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Should one notify the staff that there is a patient with AIDS # 20818
in their department? ..................................................................212

47 RATING PHYSICIANS PUBLICLY .........................................215
28
UNINTENTIONALLY CUT
48 NOTIFYING AUTHORITIES OF A PHYSICIAN’S A PHYSICIAN WHO
DEFICIENCIES ........................................................................... 220 THE SPERMATIC DUCT
Is one obligated to rebuke someone for medical negligence WHILE PERFORMING
when the rebuke will certainly go unheard? ........................... 228 HERNIA SURGERY

Is it permissible to make comparisons between physicians? .238
Can one inform a patient that a dentist removed a tooth
unnecessarily? ............................................................................247
Revealing a secret .......................................................................253 1 Question

A senior official gave a physician information, on condition
that he not reveal it ................................................................... 257 Recently, a one-year-old baby boy from abroad underwent surgery
for a hernia. Regrettably, the surgeon unintentionally cut one of the
spermatic ducts. He did not mention the mishap to anyone else and
51 COMPLAINING ABOUT A PREGNANT NURSE WHO IS
NEGLIGENT ................................................................................258 did not record it in the patient’s records. The hernia healed and the
parents were happy. They have no idea that their joy is intermingled
with great grief.
52 SPEAKING DISPARAGINGLY ABOUT ONE’S FATHER TO
SAVE PEOPLE FROM DAMAGE .............................................261 The physician is suffering pangs of guilt for the unfortunate mis-
take that occurred, and for having concealed it. He asks whether he
should now reveal the painful secret to the parents, so they can try to
53 PUBLICIZING AN INACCURATE MEDICAL BULLETIN AT
THE REQUEST OF THE PATIENT ....................................... 266 repair the severed spermatic duct by microsurgery. This, in spite of
the fact that he is likely to be sued for the damages, in addition to be-
Is one obligated to prevent a friend from copying answers in ing punished for disregarding protocol by not recording the mistake.
an exam ......................................................................................268
What is the doctor to do?
Even in cases where it is permissible to alter the truth, one
should be careful not to lie ....................................................... 272
1 AnsweR

54 CHANGING DETAILS OF A MEDICAL REPORT IN A In order to answer the question, we must first clarify:
CASE OF GREAT NECESSITY ................................................275
1. What are the chances that such a child will be infertile?

56 AMPUTATING A LIMB FOR FINANCIAL GAIN ...............289 2. What are the chances of success of microsurgery?

4 1 Medical-HalacHic Responsa of Rav ZilbeRstein Physician cut spermatic duct 2 17