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What is the Definition of “Chances that the Surgery will
Succeed are Significantly Greater”? ........................................ 180

89 A PHYSICIAN WHO CAN BE HARMED BY REFERRING
PATIENTS TO EXPERTS ..........................................................183
When Providing the Best Treatment Possible will cause Peo- SHOULD A PHYSICIAN
ple to think that the Physician is Accepting Bribes ...............187 70 REVEAL A GROOM’S ILLNESS
TO HIS BRIDE IF HE SWORE
At Times Salvation Comes Not from the Very Best ............ 190 NOT TO DO SO?

90 DIVISION OF THE WORK BETWEEN PHYSICIANS IN
THE HOSPITAL .......................................................................... 191
Waking up the Expert Physician when there is Another Good
Physician in the Hospital ..........................................................196 1 Question Revealing a gRooM's illness

91 THE IMPORTANCE OF GOOD RELATIONSHIPS AMONG I heard that one of my patients is about to get engaged to a girl from
PHYSICIANS ...............................................................................202 whom he hid his illness. It is likely that if she knew of his illness, she
would refuse to marry him.
92 THE HALACHA REGARDING MEDICATIONS THAT A) Am I obligated to reveal this to her or should I preserve the
CONTAIN CHAMETZ ON PESACH .....................................211
faith my patients have in me and remain silent? Before he told
me his secret, I shook his hand on the fact that I would not
93 USE OF CHAMETZ ALCOHOL IN THE LABORATORY ON
PESACH ........................................................................................217 reveal his illness to anyone, and a handshake is the same as an
oath in halacha (as explained in Yoreh De’ah #239:2).
94 MEDICATIONS AND HEART VALVES MADE FROM PIGS . B) What am I to respond if the bride’s family questions me about
221 my patient’s state of health?
Should One Refrain from Implanting a Heart-valve Taken
from a Pig? .................................................................................224 1 AnsweR
Is it Permissible to Raise Pigs for the Production of Heart
Valve for Patients who Need them? ........................................ 225 It seems that it is forbidden for a physician to disclose the health
condition of his patient for three reasons:
Is it Proper Not to Tell a Patient that he had Pig Valves Im-
planted in his Heart? ................................................................ 227 1. Since the physician swore not to reveal his secret, he is prohib-
ited from violating his oath and revealing the secret. As it says,
Should one Hide from a Patient that a Medication Contains a
Component that is Forbidden by Some? ............................... 228 “He shall not break his word, but do according to what comes
out of his mouth” (Bamidbar 30:3).
95 REMOVING BODIES FROM THE BATTLEFIELD ON 2. The physician was paid for treating the patient, who trusted that

x 1 Medical-HalacHic Responsa of Rav ZilbeRstein Revealing a groom's illness 2 9