Pacemaker malfunctioning an original lead has the coating that was once replaired already falling off again, nerve damage in the left shoulder, Ebsteins anomaly, transposition of the great vessels, electrical heart block, raised diaphragm pushing on left lung and heart is shifted and rotated to the right, have an inclusion Some doctors want all hardware removed start over fresh others want to abandon the left side all together start over on the right, I don’t know what to do