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                                   IS IT PERMISSIBLE FOR A                                                         TRAVELING ON SHABBOS
                                   PHYSICIAN TO DEMAND                                                             TO A MORE DISTANT
                                   THAT RELATIVES COME                                                             HOSPITAL FOR THE
               109  ON SHABBOS TO GIVE                                                         107  PATIENT’S MEDICAL
                                   CONSENT FOR SURGERY?                                                            RECORDS







                   1    Question DeManding Relatives' consent on Shabbos                           1    Question TRaveling to Distant Hospital foR Medical RecoRds

               A woman suffered complications during childbirth, and the placen-               This is a question that often arises on Shabbos: A dangerously ill pa-
               ta did not come out. The physician determined that she required                 tient or a woman in labor have a choice between two hospitals. One
               emergency surgery to remove her entire womb; otherwise she was in               hospital is closer to the patient’s home, but going there will engender
               danger of death.                                                                more desecration of Shabbos. Hospital personnel will have to record
                  On a weekday, one would not perform surgery of this nature                   the patient’s medical history in writing, and do blood tests, which
               without the husband’s (or other relative’s) consent. Otherwise, the             engender the Torah prohibition of “taking the soul.” The second hos-
               husband could sue the physician, or even assault him out of anger.              pital is already in the possession of all the patient’s previous medical
               However, this case occurred on Shabbos, and obtaining the husband’s             records, thus precluding the need for writing on Shabbos. The hospital
               consent would require desecration of Shabbos.                                   is further away from the patient’s home, and one will burn more fuel
                  The question is: Can the physician refuse to perform the surgery             to get there. Which hospital should the patient choose?
               without the husband’s consent, for the aforementioned reasons, or
               does the possibility of a lawsuit or assault not justify desecration of             1
               Shabbos. Also, since the only way to save the woman’s life is surgery,                   AnsweR
               is the physician obligated to perform the surgery even without the              It seems to me that if one is forced to desecrate Shabbos for a danger-
               husband’s consent?                                                              ously ill patient, it is preferable to violate one prohibition more than

                             Dr. A. Manchevsky, Laniado Hospital, Netanya                      once, rather than violating two prohibitions or more. It is especially
                                                                                               important to avoid the need for writing on Shabbos, because some-

                   1    AnsweR                                                                 times people end up writing things that are not necessary for pikuach
                                                                                               nefesh.
               Even if there is only a possibility that the husband’s presence will have          We learn this in Tractate Menachos (63b), where Rav Yishmael says




        328              1  Medical-HalacHic Responsa of Rav ZilbeRstein                       Traveling to Distant Hospital for Medical Records  2            317
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