It was reported that the patient was hospitalized for nausea and vomiting.Non-device related symptoms included back pain secondary to multiple surgeries related to lumbar degenerative disk disease (lddd).Diagnostic procedures were performed including laboratory work and intravenous (iv) fluids.No abnormal results were noted.The event ended on (b)(6) 2001 as the patient recovered with therapeutic action.An unknown amount of time following the discharge, the patient started having more problems with nausea and vomiting.There were ¿a couple¿ episodes where the patient had fallen and complained at times with her heart seeming to pound and having chest discomfort.Approximately 2 months after the discharge, the patient was back in the hospital to try to get the gastroparesis, nausea, dehydration, and vomiting under control.Non-device related symptoms included muscle spasms, back discomfort, and pain secondary to lddd.It was noted that some of the patient¿s syncopal type episodes were related to getting a little hypoglycemic, where hypoglycemia was due to the patient¿s history of insulin dependent diabetes mellitus (iddm).Physical examination found decreased skin turgor and rash on abdomen which "looked like" it was "probably fungal." diagnostic procedures were performed including x-ray of back and laboratory work; medication was administered including iv fluids.The patient reportedly was doing better and was ¿stable¿ so she was sent home.The event ended on (b)(6) 2002 as the patient recovered from the event with therapeutic action.On (b)(6) 2002, the patient was again admitted for nausea, vomiting, and dehydration.Other complaints included hypertension, depression, and swelling in her ankles.Laboratory work was conducted and medicine was administered, including several iv fluids and medication.Physical examination found decreased skin turgor and decreased swelling of ankles using iv medication.The device had "not had much luck on an outpatient basis of keeping her under control." the event reportedly ended in 2002.The patient was admitted to the hospital with recurrence of nausea, vomiting, and dehydration secondary to gastroparesis.Other complaints included hypotension, hypertension, urinating problems, depression, and gastroparesis.Multiple iv fluids and medications were administered and she was subsequently given food, insulin, and pain medication.The patient's activity gradually increased and the iv fluids were tapered down, and the patient was "doing much better." physical examination found that the abdomen was "somewhat tender," usual pain in extremities, swelling of ankles, and skin turgor was decreased "a little bit." after "doing fairly well," the patient had been sent home on medications.The event ended on (b)(6) 2002 as the patient recovered with therapeutic action.On (b)(6) 2002, the patient was admitted to the hospital for nausea, vomiting, and dehydration.Other complaints included gastroparesis, hypertension, a lot of pain when lying in bed for a period of time, a lot of discomfort, and slow moving.Laboratory work was conducted and the patient was given multiple iv fluids and medications.Physical examination found slight nasopharyngeal drainage, tenderness of abdomen, decreased skin turgor, and ankle edema.It was noted that there was no evidence of acute infection problems.The event ended on (b)(6) 2002 as the patient recovered from event with therapeutic action.Additional follow-up is being conducted.If any additional information is received, a supplemental report will be sent.
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