Local News
Simkin Cenre hosts animated focus group on personal care homes hosted by MARCHE
By BERNIE BELLAN There are approximately 130 personal care homes in Manitoba with approximately 10,000 residents in those homes.
Of the 130 pch’s, 27 are in the not-for-profit category, most of which are faith-based.
One of those pch’s is the Simkin Centre.
The association of not-for-profit homes in Manitoba is known as “MARCHE” (Manitoba Association of Residential & Community Care Homes for the Elderly).
Recently MARCHE held a focus group at the Simkin Centre attended by staff, residents, relatives of residents, and others who were interested in hearing about the current situation insofar as most pch’s are concerned.
The discussion was facilitated by Julie Turenne-Maynard, executive director of MARCHE. Ms. Turenne-Maynard distributed points for discussion among the six tables at which participants sat. One person at each table was asked to take notes of the discussions that ensued. After approximately one hour of discussions at each table, the note takers were asked to give summaries of what had been said at each table.
According to Ms. Turenne-Maynard, the Simkin Centre focus group was the third and final one in a series of focus groups that MARCHE has conducted in Winnipeg.
Prior to our entering into the discussion groups Ms. Turenne-Maynard gave some introductory remarks pointing out the difficult situation faced by all pch’s in Manitoba, not just the not-for-profit ones.
She noted that there has been no increase in operational funding for pch’s for the past 15 years, even as inflation has made it increasingly difficult to deal with ever rising expenses.
“The majority of personal care homes in Manitoba were built in the 1950s and 60s,” Ms. Turenne-Maynard observed, yet “governments haven’t increased budgets for renovations to personal care homes in the past 25 years.”
The average age of residents in pch’s has risen dramatically. “In the 1960s and 70s many residents in personal care homes had parking spots,” Ms. Turenne-Maynard observed. Now a great many residents in pch’s are “level 3s and 4s,” she said – the highest level of care that can be provided.
“Baby boomers are coming up and we don’t have the room,” she added.
But, rather than turning the focus group into a litany of complaints, Ms. Turenne-Maynard said that the purpose was to be able to provide the provincial government with useful information that could be incorporated into policy decisions.
At that point the discussions at each table began.
Not having anyone myself who is a resident at a pch, I was interested to hear from others what their impressions of pch’s were and because everyone at my table was either a staff member at the Simkin Centre or a resident or spouse of a resident there, I was eager to hear their experiences. What was of particular interest to me was that even though there were two individuals at my table who work at the Simkin Centre sitting at my table, they were quite candid in discussing some of the frustrations they themselves have in working within the system.
The first point expressed by someone at our table was their frustration over the “panelling” process – the process whereby someone is admitted into a pch. It came as a surprise to me to learn that, under the current panelling system, if someone would like to be admitted as a resident into a pch, once a bed is available you do not have a choice where you can go. (No one at the table was quite sure when the system changed, but previously someone would be given a choice of three different pch’s.)
Not only is there now no choice as to which pch you can enter, if you are hospitalized and deemed fit for discharge into a pch, and you do not want to go the first pch that is available, you will be charged $200/day to remain in the hospital.
The situation, I was told though, is somewhat different for an individual still living at home. Efforts will be made to provide home care rather than have someone admitted into a pch, but the limitations of home care have been well publicized, with clients allowed to receive only a maximum of 2 1/2 hours of home care per day.
The discussion turned to personal experiences of home care residents. What did they think was lacking in their care, if anything?
The individual at our table who is a resident at Simkin Centre said they had “no complaints.”
A staff member at the table asked that resident if they thought there was enough “programming” at the Simkin Centre?
The resident answered that there was.
I asked the resident whether the food was good? The resident responded that they were quite happy with the food.
(I mentioned that I have heard from some residents at the Simkin Centre that they weren’t happy with the food. I also referred to a forum that had been held at the Asper Campus years ago during which many complaints were voiced about the food at the Simkin Centre. To be fair, it’s hard to make an overall assessment of food quality based on anecdotal reports, but I will continue to ask why the Simkin Centre has to serve kosher food to all residents when the majority of residents there are no longer Jewish? I realize this is a sacred cow among some members of our community, but the fact is that an increasing number of Jewish personal care homes in the US have gotten away from serving only kosher food.)
Another person at our table who actually has a close relative living at the Simkin Centre mentioned that person’s most commonly repeated complaint is that “people aren’t as johnny on the spot as she’d like” when it comes to responding to requests for assistance.
As well, apparently there is a problem at the Simkin Centre with “clothing sent to the laundry going missing.”
We were then asked to respond to this question: “What services would be most important to you?”
The spouse of the resident at our table said, “Not being stuck in the rooms.”
Someone else suggested that medical consultants coming to residents’ rooms rather than requiring residents to be taken to see a doctor would be very helpful. That same individual listed a variety of specialists who are urgently needed at the Simkin Centre, including gynecologists, dermatologists, dental hygienists, and psychiatrists,” as well as “estheticians.”
The need for better x-ray services was also mentioned.
Someone else noted that the Garden Café is only open from 11-1.
The next question which respondents were asked to consider was: “What style of personal care home would you like to live in?”
Someone brought up the idea of “small house” personal care homes, in which groups of 20 individuals live in a separate residence, where each resident has their own kitchen and their own shower.
But, as much as that style of living might seem to be especially appealing when one incorporates their own life experiences into thinking about where they’d want to live, one of the individuals at our table suggested that “many people often blossom when they come here” precisely because they’re living with a large number of other residents.
Still, the consensus among everyone at the table (with the exception of this writer, since I offered no opinion on the subject) was that, if they could ask for certain things in particular – which are not all available under current rules, they would be: 1) a private room (which is the case at the Simkin Centre); 2) their own fridge (not available); 3) their own shower (not available); and 4) their own coffeemaker. (I admit I was surprised to learn that coffeemakers are not allowed until it was explained that it was a safety issue).
The final question which respondents were asked to consider was: “What would you ask from the new NDP government?”
Answers included: “An increase in the hours per day allowed to each resident”; “more programming”’; “ask them to cover the increases in fixed costs”; “hours/worker have stayed the same while the needs of residents have increased.”
Ms. Turenne-Maynard asked the notetakers from each table to give summaries of what had been discussed. Some of the points that were expressed were:
- there is a need for more staff
- staff need to interact more with residents
- while it’s nice that the previous government has budgeted millions of dollars to build more pch’s, “don’t build in a vacuum”
- “regulate the off-label use of pharmaceuticals”
- units in pch’s should be smaller; instead of having 40 living in a unit, ideally it should be 12-15
- “people need a purpose”
- “a personal care home is a place to come and live, not a place to die”
Ms. Turenne-Maynard offered the following assessment of what to expect from the new government: “Because of the NDP sweep there’s going to be a lot of reconnecting” – with new ministers and some new deputy ministers, but many deputy ministers and policy analysts will be staying on,” which should give some continuity when it comes to planning.
At the same though, someone else observed that, as a result of so many failings in the private-for-profit personal care home sector, and the possibility that even more private pch’s may close, there might be even more pressure placed on the not-for-profit pch’s to fill the vacuum left by private pch’s closing.
It was also suggested that the government “avoid building pch’s using an outmoded funding model” that has long proved inadequate.
As one of the senior staff members at the Simkin Centre who was in attendance observed of government decision making: “Every pch operator submits their own 10-year plan – full of proposals – and you’re lucky if you get one thing done.”
Ms. Turenne-Maynard did say that MARCHE will take all the proposals that emerged from the three focus groups it has held and come up with a coherent set of ideas which it will take to the new government.
Local News
Long-time Winnipeg doctor and Israeli colleague make medical app available to general public
By MYRON LOVE Seven years ago, Dr. Gerald Minuk, Canada’s first hepatologist (liver specialist), partnered with Israeli computer science student Daniel Iluz-Freundlich in founding Refuah Solutions Ltd (RSL). Their goal was to create an app – which they called PI-enroll (“PI” stands for “Principal Investigator”), which was designed to be used by clinical trial investigators that would save them time and effort so they could be more personally involved in seeing their trial patients.
Last month, they released their second app, this time for patients. The app, called Patient-empower, informs patients about clinical trials underway for their condition and helps them make an informed decision as to which trial best meets their specific needs and preferences.
“I was approaching retirement,” recalls Minuk, now Rady School of Medicine Professor Emeritus, who has been in practice in Winnipeg since 1987, and “I couldn’t see myself filling my days doing crossword puzzles or Sudoku. I wanted to be able to continue contributing to medical research and patient care.”
It just so happened that, at the time, Minuk was introduced to an Israeli student, Daniel Iluz-Freundlich, who had just finished studying Computer Sciences at the University of Winnipeg. (Minuk notes that Iluz-Freundlich – on graduating – received the Gold Medal in Computer Science.)
“Daniel is an exceptionally talented young man,” Minuk says. “So I tapped his computer programming skills to create our PI-enroll and subsequently, our Patient-empower apps.”
The friendship continued after Iluz-Freundlich returned to Israel in 2020 to begin medical school on a Phil and Elle Kives Scholarship, where he earned numerous honors. Iluz-Freundlich is currently an intensivist anesthesiologist at the Beilinson Hospital in Israel. Despite his new professional responsibilities, including caring for IDF forces wounded in Gaza– he has remained active with Refuah – as vice-president of the company.
Minuk adds that a dozen other senior professors of medicine also contributed to Refuah’s software design. “Together,” he reports, “the company represents 400+ years of clinical trial experience. That experience is being applied to identifying and addressing the major challenges investigators and patients face when conducting or participating in clinical trials.”`
He adds that Refuah Solutions has established a truly global network with company personnel in San Diego, São Paulo, Mexico City, London, Barcelona, Nairobi and Delhi thus far.
According to Minuk, the company has enjoyed worldwide success – with over 2,000 doctors in 40 countries and 50 drug companies signed on for the PI-enroll app. He attributes this success to the app’s impressive results. In a recent global clinical trial, Minuk reports, within 3-6 months of implementing PI-enroll, investigator personal involvement increased by 60% and with that, patient enrolment increased by 80%, patient drop-outs decreased by 50% and there were 20% fewer protocol deviations (mistakes made). In addition, 90% of PIs rated the App 8 out of 10 in terms of usefulness.
He adds that one site that had not enrolled any patients for 12 months, subsequently became the trial’s leading enrolment site.
Regarding the newly released Patient-empower app, Minuk notes that despite the many benefits patients derive from clinical trials including free and early access to new and often safer and more effective treatments, fewer than 10% of patients who would qualify for a clinical trial are ever invited to consider that option. “The problem,” he explains, “is that most Health Care Providers are either unaware of what clinical trials are underway in their area or if they are aware, don’t have the time to discuss the trials with their patients.”
Therefore, Minuk, Iluz-Freundlich and their team designed and recently released their second app – Patient-empower – which informs patients of what clinical trials are underway for their condition and empowers them to select the trial that prioritizes their needs over those of industry.
The platform, he explains, uses AI to generate concise, easy-to-understand summaries of clinical trials tailored to the patient’s location—city, state, country, or globally, depending on their preference. Each summary includes clear explanations of the patient eligibility criteria and key practical details, such as the likelihood of patients receiving a placebo, the number of required site visits, and other important practical considerations. It also suggests questions that patients should consider asking the investigator before they consent to enrolling. The trial information is presented in a shareable format to facilitate discussions with family, friends, and local healthcare providers—supporting both patient confidence and continuity of care.
Once a trial is selected, Minuk continues, Patient-empower provides the contact information for the trial investigator closest to the patient’s location, the trial’s sponsor and, where available, the world’s experts in the field.
The feature Minuk is most enthusiastic about is the “Recent Findings” page which keeps patients up to date on newly published clinical trial results and discoveries relevant to their condition.
“Patient-empower is available to patients from internet venues (App Store or Google Play) or through NFP organizations, associations, societies and patient support group web-sites,” he adds. “Although only recently released, we have already attracted interest from the American Diabetes Association, the Alzheimer’s Society of America, the Canadian Liver Foundation, Colorectal Cancer Canada, the American Myasthenia Gravis Society and many others.”
“Overall, Patient-empower informs patients, and more informed patients benefit everyone involved. After all, it’s the patient’s health; their voice should be heard,” Minuk concludes.
Local News
The South Seas come to the Asper Campus
By MYRON LOVE On Thursday, July 24, about 150 members of our Jewish community got a chance to sample the dance and music of the South Pacific. The event was billed as “Beyachad Together – Celebrating Indigeneity, land, culture and identity.”
The program featured both the Sarah Sommer Chai Folk Ensemble dancers and Steinbach-based Island Breeze Manitoba – which describes itself as “a high energy live band & Pacific Island dance team featuring authentic outfits and dances from the islands of Hawaii, Tahiti, Fiji, Samoa and New Zealand.”
According to Dr. Ruth Ashrafi, Regional Director of B’nai Brith Canada in Manitoba, the evening’s performance was connected to an Indigenous Peoples Conference that was held in Steinbach under the auspices of Island Breeze with participants from Canada, the United States (specifically Hawaii), Antigua and Bermuda in the Caribbean, South Africa, the Philippines, Japan, Australia, New Zealand and the South Pacific island countries of Fiji, Tonga, Samoa, the Solomon Islands and Tonga.
“The conference organizers contacted B’nai Brith Canada,” Ashrafi reported. “They wanted to bring greetings to the Jewish community, as the indigenous people of the Land of Israel, and celebrate indigeneity together through dance and music.
“Their support in these difficult times is heartwarming.”
In her opening remarks as emcee for the evening, Ashrafi noted that “it is a great honour for the Jewish community to welcome so many indigenous guests from all over the world.”
She then related the story and miracle of Chanukah and connected it to the experience shared by many indigenous nations around the world.
“They have been told that their religion is wrong, their traditions are not sophisticated,” she pointed out, “just as the Jews of that time were told by the Greek rulers that our religion was wrong and our traditions were outdated.
“Here in Canada, the First Nations were forced into Residential Schools to learn Canadian ways. The manner in which they were taught in these schools was abusive and horrific. Many children died, and many more were scarred for life.
“As with the Maccabbees,” she continued, “courageous individuals have stood up and fought for rights of their indigenous brothers and sisters. They had to overcome a lot of resistance and other obstacles. Indigenous peoples are still over-represented in the Canadian prison system and social services.
“The story of Chanukah tells us that it is okay to be different from the majority culture,” she said, and “that special and unique traditions are important and worth preserving.
“The story of Chanukah also teaches us that fighting for our rights is not easy,” Ashrafi added. “We may be a tiny minority and the other side may be much more numerous, better organized and equipped. But if we take the first step, like deciding to use that little jar of oil (that burned in the Temple for weight days even though there was only a day’s supply), we will be helped along the way.”
“We put the Menorah in our front window,” she noted, “so that the light is shining into the dark winter nights. We want to share the story of the Chanukah miracle and we want to bring light into a world that has still so much darkness in it.”
Ashrafi’s words were followed by greetings from David Harper, a former Manitoba Keewatinowi Okimakanak Grand Chief who spoke glowingly of his visit to Israel in 2014.
“Our faith teaches us that the People of Israel are the people of the Bible and we must bless them and pray for them,” he said. “My people have a lot to learn from the people of Israel about healing the land.”
Next, Ashrafi introduced Pastor Roger Armbruster whom, she described, as the man behind the vision for the evening. Armbruster, a strong Christian Zionist supporter of Israel, is the founder of Canada Awakening Ministries.
She said of Armbruster that “it is a privilege to be his friend. I have learned so much from you.”
According to Armbruster’s bio on the Canada Awakening Ministries website, “his life has been dedicated to a ministry of reconciliation, and of building bridges between cultures, nations, denominations and generations. He sees cross-cultural reconciliation as a key to making disciples of all nations, and in seeing God’s House become a House of Prayer for all nations.
“As director of Canada Awakening Ministries, he is a leader in facilitating Native-Non-native reconciliation, and in restoring the indigenous peoples of the land to reflect that part of God’s image that He has deposited in them in their sounds, songs, praise and dances.”
Armbruster attended the Inaugural World Christian Gathering of Indigenous People in New Zealand in November 1996 as well as gatherings in Rapid City, South Dakota, in 1998, northern Sweden in 2005, and Israel in 2008. In his remarks, he noted that he has visited Israel numerous times over the years – often leading tour groups representing Canadian Inuit, Greenlandic Inuit and Manitoba First Nations at the northern ends of the earth, along with Maori, Fijians and Samoans from the southern ends of the earth – back to the City of Jerusalem from where the original gospel message first came.
“In Israel,” Armbruster said, “these Indigenous People have shared their language, their culture and their faith with both Jewish and Palestinian audiences alike. In one Israeli community, they even shared a message that brought hope to a joint audience of some 500 people that included both Jews and Arabs coming together.”
The dance part of the program was emceed by Isi Masi of Island Breezes. The musical program included several Hawaiian dances, including a rousing foot-stomping number,followed by performances featuring Hawaiian song and gentle movement. The final part of the island dances concluded with a brief Maori war chant.
(The Maori are the indigenous people of New Zealand.)
The final part of the program included several high octave dances by our own – always outstanding – Sarah Sommer Chai Folk Ensemble, with all the performers singing “We Shall Overcome” and the audience invited to join in a round of Israel dancing.
Local News
Israeli-born realtor believes in paying it forward
By MYRON LOVE When Hofit Yanev and her husband, Stefan, first arrived in Winnipeg in May 2013, they knew no one here.
“We were looking for a safer environment in which to raise our children,” she recalls. “We thought that would be Canada, and Winnipeg seemed to be the most welcoming Jewish community.”
Despite not knowing anybody, on their first morning in our community they found that someone had left a challah on their doorstep. That was a small kindness that she has never forgotten. She is a strong believer in paying it forward. Ever since then, she notes, she has made sure to greet newcomers in our community with a challah.
Helping others – whether to buy and sell their homes or manage their money – is a principal focus of the thriving career she has built up here as a real estate agent and insurance adviser.
Sales has always been Hofit Yanev’s strong suit. Originally from Holon (near Tel Aviv), she began her sales career right after her army duty. Her first venture was selling Dead Sea and hair care products. (Some readers may remember the kiosks that used to be set up at some Winnipeg shopping centres some years back.) She worked a year in Chicago and four years in Miami before returning to Israel, where she met and married Stefan.
Soon after settling in Winnipeg, Hofit found work in sales, initially for an HVAC company (while Stefan became a long-distance truck driver and now operates Excellence Fences and Decks). “As I was doing very well in sales for this company,” she recounts, “after taking time following the birth of our third child, I decided to try selling houses.”
She secured her real estate license and went to work. After 18 months of trying, she was still struggling to make a go of it.
“I lacked experience,” she recalls. “I reached a point where I was ready to give up and go back to selling HVAC products.”
However, on what she thought would be her last day, she received two calls that revitalized her hopes. In quick succession, she recounts, she got a call from a former customer who wanted her to sell his house and a new customer who wanted her help in selling his house and buying another.
“I took it as a sign from God,” she says.
Today, eight years later, Yanev, working under the eXp Realty banner, oversees an operation with over 20 agents—nine of whom are on her team and the others working under her in the eXp umbrella.
“I achieved my dream,” she notes, “and I want to help others – either those looking to buy a home or fellow realtors starting out – to realize their dreams as well.”
She notes that she strives to understand what her clients’ needs are and provide the right homes for them. She reports that 70% of her real estate clients are members of our Jewish community. She deals with commercial as well as residential properties and adds that she also helps clients with long- and short-term rentals as well as car rentals.
About a year ago, she notes, she added another entry to her resumé – that of insurance adviser. “As a realtor, I could see how some people are struggling financially,” she says. “I wanted to help.”
As an insurance adviser, she works with single mothers, seniors, and others plagued by financial difficulty. “I advise clients on how to get out of financial trouble, how to save 10% of their net income, and build their savings.”
She makes it clear that she keeps a distinct separation between her real estate clients and her insurance clients.
Now, you would think that an individual working two careers – with five kids to raise (all of whom are enrolled in Jewish educational programs) – would have her hands full. Nonetheless, Yanev has a third avocation – that of a social events planner for fellow Israelis in Winnipeg and other Hebrew speakers.
“For the past six years,” she reports, “I have been producing five programs a year in our community for Hebrew speakers. No one else was doing it, and I felt that it was important for Israelis here to be able to connect with each other.”
She adds that the family-oriented programs have been “super successful.” “We have had as many as 300 people at some of our programs.”
Yanev believes that her success story can inspire other newcomers to Winnipeg. “If you are prepared to work hard, you can achieve your dream,” she says.
She also expresses gratitude to our Jewish community. “We have found the community here to be welcoming and supportive,” she says. “It is thanks to you that we have been successful. This really is friendly Manitoba.”