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My better half has a pacemaker and uses an Osprey Stratos 36. We pinned a folded wash cloth over the spot where her unit is placed in her upper rt chest, and that seemed to ‘remove some of the pressure. I would recommend trial runs with a pack...
My sister has an Implantable Loop Recorder and did not have any noticeable discomfort with her pack.
I would be concerned about using the messenger bag as all the weight will be on one shoulder and be more painful.
Have you tried taping...
I have Gitlitz and Davidson's in eBook version, so that I can read on the way. It's particularly useful when visiting the churches 😊 I could look up at those beautiful carvings on tympanum, then read about it on my phone.
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