Information was received from a patient regarding their implantable drug infusion device.The drugs being delivered were fentanyl (450.2 ug), baclofen (unknown), dilaudid (hydromorphone), and lidocaine with unknown concentrations and doses.The reason for use was non-malignant pain and spinal stenosis.It was reported that the patient knows that she is getting the medication because she can feel it when she does a bolus, but lately she has been "hurting so dam bad" and she used to not hurt at all.The caller is wondering if her healthcare professional (hcp) may have turned off her continuous flow and she is only getting her bolus.The issue started in (b)(6) 2017.It was also reported that there was a volume discrepancy and the patient did not know the volume information.They ¿had a big storm in la and there was a shortage on drugs so the hcp decided to lower the dosage to help conserve what was in the pump.¿ the patient thinks the pump almost ran out of medication but can¿t confirm if it actually went dry or not.They never heard any type of alarm or anything, however when they went to take out the remaining drug at the next refill, there was hardly anything to take out (which was much less than they were expecting).This issue occurred in 2018 ¿sometime this year.¿ the patient the inquired about product specifications or information regarding pump longevity and warranty information.Typical longevity and warranty information was reviewed.They stated the ptm says she has 16 months left.It was reviewed that external equipment replacements are covered for life of pump (upon being in good withstanding with repairs/sends back damaged equipment if requested by repairs).The caller also states she doesn't want to get "in trouble" with her doctor and doesn't want these reported issues mentioned to the hcp.She said she doesn't want it to seem like she was saying something to the manufacturer that she shouldn't be saying.Patient registration services was called to update hcp name and patient phone number.There were no further complications reported/anticipated.
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