AICDs

Pacemaker Sex

Pacemaker Sex

Getting fisted by the electronically paced flailing arms of a D.O.A. John Doe paled in comparison to what happened to my loan shark friend, Chubby.

One of his sideline enterprises was to pimp women to local clients including police officers, lawyers, bankers, and a few other unsavory fellow shysters. The women were not a consistent cadre of reliable girls from a “stable” but instead were usually indiscriminately pulled off the local sidewalks or out of grocery store parking lots.

For this reason, the women were also not consistently available, such that when something suddenly came up, he would place phone calls to line up the Johns.

He solicited sex from just about any woman he saw and when he scored would temporarily procure them for his client base until the women got tired of it or did not need the money anymore.

  • Doc, you can’t believe how many housewives are broke and what they’ll do for a buck, especially when economics is bad.

The going rate in the 1990s was about one hundred and three dollars an hour for intercourse and thirty-three dollars for oral sex, although he once got a staggering one thousand and three dollars out of a retired but impotent eighty-year old business tycoon and former CEO of a major US steel company who paid just to have the girl sit naked in a chair and talk to him for an hour. The arbitrary rounding on the price was based on a superstitious love of the number three.

Several years later, this same tycoon was indicted in an insurance fraud scheme in which he tried to smuggle a vintage Mercedes-Benz sport coupe out of the country after reporting it stolen; an act that everyone who knew him and how much money he was worth thought to be stupidly perplexing in its perverse logic.

Chubby said:

  • I don’t know, doc. It’s like he just got a soft spot in his brain.

Later in life, Chubby happened to have had a heart attack. Several years after the fact he then had an AICD (Automatic Implanted Cardiac Defibrillator) implanted for unexplained fainting that later turned out be related to poor blood flow in the posterior cerebral circulation. Even though the essential point was that implanting it was probably not necessary, it was done anyway because of uncertainty about the possibility of lethal ventricular arrhythmias. This underscores the fact that sometimes medicine, for all its sophistication is nothing better than a guessing game.

These electronic devices are set to deliver sequential shocks of about 15 to 30 joules of direct current internally to the heart which will reset the cardiac rhythm if a life threatening one is detected. The shock is not at all comfortable. It can also be felt by anyone who happens to grab hold of the victim who might be collapsing when the arrhythmia then secondarily causes his blood pressure to bottom out. Some spouses have stated they suffer from the guilty dilemma of deciding between letting their loved one fall down, as opposed to being exposed to the shared experience of internal electrocution. Personally, I thought the original contract called “For better or for worse.”

Chubby reluctantly accepted to have the implant but said he would feel much better about it if we were going to put in a pacemaker that would give him a permanent erection instead of an electrocution.

  • You doctors are all numb. Forget Viagra. With modern technology yez should be able to do a better job with boners.

One afternoon I received a frantic call from him. He said he wasn’t sure what had happened, but he thought his device had discharged.

  • Doc. I think my thing went off.

When I asked the circumstances, he said he had picked up a tried and true regular at the supermarket, a local housewife who had already been paid thirty-three dollars for blowjob.

As she was in the middle of the head-bob he said he was suddenly lifted two feet off the bed, that all he saw was a bright white light, and that his hair stuck straight out off his head. At the same time, the girl had been blasted and fell across the room, then banged her head on the bedroom door.

She got up screaming that he was a crazy demented pervert and what a shitty way that was get off, as she bounded out the door, following that diatribe with a statement that no matter what he might ever pay her, she was never coming back.

  • Doc. The woist part of it was I lost my thirty-three dollars and didn’t even get off. But oh, what a thrill!

As all the data is stored in memory, when one of these devices fires it is customary to interrogate it to see if the shock was appropriately sensing a real event.

So, when Chubby came to the office to let me look at it, I discovered that the trigger for the shock was a paroxysm of not a lethal ventricular tachycardia but rather a harmless one that had originated in the atrium. Perhaps the excitement had over stimulated his epinephrine producing adrenal glands as well as his testosterone loaded gonads.

The device was fooled into doing its job by a rapid heart rate that was associated with an abnormally wide configuration of its cardiac complexes. It was essentially acting appropriately in an inappropriate situation; as was the housewife whore when she perceived she was being perversely abused.

I felt compelled to share this story with a colleague at the specialty hospital I had customarily referred not only Chubby, but also numerous other cases for AICD implants. Although the implanting physician, Joe, was amused, he then told me he had a story that might be even better than mine.

He queried:

  • You know how the Japanese perfected the art of autoerotic asphyxiation?

With me answering in the affirmative, he then told me about the wife of one of his patients who had brought that art-form to a new escalated jaded height. He said her affect was a little rough around the edges. She also tipped the scales at an estimated 250 lbs.

Apparently, her husband had suffered a heart attack, and then required an AICD implanted, but because of his relative debilitation, along with a lack of stamina she became accustomed to screwing him in the female-on-top sexual position.

On one occasion, the device discharged but instead of reacting negatively this woman immediately derived a great deal of pleasure from the experience. I suppose it was like having a mini electric socket inserted into the vagina, which in her mind was better than any orgasm she could achieve by using a conventional AA battery powered vibrator. Or perhaps her blubber not only attenuated electricity but then also made her threshold for sexual stimulation much higher than that of her average contemporaries.

But the perverse thing about the whole scenario was that the woman then educated herself about shocking devices. Then each time she went with her husband to the clinic to have his device was checked, she would beg the doctor to turn down the rate sensor on the AICD, so that there would be a greater probability of the thing going off when she climbed on top to rev up the sex.

So here is this poor bastard with a bad heart to begin with, losing consciousness as his heart is fibrillating, while he is getting jolted; simultaneously his lovely fat wife also gets a DC shock jolt as she sinks into the stirrups to giddy-up the old dying horse. If nothing else, at least this was a clear-cut situation of her ability to turn the worse for him toward the better for herself: A classic combination of both positive and negative feedback loops.

Not only does it go to show that everyone has a different threshold for pain, but also gives great credence to the aphorism: To each his own.

I said to my colleague, Joe:

  • Yes. In the category of interesting clinical pacemaker anecdotes; you win the gold medal.

 

 

 

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