Information was received from a patient (pt) regarding an implantable neurostimulator (ins).The reason for call was to address a therapy concern.Pt reported that the scs implant that the hcp "slapped in" is "big, black, bulky, and an enormous lump under their skin".Pt noted that they had to "access the chest port" going into surgery.Pt reported that the ins is "pulsing" and producing a "continuous wave of pulsation" that is causing the pt's feet to be cold and blue.Pt reported that the issues started yesterday, and the amount of sensation varies based upon the position of the pt.Pt reported if they roll over or stand up, the issue is "not continuous".Pt stated that when they left the hsp, the stimulation was set high. pt stated they decreased stimulation to 5.70v, but haven't been able to resolve the issue.Pt also reported that when they were in the hsp, the high stim was causing their legs to jolt, "like a frog in biology class".Pt noted they were sent home without any pain medication, and the ins site "looked like a piece of spam on their butt".Reviewed expectations of feeling stimulation.Walked the pt through turning the ins off, and the pt confirmed the issue went away.Had the pt decrease stim to 2.25v and turn the ins back on.Pt increased stimulation to 3.50v and confirmed they felt stimulation comfortably at the ins site.Pt noted they should feel stimulation in their legs.Reviewed the therapy, healing after surgery, and suggested follow up with the healthcare provider (hcp).Pt will follow-up with the hcp.
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