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However, if any doubts remain in the physician’s mind; if he enter-
 tains even the slightest possibility that the pains are a result of a new
 illness, then he is obligated to desecrate Shabbos and come to examine
 the patient.
           97              FEELS THAT IF HE SMOKES
 1   SuMMaRy and Conclusion  A SURGEON ON SHABBOS

 If the physician is absolutely sure that there is no danger, he does not   HE WILL PERFORM BETTER
 have to heed the patient’s words. If he has even a shadow of a doubt,   DURING SURGERY
 then he must take the patient’s view into account.




               1    Question SMoking on Shabbos to iMpRove peRfoRMance


           A surgeon who has to perform surgery on a dangerously ill patient
           on Shabbos feels that if he smokes before the surgery, his performance
           will be much better. Is he allowed to smoke on Shabbos?


               1    AnsweR


           At first thought, it would seem the smoking is permitted for him.
           Since the surgery is dangerous, one should perform it in the best pos-
           sible way. If so, smoking can be viewed as something that assists the
           saving of a life and is thus permitted.
              However, we heard from the Torah giant, Rav Betzalel Zolti, zt”l,
           that he had doubts about this matter and explained his view, as fol-
           lows: Every puff on a cigarette on Shabbos is forbidden. It is difficult
           to estimate how many puffs would be necessary for the physician to
           improve his performance. One must be concerned that he will smoke
           more than necessary, and it is therefore difficult to permit it.
              Let us further explain his words.
              The Chasam Sofer (Even Ha’ezer, Vol. 2 #82) was asked about a
           woman who was fit for Levirate marriage to a six-year-old brother
           of her deceased, childless husband. Physicians testified that if she
           would remain “chained” until the boy grew up and reached 13 years of




 270   1  Medical-HalacHic Responsa of Rav ZilbeRstein  Smoking on Shabbos to improve performance  2   247
































































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