Dual-chamber leadless pacemaker system

I won't exactly be making medical history, but I might be moving quickly ahead of my dad and siblings, all of whom had/have a conventional pacemaker. I'll be meeting with Dr. Amin about a "revolutionary" dual-chamber leadless pacemaker system, which will coordinate i2i (implant to implant) devices (smaller than a AAA battery) between the heart's atrial and ventricular chambers without traditional leads. I've seen it likened to a "moonshot" or a least a Thomas Edison moment in heart regulation. It was approved by FDA in 2023. I'm a pace setter at age 85!

Of course, I've learned all this in a week, so I'm a little fuzzy on the details--I been reading blogs and product literature and listening to podcasts. It's like trying to learn Mandarin and then having a conversation. It's brand new even to the experts, IMO.

 
In September I was told I was not a candidate for a pacemaker (originally developed in the late 50s) and here I be, now ready for the moon! If you have one of these in your heart, let me know--I've yet to meet anyone who does. And if you're a direct descendant of Grandma Bessie, we might want to talk.

A Christian and an evolutionary biologist with no faith discuss the value of religion

 A non-religious evolutionary biologist is stumped about human dignity.  Only religion explains it.

https://youtu.be/gwQHLHNsKvw?si=4NEjlCLCo8Qf_fpY  full podcast

https://youtu.be/28AvAlU8FPs?si=ePq6yhIVsjhUFltq   critical clip

Dark Horse is one of my favorite podcasts.  I've never heard of John Papola and the Dad Saves America podcast before, but he sounds like a critical thinker and just a wee-bit over my head. He reminds me of Joe Rogan without the profanity. 

Federal employees and IRS

"Don’t expect to get any customer service from the IRS. Only two of the 76 local IRS offices picked up their phones to answer questions, according to a July 2024 report." This is from Daily Signal report on at home workers for the federal government.  https://www.dailysignal.com/2024/12/05/joni-ernst-report-highlights-federal-employee-outrages/?

That caught my eye because we've just received a letter from the IRS saying we had a refund for our 2021 taxes (I think it was due to their error) and needed to fill out a form immediately and return it in order to claim it because we hadn't responded. There was no previous notice. Someone probably had her coffee cup or romance novel sitting on it. Or maybe she was at the beach and just didn't meet her quota.

Why did so many women vote for Trump?

Although I haven't read it yet, First Things has an article "How Trump won over women voters."  How Trump Won Over Women Voters | Rachel Bovard | First Things I'll give my own opinion and read it later--usually you can read that excellent religion and culture journal free for one or two times.

 
My take. Although highly paid and over-educated women as a group do lean to the left and are easily led because they are too busy with career and kids to carefully research the issues of the day, most women care about their budget, their children's education, their neighborhood, the safety of their families and community, and they love being women. They may love men, but don't want to compete with them for restroom facilities or athletic scholarships. Also, they don't like wimpy, childish men. Really.

 
That would sum up a Trump voter, or at least a voter who realized Harris didn't align with their values no matter who was running against her. Women voters knew, because Harris said so, that she was the last person in the room when Joe signed off on the Afghanistan bug out, when he showed the world how weak and feckless he was throwing us into 2 wars with no vote from Congress, and how she went along with the country lock down mandates, how the churches closed without a whimper from fear, and how children were unnecessarily forced to get the jab or be locked out of their schools and athletic events. Women voters saw other women being cancelled for speaking out or deciding not to run for school board or city council out of fear of retaliation. Women voters saw their own grocery bills and housing costs soar while illegals were being housed and fed in hotels. https://nypost.com/.../nyc-now-using-14-hotels-to-house.../

"In the real world, where the vast majority of American women actually live, this shift was inevitable. Most American women are turning to the right because the elite left has turned against most American women.

According to exit polls, women voters’ top concerns in 2024 were the economy and “threats to our democracy.” By contrast, Democrats’ top campaign messages were “abortion-on-demand” and “Orange Man Bad.” 

Maybe their marching song instead of "I am woman hear me roar" (1972) became "I am woman respect my body and my vote" (2024).

Leadless Pacemakers

 My cardiologist's staff has contacted me about having a leadless pacemaker after getting some results on November 20 from the heart monitor loop which is showing bradycardia, tachycardia and atrial fibrillation. In fact, several times it had stopped.  So I thought I'd better be informed before I agreed to it since a few weeks ago I was told I was not going to have a pacemaker. There is not a lot of information.

"Traditional pacemakers have been the standard treatment option for patients with severe/symptomatic bradycardia, an arrhythmia indicating an unusually slow heart rate. While there have been significant advancements in pacemaker technology since its introduction in 1958, pacemaker devices have continued to require the creation of a surgical pocket under the skin on the upper portion of the chest wall in order to hold the power source, and the use of leads to reach the pacing site. Current leadless pacemaker devices are self-contained enclosed capsules that include the pacemaker electronics and battery, and are delivered via catheter to the right ventricle of the heart. Leadless pacemakers function similarly to traditional single-chamber ventricular pacemakers without requiring transvenous leads or the need for a surgical pocket. https://www.cms.gov/medicare/coverage/evidence/leadless-pacemakers

I wanted to know the background of the funding and approval. This was CHAT generated

"Based on the provided search results, here is a summary of the Aveir leadless pacemaker grants:

FDA Approval: The Aveir Leadless Pacemaker System received FDA approval on March 31, 2022, for the treatment of bradycardia (slow heart rate) or irregular heart rhythms.

Indications: The system is indicated for management of one or more of the following permanent conditions: syncope, pre-syncope, fatigue, disorientation. Rate-modulated pacing is indicated for patients with chronotropic incompetence, and for those who would benefit from increased stimulation rates concurrent with physical activity.

Retrievability: The Aveir leadless pacemaker has a high retrieval success rate, with a study demonstrating a rate of 88% over 9 years, making it a viable option for patients who may require future upgrades or removal.

Dual-Chamber Pacing: The Aveir DR system is the first dual-chamber leadless pacemaker approved by the FDA, allowing for simultaneous pacing of both the atrium and ventricle.

Battery Longevity: The Aveir VR leadless pacemaker has a projected battery longevity of up to 16 years, compared to the average 8-10 years for traditional transvenous pacemakers.

Clinical Trials: The LEADLESS II trial demonstrated the safety and effectiveness of the Aveir VR leadless pacemaker at 6 weeks post-implantation, with a high efficacy rate of over 98%.

Congenital Heart Disease: A retrospective review of three Aveir retrievable leadless pacemaker implants in adult patients with congenital heart disease showed successful implantation and short-term outcomes up to one year post-implant.

These grants and approvals demonstrate the Aveir leadless pacemaker’s potential as a safe and effective treatment option for patients with bradycardia or irregular heart rhythms, particularly those with congenital heart disease.


fda.gov
Aveir Leadless Pacing System – Aveir Leadless Pacemaker, Model LSP112V (Right Ventricular); Aveir Delivery Catheter, Model LSCD111; and Aveir Link Module, Module LSL02 – P150035 | FDA

abbott.com
AVEIR DR System: 3 Things to Know After FDA Approval | Abbott Newsroom
cardiovascular.abbott

What we're asking the loop recorder to do? video from a 2023 conference The Latest in Implantable Cardiac Monitor Technology: Dr. Ulrika Birgersdotter-Green at HRS 2023

Product information on Abbott dual chamber leadless pacing

https://www.cardiovascular.abbott/us/en/hcp/products/cardiac-rhythm-management/pacemakers/aveir-dr-dual-chamber-leadless-pacemaker-system.html?

Since 1996 I've been on medication to control heart rate. For most of my life I've had POTS (postural orthostatic tachycardia syndrome), but didn't know what it was. Had an ablation in January 2002, but it didn't work. POTS: Causes, Symptoms, Diagnosis & Treatment

Advent Sunday by Christina Rossetti

Advent Sunday
by Christina Georgina Rossetti

Behold, the Bridegroom cometh: go ye out
With lighted lamps and garlands round about
To meet Him in a rapture with a shout.

It may be at the midnight, black as pitch,
Earth shall cast up her poor, cast up her rich.

It may be at the crowing of the cock
Earth shall upheave her depth, uproot her rock.

For lo, the Bridegroom fetcheth home the Bride:
His Hands are Hands she knows, she knows His Side.

Like pure Rebekah at the appointed place,
Veiled, she unveils her face to meet His Face.

Like great Queen Esther in her triumphing,
She triumphs in the Presence of her King.

His Eyes are as a Dove's, and she's Dove-eyed;
He knows His lovely mirror, sister, Bride.

He speaks with Dove-voice of exceeding love,
And she with love-voice of an answering Dove.

Behold, the Bridegroom cometh: go we out
With lamps ablaze and garlands round about
To meet Him in a rapture with a shout.

Advent Sunday:Christina Rossetti | Malcolm Guite

Democrat values reflect their policies

I've watched 3 weeks of Democrats pointing fingers, and they just can't figure it out, was it racist white males, or disillusioned minorities, or her vice president choice, or lack of support from Biden staff, and on and on and on. So here's my repeat of November 6 for them to think about. Pick just 2 and Trump wins.

"Kamala gave a stirring and passionate concession speech today saying she would continue to fight for our democracy--for her principles--open borders, packing the court, gun confiscation, arresting people who use their first amendment rights like religion and speech, promising inflationary policies like price controls and government give aways to some home buyers, funding foreign wars, and destroying the unborn while our birth rate plummets. And the people cheered."

Watts, Wesley and Winkworth

 Our small group from UALC (our church) is sharing leadership for our meetings on Zoom and I plan to offer a discussion on hymns as we enter the Advent and Christmas seasons with the theme of Watts, Wesley, and Winkworth--Whymns.  It turned out to be a bigger topic than I'd planned, so I decided to "blog" about it.

The topic covers three faith traditions--Puritan/Congregational, Methodist and Lutheran. I say tradition rather than denominations because there have been many divisions. These divisions and traditions developed during a time of great cultural changes in the arts, technology, and politics over three centuries.

There are many biographies available on the internet, so I've linked to only one site, but after reading several, they don't all agree. And I've added a link to a recording. 

Isaac Watts (1674-1748) Nonconformist (non-Anglican), dissenter, English 

Known as the "Father of English hymnody," Isaac Watts wrote approximately 600 hymns. He showed literary genius even as a boy. He learned Latin at four, Greek at nine, French at ten, and Hebrew at thirteen. His parents were "Dissenters." That is, they were not Anglicans, which was a treasonous offense in those days. Frustrated with the heartless psalm singing of his time, young Watts sometimes criticized the singing at his church. A dissenter among dissenters, I'd say.  Listening to his concerns one day, Watts' father challenged him, "Well then, young man, why don't you give us something better to sing?" He rose to the challenge by writing his first hymn. It was well received by his congregation, and for the next two years, Watts wrote a new hymn for every Sunday. He is known for Christianizing the Psalms. Isaac Watts - The Center For Church Music, Songs and Hymns

https://youtu.be/iYYXWxDzEmM?si=piM_5tB7KAda78-f  O God our help in ages past, paraphrase of Psalm 90, a good hymn for the New Year

https://www.youtube.com/watch?v=JMK9QHaoqpo  podcast about Isaac Watts

At The Cross: Isaac Watts, The Father of Hymns

Charles Wesley (1707-1788) Church of England, Methodist, Missionary to Georgia, English

"Charles Wesley wrote over 6500 hymns [some sources say 8,000], which would be writing at least two hymns a week, every week for 50 years, from his conversion in 1738 to his death in 1788. His hymns came out of what he saw as important occasions. His own life inspired hymns: his conversion, his marriage, things he had seen, the death of his friends. Public events inspired hymns: the earthquake panic, rumors of an invasion from France, the defeat of Prince Charles Edward at Culloden, the Gordon riots. He wrote hymns for all the festivals of the Christian faith.

Wesley’s hymns can be generally classified as hymns of Christian experience, invitation hymns, sanctification hymns, funeral hymns, and hymns on the love of God. In his hymns, he referenced all but 4 of the books of the Bible. He used more than 45 different meters. It has been said that Wesley’s hymns clothed Christ in flesh and blood and gave converts a belief that they could easily grasp, embrace with personal faith, and if necessary, even die for." 

Charles Wesley - The Center For Church Music, Songs and Hymns  (excerpt) 

Why Wesley Still Dominates Our Hymnbook - Christianity Today  Really good article, but it is 17 pages long

https://youtu.be/9Bwn0k0k8xI?si=pbrUv266Izp907kr "Hark, the Herald Angels Sing," Charles Wesley

Catherine Winkworth (1827-1878)  studied with Unitarians, English, best known as translator of 17th century German hymns

"Winkworth was a prolific translator of German hymns She became interested in translating these hymns when Chevelier Bunsen, the German ambassador to England presented her with a copy of Andachtsbuch. This devotional book showed her the treasures in German hymnody. She published two series of Lyra Germanica, in 1855 and 1858. The first had 103 translations from Bunsen's Versuch eines allgemeinen Gesang und Gebetbuchs (1833). The second had 121 more translations from the same book. She also published the Chorale Book for England (1863), which contained some earlier translations with their proper chorale tunes, and Christian Singers of Germany, (1869) biographies of German hymn writers." 

Catherine Winkworth - The Center For Church Music, Songs and Hymns 

  https://www.umcdiscipleship.org/resources/history-of-hymns-now-thank-we-all-our-god  Now thank we all our God, Martin Rinkart

God of our weary years

"God of our weary years,
God of our silent tears,
Thou who hast brought us thus far on the way;
Thou who hast by Thy might,
Led us into the light,
Keep us forever in the path, we pray.
Lest our feet stray from the places, our God, where we met Thee,
Lest our hearts, drunk with the wine of the world, we forget Thee;
Shadowed beneath Thy hand,
May we forever stand,
True to our God,
True to our native land."

James Weldon Johnson, 1871-1938, "Lift Every Voice and Sing" (third stanza)

I could never understand how some think this poem/hymn could be controversial or that it belongs to only one group. It is universal, past, present and future, autobiographical from womb to tomb. From struggle to hope to victory.

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Operation Christmas Child

Message from UALC: We pray for each shoebox that will be brought to Mill Run this week, from our church and other churches in the area. We pray for the journey of the shoeboxes and the individuals involved in getting them to the children. May the contents of these boxes bring necessities, as well as items of joy and fun to each recipient. We pray for the children and families whose lives will be impacted by the contents, and the message of God and his love.

There will be many more, but this was the stack on November 16, 2024.

The only time Democrats care about women

The same people who didn't care about 

300,000 children missing in the U.S. and possibly trafficked because of Biden's policies,

 
men in women's locker rooms and playing against them in physical sports,

 
who think normal people are Nazis if they don't list pronouns,

find 34 felonies in a bookkeeping error

 
can't tell us what a woman is but can serve as judges or professors

those same people will believe an anonymous woman (yes, for this they will say she's a woman) quoted in a leftist newspaper or social media site about any charges about a male Republican in line for an important corporate or political office.

The problem is left over cookie icing

 RFK Jr can't do it all alone. MAHA can do some things, but it's up to us to exercise, eat fewer calories, drink less and stop smoking. And I could stop cleaning up the bowl of icing after I make the cookies (like I just did).

Melt half a stick of butter, a few drops of vanilla, a dash of salt, and a few scoops of Hersey's cocoa (dark). Mix in enough powdered sugar to make it stiff. If it's too stiff to spread on the cookies, add a little half and half. Spread on cookies. Chocolate makes everything better.

What happened to Title IX?

I asked Google(?) who changed the original meaning of Title IX.

 
Sen. Birch Bayh wrote the original 37 words to insert in an education bill in 1972. It was signed by President Nixon. That still doesn't explain to me how President Biden was allowed to change the law in 2022 to add "Including Sexual Orientation or Gender Identity," in an Executive Order, creating chaos for females in all areas of education. That alone should have been reason enough for all women not to vote for him (or his stand-in, Harris). Let's see if this new case gives women justice. Eventually, women will win in the Supreme Court. There are now biological men competing in women's sports (and other endeavors) who are "women" on their word and nothing else--not drugs, not surgery, long past puberty, just a pure violation of Title IX and with the media as the handmaiden of the violence.

Gaslighters in the sciences

Laura Helmut, editor-in-chief of America’s oldest magazine, Scientific American, resigns after calling Trump voters fascists. She's the fascist. They always accuse others of what they are doing.

If that's what she thinks of us, she should stick by it, and not grovel to get her job back. If she can't handle an election, she needs the rest from a high pressure job and try coal mining, or working the window at McDonald's.

"Helmuth had apologized in a separate post, calling them “offensive and inappropriate” and that they don’t “reflect the position” of Scientific American.

“I respect and value people across the political spectrum,” Helmuth wrote. “These posts, which I have deleted, do not reflect my beliefs; they were a mistaken expression of shock and confusion about the election results.” "

A Bible verse to memorize

I've heard my whole life that memorizing text (poetry, Bible verses, instructions, math solutions, etc. is good), and I wish I could, but I struggle with memorizing. But I've found a Bible verse that's easy to remember, and it's a theme that appears throughout the Bible in many ways and in parables, commands, stories, songs, and history. It fits any period of history and doesn't violate anyone's culture or ethnicity. Psalm 37:3 "Trust in the Lord and do good." It's the same in any translation. Then I'll work on the next part which contains the promise that follows the command, and it is a command.

Men in women's sports

There's an easy way to solve this.   https://www.theblaze.com/fearless/trans-athlete-heckled-womens-sports?   See story below.  There can be a third league. The only reasons not to are 1) an agenda to destroy women's sports, 2) dismantle and destabilize women's sense of purpose and identity, and 3) to make unsafe for women those arenas of society that are set aside to protect or promote them. This will have no effect on Lesbians and Gays; they are women or men. Unlike the acronym, they are not natural allies.

 
We need to start at the universities with medical schools that "affirm" the nonsense at the taxpayers expense, like The Ohio State University, and the various children's hospitals. If men want to play "dress up" and wear mascara or women want to deform their bodies and be sterile, allow them to grow up first. These clinics are not kind, understanding or affirming.

"San Jose State University's women's volleyball was defeated by San Diego State University on Saturday, but the score was not what caused the most commotion.

The game saw around triple the usual attendance; however, much of the crowd was not happy to see SJSU's transgender athlete Blaire Fleming. Born Brayden, Fleming is a 6'1'' male whose inclusion on the team has sparked five separate forfeits from opposing teams and even caused his own teammate to speak out against him."

Billions spent on our election

Every election I think how the huge amounts of money could have been spent for better causes. But not this year. The money spent, both by Democrats and Republicans saved our nation to be a blessing to others. It secured our borders, it attacked waste and frivolous spending that would have been far more expensive if not reduced, it slowed down the wars, and perhaps it was the funeral for wokeism in our military, the bureaucracy and academe. It is the new Jim Crow. Is that too much to hope for?

 
The Democrats' money too helped just by showing us how ridiculous and divisive their policies and goals are. While trying to destroy us, they paid millions to show us the opposite of the values they touted with Americans held hostage for a Jan 6 riot, for Americans and allies killed in August 2021, for the coup that was the opposite of democracy, and their killing of babies and maiming of children.

According to Wall St. Journal today: "Kamala Harris raised more than $1 billion and spent more than $900 million [I don't know where the money Biden raised before he withdrew went], while the Trump campaign raised around $380 million and spent more than $350 million. In swing states Democrats had the edge in campaign spending across the board.

The margin was closest in Pennsylvania, where Democrats spent $109 million to Republicans’ $102 million. In Michigan Democrats spent $81 million to Republicans’ $18 million. In Wisconsin it was $49 million to $15 million, according to AdImpact. Mr. Trump won those states, but more narrowly than his advantage on the issues and the national turn to the right suggest he might have."

We Bruces contributed nothing except indirectly. Our money continued to support pro-life causes, religious freedom causes, conservative non-profits and our church. All those organizations have staff, volunteers and communication systems that speak the truths of the Bible and our Constitution. I hope they spent wisely and prayed about it.

Trump election protests

If you totaled all the protesters against the November 5, 2024, election and the pink hat ladies on Trump's first inauguration in 2017 who destroyed cars and set fires, would they add up to the January 6, 2021, protests? Is it an insurrection? Who will keep track?  https://www.newsweek.com/donald-trump-protests-cities-1981841?

 
From Wikipedia: "By the end of the month [Jan. 2021], the Federal Bureau of Investigation (FBI) had opened more than 400 case files and issued more than 500 subpoenas and search warrants related to the riot.[2] The FBI also created a website to solicit tips from the public specifically related to the riot,[3] and were especially assisted by the crowdsourced sleuthing group Sedition Hunters.[4] By the end of 2021, 725 people had been charged with federal crimes.[5][6] That number rose to 1,000 by the second anniversary of the attack,[5] and to 1,200 by the third anniversary, at which point over 890 people had been found guilty of federal crimes.[7][8] These federal cases are handled by the U.S. Attorney's Office for the District of Columbia (D.C.).[9] State cases, of which there are fewer, are handled in the D.C. Superior Court.[10]"

TV series reviews

Recently we got Paramount+ with a renewal of our Spectrum subscription, so I've been watching 3 (new to me) series about female lawyers. All are well done with great supporting casts--"So help me Todd," "Matlock," and "Elsbeth."  All are on demand, so I can watch any time. I have no idea where they are in the regular CBS line up.

1. In So Help Me Todd, the titular Todd (Skylar Astin) is a private investigator whose license was revoked. He’s working in his fastidious attorney mother’s (Marcia Gay Hardin) law firm and the two must navigate both the nature of the job and their relationship. This is my favorite, but it's been cancelled. Lots of family conflicts in this story line, since Todd has siblings, each one with mama issues. One is a doctor and one is assistant to the governor of Oregon. Obligatory LGBTQ sub text.

2. Matlock follows Madeline Matlock as she rejoins the work force at a prestigious law firm, where she uses her wily tactics to win cases and expose wrongdoing. She and her husband have custody of the grandson after their daughter died of a drug overdose. He helps her solve crimes. It's OK, but the writers have her lying a lot to her colleagues and also use the ruse of work hostilities to get the cast to bond. Obligatory LGBTQ sub text. This sounds a little tired, but so far, I've enjoyed most of them before falling asleep.

3. Elsbeth. "Carrie Preston is Elsbeth Tascioni, the astute but unconventional consent decree attorney working with the NYPD to catch New York’s most well-heeled murderers utilizing her unique point of view." I've only watched one episode. It's a comedy-drama so I don't know if there is a sub plot about marriage, divorce, siblings or lesbians.

So, I've OD'd on crime and post middle-age women attorneys. Brenda in "The Closer" got us started on this genre about 20 years ago and she was the trail blazer. Bob still watches the reruns. But none are that good. Marcia Hardin has a fabulous wardrobe, and Elsbeth looks like she shops at my favorite resale shop. Matlock is seen mostly in a gray pants suit or her bathrobe for her home scenes.

What's the future for Trump supporters now?

We attended a small gathering of shell shocked but jubilant voters last evening--pizza, wine, spice cake, and a lot of discussion about the future. I heard many fantastical but hopeful ideas--woke is dead, education department will disappear, border will be safe, the wars will wind down, Musk will be amazing, etc. etc. I'm happy Trump won, but he's just a man full of common sense and old fashioned American idealism. (This was called fascism by his opponents and set him up for assassination attempts.) He's not the return of Jesus.

And for all of us who were ridiculed or cancelled (in job, in family, in friendships or in church) for speaking the truth about the 2020 election, the vaccine or George Floyd, let's hope there can be the purifying effect of sunlight on those issues too. Have you seen the graph of the 20,000,000 Democrats who were in the 2020 data, but not in the 2016 or 2024? Did Biden really get more votes than Obama? When and if Trump gets some of the "cancelled" science professors--biology, medicine, virology, etc.--back on the job and in the CDC and FDA, let's hope we never again let "public health departments and politicians" take away our freedom of religion and right to speak or have opinions.

The new meme that even Don Jr. is espousing is that losing in 2020 was a good thing because he would have been continually harassed and blocked, and now he will have a much stronger team, more knowledge about who he can trust, the backing of his party (which has also been changed) and the Senate (and we hope the House) to get his appointments through to make substantive changes. Of course, he'll never have the media, academe or Hollywood, but that's not a bad thing as the new media is drawing millions away to new sources.

We'll see. Most of us won't be here for the next one, or will be too befuddled to care.

And I'm still a one-issue voter--still voting for the babies. Join me!