously more important at McGill than Antisemitism or else the 2 words should have been placed in alphabetical order!!

Yesterday morning I met up with my cousin Richard and 3 of his friends in Richon le Tzion for a run on the beach. I told Richard that he could run at his pace and that I would catch up with him on his run back. He is a real gentleman and elected to run with me at my pace. We ran for 7.35 km which took about 1 hour. Of the 3 disciplines in a triathlon, running is my weakest. However, I can do 10 km if I pace myself. We ran on the beach without shoes mostly on the hard packed sand. There were some patches of shells on the beach so you had to be a little careful. Afterwards, we met up with his 3 friends at Golda’s where he treated me to an ice cream and a cappuccino. The portions of ice cream that they give you in a medium cup are enormous and delicious. I didn’t eat for the rest of the day. I hope that they invite me next week. Richard and I might do a long distance swim.

In the afternoon, I went out to the beach. After a hard week’s work on the IDF base topped off with Krav Maga, I think that I deserve a little R and R. As usual I swam out to the breakwater. There were big waves so I did some body surfing later in the afternoon. In the early evening I was back at my usual haunt, the laundromat, to do my weekly laundry. I am now quite good with the machines, knowing how to purchase soap with a coin, pay for the right machine with a credit card as they are numbered and starting the machine by pushing the start button. I even helped a newbie to get started with her machine.

Love,

Brian

My running team