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Ovarian Transplant

Question: לכבוד הרבנים ומרן הגאב׳ד שליט׳א Identical twin A is the married sister of Twin B. Twin A had premature menopause at age 15 and is unable to have children. Twin B is also married but has 4 children all of which were conceived naturally. Twin A's gynaecologist advises her to seek a fairly new treatment which has been shown to be work effectively between monozygotic (identical) twins: through means o ...

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Terminal Agitation in a Goses

Question: A גוסס who is in a lot of pain and/or is agitated (referred to as terminal agitation - a very common occurrence in the end of life scenario) can be given relaxants and/or painkillers in order to ease the above mentioned symptoms. There are a number of ways in which these medicines can be administered 1. Insertion of an intravenous (IV) line which would then allow IV administration of relaxants and ...

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Antenatal Screening

Question: לכבוד הרבנים ומרן הגאב׳ד שליט׳א Screening for Down's syndrome and other genetic disorders is offered to all pregnant women. There are different ways of carrying out screening tests. A triple screen or quad screen is a first-trimester maternal blood test offered to all pregnant mothers alongside a nuchal translucency ultrasound test between 8-14 weeks of pregnancy. The blood test looks at the level ...

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Hospital Shift on Shabbat

Question: לכבוד הרבנים ומרן הגאב׳ד שליט׳א A junior doctor who is having to work on a shift in a hospital on shabbat (בחוץ לארץ אם חולים שאינם יהודים) 1. When liaising with colleagues (for urgent and non-urgent matters relating to patient care) is it preferable to send messages via text messages (SMS) or to phone using a smart phone or regular (landline) phone? 2. What is considered a shinuy when having to u ...

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Cosmetic Procedures In Halacha

Question: לכבוד הרבנים ומרן הגאב׳ד שליט׳א Injection of Botulinum toxin type A, or Botox, is one of the most common non-surgical cosmetic procedure performed in the Western world. For cosmetic purposes it is typically used in the facial muscles of expression around the eyes and forehead. In certain instances it can be used to relax the muscles around the mouth, jawline, and neck. The cosmetic benefit comes f ...

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BRCA Gene Testing And Treatment Options

Question: לכבוד מורנו הגאב׳ד ורבנים המכובדים שליט״א About 1 in 40 individuals of Ashkenazi Jewish descent will have a BRCA mutation, regardless of family or personal history of cancer (around 10X higher incidence than the general population). Women who are BRCA carriers have a significantly increased risk (susceptibility) for breast and ovarian cancer- up to 87% chance for breast and up to 44% for ovarian- ...

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BRCA Halachic and Hashkafic Overveiw

Testing and preventative treatment for BRCA, involves a number of issues both in halacha and hashkafa.        Is this form of testing and treatment a lack of Bitachon? Should one ideally just daven and hope for the best? Being that current medical knowledge has shown conclusively that one who is positive for a BRCAmutation is at a much higher risk to develop cancer, testing and taking proper measures certai ...

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Preimplantation Genetic Diagnosis and Gender Selection

Question: לכבוד מורנו הגאב׳ד ורבנים המכובדים שליט״א Pre-implantation genetic diagnosis (PGD) is available to couples that are at risk of having a child with a specific genetic or chromosome disorder, such as cystic fibrosis, sickle cell disease or Huntington's disease. The fertilised embryos develop for three days and then one or two cells are removed from each embryo. The genetic material (DNA and chromoso ...

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Tvilah with Prosthetic Eye

Question: I will be officiating at the wedding of relatively new baalei tshuva in the coming weeks. It has come to my attention that the kallah has a prosthetic eye. She is very new to this and feels very embarrassed to remove it in front of the mikvah attendant. Could she be tovel with the prosthetic eye? Answer: Ideally all issues of chatzitza should avoided if possible. In extenuating circumstances such ...

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Spotting and Irregular Bleeding On Hormonal Contraception

Question: לכבוד הרבנים שליט׳א After childbirth, a lady received a heter from a Rav for taking contraception and was started on the combined oral contraceptive pill by her doctor. With this form of contraception a woman takes the tablet for 21 days and then stops for 7 days at which point she has her withdrawal bleeding which generally begins two to three days following the final pill. However, this lady did ...

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