Volume 19 Number 35 Produced: Tue Apr 18 23:45:08 1995 Subjects Discussed In This Issue: Organ Banks [Eliyahu Teitz] organ donation 19 #19 Digest [Doni Zivotofsky] Organ Transplants [Mois Navon] qiddush bemaqom se`udah ["Lon Eisenberg"] Techeiles [Micha Berger] Tehilim and Missionaries [Rachel Rosencrantz] ---------------------------------------------------------------------- From: <EDTeitz@...> (Eliyahu Teitz) Date: Sun, 9 Apr 1995 00:28:45 -0400 Subject: Re: Organ Banks A few people mention the notion of organ banks as storage facilities for organs not presently needed. Please correct me if I am wrong, but I do not think that this is generally the case. Most organs do not stand up to freezing. The process of freezing destroys the cell walls, rendering the organ totally useless when defrosted. Rather, the organs are chilled. Also, an organ can only be used for a limited time after removal from a body. That is why the organs are generally transported by plane. We are talking hours of viability, not days. So the scenario painted of an organ sitting in a freezer for extended periods, and therefore not allow organ donorship because of that, is ont valid. The valid arguments range from not allowing disturbing of the deceased for non-life threatening procedures to braindeath issues ( all of which have been raised by previous posters ). One last point. Someone mentioned the prohibition of autopsy because the deceased might not be halachically dead...this is simply not the case. Autopsies, to the best of my information, are not done on people while still on life support systems ( which brain dead people are kept on, that is why the whole debate exists as to whether they are truly dead ). Once off life support, though, the brain and heart have both irreversibly stopped, which according to all opinions is halachically dead. This does not mean that autopsies are permitted, rather that the reason is not because of the braindeath issue. A comment was made, a question asked, about killing a person and later reviving them. Rabbi J. David Bleich, an outspoken critic of brain stem activity, or lack thereof, as a death determination, says that death occurs when the heart is irretrievably stopped. so that if a person was killed and later revived, it is retroactively shown that the person was never dead. This does not answer when the person would be considered dead if he was put to sleep and not subsequently revived. Finally, according to those who use brain stem activity to determine death, there are some serious halachic implications. If a brain dead person is halachically dead, then his relatives are in a status of aninus and prohibited from performing many mitzvot until the deceased is buried. Eliyahu Teitz ---------------------------------------------------------------------- From: <DONIZ@...> (Doni Zivotofsky) Date: Fri, 07 Apr 1995 01:14:59 -0500 (EST) Subject: organ donation 19 #19 Digest There have been several responses to the query about organ donation that have all left me with the impression that "most" observant Jews do not sign the donor section on their drivers licenses (put their, by the way, because, as one poster commented, many people would otherwise avoid thinking about post mortem issues). They also give the impression that maybe one should not (with the exception of Ira Rosen). My impression is that the medical halacha literature and Jewish reponsa are full of this topic but these have not been referenced so (even not having read them) I feel free to comment. It appears to me that the most sacred of "things" in Jewish thought is human life (eg. from the permission to violate all other commandments to preserve life to the "tooma" (impurity?) of nida and mes). What bigger mitzvah could their be than ensuring that another life will be saved by us even after we are gone (we can no longer use our bodies so why not let someone hels use it if they can). (a lot of organs can be considered giving life - even, for example, a cornea, Sooma Kmes (a blind person is like a dead person). Even if there are organ banks (for organs like corneas, skin or bone) there is still a shortage of organs and thus they are always in need and banking is a means to distribution (surgeons on the list feel free to corect me if I am wrong). Since I do not feel competent to decide on such halachic issues I (CMLOR) consulted with Rabbi Tendler (while a student at YU) and with the talmid chochom I currently consider my posek. Both were basically in agreement with the above but stipulated that donation is not OK in some situations (eg. maybe not heart (as one poster mentioned) or in technique of harvest (as Rabbi Tendler mentioned to me). Therefore they recommended that I could /should sign the card wth the stipulation of what organs (some cards have boxes to check or lines to write in stipulations) or simply "under the supervision of an orthodox rabbi". Nontheless, I think the question stands - if an orthodox Jew will not donate an organ why will he accept one? Or is the premise wrong and in fact those who will not donate will also not accept? ---------------------------------------------------------------------- From: OPTI!RD!<MOISN@...> (Mois Navon) Date: Thu, 13 Apr 1995 11:21:00 +0000 Subject: Organ Transplants This week the nation was rocked once again by the explosive news of yet another suicide bomber. However this time a new dimension was added to the reports of young lives lost - reports of life renewed. From the body of one of the victims, Alisa Flatow, z"l, six organs were harvested in order to save the lives of six individuals whose lives until then hung in the balance of life and death. A number of profound questions and painful emotions surround the noble act of donating organs from a lost loved one's body. Inherent in Jewish mores is the concept of due honor to the deceased, kavod l'meit, and as such a certain reticence to remove anything from the body. However, overriding all conventions is the ethic of saving a life, pikuah nefesh. The questions are thus focused on the circumstances in which the overriding principle of saving a life apply. One primary consideration is that the organ go for immediate use to save a life. In response to this concern, one need not donate organs/tissue which have the possibility of storage for later use. Organs such as kidneys are matched and transplanted as soon as possible typically less than 24 hours and no more than 48 hours. Hearts and livers must be transplanted within hours of their harvest to ensure the highest possible graft survival. As for being able to indicate the specific type of organ donation before the fact, most donor cards (or driver's licenses) provide space where one need simply specify the particular organs (i.e. heart, liver, kidneys) to be donated. Thus one can ensure the fulfillment of the mitzvah of saving a life without any apprehension of needlessly removing organs which would thereby dishonor the deceased body. Finally, even if an individual never made the decision to donate organs, one's family can also make these decisions after clinical brain death while the deceased relative remains on ventilatory and circulatory support. The key issue in this discussion however, is the determination of death according to Jewish Law; for one may absolutely not remove anything to an individual's detriment who is not yet dead. This question has been answered, most recently by Rabbi Moshe Tendler in his response to the question of organ donation by the parents of suicide bomb victim, Alisa Flatow, z"l. His response included the point that according to Jewish Law an individual is determined to be dead at the onset of clinical brain death. Thus, along with the statement of the Mishna, that saving a single soul of Israel is likened to saving a world, Rabbi Moshe Tendler responded resoundingly in the affirmative to the halachic permissibility of specific organ donation. Furthermore, according to the late legal decisor, Rabbi Moshe Fienstien, it is a mitzvah to transplant organs from a dead person for pikuah nefesh (see Iggeret Moshe Y.D. Vol.2, No.174). Organ donation is at a dismally pernicious level particularly in the State of Israel. This painful truth is clear from the juxtaposition of two blatant facts. The first fact is that there occur a great many car accidents, as well as other calamitous incidents, resulting in the deaths of otherwise young healthy people. The second fact is that relatively very few organ transplants are performed in this country. The tragic case of Alisa Flatow, z"l, should sound off as a tocsin to all Israel, religious and secular, to prompt Jews to help save the lives of their brethren. Would it not be a most fitting answer to our enemies who are decimating our people one by one, that for every one they murder, another six can in fact live! Mois Navon Israel ---------------------------------------------------------------------- From: "Lon Eisenberg" <eisenbrg@...> Date: Tue, 11 Apr 1995 14:49:45 +0000 Subject: qiddush bemaqom se`udah Avi Feldblum replied to my post about drinking a full revi`ith for the first cup at the seder: >I don't understand the above reasoning. In the case of "regular" kiddush >on shabbat, the halacha as I understand it requires drinking a revi`ith >of wine for Seudah (meal) after drinking whatever is necessary for >kiddush. The wine needed for kiddush does not count toward making this a >place of your meal. Actually, he's right in that there are those who are more strict (I'd have to look up again who they are) and do not count the "cheekfull" of wine required for qiddush, but I believe the majority let it count towards the "meal" as well as being counted for the obligatory amount for qiddush. Of course, on Shabbath, the problem I've addressed doesn't normally exist, since the actual meal is eaten soon after the qiddush. If, for some reason, you do not eat the meal immediately (within 1/2 hr.) after qiddush, then the same situation does exist. Lon Eisenberg Motorola Israel, Ltd. Phone:+972 3 5659578 Fax:+972 3 5658205 ---------------------------------------------------------------------- From: Micha Berger <berger@...> Date: Fri, 07 Apr 95 11:30:45 -0400 Subject: Techeiles The Radziner techeiles (which, BTW, was worn by the Chafeitz Chaim) seems to be wrong. Chemically it is a well known dye, prussian blue, which can be made from almost any biochemical. In other words, we can make such techeiles from maple syrup. No chilazon is required. On the other hand, the Rambam writes in the Yad two halachos on techeiles. The first describes techeiles, its color, that it must be indellible, etc... The second halachah describes the process for making it, and only then mentions the chilazon. Perhaps the reason why is that the blue is not specific to the chilazon. Therefor, the Rambam in describing the dye doesn't mention chilazon. However, when he discusses the dinnim of production, it must be made out of chilazon to be kosher. The new techeiles also has its problems. For example, both Rashi and Rambam offer very different lists of chemicals to be added. They may not agree on which chemicals, but they don't assume that techeiles is pure chilazon. This group takes pride in not needing any additional ingredients. Second, the chilazon is supposed to "look like the yam". Which is why the Radziner Rebbe looked at clear fish: jellyfishes and cuttlefish. They're making techeiles out of snails. The shell does look like the sea-bed, which is another translation of "yam", perhaps even the original (e.g. hamayim bayamim). But so does the shell of every other bottom-feeding snail. Why would the gemara offer this as an identifying mark, if it's far from unique? Micha Berger Help free Ron Arad, held by Syria 3088 days! <berger@...> 212 224-4937 (16-Oct-86 - 7-Apr-95) <aishdas@...> 201 916-0287 <a href=http://haven.ios.com/~aishdas>AishDas Society's Home Page</a> ---------------------------------------------------------------------- From: <rachelr@...> (Rachel Rosencrantz) Date: Fri, 7 Apr 1995 13:01:57 -0400 (EDT) Subject: Tehilim and Missionaries > >From: Leslie Train <ltrain@...> > My brother-in-law, Avi Hyman, has gotten into a heated debate with a > Fundamentalist Christian about Scriptual references to a certain son of > God. The Christian fellow had been offering to help Jews convert via the > Internet. My nutty brother-in-law offered to help him accept the truth of > One God instead and thus the battle began. For the most part, all of the > Christian's misguided attempts to 'prove' his point have easily been shot > down, however, today my brother-in-law was learning Rashi's explanation of > Tihilim (Psalms) #2, specifically pasuke (verse) #7, which talks of 'son' > and 'begotten' (b'ni & y'lidtekha). I haven't had a chance to really look > into it (work & Pesach), but my brother-in-law suggested I send a little > note off to Mail-Jewish. He says that in order to accept Rashi's > explanation of the Psalm as a metaphor, other similar methaphors need to > exist in the texts. He wants to hear what other M-Jers think of it all, so > this is on his behalf mostly. This isn't exactly a direct answer, but a reference that you (and your brother, and anyone else) might like to check out. There is a web page that discusses how to deal with missionaries that has some good information. If this particular phrase isn't dealt with you can always try writing the author of the page. (I can't get the author's address right now (because I can't run mosaic right now) but here is the URL. http://www.utexas.edu/students/cjso/untitled_folder/Truth_page.html (And while I'm giving you URL's here's the URL for the Chabad page, which has other interesting information on lots of stuff. http://www.utexas.edu/students/cjso/Chabad/chabad.html) Kol tuv and Shabbat Shalom, -Rachelr ----------------------------------------------------------------------
End of Volume 19 Issue 35