Sunday 27 November 2011

The Single and Only Secret Method to Creating a Better World

!±8± The Single and Only Secret Method to Creating a Better World

I will give you time to ponder the title question as I give you two examples. Heart disease and heart related problems are one of the leading causes of death in this country. Everyday in offices, homes, planes, on the road, etc. people are suffering heart attacks and inevitably requiring someone to call 000 to organise an Ambulance. In many instances due to traffic, Ambulance shortages and system inefficiencies, paramedics are arriving at a patient's side to late to prevent major damage or death. In fact in the US, nearly 80 percent of all sudden cardiac arrests occur at home and fewer than 5 percent of those victims survive. In the market place now is a product called a Home Heart Start Defibrillator. This amazing product allows virtually any user to restart a person's heart that may have stopped by talking a person clearly through the process. It even checks to see whether the electrical pads are in the right place and if the person actually needs the process at all. It even coaches a person trough CPR.

On the other hand we in the Western World at large is going through an obesity epidemic starting with kids as young as 3. Why are we going through such an epidemic and why is the problem getting worse? Well we drive to school and the shops instead of riding or walking. We watch TV and chat and play games on the computer or games console for entertainment instead of exercising and playing outside. We have less time to cook because of our schedules so we eat more pre-prepared, highly processed and fast food. Basically we have automated so many our tasks because of the Internet and technological devices we have created, that our daily manual labour tasks are now minimal.

In many Universities in the 70s they used to teach students that in the future they would be working less because of technology and processes that were now human operated would be automated. Unfortunately they were only half right, we have automated most of those processes but we are working more than ever.

Now given all this due you think we are better or worse off than generations previous? The easy answer would probably be that is depends what you are talking about. We have made things more efficient, we have more entertainment options, medical science is able to cure more ailments, we can travel most places easily and we are able to access and information and communicate better. However as a society we also are now fatter, less active, more depressed and lonely, communicate face to face less, in more debt and if trends continue will have a shorter average life span to our preceding generation.

The saying "you are here for a good time not a long time" would suggest we are better off now but the fact that only a generation ago, terms like stress disorder, ADD, hyper obesity and road rage were rarely used if at all. I think the problem lies in the fact that over time, we as human beings became dependent on instant gratification in all aspects of our life. Whether it is entertainment, communication, travel or even curing a disease. At some point we had to invent the machines and systems to achieve this instant gratification and that would have taken hard work and maybe even a bit of suffering to achieve that goal. This sort of human struggle to achieve something is what many believe brings a fulfilling life. Maybe if we as a society struggled to achieve something for future generations to enjoy then not only can we overcome some of the problems our society has but we can also enjoy the technology we have because of generations past without it being detrimental to our lives.


The Single and Only Secret Method to Creating a Better World

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Wednesday 2 November 2011

Implantable Cardioverter-Defibrillator (ICD) - How is the action performed?

When we're ready to start you'll be brought into the cardiac catheterization lab (much like an operating room with x-ray cameras) and you'll lie on a table while our technicians prepare the area on your body where we'll be working. In most patients we place the ICD just below the collarbone on the left chest wall. We can also implant the ICD on the right if there is a reason the left side can't be used (eg a patient with a left arm dialysis fistula or previous surgery for breast cancer). The technicians will cover your chest and face with a drape to protect the sterile area where we'll work (the drape over the face can bother some patients—we can provide more sedation to you if you think this will be a problem). After providing you with some sedating medication we numb the area of skin with local anesthetic. We make an incision about two inches long and then create an area under the skin where we can place the ICD. We pass the wires (leads) into veins that lead directly into the right atrium and ventricle of the heart. Once we place and secure the leads in the heart we test them electrically to make sure we have good conduction and adequate position to pace the heart. We attach the leads to the ICD and place it under the skin. At that point you will be fully sedated and we will test the shock function of the ICD. Finally, we close the skin with absorbable suture so that you will not need stitches removed. You will stay in the hospital overnight so that we can observe your ...

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