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Infertile patients cannot afford to wait for treatment while their eggs get older.

Dr. Sherman Silber, Infertility Center of St. Louis, is offering video consultations for patients who need to plan now for their treatment while stay-at-home orders are in place. He is talking to and evaluating patients in their home to comply with social distancing measures.

Dr. Silber is discovering that patients actually prefer this method of telemedicine consultation over the conventional office visit. Patients have conveyed that “it is so much more convenient and less stressful” to have a telemedicine personal consultation than to take a day off from work to travel to the doctor’s office and sit with other nervous patients in the waiting room.

The COVID-19 pandemic is thus changing much of the way we will do things in the future, and for the better. “Our patients are surprisingly much happier with this approach. Of course, at some point we need to perform hands on treatment. But with this new manner of seeing patients, we can come to the right diagnosis and treatment plan for most patients more efficiently, quickly, and painlessly, with no loss of personal one-on-one communication.” This is a very welcome new era of telemedicine that has been forced on us by the current difficult times.

Rosh Hashanah Reflection: Purpose, Creation, Tikkun Olam & the Meaning of Life

In this brief Rosh Hashanah message, Dr. Sherman Silber reflects on the Jewish New Year as more than a religious holiday or celebration. He presents it as an opportunity for people of any background to consider creation, purpose, and humanity’s responsibility to improve the world.

Silber begins with memories of fishing in Alaska, where the vast wilderness made the wonder of existence feel immediate and impossible to ignore. He recalls a conversation with his late friend Phil Donahue, who described himself as deeply impressed by the universe. For Silber, that sense of awe is central to recognizing the presence of God and appreciating the extraordinary fact of conscious life.

He uses humor to illustrate humanity’s uncertainty about faith, telling the story of a man hanging from a cliff who asks God for help but hesitates when told to trust and let go. The story introduces a larger question: if life has a purpose, how do we understand our role within creation?

Drawing on the biblical phrase “which God created to make,” Silber explains the Jewish concept of tikkun olam—the responsibility to help repair and improve an intentionally unfinished world. Rather than expecting perfection, people are called to work alongside God through meaningful actions and good deeds.

Silber concludes by reading a poem inspired by fish struggling constantly against the current in an Alaskan river. The fish become a metaphor for human life: always moving, always tested, and always hoping for rest. Even when they rise toward what appears to be another world, they are returned to the current.

For Silber, this captures the meaning of Rosh Hashanah. Life continually presents challenges, but those challenges give people the opportunity to act with purpose, do good, and help make the world better.