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Articles and Interviews

The Outstretched Arm
Ira R. Byock, M.D.
Spring 2001

The Outstretched Arm
 is a newsletter of the National Center for Jewish Healing, New York


In the Spring of 2001 Issue, Director Simka  invited a number of writers in fields of Jewish studies, philosophy and palliative care to comment on the meaning of the Talmudic story of the Death of Rabbi Judah HaNass. Below is the story as presented to commentators and to readers. 
Dr. Byock’s response follows.  

Praying for Healing into Death: A story about the death of Rabbi Judah HaNass  
From the Talmud, Tractate Ketubot 104a  

(Rabbi Judah was suffering from a severe and painful stomach disease.)

On the day that Rabbi was dying, his devoted students and colleagues decreed a public fast and offered prayers for heavenly mercy.  Furthermore, they announced that whoever said that Rabbi Judah was dead would be stabbed with a sword.

The Rabbi's handmaid ascended the roof and prayed:  
"The immortal beings in heaven desire Rabbi to join them, and the mortals desire Rabbi to remain with them. May it be the will of God that the mortals may overpower the immortals." 

When, however, she saw how often Rabbi Judah resorted to the privy, painfully taking off his tefillin and putting them on again each time, she prayed:  
"May it be the will of the Almighty that the immortals may overpower the mortals."

 Watching the rabbis incessantly continuing their prayers for heavenly mercy, she took up an earthenware jar and threw it down from the roof to the ground.  For a moment they ceased praying, and the soul of Rabbi Judah departed to its eternal rest.  

Comment: Ira Byock, MD

Death is an unwanted intruder in our lives. Particularly when death approaches someone we love, we cling to any remnant of life. But we are mortal – and as much as we’d like to deny it, illness, dying, death and grief are part of the fullness of life.   

In the story of Rabbi Judah HaNassi’s death, we glimpse the paradox of illness as a gift, a way God has given us to prepare for death. The progressive symptoms and disability of illness can help the person who is forced to confront death gradually adjust to leaving this life. In the process a persons’ family and friends may come to realize that death is not only an enemy to be battled, but also the inevitable and natural culmination of life. This insight allows those of us who struggle against the pain of looming loss to loosen our selfish hold on the person who is suffering, allowing him or her to leave with our love and our blessing.  

In momentarily distracting the Rabbis from prayer, the handmaiden acted out of love for Rabbi HaNassi. She performed a mitzvah.  

Ira Byock, M.D., Research Professor of Philosophy, University of Montana, Missoula.
He is author of Dying Well (Riverhead 1998) and co-author, with Jana Staton and Roger Shuy, of A Few Months to Live (Georgetown University Press 2001).

The Outstretched Arm

Ira R. Byock, M.D.
Spring 2001

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