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3. What advice should we give the parents who want to know if to 38 AN ANESTHESIOLOGIST OPENED THE ANESTHESIA 20818_efi-ab - 20818_efi-ab | 1 - A | 18-08-20 | 13:29:01 | SR:-- | Cyan 20818_efi-ab - 20818_efi-ab | 1 - A | 18-08-20 | 13:29:01 | SR:-- | Magenta 20818_efi-ab - 20818_efi-ab | 1 - A | 18-08-20 | 13:29:01 |
go ahead with this sort of surgery? VALVE INSTEAD OF THE OXYGEN VALVE ......................133

4. If we decide to operate on the child, what is the recommended A medical error that caused a patient’s death .........................138
age to do so? Notifying parents and physicians about a negligent anesthesi-
ologist ......................................................................................... 149
We forwarded these questions to Dr. A. Tomer and to Professor A.
Humnai from the Kiryah Hospital in Tel Aviv. Informing the family of medical negligence resulting from lack
of follow-up ................................................................................152
This was their response:
If one suspects a person of stealing, should one inform the
police? ..........................................................................................159
To the honorable Rav… shlit”a:
There are two possibilities regarding this sort of mistake: A hospital director returning to his position after being arrest-
ed for killing someone in a traffic accident .............................. 161
The first is that the spermatic cord was cut together with the blood
vessels that accompany it to the testicle, causing a lack of sufficient A volunteer killed someone unintentionally – does he have to
blood flow through the testicle, which will gradually wither and dis- go into exile? ...............................................................................162
appear. In this case, the child will be left with one testicle able to fully 41 A PHYSICIAN DID NOT RESPOND TO A CALL FOR HELP
fulfill the function of fertility and reproduction.
AND THE PATIENT DIED .......................................................165
The second possibility is that while the spermatic cord was cut, the A physician did not convince a cardiac patient to go to the 20818_efi-ab - 20818_efi-ab | 1 - A | 18-08-20 | 13:29:01 | SR:-- | Magenta
blood vessels that accompany it to the testicle remained fully intact. hospital by ambulance, and the patient died on the way to his #20818_efi-ab - 20818_efi-ab | 1 - A | 18-08-20 | 13:29:01 | SR:-- | Yellow 20818_efi-ab - 20818_efi-ab | 1 - A | 18-08-20 | 13:29:01 | SR:-- | Black 20818_efi-ab - 20818_efi-ab | 1 - A | 18-0
In this case the testicle will develop normally until adulthood, but the car. ................................................................................................169
sperm will have no way of getting out since the cord was cut. These
sperm cells will disintegrate within the testicle. These disintegrating 43 A PHYSICIAN SHORTENED HIS WIFE’S LIFE BY
materials will cause the production of autoantibodies in the blood, NEGLIGENCE. CAN HE INHERIT HER ASSETS? .............176
which will then attack the healthy sperm cells located in the healthy
testicle opposite the damaged one. This would lead to a decrease in 44 DIVORCE DUE TO ERRONEOUS MEDICAL
sperm count and difficulties in fertility. INFORMATION ..........................................................................182
There are no reports in medical literature about the results of such To live in a place forbidden to a person by his physician .......187
a surgical error. However, reports of a blocked spermatic cord due A couple divorces due to infertility and the wife later had
to other causes seem to indicate that the presence of these sorts of children ...................................................................................... 190
antibodies can lead to infertility.
There is the possibility of repairing the cut spermatic cord by sur- 45 PUBLIC CRITICISM OF A MEDICAL OMISSION ..............196
gery, but because of the problematic location of the cut, the chances of One should remember the positive traits of the dedicated
success by microsurgery depend on the surgeon’s expertise. midwives ....................................................................................202
The danger to life with this type of surgery is small. On the other
hand, there is a chance of successful repair of the damage. Thus it is 46 A DIRECTOR DICTATING HIS NEGATIVE OPINIONS
advisable for the parents to go ahead with the surgery. ABOUT PHYSICIANS TO HIS SECRETARY ...................... 204

18 1 Medical-HalacHic Responsa of Rav ZilbeRstein Table of Contents 2 3