In clinic notes dated (b)(6) 2015, it was reported that the patient was experiencing breakthrough seizures over the last year, and had a grand mal after "behavioral arrest" which has been identified from the patient history as her normal seizure type.The patient's friend who was at the visit noted that swiping the magnet appeared to make the seizure almost "worse".The notes reported that prior to these events she was seizure/spell free for 3 months.The vns was interrogated and the battery was indicated at <10%.No medication changes were made.The patient was referred for generator replacement surgery.No known surgical intervention has occurred to date.No additional relevant information has been received to date.
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