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TrishB
02-10-2003, 06:09 PM
I got it.....irregular heart beats and slow rate 35-50/min.
Because I have started to get chest pressure, dizziness, and difficulty breathing, the cardiologists (3 opinions) are talking about putting a pacemaker in.

I deal with elderly patients every day and everyother one of them has a pacemaker.
But I don't know anyone my age who does....or anyone who is into weights and cardio like I am.

I guess I am just scared. :(

I am not looking for advice on what to do...I am still working that out in my mind.
But just if anyone knows active people who have pacemakers and how they do now.

tracyb555
02-10-2003, 06:13 PM
Oh Trish! I don't know anyone with a pacemaker, but I hope that you are letting your docs know what you are doing in the way of exercise so they can make appropriate recommendations. Take it easy there girlfriend, we want you to be around for a long, long time :)

TrishB
02-10-2003, 06:25 PM
Yea...they know. I have the ok to exercise as much as I want.

I tried to cut out everything for awhile to see if things would go back to normal, but it got a little worse.
I actually feel better doing cardio since it get my heart rate up.
But a couple hours after.....not so good.

The worse is at night when I go to bed. I will wake up out of a sound sleep not being able to get my breath and it feels like an elephant is sitting on my chest.

IPR
02-10-2003, 11:53 PM
Trish......I'm really sorry to hear this. I don't know what to say as I don't know anyone with a pacemaker (maybe they have them but I just don't know about it). just want you to know you have my support from far away.

MiloMan
02-11-2003, 12:02 AM
Perhaps one of those cardiologists could arrange to have you talk to someone athletic (that has a pacemaker implanted)? Have you asked them?

IPR
02-11-2003, 12:09 AM
Trish......I've just been reading up abit on this, and not one of them suggests a pacemaker or even suggests that this syndrome is dangerous in any way. Not sure what all that means, but as you are an athlete, its not that uncommon to have this syndrome, although as some sysmtoms are similar to other problems it could be something else. However, you have had things checked properly and its been comfirmed as this.

Maybe check with a sports specialist as Milman suggests, rather than for examples of athletes with pacemakers, for those with the same as you who don't have a pacemaker.

Hibiscus09
02-11-2003, 04:28 AM
Trish, I'm sorry to hear about this. I've also been reading up on Athletic Heart Syndrome & pacemakers. Although, Athletic Heart Syndrome (in the material I read) didn't sound too bad -- I'm sure it's the slower, irregular heart beat your doctors are concerned about & your night time symptoms. In any event -- one of the things I read said you could have your doctors adjust your pacemaker if you are active & exercise a lot. It also said you need to request for them to do that because most pacemakers are designed with more sendentary individuals in mind.

Anyway, I'll keep you in my prayers. :)

batteryrequired
02-11-2003, 06:36 AM
Ok Trish...her ya go. I had a pacemaker put in when i was 35 years old. I wound up in a truama unit for over 8 hours when they found this out. Its no big deal really. You will be surprised at the difference in your activity level. They did some different things with me since i am active. I don't want to go into to much detail right now but will when I get a chance. Just wanted to let you know everything will be ok. And the sooner the better for you. I get used as an example alot by my cardiologist. Use this as an opportunity to be one for yours and don't give up ok? Wish I could get my computer at home fixed so I could get a pic of me to ya showing you what my chest looks like with one in it. Its not all that bad since I work my chest out alot. Yes, its still noticable, but I get asked alot of questions which always leads to the other question..."but your in such great shape!!" lol
Hang in there and I will write more later ok?

MagicMel
02-11-2003, 07:52 AM
Trish, I don't quite know what to say. When I read your post just now, I got this big lump in my throat along with a deep gasp.

You have my support and will say a prayer for you.

I know lots of people with pacemakers, but they are all elderly, and their situations are not at all the same as yours. None of them have ever complained about having it, actually they were all rather grateful.

Fortunately, because of the internet and the diversity of people that we have on this site, we have Batteryrequired. He sounds like the perfect individual to help you with your situation. First hand experience is always a resource that should be tapped.

Take it easy, for now.

Mel

batteryrequired
02-11-2003, 07:58 AM
Originally posted by MagicMel
Trish, I don't quite know what to say. When I read your post just now, I got this big lump in my throat along with a deep gasp.

You have my support and will say a prayer for you.

I know lots of people with pacemakers, but they are all elderly, and their situations are not at all the same as yours. None of them have ever complained about having it, actually they were all rather grateful.

Fortunately, because of the internet and the diversity of people that we have on this site, we have Batteryrequired. He sounds like the perfect individual to help you with your situation. First hand experience is always a resource that should be tapped.

Take it easy, for now.

Mel


Hence the name...... "Batteryrequired" :)

MagicMel
02-11-2003, 08:25 AM
Batt,
Yup, after reading your first reply, I kinda figured that's where your handle came from. :)

batteryrequired
02-11-2003, 09:41 AM
Ok...a little more info for ya. I have what is called WPW syndrome (Wolfe Parkinson's White Syndrome) which is a catagory under SVT (Super Ventricular Tachardia). More or less its a rapid heart beat. My heart would take off racing up to 200-300 beats a minute...outta control you could say. It took 3 surgeries to fix this problem (which by the way took my dads life when he was 42 years old...yes...its hereditary). Mine was a bit complicated you could say. My heart had an accessory pathway for the electrical system. Your heart is supposed to "fire" from the bottom going up to pump the heart. I had an extra electrical pathway that went from the top to the bottom to fire it off, so when both pathways were trying to fire off my heart...the end result is a very rapid erratic heartbeat, and if it doesn't correct itself, it blows out the weakest part of the heart. In my dads case, it blew out the side of his aorta. Only telling you this stuff as yours case is alot simpler. My pacemaker was a last ditch effort to keep me going after my heart stopped in my last surgery....long story.
One thing you want to consider is which side to have it put on. I hunt from time to time, so having a pacemaker on my right shoulder where a shotgun would set was out of the question. If your right handed...left side may be better as well. I was awake thru all of the pacemaker being put in. Its not really all as bad as it sounds. They will however knock you out for a minute or two when they go to thread the leads down to be inserted into the heart muscle itself. In your case...you may even go home the same day. I am due to go in for a replacement anytime now. They check everything by phone. I have a transmitter that I use to call into the clinic and they check it that way (ain't technology cool). Kids are fun at the beach when you tell them its a small computer and battery...kid thought I was bionic....lmao!
Feel free to ask me anything that comes up.
Be prayin for ya.... :D

TwoWalks
02-11-2003, 09:43 AM
Trish like so many others I am at a loss of words, but will pray for all to be well with you.

I would speak with a surgeon that does sports medicine and as suggested ask for referal to speak with an athlete that already has one.

Then avoid garage door openers and micro wave ovens - especially while working out:)

iluvlifting2001
02-11-2003, 10:27 AM
Sorry to hear about your misfortune. I hope you got a second opinion on this. Seems like a aweful big step.

MagicMel
02-11-2003, 10:31 AM
Battreq'd,
You have a wonderful disposition and great attitude about your own personal condition.:)
I am very thankful that you are here for Trish.

grappler1
02-11-2003, 02:58 PM
Trish, how many years has this been going on for? I usually feel my heart skip beats once or twice a day,then it's gone for a month or so. I never had my heart race/beat slow or anything but it still scares the hell out of me. Anyway just curious if this started of slow and progressively got worse. Hope all goes well 4u.

TrishB
02-11-2003, 04:12 PM
Thank you all so much for you responses and support. I have tears in my eyes right now just reading your kind words.

I have had this syndrome for quite a few years, and it was never a big deal. The one way they tell is by the size of the heart on the cardiac echo.....athetes are larger than normal.
I don't need to see any Xrays to know that you all have very big hearts. :)

As some of you have read, it is pretty common for athletes to have irreg heart beats, slow pulses... but it has only been since last March that I started to get all the bad symptoms going along with it. And nothing has been able to reverse it.

I am skipping so many beats now, that my rate will drop a point where I will pass out. At least at home or work, I can get up and bounce around a bit to get the rate up and I am my best at the gym....but it can be dangerous now with driving.
Yesterday was one of my worse days....

So I am leaning a little closer towards getting the pacemaker.
Thank you all again... you kindness means so much to me. :)

back2it
02-11-2003, 04:17 PM
Sorry to hear this Trish . I know nothing about this ailment but please be sure you check into all possible causes of this condition and possible alternative treatments before you have the surgery . Good Luck

Phatman1179
02-11-2003, 04:21 PM
I wanted to say something that would help ease your fear and your aniexty but I know no such words. Were with you, we'll pray for you. Keep the faith.

TrishB
02-11-2003, 04:22 PM
Battery....

You really made me feel alot better.
I hope you won't mind if I bug you a little bit about this. Actually I might be bugging you alot. :)

I am setting up an appointment for the beginning of March...to have all the preliminary tests done again. And then I think I will get it done. I think. Maybe.

gbat
02-11-2003, 04:30 PM
Very sorry to hear it, Trish. My prayers are with you as well. Have you looked at your diet and supplementations? I am thinking it's a slight possibility a food or vitamin allergy or deficiency may be causing some of this. A slight possibility. Look for all the simple stuff first.

TwoWalks
02-11-2003, 04:34 PM
Originally posted by TrishB
I am setting up an appointment for the beginning of March...to have all the preliminary tests done again. And then I think I will get it done. I think. Maybe.

Trish, you have been a great support and source of encouragement for me, I wish there was more I could say or do at this time for you. I know you will check into this and look at all the alternatives that are available, then make a choice that is best for you. I have no doubt that you will then take what ever comes and make the most of it, not only getting by, but walking out ahead of the crowd.

The fear of things like this is the hardest part and they have made so many wonderful and unbelievable advances over the years. One thing they have never been able to do or improve on is courage and determination - this comes from the person that faces it and I know you will not let this change you or your future.

From a hundred different people, myself included, the air will be filled with love and support ... you will never be alone in this journey.

TrishB
02-11-2003, 04:44 PM
OK...now I am crying again. Your words of support really mean so much to me. Thank you.

Hibiscus09
02-11-2003, 04:48 PM
My eyes are watering up every time you say you're crying. I know you must be stressed -- I keep a prayer list & I promise you're on it & I will pray for you each night & every time I talk to God during the day. He hears from me a lot. :)

TrishB
02-11-2003, 04:55 PM
Thank you.
I have tried everything. Stopping this and trying that.
And even the cardiologist has given me nonmedical type suggestions and treatments to try. Things that have worked for others.

The only suggestion I will not do is to completely quit working out. For good.
I would lose a bit part of myself by doing that. If I can continue to be as active as I am now, but need to have the pacemaker to be that way...then I will take the pacemaker.

TrishB
02-11-2003, 04:59 PM
Originally posted by Hibiscus09
My eyes are watering up every time you say you're crying. I know you must be stressed -- I keep a prayer list & I promise you're on it & I will pray for you each night & every time I talk to God during the day. He hears from me a lot. :)

HIb....you are the best! :)
Maybe I should try your Yohimbine...that would get my heart going!

TwoWalks
02-11-2003, 05:31 PM
Originally posted by TrishB
HIb....you are the best! :)
Maybe I should try your Yohimbine...that would get my heart going!

May not be a joke - I think that is what the Chinese use it for.

TrishB
02-11-2003, 05:44 PM
Originally posted by TwoWalks
May not be a joke - I think that is what the Chinese use it for.

Really? Maybe I will check out more about it on the web. :)

TrishB
02-11-2003, 05:46 PM
Thanks for your prayers and support....you guys have helped me alot to ease my fears.

TrishB
02-11-2003, 05:48 PM
I will keep on checking and checking....maybe just gave myself another thing to think about, thanks to TwoWalks.

tracyb555
02-11-2003, 05:50 PM
Originally posted by TrishB
Really? Maybe I will check out more about it on the web. :)

Maybe your joking about this, maybe not. But don't try to self-medicate, especially with something this serious. Talk to your docs about alternatives and work with them to make the best decision.

TrishB
02-11-2003, 05:50 PM
You are so sweet...thank you for being so kind and caring. :)

TrishB
02-11-2003, 05:53 PM
Tracy....Thank you for you concern. I am serious , but I would certainly run that by the doctor before trying it.
Especially after reading Hib's reaction to it. And I yelled at her too! She would come up here and kick me in the butt.

TrishB
02-11-2003, 05:57 PM
You just keep on watching over me ....:)

I was sure you would try to get me back onto keto! :)

back2it
02-11-2003, 06:50 PM
Herbs are sometimes very effective . I have used them over the years for mainly prevention but they are sometimes very powerful as far as the way they effect your body . Doctors are usually NOT the best to talk to about this stuff . I have a very close friend that is an MD , has been for a long time has his own practice .But He knows nothing about herbs and any type of alternative mecicines or cures . We have had many discussions{read that heated arguments} about their use over the past years . Doctors know traditional medicine that is what they specialize in , what they are trained to do is diagnose conditions . With all the advancements in modern medicine they are getting pretty good at doing that , but still are prone to midiagnosis at times . The problem I have with My friend and most MDs is they are blinded by the big pharmiacuticle companies into thinking that all cures must come in the form of a pill , chemo or other "hightech" miracle medicine . They leave no room for the fact that people have been using herbal and other types of what they refer to as alternative cures for many centuries . Some of these old remedies have far less side effects than the latest greatest test tube cure has any hope of having . All the while the "alternatives" can be effective cures in many cases .
In order to get the best advice on alternative medicine I firmly believe you will have to speak with someone that specializes in that field . As you may well have concluded I have an open mind as far as the best cure is concerned . I will always look for a non modern medicine cure for any ailment that may afflict Me . There is a time however that I will seek medical attention . The last time was for influenza "A" back in 1998 . I got pretty sick and tried a few things but was not reponding so I got a prescription for a "new" at the time antiviral drug called "relenza" It worked very well I might add . I haven;t been sick since , something I acredit to my prevention program .
I just want to caution you about Yohimbe or any other herb , not that there is anything wrong with yohimbe It has a purpose and use but before you try anything learn all you can about it and possible side effects . Herbs used to cure a sophisticated problem such as your require expert help . I consider myself to be knowledgeable on the subject but I know my limitations too . Please look for an alternative , I certainly would if it were Me but do it with the same professionalism you would use when chosing a medical doctor .

Charger
02-11-2003, 06:55 PM
I am at a loss for words, I am sorry to hear this.

TrishB
02-11-2003, 07:02 PM
Back2it...thanks for that info.
I know of a few alternative medicine clinics around, but not anyone who has used them. But it is something I will look into further before doing anything. It could be interesting to see what they have to say.

little lats
02-11-2003, 07:04 PM
Nobody had more tears than me!!

TrishB
02-11-2003, 07:11 PM
Charger....thank you.

I know getting a pacemaker is not a big deal. It is not like having open heart surgery. But if I can find another way.......
I may work in the medical field, but I am a terrible patient.

And I am not dying. Although going thru this thread, you would think I was pretty close to it.
I am ok...I'm just a chicken when it comes to stuff like this. :)

back2it
02-11-2003, 07:13 PM
Originally posted by TrishB
Back2it...thanks for that info.
I know of a few alternative medicine clinics around, but not anyone who has used them. But it is something I will look into further before doing anything. It could be interesting to see what they have to say.

I am glad to hear you are doing this with a clear head . I think it is good you are seeking an alternative . As you would with doctors get a second opinion with the alt' clinics maybe go to a couple of them . Good Luck Trish .

Charger
02-11-2003, 07:19 PM
Trish, I have no doubt you will be ok and there is no need to mention the dying thing, out of the question. Good Luck with the road ahead:D
I am sure it had to be a shock at first though. Now you will have to get rid of your microwave, bet you hadn't thought of that? Let us know what you decide and we will be behind you all the way.

Hibiscus09
02-11-2003, 07:19 PM
Please don't take yohimbe! My heart rate went from normal to 190-220 back to 95 & then raced again and back. It wasn't like it brought it up to a steady faster pace -- it was really fluctuating. I'm sure it's different for everyone -- I did take a 450mg pill, which must be strong. My Phen Free only has 100mg & it just kind of gives me a nice boost. In any event, I wouldn't take any of that stuff right now if I were you.

Now I'm lecturing you about what you lectured me about. LOL

little lats
02-11-2003, 07:21 PM
Hib can you send me the leftovers.. :)

Hibiscus09
02-11-2003, 07:22 PM
Lats, you can't have it. I like you sweetie. :)

little lats
02-11-2003, 07:26 PM
All right I will be fat forever!! ;)

Yin-Yang
02-11-2003, 07:32 PM
After reading your profile I noticed your occupation is an "RN". I feel that nurses, in particular "rn's" are more knowledgeable in finding a "good" physician. You know what I mean TrishB. If it does come down to a pacemaker then find out who is the best damn physician out there through co-workers, friends and this and any forum. I don't know you personally, but I wish you the best. Working out makes the heart "muscle" stronger, we all know this. You might just need a little electric stim to control the heart rate... which can only be a good thing in what you have described as your symptons. Batteryrequired i'm sure will be able to assist you with any questions you may have. You do have the advantage of being an "rn" though... first to get all the scoop in the hospitals!! You'll be o.k. I would be more concerned if you were extremely out of shape and had no physical fitness history.

TwoWalks
02-11-2003, 07:41 PM
Originally posted by TrishB
I will keep on checking and checking....maybe just gave myself another thing to think about, thanks to TwoWalks.

Trish, if you do think about something along those lines, I figure you would or should see a professional herbalogist and also run it past your doctor. I know my doctor is also into herbal medicine and the two work well together.

rjmacbay
02-11-2003, 09:50 PM
I am very sorry to hear all of this, keep your faith, ask for help and you shall receive. You are strong and you will beat this even tho it may take modern medicine and technology. You have my prayers and thoughts.

batteryrequired
02-12-2003, 07:29 AM
Trish, that is what I am here for if you need to bug me. I practially studied all of this for 14 months as I went thru this. Luckily for you that your rate is slow. Mine being fast...when I took off racing during surgery it didn't slow down on its own, thats when I heard the doctor say something that I thought at the time sounded awfully familier..."All Clear".... They nailed me before I had a chance to figure out what they were about to do...Wow! Was that ever a surprise. So at least you don't have to worry about that happening to you. Get it done so you can move on if that is what it takes. Then you won't have to worry about it. Besides...its not in your hands anymore anyways. That was my attitude about it all. Just pray about it and forget about it. I actually had no fears at all going into it. But then again with everything else that I was going thru at the same time I pretty much didn't care either. Just listen to the doc and do everything they ask you to do and all will be great. Ask anything you need to ask and I will do my best to answer them, alrighty?!?!?!
Have a great day and keep smilin.... :D

TrishB
02-12-2003, 01:08 PM
Hib....ok now we are even with the lectures!

Lats....you don't need it, and you are not fat. ;)

Charger....If no microwave, then I will just have to get taken out to eat a few more times a week. I can handle that. :)

Yin.....nurses are the worse patients. :(
The docs I have are top notch and work in the best Boston hospitals. So I am not worried about them screwing up.
What really bothers me most is having this foreign machine in my body...with wires/electodes going to my heart. It just gives me the chills. I don't mind anyone else having one though.

TwoWalks....yes I would confer with all involved. But you did get me thinking a little differently too.

rj...thanks so much!

Battery....you really had it so much worse than me. I am not even close to what you went through. Thank God you survived.
I will PM with you questions as they arise. Thanks so much for offering to help me with this. :)

Macattack
02-12-2003, 01:35 PM
God and a few minutes ago my heart started racing and of course my first thought is What did i do to myself, heck its just ready to work out:)

Sorry to hear about this trish, but at least you know whats going on now.

Yes i know a gal who is around 35 and has had a pacemaker for years, she just recently had a new and improved one put in with some other thing that zaps her heart just incase but this is worse then what you have i am sure.

We just have to work around our difficulties somehow, we can adapt to anything if neccessary Trish you'll be fine that i am sure of, plus I have you in my prayers now:)

TrishB
02-12-2003, 03:40 PM
Mac....you are a sweetheart. Thank-you. :)

Steelhand
02-12-2003, 04:43 PM
Trish,

I'm a friend of Lats, and he told me about your situation. I'm more of a lurker than a poster on this board, but I can tell you that you're a very important part of this community. You have a lot of people praying for you right now, more than will take the time to tell you so to be sure.

My father is a survivor of two by pass surgeries (1 quad, 1 quint.) He got introduced to heart trouble by a heart attack. He's 25 active years older since then. You're being introduced while you are otherwise healthy. Between your personal strength and the friends you have thinking of you, you're going to get through this.

Just wanted to let you know...

Macattack
02-12-2003, 04:45 PM
Naw your the sweet heart, i'm just a big ole dork:)who wish's the best for ya!!

IPR
02-12-2003, 04:50 PM
Trish......sounds like lots of good and helpful advice, but let me play devils advocate for a moment.

My understand now, is that this syndrome is the result of being very athletic, and the resultant changes it has caused to your heart. According to the information I have read, if you stop exercising (or maybe significantly lower the intensity) your heart will return to its normal condition.

So, I would assume the choice is wires connected to your heart or cut the exercise.........?

I know you love working out, but in reality which is more sensible, invasive surgery or adapting to life with less exercise?

Of course I could be wrong and you and your docs have already tried this, but I think its something you really need to consider carefully (which I'm sure you are doing).

Whatever you choose my thoughts and best wishes are with you ;)

TrishB
02-12-2003, 05:02 PM
Thank-you for your kind words.
I'm not sure how important I am here, but I know how important everyone of you are to me. Even the lurkers. :)

TrishB
02-12-2003, 05:13 PM
IPR....I am going to start drawing those horns on you! ;)
Just teasing honey.....you just keep watching out for me.

I tried cutting way way back on workouts....gained 5lbs of fat doing it. And I actually got worse, since my endurance got so bad. :(

It has been suggested by the doc that I quit exercising completely. Not even a little. And that might revert me back to normal. And if it does, the only way to stay normal is to lead a very sedatary lifestyle.

A pacemaker won't kill me.....but becoming a couch potato would.
So if my only choice is between pacemaker and not being active, I will go with the pacemaker.

Who knows.... Maybe the doc will suggest keto! Then I will definetely go with the pacemaker! ;)

IPR
02-12-2003, 05:28 PM
Originally posted by TrishB
Who knows.... Maybe the doc will suggest keto!
Now that would definitely kill you Trish :D

TrishB
02-12-2003, 05:34 PM
Originally posted by IPR
Now that would definitely kill you Trish :D

You got that right!

Hibiscus09
02-12-2003, 05:35 PM
Me too.

wspe
02-12-2003, 06:08 PM
I want you to know that our prayers are with you....

"The Lord is my light and my salvation: whom shall I fear?"
Psalms 27 1

TwoWalks
02-12-2003, 07:42 PM
Originally posted by TrishB
Thank-you for your kind words.
I'm not sure how important I am here, but I know how important everyone of you are to me. Even the lurkers. :)

None of us are ever really sure of how important we are, but believe me when I tell you that you are extremely IMPORTANT TO ME

HankC
02-13-2003, 08:32 PM
Trish, I'm not trying to offer a diagnosis or be contrary to what the doc's have told you - I'm just throwing something out for thought...

I'm not sure what your age is, but seeing how this is the 35+ area this could be pertinent. Since my wife has been 40ish, she's had pretty bad heart palpatations and skipping. She's been tested and wired and all that and several doc's have told her not to worry about it. We're pretty sure it's hormone related (check out the book _Screaming to be Heard_ for a hormone related slant to all ailments female).

It sure doesn't sound that this is the case with you but I guess it's possible that whacky hormones at our age could make such a condition worse. Sometimes the treatment can be as simple as going on the pill.

Anyway, numai bine (that's "be well" for some multilingual karma :)

Eye2_Man
02-14-2003, 10:44 AM
Sorry to hear that. Bad news just plain sucks.

Belle
02-15-2003, 03:46 AM
Sorry, I only just got around to reading this thread on the weekend whilst the kids are away and it's less busy around here Trish. Sorry that you have problems...my chest just aches in the center reading this thread let alone go through what you must be going through. I hope that things turn out ok for you.

Best

Anne-Marie

Cheezekeeper
10-27-2005, 07:27 AM
Hey, Im new here but I came across this thread and thought I would throw in my own 2 cents. I went to the only school in the world dedicated to pacemaker technology and currently work for a cardiology practice in the pacemaker clinic. It sounds like you would benefit from one, as long as the person programming your device knows about your active lifestyle you should be ok. One suggestion I would give is to get a sub-pectoral implant of the device. This is a more asthetically pleasing site along with being the best for an athlete. I would be willing to answer any other questions you have about heart rhythms or pacemakers, feel free to ask.

PS

microwaves, remotes, cell phones etc. wont effect pacemakers. Magnets will, but they have a specific purpose in their interaction.

batteryrequired
10-27-2005, 08:22 AM
Hey Cheeze...I sure would be interested in finding out more about this. I am due for a new one here in the next 9 months more than likely. I also have to get some new wiring put in as somehow I cracked the sheath in the one lead years ago...but seems to still be working ok otherwise I wouldn't be typing this now would I? LOL Anyhow I am also recently layed off from work as an engineer and have thought on the possibilities of somehow if there is a way to work as a personal trainer type of person in a hospital working with heart/pacemaker people in getting them motivated to take care of themselves. Where is this pacemaker technology school located at? I would love to find out more about it.