Health:
I specifically avoided using the word “mattir”. In many cases, the posek will not pasken, but he may do one of the following:
1. Quote a lenient psak from a different posek
2. Send the questioner to a posek who will be mattir
3. Send the questioner to a doctor who “will tell you what needs to be done”
This way, the posek cannot be quoted l’heter, and he may not even agree with the heter. But in the final analysis, it gets done and it gets done quickly and quietly.
For the protection of those who may not be mature enough to handle it, I will refrain from mentioning the specific instances where the above occurs. It will suffice to say that due to the overwhelming success of Dor Yesharim, there are very few shailos regarding fatal genetic diseases. Most of the instances do not involve genetic disease or any other disease. These instances are dealt with in the first trimester for the most part, and do not require the Tzitz Eliezer’s seven month criterion.