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               may cause a situation of pikuach nefesh. Patients who are afraid of                  SHABBOS TO PREVENT THEIR FELLOW SOLDIERS’
               revealing their illnesses to qualified physicians may end up receiving               DESPAIR .......................................................................................233
               harmful or inappropriate treatment.
                  In light of this, the best thing for the physician to do if asked about      96   DESECRATION OF SHABBOS TO PREVENT A FAR-
               the condition of someone’s future spouse is to answer: I cannot reveal               FETCHED CONCERN OF PIKUACH NEFESH ...................237
               any information without the consent of the patient. This response                    It is Not Necessary to Tell a Potential Spouse about a 4%
               reveals a little and hides a lot, and thus he avoids violating of the                Chance of Developing a Genetic Disorder ............................240
               prohibition of “Do not stand idly by the blood of your fellowman”                    G oing to Shul on Shabbos while Carrying a Device ............240
               in regard to the person who he seeking information. At the same                      Leaving One’s House During an Emergency Siren to Assist a
               time, he does not reveal too much about the patient. The Be’er Mayim                 Sick Patient ................................................................................ 241
               Chaim (Issurei Rechilus, Principle 9, #2) similarly recommends: “In                  Surgery to Clarify whether a Fatal Bacterium is Conta-
               cases which are unclear, the person responding should hedge and say:                 gious .......................................................................................... 244
               I do not know how to advise you because I do not really know what                    Starting the Engine of an Ambulance on Shabbos so that it is
               his condition is.”                                                                   Ready for Immediate Departure .............................................245


                   1    SuMMaRy and Conclusions                                                97   A SURGEON ON SHABBOS FEELS THAT IF HE SMOKES
                                                                                                    HE WILL PERFORM BETTER DURING SURGERY ...........247
                  1.  The physician should convince his patient to speak openly to
                    her groom about her condition. In this merit Hashem will help              98   A NON-DANGEROUS DISEASE THAT MAY DEVELOP
                    and the treatment will be successful. There is also the possibility             INTO A DANGEROUS DISEASE ............................................250
                    of removing the spleen if the medication doesn’t work.                          Non-emergency Tracheal Tube inserted into an Elderly Per-
                                                                                                    son for Future Benefit...............................................................254
                    If she does not speak now, when her groom discovers that she
                    withheld this vital information, he may feel deceived and their            99   APPOINTING A YOUNG AND CAPABLE PHYSICIAN
                    marriage could be endangered. Therefore, with her physician’s                   WHO HAS JUVENILE DIABETES .........................................257
                    help, she should speak to her groom about her condition.
                  2.  If the groom asks, one should answer him: I cannot speak be-             100  PHYSICIAN VERSUS AN EXPERT PHYSICIAN – ON YOM
                    fore I obtain consent from the patient to do so.                                KIPPUR AND IN THE ESTIMATION OF DAMAGES ...... 260


                                                                                               101  PATIENT PHONES PHYSICIAN ON SHABBOS,
                                                                                                    COMPLAINING OF SEVERE BACK-PAIN. THE
                                                                                                    PHYSICIAN FEELS IT IS NOT DANGEROUS ................... 266

                                                                                               102  SHABBOS DESECRATION IN ORDER TO PREVENT
                                                                                                    ANXIETY ......................................................................................271
                                                                                                    Repairing a Fire Truck on Shabbos ........................................ 275




        8                1  Medical-HalacHic Responsa of Rav ZilbeRstein                       Table of Contents  2                                             xi
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