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match, the questioner has to explain his reason for asking, so as not
           to cause the other to speak lashon hara.

                                      
           Now, we can return to our discussion regarding a surgeon who mis-
 AN EXPERT SURGEON
 32  MISHANDLED SURGERY:   takenly removed the wrong kidney. Is the physician obligated to pay
           the woman for damages and for removing the wrong kidney? I believe
 SHOULD HE HIMSELF FIX
           the physician is exempt from paying for the injury, since he did no
 THE DAMAGE OR SHOULD
 ANOTHER, LESS EXPERT   damage but removed a cancerous kidney.
 SURGEON, DO SO?  It would seem that this story resembles the actions of  Rabban
           Gamliel, who rejoiced greatly when he freed his servant by blinding
           his eye. In fact, it is even better - because Rabban Gamliel was not
           commanded to blind Tavi (although blinding him was a favor to him
           because it freed him), while the physician unknowingly did a mitzvah
           by removing the diseased kidney and saving the woman’s life. As the
 1   Question   Shaarei Deah (#56) writes, even according to the view that mitzvos
           require intent, this rule only applies to mitzvos between man and G-d,
 A man suffering from an enlarged prostate was coming twice yearly   but not to those between man and his fellow. As it says in maseches
 to the hospital for tests. On one of his visits, the physician inserted   Bava Metzia (82b) even a lender who lends only because he needs the
 a cystoscope without adequate care, puncturing the urinary bladder   security item has performed a mitzvah.
 and injuring the large intestine. The physician immediately performed   Thus if the woman sues the surgeon, he is exempt from paying her.
 surgery. After fighting for his life for several weeks, the patient was   On the other hand, perhaps it would be correct for the authorities to
 finally out of danger.   revoke the physician’s license or to punish him in another way for his
 In order to correct the condition, the patient now needs additional   negligence in removing the left kidney instead of the right. Although
 surgery. The hospital administration nominated the same surgeon   Hashem chose this physician as a good agent to save the woman’s life,
 who made the initial mistake to perform the surgery now. While he is   he is still responsible for the negligence. As it says in maseches Bava
 viewed as a senior and experienced surgeon, the patient has lost faith   Batra 21b, an expert [physician] can be fired without warning if he
 in him and requests that the surgery be performed by a different phy-  makes a mistake.
 sician, who is less of an expert. The family asked me for my opinion.   [The Maggid of Dubna asks about the grandsons of Haman who
 Which is preferable? What should I advise the patient?  studied Torah in Bnei Brak (Gittin 57b): What did Haman do to
           merit such grandsons? He answers with a parable. A prince once
 1   AnsweR  nearly choked on a bone stuck in his throat. An evil, heartless man
           walked by and hit him on the back of his neck with the intention of
 We learned in maseches Bava Kamma (85a) that if one injures his   killing him. To his surprise, the act saved the prince’s life by dislodg-
 fellowman he cannot treat him himself but is obligated to hire a phy-  ing the bone from his throat. The king sentenced the man to death for
 sician to treat and heal him. Several halachos are taught here:  hitting his son, but since he ultimately saved the prince’s life, the king




 64   1  Medical-HalacHic Responsa of Rav ZilbeRstein  Removed the Wrong Kidney  2   85                                                                       #                                                                                    20818_efi-ab - 20818_efi-ab | 3 - B | 18-08-20 | 13:29:01 | SR:-- | Cyan   20818_efi-ab -







































































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