Local News
Lifesaving Israeli training coming to Winnipeg
By REBECA KUROPATWA
In 2016, when Magen David Adom (MDA) introduced the Life Guardian Program, thousands of Israelis with no medical training jumped at the opportunity to participate.
The Life Guardian Program added another layer of responders to emergencies to potentially save more lives with faster response time, by certifying or recertifying everyday Israeli citizens. Many participants had learned CPR as part of their army service or teacher certification, and others took first-aid basics for the first time.
When an emergency call is taken at the MDA dispatch centre, the computer system locates and contacts the closest Life Guardians and asks them to help save the life of a person in their close proximity, while also dispatching the closest medic or paramedic.
With an eye on the rise in anti-Semitic attacks in North America, Canadian Magen David Adom (CMDA) has come out with a training program that aims to give everyday people the know-how to help if they are in proximity to the site of a mass casualty incident.
The training is designed for anyone, no matter how much or how little medical training they possess, to give people the most basic tools to help save lives. It is called “The First 7 Minutes” and will soon be making its debut in Winnipeg.
The first training session is scheduled to take place on Feb 5th at 7 pm in the Rady JCC’s MPR (multipurpose room) and is being presented by CMDA and the Rady JCC. The special guest speaker will be MDA paramedic Don Sharpe, from Calgary who will train attendees and award certificates of training completion.
Sharpe has been a paramedic in Calgary for nearly 40 years. Four years ago, he had the fortune of training with MDA in Israel along with a group of other Canadian doctors.
“I’ve seen first-hand how an ambulance service should be run, and I think there are a lot of lessons there for us here in Canada – not just the actual frontline ambulance portion, but also for integration with hospital service, air service, and the Life Guardian Program,” said Sharpe.
“I tried several times to get that off the ground here, unsuccessfully, because, I think the community and cultural cohesion that seems to exist in Israel – we don’t have here.”
Sharpe grew up in the Jewish community of south west Calgary, though he is a Mormon by faith.
“As I grew older and started to watch what was happening with the rise of anti-Semitism and the violence against Jewish people and the State of Israel, I came to believe that Jews were precious,” said Sharpe.
“I wanted to work with a group that supported, not just the Jewish people, but also the State of Israel. So, when the opportunity came up…when I saw a presentation of a couple of doctors who had gone to Israel and worked with MDA, and they said they’d learned how to treat people on a moving ambulance…I was like, ‘Well, I can do that!’ They learned how to help people out in the field…and, I said, ‘I can do that!’”
Sharpe was especially impressed with MDA’s dispatch centre, which not only takes calls, but also provides lifesaving guidance over the phone until help arrives.
“We have so many people here now that, when an emergency occurs, they don’t know what to do,” said Sharpe. “The time I spent in MDA’s dispatch was really eye opening.
“When I first started in Canada, people would call 911 and we’d basically just take the call, start the ambulance, and hang up the phone.
“But, MDA’s idea that we can help people before the ambulance arrives is just brilliant. It makes such a huge difference.
“And now, to be able to teach groups of people, through “the First 7 Minutes” training, is perfect…groups of lay people on how to help a large number of people, casualties…in situations where everyone’s panicking. With just a little bit of training and some right thinking…there is now the idea that you aren’t powerless, that you can do something, you can cope. That little bit of training makes so much difference.”
Through “the First 7 Minutes” training, the first thing you will learn about is how to wrap your head around the possibility that you might be in a situation where 10 or 15 people are suddenly hurt and in need of help. The training will begin with a brief talk in order to best focus as much time as possible on practicing simulated mass casualty events.
“We start with something like a wall collapse, something without a bad guy, something that’s an accident rather than patients or blood,” said Sharpe. “This patient has a broken arm, this person’s unconscious, this person is bleeding from an abdominal wound…we go through determining who is in charge, how we know that person is in charge, where that person should stand and what s/he should do…what everyone else should do…and we also want to be alert for those people who are so freaked out by this that they don’t want to help at all.
“For those people, who might say they don’t like blood, I say, ‘Listen, there’s an important job for you. We need you to keep the people who aren’t hurt calm and look after them.’ I go, ‘Can you do that?’ And they say, ‘Oh yeah, I can do that.’”
The second simulated scenario might include an assailant. The third simulation will depend on the attendees and Sharpe’s observations on what should be further practiced.
“By the end of the training, you will walk away with some very basic understanding of how to work together as a team,” said Sharpe. “No matter who’s there, everybody can help a little bit. And, you know, if a situation ever truly arises where we have a large number of people hurt, you will remember the basics.
“You may not be good at it. Nobody ever gets good at it unless you spend the time I do treating patients, but you’ll be comfortable enough to say, ‘We can handle this and help people. We can take care of ourselves.’”
At the end, participants will receive a certificate. “I love the idea that people have to pay $10 for the training, because sometimes, when people just wander in and out and it’s free, they aren’t really paying attention,” said Sharpe. “Now that they paid, they’ll want to get their money’s worth, so they’ll have a real commitment to being there and learning this.
“I think communities need to learn to work together and to depend on themselves. And, it’s not only a good way to save lives in an emergency. It’s also a way to simply teach people to work together, so that, when they look at each other, they know they can depend on each other in an emergency. They’re well trained.”
CMDA and Sharpe are bringing the training to schools, synagogues, churches, and more.
While the topic is serious, you can expect Sharpe to include some humour along the way. “It can be a good time,” he said. “We have fun. People will walk away thinking, ‘I thought this was going to be pretty hard, but it was kind of fun.’”
Local News
Another ex-Winnipeg physician chimes in on Canadian and American health care systems
By BERNIE BELLAN Elsewhere on this website we have a piece by Dr. Elisa Flaybush who, although she received her medical training at the University of Manitoba medical school, went to the US for specialized training in gastroenterology – and chose to remain in the US. You can read Elisa’s commentary on our Canadian medical system at “Manitoba trained Jewish physician now living in US laments state of medical care in Canada.”
That piece elicited quite a few views. Unfortunately, we do not allow comments on our website. (We get inundated with spam comments and it’s too time consuming to wade through them to find legitimate comments.) Interestingly though, we received a very thoughtful email sent to us through our “Contact Us” link from another former Winnipegger, Dr. Martin Koyle – who also chose to go elsewhere for specialized training – in his case, in urologoy, following his graduation from the U of M medical school. In Dr. Koyle’s case, however, after spending most of his career in the US, he did return to Canada – to teach and work first in Montreal and latterly in Toronto.
(We might also note that Dr. Koyle has been the recipient of many awards throughout his career, most recently having been selected as one of the American Urological Assocation’s 2026 Distinguished Award Winners.)
Following is Dr. Koyle’s piece, written in response to Dr. Flaybush’s piece:
Bernie: I enjoyed your dialogue with Elisa, whom I do not know. I must admit that my training and education in Manitoba more than prepared me for subsequent specialist training and spending the majority of my career in the USA, but returned to spend the last 10 years of my full-time career as Professor of Surgery at the University of Toronto Temerity Faculty of Medicine and Women’s Auxiliary Endowed Chair in Urology and Regenerative Medicine at SickKids. Like Elisa, I was not mentioned in Eva (Wiseman)’s book because, like Elisa, I never returned to Winnipeg to practice, but have returned multiple times to operate and serve as visiting professor.
Much of my 40-year career and success was because of the education and mentorship I received from Eva’s husband, Nathan, also Dr. Alan Decter, Dr. Luis Oppenheimer, and Dr. Harvey Chochinov, all Jewish. Certainly, many of my non-Jewish educators had major impacts on my development as well and I feel fortunate to have been lucky. Before I accepted a postgraduate residency training position at Harvard I had long discussions with Nathan and Alan, and looked at all alternatives. One of them said that the 3 most overrated things in the world were “homecoming, sex and Harvard Medical School!” After a few months back I replied to that comment, agreeing with the latter insight, but fervently disagreeing with comments regarding homecoming and sex! However, the Harvard reputation and networking opportunities paid dividends that I likely would not have garnered had I stayed in Manitoba to train and then eventually sought to seek other opportunities.
I too believe that the Canadian healthcare system is broken despite best intentions. Reality is reality. From the time of William Osler until my starting practice in 1984, medical knowledge was doubling in a linear fashion roughly every 7 years. Over the past few decades, with all the innovations and disruptions, biomedical knowledge now grows exponentially, every 2.5 months! Moreover, the number of medical specialties and subspecialties has gone from 40 to 150 over the past 4 decades. Moreover, in my parent specialty of urology, within 5 years of my subspecializing in pediatric urology, I had become a dinosaur, as urology over that short period had changed so dramatically. Routine x-rays were replaced by ultrasound, then CT scans, and then MRI was added. Hands on surgery became largely replaced by laparoscopy and now robotic surgery. New drugs, new guidelines, new metrics, litigation, peer pressure, the electronic medical record, and much more have increased the complexity even more… and the costs to boot! Since the system is based on taxpayer dollars, it is always playing catch up.
Elisa and I are proceduralists that cost the system money and much of what we do is therefore elective. In Canada, in order to see a specialist like her or me, you most often need a referral from a primary care provider, usually using an archaic methodology of FAXing a referral form and hoping a response ultimately reaches the patient. In the USA, if we don’t address a call or referral immediately and appropriately, whether in private practice like Elisa, or in an academic environment like me, we are quite likely to lose that referral base and even that entire practice. So, customer service in our competitive model is essential.
In my practice, I am salaried and see insured and indigent patients, who are all treated equally. In semi-retirement, we are constantly attempting to improve access in the hospital where I work. During my 10 years in Toronto – and I assume it’s similar in Manitoba, my practice felt like an impersonal, never-ending conveyer belt, with very little relationship with the referring provider or, sadly, the patient. The physician also was the one who bore the brunt of patient complaints for any delay or cancellation, despite having no control of the system in which I worked.
Elisa, being in private practice, likely has more control over flow than I do. I use allied health providers, nurse practitioners and physicians as a team to improve flow. They are underutilized in Canada and too much reliance is placed on the gatekeeper, the family doctor. Canada tries to play nice in the sandbox, so to speak, by thinking that all inhabitants of a given province or territory have equal access and equal care. However, many patients in Canada need supplemental insurance – which can be costly if not offered by an employer.
So healthcare is challenging. We are living longer, with more chronic conditions that can now be treated better and hence, prolong life. In the US as much as 25% of healthcare dollars are spent on prolonging the inevitable. In Canada there is far more emphasis on palliative care and hospice, far reducing end of life costs. There is much waste in both systems – with a lot of over management (mismanagement?). In the US it is as challenging as the Canadian system, but for different reasons. There is a profit motive in an open market system, whether that be the insurance company, the hospitals themselves, or the provider. Whether the government provides the dollars through taxes (Canada) or all those pieces that don’t necessarily fit perfectly in the American system, the bottom line needs to finish in the black.
So healthcare is broken, and while fair and equitable is a laudable human-focused goal, it is challenging to achieve in a never-ending playing field. Similarly, an open market system – as Elisa has suggested, works in many instances, but in order to provide for all, it is reliant on government (tax) dollars as well. With the changes in administration in the US, where there is fear that the Social Security and Medicare (federal care dollars for those over age 65 and those with significant conditions like kidney failure) pots are not being replenished as the population ages, and state support has diminished for Medicaid (support for low income), the system also faces mounting challenges as well.
Martin A. Koyle MD, MSc, MMgmt, MBA(cert.), FAAP, FACS, FRCSC, FRCS (Eng.), FRSM
Professor Emeritus, University of Toronto, Temerity Faculty of Medicine & Institute of Health Policy, Management, & Evaluation (IHPME)
Adjunct Professor, University of Minnesota School of Medicine
Faculty, IMHL & GCHM programs, McGill University, Desautels Faculty of Management
Email: marttch@me.com; marty.koyle@gmail.com.
Twitter:@MakMarttch
Local News
Winnipegger liver recipient Mark Kagan now in need of new kidney
By MYRON LOVE About a year ago, Winnipegger Mark Kagan reached out to the Jewish community through the pages of the Jewish Post (and jewishpostandnews.ca) in his efforts to find a liver donor. At the time, his liver and his health were rapidly failing and he was quickly running out of time.
Back then, the former Best Western Hotels manager – who is in his mid-60s – reported that there is no cure for his condition (a non-alcohol related rare liver disease called Nodular Regenerative Hyperplasia).
“My only hope for survival is a liver transplant,” he said.
The good news is that he was able to get a liver transplant this past April in Toronto and his recovery went well. Within a short time, he was able to eat normally and resume exercising. He spent three weeks post-op in the hospital in Toronto and another two weeks at the Health Sciences Centre before being cleared to go home again.
The bad news was that once his liver failed, in turn, it caused his kidneys to fail. “My doctors originally hoped that my kidney function would return on its own once the liver was transplanted,” he notes.
That didn’t happen. Now Kagan has to have dialysis three times a week while trying to find a kidney donor.
On Tuesday, December 9, Kagan’s quest for a kidney donor will be the focus of a program at the Rady JCC hosted by Renewal Canada, a Toronto based organization that works within the Jewish community to find kidney donors and facilitate transplants. The event – that begins at 7:30 pm – is described as a Kidney Donation Awareness and Swab Drive with the hope that a donor can be found for Kagan. Speakers will include Rabbis Carnie and Kliel Rose – both discussing the mitzvah of organ donation, Penny Kravetsky representing Renewal Canada, and past donor Esther Dick, as well as Kagan.
Kagan adds a special thank you to Rebbitzen Bracha Altein for her role in directing his mother to Renewal Canada.
Comments that Kagan made last year in the Post article still ring true:
“Your support means everything to me and my family,” Kagan said. “Even if you cannot donate, sharing my story could connect me with someone who can. Thank you for taking the time to read and consider helping in this crucial time.”
Interested readers can register by going online at https://www.renewalcanada.org/
Local News
Manitoba trained Jewish physician now living in US laments state of medical care in Canada
By BERNIE BELLAN (Nov. 27, 2025) Introduction: We received a comment this morning from a former Winnipegger who had something to say about the state of medical care in Manitoba. Once you read her message you will be able to read an exchange of emails into which we entered that give more information about her:
I’m a physician who graduated from the University of Manitoba medical school (class of 1999). After training, I moved to Arizona to practice as a gastroenterologist. During my training in Winnipeg, I was always told how bad the American health care system was. I am here to tell you that this is incorrect. The poorest American who can’t afford health insurance and qualifies for state funded insurance has better health care than ALL of you.
I work in private practice. Yes, I’m busy. Yes, it takes many weeks to see me. However , if a family physician calls me and asks me to see a patient urgently, I will. If a patient needs a procedure urgently, I will get it done. If a patient needs to speak to me after my office hours or on weekends and holidays, I call them back. I am not the exception to the rule. I am practicing standard of care.
My niece has been in an out of the children’s emergency room (in Winnipeg) for several weeks because of kidney stones. She has been told numerous times by numerous physicians that her case is not “urgent”. Apparently, you can only get care if you become “urgent”. Urgent means that you are really sick and have developed complications. So, my niece has to end up in the ICU with sepsis (infection) and in renal failure for her to have the procedure she needs? What she was given was a prescription for morphine. Great, getting a teenager hooked on opiods as a way to treat kidney stones , that’s the answer? Her urologist told her mother (my sister) that the system is broken. Finally, an honest answer but in no way a solution.
The American health care system is not perfect but it’s significantly better than what you have. I’m appreciative of my excellent training I received in Winnipeg however, I could never work in your broken system as now I know better.
Good luck to you all.
Dr. Elisa Faybush
In response to Dr. Faybush’s comment, we sent her the following email:
Hi Dr. Faybush,
I read your message about the state of health care in Manitoba with great interest.
I wear 2 hats: I’m both an editor at the Jewish Post newspaper, also the publisher of a website called jewishpostandnews.ca
I would consider printing your message, but I’m curious: Is there a particular reason that you sent it to a Jewish publication?
For instance, are you Jewish yourself? It might put things into some sort of context which would explain why the letter was sent to us – or perhaps you sent the same message to other publications.
It would be helpful if you could elaborate on why you sent your message to us.
Regards,
Bernie Bellan
Dr. Faybush responded:
Hi Bernie
Yes I’m Jewish. Raised in garden city. My grand parents were Ann and Nathan Koslovsky
I sent the letter to the Winnipeg free press and was contacted for an interview but they wanted to interview my sister as well. Unfortunately my sister didn’t want to be interviewed.
I read your publication on line regularly to keep up with the Jewish community in Winnipeg.
My family still lives in Winnipeg and I was home this past summer for my niece’s graduation
I will always consider Winnipeg my home.
I’m so frustrated with the Canadian health care system and wanted the people from Winnipeg to know they deserve better.
Elisa Faybush
We wrote back:
Thanks for the speedy reply Elisa. I’ll add something to the end of your message about your roots.
And, for what it’s worth, I agree totally with you about the state of health care in Canada. It’s a sacred cow but this cow should be put out to pasture.
She responded:
100% agree
Feel free to call if you would like
(number redacted)
We wrote:
Well, if you’d like me to do a profile of you – which we do quite often of doctors who left Manitoba, usually written by Gerry Posner, I’d be glad to do that.
But it would be a full-on profile, not just a lament for the Canadian health care system. By the way, I searched your name in the History of Jewish Physicians in Manitoba, which was authored by Eva Wiseman a few years ago. I didn’t see your name in there, but one of the criteria for inclusion in that book was someone must have practised in Manitoba for at least 5 years after graduating. I assume you left before 5 years had elapsed. Is that right?
Elisa responded:
You are correct. I left after residency to complete my fellowship in gastroenterology in Arizona and never left.
I went to garden city collegiate graduated in 1991 and then went on to complete my bachelor of science at the u of w.
I’m not looking for a profile but thank you for the offer. I just need to express my opinion and I appreciate you giving me an outlet to do so.
We wrote:
When did you graduate from medical school?
Elisa responded:
1999
We wrote:
And did you go to Arizona immediately upon graduating?
Elisa responded:
After graduating u of m medical school in 1999 I completed my internal medicine residency at the u of m from 1999-2002. I then left to go to the university of Arizona in Tucson for my gi fellowship from 2002-2005. I then moved to Phoenix and started private practice. I just completed 20 yrs in practice this year.
We wrote:
ok great – I think it’s important to provide a fuller description of your career to lend some further significance to your original comment. By the way, you must have studied under Chuch Bernstein – right?
She responded:
Yes. He is the reason I did my fellowship in the USA. He encouraged me to do so. He probably thought I would come back to work in Winnipeg like he did!
We wrote:
He’s a great guy. I bet I know a lot of your schoolmates from med school. It’s too bad the Canadian medical system has alienated so many talented people. I still have lots of friends who were doctors and who still live here, but they’re all so embittered about our system.
Elisa responded:
I never practiced in Winnipeg but I hear about the problems with it as family members have to navigate through this broken system.
If I lived and practiced in Winnipeg I would know the doctors and specialists that I could call to help my family members but I’ve been gone for so long I don’t have any relationships with anyone anymore: