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We also received an additional question on this topic: one would not exempt her, there would never be peace in the house. #
In the healthcare clinic where I work, a 75-year-old female patient The wife would refrain from working for fear of breaking anything,
had an echocardiogram performed. The results indicated the possi- and thus fights would erupt between husband and wife.
bility of a blood clot in the upper left chamber [of the heart]. She Similarly, we can say that if we nitpick about her food and her
was advised to have another echocardiogram through the food pipe habits, this would certainly lead to fights between them. Therefore,
(trans-esophageal echocardiogram) to confirm the findings of the he is probably obligated to pay her medical expenses. However, if she
regular echo. I consulted with cardiologists in the hospital where I would demand that he treat her in a private hospital for her comfort,
work. Their evaluation was that the quality of the echocardiogram in we would need to redetermine whether he is obligated.
the healthcare clinic was inferior to the one performed in the hospital.
Therefore, their advice was that she first have a regular echocardio- 
gram done in the hospital, because it might dispel the possibility of
a blood clot indicated by the echo performed at the healthcare clinic.
There are several ways to clarify this issue: If Someone Summoned an Ambulance to his
1. Referral of the patient to the emergency room for an evaluation Friend’s House in order to take Revenge and
primarily in order to have an echocardiogram performed in the Frighten Him, How will he Atone for His Sin? 20818_efi-ab - 20818_park-C_efi-ab | 6 - B | 18-08-20 | 13:46:24 |
hospital. #20818_efi-ab - 20818_park-C_efi-ab | 6 - B | 18-08-20 | 13:46:24
1 Questions
2. Referral of the patient for an echocardiogram through the food
pipe, based on the echo performed in the healthcare clinic.
1. A man wanted to take revenge on Reuven and to frighten him.
3. Advising the patient to pay privately for a regular echocardio- He summoned a cardiac emergency ambulance to Reuven’s
gram in the hospital, because perhaps it will circumvent the house. The physicians and staff arrived in a rush, only to discov-
need for a trans-esophageal echocardiogram.
er that Reuven had not summoned them at all. Someone had
I would like to know, am I permitted to “bypass” the clinic and played a prank on them and on Reuven. The man who sum-
refer this patient for an echocardiogram in the hospital through the moned the ambulance now wants to repent. What should he
emergency room? do?

2. A man put a notice in the paper advertising a sale of cheap
1 AnsweR clothing in his enemy’s home. People read the notice and began
converging on the man’s house and pestering him. The victim of
Let us first deal with the second question:
In Tractate Erchin (23a) it is related that Moshe ben Atzri was a the prank was disturbed and ashamed. How can the prankster
guarantor for his son to pay his wife’s kesubah. His son, Rav Huna, atone for his sin?
was a Talmudic scholar whose livelihood was hard-pressed. Abayah 3. Yet another story concerns a man who wanted to take revenge
suggested that someone should advise Rav Huna to divorce his wife, on someone and ordered, in his name, meat and fish, cement
so that she would claim her kesubah from her father-in-law, the guar- blocks for building, carpenters, plumbers, etc... How does he
antor. Afterwards, her husband would remarry her. Ultimately, this atone for his evil deeds?

156 1 Medical-HalacHic Responsa of Rav ZilbeRstein Transferring his Wife Against Her Wishes 2 169