khairy was soon able to obtain status as a research student and get to work building a master database of every patient that had been on the receiving end of one of the recycled life-saving devices since 2003. “we were amazed to see that 1,748 resterilized pacemakers and defibrillators had been implanted through our humanitarian program, excluding devices shipped before 2003 that were not systematically tracked,” he says. “the mhi program appeared to have the largest experience of any reported.”
once that was complete, khairy was inspired to investigate the safety of reusing these devices, an idea that would eventually be documented in the pages of the nejm. “we set out to determine the infection rate associated with resterilized pacemakers and defibrillators and to compare it with the infection rate with new devices,” he says.
the study, which relied on 1,051 patients from the database khairy compiled, found no significant difference in levels of infection between the new and reused items. now all he had to do was write the paper alongside his regular schoolwork and a growing global pandemic.
“it took over a year from the time i drafted the first version of the manuscript to when it was accepted for publication,” he says. “it was a major team effort. the nejm had excellent suggestions and posed superb questions that helped improve our study.”