Following patient's generator replacement surgery on (b)(6) 2015, it was noted that the lead was protruding at the generator site.Clinic notes dated (b)(6) 2015 indicate that the surgeon might perform another surgery to get the wire in better position so that it does not stick up.Other than the lead protrusion, the incision is well healed and there is no sign of infection.Additional information was received from the physician that the patient is a fiddler/picker and that she had twisted the lead at the generator site, which caused the lead to protrude a little.On (b)(6) 2015, the physician readjusted the position of the lead so patient can avoid picking at it and no devices were replaced.It was reported that the surgery was for the comfort of the patient and to reposition it so patient does not pick at it.Notes dated (b)(6) 2015 indicate that the patient's surgery on (b)(6) 2015 was to correct the protrusion of the lead as it was bothersome and painful upon palpitation.During surgery, an egress of old blood clot was noted and was evacuated.The surgeon noted that the generator had turned somewhat.The generator and lead were repositioned to minimize the chance for the lead poking up through the skin.The generator was tested within the pocket and noted to have normal functioning and good impedances.
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