NOT SENT I don't know whether my reflections on your e-mail will be at all helpful to you, so that you may not want to read any further. Existentially, as you know, I consider cardiac arrest the greatest of blessings. I pray for it every night and wake up every morning feeling cheated. In today's environment of statistical technical solutions to everything, you can tell them: a) that spontaneous cardiac arrest in the presence of heart disease should be predicted and its procedures for its prevention prescribed by the cardiologist, b) that cardiac arrest in the absence of heart disease is so rare that Medicare will not pay for the only effective preventive measure, i.e. routine electronic cardiac monitoring during dialysis.