“The Summer I Died Twenty Times”

Reviewed by BERNIE BELLAN
In the summer of 2009 Winnipeg-born Fred Rutman claims to have “died” 20 times. As he writes in the prologue to his newly-released book, “The Summer I Died Twenty Times,” “I was clinically dead twenty times that we know of – heart stopped, no breathing, ready for the toe tag. And then I wasn’t.”
What happened to Fred Rutman, why it may have happened, and what he says he discovered has become the most effective treatment for his extremely rare condition is the subject of quite an intriguing 275-page account.
Fred had contacted me some time back to ask me whether I’d be interested in reading his book. Naturally, being the publisher of the Winnipeg Jewish newspaper, I was interested in knowing whether he had any Winnipeg relatives. It turns out Fred has strong Winnipeg roots, having been born here and having grown up here. Also, I remember being in school with his brother, Ray.
But, his book only deals tangentially with his Winnipeg connection. What Fred does is tell a story – a lengthy story that at times can bog you down with descriptions of what seem to be endless medical procedures he has undergone over the past 14 years, but one that is nonetheless thoroughly intriguing.
“The Summer I Died Twenty Times” is unusual also in how breezily it’s written. Chapters are short and are often given very humorous titles. Fred actually began writing the book during Covid as a means of passing time, he says. By the way, he also mentions that he’s had Covid three times – and, for someone who “died” 20 times before that, one has to wonder just what keeps this guy alive.
But, no matter what his medical history is – and how confounding it has been to what seem to have been a never-ending series of medical professionals, one is constantly left wondering: How did Fred Rutman survive?
Here’s how he describes his condition at one point: “I have a heart condition called a severe full AV block. Why, they don’t know. What they do know is it prevents your heart’s electrical signals from telling the atria and ventricle to beat in synch. That is to say, my heart stops. Now I am fully 100% dependent on a pacemaker to keep me alive…Collectively, my heart has stopped 50 plus times. Sometimes for extended periods of time. During many of these stoppages, I collapsed and bashed my head, resulting in concussion/brain damage…”
Fred also explains that at one point one of his doctors determined that Fred had suffered a stroke at birth, “which caused all sorts of brain trauma that no one caught.”
But, there is no conclusive evidence, he writes, that the stroke at birth is what has led to his heart problems.
No doubt, at this point, anyone reading this would be wondering: Was Fred Rutman clinically dead? The answer, as he discusses thoroughly, is an emphatic “yes.”
And then, of course, you would likely want to know: What was it like? Did he have an out-of-body experience at any time? Did he see a light? Did he go through a tunnel?
The answers, again, are: none of those things. Fred apologizes if a reader had been hoping to find some hint of an afterlife while reading his account.
Not that Fred Rutman is irreligious – far from it. He’s an observant Jew, not that he was always one, he explains. His becoming observant happened over time after he had moved to Toronto. In many ways, as he writes about the warm and loving Jewish community of which he’s now a part, he makes a convincing case for the merits of adhering to an Orthodox lifestyle.
In fact, because Fred does not refer to the many characters that populate his book by their real names, instead choosing to use often hilarious pseudonyms, it’s not always easy to remember just which member of his synagogue it was that administered to his needs at any particular point, including taking him to the hospital, visiting him there, bringing him kosher food to eat while he was there, or often letting him stay at their home, either while he was convalescing or after he had just experienced another near-death experience on the way to synagogue or on the way home.
I don’t know Fred Rutman, but after reading his story, I can’t help but think that someone who has as many friends as he does must be one terrific guy. He describes his academic and work background to some extent, but doesn’t really explain how he was able to support himself all the many times he ended up in hospital or later, while he was recovering.
Another aspect of the book, and perhaps one that will resonate with Manitoba readers in particular, is that no matter how often Fred’s condition may have been misdiagnosed and no matter how many times he may have been subjected to tortuous tests and procedures – he still received care within the Ontario health system.
One cannot help but wonder how long Fred Rutman would have survived had he still been living in Manitoba. Would he even have been able to see a doctor? you might wonder – and when you start to see the list of doctors who attended to Fred over the years, you might gain a fuller appreciation of our Canadian health care system, at least at it has developed in Ontario. In Manitoba, no doubt, he would have been put on a wait list and then subjected to numerous postponements of tests, procedures, and ultimately, life-saving operations,
At the same time though, the frustration that accompanies the numerous occasions during which doctors go over Fred’s medical history from the start, rather than just reading what other doctors have already determined is wrong, is just another example of how inefficient our Canadian medical system can be. (Since the book isn’t a scientific paper, it’s impossible to know whether Fred would have received better care within a different medical system, but his story certainly calls for a case study of that sort.)
Fred Rutman has had four pacemakers implanted underneath his chest wall over a relatively short number of years. Three had failed – something which, in itself, is especially disconcerting. The most recent one, which he has had now for three years does seem to be working properly, at least as of the current moment. But, when he describes being awake while surgeons thread leads into his heart to regulate its heartbeat – several times when he should have been asleep but the anesthetic was not given properly, well, it’s hard not to squirm as you’re reading that.
So, in the end, what has kept Fred Rutman alive? And, this is the part of the book that I’m sure will arouse the greatest controversy – it’s Fred’s categorical acceptance of Intermittent Fasting as a cure-all for a myriad of conditions he has experienced which he now says have either been eliminated of have been greatly relieved.
Without going into the details of Intermittent Fasting, which Fred does, suffice to say that it can be approached in a number of different ways. Here is how Wikipedia describes what Fred refers to simply as IF: “Intermittent fasting is any of various meal timing schedules that cycle between voluntary (or reduced calorie intake) and non-fasting over a given period. Methods of intermittent fasting include alternate-day fasting, periodic fasting, and daily time-restricted feeding.”
Upon further reading, however, I could find no conclusive scientific support to substantiate Fred’s claims for the wonderful effects of intermittent fasting. Perhaps, just as what exactly led to his experiencing so many heart stoppages still remains a mystery to the many doctors who treated Fred over the years, so too do the apparently wondrous effects that IF has had for him – and for many others who swear to its absolute usefulness.
“The Summer I Died Twenty Times” is hardly a medical treatise. Fred writes in a charmingly breezy manner. As I wrote to him an email though, there are a number of spelling and grammatical mistakes, but perhaps only a nit picker like me would notice them. In addition, Fred did admit to me that the first 40 pages of the book are a bit of a slog, as he describes the process that led to his writing the book.
By the time that you begin to read the details of what happened to Fred though, at first you’re bound to think: How did he even survive that very first episode in which his heart stopped, never mind the 19 others that followed? As you read on, however, reading about one episode after another where first Fred would have what he describes as a “brainquake”, followed by his blacking out totally when his heart stops, only to revive time and time again for mostly inexplicable reasons, it all seems to become a continuous cycle of events that may even seem monotonous.
But – what Fred Rutman experienced – and regardless how much stock he may put in Intermittent Fasting, may experience again, is absolutely riveting. He remains a medical mystery, although in time perhaps someone will come up with an explanation how someone who had “died” so many times was actually able to survive.
“The Summer I Died Twenty Times” is available on Amazon.