Features
Helen Nadel is about to assume the presidency of an important world-wide body: The Society of Nuclear Medicine and Molecular Imaging
And while Helen Nadel has had a distinguished career in medicine as a pediatric radiologist and nuclear medicine physician – Winnipeg will always be near and dear to her
By BERNIE BELLAN Quite often this newspaper has published articles about former Winnipeggers who have gone on to great careers once they’ve left Winnipeg. If there’s one thing our Jewish community here has been especially proficient at doing, it’s been serving as a springboard for outstanding students to launch successful careers elsewhere.
In some ways, while we may lament that so many of our “best and brightest” have sought to further their careers by leaving Manitoba, almost all those expatriates have something in common, and that’s a deep affection for their hometown – also for the bonds that they formed growing up in Winnipeg.
A few months ago I happened to be in conversation with one of our out-of-town readers: Diane Unrode-Ackley. Diane mentioned that a good friend of hers, Helen Nadel, had recently been elected to serve as the upcoming president of a rarified body: The Society of Nuclear Medicine and Molecular Imaging.
Now, I should also explain that Helen has been an online subscriber to this paper for many years but, like many other online subscribers, I really didn’t have a clue where Helen lived – or what Helen’s background was.
I told Diane that I would definitely want to interview Helen to ask her about her career and what led up to her assuming the presidency of such an important body. But, as you might expect, Helen Nadel is one very busy woman. Try as we might to find a time that would work for both of us to conduct an in-depth interview, it wasn’t until earlier this past month that we were able to speak – face to face so to speak, via Zoom.
What follows are excerpts from that interview, but first here is Helen Nadel’s bio as given on the Stanford University School of Medicine website:
“Dr. Nadel is a dual board -certified Pediatric Radiologist and Nuclear Medicine Physician in both the USA and Canada. She holds certifications from the Royal College of Physicians and Surgeons of Canada in Diagnostic Radiology and Nuclear Medicine, The American Board of Radiology (ABR) with certificate of added qualification in Pediatric Radiology and the American Board of Nuclear Medicine (ABNM). Dr. Nadel was an Associate Professor of Radiology at University of British Columbia and had been practicing as a pediatric radiologist and pediatric nuclear medicine physician at British Columbia Children’s Hospital in Vancouver, British Columbia since 1983 after medical school at University of Manitoba (1977, Winnipeg, Manitoba), internship and residency at University of Toronto (1978-1982) and Pediatric Radiology fellowship (Chief Fellow) at Hospital for Sick Children (1982-1983, Toronto, Ont.) She has been working with the entire breadth of general and hybrid nuclear medicine studies in children in a fully integrated department of Pediatric Radiology and lecturing to promote this field for her entire career. Dr. Nadel currently uses PET/MRI exclusively for PET imaging at Lucile Packard Children’s Hospital at Stanford University (LPCH) and co-directs the clinical PET/MRI program at LPCH. Dr. Nadel has been inducted as a Fellow of the Society of Nuclear Medicine and Molecular Imaging (FSNMMI). Dr. Nadel is the 2022-2023 President-Elect of the Society of Nuclear Medicine and Molecular Imaging.”
And here is the interview:
JP&N: ¨Nice to meet you – finally.”
Nadel: “You too.
JP&N: “We actually met seven years ago at the Jewish Schools Reunion. You’ve had a very illustrious career – and worn many hats, but tell me something about your growing up in Winnipeg.”
Nadel: “I’m a north ender – an only child. My mother came to Winnipeg in 1921 – she was born near Kiev.
“My father came after the war. He had had a military career in the Polish Army. He was captured by the Russians in 1939 and sent to the Gulag. Then when he was repatriated he walked back over the Ural mountains to then fight in the free Polish division of the Russian army.”
JP&N: “Wow!” (Ed. note: That would have been over 2,000 kilometres! At this point I’m including a later part of the interview in which Helen elaborated upon what happened to her father.)
JP&N: “Did you say he had to walk from the Gulag?”
Nadel: “Yes, he walked. It took him two years. He lived in the Ural Mountains, he lived in Uzbekistan.”
JP&N: ¨I just wrote about a book by another doctor – Meyer Kreger. It was the memoir of his mother, Rose. She was also from Poland and survived the war after being sent to Siberia, then Uzbekistan, then Kazakhstan. The stories of how some people were able to survive when others couldn’t endure are endlessly fascinating.”
Nadel: “You know Francie Winograd, don’t you? My father was in the same DP camp as Francie’s mother (Gertrude) after the war. It was near Munich.
“When my father came to Winnipeg, he met the Grosh family – and they had a sister-in-law who was in her thirties and not married. She was introduced to my father and as they say, the rest is history.” (I had to tell Helen that Gerry Posner uses that line in every story he writes.)
“They were married in 1949 and I was born in ’52.”
“I went to Peretz School in Winnipeg and then to Jefferson and Garden City Collegiate. I graduated and did undergrad and med school in Winnipeg. After that‚ I went to a Toronto to do my specialty training in radiology. I’m a radiologist‚ and I have two specialties – actually. three specialties. I’m a radiologist‚ but I sub specialize in pediatric radiology, and I also have a secondary qualification in nuclear medicine, both of which are diagnostic tools.
“One uses what you would think of as conventional X rays and now, ultrasound. MRI is general radiology. Nuclear medicine uses a small amount of radioactive material to also look at how the body works, how it functions. The new thing about nuclear medicine – it’s not so new really, is we can also use it for therapy. So, if you’ve heard of people having thyroid disease, sometimes we give them radioactivity to treat thyroid cancer.
“And now, the big thing‚ of course‚ is we can treat prostate cancer in men; we can treat other cancers as well. But the new kid on the block is treating prostate cancer with radioactive material. We’ve had very good success. But I’m a pediatric person‚ so that’s not actually my purview at the moment.
“But part of the reason I think Diane wanted you to talk to me is I’m about to become the President of the Society of Nuclear Medicine and Molecular Imaging.”
JP&N: ¨You haven’t assumed the throne yet, have you?”
Nadel: “My presidential year starts in June of this year. But I’ve been in the leadership (of the Society) for three years. I was elected in June 2021.”
JP&N: ¨You’re going to become head of a worldwide organization – right, or is it just American?”
Nadel: “It’s a worldwide organization, based in the US‚ but it is global. We are the largest organization (in the field of nuclear medicine). We have a membership that includes physicians‚ technologists‚ scientists and industry. And it has about 14,000 (members). There are some other organizations (in the field). There are regional – sort of country-based organizations. There are continental-based organizations – like the European Association of Nuclear Medicine – but we’re much bigger.”
JP&N: “You said your specialty is pediatric radiology. Is that right?”
Helen: “Yes‚ ¨I’m a pediatric radiologist.”
JP&N: “So, up to what age would you be treating patients?”
Nadel: Well‚ that’s a good question – usually to age 18. However‚ here at Stanford‚ we have a lot of children that have had diseases as infants‚ and we keep seeing them as they become adults. We still see them. So, it’s a movable barrier. But usually pediatrics is to 18.”
JP&N: ¨I assume you know Ted Lyons.”
Nadel: “I do. Ted was instrumental in bringing ultrasound to Winnipeg and to Canada and as such he came to teach us in our radiology training program at the University of Toronto.”
(At that moment Helen’s phone rang and she had to take a short call. When Helen resumed our Zoom call I noticed a male figure had wandered into the background.)
JP&N: “Who’s that wandering into the background now? Is that your husband?”
Nadel: “Yes, that’s my husband.”
JP&N: “What’s your husband’s name?”
Nadel: “Tevy Goodman. ‘Tevy, say hi to Bernie Bellan‚ the editor of the Jewish Post.’ ”
JP&N: “Are you in Palo Alto? Is that where I’m reaching you now?”
Nadel: “We’re in Palo Alto. We’re in the heart of Silicon Valley. I came to Stanford five years ago. I was recruited here. Actually‚ I was sort of retiring from my job. I had been 35 years at Children’s Hospital – at British Columbia Children’s Hospital in Vancouver – as a pediatric radiologist and the head of their pediatric nuclear medicine department, and I was going to sort of retire – slow down, at least.
“But there was a new hospital at Stanford – a new children’s hospital. I have a lot of friends in the community all over and one of them here convinced me that I should at least look at this job. And you know what it was? It was an opportunity that not many people would get. And, so, instead of retiring‚ I decided to come here – and I’m moving – going ‘uphill’ to go ‘downhill’.”
JP&N: Are most of your duties teaching or clinical? How does it break down?”
Nadel: “I am a clinical physician. I’m in charge of a new division – brand new at this hospital‚ which is called Pediatric Nuclear Medicine. I am also a full service pediatric radiologist. And so I have two hats – two big hats.
“We have some unique equipment here that not many places in the world have – and I’m kind of a leader. I don’t want to blow my own horn‚ but I’m a leader in a field called PET/MRI (Positron Emission Tomography/Magnetic Resonance Imaging).
“Winnipeg has a PET/CT scanner. There are two in Vancouver. There are two down the street from here, where I live. So‚ you know‚ it’s just a different world, it’s a different focus‚ a different way of doing things. I’ve been very fortunate that I’ve been able to use these exceptional tools for over 20 years now in my practice, both in Canada and the US. And pediatric lags behind adults in this area – just because we’re smaller. You know, there are fewer kids, but 25% of the world population is pediatric. It will increase as the Boomers get older and die off . Some Third World countries have mostly young people, so it will take a while to build up another Boomer type age group once we’re out of the picture. And disease will get younger in the medical field.”
JP&N: ¨ There are all sorts of scary news reports about cancer, saying it’s increasing – depending on who you talk to. Yesterday‚ I think I saw in Time Magazine, that 50% of people will have cancer in their lifetimes. Someone else told me‚ 70% – but she’s really into conspiracy theories. Can you give a more specific figure or is it hard to do that?”
Nadel: “I don’t have an answer to that. But there are some reports that suggest that the ages at which some people are getting certain diseases are getting younger. There was a big report this week on colon cancer – saying people are getting it younger. It’s being picked up at younger ages. I think that’s in part due to the fact that we have better techniques to pick these diseases up. We are taking more interest in preventative health‚ and that’s okay.
“One of the things that attracted me to Stanford was the physician who recruited me. His name was Sam Gambhir. He was an absolute giant in the field. Unfortunately, he died two years ago of cancer – a very horrible story. You could look him up. He was brilliant. But he basically was on track and his lab -which is still here‚ was on track to promote precision health and preventative health. And precision medicine includes wearable technology, you know.
“One of the last things he wrote about – a great article‚ was about the ‘smart toilet’ And it exists, basically. Your toilet can determine if you have disease by your feces. But nobody knows that’s the case. There’s so much going on in the world. I mean‚ this is beyond me‚ but I’m just saying that there’s a lot of stuff going on.
“So, the statistics are enabling us to pick up more diseases‚ and we’re picking it up earlier. We’re finding ways to treat it. But, have we moved the dial? I’m not sure yet. We don’t know yet. We don’t have enough information yet to determine if we’ve moved the dial in the right direction. I think we will, but I think it’s going to take a little longer to actually prove that.
JP&N: “Okay‚ I want to talk about your new position, but I also want to put a little bit of a ‘haimish’ touch to this. You said you left Winnipeg – when?. Were you in your twenties?”
Nadel: I left Winnipeg after I graduated from med school. I was 24.”
JP&N: “And you went to Toronto for postgraduate?”
Nadel: “Basically, you have to do a year of postgraduate training to get a medical license. I actually did what was called in those days a rotating internship. So I did twelve months of a bunch of everything – all different parts of medicine. I actually thought I would become a family physician and come back to Winnipeg. Then I met my husband. We actually met in Winnipeg. He’s from Vancouver‚ but we met in Winnipeg‚ and he followed me to Toronto. He didn’t want to come back to Winnipeg – put it that way.”
JP&N: “Sounds familiar.”
Nadel: “We thought we would end up in Toronto. And, after 14 years of postgraduate education – which included all my radiology training…I also did specialty training; after a year of internship; after four years of radiology residency and a one year pediatric radiology fellowship – I didn’t have a job! I needed a job. And I got offered to do much like what I’m doing here: start up a new program at a brand new hospital in Vancouver – British Columbia Children’s Hospital. I was 30 years old.
¨And my husband being from Vancouver‚ that seemed like a reasonable thing to do for what we thought would be five years. We ended up having two daughters in those first five years – and we never left.”
JP&N: “Can I ask: What did your husband do?”
Nadel: “My husband is a retired professional engineer – a civil engineer and, in an interesting twist‚ he helped build some of the nuclear generating stations in Ontario. He worked in construction development and then in power group development. He worked for Ontario Hydro for all the years that we were in Ontario. And then he basically retired.”
“He took care of me and the kids and it just worked out that way. Coming back to Vancouver turned out to be a good thing and a bad thing when we came back. We came for my job because I did not have another job, and it looked like he would get a similar job in civil engineering, but that had dried up in the 80s (when nuclear plants stopped being built).
“And, our first child was premature But, you know what? The decision to have one parent at home was the right decision. And so it was him. I was young; he was a great father. He is a great father. So he was a forerunner then. And he was not Mr. Mom. He was everything. He is everything still. I couldn’t have done anything I did – and still do if I didn’t have that kind of support.”
JP&N: “So, as far as your Winnipeg roots go‚ I know that you’re friends with Diane Unrode-Ackley. Do you still have many friends from that time?”
Nadel: “Well Diane is like a sister me. I really had a close circle of three. Mindy (Unrode, Diane’s younger sister, who sadly died in 1986) was my best friend. We met when we were seven or eight years old. We were friends forever. She moved to Toronto as well after she got divorced.
“My second close friend was Cheryl Schwartz, who’s now (Dr.) Cheryl Minuk – also in Toronto.
JP&N: “She’s a subscriber, too. I talk to her occasionally.”
Nadel: And my other close friend was (Madame Justice) Robyn (Moglove) Diamond (who also passed away – in 2018). The four of us (Helen, Mindy, Cheryl, and Robyn) were best friends.
JP&N: “What street did you grow up on?”
Nadel: “I grew up on Scotia Street‚ between Smithfield and McAdam. My cousins are the Grosh family. I should mention that my family were also long time shul goers at Rosh Pina.”
JP&N: I just heard from Joel (Grosh). His mother (Tesse) just passed and we had her obituary in the paper. This is really a little Jewish geography we’re doing.”
Nadel: “Totally. So, Tesse’s husband, Abe, and I were first cousins. Our mothers were sisters‚ but I’m almost the same age as Joel; he’s one year older than me. So, even though I’m one generation older than him we grew up together. We grew up in a compound almost. Joel’s family lived next door to us until they built their really nice house on Smithfield. His grandparents lived next door to him – half a block away
“What happened is two brothers – named Grosh, married two sisters my aunts – whose name was Chmelnitsky – and they lived across the street from each other. In a real twist of fate, someone else you know, Osher (Archie) Kraut, is also my cousin.
“They’re cousins on my father’s side – which is how my father came to Winnipeg after the war. Archie’s parents actually brought him to Winnipeg. He was only planning to pass through Winnipeg on his way to Israel. He’d been in a DP camp for four years. He had had typhus; he wasn’t that well. And then he came to Winnipeg. He wasn’t even 40.”
JP&N: “By the way, we’re only a year apart in age. Well, let’s turn to the position you’re about to assume. What will be your actual title?”
Nadel: “I’ll be President of the Society of Nuclear Medicine and Molecular Imaging. When you’re first elected‚ you are vice-president elect‚ then you become president elect‚ then you become president, and then you become past president. What happens is you’re part of the leadership, basically. So, as president elect you travel together with the president. You deal with all of the sort of day to day problems that such an organization might have. We deal with the US federal government, for the most part. We deal with international governments related to the supply of radiopharmaceuticals that we use in our medical careers. And we also have international organizations. We deal with the International Atomic Energy Agency, which I’ve been involved with for 20 years as well, on a consultancy basis.
“How did I get to where I am in this organization? Well‚ as a pediatric radiologist and nuclear medicine physician‚ I was always interested in promoting the interests of children. They’re different than adults. There’s a saying that children are not small adults, and that’s true. And so, in some things, kids do get left behind. They don’t get some of the drugs. They don’t get some of the treatments that are available, some of the diagnostic things that you could do, some things you don’t want to do, etc.
“But it’s important to promote pediatrics. I’ve been a strong proponent of educating people about my field, my particular area of interest. I met people along the way who were interested in how I do things. I was interested in the organization that I belong to. I’m promoting the fact that there are new techniques that we can utilize. I’ve just been vocal. I teach, I give a lot of lectures, I’m not shy. Well‚ I guess you could say I’m an ‘introverted extrovert.’
“I got known in my field as a speaker, somebody who was interesting. I worked as a solo practitioner in my area – in Vancouver, even here (at Stanford). It’s usually never more than one person that does pediatric nuclear medicine in any hospital department.
“I suppose the reason I got to where I got was I volunteered to get involved in different parts of the organization, but I wasn’t aspiring to do this (become president of the nuclear medicine association). But again, much like coming to Stanford, somebody asked if I would consider doing it. My reaction was, given that I was new at Stanford and that I’m trying to grow a brand new program, (the administrators at Stanford) would say, ‘Are you crazy? We’re not giving you that time.’
“But, instead, they were delighted. But when you say you’re willing to put your name forward for election, you actually have to run an election. I ran an election. I sent out 10,000 emails.”
JP&N: “Were there other candidates running?”
Nadel: “There was another candidate that ran, but I won the election in June 2021. I’m going to be the seventy-first president of this organization. I’ll also be the fifth woman, the fifth pediatric person, and the third Canadian.”
JP&N: “Are you an American citizen now, too (in addition to being a Canadian citizen?”
Nadel: “No, no, I am a Canadian citizen. I do have a green card. My husband and I both have green cards, but we’ll always be Canadian.”
JP&N: “Okay, Helen, this has been terrific. It was very nice meeting you – finally. This was a long time in coming. It was hard to pin you down, but I’m glad we did this.
Nadel: “Okay, I hate talking about myself, but thanks for this. It was great.”
Following our interview I asked Helen to provide some information about her two daughters. Here’s what she wrote:
“My husband and I have two daughters. Frani is a cantor, having graduated from the Jewish Theological Seminary of America in NYC as a cantor in the Conservative movement. She is currently completing a fellowship in Vancouver to be a chaplain. She has Master Degrees in Sacred Music and Jewish Education and also teaches in the Jewish education system in Vancouver.
“Daniella has a Masters Degree in Early Childhood Special Education from Hunter College in NYC. She is currently teaching kindergarten in a charter school in Brooklyn, also completing a second Masters degree in Speech Therapy.”
Mahler the Jew: A futuristic fantasy (Part II)
David Topper
Features
Israeli startup Combatica is transforming education and entertainment in Uganda through VR and AI technologies
In early June 2024, the Israeli startup Combatica opened the first next-generation virtual park in Africa, located in Uganda. This step attracted the attention not only of local residents but also of professionals worldwide. The use of artificial intelligence and virtual reality is changing the approach to education and leisure: what fundamentally new does such a project bring? Why is this considered a real technological breakthrough, and what new horizons does it open up for African countries and the entire world?
Combatica: The history of an innovative startup and its philosophy
The company Combatica was founded four years ago by a group of Israeli engineers and military experts. From the very beginning, its mission was to create a simulator of the future, combining gaming technologies and professional training for both military and civilian tasks. According to the Globes Israel portal, the Combatica platform was initially used in Israeli military structures for tactical training of fighters. But within a year, it achieved international implementation in the Middle East and Europe.
In this context, it is important to note that over the past two years, the company has not only increased sales in the domestic market but also attracted the attention of Frost & Sullivan analysts, who named Combatica the largest player in the tactical training market by 2025. International expansion became the next stage of development: now Combatica technologies go beyond military tasks, also covering education and mass entertainment.
Combatica VR park in Uganda: a new step for the region
The Combatica park in the town of Busika became the first of its kind for the African continent. At the same time, it is a space for recreation, an interactive learning field, and a platform for demonstrating technologies. The opening was supported by representatives of the local administration and the media, and the first visitors noted the extraordinary realism of the simulations.
In this context, it was significant that Uganda was not chosen by chance. As experts claim, the country is actively investing in digital initiatives and education, turning into a technological hub of East Africa. Why did the African region become the launch pad? The answer lies in the high interest in innovative forms of learning and the desire to attract the youth to the professions of the future.
Technologies and capabilities of the Combatica 2.1 platform
At the core of the VR park is the Combatica 2.1 platform—an integrated system combining artificial intelligence, real-time analytics, and elements of tactical games. As the developers explain, the platform creates complete immersion in a digital environment, and the scenarios bring participants as close as possible to real-life situations.
The technical characteristics of Combatica 2.1 include:
• More than 50 interactive scenarios modeling different levels of complexity
• Seven detailed maps reflecting real and fictional landscapes
• Special night vision modes for simulating operations in darkness
• An analytics system tracking each player’s actions in real time and allowing tasks to be tailored to individual needs
The term “metaverse” in this context means the unification of digital worlds where users interact not only with virtual objects but also with each other, while “portability” underlines the mobility of the solution.
Unique features: portability and adaptability
One of the key distinctions of Combatica is the exceptional mobility of the system. All the equipment needed to launch the platform fits into two standard suitcases, allowing a training or game session to be organized almost anywhere in the world with minimal preparation.
In this context, it is important that Combatica has proven its versatility. The platform has been successfully used in military exercises to practice actions in real conditions, as well as at corporate events and festivals for team games and leadership skills training. Can such flexibility be called a unique feature among similar VR solutions? Many experts tend to believe that it is precisely adaptability and ease of deployment that make Combatica in demand among different audiences.
Impact on education and the entertainment industry
In recent years, VR and AI-based simulations are gaining unprecedented scale. Modern scenarios include not only military missions or rescue operations but also team strategy games for teenagers and adults. Analysts note that in Africa, where access to traditional education and training is limited, such solutions open up fundamentally new opportunities.
For example, Statista data for 2023 show that the global VR training market reached $5.5 billion, with growth of more than 15% per year, and in African countries, demand is growing faster than the average. This approach is especially in demand among the army, security services, and educational institutions seeking interactive and effective tools.
International plans and ambitions: global scaling
The next stage of Combatica’s development is the launch of similar VR parks in the USA and Europe. According to company representatives, by 2026 it is planned to open at least three new centers focused on professional training, corporate programs, and mass entertainment. The demand for such technologies is explained by the desire to combine gaming experience, analytics, and training in a single environment.
In this context, it is important to emphasize that Frost & Sullivan analysts note a sharp increase in Combatica’s global sales this year. According to estimates, the dynamics are due to the flexibility of the platform and its rapid adaptation to different tasks, which is especially valuable for Western markets.
Expert evaluations and market recognition
In an interview with Globes Israel, Frost & Sullivan analysts noted: “Combatica is a market leader thanks to the speed of innovation implementation and consideration of user needs.” Sales of the platform in just the past six months have tripled compared to the same period last year. Success is explained not only by technological leadership but also by the ability to adapt to changing market conditions.
At the same time, some experts draw attention to a number of challenges: the cost of equipment, data security issues, and accessibility for educational institutions in developing countries. Although most of these problems can be solved in the coming years, it is important to take them into account when planning scaling.
Context and prospects for the region
The impact of the implementation of VR and AI solutions on the educational and gaming industry of Africa is hard to overestimate. The opening of the Combatica park may become an important catalyst for the development of technological literacy, specialist training, and attracting investments to the region. Nevertheless, experts emphasize the need to modernize infrastructure, train personnel, and create conditions for mass access to innovations.
In this context, the prospects seem promising: according to the African Development Bank, annual investments in digital education and interactive platforms will only grow, and the experience of Combatica can become a model for new projects on the continent.
Material prepared with the support of App1win
Features
Is Hamas a “treatable” cancer?
By GREGORY MASON If we define Hamas as a cancer, can we devise a strategy to, if not defeat Hamas, at least manage it? Is Hamas “treatable?”
Defining treatable cancer
Although the cancer charities like to promote the notion that we are winning the war against cancer, a reference that confirms the suitability of conjoining cancer and Hamas, the reality is that five-year survival rates are increasing only slowly. While curative therapies continue to improve, early detection —encompassing both greater testing participation and technological advancements in testing —appears to be the most crucial factor in lengthened survivability.
The key treatment condition is the stage at which cancer becomes known. The typical staging has four levels, where the tumour:
- remains entirely within the margins (edges) of the organ
- reaches the margins.
- moves beyond the margin and invades the surrounding tissues.
- move another organ or system.
Sometimes oncologists refer to precancerous growths as “stage 0” when a surgeon removes a skin lesion as a precaution. Progression among the cancer stages is known as metastasis.
Most important is to understand that the five-year survival standard includes no reference to quality of life. Most cancer treatments compromise quality of life.
Patients often assume the word “cancer” means a death sentence. Yet if detected early, the idea of “treatable cancer” invariably creates a sense of optimism since it also implies a course of action leading to a “cure.” Most oncologists are wary of raising false expectations when discussing the nature of a patient’s condition and the options for treatment.
Three conditions mark a treatable cancer. - Treatment options exist.
- Actions are feasible – the patient resides where the technology, talent, and treatments (medications) are available.
- Patients receive no guarantees that exist for a cure (complete remission), extension of life, or improved quality of life.
Treatment outcomes for cancer exist in several dimensions: the extension of life, the quality of that life, and the difficulty of the treatment. Patients and physicians face complex trade-offs, where the difficulty of the treatment versus the expected gain in quality of life may induce the patient to curtail active treatment. The patient submits to the inevitable and enters palliative care.
Setting aside voodoo, cancer treatments include surgery that targets specific tumour sites, chemotherapy that uses a cocktail of chemicals that targets cancerous cells without affecting healthy tissue, and palliative care. Palliative care accepts the inevitable course of disease leading to death.
The final issue is that a systemic cancer, such as lymphoma, stands in contrast to a tumour, which exists at a defined point. Treatment is different for each type. Systemic cancers require chemotherapy, while point cancers require surgery.
Hamas as a cancer.
Some may object to my characterization of Hamas as a cancer since they see Hamas as freedom fighters for Palestinian independence. No comment. No apology.
The origin of Hamas is the Muslim Brotherhood, which started in Egypt during the late 1920s as a labour movement among Suez Canal dockworkers, led by Hassan al-Banna. Its goals were to spread Islam across the Arab world, oppose colonialism (primarily British and French) and promote the Arab mission in Palestine. This movement has spread rapidly throughout the Middle East and beyond.
Hamas (Harakat-al-Muqawama-al-Islamiya or “Islamic Resistance Movement”) was established in 1987 following the first intifada, when Arabs living in Gaza, Judea/Samaria and East Jerusalem engaged in a violent protest against what Hamas and other groups perceived as unjustified Israeli governance over their lands. A core goal was to build support for the Muslim Brotherhood, which had lost support to Palestinian Islamic Jihad (PIJ) sponsored by Iran. It is one example of the conflict between Sunni Islam (Muslim Brotherhood) and Shia Islam (PIJ).
Rather than an isolated tumour, Hamas in Gaza is but a derivative lesion of the broader Muslim Brotherhood cancer. Although not part of the Palestinian Authority, it is the most popular movement in the West Bank. It may well have had a hand in the weekend attack in Jerusalem that killed six and injured 13, although many malign actors are available.
Another Muslim Brotherhood lesion is the Hamas leadership that has remained ensconced in luxury Qatar hotels. Israel’s recent attack on the Hamas leadership in Qatar is another attempt to excise the tumour, with a subtle twist. Qatar has operated duplicitously. On the one hand, it has sheltered Hamas leaders and shovelled buckets of money to support their war against Israel while also serving as a “neutral” mediator in the hostage negotiation. Along with Iran and Türkiye, it is a significant funder of the Brotherhood, not only throughout the Middle East, but also in Europe and North America.
Qatar has also opened a series of tumours in post-secondary education, especially in its funding of elite universities. This aligns with the long view inherent in radical Islam and the Muslim Brotherhood. Funding “endowed chairs” enables external funders to circumvent standard academic hiring procedures, placing academics with specific viewpoints in key academic positions. This becomes a critical element in the metastasis of radical Islam. In addition to promoting Islam and an anti-Israel perspective, these faculty members work in partnership with post-modern ideologies that undermine recognition of the past achievements of Western civilization. This is not to defend the past, as much exists in Western history that needs correction.
Defeating Hamas: Tactical win or strategic loss?
Israel’s goals in Gaza have fluctuated, reflecting its extraordinary duration and the existence of the hostages. Many do not want the Netanyahu government to proceed with the final expulsion of Hamas from Gaza. Most opponents to such a campaign within Israel fear it is not possible without massively increased civilian casualties, further hostage deaths, and a prohibitive cost in soldiers’ lives for the Israel Defence Forces.
In addition to the potential costs, commentators such as Andrew Fox believe it is not possible to eliminate Hamas. His essential point is that Hamas has shown a remarkable capacity to adapt. However, he has applauded the attack on the Hamas leadership in Qatar.
The situation has become dire. First, throughout the Middle East, a multitude of cancerous lesions exist in the form of radical Islamic parties vying for control. In the West Bank, in addition to Fatah, the Palestinian Authority (PA) includes other factions such as the Popular Front for the Liberation of Palestine (a Marxist-Leninist group), the Democratic Front for the Liberation of Palestine, the Palestinian Peoples Party, and the Palestine Popular Struggle Front. Not part of the PA, but very influential and popular are Hamas and Palestinian Islamic Jihad.
In Gaza, in addition to Hamas and Palestinian Islamic Jihad, the major political factions include Fatah (much weakened since 2007), a range of Salafi-Jihad Groups, and the Popular Front for the Liberation of Palestine, all of which vie for support. Finally, in addition, several clan-based militias are operating, which Israel currently funds and arms, primarily to irritate Hamas.
A multitude of factions may arise to fill the vacuum if Hamas disappears. Indeed, none are anywhere as strong and capable as Hamas was. But deep pockets exist in the form of Qatar, Türkiye, and Iran to rebuild Islamist military capacity in Gaza.
The many points of radical Islam, comprising funding in Western universities, the mass migration that results in multiple Western societies being unable to integrate newcomers, and post-modern ideas infusing government and corporate management, have merged to create a systemic cancer that seems impervious to treatment, certainly to precise tumour excision.
Israel can play a furious whack-a-mole model of surgical strikes to excise the many tumorous lesions originating from the Muslim Brotherhood. And it may succeed in bringing Hamas to the table to release the remaining hostages and cease its Gaza operations. Israel can score a tactical victory.
But if the West declines to address the systemic cancer of radical Islam and Hamas reconstitutes itself in the West Bank, a strategic victor will elude Israel, and it will return to excising yet another tumour.
Israel’s refusal to wage the information war and Western leaders losing their way and becoming politically indebted to recent migrants may become the strategic errors prolonging the conflict.
Features
Seeking gangsters, must speak Yiddish: Bringing the Hasidic underworld to life in ‘Caught Stealing’
By PJ Grisar September 3, 2025
This story was originally published in the Forward. Click here to get the Forward’s free email newsletters delivered to your inbox.
A duo of burly, gun-toting Hasidic gangsters and their doting bubbe are the breakout characters in Darren Aronofsky’s Caught Stealing — at least, for figures not of the feline variety. To bring them to life, the film had a secret weapon: a Yiddish whisperer.
Motl Didner, program director for the National Yiddish Theatre Folksbiene, first heard rumblings of the crime caper through a casting notice seeking Yiddish-speaking actors. He didn’t know the notice was for an Aronofsky film, but he passed the details along to members of the company, and even sent in a self-tape to be considered for a role.
Later, the production got in touch to use him as a Yiddish coach.
“That’s when I found out who exactly it was that I lost out to,” Didner said in a phone interview. “I don’t feel so bad about losing out to, like, Liev Schreiber.”
Didner worked with Schreiber, Vincent D’Onofrio and Carol Kane — respectively playing a pair of frightening drug lords and their grandmother — settling on a Hungarian dialect for their dialogue, and even rewriting some of their Yiddish lines. (The dynasty to which the brothers belong is never specified, but their scenes with Kane were filmed on location at a Lubavitcher household in Crown Heights, Brooklyn.)
The duo show up as a threat to the film’s protagonist, Hank (Austin Butler), who finds himself caught in the middle of their quest to recover piles of money from other ethnic gangs in 1998 New York City.
Kane, Didner said, took naturally to the mamaloshen. While she isn’t conversational in Yiddish in real life, her breakout role was as a Yiddish-speaking immigrant in Hester Street, and she more recently had Yiddish scenes in the Amazon Prime show Hunters.
Schreiber, for his part, sang Yiddish songs growing up, and “had an ear for it,” Didner said.
D’Onofrio, who isn’t Jewish, was “really kind of thrown deep into the Jewish world,” Didner said, but was very meticulous in getting his “meshugenahs” on point. Crucially, he nails the pronunciation of his beloved bubbe’s title: For native Yiddish speakers, it sounds more like “boh-beh” than “bubbie.”
Didner was on set for the scene in which Butler’s Hank slurps a bowl of matzo ball soup with the brothers. Somehow, word spread that the Oscar winner was shooting in the neighborhood, something of a novelty for the Hasidic enclave. Evidently the heartthrob has a young Chabad fan base.
“When filming wrapped at the end of the day, there were a couple hundred teenage girls waiting to get a glimpse of Austin Butler,” Didner recalled. It was like the reception of the Beatles or, better yet, Elvis.
Didner wasn’t the only dialect coach for D’Onofrio and Schreiber; they had a separate one for English.
“Darren Aronofsky was very specific,” Didner said of “the boys” — how Aronofsky referred to the characters. “He didn’t want them to speak English with a Yiddish accent.”
Instead, they speak with Hank in a measured, yet still menacing, American aksent. It’s when they discuss how to handle him — and whether he deserves to be roughed up — that they revert to Yiddish.
There were also separate consultants, Didner said, to make sure the customs included in a bustling pre-Shabbat sequence at Bubbe’s house were authentic.
Didner saw the film over the weekend, and was happy to see diverse languages included in it.
“There’s also Spanish and Russian in there,” Didner said, adding he hopes that linguistic richness is “part of an increasing trend that people are looking for that sort of authenticity.”
PJ Grisar is a Forward culture reporter. He can be reached at grisar@forward.com and @pjgrisar on Twitter.
This story was originally published on the Forward.