Chapter 1. Beginning at the Beginning

Several years ago, my cardiologist told me I needed an implanted cardioverter defibrillator (ICD) installed in my chest. I have a condition known as ventricular tachycardia, which means my heart occasionally beats too fast. This can lead to fibrillation, which is usually fatal; the deck-of-cards-sized ICD monitors heart rate and triggers an electric shock if it detects an aberrant rhythm that persists too long. The shock is about the same as you’d get from those well-known electric paddles in the emergency room.

The installation of an ICD is not something you take lightly. So, as a veteran project manager, I quickly did a risk analysis. The question was binary: install, or not install? If not, my best hope ...

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