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PHYSICIAN VERSUS AN                                                                                                                          #
                                   EXPERT PHYSICIAN – ON                                                      APPOINTING A YOUNG AND
                                   YOM KIPPUR AND IN                                                          CAPABLE PHYSICIAN WHO
               100  THE ESTIMATION OF                                                          99  HAS JUVENILE DIABETES
                                   DAMAGES




                                                                                                   1    Question Physician has Juvenile Diabetes

                   1    Question                                                               Two positions became available in the ophthalmology department
                                                                                               of the hospital. Nineteen candidates presented themselves. I inter-              20818_efi-ab - 20818_park-C_efi-ab | 9 - B | 18-08-20 | 13:46:24 | SR:-- | Magenta
               I wish to present two possibilities of differing views of two physicians        viewed them all and was greatly impressed by one young physician.                #20818_efi-ab - 20818_park-C_efi-ab | 9 - B | 18-08-20 | 13:46:24 | SR:-- | Yellow  20818_efi-ab - 20818_park-C_efi-ab | 9 - B | 18-08-20 | 13:46:24 | SR:--
               where the expert physician tends to the more lenient side:                      He is  kind, capable, industrious, and of  good character.  He also

                  1.  The physician determined that a patient is dangerously ill and           suffers from juvenile diabetes, which can sometimes express itself in
                    has to eat on Yom Kippur. An expert physician disagreed. He                typical complications such as impaired vision, and impaired sensation
                    felt that the patient was not in danger and thus obligated to fast         in his hands, which will typically appear at the approximate age of 45.
                    on Yom Kippur. Do we rule according to the expert, and obligate               The question is, should we take him in as an intern in order for
                    the patient to fast, or must we take the other physician’s opinion         people to benefit from his present capabilities, or must we consider
                    into account, being that there is a possibility of human danger            the fact that since he is likely to become seriously limited at the age of
                    here?                                                                      45, and his superiors would not know this, we would inadvertently be
                                                                                               causing them harm? What should we do?
                  2.  A man injured in a highway car accident was assessed by one
                    physician as being 50% disabled. An expert physician estimated                    Prof. P. Nemet, Director of the Eye Department, Assaf
                    the disability at 80%. Can one sue the damager based solely on                                        Harofe Medical Center, Tel Aviv
                    the expert’s estimation?
                                                                                                   1    AnsweR
                   1    AnsweR                                                                 It says in Tractate Berachos (54a): One blesses Hashem for the good
                                                                                               as well as the bad. The blessing is Hatov Vehameitiv. The Rambam
               There are several levels of physicians defined by the poskim:                   explains (Mishnah Commentary) that if a good thing happens to a
                  1.  A physician who is licensed to practice medicine (Shulchan               person, although the end may be bad, he should recite the blessing
                    Aruch, Yoreh De’ah #336:1)                                                 Hatov Vehameitiv. For example, if one finds a treasure and another




        260              1  Medical-HalacHic Responsa of Rav ZilbeRstein                       Physician has Juvenile Diabetes  2                              257
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