Yom Kippur: Medical Intervention to Facilitate Fasting

okay welcome everyone we have a spectacular subject today really very exciting and interesting some public service announcements but theer is now available in the land of Israel you could contact Sal orbak to get your copy it's being distributed in the stores in AR is it should arrive in America today so that's uh some exciting news also bem for shabas par V the chabas project of the chief Rabbi of South Africa we're having a uh mission to South Africa we're starting off in the City of Cape Town shabis in Johannesburg and then a y kala in Krueger National Park once in a lifetime opportunity um if you want to join us you could see our site rabid dg.com for more information uh we have a very interesting topic today I know everyone's getting nervous because you know we've been preparing for L even before L started and L is a month of muser and it's very intense and we're trying to improve ourselves having thoughts of and then rash and you're thinking oh my goodness if I've been hearing mus the whole month of el and before rashan what's gladon going to talk about before yam Kipper it's going to be too much don't worry so we're going to have a little bit of a a little bit of a um change of pace today because today we're going to talk about a topic relevant to Yer really a fascinating topic and it's very um it's very contemporary you know they have these IV Services where you could have somebody come to your home and put you on IV you'll have nutrients you'll have hydration you'll have caffeine you'll have everything you need and much better stuff you know they have and they even have IV parties that you could have a a birthday party and invite all your friends and all everyone could now okay let's say somebody is ill should they go on IV to be able to fast on yum Kipper or let's say someone is not ill and they say look I don't really like you Kipper it's very hard to be in chill all day I don't like being hungry I don't like not drinking coffee I don't like all those appeals the the kidre appeal and the Yar appeal and thenila appeal and then I have to listen to the rabbi speak by K nidre and then by Yar and then by Nila I mean just let me know when it's over so at least if I could be on IV for nutrients hydration caffeine meat I can have B at the same time even you know so the question is should a person puts on IV to be able to uh fast is a person allowed to put themselves on IV if they're not ill these are all very interesting questions and in the course of discussing these issues maybe we'll speak about uh using suppository and other forms of nutritional uh intake to facilitate fasting on Yumer so now let's begin with the mishna pay uh let me try to bring up the mar here uh let's see if we could do that here you should be able to um see it on your screen the mar if anybody wants to get Maro for the Shir you could sign up on our sg.com And subscribe you'll get to your inbox uh the Maro and the schedule of the sh okay so the mishna tells us in uh that of course we know that if somebody is not able to fast on yum Kipper because of a life-threatening situ situation then they do not fast and they're not allowed to fast as important as fasting on is we know it says the punishment for not fasting on Yer is nevertheless as as important as fasting on is it's even more important to preserve one's life in fact they once asked the author of why was he to write three that were in all the he said because in the Merit of three times he had to break his fast on Yumer and eat and he had so much that in the Merit of that he was to write these three so as important as fasting is it's more important to preserve Jewish life and the mishna tells us about the process if you have a pregnant woman who is in the need to eat on Young Kipper the uh the mishna tells us that we whisper in her ear you know today's Kipper and if she's not able to uh fast then we try to feed her um we give her the more lenient prohibition first the gravy and the juice and then the gravy and then and we try to be otherwise we give her food out right because and let's say the says you know I don't need to eat I'm not hungry and and the doctor says no you do need to eat and the said no I don't need to eat what do I need to eat for we listen to the doctor even against the will and the position of the himself even if many doctors say you don't need to eat and one doctor says no you do need to eat the person has to eat moreover if all the doctors in the world say no you don't need to eat and the says no I'm feeling very weak I don't I don't feel right I feel I need to eat then they need to eat now the starting point of this year is the fact that when it comes to Yumer the T does not say you're not allowed to eat on yum ker did you know that you're going to be very happy with this it doesn't say anywhere you're now to eat on yum Kipper what does it say it says any soul that does not afflict itself on this day will be cut off so it's interesting it doesn't say it says and says you know why does the Torah say that any soul that doesn't afflict itself it's it should say any soul that doesn't eat that's because if the T would say you're not allowed to eat on yum Kipper then if you ate then you would be Potter if the T would say Don't eat and the person consumed food in an unusual manner they had a funnel and someone stuffed the food down the funnel and they never swallowed it then you would be Potter but the tah doesn't say don't eat it says anyone who does not afflict yourself you have to afflict yourself so therefore says eating one would be still because when it comes to other lav where the Torah says don't eat then you're only liable if you eat in a usual manner but when it comes to not eating on y doesn't say don't eat it says don't afflict yourself um and therefore the and this person was did not afflict himself yes he didn't eat but he also did not afflict himself so therefore the Shar says if somebody eats on yipper they would be what a Whopper of so I remember 12 years ago I was discussing this sh with andam told me that not everybody agrees with the shagas I said really who disagrees with the Shas said the sh disagrees so I called upam again because I was trying to find it I said where's the where's the sh by the way with the sh even if you know a it's in it's still not so easy to find so he told me where it was I found it and the says an amazing argument uh a cont a contrary argument to the shagari he says something amazing he says like this do you know when we could argue and say that if the T says don't eat it means only and it doesn't mean uh in an unusual manner that's if there is no reason for the Torah not to write don't eat meaning we're looking at what the Torah says by Yer and we're wondering hey why did the tah say any soul that doesn't afflict itself just say straight out don't eat what's wrong with the expression don't eat ah says the shagas the fact that toyra said don't afflict yourself it's including even eating in an unusual manner says the Shalom you can only make that argument if the to should have said don't eat but if by yipper the Torah could not have said don't eat then you can't say oh you know why the Torah says to include no it couldn't have said don't eat the de that we're including even eating in in an unusual manner is because we're bothered why didn't the Tyra say simply don't eat but we don't have such a question on yum you know why because there's a reason the Torah didn't just say Don't eat onum cuz when the Torah says don't eat something what is the sheer that the t is saying not to eat you know what is the definition of eating or not eating in the when the Torah says eat eating is a kazas when the Torah says don't eat don't eat means don't eat a kazas but friends by Kipper is the prohibition don't eat a kazas know what's the if somebody eats a Kipper they're not you know why cuz the Torah didn't say Don the Torah says any soul that didn't afflict itself and we have a tradition that one is still Afflicted unless they atea a big fat date the shear of is not it's a big date now in our generation people don't know what dates are they don't know what fruits are they know what jelly beans are but they don't know what fruits are one of the reasons people don't know what dates are cuz most dates you know how to eat cuz they're full of worms and most people either they don't even know um they don't know how to check for worms so it's very tough to eat dates these days there're too many worms in them most people don't know how to check them but there's a fruit called a date and even though ordinarily when it comes to eating pig you're not to eat a olives work but when it comes to eating oner you're allowed to eat an Alive's worth according to the Baseline sh the what you're not allowed to eat is a large date and the reason is because the have a tradition that when the Torah says don't afflict yourself a person's mind is still not at ease they're still irritable they're still Grouch if all they eat is a Kaz they needa to be full so says the he disagrees with the sh says from the fact that Torah says it's not only saying you're not to eat on yipper it's say in a usual way it's even including don't eat on Yumer in an unusual way but the sh says no the prohibition of eating onum is like all other prohibitions of food that it's only prohibited to eat in a usual way it it is not prohibited to eat in an unusual way so you may say right now is being fed through intravenous means is that considered eating on yum Kipper well maybe the shagar would say you're not allowed to do it but the sh would say you are allowed to and by the way most disagree with the Shag they agree with the sh that it's only user to eat so for example um the in Sim L let's take a look at thater he says let's say somebody you know they auction of hgba and he have this little scrawny guy he could barely lift up a feather usually and they give him hgba on this massive sa Tor and he lifts it up he opens up nine columns you can see the whole sa say pal how do you have so much strength how do I have so much strength I just right before hgba I ate a raw piece of steak I downed the whole thing you know the cowboy steak you eat a cowboy steak you gain 20 pounds right away are you allowed to eat raw meat on yum now eating raw meat would be considered because the says you can't say eating raw meat is not eating food raw meat is food something that could be cooked is food it's just not the D to eat it that way and the mishna says somebody who ate raw meat oner ister so says the and that's a proof to the opinion of of the contrary to the that if one eats they pter so again here we see the majority of Pim disagree with the shagas and they say eating ister okay now here's another a similar sh they asked ginski the end of the 19th century beginning of the 20th he says uh he wants to know whe it's permitted on they want to feed the oner through a CL a tube well I'm just going to tell you what this word means so for the sake of clarity and we're learning means through the reum are you feeds somebody in that manner and the question questioner assumed that on yum Kipper eating is dependent on whether the mine will be at ease and if somebody is fed through the rectum they will be satiated to some extent maybe it would be user to feed them this way and the says that even according to the that a yipper it would not be enough if somebody just swallows but intestines have to have the Hanah so in this case your intestines are having the Hanah but that's only if it goes down through the throat but if it doesn't go down to the the throat that's not called eating even according to the Shag who says you're for eating on means a funnel through your throat not a tube through the other end through the says even the would agree that if you feed somebody through a tube through the not through the P that's not called eating that's not called eating he says that the Torah says you should be afflicted and is a p that it says by the m that the M was considered torture contrary to what they taught you in that the M was delicious cuz it tasted like whatever you thought no sorry nice try the man was torture the man was painful it was terrible because it's true it could tastes like anything you want here here you see my Scotch tape over here you see this roll of Scotch tape I have a lot of scotch over there I want you to eat this Scotch tape every single meal and just think whatever you want it will taste like whatever you want you'll have to check yourself into an insanee asylum after 2 days food is not about just about the taste it's about the way it looks it's about the texture it's about the smell so it's true it tasted like anything but it was a downright torture imagine if I told you eat cardboard every single meal it will taste like whatever you want you you won't be able to handle it so we see that Affliction is through the mouth therefore it says the ginski that in his opinion even the shagar would agree that this is not considered a and one would be allowed to feed a through a tube through the that is not considered his conclusion is like I started off now another source on this is the opinion of the Who quotes the mar and the brings from rra he says to stick food um someone who's having a hard time fasting after a few hours they have a very big headache you know people like that you know um 10 minutes into yam Kipper they have terrible caffeine withdrawal they're already they're in s after 5 minutes they come to kidre they make an appeal they sell the p and before even kidre they have a crushing caffeine headache they have a crushing headache cuz they're starving the fact that they ate 24 hours straight irrespective and now all of a sudden they it's an emergency they have to eat they have to drink they need caffeine they need hydration it's it's been a very long time it's been more than 35 seconds since they ate so the question was are they allowed to take a safan a safan friends is a suppository in this suppository they packed it's m you have food hydration caffeine acine ibuprofen aspirin you name the you name the goodie it's in the suppository and the question is are you allowed to take it on on yam or is that considered eating and he he quotes the the quotesam to feed somebody in that manner even though you could feed you could uh sustain sustain someone for weeks for months that way it's not a problem there's nopper the only thing is the sh though is this is not food it's Raa to cure your headache so now the question is are you allowed to take medicine on y Kipper why you allow to take medicine on chabus or Y and the answer is taking medicine on chabas is a violation of you're not take medicine on chab because you might come to grind uh a grind herbs however um if somebody is a um somebody's life is in Peril or even not even if you're not a but the illness is so strong that you you have to lie down you're Mish let's say someone has a crushing headache and they they can't function any illness that that part of your body is not functioning the way it should you'd be allowed to take medicine so therefore say in the name of the mar to take a depository is not an issue why he says it's not called food it's not even the sh would say it's not a problem that is not called eating on on Young ker meaning even the who says that putting it in that way from the is not considered eating um but now qu friends the question is if it's not considered eating if it's not considered eating then is somebody who whose life is on the line they have an illness they're somebody who's very old and to keep their vitals going they need constant nutrition and hydration or someone who has an illness they have a certain kind of low blood blood sugar or or some of uh their organs are compromised and they have to have regular nutrition and if they don't they're putting their life possibly in danger so th these people have an obligation first of all they're allowed to eat on yum Kipper they're obligated to eat on yum Kipper and it's a mitzvah for them to eat on yum Kipper but should we tell these people hey why why would you eat onum Kipper why don't we just call uh a medical service will have IV be um put in this way you'll be able to fast on yum KRA I understand you're allowed to eat but wouldn't it be better to put the K on uh IV in order to on intravenous in order to facilitate their fasting on Yumer that's that's a valid uh that's a valid question and then let's let's discuss a regular question here you have a regular guy the guy says I'm not in the mood of fasting on yum Kipper I don't I don't want to get a little headache I don't feel good the next day I'm tired I would love to have IV caffeine acam manine ibuprofen and all other coursing through my veins on Yumer as a regular person allowed to do that and if you say well you can't prick him on Yumi all right we'll prick him five minutes before Yumi so let's start by talking about the the is the obligated to put himself on IV in order for them to fast some some people haven't fasted on yum many years they're not able to and question is should they rather put themselves on IV to facilitate this so this question was brought to the the and it's quoted in this of is my favorite this wrote I believe in 1967 when we regained access to the and all the and he quotes the look where my icon is is it better to put someone on IV and he says even though there is no prohibition of taking nutrition through IV do not torture someone by putting them on IV for yum Kipper you're afflicting them nobody needs to be there's no Mitzvah to be tortured on Yumer there's a Mitzvah not to eat there's a Mitzvah not to drink there's a Mitzvah not to shme yourself there's a Mitzvah not to bathe yourself there's no Mitzvah to uh torture yourself and going on IV is torturous furthermore a person could be putting their life in danger by going on IV many people have developed infections by being put on IV and you never know maybe the nurse will instead putting him on nutrition or hydration they'll have I don't know what going through his veins and it could kill the guy he could have the wrong medicine put in or you could put into the wrong part of his body therefore says the absolutely not there's no requirement for a person to be uh much to go on to IV to be able to fast on yam to be able to fast on yum also says that um that one is not required first of all it's very painful to uh put in the IV it's not a pleasant thing you know they look for the right vein no no no that was that wasn't good let's try again right they make him like a like a a a pin cushion you know they pick the guy 50 times until they get the right spot until his whole arm is black and blue it's very painful says uh theer it's very uncomfortable and therefore since the person is permitted to eat they are not required to put themselves on IV just to be able to fast on yum what's interesting is so far the Saras that are given why one would not be required to go on IV are practical it hurts it's torturous it's not convenient you don't have to do it um but I want to share with you something from okay um before we see that see I want to share with you the argument of RB RB says something amazing he says wait a second we know that if someone's life is on the line it's better to try not to desecrate chabas than to desecrate chabas meaning let's say somebody's life is on the line and you could call you could call on a telephone and you could either dial the number with a Shino or not with a shoi the opinion that is is because says it's better to avoid desecrating the chabas in general yes you're allowed to desecrate chabas to save someone's life but if you could have avoid desecrating chabas that's certainly preferable there are many um mechanics that hat utilizes to avoid desecrating shabas let's say they have a you know the the Hat car or or a truck some times the engine just stays on the whole time to to minimize kabas so if we try to do our best to avoid violating prohibitions then why but when it comes to saving someone's life um why when it comes to Yum Kipper wouldn't we say I know you're allowed to eat but wouldn't it be better if you go on IV so says a beautiful a very very GL far he says the din that we will avoid violating chabas even if someone's life is on the line is only to do a Sho in the act as long as that it will not produce a shoi in the result so I could call on the phone directly or I could dial the numbers with a Shino then maybe there's an opinion you should use a sh because whether you dial with your Reg finger or you die with your nose the number will be called so the ACT can be done with a in a uh a you can deviate from the regular way you do the ACT provided the result is unaffected but we never make a Shino in the result for instance yes if somebody has IV they will be able to fast on Yumer but they will not be uh hydrated and have real nutrition as well as if they eat real food so there will be a difference in the quality of the care whether they get IV or whether they eat real food the din that we try to avoid prohibitions in a permitted matter is only if we're avoiding the prohibition and the ACT but the result will be the same for the patient but if the result will be different then we do not make any shoi at all and when when it comes to IV yes IV is effective but it's not as effective and healthy as regular nutrition and therefore we are not requ we do not make a Shino if there's going to be a Shino in the result only when there's a Shino in the ACT that's what writes in the furthermore R says that if somebody Wanted let's say a guy says you know what I don't want to fast on Yumer enough for i f Ed my whole life this year I'm going to take off of course I'm not going to eat but I want to go on IV says they're not allowed to why not what a ver are you doing so he says aside from the prohibition of eating which you would not be violating if you go on IV there's also a positive command to rest from nutrition on yum Kipper there's a you there's a positive say of resting from eming nutrition so although you are not violating although we will consider it like that yes you were Afflicted and you're not violating the requirement to be afflicted but you are violating the positive command to rest from nutrition okay now friends comes the juicy part because until now we had some practical reasons or some lambha reasons why one would not be required to go on IV in order to fast on yum Kipper you have the you don't have to torture yourself to fast you have the it's too painful and since he's a he's not to go on IV you have the reason of we don't do a if somebody's life is on the line we only do a shoi in the ACT not in the result comes of and he gives us a reason why not only is one not required to go on IV to fast onum Kipper one is not allowed to go on IV in order to be able to fast on yum KRA and it starts as follows did anyone here ever this is found in the uh and friends did anybody ever hear we know that a woman who's who's uh in labor so you could drive her to the hospital on shabas what do you mean you chabus yeah but you allow to save her life and the life of the baby you're allowed to did anyone ever hear of uh obligation that every AR of chabas if a woman's in her ninth month you should drive her to the hospital hosital before chabas just in case she'll go into the labor so she doesn't have to desecrate chabas wouldn't that be a great idea I mean we could start a whole business all right you know you could do it I'll just take like a small percent okay you you guys do it and uh I'll get a small royalty here's the idea build uh build like hotel rooms and hospitals and all Jewish women in their ninth month will have to move in there every sing shabas you know why because maybe she'll go into labor and this way why should she stay home and then you have to go into a car service and designate chabas she should move into the hospital every chabas let's take a vote if you think it's a good idea yeah every Friday you know she has other kids kids say where are you going oh I'm going down why because I might be in labor you might be in labor so you're moving out of the house yeah I don't want to desecrate chabas anyone ever hear of such a thing no such thing why is there no such thing says if it would be a regular Tuesday would you move into the hospital if you're in your ninth month of course not why because you want to sleep in your own bed you want to live in your own house and you not going to the hospital until you're in the you know the 11th Hour no it's better to avoid hospitals at all costs so therefore says if on a normal Tuesday you wouldn't go to the hospital if you're in your N9 month you don't have to go AR shabas because when the T gives mitz it says do the mitv and live a normal life do not make your don't jump through hoops to put yourself in a situation an unnatural situation just to avoid violating the the iser you're allowed to live a normal life in your house in your own bed you're not required you know you're not required you're not obligated to go to the Ukraine for rashash and you're not obligated to move in to the hospital on uh on ER of uh on ER of chabas just because you might go into labor so say likewise normal people eat with their mouths normal people drink by taking a cup and they drink people don't usually eat by sticking needles into them attached to tubes and the water the nutrition is going to C through their veins therefore if that's not a normal thing to do you don't have to do it to avoid not to avoid uh you don't have to do it to be able to fast on yum but says am I allowed to go on IV to be able to fast on yum Kipper says you're not allowed to go on IV to fast on y you know why you're not allow to go on IV because someone who sees you might think you're obligated to go on IV and you're not obligated the T doesn't obligate you this is not a natural thing we don't even know if it's a healthy thing we don't know if it's good for you so you no but I want I can't bring myself to fast onum Kipper pal why can't you bring yourself to fast on because how could you eat on yum Kipper what's wrong with eating on yum Kipper oh because didn't Hashem say I'm not eat no God never said you're not eat onum he said you have to eat on yum yeah but I could go on IV no no no you're not an Alien aliens I don't know maybe they eat by pricking themselves with needles and sticking tubes into themselves human beings eat naturally you can eat naturally um you because it's yum Kipper so you'll have to eat even though it's yum Kipper but not only are you not required to go on IV because that's an unnatural unusual thing to do you are not allowed to go on IV to eat on yum Kipper and then friends finally we have the SAR of Raa [Music] Feinstein and this s is so wow this is such an amazing s of why you're not required to go on IV and not only that you would not be allowed to go on IV and the St is as follows are you allowed to go to a doctor yeah of course really thear says from here we see a doctor is given permission to heal and this is found in the you're allowed to go to a doctor from here we see a doctor is allowed to heal so from here we learn that a doctor needs permission to heal otherwise as we're going to learn maybe the doctor's not allowed to heal heal after all God sent this person an illness maybe he doesn't want obviously God wants a person to be ill so the Doctor Who's the doctor fighting he's fighting the illness or he's fighting God you might think he's fighting God no you're allowed to go to a doctor you could go to the doctor who'll give you antibiotic says ra this gentleman who's going to the doctor to attach him to IV he going to the doctor to heal him no this doctor is not healing him by putting in the Ivy the way this needs to be healed is through other means maybe he has medication maybe he needs to do physical therapy maybe he needs to sleep maybe he needs to walk whatever it is he has other means of of Rua why is he going to this doctor oh he's going to the doctor so the doctor could enable him to fast on yum Kipper since when did God give doctors the right to help people fast on yum Kipper God gave doctors the right to heal people not to do Mitzvah that's not the job of the doctor you want to do Mitzvah go to a rabbi go to your rebi go to uman if you want to do Mitzvah but don't go to a doctor doctors are given a specific job their job is to heal you but now you want to go to the doctor that he should give you IV not to heal you but to enable you to fast on Yumer uh that's not one of that's not the job description of a doctor doctor was given he's not given to assist you in doing MIT the doctor is not a religious enabler or facilitator the doctor heals you from illness he's not healing you here he's helping you do mitv that's like going to a fish store and asking do you have a do you have thumb tacks that's like going to a used car store and you want to buy a herring so why would you go to a doctor the doctors should look at you why are you coming to me do you need to get better no I need to fast onum Kipper go to a rebba if you want to fast onum Kipper what are you coming to a doctor for you got the wrong person doctors don't have R to enable people to do mitz they have no permission therefore you are not required to go to the doctor are you allowed to go to the doctor to get IV to fast on Yumer says you're not allowed to you're not allowed to what a are you doing you ready for this on the says from here we see permission is given to a doctor to heal you so to to just say ver why do you need to say ver says tus if it would just say I would think you could only go to a doctor if ruin hits shim and wounds shim so ruin caused shim to be wounded so now the doctor could heal shim because the doctor is not fighting God he's fighting the wounds of ruin ruin hit shine but what if God sent the guy the illness what if God punished the person what if the Reish sent a person a I would think the doctor not to heal the person because he's contravening the decree of God God was goer the person should have an illness what right does the doctor have to contravene the will of God oh the answer is ver not only could you heal somebody who is wounded you could even heal somebody who's wounded say that means the the initial prep uh preposition the the initial presumption excuse me is that it is user to go to a doctor because what a doctor is doing is contravening the will of God however the Torah says you could go to a doctor he could go to a doctor to heal you if somebody hurts you you could go to a doctor to heal you if you have an illness but now the person wants to go to the doctor so that he could fast on Kipper but the heavens have decreed you should not fast on yum Kipper now you want to go to a doctor too fast the doctor is contravening the will of God it is AER to go to the doctor to get IV to be able to fast on yum you know that then it would come out let's say somebody normally does not take medication and they could take a medication to be able to fast on yum Kipper should they go to a doctor to get a prescription to fast on yum Kipper sounds like ra would say no are they allowed to go to a doctor to get a prescription to be able to take a medicine to just to fastum KRA not to heal them just a fast sounds like ra would say no what would say he would say no why do you take reg a medication on a regular Tuesday no why would you take medicine on AR ker you don't have to jump through hoops to fast onum Kipper you don't have to do unnatural things to fast onum Kipper what would R say should you take a medicine by the way RHA adds taking IV may be not healthy so he says really but nobody ever said there's a problem with IV says Raa just because they don't know of any specific problem that just means they don't know yet of any ill harm uh side effect of going on the IV doesn't mean there isn't any we basically friends have offered a number of reasons why uh one would not have to go on IV the says it's torturous according to that reason if it's just a regular medication that doesn't have any side effect maybe you should do it according toan what if somebody could take a a regular um a medicine to be able to fast it sounds he may say you don't have to not only that he may say you're not allowed to because then other people are going to think you're required to well say ra says you don't go to doctors to do mitv you want to do mitv go to your rebba rebas could help you do Mitzvah your could help you do Mitzvah doctors are not there to help you do Mitzvah am I allowed to go to a doctor tell me do Mitzvah no you're not allowed to a lot of these uh that we learned have very profound hashkafic implications and we have the and the where they're eating iser and most P say that intravenus or um suppository is not considered however um let's say there are questions about that um someone taking medication on yam which is basically on on Yumer without any liquid without any water that would be considered um you know definitely although according to the is not necessarily permitted say if you have to take a medicine and you're not able to take it with uh with out water so use very bitter tea Cent so that's considered but again the is does not support the notion of that but anyway in the course of this discussion we've encountered many many very profound ideas about the role of doctors the role of medicine in um in being able to perform MIT and our fasting and on that note I wish everyone a a good I ask you all for M and look forward to seeing you Monday hopefully we'll have a Shear on in Suka have a great day everyone if you have any questions I'm happy to take