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Lifesaving devices often come in small packages BY SUE WEBBER CONTRIBUTING WRITER An otherwise-healthy 73-year-old man experienced a series of fainting spells that finally were relieved with the implantation of a heart pacemaker. The device to pace his heart was surgically inserted below the skin under his collarbone on the left side of his chest. The pacemaker is connected to his heart by one or more wires. If his heartbeat falls below 60 beats per minute, the pacemaker sends signals to his heart to keep the level above 60. Pacemakers work only when needed. They go on when the heartbeat is too slow, too fast or irregular. “I’m not aware of its being there; I don’t feel a thing,” the patient said. The pacemaker is checked periodically throughout the year, via a telephone call to his cardiologist, or a visit to the doctor’s office. “My cardiologist once said, ‘You know, it wasn’t too many years ago that you wouldn’t have lived with that condition,’” the patient said. The lifesaving results of pacemaker use continue with additional medical advances. True to the adage that good things come in small packages, Medtronic has in the last year perfected and introduced two small devices destined to help people with heart conditions. In December 2013, the Fridley-based company announced the first in-human implant of the world’s smallest pacemaker, the Micra Transcatheter Pacing System (TPS). It is one-tenth the size of a conventional pacemaker and comparable in size to a large vitamin pill, the company said. In February 2014, the company launched its Reveal LINQ Insertable Cardiac Monitor (ICM) system, the smallest implantable cardiac monitoring device available for patients.

Miniature pacemaker The Micra TPS goes directly into the heart through a catheter inserted in the femoral vein. The device does not require the use of wires to connect to the heart, but is attached to the heart via small tines that deliver electrical impulses to pace the heart through an electrode at the end of the device. “Traditional pacemakers have wires weaved into the heart, but the Micra has no leads or wires,” said Joey Lomicky, senior public relations specialist in the Cardiac and Vascular Group at Medtronic. “It’s fully self-contained.” Pacemakers are small implantable medical devices that are prescribed for people whose hearts beat too slowly or irregularly. A pacemaker stimulates the heart muscle with precisely-timed pulses of electricity that cause the heart to beat in a manner similar to a naturally occurring heart rhythm. A normal heart beats about 100,000 times a day. Modern pacemakers, averaging 70 pulses per minute (depending on the need of the patient), generate about 36 million pulses a year. Someone with a slow or weak heart rhythm may feel dizzy, weak or very tired. An implantable pacemaker may Above and below right, the LINQ Insertable Cardiac Monitor is one-third the size of a AAA batthen be used to restore a consistent flow tery. Below left, a Micra TPS pacemaker is about the size of a nickel. (Submitted photos) of proper electrical impulses, thus improving blood circulation and restoring a general feeling of well-being to the patient. Although people of all ages receive pacemakers, 65 percent of pacemaker patients are between the ages of 50 and 79. About 30 percent are 80 or older and less than 5 percent are under 30. In contrast to conventional pacemakers, the TPS does not require a surgical incision in the chest and the creation of a “pocket” under the skin, eliminating any visible sign of the device. DEVICES - TO PAGE 5


Page 2 Mature Lifestyles • Thursday, August 22, 2014

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Mature Lifestyles • Thursday, August 22, 2014 Page 3

Medical alert devices, defibrillators help save lives BY SUE WEBBER CONTRIBUTING WRITER Technology, systems and devices for providing help to people outside a medical setting are continually evolving, prolonging lives that once might have been lost. Two of those techniques are used at North Memorial Health Care in Robbinsdale. One is North Memorial Connect, a medical alert system enabling people who have fallen or need help to get immediate assistance. Another is the AED (automated external defibrillator), a device that can be used by non-medically trained people in the field to resuscitate the victim of sudden cardiac arrest. North Memorial Connect Ben Musburger, supervisor with Home and Community Services at North Memorial, said the personal response service began in 1998 and since has served more than 1,000 people. Senior citizens and people with disabilities are the most frequent clients. The medical alert service is a pendant worn around the neck or on the wrist that can automatically place a call for help when a fall or other emergency is detected. The device works with existing landline telephone service. When an emergency is detected, the system is programmed so a live person answers the call 24/7. Once the situation is assessed, a family member, neighbor or emergency service is contacted. If a user has pushed the button on the alert system and does not respond when the call is answered, 911 is summoned immediately. “If you use it once, it pays for itself,” Musburger said. “Most folks want to continue to live in their own homes, and this gives them and their family members peace of mind.” It is especially helpful for people with medical conditions who are living alone, people who have fallen or are at risk of falling, people who have recently been hospitalized, and people who have problems with balance or chronic ailments. According to Musburger, North Memorial responded to more than 400 calls in 2013 that resulted in someone with the device being taken to the hospital. Another 400 people were given help on site.

Automatic defibrillator Using a defibrillator, Paul Mendoza, a 25-year paramedic at North Memorial, has personally saved 12 people from sudden cardiac arrest. He is coordinator of North Memorial Heart Safe Communities. According to Mendoza, 4,000 people in Minnesota die of sudden cardiac arrest each year. If an automatic defibrillator had been available, some might have been saved. Thirteen years ago, Mendoza was recruited to sell automatic defibrillators, and now runs Advanced First Aid Inc. The AED he sells is made for anyone to use to resuscitate a person who has suffered sudden cardiac arrest and collapsed. Mendoza’s company provides training and service on the devices. The first AEDs were available in the 1980s, but they were big and expensive and required a large car battery to operate, according to Mendoza. In the mid-1990s, Medtronic came up with a smaller version and the device has increased in use and popularity since then, Mendoza said. The devices are now commonly found in businesses, schools, senior citizen facilities, condominiums and public places, and “wherever people gather.” “The AED is very small, smaller than a phone book,” Mendoza said. “Anyone can operate them. You can’t hurt anyone when you use it. The number one failure with AED is battery failure.” A recorded voice talks users through proper placement of the leads on the victim’s body and instructs them when and if to push the button to electrically shock the heart. “If you use the AED within 1 or 2 minutes, that’s when there is the highest success rate,” Mendoza said. The more delay there is, the less likely you are to save the victim, he said. He notes that the American Heart Association’s Chain of Survival has five links for emergency care: Call 911, start CPR, use an AED, get help from the ambulance and paramedics, and get to a hospital. “Each link plays an important role,” Mendoza said. “All the cogs together make a system.” Of the 12 lives he has saved with resuscitation, Mendoza said, the youngest was 18 and the oldest was 79.

A medical alert device, such as the one worn around this woman’s neck, can automatically place a call for help when a fall or other emergency is detected. (Submitted photo) “The man who was 79 when I saved him died this spring at the age of 90,” Mendoza said. “He didn’t die of heart disease. He died of cancer.” New Hope Police Chief Tim Fournier, who worked as a paramedic at Hennepin County Medical Center from 1988-91, said he believes AEDs are “a very effective tool.” He estimated that 90 percent of all police departments have them, along with many fire departments. Every police squad car in New Hope is equipped with an AED, he said. New Hope also

has installed an AED in each of the city buildings: City Hall, Public Works, the golf course, the ice arena and the swimming pool. The device also is installed in all area school buildings, he said. Many people who have heart issues also have AEDs in their homes, Fournier said. “You don’t have to be a paramedic to use it,” Fournier said. “The machine prompts you on how to use it safely.” ALERT - TO PAGE 5


Page 4 Mature Lifestyles • Thursday, August 22, 2014

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Many seniors are computer-savvy, skilled learners BY SUE WEBBER CONTRIBUTING WRITER Roger Bartilson didn’t let any grass grow under his feet after he retired. The Lakeville resident ended his 45year career as an engineering supervisor with KMSP-TV in 1999. A month after he retired, he began donating each Monday morning to helping senior citizens who have computer questions and problems at the Lakeville Senior Center, 20110 Holyoke Ave. “I learned computers at work; I went to some classes,” he said. “There were no computers when I started.” Some of the Lakeville seniors are getting to know computers from scratch, he said. Some worked with computers before they retired, perhaps with a program that now is outdated. “It’s constantly changing,” Bartilson said. “Some are working with iPads. A lot of them are having trouble combining photos in a way that they can deal with them.” Bartilson, who said he owns several computers, got into the instruction mode when he was asked to help relatives with their computer questions. “There is something about helping someone do something they had trouble with that’s rewarding” he said. “It’s amazing. I’m learning from them, too.” Another resource at the Lakeville Senior Center is Mike Pahl, owner of Nice Guy Technology in Apple Valley. He teaches two-hour classes from September through May at a variety of locations, including community education sites. “Many of those in the class are seniors,” Pahl said. “Some got an iPad as a gift and have never turned it on. Others may have had a computer for a couple of years, but had no formal education on it. They’ve been figuring it out on their own, and now they’d like some instruction. A lot of them walk away saying they feel they’ve learned so much about things they had no clue about before.” Pahl shares Bartilson’s view that helping seniors with their computer concerns “turns into a very positive experience for me.” Because computer technology is always changing, Pahl said, he does a lot of reading, learning and video watching on his own to stay abreast of new

systems and programs. “New stuff is constantly coming out, and I’m constantly trying new stuff,” he said. His own business – which includes teaching at senior citizen sites and community centers and making house calls – has “grown dramatically” in the last three-and-one-half years, Pahl said, but he thoroughly enjoys the senior citizens with whom he has contact. “Seniors are great; I love working with them,” he said. “No one is forcing them to be there. They want to learn. I try to make the classes fun for them.” Many of the seniors are getting instruction at the behest of their own children because better skills can enable the seniors to have video chats with their grandchildren, Pahl said. Rosemount-Apple Valley-Eagan School District 196 Pahl also has been an instructor for classes offered through RosemountApple Valley-Eagan School District 196, according to Jan Stoven, the district’s adult enrichment coordinator. “He is special to us,” Stoven said. “He’s terrific. The students rave about him. He’s a self-starter who used to work for Apple. We’re very pleased he lives right here in our district.” The school district does not have separate technology classes for seniors, according to Stoven. But that doesn’t mean that seniors aren’t interested and/ or willing and able participants, she said. “People sometimes label older adults as not being up on things,” Stoven said. “But guess what? They’re buying the latest technology, they’re enrolling in classes and they’re highly skilled.” “We have a very high percentage of older persons in our classes,” she continued. “Our iPad class is doing well. We’ve had strong senior enrollment in all our technology classes for years and years and years, even in the more skilled advanced classes.” Contrary to some who believe seniors are not computer literate, Stoven said, “Older adults are more advanced than people believe. They are very skilled. They have the latest phones.”

rate pilot, used to treat his interest in computers as a part-time hobby. Since 2000, however, he’s switched to fulltime computer work and part-time work as a flight instructor. “Teaching people to fly and teaching them about computers teaches a person about patience,” said Anklam, 63. Since 2001, he has run a company called Computing 101, specializing in training people ages 50 and above. But at 9:30 a.m. on the first Thursday of each month (except during July and August), he is a volunteer instructor for a drop-in computer class at the Apple Valley Senior Center, 7100 147th St. W. “We started in the old senior center, with three or four people sitting around a table,” Anklam said. “I offered to bring a projector and computer and we projected things onto a brick wall. Now that we’ve graduated to the new building, we have theater seating and a dropdown screen. We get between 20 and 40 Apple Valley Senior Center people at each class.” Robert Anklam of Apple Valley, a The progression of topics during Navy vet and former full-time corpo- the last 14 years has been “an interest-

Photo illustration ing kind of journey,” he said. At first, everyone was using desktop computers. Now the seniors are using laptops, smartphones and iPads. “We talk about a topic for 20-30 minutes, and then we go around the room and each person can ask questions about any computer issue they’re having,” Anklam said. “That allows everyone to hear what others are doing. It’s a good group; they’re very responsive.” He finds their interests and expertise span a wide range: from email and Internet, to webpages, photos, greeting cards and games. As the holidays near, he talks a lot about security and about shopping online safely. “I try really hard not to talk in ‘geekspeak,’” Anklam said. “I try to talk in plain English. Most of the time people just want to know which button to push.” Anklam has another volunteer gig as well. He teaches a similar class at the Waverly Gardens Presbyterian Home in North Oaks.


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Mature Lifestyles • Thursday, August 22, 2014 Page 5

Alert FROM PAGE 3

Compared to the standard pacemaker, the Micra TPS is much smaller. (Submitted photo)

Devices FROM PAGE 1 It weighs less than a small coin and has an estimated battery life of up to 10 years. More than 300,000 people receive pacemakers in the United States each year. Worldwide, the figure is approximately 950,000. Approximately half the pacemakers in the world are manufactured by Medtronic. More than 5 million Medtronic pacemakers have been implanted since the company was formed in 1949. Since that time, Medtronic has become the world’s largest medical device company. A typical pacemaker weighs less than one ounce and is about the size of two stacked silver dollars. The wearable, external battery-powered pacemaker was developed in 1957 by Medtronic co-founder Earl E. Bakken. The first U.S. implant of a pace-

maker with a self-contained power supply took place on June 6, 1960. Small, wireless remote monitor The Reveal LINQ Insertable Cardiac Monitor (ICM) system is the smallest implantable cardiac monitoring device available for patients. It is one-third the size of a AAA battery. “This is part of the new focus on miniature device techniques,� Lomicky said. “These are new, cutting-edge futuristic techniques.� The system allows physicians to continuously and wirelessly monitor a patient’s heart for up to three years. It is used for patients who have dizziness, heart palpitation, fainting or chest pain that might indicate a cardiac arrhythmia, and for patients at increased risk for cardiac arrhythmias. The Reveal LINQ system also includes a simplified remote monitoring system with global cellular technology to transmit patients’ cardiac device diagnostic data to their doctors from any location in the world.

More than 300,000 people receive pacemakers in the United States each year. Worldwide, the figure is approximately 950,000. Approximately half the pacemakers in the world are manufactured by Medtronic.

“It’s just an excellent tool. It reads the rhythm and really only reacts to one heart rhythm. It won’t shock the patient if their heart isn’t in a shockable rhythm.� Another new device now on the market is CPR RSQ, a tool that makes CPR easier to administer, Mendoza said. “CPR is not easy,� Mendoza said. “People who are on the older side don’t have the strength to push down and maintain CPR on someone else. This tool makes it easy. For about $90, it’s a no-brainer.� A graduate of Bethel University and of paramedic school at the University of Iowa, Mendoza does training Paul Mendoza uses and sells AEDs (automated exin CPR and AED for physi- ternal defibrillators) like the device he is holding here. (Submitted photo) cians, nurses and EMTs.

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Page 6 Mature Lifestyles • Thursday, August 22, 2014

Better Business Bureau tips for safe shopping online Shopping online means avoiding the crowds, but it also opens buyers up to attacks from scammers and hackers. In order to fight these online menaces, the Better Business Bureau of Minnesota and North Dakota (BBB) offers 10 tips for staying safe when shopping online. Following are the “Top 10 Online Shopping Tips� for shoppers to help fight unscrupulous online retailers, scammers and hackers: 1. Protect your computer – A computer should always have the most recent updates installed for spam filters, antivirus and anti-spyware software and a secure firewall. 2. Shop on trustworthy websites – Shoppers should start with the BBB to check on the seller’s reputation and record for customer satisfaction. Always go to www.bbb.org first, and look for the BBB seal and other widely-recognized “trust marks� on retailer websites. Always remember to click on the seals to confirm that they are valid. 3. Protect your personal information – The BBB recommends taking the time to read the privacy policy of every web-

site you visit and understand what personal information is being requested and how it will be used. If there isn’t one posted, it should be taken as a red flag that personal information may be sold to others without permission. 4. Beware of deals that sound too good to be true – Offers on websites and in unsolicited e-mails can often sound too good to be true – especially extremely low prices on hard-to-get items. Consumers should always go with their instincts and not be afraid to pass up a “deal� that might cost them dearly in the end. 5. Beware of phishing – Legitimate businesses do not send e-mails claiming problems with an order or an account to lure the “buyer� into revealing financial information. If a consumer receives such an e-mail, the BBB recommends picking up the phone and calling the contact number on the website where the purchase was made to confirm that there really is a problem with the transaction. 6. Confirm your online purchase is secure – Shoppers should always look in

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the address box for the “s� in https:// and in the lower-right corner for the “lock� symbol before paying. If there are any doubts about a site, the BBB recommends right-clicking anywhere on the page and select “Properties.� This will let you see the real URL (website address) and the dialog box will reveal if the site is not encrypted. 7. Pay with a credit card – It’s best to use a credit card, because under federal law, the shopper can dispute the charge if he or she doesn’t receive the item. Shoppers also have dispute rights if there are unauthorized charges on their credit card, and many card issuers have “zero liability� policies under which the card holder pays nothing if someone steals the credit card number and uses it. Also, never wire money if prompted to do so. 8. Keep documentation of your order – After completing the online order process, there may be a final confirmation page or the shopper might receive confirmation by e-mail. The BBB recommends saving a copy of that as well as any e-mails for future reference and as a

record of the purchase. 9. Check your credit card statements often – Don’t wait for paper statements; the BBB recommends consumers check their credit card statements for suspicious activity by checking statements online regularly or by calling their credit card companies if fraud is suspected. 10. Know your rights – Federal law requires that orders made by mail, phone or online be shipped by the date promised or, if no delivery time was stated, within 30 days. If the goods aren’t shipped on time, the shopper can cancel and demand a refund. There is no general three-day cancellation right, but consumers do have the right to reject merchandise if it’s defective or was misrepresented. Otherwise, it’s the company’s policies that determine if the shopper can cancel the purchase and receive a refund or credit. For more advice on staying safe online this holiday season, and to see reports on thousands of online retailers, go to www.bbb.org/us/consumer-tips-holiday/.

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Mature Lifestyles • Thursday, August 22, 2014 Page 7

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Page 8 Mature Lifestyles • Thursday, August 22, 2014

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