an electronic medical monitoring and treatment apparatus allows a person access to a medical professional who can monitor , diagnose and treat the person from a remote site . the apparatus includes a medical monitoring and treatment device coupled to an electronic adapter designed to communicate with a local , first transmitting / receiving device which , in turn , is adapted to electronically communicate with a remote , second transmitting / receiving device used by the mp . the mmtd may comprise a cardiac treatment circuit for effecting cardiac pacing and / or defibrillation and a cardiac signal circuit for receiving cardiac signals . the cardiac signals are transmitted from the signal circuit to the second t / r device for evaluation by the mp , the mp may transmit a control signal to the treatment circuit , and , in response thereto , the treatment circuit may generate one or more electrical pulses for treatment of the person .