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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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