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Helen Nadel is about to assume the presidency of an important world-wide body: The Society of Nuclear Medicine and Molecular Imaging

And while Helen Nadel has had a distinguished career in medicine as a pediatric radiologist and nuclear medicine physician – Winnipeg will always be near and dear to her

By BERNIE BELLAN Quite often this newspaper has published articles about former Winnipeggers who have gone on to great careers once they’ve left Winnipeg. If there’s one thing our Jewish community here has been especially proficient at doing, it’s been serving as a springboard for outstanding students to launch successful careers elsewhere.
In some ways, while we may lament that so many of our “best and brightest” have sought to further their careers by leaving Manitoba, almost all those expatriates have something in common, and that’s a deep affection for their hometown – also for the bonds that they formed growing up in Winnipeg.

A few months ago I happened to be in conversation with one of our out-of-town readers: Diane Unrode-Ackley. Diane mentioned that a good friend of hers, Helen Nadel, had recently been elected to serve as the upcoming president of a rarified body: The Society of Nuclear Medicine and Molecular Imaging.
Now, I should also explain that Helen has been an online subscriber to this paper for many years but, like many other online subscribers, I really didn’t have a clue where Helen lived – or what Helen’s background was.
I told Diane that I would definitely want to interview Helen to ask her about her career and what led up to her assuming the presidency of such an important body. But, as you might expect, Helen Nadel is one very busy woman. Try as we might to find a time that would work for both of us to conduct an in-depth interview, it wasn’t until earlier this past month that we were able to speak – face to face so to speak, via Zoom.

What follows are excerpts from that interview, but first here is Helen Nadel’s bio as given on the Stanford University School of Medicine website:
“Dr. Nadel is a dual board -certified Pediatric Radiologist and Nuclear Medicine Physician in both the USA and Canada. She holds certifications from the Royal College of Physicians and Surgeons of Canada in Diagnostic Radiology and Nuclear Medicine, The American Board of Radiology (ABR) with certificate of added qualification in Pediatric Radiology and the American Board of Nuclear Medicine (ABNM). Dr. Nadel was an Associate Professor of Radiology at University of British Columbia and had been practicing as a pediatric radiologist and pediatric nuclear medicine physician at British Columbia Children’s Hospital in Vancouver, British Columbia since 1983 after medical school at University of Manitoba (1977, Winnipeg, Manitoba), internship and residency at University of Toronto (1978-1982) and Pediatric Radiology fellowship (Chief Fellow) at Hospital for Sick Children (1982-1983, Toronto, Ont.) She has been working with the entire breadth of general and hybrid nuclear medicine studies in children in a fully integrated department of Pediatric Radiology and lecturing to promote this field for her entire career. Dr. Nadel currently uses PET/MRI exclusively for PET imaging at Lucile Packard Children’s Hospital at Stanford University (LPCH) and co-directs the clinical PET/MRI program at LPCH. Dr. Nadel has been inducted as a Fellow of the Society of Nuclear Medicine and Molecular Imaging (FSNMMI). Dr. Nadel is the 2022-2023 President-Elect of the Society of Nuclear Medicine and Molecular Imaging.”

And here is the interview:
JP&N: ¨Nice to meet you – finally.”
Nadel: “You too.

JP&N: “We actually met seven years ago at the Jewish Schools Reunion. You’ve had a very illustrious career – and worn many hats, but tell me something about your growing up in Winnipeg.”
Nadel: “I’m a north ender – an only child. My mother came to Winnipeg in 1921 – she was born near Kiev.
“My father came after the war. He had had a military career in the Polish Army. He was captured by the Russians in 1939 and sent to the Gulag. Then when he was repatriated he walked back over the Ural mountains to then fight in the free Polish division of the Russian army.”

JP&N: “Wow!” (Ed. note: That would have been over 2,000 kilometres! At this point I’m including a later part of the interview in which Helen elaborated upon what happened to her father.)

JP&N: “Did you say he had to walk from the Gulag?”
Nadel: “Yes, he walked. It took him two years. He lived in the Ural Mountains, he lived in Uzbekistan.”

JP&N: ¨I just wrote about a book by another doctor – Meyer Kreger. It was the memoir of his mother, Rose. She was also from Poland and survived the war after being sent to Siberia, then Uzbekistan, then Kazakhstan. The stories of how some people were able to survive when others couldn’t endure are endlessly fascinating.”
Nadel: “You know Francie Winograd, don’t you? My father was in the same DP camp as Francie’s mother (Gertrude) after the war. It was near Munich.
“When my father came to Winnipeg, he met the Grosh family – and they had a sister-in-law who was in her thirties and not married. She was introduced to my father and as they say, the rest is history.” (I had to tell Helen that Gerry Posner uses that line in every story he writes.)
“They were married in 1949 and I was born in ’52.”

“I went to Peretz School in Winnipeg and then to Jefferson and Garden City Collegiate. I graduated and did undergrad and med school in Winnipeg. After that‚ I went to a Toronto to do my specialty training in radiology. I’m a radiologist‚ and I have two specialties – actually. three specialties. I’m a radiologist‚ but I sub specialize in pediatric radiology, and I also have a secondary qualification in nuclear medicine, both of which are diagnostic tools.
“One uses what you would think of as conventional X rays and now, ultrasound. MRI is general radiology. Nuclear medicine uses a small amount of radioactive material to also look at how the body works, how it functions. The new thing about nuclear medicine – it’s not so new really, is we can also use it for therapy. So, if you’ve heard of people having thyroid disease, sometimes we give them radioactivity to treat thyroid cancer.
“And now, the big thing‚ of course‚ is we can treat prostate cancer in men; we can treat other cancers as well. But the new kid on the block is treating prostate cancer with radioactive material. We’ve had very good success. But I’m a pediatric person‚ so that’s not actually my purview at the moment.
“But part of the reason I think Diane wanted you to talk to me is I’m about to become the President of the Society of Nuclear Medicine and Molecular Imaging.”

JP&N: ¨You haven’t assumed the throne yet, have you?”
Nadel: “My presidential year starts in June of this year. But I’ve been in the leadership (of the Society) for three years. I was elected in June 2021.”

JP&N: ¨You’re going to become head of a worldwide organization – right, or is it just American?”
Nadel: “It’s a worldwide organization, based in the US‚ but it is global. We are the largest organization (in the field of nuclear medicine). We have a membership that includes physicians‚ technologists‚ scientists and industry. And it has about 14,000 (members). There are some other organizations (in the field). There are regional – sort of country-based organizations. There are continental-based organizations – like the European Association of Nuclear Medicine – but we’re much bigger.”

JP&N: “You said your specialty is pediatric radiology. Is that right?”
Helen: “Yes‚ ¨I’m a pediatric radiologist.”

JP&N: “So, up to what age would you be treating patients?”
Nadel: Well‚ that’s a good question – usually to age 18. However‚ here at Stanford‚ we have a lot of children that have had diseases as infants‚ and we keep seeing them as they become adults. We still see them. So, it’s a movable barrier. But usually pediatrics is to 18.”

JP&N: ¨I assume you know Ted Lyons.”
Nadel: “I do. Ted was instrumental in bringing ultrasound to Winnipeg and to Canada and as such he came to teach us in our radiology training program at the University of Toronto.”
(At that moment Helen’s phone rang and she had to take a short call. When Helen resumed our Zoom call I noticed a male figure had wandered into the background.)

JP&N: “Who’s that wandering into the background now? Is that your husband?”
Nadel: “Yes, that’s my husband.”

JP&N: “What’s your husband’s name?”
Nadel: “Tevy Goodman. ‘Tevy, say hi to Bernie Bellan‚ the editor of the Jewish Post.’ ”

JP&N: “Are you in Palo Alto? Is that where I’m reaching you now?”
Nadel: “We’re in Palo Alto. We’re in the heart of Silicon Valley. I came to Stanford five years ago. I was recruited here. Actually‚ I was sort of retiring from my job. I had been 35 years at Children’s Hospital – at British Columbia Children’s Hospital in Vancouver – as a pediatric radiologist and the head of their pediatric nuclear medicine department, and I was going to sort of retire – slow down, at least.
“But there was a new hospital at Stanford – a new children’s hospital. I have a lot of friends in the community all over and one of them here convinced me that I should at least look at this job. And you know what it was? It was an opportunity that not many people would get. And, so, instead of retiring‚ I decided to come here – and I’m moving – going ‘uphill’ to go ‘downhill’.”

JP&N: Are most of your duties teaching or clinical? How does it break down?”
Nadel: “I am a clinical physician. I’m in charge of a new division – brand new at this hospital‚ which is called Pediatric Nuclear Medicine. I am also a full service pediatric radiologist. And so I have two hats – two big hats.
“We have some unique equipment here that not many places in the world have – and I’m kind of a leader. I don’t want to blow my own horn‚ but I’m a leader in a field called PET/MRI (Positron Emission Tomography/Magnetic Resonance Imaging).
“Winnipeg has a PET/CT scanner. There are two in Vancouver. There are two down the street from here, where I live. So‚ you know‚ it’s just a different world, it’s a different focus‚ a different way of doing things. I’ve been very fortunate that I’ve been able to use these exceptional tools for over 20 years now in my practice, both in Canada and the US. And pediatric lags behind adults in this area – just because we’re smaller. You know, there are fewer kids, but 25% of the world population is pediatric. It will increase as the Boomers get older and die off . Some Third World countries have mostly young people, so it will take a while to build up another Boomer type age group once we’re out of the picture. And disease will get younger in the medical field.”

JP&N: ¨ There are all sorts of scary news reports about cancer, saying it’s increasing – depending on who you talk to. Yesterday‚ I think I saw in Time Magazine, that 50% of people will have cancer in their lifetimes. Someone else told me‚ 70% – but she’s really into conspiracy theories. Can you give a more specific figure or is it hard to do that?”
Nadel: “I don’t have an answer to that. But there are some reports that suggest that the ages at which some people are getting certain diseases are getting younger. There was a big report this week on colon cancer – saying people are getting it younger. It’s being picked up at younger ages. I think that’s in part due to the fact that we have better techniques to pick these diseases up. We are taking more interest in preventative health‚ and that’s okay.
“One of the things that attracted me to Stanford was the physician who recruited me. His name was Sam Gambhir. He was an absolute giant in the field. Unfortunately, he died two years ago of cancer – a very horrible story. You could look him up. He was brilliant. But he basically was on track and his lab -which is still here‚ was on track to promote precision health and preventative health. And precision medicine includes wearable technology, you know.
“One of the last things he wrote about – a great article‚ was about the ‘smart toilet’ And it exists, basically. Your toilet can determine if you have disease by your feces. But nobody knows that’s the case. There’s so much going on in the world. I mean‚ this is beyond me‚ but I’m just saying that there’s a lot of stuff going on.
“So, the statistics are enabling us to pick up more diseases‚ and we’re picking it up earlier. We’re finding ways to treat it. But, have we moved the dial? I’m not sure yet. We don’t know yet. We don’t have enough information yet to determine if we’ve moved the dial in the right direction. I think we will, but I think it’s going to take a little longer to actually prove that.

JP&N: “Okay‚ I want to talk about your new position, but I also want to put a little bit of a ‘haimish’ touch to this. You said you left Winnipeg – when?. Were you in your twenties?”
Nadel: I left Winnipeg after I graduated from med school. I was 24.”

JP&N: “And you went to Toronto for postgraduate?”
Nadel: “Basically, you have to do a year of postgraduate training to get a medical license. I actually did what was called in those days a rotating internship. So I did twelve months of a bunch of everything – all different parts of medicine. I actually thought I would become a family physician and come back to Winnipeg. Then I met my husband. We actually met in Winnipeg. He’s from Vancouver‚ but we met in Winnipeg‚ and he followed me to Toronto. He didn’t want to come back to Winnipeg – put it that way.”

JP&N: “Sounds familiar.”
Nadel: “We thought we would end up in Toronto. And, after 14 years of postgraduate education – which included all my radiology training…I also did specialty training; after a year of internship; after four years of radiology residency and a one year pediatric radiology fellowship – I didn’t have a job! I needed a job. And I got offered to do much like what I’m doing here: start up a new program at a brand new hospital in Vancouver – British Columbia Children’s Hospital. I was 30 years old.
¨And my husband being from Vancouver‚ that seemed like a reasonable thing to do for what we thought would be five years. We ended up having two daughters in those first five years – and we never left.”

Helen & her husband Tevy Goodman with their daughters, Daniella (left), & Frani

JP&N: “Can I ask: What did your husband do?”
Nadel: “My husband is a retired professional engineer – a civil engineer and, in an interesting twist‚ he helped build some of the nuclear generating stations in Ontario. He worked in construction development and then in power group development. He worked for Ontario Hydro for all the years that we were in Ontario. And then he basically retired.”
“He took care of me and the kids and it just worked out that way. Coming back to Vancouver turned out to be a good thing and a bad thing when we came back. We came for my job because I did not have another job, and it looked like he would get a similar job in civil engineering, but that had dried up in the 80s (when nuclear plants stopped being built).
“And, our first child was premature But, you know what? The decision to have one parent at home was the right decision. And so it was him. I was young; he was a great father. He is a great father. So he was a forerunner then. And he was not Mr. Mom. He was everything. He is everything still. I couldn’t have done anything I did – and still do if I didn’t have that kind of support.”

JP&N: “So, as far as your Winnipeg roots go‚ I know that you’re friends with Diane Unrode-Ackley. Do you still have many friends from that time?”
Nadel: “Well Diane is like a sister me. I really had a close circle of three. Mindy (Unrode, Diane’s younger sister, who sadly died in 1986) was my best friend. We met when we were seven or eight years old. We were friends forever. She moved to Toronto as well after she got divorced.
“My second close friend was Cheryl Schwartz, who’s now (Dr.) Cheryl Minuk – also in Toronto.

Helen with 2 of her closest friends from an early age: next to Helen – Cheyrl (Schwartz) Minuk and the late Robyn (Moglove) Diamond

JP&N: “She’s a subscriber, too. I talk to her occasionally.”
Nadel: And my other close friend was (Madame Justice) Robyn (Moglove) Diamond (who also passed away – in 2018). The four of us (Helen, Mindy, Cheryl, and Robyn) were best friends.

JP&N: “What street did you grow up on?”
Nadel: “I grew up on Scotia Street‚ between Smithfield and McAdam. My cousins are the Grosh family. I should mention that my family were also long time shul goers at Rosh Pina.”

JP&N: I just heard from Joel (Grosh). His mother (Tesse) just passed and we had her obituary in the paper. This is really a little Jewish geography we’re doing.”
Nadel: “Totally. So, Tesse’s husband, Abe, and I were first cousins. Our mothers were sisters‚ but I’m almost the same age as Joel; he’s one year older than me. So, even though I’m one generation older than him we grew up together. We grew up in a compound almost. Joel’s family lived next door to us until they built their really nice house on Smithfield. His grandparents lived next door to him – half a block away
“What happened is two brothers – named Grosh, married two sisters my aunts – whose name was Chmelnitsky – and they lived across the street from each other. In a real twist of fate, someone else you know, Osher (Archie) Kraut, is also my cousin.
“They’re cousins on my father’s side – which is how my father came to Winnipeg after the war. Archie’s parents actually brought him to Winnipeg. He was only planning to pass through Winnipeg on his way to Israel. He’d been in a DP camp for four years. He had had typhus; he wasn’t that well. And then he came to Winnipeg. He wasn’t even 40.”

JP&N: “By the way, we’re only a year apart in age. Well, let’s turn to the position you’re about to assume. What will be your actual title?”
Nadel: “I’ll be President of the Society of Nuclear Medicine and Molecular Imaging. When you’re first elected‚ you are vice-president elect‚ then you become president elect‚ then you become president, and then you become past president. What happens is you’re part of the leadership, basically. So, as president elect you travel together with the president. You deal with all of the sort of day to day problems that such an organization might have. We deal with the US federal government, for the most part. We deal with international governments related to the supply of radiopharmaceuticals that we use in our medical careers. And we also have international organizations. We deal with the International Atomic Energy Agency, which I’ve been involved with for 20 years as well, on a consultancy basis.
“How did I get to where I am in this organization? Well‚ as a pediatric radiologist and nuclear medicine physician‚ I was always interested in promoting the interests of children. They’re different than adults. There’s a saying that children are not small adults, and that’s true. And so, in some things, kids do get left behind. They don’t get some of the drugs. They don’t get some of the treatments that are available, some of the diagnostic things that you could do, some things you don’t want to do, etc.
“But it’s important to promote pediatrics. I’ve been a strong proponent of educating people about my field, my particular area of interest. I met people along the way who were interested in how I do things. I was interested in the organization that I belong to. I’m promoting the fact that there are new techniques that we can utilize. I’ve just been vocal. I teach, I give a lot of lectures, I’m not shy. Well‚ I guess you could say I’m an ‘introverted extrovert.’
“I got known in my field as a speaker, somebody who was interesting. I worked as a solo practitioner in my area – in Vancouver, even here (at Stanford). It’s usually never more than one person that does pediatric nuclear medicine in any hospital department.
“I suppose the reason I got to where I got was I volunteered to get involved in different parts of the organization, but I wasn’t aspiring to do this (become president of the nuclear medicine association). But again, much like coming to Stanford, somebody asked if I would consider doing it. My reaction was, given that I was new at Stanford and that I’m trying to grow a brand new program, (the administrators at Stanford) would say, ‘Are you crazy? We’re not giving you that time.’
“But, instead, they were delighted. But when you say you’re willing to put your name forward for election, you actually have to run an election. I ran an election. I sent out 10,000 emails.”

JP&N: “Were there other candidates running?”
Nadel: “There was another candidate that ran, but I won the election in June 2021. I’m going to be the seventy-first president of this organization. I’ll also be the fifth woman, the fifth pediatric person, and the third Canadian.”

JP&N: “Are you an American citizen now, too (in addition to being a Canadian citizen?”
Nadel: “No, no, I am a Canadian citizen. I do have a green card. My husband and I both have green cards, but we’ll always be Canadian.”

JP&N: “Okay, Helen, this has been terrific. It was very nice meeting you – finally. This was a long time in coming. It was hard to pin you down, but I’m glad we did this.
Nadel: “Okay, I hate talking about myself, but thanks for this. It was great.”

Following our interview I asked Helen to provide some information about her two daughters. Here’s what she wrote:
“My husband and I have two daughters. Frani is a cantor, having graduated from the Jewish Theological Seminary of America in NYC as a cantor in the Conservative movement. She is currently completing a fellowship in Vancouver to be a chaplain. She has Master Degrees in Sacred Music and Jewish Education and also teaches in the Jewish education system in Vancouver.
“Daniella has a Masters Degree in Early Childhood Special Education from Hunter College in NYC. She is currently teaching kindergarten in a charter school in Brooklyn, also completing a second Masters degree in Speech Therapy.”
Mahler the Jew: A futuristic fantasy (Part II)
David Topper

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“A Brilliant Life” – biography of one Holocaust survivor who, like so many other survivors, married someone just to try to establish some sense of normalcy

Mira Unreich

Book Review by JULIE KIRSH, “former Sun Media News Research Director
In 1946 my parents met, fell in love and married. In 1947 they had their first child. This was not unusual. However, they were 20 years apart in age.
After World War II, Holocaust survivors who had lost everything – family, home and community, sought to rebuild their lives by marrying, having children and restoring their shattered lives.
They wanted to experience normality which meant having a spouse, children and recreating a family that had been lost in the flames of the Holocaust.
The survivors were few in number so age difference, religious background or compatibility were not as crucially scrutinized as before the war.

The author of “My Brilliant Life’s” grandmother, Genya, whose family was from Poland, married young and was told by her religious father-in-law that she had to wear a sheitel or wig. Genya balked, but since all other Jewish observances were met, the marriage was sanctioned
Genya and her husband Dolfie had five children. The youngest child was Mira, mother of the author, Rachelle Unreich, who has written poignantly of her family’s history in “A Brilliant Life.”
In 2017, in Melbourne, Australia, 88-year-old Mira Unreich was diagnosed with cancer. Her journalist daughter, Rachelle, knew that time was limited and so she interviewed her mother extensively, to learn about her life before, during and after the Holocaust.
As her mother recounts, the transports started in Slovakia in March 1942, when Mira was one month shy of fifteen.
Dolfie, Mira’s father, was clever and prescient. He obtained false Christian papers for Mira and sent her to rent a room and work for a fabric store owner. He also told his family repeatedly that if they were in danger, each person should look after themself. Many times he said, you must “just save yourselves”.
By the end of August 1944, the noose around the family had tightened. Slovakia was not a safe haven for Jews and the end was imminent for the remaining Jewish families in Dolfie’s town. One day, SS officers burst into their home and shot Dolfie in front of his wife Genya, son Yanchi, and daughter Mira. This tragedy shadowed the lives of the family up to the present.
In Melbourne, Mira met and married Pavel, who was thirteen years her senior. Again, the match was not as much a love match, but for Mira it was a chance to have security and comfort after all that she had gone through in the Holocaust.
When Mira married in 1946, she was only 19 years old. Like my own 22-year-old mother – who married a man 20 years older than herself, Mira was fun-loving and strove to make up for lost time.
Less than two years after liberation, Mira gave birth to a son and then two daughters. The family moved to Paris, where Mira enjoyed everything the City of Lights had to offer. Pavel, on the other hand, was serious, less social, and more of an observer than a participant in life.
In 1959, Australia seemed remote and safe, a vast land of opportunity with a citizen army that was founded as an entity to defend all her people regardless of race or religion. At the time, Australia hosted the largest community of Holocaust survivors in the world outside of Israel. By 1960, Holocaust survivors and their families made up 60% of Melbourne’s Jewish community.
Eventually, Pavel left Mira and the family and died in Belgium, never remarrying. Mira met Manny, eleven years her senior, whose family had also experienced tragedy in the Holocaust. They were drawn to each other. In 1966, Rachelle, the author of A Brilliant Life, was born.
The title of the book reflects the kind of person Mira was. She was affectionate, considerate, and a capable mother who accommodated her children’s needs.
Mira, like most Holocaust survivors, had a number tattooed on her arm. As children of survivors, we see the tattoo as a blight and painful reminder. However the author had another insight. For her, the tattoo designated someone who could work and more importantly – had been chosen to live.
As a child of survivors, I have asked myself the question that the author asks Mira in Chapter 37: Why had she survived when so many others had not? The author believes that her mother had a purity, a spiritual honesty, that drew others to her, and that ultimately helped her to survive.
Mira was honoured by her children in death as she was in life. The words on her tombstone were stark and plain spoken: “She witnessed her father murdered by the Nazis/Her mother, brother and sister were killed in the Holocaust/She survived four concentration camps/yet she still loved her life with an unwavering positive attitude.”
My father survived Auschwitz and Buchenwald. Like Mira, he was a positive, happy man, who loved his family and adopted country. Mira, like my father, had seen the worst of humanity, yet they both chose to concentrate on the best of it.
Why is this Holocaust memoir different from others? Trauma runs deep and very often defines the post Holocaust lives of many survivors. For Mira, her trauma was superseded by her innate resilience, her strength of character and her capacity to overcome tragedy. Her hopeful nature gave sustenance and meaning to her family.
This is a story that resonated for me personally, underscored by the universal themes of love and hope common to all.
“A Brilliant Life”
by Rachelle Unreich.
Published by Black & White Publishing, 2023

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Tiblisi, Georgia – a new hotbed for dental tourism, especially for Israelis

Dr. Iza Dzidzikashvili, dentist, practicing surgeon and co-founder of Bucho Denti in Tiblisi, Georgia

Introduction: A few weeks ago we received an interesting email from someone who asked whether we would consider publishing a story about dental tourism in Georgia (not the Georgia in the U.S. – the Georgia that is a former Soviet republic). In that email we were told that Georgia has become an especially popular destination for Israelis looking for quality dental care at affordable prices. So we responded: Go ahead and send us something.
The author of what you’re about to read, whose name is Constantin Dicusar, admits that English is not his first language, so he asks that you forgive any awkward phrasing. But I’m sure that, if you read at least part of this story you’ll be intrigued by what he has to say about a part of the world that I doubt many of our readers know much about.


By CONSTANTIN DICUSAR Tbilisi, Georgia, is the latest destination for Jews from all over the world seeking dental tourism. Dr. Iza Dzidzikashvili, co-founder of a dental clinic in Tiblisi, says: “Jews come from all over the world and choose Georgia because of the low level of anti-Semitism, the low prices and the high quality, as well as the good relations between Israel and Georgia.”
Georgia is a country in the South Caucasus that is relatively little known in the West and in Canada. In 1991, it declared its independence from the USSR, becoming one of the first Soviet union republics to break away from the former imperial power, which was to collapse a year later.
Although it has only very recently chosen to pursue the path of European integration, Georgian society had already distinguished itself long before independence as a nation with deep-rooted Christian-European cultural and civilisational values. Georgian hospitality bears many similarities to that of Moldova, and Georgian wines, renowned throughout the world, have made Georgia the cradle of global winemaking.
Georgian wines are believed to have an 8,000-year-old tradition based on the unique method of fermentation in clay vessels called qvevri, which are included in UNESCO’s Intangible Cultural Heritage list. Among other interesting facts, Georgia was one of the first nations in the world to adopt Christianity as its state religion, in the 4th century.
More recently, Georgia has also managed to build a strong reputation in another sector: international dental tourism. Tens of thousands of tourists from all over the world visit Georgia every year – particularly the capital, Tbilisi – to combine sightseeing with dental treatment.
According to Georgia Today, the majority of foreign tourist-patients come from neighbouring countries or the wider region (Russia, Azerbaijan, Armenia, as well as from the Middle East – Israel, Qatar, Kuwait and Saudi Arabia). In recent years, Georgia has also become a magnet for many people from Europe and the US. Jews – both Israeli citizens and Jews from the Diaspora and around the world – represent a distinct group of patients who have chosen Georgia for dental services.
Read more about this in the exclusive interview conducted with Dr Iza Dzidzikashvili, a dentist, practising surgeon and co-founder of Bucho Denti in Tbilisi, Georgia:

Examination room in Bucho Denti

Constantin Dicusar (for jewishpostandnews.ca): When was Bucho Denti founded, and who is behind the project? Tell us more about how your story began.
Dr. Dzidzikashvili: First of all, welcome, and thank you very much for your interest in our clinic. Bucho Denti was founded in 2000 by sisters Iza and Tea Dzidzikashvili and Vasif Aliyev. Today, all three are among the leading dental specialists in Tbilisi. Since we were already three experienced specialists, we decided to create an environment where patients could feel comfortable, safe, and confident, while receiving the highest standard of dental care. This philosophy became the foundation of Bucho Denti and continues to guide our development today.


Constantin Dicusar: What do you know about international dental tourism in the Caucasus region, and specifically in Georgia and Tbilisi?Dr. Iza Dzidzikashvili, dentist, surgeon practicing and co-founder of Bucho Denti: International dental tourism has been growing significantly in the Caucasus region, and particularly in Georgia. One of the main reasons is Georgia’s combination of hospitality, safety, high-quality dental care, and affordability. Dental standards in Georgia are comparable to European standards, while treatment costs are more accessible than in many other countries. This combination of quality, safety, affordability, and comfort has created growing interest among international patients.


Constantin Dicusar (The Jewish Post & News reporter): How has international dental tourism changed your operational, staffing, sales, and marketing strategie
Dr. Dzidzikashvili: The growth of international dental tourism significantly changed our vision and the way we operate. One of our main goals became to reduce the overall treatment time as much as possible — without compromising quality. We developed our infrastructure and workflows to allow patients to complete their treatment efficiently while maintaining a high standard of care. We also introduced complete treatment packages that can include hotel accommodation, airport transfers, and other services international patients may need. Our goal is to make patients feel safe, comfortable, and supported throughout their entire stay. We also incorporated tourism into the experience, giving patients the opportunity to explore Georgia and travel during their treatment period.


Constantin Dicusar: Did you envision engaging in international dental tourism right from the time the clinic was established, or did that come about later?
Dr. Dzidzikashvili: To be honest, we had always considered the idea of working with international patients. However, this direction developed much more actively as demand for international dental treatment increased. We adapted and developed our services according to the needs of international patients.


Constantin Dicusar: Tell us more about your staff. In which languages do you communicate with your international patients, and does the multilingual staff include dental assistants as well as the doctors themselves?
Dr. Dzidzikashvili: Our doctors have decades of professional experience, with some of our specialists having more than 30 years of experience. Our team communicates with international patients in English. To make the experience even more comfortable, we also provide communication support in Hebrew and Arabic, including professional interpreters. For us, it is very important that patients understand every stage of their treatment clearly and feel comfortable throughout the process.


Constantin Dicusar: Let’s also talk about international patients: which countries do most of them come from, and which dental services do they seek out most often? We know from reports originating in Israel and Georgia that Tbilisi has become an increasingly popular dental destination, frequently chosen by Jewish patients as well. Have you observed this trend at your clinic? If so, which countries do most of these Jewish patients come from?
Dr. Dzidzikashvilii: Yes, we have definitely noticed this trend, and the number of Jewish patients has been increasing every year. We would like to point out that the majority of our Jewish patients are citizens of Israel; they come from Israel. One important factor is the relatively short travel time between Israel and Tbilisi — approximately 2 hours and 30 minutes. Dental treatment in Georgia is also more affordable compared with Israel. Georgia is already well known and popular among Israeli travelers, so patients are generally familiar with the country and feel more confident about choosing it for treatment. After Israel, the United Kingdom is another important market for us, followed by different European countries. We have also treated Jewish patients from Canada, which shows that interest in Georgia is not limited to one or another particular country. The most common treatments requested by international patients are full-mouth rehabilitation, dental implants, and zirconia crowns.


Constantin Dicusar: Do you think that the good relations between Israel and Georgia, along with the low level of antisemitism in Georgia, encourage Jewish patients—particularly Russian-speaking Jews from across the former Soviet Union—to choose Georgia for such services?
Dr. Dzidzikashvili: Of course, the long-standing friendship and positive relationship between Georgia and Israel is very important. This relationship helps Israeli patients feel safe and comfortable when choosing Georgia for treatment. When a patient travels to another country for medical care, price and quality are not the only factors that matter. Trust, safety, communication, and the overall environment are equally important. We believe that the strong relationship between Georgia and Israel contributes significantly to this sense of trust.


Constantin Dicusar: What strategies do you plan to develop over the coming years to grow international dental tourism? Are you considering becoming more attractive destination for Jewish people from Canada and USA who are looking for dental services that are more affordable than those in their home countries?
Dr. Dzidzikashvili: In the future, our goal is to create a large-scale international dental center where everything is available in one place. We envision a facility combining a dental clinic, hotel, and restaurant, creating a comfortable environment specifically designed for international patients. Our vision is for patients to receive high-quality dental treatment, relax, enjoy their stay, and, if they wish, explore Georgia — all as part of one complete experience. At the same time, we are actively working to make Bucho Denti better known internationally and to reach more patients who could benefit from our services. Our main goal is to offer international patients accessible treatment while maintaining European-level standards of dental care.


Constantin Dicusar: Finally, we would like to turn our attention once more to Georgia and Tbilisi as tourist destinations. You are likely aware that in Europe—particularly in the western part—the worrying rise of antisemitism has limited the options available to Jewish travelers seeking dental tourism. Budapest remains the dental capital of Europe and is well-known within the Jewish community; more recently, Romania, Moldova, and perhaps Riga (Latvia) have also emerged as options, each offering distinct advantages and tourism amenities. From this perspective, what can Georgia and its capital, Tbilisi, offer? What makes Georgia unique as a destination compared to the others?
Dr. Dzidzikashvili: Compared with the countries you mentioned, one of Georgia’s main advantages is the combination of more affordable dental treatment with European-level quality. Another important advantage is the availability of complete treatment packages, including dental care, accommodation, transfers, and other services. Georgia is also an attractive tourism destination. Patients can combine their dental treatment with the opportunity to explore beautiful places, experience Georgian culture, and discover the country. Safety is another important factor. Georgia is a relatively small country, which contributes to a well-controlled environment, and the level of crime is relatively low. Ultimately, we believe that the combination of quality, affordability, safety, hospitality, and tourism opportunities gives Georgia a unique position. Our goal is that when an international patient comes to Georgia, they receive not only high-quality dental treatment, but a complete, safe, comfortable, and well-organized patient experience from beginning to end.

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Features

Buck In Situ: A Dog Story

"Although it's far from the island of Jamaica, here Buck has become a part of our life."

By DAVID TOPPER I suppose the first thing I should say is that, although this is a true story, it’s not about a real dog. (That may be obvious if you look at the picture accompanying this tale.) Yes, the dog – a wooden statue – is Buck.

I do want to explain what “in situ” means. For those who know the term, it betrays the fact that I was a teacher of art history before I retired. It’s a Latin term that refers to an art object being in its original or natural place. For example, the famous Elgin Marbles (statues of Greek gods, goddesses and other mythological figures), which are prized objects in the British Museum in London, were taken by Lord Elgin from the Acropolis high over Athens in Greece, in the early 19th century. If the museum ever returns the statues (as Greeks have been demanding them to do for years), and if the statues were then placed back on the Acropolis – then they would be “in situ.

All this has been my way of introducing you to a story about a little statue that has been sitting in my home ever since my late wife, Sylvia, and I returned from a trip to Jamaica many years ago.

Here’s Buck’s story. One afternoon during our vacation on the island, we went to an Art Fair. I was particularly interested in wooden carvings. There was a long line of tables, end to end, with different carvers showing off their wares. As we walked along the tables, among the different carvers, I was dumbfounded because they were all carving the same statues! Different artists: same statues. The statues were of some local deities; none of whom I had any interest in taking back home – no matter what magic it could perform.

Sylvia and I were baffled as we strolled along the long row, eventually coming to the end. Then, lo and behold: the last carver was carving different statues – not necessarily of gods. Coming across his table filled with a wide variety of subjects was a breath of fresh air.

Of course, the first thing I asked him was why everyone else was carving the same things. His answer was simply that they thought that was what tourists wanted, and they were afraid to try anything else. I asked him why he was not afraid. He said he was afraid; nonetheless, he would be bored doing the same thing over and over – even if he made more money.

By now you can see where this story is going. It was among his wares, on the last table, that I saw the statue of the dog – which I immediately fell for. Sylvia, a dog lover, fell for it, too, and hence we bought it. I don’t recall the price, or if we haggled over it. But what I do remember – and why I am telling this story – is this. While talking with him and watching him at work, I noticed the way he was squinting. I asked him about this, and he said his eyes were not what they used to be, that he needed glasses but he couldn’t afford them.

At the time, I was in an early stage of permanently wearing glasses. Having gone through various stages of over-the-counter reading glasses during the previous decade or more, I was now wearing my first prescription glasses. I gave them to the carver to try on, and he said they were too strong. “Good,” I said. I told him I had several pair of different power reading glasses at home, which I had used before I got these. I’d be pleased to mail him those glasses, which perhaps could get him through the next decade or more. He gave me his address, and that’s when I found that his name – or, maybe, it was his nickname – was Buck.

“Would you mind if I name the dog Buck?” I asked – because I liked that name for the dog. He had no problem with that, and hence Buck it was, and Buck it always will be.

Not long after we got home, I mailed a box of glasses to Buck. Although I had my return address on the box (in case it got lost) I never heard from him. I didn’t expect to; yet occasionally I talk to my Buck and tell him that I hope the Buck whom he is named after, is still using a pair of the glasses I sent him. It would be comforting to know. My Buck agrees, I trust.

From the photo you can see that Buck sits at the foot of a staircase. Those stairs start in the front entrance of our home and go to the second floor. Buck not only stands on-guard, watching all who enter the house, but he also plays the following role. If I want to remind myself of something without having a paper and pencil handy, I just turn Buck around – say, on my way upstairs for the night. In the morning, coming down the stairs, I see that Buck is reminding me to do something. Although, I must confess, sometimes I can’t recall exactly what it was!

Finally, I live in Winnipeg, Canada. I know that’s far from the island of Jamaica, but here Buck has become a part of our life. All the family knows that if Buck is turned around – it means something! I therefore believe that it’s not stretching the terminology t-o-o much by calling this memoir: “Buck In Situ: A Dog Story.” To me, Buck is right where he belongs.

David R. Topper writes in Winnipeg, Canada. His work has appeared in MonoPoetic SunDiscretionary Love, Poetry Pacific,Academy of theHeart & Mind, Altered Reality Mag. and elsewhere.

His poem Seascape with Gulls: My Father’s Last Painting won first prize in the annual poetry contest of CommuterLit Mag – May 12, 2025.

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