Local News
The debate over whether Jewish seniors’ homes need to be fully kosher
In recent issues of The Jewish Post & News we’ve been debating whether the Simkin Centre needs to remain a fully kosher facility. Following are a number of different letters that were published in the Feb. 16 issue of the print edition, followed by an article that ran in Tablet magazine in 2019 which examined the increasing number of Jewish seniors’ homes in the US that have gone non-kosher:
On Fri, Feb 4, 2022 I sent the following email to Rabbi Yosef Benarroch, who is both the spiritual leader of Adas Yeshurun – Herzlia congregation, also the head of the Vaad Hakashrut of Winnipeg:
Hi Rabbi,
I assume you’re still in Israel as I write this. I hope you’re staying warmer there than we are here.
As usual, I’ve asked a question that might get some people wondering about a subject that doesn’t get raised often, this time it’s kashrut at the Simkin Centre.
I’ve been trying to find out just how many of the residents there aren’t Jewish, but so far Laurie Cerqueti (the CEO of Simkin Centre) hasn’t answered that question.
The reason I ask is that some of the Jewish residents are wondering what’s happening to the home, what with all the non-Jewish residents who have come in in recent years.
At the same time, I’ve been wondering whether it would be possible to have non kosher food in the centre.
The CEO of the Louis Brier Home in Vancouver wrote to me that, while that facility still serves only kosher food, residents are allowed to bring non kosher food in, so long as they eat it only in their rooms.
Would such a policy be acceptable at the Simkin Centre?
Stay safe – and good Shabbes.
-Bernie
(I should note that in my Short takes column of Feb. 2 I suggested that the Simkin Centre ought to consider going nonkosher, as have so many Jewish seniors’ homes in the US. Further, since I sent this email I have been advised that residents are indeed allowed to eat non-kosher food, so long as it is eaten only in their rooms.)
On Feb. 6 Rabbi Yosef Benarroch responded
Bernie
I was quite surprised to read your piece on the Simkin advocating for the facility to go non kosher and provide packaged meals for those who want kosher. In the seven years that I have been overseeing Kashrut at the Simkin there has not been a single such request. Not from the administration, not from residents and not from families including the non Jewish residents. The quality of the food is excellent and I can say this first hand with my mother being a resident. I find it puzzling and shocking that the “Jewish” newspaper of the city would be advocating to turn the Jewish seniors home in Winnipeg not kosher.
My best
Rabbi Yosef Benarroch
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I am writing on behalf of the Board of Directors of the Saul and Claribel Simkin Centre regarding your column in the February 2nd edition of the Jewish Post and News. This relates to your questions about the Centre providing our residents with a Kosher diet, and the ratio of Jewish to non-Jewish residents.
Regarding our use of Kosher food, we are not attempting to “maintain a pretense of keeping Kosher,” as you stated in your column, but to adhere to the principles and values of the Centre going back to its days as the Sharon Home. This topic comes up at Board meetings from time to time, and the Board consistently supports the continuation of this tradition. We pride ourselves on the quality of the freshly made Kosher food we provide our residents, and plan to continue doing so.
Regarding the ratio of Jewish to non-Jewish residents, over the years approximately 60% to 65% of our residents have been Jewish. As Laurie Cerqueti noted when you contacted her, the numbers vary over time. While we welcome people of all faiths at the Centre, we try to maintain open rooms for Jewish people in the community who need the support we provide in a timely fashion. I was surprised when you stated that Laurie “is worried that the figures [regarding the number of Jewish residents] might come as shock to Jewish Winnipeggers.” Under Laurie’s leadership the Simkin Centre, during the current pandemic, has been one of the most open and transparent organizations in the city. The ratio of Jewish to non-Jewish residents is not a secret to be kept from the Community, but a fact based on the number of Jewish community members needing and wanting to reside with us.
Sincerely,
Gerry Kaplan, MSW
Chair,
Saul and Claribel Simkin Centre Board of Directors
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In your most recent Short Takes column you commented on the apparent declining percentage of Jewish residents at The Simkin Centre Personal Care Home. You attributed the decline in the Jewish census at the Centre to the fact that the actual number of Jewish people in the community had declined and that there were alternatives to personal care home care, such as assisted living, which together meant that demand for personal care home beds had declined within the Jewish community.
While I think your reasoning on why there are fewer Jewish people in The Centre is correct, it is important to recognize the significant difference in the eligibility criteria for personal care home admission currently in Manitoba as opposed to 30 years ago when the Sharon Home on Magnus would have had a 100% Jewish population. In the old days places like the Sharon Home were more like retirement residences and people could move into them experiencing far less disability than is currently required for PCH admission. People who moved in were much younger and lived in the Home much longer. With a significantly larger Jewish population in Winnipeg in those days it was a given that very few non Jewish people would be admitted, if at all. Currently, people who are admitted into personal care homes are much more debilitated both physically and cognitively and the turnover in residents is much quicker. Combined with the decline in the Winnipeg Jewish population from its peak of 25,000 to what is now probably less then 15,000 it is a given that when a bed becomes available at the Centre it is more likely to be occupied by a non Jewish person – this in spite of the fact that Jewish people continue to be a priority for admission. Within 5 years the Jewish population at the Centre could fall to 25% or less.
Your comments about the continued provision of solely kosher food at the Centre are good ones. According to surveys in the United States only 15% to 20% of Jewish people are kosher. Fully 65% of non orthodox Jewish people in the US eat pork products and only 10% of American Jews identify themselves as orthodox. I suspect that the Canadian Jewish population is not much different. Being kosher is not a characteristic that defines Jewish identity for a great majority of Jewish people. In my time at The Centre it was clear that many Jewish people entering the facility had not been leading kosher lives before they entered. When you combine that reality with the fact that a majority of the Centre’s residents are not Jewish it might be time to rethink the current kosher policy. As you have pointed out this is already happening in Jewish care facilities and seniors’ residences in the United States.
Irwin Corobow
Ed. note: Irwin Corobow is a former CEO of the Simkin Centre.
The figures Irwin gives for the Jewish population of Winnipeg are not quite correct. The highest number ever reported in the census occurrred in 1961, when the Jewish popuation was just short of 20,000. The 2011 National Household Survey (which replaced the census that year) indicates that there were, at most, 12,500 Jews in Winnipeg that year. The 2016 census reported only 7,640 Jews in Winnipeg, but that figure has been largely discredited. We’re anxiously awaiting results of the 2021 census.
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Jewish senior residences shift away from kosher food
Whether it’s done to save money, or to respect residents’ personal choices, the menus are changing
The following article appeared in the online magazine, “Tablet”, on April 28, 2019.
By JUNE D. BELL
Before the Sinai Residences in Boca Raton, Florida, opened in 2016, several hundred Jewish seniors who’d put down deposits received a survey about meals. Specifically, how important was kosher food?
Not important at all, it turned out. If Sinai were exclusively kosher, the vast majority said, they’d rescind their deposits. “They said having a kosher option was great, but being completely kosher would deter them from moving in,” said Chris Newport, Sinai’s executive director.
The Jewish Federation of South Palm Beach County, which developed the not-for-profit senior community, scrapped plans for a kosher kitchen. Pork and shellfish aren’t on the menu, but residents can dine on cheeseburgers and chicken Parmesan. All 234 independent-living apartments are occupied, and more than 60 people are on the waiting list.
Sinai is far from the only senior residence touting nonkosher fare in a Jewish communal setting. From Philadelphia to Silicon Valley, communities for aging Jews have been succumbing to a host of pressures to expand their menus beyond the limits of kashrut.
Some of that pressure is financial. Facilities pay a premium for kosher supervision of two kitchens with at least two sets of dishes and cutlery, and hekhshered meats, cheeses, and other products cost more than their nonkosher counterparts. But residents themselves exert an outsize influence on the menus of the communities where they plan to spend their last years. Many find kosher fare at best uninspiring and at worst, irrelevant. Their perspective reflects the paradoxical, quixotic relationship that most American Jews have with kosher food: It may be a good thing, but it’s not necessarily my thing.
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About 1 in 5 Jewish Americans—22%—keep kosher at home, according to a 2013 Pew Research Center . The more observant you are, the more likely you are to have a kosher home: 92% of Orthodox Jews said they have kosher kitchens, as did 31% of Conservative Jews and 7% of Reform Jews. The survey didn’t ask about food choices in restaurants or elsewhere.
Beverly Gareleck, who has kept a kosher home for more than five decades, lives in one of the 182 apartments at MorseLife’s Levin Palace in West Palm Beach, Florida. She regularly eats in the kosher dining room, which is supervised by the Orthodox Rabbinical Board of Broward and Palm Beach Counties. “I’m very happy to have the kosher restaurant. It means a lot to me,” said Gareleck, a Buffalo, New York, native. “It’s silly, but I feel it’s healthier, and it’s been looked at and taken care of in a better way.”
But if shrimp is on the menu in the nonkosher dining room, Gareleck will forgo kosher chicken pilaf, brisket, or prime rib. And when a group of friends plans a nonkosher meal, she’ll join them. About half of the 220 Palace residents opt for a kosher dinner each night, but only about 45 eat solely kosher food, said Keith A. Myers, president and CEO of MorseLife Health System.
The kosher versus nonkosher debate at Jewish senior residences was absent from this month’s conference agenda of the Association of Jewish Aging Services—not because it’s a topic members are afraid to discuss, but because they’ve already discussed it so much. “People are tired of talking about it,” said Stuart Almer, the conference’s co-chair and president and CEO of the Gurwin Jewish Nursing & Rehabilitation Center on Long Island. “It’s a sensitive issue to remain kosher or not.” About 20 of Gurwin’s 460 residents eat nothing but kosher food. At Long Island’s Parker Jewish Institute, where Almer previously worked, 20 of about 525 residents consistently ate food prepared in the kosher kitchen.
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Relocating to a senior independent living community can be a fraught decision. Seniors must leave a familiar neighborhood and acknowledge the potential need for services such as assisted living and skilled nursing that “continuum of care” facilities offer.
Communal meals in a new residence help ease that transition and combat the loneliness and isolation many seniors experience. “It is really important; I can’t emphasize it enough,” said Joan Denison, executive director of Covenant Place in St. Louis, where as many as 100 seniors—most of them Jewish— eat a subsidized kosher meal five nights a week.
Matzo ball soup and challah are a comforting sight on a Friday night table, invoking a shared culture and history. “The food is a very easy item to say what makes a facility Jewish,” Almer said. “Food is a big part of it. It’s an obvious and tangible thing.”
When seniors choose a community, the meals—their quality, variety, taste, and presentation—carry disproportionate weight. “If you’re in your 80s or 90s, what’s the only thing you can control?” said Newport, of Sinai Residences. “You maybe can’t drive any more, your family has passed away or your kids are grown up and your spouse may have died. You can control only one thing: your food.”
Administrators are paying close attention, particularly as 10,000 baby boomers turn 65 every day, a that will continue through the next decade. “The preferences of our senior-living residents are what’s really going to drive our business model,” Newport said. “As long as the residents are able to have the things they want in their lives, that’s what’s going to really trigger them to move into senior living.”
Enticing Jewish elders means accommodating their preferences, said Martin Goetz, CEO of River Garden Senior Services in Jacksonville, Florida. “If there is a trend, it’s away from kosher or ‘kosher is optimal.’ That’s for survival.” That shift is occurring across the country, either in one fell swoop or by degrees.
In Philadelphia, ownership changes and residents’ preferences led two predominately Jewish senior residences—Martins Run Senior Residential Community and the Golden Slipper Health and Rehab Center—to eliminate their kosher kitchens. Golden Slipper, now the Glendale Uptown Home, transitioned to kosher-style meals in 2013 for its 200 residents, most of whom were Jewish.
Martins Run in Media, Pennsylvania, added a nonkosher kitchen after requests from prospective and current residents. The community was eventually acquired by Wesley Enhanced Living, which has roots in the Evangelical Association of Churches. Wesley’s still touts its “kosher food of the highest standards under strict rabbinical supervision.” The four remaining residents who keep kosher eat their prepared dinners together at a single table. “Am I disappointed? Yes,” said Ethel Hamburger, 91, who chose Martins Run 12 years ago for its kosher food and Jewish population. “It’s not the place it was.” A Wesley spokeswoman declined comment.
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New cafes opening this spring on Jewish community center campuses that include senior residences in St. Louis and West Palm Beach will be serving nonkosher food to Jewish seniors, their families, and the community.
The kosher kitchens on the 50-acre MorseLife campus in West Palm Beach feed residents of the assisted living center, adult day care programs, a kosher Meals on Wheels program, students at four Jewish schools, and seniors who eat in the kosher dining rooms in the Palace, where Gareleck lives. But the bistro that opens on campus in June—where Palace residents will be able to eat at no charge, since their meals are included—will serve food from the nonkosher kitchen in the independent-living building.
Covenant Place in St. Louis is part of the Millstone Campus, which includes the St. Louis JCC, the federation, and the va’ad. In June, a new building is set to open that will include
medical services, physical therapy, and geriatric care facilities, as well as a new café. Seniors who live in Covenant Place’s 355 apartments—which each have kitchens—can eat at the new bistro on campus if they wish; it’s also open to everyone else, including health-care staff who serve the seniors and families who use the JCC.
“We had a big debate: Should we be kosher or nonkosher,” said Denison. The compromise was a dairy kitchen under rabbinic supervision and a meat one that is not. As many as 100 seniors who pay $3.50 for subsidized communal dinners catered by Kohn’s Kosher Meat and Deli Restaurant will have to opt for a dairy dinner if they want a kosher meal; meat meals will be made in-house, in the nonkosher kitchen.
Denison views the two cafes as a win-win: Kosher-observant families can enjoy a meal out together, and those who want more choices and affordable options can have that, too. “The key is to just be respectful,” she said, “and try to serve the whole gamut of those choices.”
Despite pressures to abandon kosher fare, some proponents are holding their ground, at least for now. When Alexander Ben-Israel became executive director of the 193-unit Moldaw Residences on the Taube Koret Center for Jewish Life in Palo Alto, California, three years ago, prepackaged kosher entrees were “miserable” and mushy. Ben-Israel brought the kosher program in-house, adding a mashgiach, multiple sets of dishes, and meat and dairy dishwashers. Participation doubled to about 25 residents.
“We had a philosophical commitment to the residents to offer kosher dining,” Ben-Israel said. “It’s just the right thing to do, that people who lived a kosher life all their lives would be able to continue to do it. … We call ourselves a Jewish facility, and it would feel kind of funny not offering it.”
But a nonkosher meal costs $15 to make, and a kosher one costs $27, adding an extra $70,000 a year to Moldow’s expenses. The facility is covering the difference for now, though it may eventually be passed on to residents.
In Jacksonville, kosher food costs River Garden an additional $300,000 a year even with staff—not rabbinic—supervision, “but that’s the cost of being who we are,” Goetz said. “We hold ourselves out to serve the entire community. … If Jews no longer connect with their synagogues, at least they are in a place that feels Jewish, does Jewish, and sounds Jewish, even if they’re not observant.” River Garden is Northeast Florida’s sole Jewish senior residence and nursing home.
Goetz, who has been CEO for 40 years, knows better than to ask the seniors what they want to eat. “We don’t put kosher on the agenda to be voted on by residents, because it would fail,” he said. “The residents here love bacon, ham, shrimp, and lobster.”
One day, some might get it. “I see the trend continuing away from kosher. I think it’s inexorable,” Goetz said. “I’m not willing to go out of business because I’m a kosher facility. If no one’ll come here because I’m kosher and it’s too expensive to serve it, I’d need to revisit our mission and our philosophy.”
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This story originally appeared in Tablet magazine, at tabletmag.com, and is reprinted with permission.
Local News
Sharon Delbridge’s annual health & wellness retreats in Puerto Vallarta have become popular with many Winnipeggers
By BERNIE BELLAN Over the years we have revisited stories from time to time – to catch up with individuals who have made a mark in this city and to see where their lives have taken them since the last time we wrote about them.
One such individual is Sharon Delbridge, the youngest daughter of Sol and Rachel Fink, and younger sister to Percy, Shayla (Posen), and the late Sheldon Fink (who died all too young at the age 57 in 2021).
Myron Love has written many times about Sol and Rachel Fink, who continue to amaze for their vitality – with Sol now 101 and Rachel having just turned 99.
As Sharon notes in an email sent to me, “My parents work out everyday. Not at Rady anymore. They do exercise at home & in their condo gym (200 Tuxedo) Move their bodies daily. My mom leads her and my dad daily in movement. It’s incredible.
“They have been a huge inspiration to all of us.”
Aside from the fact that the Fink family was a very musical family, their penchant for fitness is clearly something that rubbed off on Sharon, in particular.
My own wife, Meachelle, who was quite the fitness fanatic herself in her day (not that she’s been put out to pasture quite yet), profiled Sharon for The Jewish Post & News in 2015. In that story, Sharon explained how she came to be one of the most popular and best known fitness instructors, not only at the Rady JCC – where her classes in a wide variety of different areas, were – and still are, extremely popular, but at many other venues throughout Winnipeg.
Here’s part of what Sharon told Meachelle about how she came to teach so many different types of fitness classes:
“I’ve been into fitness my whole life. I come from a very musical family but also a family that always works out. When I was in my 20s I was teaching aerobics for several years as a part-time job while in university. When I had my three children (Milan, Jared and Cassie Ackerman) I ran a hand-painted clothing business in my home called Milan Designs, and I sold to ladies’ and children’s stores all over Canada.
“I was always working out and have loved fitness classes. I went back and got more certifications in my 40s. I’m certified to teach many specialties and have been actively teaching at the Rady for over 10 years. I now specialize in women’s boutique fitness: Zumba, Yoga and Barre classes. The three specialties blend beautifully together and I have a big following of people from all over Winnipeg that come to my classes. I have every Zumba certification that’s available: Zumba, Zumba Gold (for seniors), Zumba Toning (with weights), Zumba Aqua (in water), Zumba Step and Zumba Sentao (using steppers and chairs).
“I’ve taken many yoga certifications through the past 10 years and I’ve been teaching Barre classes, which are the latest and hottest classes for women. I’m always taking new training in these three specialties to continue to stay fresh and always have new and exciting things to present to my class. That’s how I stay unique in my field. I’m always learning and always developing my classes to be the best they can be. I spend tons of time finding the best music and choreographing.
“I truly feel that if you work out and look after your body, you will always have a positive outlook on life. Exercise is a huge healer mentally and physically. I have seen so many incredible changes in women that come to my classes. They have transformed their bodies and live happier and healthier lives.”
It was a year after Meachelle’s article about Sharon that Sharon and her husband, Darcy, began going to Puerto Vallarta for the winter. As Sharon noted, “I started teaching at a Yoga studio the first winter we were here in PV. It’s easy to meet people & build community when you’re teaching snowbirds from everywhere
I love sharing my love for fitness & yoga & moving our bodies.”
But, for six years prior to making Puerto Vallarta her and Darcy’s winter home, Sharon had already been conducting annual one-week health and wellness retreats in Puerto Vallarta. She has continued to conduct those retreats every year since. The most recent retreat was held from January 25-February 1 at the Fiesta Americana All Inclusive Resort.
Here’s how Sharon describes the purpose of those retreats:
“For over 15 years, my Health & Wellness Retreat has brought together women of all ages to reconnect, recharge, and celebrate movement, friendship, and balance. Hosted at a beautiful all-inclusive resort, guests can truly make the week their own holiday experience. While primarily a women’s retreat, many now bring their husbands or partners who are welcome to participate as much or as little as they choose.
“Throughout the week, we offer seven daily classes ranging from sunrise meditation and yoga to toning, Zumba, yin yoga, and our signature Aqua Zumba — which transforms into a high-energy, joy-filled pool party. Each evening, we gather for sunset yoga and take time to celebrate the beauty of the day together.
“The retreat blends wellness with enjoyment, allowing guests to indulge in the resort’s wonderful restaurants and social atmosphere while still feeling strong, energized, and revitalized. It’s a balanced, uplifting experience where participants leave feeling nourished in body, mind, and heart, often forming lifelong friendships. This year, we were proud to welcome 40 participants.”
In the picture accompanying this article you might recognize several Winnipeggers. I asked Sharon how many Winnipeggers were participants in this year’s retreat?
The answer, she said, was the majority (31) were from Winnipeg, while six were from Las Vegas, one from Ottawa and two from Edmonton.
The last two years, Sharon also noted, another well known member of the Rady JCC staff, Dona Watts-Hastings, who’s a physiotherapist, also a yoga and Pilates instructor, has joined Sharon in conducting the retreat. Sharon adds that Dona’s physiotherapy clinic is inside the Rady JCC. Dona also brings some of her clients to the retreat.
I wondered though, how active Sharon is in teaching classes when she’s back in Winnipeg? Does she never tire of teaching so many classes? I wondered.
Sharon’s answer was: “Yes, I’m still in Winnipeg half of the year and I will always teach at the Rady… Zumba, sculpt , yoga & barre class – also spinning if they need me to sub. . I teach at Assiniboine park and other gyms, too. Every morning I teach and often sub other classes. Busy all spring & summer.”
Whew! It’s tiring just reading about everything Sharon does. If you would like to find out more about next year’s health & wellness retreat in Puerto Vallarta and how you might be able to join up, contact Sharon at sharon@freshsoulfitness.com.
To watch a video of what a typical day at the retreat consisted of go to freshsoulfitness
Local News
Jess Pudavick: artist and business executive
By MYRON LOVE Jess Pudavick is a rare individual in that she combines careers as an artist and a business executive.
I first became aware of Jess last summer when she was one of the artists/craftspeople with a display table at the Gwen Secter Creative Living Centre’s annual garage and craft sale. What piqued my interest was her focus on incorporating resins in her art pieces.
Last week, while interviewing Ms. Pudavick at Super-Lite Lighting on Waverley – I learned much more about the multi-talented Ms. Pudavick.
While I have a passion for art,” she notes, “I was not interested in becoming a stereotypical starving artist.”
The daughter of Stuart and Beth Pudavick joined the company (which her father acquired in the early 1980s (along with partners Simon Simkin and Allan Hochman) 17 years ago. Her brother, Ray, also joined the company 10 years ago, Jess notes.
At Super-Lite, Jess’s title is Custom Homes Lighting Consultant. She works with builders, designers and contractors to build the lighting for the home, as well as to choose the right lights for the space. She also manages the company’s social media and website.
“I enjoy working with my dad and Ray,” she says.”I also love what I do at Super-Lite. It is similar to my feelings about my art. You don’t know the end result when you start. It is nice to see something being built from nothing and seeing the end result – and knowing how happy the client is in the end.”.
As an artist, the graduate of Brock Corydon’s Hebrew Bilingual Program, Shaftesbury Collegiate and the University of Manitoba, recalls that she started at a young age. “As a kid,” she says, “I was always doodling and drawing cartoons.”
While she has worked with several different artistic media, she observes that what she likes about creating art with resins is the challenge.
“Resin is a temperamental material,” she points out. “When you start a project, you have no idea what the finished product will look like.”
She explains that there are two ways to work with resin. You can put traditional resin in a mold and wait 24 hours for the resin to dry. Or you can speed up the process by using a UV style resin and exposing the resin to UV rays.
“I prefer letting the resin dry naturally,” she says. “I find I have more control over it.”
Her resin-infused art comes in many forms. She produces earrings and necklaces, candle holders and ashtrays, dice and computer keys. She has also created resin-infused mahjong and rummikub tiles and even sets of dominoes with paw prints. A popular item, Jess says, is a custom coloured/theme wedding set of dominoes.
“People love them,” she says of the dominoes tiles.
(The latter reflects her own passion for dogs for which she is often a foster “parent”. She notes that she also creates resin-infused memory keepsake urns for the ashes/hair or fur of beloved pets – a product that is gaining popularity.)
Then there is the resin-infused coffee table that has a place of honour in her own home. “With my love of plants and resin, my partner and I took our existing coffee table, added various clippings of my own plants and created a fun resin-sealed table,” she recounts. “It really looks cool. It is unique. it attracts visitors’ interest. Every time I look at it, I see something different.”
Jess reports that generally sells her works of art through craft sales and her Instagram page (@thejesso09) for between $10 and $30. Her major source of sales though, she adds, is through word of mouth.
But Pudavick avers that she doesn’t do her art with an eye to sales.
“I create for myself, not for the approval of others. I find it relaxing – a good way to reduce stress. It’s also rewarding to see that others want something you have created.”
She strongly believes that enjoying your work is an important element in being happy. Equally important, she notes, – both in business and art – is to have satisfied customers.
Local News
Local entrepreneurs Dr. Norman Silver and Dave Berkowits’ QDoc connecting patients and doctors on line
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