The doctor reported that the patient felt that her lead needed to be looked at or replaced.Patient stated that she felt that the generator was heavier on her chest and that she can feel scar tissue around the lead and felt that when she moved her neck, the lead pulled on her nerve.This pulling caused her to choke and cough which pulled the lead even more, causing her to vomit at times.Patient felt that there was no slack put into the lead.The patient also reported that her doctor recommended that she get vns generator that allowed her to have different settings at day and night since the stimulation at night does cause her to wake up at times due to autostimulation stimulating when she had increases in heart rates due to nightmares.Diagnostics were within normal limits.Clinic notes from the surgeon noted that the patient also had concerns about the wire being visible although he notes that the lead was "appropriately palpable".The lead pulling was noted to be painful.No known relevant surgical intervention has occurred to date.No further relevant information has been received to date.
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