Richard Sloan is a doctor and I’m not. No doubt his medical credentials are what led the folks at NPR’s “On the Media” to correct one of their guests from the previous week, Northeastern University professor Robert Gilbert. But his medical degree aside, Sloan’s e-mail turns out to be yet another example of something I’ve complained about before: a letter to the editor that should have been fact-checked but wasn’t, and was — as best as I can tell — just plain wrong.
Gilbert, the author of “The Mortal Presidency: Illness and Anguish in the White House,” appeared on “OTM” on Jan. 27 to discuss speculation that Vice President Dick Cheney’s changing shoe size is evidence of congestive heart failure, and that the bulge on President Bush’s back — briefly a cause célèbre during the 2004 presidential campaign — was related to a cardiac problem. Here’s what Gilbert told cohost Bob Garfield:
Well, I don’t think the modern press is particularly vigilant when it comes to the President’s health. For example, when President Bush supposedly fainted a few years ago after eating a pretzel and choking on a pretzel, the press basically accepted that explanation. But there certainly had been intimations by some doctors that the President might, in point of fact, have certain health problems. One problem that I’ve heard is that he might have the same condition that his father had, atrial fibrillation, and might actually be wearing an electrical device to monitor his heart and shock his heart back into normal rhythm if it goes out of rhythm.
This past Friday, the following letter from Professor Richard Sloan of Columbia University Medical Center, in New York, was read on the air (there is no transcript available yet):
Your speculation, endorsed by your guest, was that George Bush’s losing battle with a pretzel was evidence of an undisclosed heart condition, possibly explaining that squarish bulge on his back during the first debate with John Kerry. That is, the bulge might be an electrical device designed to control atrial fibrillation, the same condition that his father had. Pacemakers, the devices that perform this function, are implanted in the chest and not visible in outline on a person’s back. Whatever that bulge was it was not a pacemaker.
Gotcha, Professor Gilbert! But wait. A year ago I wrote a column on this very subject. And the speculation was that Bush was wearing something called a LifeVest. Please understand — I’m not claiming to be any type of medical expert. But the LifeVest is a real device, and it is a portable defibrillator worn outside the body designed, as Gilbert said, to “shock [the] heart back into a normal rhythm if it goes out of rhythm.”
Here is a description of the LifeVest by its manufacturer, LifeCor:
The LifeVest is the first wearable defibrillator. Unlike an implantable cardioverter defibrillator (ICD), the LifeVest is worn outside the body rather than implanted in the chest. This device continuously monitors the patient’s heart with dry, non-adhesive sensing electrodes to detect life-threatening abnormal heart rhythms. If a life-threatening rhythm is detected, the device alerts the patient prior to delivering a shock, and thus allows a conscious patient to disarm the shock. If the patient is unconscious, the device releases a gel over the therapy electrodes and delivers an electrical shock to restore normal rhythm.
I’m sure that Dr. Sloan knows his stuff inside and out. Maybe I’m missing something. But it certainly looks like he misunderstood Gilbert and fired off an e-mail without giving it much thought. And “OTM,” by reading Sloan’s letter on the air, allowed Gilbert to look like someone engaged in irresponsible speculation.
“OTM” needs to correct the correction — and apologize to Gilbert.