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Proposal by College of Physicians and Surgeons to have all circumcisions performed in medical clinics “cut off” before it could go anywhere

By BERNIE BELLAN It began with an emailed message sent out by Jewish Federation CEO Elaine Goldstine to members of the community on July 13.
In her message, Goldstine informed recipients that the College of Physicians and Surgeons of Manitoba had issued a draft proposal that, if accepted, would prevent any circumcisions from being performed anywhere other than in a “medical clinic”.

The proposal, however, did not include any specific reference to the Jewish tradition of “brit milah”, which has traditionally been performed in a home setting.
According to Goldstine, “If brought into force, this draft as it is currently worded would therefore make the performance of a brit milah by a physician outside of a medical clinic a violation of the College’s Standard of Practice.

 Even though the Draft Standard by the College has been in the public domain for approximately one month, the Jewish Federation was only made aware of its contents yesterday” (July 12).
Further, according to Goldstine, “

The Jewish Federation immediately reached out to the College of Physicians and Surgeons of Manitoba to discuss the matter. Based on those discussions, this was unintentional.”

Subsequent to Goldstine’s email to members of the Jewish community, the Winnipeg Council of Rabbis sent a letter to the College of Physicians and Surgeons, also indicating strident opposition to what was perceived as the College’s new policy governing circumcisions.
In the letter, which was penned by Rabbi Allan Finkel of Temple Shalom, the Council enumerated a number of points, all of which detailed the long history of circumcision within the Jewish community.

B’nai Brith Canada also joined in the opposition to the College’s proposal, noting that “If enacted, this would constitute a significant infringement on the important Jewish lifecycle event of brit milah. Jewish circumcisions are typically family events hosted in homes or synagogues, involving a celebratory meal, blessings and speeches. None of these can practically take place in a medical clinic or hospital.
“In correspondence with B’nai Brith, the CPSM has clarified that pursuant to Manitoba law, non-CPSM members can also perform ritual circumcisions and would not be bound by the proposed Standard of Practice. But the main mohel, or Jewish circumciser, in Manitoba is a CPSM member, and the mooted change would have the effect of preventing any future Manitoba mohel from performing traditional Jewish circumcisions while maintaining a medical practice, which is standard across Canada.
“There is no evidence that the CPSM specifically consulted the Jewish community about the proposed change, despite its obvious impact on Jewish life in Manitoba. It is also not clear what prompted the proposed restrictions, and B’nai Brith is not aware of equivalent strictures in any other province.”

A perusal of laws as they apply in other countries did not turn up any other jurisdictions which require that circumcisions be performed only within a medical clinic.
We wondered what may have led to the College of Physicians and Surgeons, perhaps unintentionally but with drastic implications nonetheless, wanting to regulate the practice of circumcision in a way that had never been ordered previously?

As background to the College’s apparent radical policy directive, Myron Love sent me a story that was originally reported by the CBC in December 2018. In that story a CBC journalist reported on two botched circumcisions that had been carried out by a Dr. Ejaz Ahmad. The CBC report noted that:
“Two boys almost bled to death from botched circumcisions performed by a now-suspended Winnipeg doctor.
“Dr. Ejaz Ahmad pleaded guilty to professional misconduct on Oct. 15 (2018) for performing circumcisions on

as many as 18 pediatric patients in 2016 and 2017, when he lacked the training and know-how to do the procedures.
“Several of his young patients ended up in the emergency room with complications.
” ‘It is disturbing any time a physician practises and performs procedures that they are not competent to do,’ said Dr. Anna Ziomek, CEO and registrar of the College of Physicians and Surgeons of Manitoba, in an interview Thursday.
“Among the complications, two boys were rushed to hospital with potentially life-threatening bleeds, one after a portion of his penis was amputated and the other with arterial bleeding.
“Other boys experienced complications like swelling, pain, embedded gauze from improper wound care, possible infections and disfigurement.
“At least one boy’s penis was left so deformed he required a revision surgery.
“Ahmad admitted to using an inappropriate technique and lacking knowledge, skill and judgment. He acknowledged he provided anesthetic at a ‘non-specific dose,’ used only alcohol swabs to sterilize the surgical site and did not suture after circumcision.”

But, here’s a crucial part of the story: “The circumcisions were performed at Ahmad’s private clinic.”
One wonders, therefore, how the College’s proposal to require that all circumcisions be performed within a medical clinic would have made any difference if a physician is not fully competent to perform those procedures, as was evidently the case with Dr. Ahmad?
Apparently the storm that resulted from the initial disclosure by Elaine Goldstine in her email to community members that the College was considering ordering that all circumcisions in future be performed within a medical clinic led to a quick reversal on the College’s part.
By Friday, July 16, the College had posted a notice on its website indicating a complete abandonment of its proposal. Here is what that notice said, in part:
“We recognize that as currently written, the standard would implicate a practicing CPSM (College of Physicians and Surgeons of Manitoba) member performing a male circumcision outside of an appropriate medical facility. That was not the intention in drafting the standard…

“The standard will be amended. The standard will not infringe on any human or religious rights and freedoms whatsoever. The role of CPSM is to protect the safety of the public, and we will continue to strive to achieve this through appropriate regulation of the medical profession.
“At a minimum, the working group will add an exemption in the standard for male circumcision performed in a religious ceremony or tradition, particularly respecting low-risk neonatal circumcisions…
“CPSM established a working group in 2020, tasked with developing a new standard of practice for performing specific procedures in office-based practice settings, including male circumcisions.
“The working group did not consult with the Jewish community in its early development of the draft Standard; however, that is precisely the purpose of the current public consultation, and we are grateful for the feedback received.”

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Bright future for Israeli-born University of Manitoba Science student Erele Tzidon

Erele Tzidon

By MYRON LOVE Erele Tzidon,  a second year Science student at the University of Manitoba, seems to have a bright future ahead of her. 

Dr. Inna
Rabinovich-Nikitin

The year before last, the Israeli-born graduate of Gray Academy received a University of Manitoba undergraduate research award, which allowed her to pursue research as a member of Dr. Inna Rabinovich-Nikitin’s research team at the Institute of Cardiovascular Sciences, (ICS) researching  the link between pregnancy complications and the risk for heart disease. 


The world-renowned institute, directed by Dr. Lorrie Kirshenbaum, studies heart disease and heart function with the goal of researching means to repair damaged heart cells and prevent heart failure.
This past November, Tzidon was presented with a second award – the Dr. James S. McGoey Student Award – based on the quality of her cardiovascular research at the ICS, which operates out of the St. Boniface Hospital’s Albrechchtsen Research Centre.
“We are very proud of Erele and her achievements,” says Dr. Inna Rabinovich-Nikitin.  “We believe she has a promising future in medical research.”
Originally from Moshav Ginaton in central Israel, Tzidon came to Winnipeg in 2018 with her parents Ofer, formerly  regional manager for a car rental agency in  Israel and now an RBC branch Manager, and Sharon, an emotional therapist in Israel who is currently working as an educational assistant at Gray Academy. Tzidon also has three younger brothers.
The 19-year-od reports that it was through a connection she forged with  Rabinovich-Nikitin at G ray Academy  (where the latter has three children enrolled in the elementary program) that opened the door to a summer position at the ICS in 2023.  She notes that she is at the ICS two days a week and at the U of M three days a week.
“I have always wanted to do research,” she says, “because I have an unlimited number of questions.  And I love working with the great team at the ICS.”
One of the primary focuses at the ICS in recent years has been on women’s heart health.  Three years ago Kirshenbaum created a new research program within St. Boniface Hospital specifically for the study of heart disease in women.  Dr. Rabinovich-Nikitin was the first faculty member seconded to the new research program
In an earlier article I wrote about her in the Post (in 2021), I noted that she, like Erele Tzidon, is originally from Israel, having arrived in Winnipeg in 2016 with her husband Sergey, and their two children (a third child was born here) to further her scientific knowledge through working in Kirshenbaum’s lab.
Rabinovich-Nikitin is graduate of Tel Aviv University with a Ph.D. in biotechnology.
“I was always interested in science, how things work,” she notes.  “I have a particular interest in women’s cardiac health.”
Four years ago she herself was presented with the Winnipeg Foundation’s Martha Donavan Leadership Development Award. The award  is intended to provide leadership development opportunities for women in the Rady Faculty of Health Sciences at the University of Manitoba. Eligible applicants include  women who are full-time or part-time academic faculty members, students of the Rady Faculty of Health Sciences, and students  as well as post-doctoral trainees (including residents), presently enrolled in a program of study within the Rady Faculty of Health Sciences.
In  2022 Rabinovich-Nikitin, was the winner of the Louis N. and Arnold M. Katz Basic Science Research Prize for Early Career Investigators awarded by the American heart Association (AHA).  This award is the highest international recognition of research excellence for an early career investigator to receive, and Rabinovich-Nikitin is the first ever Canadian scientist to receive this award.  
 That same year  she joined the University of Manitoba Department of Physiology and Pathophysiology as an assistant professor, studying heart disease in women. Rabinovich-Nikitin observes that heart disease in women presents itself in a different way than in men.  She notes that one of the new lab’s initial findings was that there is one specific gene that leads to cardiovascular issues in some pregnant women that can point to heart disease later in life, and also have negative implications for the development of their children.  Those children are smaller at birth and, as adults, are prone to hypertension, diabetes and obesity,
“We are looking into how that particular gene increases the risk of heart disease.” she says.
Rabinovich-Nikitin would like to invites readers who may be interested in learning more about women’s heart health to a free program the ICS is offering on Sunday, February 23 at the Wellness Institute at 1075 Leila Avenue from 1:00-4:00. The afternoon will feature speakers, children’s activities and Zumba sessions.
“I would encourage everyone who has questions and wants to learn about women’s heart health to attend,” she says.  
You can find more about the event at https://megaheartevent.com/

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Videographer/photographer Jeff Gordon looking forward to sharing his expertise through series of in-person classes

By MYRON LOVE Jeff Gordon is the epitome of a visionary and the trajectory of the local videographer/photographer has just gone into overdrive.
At the beginning of the year, the founder of JAG Videos and Photography inaugurated his brand new state-of-the-art studio in a new facility he built behind his north River Heights home.  And, shortly after, he launched the first session of his new school for budding photographers and videographers.
“Up until now, the only options for anyone interested in learning the art of photography or making videos has been either Red River College or the University of Winnipeg,” Gordon points out.  “I recognized a niche here and my goal is to fill this gap.”
The first of the 16-week sessions in his new studio began in mid-January.   He reports that he is running three classes a week- one strictly for teenagers.
“The course exceeded my expectations. We sold out quickly and I have a waiting list,” he notes.  “I have 16 students divided among the three classes.  I am teaching the students everything I know about photographer and videography.  The curriculum is easy to follow.
Increasingly, we are in a digital world,” he adds.  “Businesses need staff who are adept at making videos and taking photographs.  Companies need staff who are able to create videos for them to promote the business online.”
He envisages offering the program three times a year – with future sessions beginning in May and September. 
Gordon’s curriculum is his own creation, based on his experience and a previous training manual he wrote years ago for an entirely different group of students – drummers.
Before Jeff Gordon discovered his passion for photography and videography, he was a musician – a drummer to be specific.  The graduate of the Hebrew Bilingual program at Brock Corydon Elementary School and later, Shaftesbury High School, began playing drums in high school and started teaching others to play shortly after.
“I used to have as many as 40 students at a time,” he recalls.
Following graduation from Shaftesbury, he enrolled at the Los Angeles Music Academy.  In 2006 he graduated from the jazz program at Grant MacEwan University in Edmonton.  His professional credits include 16 years as a drummer with the Sarah Sommer Chai Folk Ensemble and five years as a member of a touring band called “Driver.”
It was while performing with “Driver” that he began doing videography. “I have always been fascinated by technology,” he says.  “While on tour, I began making videos of our live concerts.  I would set up four or five cameras to record the shows.”
In 2014 Gordon took the plunge and dove into photography and videography full time with the founding of JAG Videos and Photography.  “I started with weddings and gradually started to develop a commercial and corporate clientele,” he says.  “I do a lot of head shots for businesses. I have also done a number of TV spots for Global and Corus.”
In his new studio he has also been recording a weekly podcast for a client, he reports.  “I have a chesterfield for the podcaster and her guests and provide a coffee table and coffee.”
And while the Covid lockdown proved to be disastrous for many, for Gordon it turned out to be very good for his business. “I was really busy,” he says.  “Because of the lockdown,  there was an increased demand from corporations and companies for videos.”
Previous to building his own studio, Gordon notes, he was renting space in the Exchange District.  “I got the idea for building my own home studio while having renovations done in our kitchen,” he recounts.  “It took about a year to build. It’s great having the studio. It feels like an extension of my home.”   
(He adds that he is still going out on location when required.)
“I really enjoy teaching,” he says. “I love expounding on subjects I am passionate about.”
Jeff Gordon has bold plans for his school and curriculum. “I hope to be able to expand the number of students to the point where I need a larger space,” he says.  “I envisage hiring other teachers and running multiple classes at the same time.  I hope to create a digital version of the course and sell it widely online.   I would also like to be able to license my program and sell it to schools and universities.”
Gordon feels that he is truly blessed to have been able to turn a hobby into a full time business.
As the same time, he hasn’t entirely given up the drums.  “I still have my drum set in my basement,” he notes.”I am enjoying teaching my two daughters (both Brock Corydon students incidentally) to play the drums.”
Jeff Gordon’s website address is www.jagvideos.com.

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Winnipegger featured in Apple commercial highlighting new adaptive technology

Melissa Shaapiro with Apple CEO Tim Cook

By MYRON LOVE The year just past has been a memorable one for Melissa Shapiro.  In recent weeks she and her boyfriend moved into their new home in East Kildonan and – in September, the daughter of Cory and Goldelyn Shapiro – was one of the featured guests at Apple Headquarters in Las Vegas for the premiere of an advertisement – produced by the tech company – highlighting Apple’s newly developed adaptive technology.
“I was flown out to California by Apple’s PR team,” recalls the 26-year-old policy analyst with the Education and Early Childhood Learning Department.  “The event was held at Apple Park. It was really exciting seeing all the newest products and features.”
Shapiro, who was born missing her left arm, came to the attention of Apple as a result of Instagram videos she made demonstrating her ability to work out as an adaptive athlete. Last May,  Shapiro reviewed the Apple watch’s accessibility features in a video, and it caught Apple’s attention. 
“I was contacted by a casting agency in July,” she reports.  “Next thing I know, we are filming in Toronto in August.  I was the only Canadian involved in filming the commercial.”
Shapiro has never let her disability define her life- thanks in part both to her parents and the War Amps of Canada Child Amputee program, which reached out to her family three weeks after she was born.
“We received a lot of support – financial, recreational and emotional – from the War Amps,” she says.   “Through the program, my family was able to connect with other families with similar challenges.
As well, the War Amps helped me to integrate in school and participate in sports while I was growing up by providing me with different prosthetics paid for by donations to the program. 
Over the years, Shapiro ha been able to give back to the non-profit organization by appearing in War Amps public service spots highlighting such tips as playing safe in order to avoid accidents that could result in amputations. She has also been featured n War Amps-organized seminars and media appearances promoting the work of the War Amps in helping to improve the quality of life for children like Shapiro who were born missing a limb or those who lost limbs due to an accident. 
“I still enjoy doing ‘playsafe’ presentations and public events for the war Amps,” she says.
Readers who may be interested in supporting this worthwhile program can donate by phone (1800 250-3030) or go online (waramps.ca).

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