It was reported that the patient has been feeling 'shocks' in the neck at the electrode area for the last few months.X-rays were taken with no issues noted with the vns device.The vns device was tested by the physician with no issues noted.It was also reported that the patient had surgery on his esophagus on (b)(6) 2015, which has caused a 70 lbs.Weight loss and is causing the generator and lead to protrude.The 'shocks' started sometime after this procedure.It was reported that the pain doesn't happen all the time, but is often, and not with every stimulation.It was reported that the patient had the vns device diagnostics run while the patient was turning his head in multiple directions and there was no change in the impedance value.It was also reported that the 'shocks' stopped when the device was programmed off and the pain only occurs during stimulation.The output current was reduced and the off time was increased on (b)(6) 2015 to try to resolve the pain.The patient stated that the pain decreased but that the pain was still present.The patient was referred for generator replacement.No known surgical interventions have been performed to date.
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