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Yitzchok Zilberstein

Yitzchok Zilberstein (Hebrew: יצחק זילברשטיין, also spelled Silberstein) (born 1934) is a prominent Orthodox rabbi, posek (Jewish legal authority) and expert in medical ethics. He is the av beis din of the Ramat Elchanan neighborhood of Bnei Brak, the Rosh Kollel of Kollel Bais David in Ḥolon, and the Rav of Mayanei Hayeshua Medical Center in Bnei Brak. His opinion is frequently sought and quoted on all matters of halakhah for the Israeli Lithuanian yeshiva community.

https://en.wikipedia.org/wiki/Yitzchok_Zilberstein
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Kavvanah before eating or drinking on Yom Kippur for those who must eat for the safety of their life, as found in Torat ha-Yoledet (Rabbi Yitzchok Zilberstein 1983)

Contributed by Yitzchok Zilberstein | Unknown | Aharon N. Varady (transcription) |

This is a kavvanah (intention) for anyone in a desperate circumstance of needing to eat or drink for their mortal health, to do so with the full confidence that they are fulfilling a mitsvah required for them in the Torah, to preserve their life. The kavvanah was related by Rav Yitschok Zilberstein in his Toras haYoledes (1983), chapter 52, section 10, p. 357 (pp. 331-332 in the bilingual edition 1989), “הועתק ממחזור עתיק” (as “copied from an old maḥzor”). Unfortunately, we can’t provide a more direct reference to this maḥzor. If you know, please leave a comment or contact us. . . .