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second volume in the complete English series will bring additional              occurred and encourage them to have their son undergo microsurgery
               pleasure to its readers.                                                        to correct the surgically induced severance of the spermatic cord. If
                  The translator of this work is our dear friend, the esteemed                 they decide to do the surgery, and the physician wants to be forgiven
               physician and Talmid Chacham, Dr. Fred Rosner, who is an active                 by Heaven for his mistake, he should offer to pay for all the expens-
               member of the medical board of our Institute.  Dr. Rosner is famous             es, either from his insurance company or out of pocket. This is not
               the world- over not only as an excellent diagnostician in his field but         required by the halachah, because it is not certain that the child was
               also for his expertise in the field of medical ethics.  His connection          damaged, but he should do it anyway to come clean before Hashem.
               to the Institute goes back over several decades, during which we have              Yehuda said to his brothers (Bereishis 37:26): “What profit is it if
               worked together to publish over ten books.  This book joins his trea-           we kill our brother and conceal his blood?” implying that concealing
               sury of tens of books and hundreds of articles and essays.  May he              the spilled blood is a sin. Praiseworthy is the physician who acts in
               continue for many years to grace the world with treasures such as               accordance with halachah and the King of Kings who heals all sick
               these, and may he go mechayil lechayil.                                         will certainly come to his aid.
                  This book is dedicated to the parents and in-laws of Dr. Aaron                  I believe that if the government requires the physician to pay for
               Feingold, Saul and Esther Feingold z”l, and James Janus and Bettie              damages in a case like this one, then the physician has to confess and
               Liebowitz z”l.  In addition to his prominence as a renowned cardiolo-           pay according to Torah law as well. Although we might have exempt-
               gist, Dr. Feingold’s warm feelings towards Judaism in general and the           ed him, as discussed above, since every physician has to be licensed by
               Rambam in particular have made him an indispensable part of our                 a beis din or the government, as explained in Aruch Hashulchan (Yoreh
               Institute; one who is responsible for many of its advancements and              Deah #336:2), if the government requires him to do so, he should
               expansion.                                                                      pay. Upon receiving his medical license, the physician committed to
                  Special thanks to Mrs. E.M. Friedman for her expert editing and              paying for damages according to the conditions that the license spells
               Mrs. Yael Goldwasser for her final review of the manuscript .  Thanks           out. Moreover, it was on the basis of this license that he was paid for
               also are due to Mr. Ephrayim Babbi for his efficient publication and            the initial surgery.
               Mrs. Sara Jaskiel for her unique cover design.  Many thanks to all.
                                                                                                                          
                                                     Rabbi Yehuda Assaf
                                                              President
                                            Maimonides Research Institute
                                  10 Sivan 5778, 51  Yahrzeit of my father zt”l                          Is there a prohibition involved in reconnecting a
                                                st
                                                                                                         severed spermatic cord?

                                                                                               Since in order to reconnect a severed spermatic cord one needs to
                                                                                               smooth out the two edges, there is concern here about a possible To-
                                                                                               rah prohibition, as explained in Shulchan Aruch (Even Haezer #5:11):
                                                                                               “It is prohibited to destroy the ducts which carry sperm…How? If a
                                                                                               surgeon cuts the ducts to the testicles he is flogged.”
                                                                                                  But if the cords are deep inside the body, there is no Torah pro-




        vi               1  Medical-HalacHic Responsa of Rav ZilbeRstein                       Physician cut spermatic duct  2                                  21                                                                                #                                                                                    20818
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