nellhows
Boomstick Coordinator
Posts: 60
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Post by nellhows on Oct 27, 2006 12:21:19 GMT -5
Maybe my favorite line from Lost so far: when they have Sawyer out on that torture table, and they're about to jab him in the chest with that huge needle, Benry goes "God, I hate needles". Just a totally hilarious aside from a torturer.
That whole twist with Sawyer's pacemaker, I didn't quite see it coming, but looking back on it, how could they have done what they said they did so quickly and non-invasively.
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Lordmoon
Boomstick Coordinator
Posts: 174
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Post by Lordmoon on Oct 28, 2006 0:24:18 GMT -5
I saw that from the start. If the writers actually made it a point that it was in fact inserted I would have called complete BS for the reasons that you've stated. The island may help regenerate faster but not for that type of procedure (I believe it would have involved opening the entire chest cavity instead of just a simple incision).
Overall I was very happy with this weeks episode. Much more so then last weeks. I'm happy that they went back to an actualy mystery rather then the supernatural route.
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Post by Magill on Oct 28, 2006 13:36:07 GMT -5
I saw that from the start. If the writers actually made it a point that it was in fact inserted I would have called complete BS for the reasons that you've stated. The island may help regenerate faster but not for that type of procedure (I believe it would have involved opening the entire chest cavity instead of just a simple incision). I design products used with pacemakers and ICDs (not the cans themselves, but the leads that connect the can to the heart and tools to get the lead in place). Except in rare cases, implantation of a pacemaker does not involve a sternotomy. In summary, the procedure usually starts with the physician (a specialist called an electrophysiologist) making a puncture in the subclavian vein, which as its name implies is near the collarbone. Once they have access, they will place a lead through the vein and down into the heart. All pacing implants will place a lead in the right atrium, near the SA node (the heart's own pacemaker). Depending on the patients condition, another lead may go into the right ventricle, and they may also gain access to the heart's venous system to place a lead on the left ventricle. A pouch will be created under the skin near the access site and the pulse generator will placed inside it. In order to see where in the heart they are, the EP needs a fluoroscopy system (moving X-rays). The lack of a fluoro system was the tip off that the exploding pacemaker was a con. And the site of the implant. And the fact that Benry totally messed up the description of how a pacemaker works. And that to my knowledge, there are no pacemakers that blow up the heart. The regulatory agencies tend to frown on devices like that.
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Lordmoon
Boomstick Coordinator
Posts: 174
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Post by Lordmoon on Oct 28, 2006 20:55:53 GMT -5
Awesome! Thanks for the info
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nellhows
Boomstick Coordinator
Posts: 60
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Post by nellhows on Oct 30, 2006 18:07:09 GMT -5
Wow, there's some smart people on this board. If I ever need a non-invasive way to implant an exploding pacemaker into someone, Magill is the man. So anyway, would Sawyer be able to walk to his cell, go on a hike, stare at Kate etc. within hours of that procedure assuming it was real?
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Lordmoon
Boomstick Coordinator
Posts: 174
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Post by Lordmoon on Oct 30, 2006 18:49:00 GMT -5
Well, judging from how this operation is commonly performed (thank you, Magill) plus the accelerated healing rate which the island seems to provide, I would say that it would be very possible indeed for Sawyer to do all those things. Of course even if it was not I think the Others were counting on Sawyer to be scared and naive enough to believe whatever it is that they told him. I know that I would probably just take their word for it considering the consequences.
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Post by Magill on Oct 31, 2006 0:49:44 GMT -5
So anyway, would Sawyer be able to walk to his cell, go on a hike, stare at Kate etc. within hours of that procedure assuming it was real? It's hard for me to say, because the human cases I've attended have all been people with conjestive heart failure, so they're not likely to go hiking anyway. I do know that they advise patients to go easy on the arm movements (especially the side that has the implant) and not to poke at or play with the pocket. That can cause a condition known as "Twiddler's syndrome" in which the lead gets wrapped around the implant. You can read more about that and post-implant care here.
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