Such vests are generally just a temporary solution until an implantable cardioverter defibrillator, or ICD, can be surgically placed inside the body, usually in the chest or abdomen.
Those devices can and do save lives, but they aren't without risk.
On Tuesday, Inglis became the first patient in
Inglis, 65, of
"They've been doing this on the coast for a while. Why not here?" he said while recovering at
ICDs have been used since the 1980s to treat irregular heart rhythms, heart failure and cardiac arrest, but they have pros and cons.
Internal defibrillators are battery operated. Taking one out to change a battery is nasty business because over time, scarring fuses the device to surrounding tissue.
Very young people may have to have several batteries replaced over the course of their lives, subjecting them to multiple highly invasive surgeries.
Dialysis patients present another problem. ICD wires that lead to the heart can become infected. In such instances, the heart could get infected, too.
That's a scary prospect for people already at high risk for infection because their blood is regularly exposed to machines that take over the cleaning work of failed kidneys.
Instead, the device is surgically inserted beneath the left armpit, and a wire is tunneled under the skin in a backward L-shape that runs horizontally and then up the sternum, or breastbone.
That location away from the heart gives that vital organ less exposure to potential infection, and batteries can be replaced with a far less invasive surgery.
Another bonus is that it doesn't inhibit arm movement, as some other ICDs can.
Doctors can monitor the device using WiFi to determine if it needs a new battery or how often it has delivered an electrical shock, which only happens as needed to correct arrhythmia.
"This is a huge advancement," said Dr.
The device is not a pacemaker, however, so someone who needs ongoing, rather than sporadic, intervention wouldn't be a good candidate for it.
KHS PASSES QUALITY TEST:
Healthcare Effectiveness Data and Information Set, or HEDIS, is a tool used by more than 90 percent of America's health plans to measure care and performance. It is administered by the
FELLAS, IT'S TIME TO STEP UP: This isn't surprising, but it's depressing.
Parents are better off having daughters if they want to be cared for in their old age, according to a new
"Whereas the amount of elderly parent care daughters provide is associated with constraints they face, such as employment or childcare, sons' caregiving is associated only with the presence or absence of other helpers, such as sisters or a parent's spouse," said study author
According to the study, daughters provide an average of 12.3 hours of elderly parent care per month as compared to sons' 5.6 hours.
"In other words, daughters spend twice as much time, or almost seven more hours each month, providing care to elderly parents than sons," said Grigoryeva, who will present her research at the 109th Annual Meeting of the
The study also indicates that in the division of elderly parent care among siblings in mixed-sex sibling groups, gender is the single most important factor in the amount of assistance each sibling provides.
Grigoryeva's paper relies on data from the 2004 wave of the
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