Features
How did someone who “died” 20 different times survive?
“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.
Features
Why casinos reject card payments: common reasons
Online casino withdrawals seem simple, yet many players experience unanticipated decreases. Canada has more credit and debit card payout refusals than expected. Delays or rejections are rarely random. Casino rules and technical processes are rigorous. Identity verification, banking regulations, bonus terms, and technological issues might cause issues.
Card payment difficulties can result from insufficient identification verification. Canadian casinos must verify players’ identities before accepting card withdrawals. If documentation are missing, obsolete, or confusing, the request may be stopped or denied until verified.
Banks and card issuers’ gaming policies are another aspect. Some Canadian banks limit or treat online casino payments differently from card refunds. In such circumstances, the casino may recommend a more reliable withdrawal method.
For Canadian players looking to compare bonus terms and payout conditions, check https://casinosanalyzer.ca/free-spins-no-deposit/free-chips. This article explores the main reasons Canadian casinos reject card payouts, from KYC hurdles to bank-specific restrictions, so you know exactly what to watch for.
Verification Issues: Why Identity Checks Matter
KYC rules must be activated by licensed casinos. Players need to submit proof of their identity, address and age. If any documentation is missing, expired or unclear, the withdrawal will be denied. In Canada, for instance, authorities like the AGCO or iGaming Ontario have been cracking down on KYCs by demanding that submitted documents – whether photo ID, utility bills or bank statements – be consistent with all account details.
Common errors are submitting screenshots, cropped photos or documents with names, dates or addresses that aren’t entirely visible. Just the slightest differences in spelling or abbreviations or formatting can get these blocks triggered.
Another possibility is that the account was red flagged if previous withdrawals were already made without partial verification. Keeping precise, readable documents helps facilitate approvals and cuts through delays and frustrating red tape, as Canadian gamblers access their winnings both safely and quickly.
Timing Matters
Verification isn’t always instant. Documents being submitted during the busiest times, or on weekends or holidays can only prolong that approval process, and the withdrawal sitting pre-approved – or refused for that matter – until the casino reviews the paperwork. A lot of players feel disappointment not due to mistakes, but only for that a verification team still hasn’t checked their documents! This can be especially frustrating when winnings come from free chips or bonus play and players are eager to cash out.
Keep personal information current and only submit clear legible files to reduce the processing time. Ensure that any scans or photos are sharp, fully visible and there is no detail missing. Preventing Gaffes With submission guidelines to read over ahead of time and directions for following them exactly, verification issues can often be significantly minimized, avoiding delay in accessing winnings and making the lie down withdrawal process that much smoother at Canadian online casinos.
Banking Restrictions and Card Policies
Not all credit or debit cards are eligible for casino withdrawals. Many Canadian banks restrict transactions related to gambling. For example, prepaid cards, virtual cards, or certain credit cards may allow deposits but block withdrawals. Even if deposits work, a payout can fail if the bank refuses incoming gambling credits.
Cards issued outside Canada can also be declined due to international processing rules. Currency conversion restrictions may prevent a CAD payout to a USD card, depending on the bank’s policies.
Banks keep an eye on abnormal or frequent transactions. Online casinos can flag large or multiple withdrawals as suspicious and in such cases may impose temporary blocks on withdrawals or outright decline the withdrawal until the issuing bank confirms them with its account holder. Contacting your bank in advance will avoid any surprises and make withdrawals go more smoothly. What to consider when using your card in Canada:
- Check if your card type supports gambling withdrawals (prepaid, virtual, and some credit cards may not).
- Confirm whether your bank allows international online casino payouts.
- Be aware of currency conversion restrictions.
- Monitor withdrawal frequency to avoid triggering fraud alerts.
- Contact your bank ahead of time to authorize or clarify online gambling transactions.
- Keep alternative withdrawal methods ready, such as e-wallets or bank transfers.
Being aware of these constraints prevents Canadian players from having declined payouts, delays and waste of time when it comes to handling the casino money properly.
Wagering Requirements and Bonus Conditions
Many Canadians chase casino bonuses, including deals built around free chips, but these offers always come with conditions, Wagering requirements usually require players to bet a multiple of the bonus before withdrawing. Attempting a payout before meeting these conditions will be automatically declined. Not all games contribute equally: slots often count 100%, table games 10–20%, and certain features nothing at all.
Misinterpretation of this, can make it appear as though a withdraw should be valid, while the casino believes there are unmet bonus requirements. Some casinos also impose a minimum withdrawal amount and will cap card payouts. And if you have more than the minimum in your account, a limit set off by your bonus could limit withdrawal. By testing these issues early on, you can save yourself a lot of aggravation. How to manage bonus conditions effectively:
- Have a close look at the terms of the bonus – check out wagering requirements, game contribution and time limits.
- Track your progress – note how much of the bonus has been wagered and which games contribute most.
- Plan your gameplay – prioritize slots or eligible games to efficiently meet wagering.
- Check withdrawal limits – ensure your balance meets minimums and bonus-specific caps.
- Avoid early withdrawals – never attempt a cash-out before meeting all conditions.
- Use trusted sources – platforms like CA CasinosAnalyzer can clarify real requirements and prevent surprises.
Following these steps helps players meet bonus conditions without stress and makes bankroll management smoother.
Features
What is the return on investment of US military spending on Israel?
By GREGORY MASON A recurring theme of Israel’s critics is that were it not for US spending on its war machine, it would be unable to wage genocide. I will leave the genocide issue (sic, I mean non-issue) aside as it has been well covered here and here.
Of course, right now (March 11), the war is going well for Israel and the US. In fact, the Israeli and American air forces are showing a level of coordination enabled by decades of close cooperation between the two militaries. I recall a conversation with an IDF colonel, the commander of a base near Eilat, in 2010, during a mission that gave participants access to high-level military briefings. Tensions between Israel and the US had soured, as they periodically do, and I asked whether this ebb and flow in political posturing affected military operations. The colonel said political leaders come and go, but the cooperation between the Israeli and American militaries is very tight. To quote him, “they need us as much as we need them. We are their eyes and ears in this part of the world.”
Many on both the right and left call for the US to disengage from Israel, especially with respect to defence spending. First, let us look at facts.
Table 1 readily shows the impact of the war in Ukraine, with Russia’s spending also reflecting wartime demands. Israel’s total commitment of 5-6% of GDP amounts to $45 billion in defence spending, reflecting its perpetual need to defend itself and maintain a permanent reserve force. Table 2 elaborates on defence spending as a share of public spending. Unlike other countries that have been free riding under the US military umbrella (and Canada is the most egregious of the lot), Israel has made very substantial commitments to its own defence. The $3.8 billion spent on hardware for US equipment is a fraction of Israel’s total defence budget of about $43 Billion. All U.S. financial aid to any country for military hardware must be spent on U.S.-manufactured equipment by law.
Critics of US defence funding for Israel miss two key points. First, as Table 3 shows, financing sent to Israel does not involve troop deployment. Israel does not want the US to station troops within its borders. The costs of maintaining troop deployments and all the associated support costs for NATO, Japan, and South Korea are orders of magnitude higher than the financing for the hardware it provides to Israel.
Second, and the current joint US/Israeli operations in Iran bear this out, Israel has dramatically improved the equipment platforms it purchased. Examples include:
- The F-15 has benefited from Israeli wartime use, resulting in major improvements, including a redesigned cockpit layout, increased range through fuel redesign, improved avionics, new weaponry, helmet-mounted targeting, and structural strengthening.
- Because Israel was an early partner in the fighter’s development and had access to its top-secret software suite, the Israeli version of the F-35 is a radically different plane than the model delivered. Improvements include increasing operational range, embedding advanced air defence detection, and integrating the fighter with Israel’s defence network, creating extensive system integration. This proved instrumental in the rapid establishment of air superiority in the 12-day war in 2025.
- The THAAD (Terminal High Altitude Area Defence) program has benefited from a joint research and development relationship between Israel and the U.S.
- Finally, Iron Dome has contributed to U.S. air defence development, particularly the Tamir interceptor technology, battle management, target discrimination, and the development of a layered air defence system.
No senior military or political official questions the return on investment American gains by funding Israel’s acquisition of U.S. military hardware.
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Why Returning Players Often Stick to a Few Favorite Games on Platforms Like Gransino Casino
Many online casino players develop clear preferences over time, and Gransino Casino highlights how familiar games often become the center of regular play sessions.
Online casinos typically offer large catalogs filled with hundreds of different slot titles. While this variety allows players to explore new experiences, many returning users gradually settle on a smaller group of games that they revisit regularly. This pattern appears across many digital gaming environments, where familiarity often becomes just as important as novelty.
Platforms such as Gransino Casino demonstrate how this behavior emerges in practice. Even though players have access to many different titles, returning visitors frequently gravitate toward games they already know and understand.
Familiar mechanics reduce learning time
One reason players return to the same games is that they already understand how those titles work. Each slot game has its own rules, bonus features, and payout structure. When a player first opens a new title, they often need a few minutes to understand the paytable, special symbols, and feature triggers.
Once that learning process has taken place, the game becomes easier to approach in future sessions. Players do not need to spend time reviewing instructions or exploring unfamiliar mechanics. Instead, they can begin playing immediately with a clear sense of how the game operates.
On platforms like Gransino Casino, this familiarity can make certain titles stand out as reliable choices. When players know what to expect from a game, the experience often feels smoother and more predictable during short play sessions.
Personal preferences shape long-term choices
Another factor influencing player behavior is personal preference. Some players enjoy specific visual themes such as mythology, adventure, or classic fruit machine designs. Others may prefer particular gameplay features, such as free spins, cascading reels, or bonus rounds.
Over time, players tend to identify the games that best match these preferences. Once they find titles that align with their interests, they are more likely to return to those games rather than start the search process again.
This pattern can be seen on Gransino Casino, where players browsing the lobby may explore different titles at first but eventually settle on a smaller group of favorites that suit their individual style.
Habit formation in digital gaming
Habit formation also plays a role in why players repeatedly choose the same games. In many digital environments, users develop routines that guide how they interact with a platform. This behavior is visible across streaming services, mobile games, and online casinos.
Once a player has established a routine, returning to familiar content often becomes part of that pattern. For example, a player might log in and immediately open the same slot they played during previous sessions. The familiarity of the interface, symbols, and features can make the experience feel more comfortable.
Platforms like Gransino Casino support this behavior by maintaining consistent game availability and allowing players to locate previously played titles easily within the lobby.
Exploration still remains part of the experience
Although many players develop favorite games, exploration remains an important part of the online casino experience. New titles continue to appear on casino platforms, introducing different mechanics, themes, and visual styles.
Players often alternate between their familiar choices and occasional experimentation with new games. A player might return to a favorite slot for most sessions while occasionally trying recently released titles to see if they offer something interesting.
The wide selection available on Gransino Casino allows this balance between familiarity and discovery. Players can continue returning to the games they enjoy while still having the option to explore new additions within the platform’s catalog.
Ultimately, the tendency to revisit favorite games reflects how players build their own routines within digital entertainment environments. Familiar titles offer a comfortable starting point, while new releases provide opportunities for occasional exploration, creating a mix of consistency and variety within each player’s experience.