In this episode of Refuah & Psak, Rabbi Brody speaks with Dr. Ernest Mandel, member of the Ematai medical advisory board and nephrologist about the halachic and medical nuances of cyclical treatments, with a focus on dialysis and vasopressors. They discuss how treatments that naturally start and stop differ from continuous interventions, and why this distinction matters for both halacha and patient decision-making.
The discussion covers the use of time-limited trials, potential risks and side effects, and how “pause points” allow for reassessment. They also explore the importance of aligning medical care with a patient’s goals and halacha, especially in end-of-life contexts.
In this episode of Refuah & Psak, Rabbi Brody speaks with Rabbi Dr. Jason Weiner, senior consultant at Ematai as well as the executive director of the Spiritual Care Department at Cedars – Sinai in Los Angeles, about the halachic and ethical distinction between withholding and withdrawing life-sustaining treatments.
They explore how Jewish law, secular bioethics, and Israeli law approach these decisions; practical examples like stopping chemotherapy or ventilator withdrawal; and touch upon how this impacts nutrition, hydration, and other interventions. The conversation highlights moral, emotional, and pastoral considerations, and includes a moving real-life story that illustrates both halachic nuance and compassionate care.
In this episode of Refuah & Psak, Rabbi Shlomo Brody speaks with Dr. Jonah (Yonah) Rubin, Ematai medical advisory board member and pulmonary and critical care physician at Mass General Hospital, about the medical and halachic complexities surrounding DNI (“do not intubate”) orders. Dr. Rubin explains the full spectrum of oxygen support, from nasal cannula and high-flow systems to BiPAP and, when necessary, invasive mechanical ventilation, highlighting how intubation serves as a bridge to recovery rather than a cure.
They discuss scenarios where intubation may be futile (“a bridge to nowhere”), the potential need for tracheostomy in prolonged cases, and the factors that determine whether and when to extubate, including the distinction between clinical and palliative extubation.
Rabbi Brody outlines key halachic perspectives and together they offer practical guidance for families and rabbis, such as asking whether the patient is likely to be successfully extubated, understanding prognosis and possible outcomes, and keeping the decision-making process dynamic, recognizing that new crossroads for choice often emerge during a patient’s course of care.
In this episode of Refuah v’Psak, Rabbi Brody is joined by Ematai medical advisory board member and palliative care physician Dr. Moshe Cohen to demystify the halachic and medical concerns around pain management at the end-of-life. From addiction fears to end-of-life sedation, they explore how pain management at the end-of-life is not only possible but may even be halachically mandated.
In this episode of Refuah & Psak, Rabbi Shlomo Brody speaks with speaks with Dr. Jonah (Yonah) Rubin, Ematai medical advisory board member and pulmonary and critical care physician at Mass General Hospital, about the medical and halachic considerations surrounding DNR (“Do Not Resuscitate”) orders. Dr. Rubin explains what CPR includes and that success should be measured not only by restarting the heart but by the chance of meaningful recovery.
They address the confusion and tension DNR orders often cause, including misconceptions that DNR means “do not treat.” Both emphasize the importance of clear, proactive communication among rabbis, families, and clinicians, ideally through structured “goals of care” meetings, to clarify what the patient wants, distinguish between resuscitation and other treatments, and align medical decisions with the patient’s prognosis, values, and halachic guidance.
In this episode of Refuah & Psak, Rabbi Brody speaks with Rabbi Dr. Aaron Glatt, Ematai rabbinic advisory board member and Chairman of Medicine and Chief of Infectious Diseases at Mount Sinai South Nassau, and a medical halacha authority—about how rabbis can most effectively communicate with physicians to guide families through complex medical situations.
Rabbi Glatt emphasizes the rabbi’s multifaceted role: providing comfort and pastoral support, helping families navigate halachic decisions, and ensuring unity by clarifying in advance which rav should be consulted to avoid conflict. They explore strategies for involving all stakeholders, addressing differing religious orientations, obtaining accurate medical facts directly from doctors, and knowing when to consult more specialized poskim. From both rabbinic and medical perspectives, they stress respectful collaboration with healthcare teams, understanding hospital protocols, and advocating firmly yet diplomatically when halachic guidance differs from medical norms. The conversation blends practical scenarios, halachic principles, and relationship-building tips to help rabbis protect patient dignity, maintain shalom bayis, and achieve the best outcomes for congregants.
Welcome to Refuah & Psak, Ematai’s podcast for rabbis who support their congregants through life’s most sensitive moments.In this special introductory episode, Ematai associate director, Rachel Secunda PA-C, takes listeners on an imagined tour of the ICU with Dr. Jonah (Yonah) Rubin, Ematai medical advisory board member and pulmonary and critical care physician at Mass General Hospital.
Together they demystify common but often misunderstood medical terms and scenarios to give rabbis an understanding of what they might encounter when answering shailot about medical dilemmas. Ultimately though, the best tip is to ask for a clear explanation or clarification!