Responsa for Berakhot 108:20
והא אמר אביי בעי אודויי באפי עשרה דהוו בי עשרה והא איהו לא קא מודה לא צריך דעני בתרייהו אמן:
But lo, Abbai said : He must offer thanksgiving in the presence of ten ! There were ten present. But it was not he who uttered thanksgiving ! It was not necessary, because he responded "Amen" after them.
Shut min haShamayim
They responded to the first question: "Lift your hands to the sacred!" (Psalms 134:2) Namely, wash your hands whenever you want to speak sacred words or study Torah. "And bless God!" (ibid.) - with the blessing instituted for washing hands. As for the second question, they responded: Do you not know that four need to give thanks (Berachot 54b:12), and this includes one who was sick. And none are more sick than such a person [who relieves themself], as it says (Isaiah 51:14): "Quickly the crouching one is freed."2cf. Rashi on Isaiah 51:14
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