It was reported that the patient experienced pain is in chest area with vns stimulation after vns dosing appointment on (b)(6) 2015.Device was interrogated and diagnostics ran in multiple positions: sitting, arm raised, arm extended.It is unknown if the pain is related to stimulation as there is minimal time between stimulation period (patient';s settings are 21 sec on and 0.5 min off).The physician did not want to turn off vns due to patient';s worsening of seizure frequency.The increase in seizures is being correlated to the chest pain.The physician lowered output current to 2.5ma and pulse width to 250 usec.Chest and neck x-rays were ordered and patient was started on new medication.The patient's generator was subsequently checked again on (b)(6) 2015 at the surgical consult.Diagnostics were run on patient in 4 different positions and lead impedance came back ok every time.After reviewing x-rays, the surgeon attributed her pain to just normal pain and discomfort from the replacement surgery.No interventions were planned and patient was told to contact surgeon if there is an increase in pain.No further information was received regarding the patient¿s increase in seizures.
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