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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.

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Eyal Kraut: continuing the family medical tradition

Father & son: Drs. Allan & Eyal Kraut

By GERRY POSNER When you talk medicine and family connections to medicine, one of the families you have to think of almost immediately is the Berbrayer- Kraut family. There are three generations of doctors now in this family, starting with Dr. Peter Berbrayer, of blessed memory, an orthopaedic surgeon (and father of Karla); Dr. Allan Kraut (husband of Karla Berbrayer, an internal medicine and occupational health physician; and Allan and Karla’s son, Dr. Eyal Kraut, an endocrinologist, who now lives in Toronto. Not to be overlooked as part of the Berbrayer-Kraut family medical team is Dr. David Berbrayer, son of Peter, and a medical director in rehabilitation redicine in Toronto. Each of these men has made contributions in his respective field and I expect many readers are well aware of that. Perhaps, because he is still young, Eyal, one of four children of Allan and Karla, is less known – although, because of his participation in the community, I am betting younger readers will know him.

Eyal Kraut was born and raised in Winnipeg. He is a product of the then Ramah Hebrew School and later the Gray Academy. It is fair to say that Eyal was exposed to the Jewish world right from the start in many aspects, not the least of which was by way of his mother Karla’s having run the Music and Mavens Programme at the Campus for many years, as well as being a musical impresario of great renown. In his high school years, Kraut was active in multiple leadership positions, including student council and the Jewish Federation’s P2K committee ( now P2G).
And, he was not just limited to school activities as he was what might be called a “player” at the Herzlia Synagogue, where he often led services, not to mention his talent as a shofar blower ( no small skill; I know that from trying for a week without making a sound). Moreover, Kraut taught Bar/ Bat Mitzvah lessons, was on staff at the Rady JCC during his school days, also staff at Camp Massad. In short, Kraut was the full package coming out of high school. He attended the University of Manitoba and graduated with a Bachelor of Science degree. While at the university, he served as president of Hillel. Subsequently, he entered the University of Manitoba Medical School.

In 2014, Eyal Kraut graduated with his MD degree. During his time as a medical student he participated in the Manitoba Medical Students Association and also sat on numerous committees. Upon graduation, Kraut was off to Queen’s University for his residency in internal medicine. It was in Kingston that he met his future wife, Zoey Katz, who was from Toronto. The couple returned to Winnipeg for Eyal’s clinical fellowship in endocrinology, which is the specialty focussing on diabetes and hormones. While he was busy with becoming a doctor, his wife Zoey was a nurse at Children’s Hospital. Now that is taking togetherness to a new level. Even then, Eyal and Zoey helped to lead services at the Simkin Centre.

In 2019, the couple made the decision to move to Toronto. Currently, Eyal works at a clinic in downtown Toronto, while at the same time he also has a weekly clinic at Mount Sinai Hospital. Yet, even with the move to Toronto, Eyal retained his medical license in Manitoba and for several years, he returned to Winnipeg for several days every two months to run a small endocrinology clinic in Winnipeg, located at Confusion Corner, called Cardio 1 Lifesmart. That is what I call staying connected to your roots. Even then, Eyal used his spare time to head to the Rady JCC, as JCC memberships are honoured everywhere there is a JCC. The routine of trips to Winnipeg ultimately concluded just recently – at the end of October. Eyal and Zoey now have a two-year-old son, Asher, with another baby on the way, so the trips to Winnipeg are no longer as feasible as they were. Still, Eyal is clear that he intends to make regular visits (to see family of course,) also to show his kids what life is like in Winnipeg. This is one guy who appreciates from whence he came.

Even with his impressive background, what really makes Eyal stand out is a talent that no one likely knows about and that is Eyal’s ability to recognize people. It was at Beth Tzedec Synagogue in Toronto not long ago – at Yom Kippur services, and with a full sanctuary, when out of the blue, a guy whom I did not know tapped me on the shoulder and asked if I was Gerry Posner. He just picked me out from my photo in the Jewish Post. That photo has me with a baseball cap on my head, but at synagogue I had a kippah on. Now, that is a rare talent. (Ed. note: Oh come on Gerry – you’ve written before how Winnipeggers, including the equally famous Rabbi Matthew Leibl – before he became a rabbi, have spotted you in baseball stadiums across North America and come up to you . You’re world famous for sure!)

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Latest Jewish Foundation Endowment Book of Life signings took place November 3rd

By MYRON LOVE Almost everyone has a story to tell.  And, for the past 25-plus years, the Jewish Foundation of Manitoba – through its ongoing Endowment Book of Life program – has been assembling stories of current and former members of our Jewish community.
As explained on the Foundation website, “the Endowment Book of Life program is a planned program that offers participants an opportunity to leave both a financial and historical legacy to the community.”
Donors promise to leave a bequest to the Foundation,  in return for which their family stories are inscribed in the Book of Life.


The annual official unveiling of new stories this year was held on Sunday, November 3, at the Shaarey Zedek Synagogue and included brunch, some musical entertainment featuring a talented quartet of singers – including Josh Bellan, Alyssa Crockett, Julia Kroft and Hailey Witt (who have seemingly been the young go-to performers at Jewish community functions over the past year or two)  – as well as a poetry reading by members of the StudioWorks Players – and comments by Rabbi Alan Finkel as to why he chose to add his and his family’s stories to the Endowment Book of Life.

Alan Finkel


In his remarks, Finkel, the recently retired rabbi of Temple Shalom, spoke of his family’s stories – in this case, his family’s stories of the Holocaust.  “My family has always shared their stories,” he noted.  ”Their stories are part of the Shoah Foundation’s collection of stories.  And both my mother (Carmela Finkel – who passed away three years ago) and my Aunt Betty (Kirshner) have shared their stories with hundreds of students at the Holocaust Education Centre. Later, my mother was honoured to have her story included as part of  the video displays at the Canadian museum of human Rights.
“But, even as I embraced the power of those survivors’ stories,” he continued, “I could see that the list of story tellers was getting ever shorter.  I wondered how those stories would continue to be told once there was no one left to tell them.”
Shortly after his mother’s passing, he said, the family came together to discuss how to continue their mother’s legacy. Their response was to create the Carmela Shragge Finkel Holocaust Education Endowment Fund at the Jewish Foundation of Manitoba – with proceeds directed toward the Jewish Heritage Centre of Western Canada.
“My page in the Endowment Book of Life is more about my personal life journey that led me to become a rabbi at 65,” he said, “but really, behind it all there are a lot of different threads and stories of Jewish community that intertwine and bind us to each other and to our Jewish community.  This, to me, is the real gift of the Endowment Book of Life project – allowing each of us to here to tell our own stories in our own ways, to find our own unique paths of building our Jewish community here in Manitoba  – and to celebrate how we are all part of klal Yisrael.”

Drs. Stephen Tritt & Sharon Goszer-Tritt
David Wilder
Elly Kives

Signatories to the Book of Life this year included: Dr. Sharon Goszer Tritt and Dr. Stephen Tritt; Brenda Honigman – in memory of her late father Sam, and late brother Archie; Ellie Kives – in memory of her husband Philip; David Wilder; Alisa Abrams; Marlene Reiss and Perry Rose; and Moshe Selchen, in memory

Moshe Selchen (signing in memory of the latSaul Feldman)
Marlene Reiss & Perry Rose

of the late Saul Feldman, a friend of the Selchen family. Feldman was a little-known member of our Jewish  community who passed away a couple of years ago and left $2.6 million in his will to the Jewish Foundation.

Jewish Foundation CEO John Diamond


In his introductory remarks, John Diamond, the Jewish Foundation of Manitoba’s CEO, described the Endowment Book of Life program, as “one of our most successful.  We last hosted this event in 2022,” he noted, “and, I’m proud to say, I was a signer that year.”
Diamond explained why he and his wife, Heather, chose to commit to our community’s future. “In 2022,” he recalled, “we were beginning to glimpse what the world would look like post-pandemic. That prolonged period of uncertainty gave us the opportunity to think about our community’s future. If the generations before us had not been forward-thinking, prioritizing the next wave of Jewish Winnipeggers, where would we have been during the pandemic? How would our community have looked?
“Simply put, we were and are very fortunate. Thanks to that forethought, we were able to navigate that uncertainty. We need to continue putting future generations in a similar position to what we find ourselves in now.”
In her closing remarks, Dafna Shore, the JFM’s vice chair (who was filling in for chair Dan Blankstein, who was unable to attend), reported that the Endowment Book of Life currently contains over 800 stories.
“Each story is deeply personal and uniquely individual,” she pointed out.  “What makes this program so special – and why it resonates with so many people – is the change to immortalize stories that otherwise might go untold. 
“Every family has stories, some hidden away about what makes them exceptional. Very few are known beyond those who lived them. Sharing these stories in the Endowment Book of Life celebrates the lives lived in our community. They are an encyclopedia of what makes our community so rich in history, compassion and generosity.”
Shore thanked this most recent group of story tellers for sharing their stories and for committing to making a legacy gift. “Your gesture,” she said, “will serve to inspire the next generation to do the same. As long as our community has individuals who choose to put their community’s longevity at the top of their priorities, our community will continue to thrive.”

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2024 Yom Tov attendance meets expectations

By MYRON LOVE Congregational leaders in our community are, for the most part, quite pleased with Tom Tov attendance this past Yom Tov.
“We sold out our seats,” reports Dr. Rena Secter Elbaze , the Shaarey Zedek’s  executive director.
The remodeled and expanded Shaarey Zedek, our community’s oldest and largest congregation,  has a capacity of about 900 in the main sanctuary – with an additional 250 for the separate Family Service downstairs.
Once again, this year, the popular Rabbi Emeritus Alan Green – who was the Shaarey Zedek’s senior rabbi for 18 years – returned to lead Rosh Hashanah and Yom Kippur services in the main sanctuary with Cantor Leslie Emery, the Quartet, and the Ruach Volunteer Choir. Rabbi Anibal Mass led the popular family service with Noah Trachtenberg, a Youth Band and the Dor Chadash Youth Choir.
 
Shaarey Zedek has, over the past few years, built a substantial following for its Shabbat and Yom Tov services online.  Elbaze notes though that the number of people participating in Rosh Hashonah and Yom Kippur servicers online this year was considerably lower.  That was because, she says, many of those congregants were eager to come back to the shul – which just re-opened a couple of months ago after being closed for  three years due to construction – and daven in person.  
 
 
“We were essentially sold out for Yom Tov by early September,” reports Jonathan Buchwald, Congregation. Etz Chayim’s executive director.   “Our members were really excited about our first Yom Tov in our new building.” 
By necessity – in reflecting the congregation’s slowly declining membership numbers –  the new Etz Chayim – at 1155 Wilkes Avenue – is considerably smaller than its predecessor.  To accommodate the demand for Yom Kippur seating in particular, Buchwald had earlier reported, the Kol Nidre service was to be held at the Holiday Inn  Express at the airport – and there were two services for Yom Kippur day.
Buchwald notes that 335 were in attendance for the first services on Rosh Hashonah and Yom Kippur service and 120 for the second service on Rosh Hashanah – with 450 for Kol Nidre at the hotel. There were 250 for Neilah and 50 for the Young Family services. About 150 followed online.
As usual, Rabbi Kliel Rose and Cantor Tracy Kasner led Etz Chayim’s High Holiday services – with a separate family service geared toward families with young children as well as a Junior Congregation.
Over at Temple Shalom, our community’s 60-year Reform congregation,Past President Ruth Livingston says  that there was “good enthusiasm” for Yom Tov and that the congregation members were very happy  with the services led by cantorial soloist Janet Pelletier Goetz as well as long time Temple Shalom member Myriam  Saitman – who is set to begin training in September toward her rabbinical  ordination – and, for the first time, choir leader Erica Tallis –a  2020 graduate of the Desautels Faculty of Music at the University of Manitoba.

For the second year in a row, South end Winnipeg further offered a fourth liberal Jewish option in the form of Rabbi Matthew Leibl’s “Services on the River: A Modern High Holidays.”
The former Shaarey Zedek – and now independent – rabbi’s services were held once again at The Gates on Roblin – which can accommodate up to 300. Last year, Leibl reported in an earlier interview, about 250 people attended his service. He was expecting to have similar number this year.”
 “Services on the River: A modern High Holidays” services were scheduled for the second day of Rosh Hashanah, Erev Yom Kippur and Yom Kippur morning. The services also featured the husband and wife cantorial team of Justin Odwak and Sarah Sommer.
All services were 90 minutes.  

Still with the South End, Jack Craven president of Orthodox congregation Adas Yeshurun Herzlia says that people are happy that things are back to normal.  “We had a good crowd for Yom Tov,” he says.
The congregation – led by Rabbi Yossi Benarroch  – has a membership of about 100  and can accommodate up to 250.  

 “We were filled up for Rosh Hashonah and Yom kippur,” notes Rabbi Avroham Altein, Winnipeg’s senior Chabad-Lubavitch Rabbi of the south end Lubavitch Centre.  “We also had a full house for Erev Simchas Torah.”
The Lubavitch Centre has a capacity of between 200 and 300.
 
The Simkin Centre also held Yom Tov services – on all three days – that were open to the general public.  The services were led by Steven Hyman with the Simkin Centre Choir under the direction of Bonnie Antel.

In the North End, the Conservative egalitarian Chevra Mishnayes congregation –  the largest congregation in that part of the city with the relocation of Etz Chayim south – saw a bit of a bump in  attendance.
“We had 20 new people this year,” reports Chevta Mishnayes President Rob Waldman.  “This is the first time that we have seen an uptake in attendance for Yom Tov since before the Covid lockdowns.”
Last year, just under100 came to the Garden city shul for Yom Tov.
This year’s service were once again led by Al Benarroch.

About 18 months ago, a new North End Orthodox congregation came into being as a result of the merger of the struggling Chavurat Tefila and Talmud Torah Beth Jacob members.  The renamed Chavurat Tefila Talmud Torah Congregation – located at on the corner of Hartford and McGregor in West Kildonan – attracted between 40 and 50 daveners for its first Yom Tov services last year last year and about the same number this year.
Services at the shul this year were led by Cantor Menachem Frenkel from Silver Spring, MD.
“Cantor Frenkel was recommended by a friend and member of the shul,” says Cary Rubenfeld, the shul’s treasurer and spokesperson.  “He was quite well received by the congregation.  He is a multi-talented ba’al tefilah.  He brought with him an extensive range of traditional and contemporary melodies which the congregants enjoyed.”  

The venerable House of Ashkenazie, the last of our community’s old-style Orthodox congregations, was once again the only shul to report a bit of a decline in attendance from last year – with attendance for Yom Tov hovering around 30.  Shul President Gary Minuk avers though that the Ashkenazie – which still holds services throughout the year on Thursday mornings – will continue to carry on “as long as we can still make minyans.”

Our community’s most northerly High Holiday services were held at Camp Massad. After a two year absence due to the Covid lockdowns,  Camp Massad resumed its innovative Rosh Hashanah service last year.  In pre-Covid times, Massad executive director Danial Sprintz noted last year,  Rosh Hashanah at Massad had attracted as many as 150 participants.  In 2023, 90 attended.  This year’s attendance, he reports, was slightly higher.
“Our people were excited to come together,” he says.  “We always offer a creative and interactive service that combines some traditional prayers with contemporary readings, folk music and our usual Camp Massad shtick.”

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