By MYRON LOVE Three and a half years ago Bernie Bellan wrote a story for The Jewish Post & News about a new service that had just started up earlier in 2022. That story told how two entrepreneurs, Dr. Norman Silver and Dave Berkowits, came up with the idea of providing online care with physicians to patients who weren’t in a position where they could visit a physician in person.
At that time, the story noted, QDoc began with only 144 patients in May 2022, but was growing at a rate of 1,000 new patients a month. Since then QDoc has been a roaring success and has been expanding its reach well outside Manitoba.
You can read the original story about QDoc on this website at QDoc.

Here now is an update to that original story:
Roughly four years ago, long time pediatrician Dr. Norman Silver and his brother-in-law, Dave Berkowits, a leading Canadian healthcare software developer, joined forces to create a virtual medical program that connects physicians and patients online.
“In our first couple of months, QDoc was able to connect 55 patients with our team of physicians, Silver reports.   “Last year, we had more than 124,000 patients sign in – or about 11,500 a month who signed in.
“We have working relationships with close to 200 doctors and 35 nurse practitioners who are in partnership with us.
“We also have almost 3,000 positive reviews online.”
Silver notes that while 70% of Qdoc’s patients are from rural and northern Manitoba, the system is also in operation in Nunavut and Northwestern Ontario.
For Berkowitz and Silver, Qdoc is akin to a match made in heaven.  The son of Rita and the late Ron Silver has been a pediatrician for 20 years.  His resumé includes many years as an ER doc at Children’s Hospital, as well as working out of the Pan Am Clinic for years.
According to a write-up abut Silver on the Doctors Manitoba web page, the innovative pediatrician has many accomplishment during his career aimed at improving healthcare in our province.  These include a nurse-initiated X-ray program in the Children’s ER, which decreased the length of stay for children with fractures by 1.5 hours; an oral rehydration program in the waiting room for children with gastroenteritis, which expedited their stay;  a pediatric sedation service at the Children’s Hospital; a pediatric locum program to provide uninterrupted service to children in Western Manitoba; and penicillin de-labelling clinics in both Brandon and Winnipeg.
As well, seven years ago, he and Berkowits and five other partners opened the Minor Injury and Injury Clinic – the first non-publicly owned urgent care center in Manitoba .
“We treat up to 50,000 patients a year at the clinic,” he reports.
Silver describes his QDoc founding partner and brother-in-law as “the best medical software developer in Canada.” The son of Sandra and the late Alex Berkowits earned his stripes working for Philips Canada (which, for most readers is probably best known for its electronic consumer products) in its medical products divisions, working with MRIs and CT Scan equipment. 
He then went on to work in Alberta  for 17 years  as part of the leadership team that implemented digital image sharing in Calgary. The team also created software that allowed radiologists based in Calgary to read CT and X-ray studies taken in Whitehorse and Yellowknife. That improved the time it takes for ER departments located up north to have radiology exams read so that patients could be taken care of quickly
It was the Covid lockdowns that led to Berkowits and Silver’s first collaboration – a drive-up, appointment based COVID testing site at Red River College.
 
Silver notes that certain regulatory changes in Manitoba made it possible for a business such as QDoc to deliver its medical services to the general public. During the lockdown, the then new virtual QDoc program allowed patients and doctors to stay connected and patients who were seen to be covered by Manitoba Health.
Berkowits points out that all you need to sign on to QDoc and connect with a physician is access to a camera, a microphone, an internet connection and a provincial health card.
A patient going onto the system would click ‘see doctor now,’ and be connected to one of several doctors who would receive the text message notifying them that a patient wants to be seen.
“Our goal is to have a doctor respond to the patient within 20 to 30 minutes,” Silver says.
Berkowitz notes that QDoc has separate programs for  virtual medicine, medical billing and medical booking.
For Silver, QDoc is Tikkun Olam in action on several fronts.  “One advantage of our program is that by connecting a patient who lives maybe 20 km outside of Neepawa with his doctor in Neepawa, you save driving time and reduce potentially harmful emissions.”
He further reports that QDoc  partners with the DCSP (downtown community safety partnership) to help deliver care to the homeless. 
He adds that last summer, during the large scale evacuation of northern communities due to forest fires, QDoc was approached to help connect evacuees with their regular doctors.
 
 
Both Berkowits and Silver demonstrate Tikkun Olam in other ways as well.  For the past 27 years, Berkowits has been responsible for security  for Shalom Square. (Incidentally, he is the brother of Rob Berkowits, the Rady JCC’s executive director.)
Several years agoSilver (whose brother, Michael, has been president of the JNF for Winnipeg and Saskatchewan) along with his wife, Heather, started a family foundation.  “Initially, we distributed about 60% of our giving to non-Jewish charities,” Silver reports.  “Over the past two years, we have redirected our funding so that 90% now goes to Jewish causes.
“We have to look after our own,” he observes. “We can’t expect anyone else to.”
As for the future of QDoc, Berkowits and Silver have a vision for expansion – first throughout Western Canada and then, maybe the world.
“We think there may be opportunities in countries such as India and the Philippines,” he notes.  
Readers who may be interested in hearing Silver talk about QDoc can attend a presentation he will be giving on Thursday, February 5, at the Kingshead Pub under the auspices of the High Growth Ventures Initiative, a strategic scholarship and community engagement initiative housed within Mount Royal University’s Institute for Innovation and Entrepreneurship. For more information about QDoc go to qdoc.ca