Volume 13 Number 79 Produced: Mon Jun 27 8:34:19 1994 Subjects Discussed In This Issue: Brain Death Exam (3) [Steven M Scharf, Doug Behrman, Bob Werman] Microphones and Gedolim [Yitzchok Adlerstein] Naming after living relatives [Mike Gerver] Rambam's Daily Violation of Three Negative Commandments ["S.Z. Leiman"] Shabbos Work Across the Dateline [Sam Juni] ---------------------------------------------------------------------- From: <StevenS667@...> (Steven M Scharf) Date: Sun, 26 Jun 1994 23:23:59 -0400 Subject: Brain Death Exam In a posting from 6/22/94, Dr. Sheryl Haut asks about the halachic implications of performing a "brain death" determination. In most states, including New York, "brain death" is accepted as a legal definition of death. However, the original terminology as expressed by the Harvard Ad Hoc committee was "irrevesible coma." As such, it seems to me that there can be no halachic objections to perfoming the required tests to determine "irreversible coma, or "brain death." This is determination of a clinical status. The halachic problems begin once the determination is made. The criteria for "brain death" are acceptable by some halachic authorities, but not by others. Obviously, if "brain death" is not an acceptble definition of death then removing a vital organ such as the heart, kidney (so-called cadevaric), liver or lung which causes the "death" of the body is tantamount to murder. On the other hand, if "brain death" is an halachically valid definition of death, then removing an organ for the purposes of pichuach nefesh (saving a life) from a "brain dead" body poses less problem. Here is another problem. Is is permissible to *accept* a donated vital organ if one follows a rabbincal authority who rejects the notion of "brain death" and holds that death does not occur until the heart stops beating? Would the halacha be different if the potential organ donar is Jewish versus non-Jewish? These questions are not far-fetched. Advances in organ transplant techology have made this a viable mode of therapy for many otherwise hopeless cases. Not long ago on this esteemed mail service we read an appeal from a (presumably orthodox) family of a desparately ill patient for a potential lung donar. Thus these issues are important and contemporary. Steven M Scharf MD PhD ---------------------------------------------------------------------- From: <ASLAN7@...> (Doug Behrman) Date: Sun, 26 Jun 1994 01:21:46 -0400 Subject: Re: Brain Death Exam In response to Sheryl Haut's question about the halakhic status of performing a brain death exam, I see nothing wrong with doing this for several reasons. Firstly, there are halakhic authorities who feel that brain death is halakhically considered death, being equivalent to "physiological decapitation"( I think this is the view of Rabbi M.D. Tendler). However, this is obviously not the view of all Rabbonim, and is a subject of much controversy. I think the main issue here is that you are not directly causing the patient to be disconnected from life support,you are merely making a diagnosis. What is done on the basis of that is not your responsibility, any more than an obstetrician telling a patient she is pregnant when he knows that she will most likely choose to have an abortion. There is also the issue of limited resources. As an Internal Medicine resident I have often had to refuse a patient admission to the ICU on the basis of poor prognosis, because I had to keep the bed open for someone I could actually help. In the same way you are allowing someone who could benefit from the life support to do so, by determining that this patient can no longer be expected to recover. Doug Behrman ---------------------------------------------------------------------- From: <RWERMAN@...> (Bob Werman) Date: Sat, 25 Jun 1994 16:03:14 -0400 Subject: Brain Death Exam Sheryl Haut asks about doing a brain death exam and the halachic implications. There are two aspects to the problem: to do the exam; and to permit transplant. There is strong halachic opinion in Israel that brain death may not be determined without evidence of brainstem death, in other words, inability to live without support systems. Acceptable for this purpose is absence of auditory evoked potentials beyond the level of the hair cells and cochlear nerve. The question of allowing translplants even from a dead person requires -- following the Noda b'Yehuda -- evidence that immediate life saving will result. With that in mind, there is still controversy as to whether brain dead, by any criteria, is dead and when does taking an organ [harvesting is the word used, no?] constitute murder. __Bob Werman <rwerman@...> Jerusalem ---------------------------------------------------------------------- From: Yitzchok Adlerstein <ny000594@...> Date: Sun, 26 Jun 94 01:03:07 -0800 Subject: Microphones and Gedolim >There are tens of thousands of Bnei Torah who consider Rav Shaul >Yisraeli as the Gedol HaPoskim alive today. Probably an equal >number consider Rav Yoseif Shalom Elyashiv as such. Many think >that Rav Aharon Lichtenstein is the Gedol HaDor etc. >I have no doubt that all those people consider Rav Shlomo Zalman >Auerbach a leading Poseik as well. To state that everyone >considers him "the" greatest Poseik is a bit presumptuous. At the risk of inspiring the ire of two friends, I think that R Rosenfeld, who wrote the above lines, did not completely understand the intent of R Bechhofer, to whom he was responding. I don't believe that R Bechhofer, the esteemed Skokie Rosh Kollel, was arguing for an exclusive on psak to be given to Rav Shlomo Zalman, Shlit"a. I think that what he meant is that on an issue as important as permitting the use of a microphone in shuls, after decades of all shuls and poskim invalidating them, it is imperative to consult halachic voices at the very top. Whoever wrote opinions on the matter are certainly entitled; the rest of us, though, must demand that those opinions be reviewed by the preeminent decisors of our day. I don't think R Bechhofer will have any objection if the issue is taken to Rav Elyashiv, Shlit"a instead of Rav Shlomo Zalman. I sort of think he would prefer if BOTH of them would be asked. As far as the reference to Rav Aharon Lichtenstein, Shlit"a, the issue here was not who the Gadol Hador is. The issue is where the buck stops in the arena of psak, which is not always with someone who is a Gadol in other areas. Someone please correct me if I am wrong, but talmidim of mine who have learned in Gush have told me that when the REALLY tough halachic issues arise, Rav Aharon sends them to - you guessed it, Rav Shlomo Zalman and Rav Elyashiv. I hope that both R Rosenfeld and R Bechhofer will still speak to me after this. Rabbi Yitzchok Adlerstein Yeshiva of LA ---------------------------------------------------------------------- From: <GERVER@...> (Mike Gerver) Date: Wed, 22 Jun 1994 4:17:55 -0400 (EDT) Subject: Naming after living relatives Mordecai Miller asks in v13n53 whether it is permissible to give two cousins the same name, if they are named after different grandparents. He seems to take it for granted that it is not permitted (by the usual Ashkenazic minhag) to name two cousins after the same grandparent, since he thinks this would constitute naming the second grandchild after a living relative, the first grandchild. But this is not the way the Ashkenazic custom works. It is quite common to name two or more cousins after the same grandparent. The ones who are born later are not considered to be named after their cousins, but after the grandparent who is no longer alive. There are lots of examples of that in my family. On one branch of my wife's family there are six Esthers, all born about 1900, named after the same great-grandmother. This sort of thing comes in very handy when you are trying to trace back your family, since you can sometimes guess the name of an ancestor whose name no one remembers. A problem does sometimes arise if you want to name a child after one grandparent, and another grandparent with the same name is still alive. Then it might look as if you are naming the child after the living grandparent. Sometimes people use another name which sounds similar, starts with the same letter, or has similar meaning. If there is a living uncle or aunt with the same name that you want to give the child, it might be a good idea to ask them if they would mind. Mike Gerver, <gerver@...> ---------------------------------------------------------------------- From: "S.Z. Leiman" <szlyu@...> Date: Fri, 24 Jun 1994 16:15:18 -0400 (EDT) Subject: Rambam's Daily Violation of Three Negative Commandments In mj 13:73, June 22, Jerome Parness and his respondents had difficulty identifying the "three negative commandments" that the Rambam was alleged to have violated daily. The earliest source to allege that the Rambam appended to his signature the admission that he violated "three negative commandments" daily is R. Estori ha-Parhi (ca. 1280-1355), Kaftor va-Ferah (Jerusalem, 1959), chapter 5, p. 12b. During a visit to Egypt, R. Estori heard the claim from a descendant (and not: grandson) of the Rambam. In its original context, it is evident that the phrase "three negative commandments" refers to three bans on Jewish residency in Egypt. They are easily identifiable as the the three verses in the Torah (as understood by the rabbis) that ban Jewish residency in Egypt. See J. Sukkah 5:1 and Mekhilta to Exodus 14:13. The Rambam himself listed these verses in Sefer ha-Mizvot, negative commandment 46, and in Mishneh Torah, hilkhot melakhim 5:7. R. Reuven Margulies (see Margaliot ha-Yam to Sanhedrin 21b) was troubled by the phrase "three negative commandments" when in fact the Rambam counts them as only one negative commandment in Sefer ha-Mizvot. Indeed, R. Reuven viewed this as further evidence that the Rambam never made such an admission. While R. Reuven may be right in rejecting the Kaftor va-Ferah report as imaginary, the plain sense of the phrase "three negative commandments," in the light of the sources cited above, is clearly the three verses in the Torah that ban residency in Egypt. That no such admission (as alleged by the Kaftor va-Ferah) was appended to the Rambam's signature was first claimed by R. Jacob Emden in a gloss to Kaftor va-Ferah (see the notes appended to the back of the edition cited above, p. 19). Rabbi Emden's skepticism is borne out by the evidence. No such admission is appended to any extant letter of the Rambam, including the autograph copies that have been recovered from the Cairo Genizah. This has already been noted by R. Reuven Margulies (ad loc.). In general, see R. Aaron Kahn, "Treatise Clarifying the Ban on Settling in Egypt and the Permissive Viewpoints," (Hebrew) Or ha-Mizrah 27(1979)264-289; R. Eliezer Waldenberg, She'elot u-Teshuvot Ziz Eliezer (second edition: Jerusalem, 1985), vol. 14, responsum 87; and the discussion in R. David Bleich, Contemporary Halakhic Problems (New York, 1983), vol. 2, pp. 152-159. S.Z. Leiman ---------------------------------------------------------------------- From: Sam Juni <JUNI@...> Date: Sun, 19 Jun 1994 22:13:58 -0400 Subject: Shabbos Work Across the Dateline This Friday afternoon, we bumped into a question which is not too uncommon nowadays. I had a guest from Jerusalem, and I invited him to fax a message home before Shabbos. He felt it was prohibited since he is writing on Shabbos in Israel. This prompted a discussion which resulted in a host of practical questions re the status of an act which has the actor in one day and the act ocurring (simultaneously) on another day. One strand of the discussion, I think, is particularly intriguing. I shall present it in a hypothetical scenario. Suppose you are at the Hallachic dateline, wherever that may be. (Even at this point, I had one heckler in the discussion who claimed there is no such entity. To me it is clear that without such a dateline, we would continue Sunday forever, without getting into Monday.) The particular time change is from Friday to Shabbos. The locale is a Reshus Hayuchid (private domain), which makes it permissible to carry items acros the dateline. One throws a knife across the line, slaughtering an animal on the other side. Is this act permissible if one is throwing from the Shabbos side to the Friday side? How about vice versa? (Actually, the question can be phrased theoretically without the dateline facet by picturing a regular Friday afternoon, where you are standing exactly at sunset, and throwing the knife into an area where the sun is to set momentarily.) Yes, I do understand that you have to be a fast thrower to model for this question. No, I have no idea of the source materials here. So like the novice inevitably does, let me chart out my expectations of what I think would show up in researching this area, based on my a-priori understanding of applied Hallacha. I am eminently ready to be corrected. I have a nagging suspicion that there will be no applicable references to this in any citations older than 50 years or so, because I imagine that the idea that one may (theoretically)be standing at a line where two different days meet is just too modern a concept. I also suspect that it would be hard to find direct sources which address the crux of the conceptual question -- whether the Shabbos prohibition pertains to the act or to the actor, since these options would understandably be intertwined in sources which did not envision such a "split" scenario. I guess a likely approach would be to seek out the philosophical or meta-physical basis of Shabbos prohibition. This could go along the lines of ascertaining the spiritual reasons for the prohibition, and trying to deduce if these are extant when the actor is acting on Shabbos, rather than the act being accomplished on Shabbos. It is my initial feeling that references re delayed reactions (timers, fire setting, etc.) may not be relevant here, since in those cases the prohibited act does not occur simulaneously with the actor's act. Dr. Sam Juni Fax (212) 995-3474 New York University Tel (212) 998-5548 400 East New York, N.Y. 10003 ----------------------------------------------------------------------
End of Volume 13 Issue 79