Follow up with the surgeon's office revealed that in addition to the reported numbness, pain, and paresis of the arm, the patient experienced tingling, severely decreased strength, and has had episodes of hypotension.The surgeon and a company representative reviewed the patient's settings, which were not found to be high settings and were, in fact, sub-therapeutic as defined by the manufacturer.The surgeon recommended mri and ct scans to rule out a brain tumor or vagus nerve damage, but it appears that the patient did not undergo the scans.The patient was referred back to the neurologist in order to assess the events further.It was stated that the referral back to the neurologist was both for the patient's comfort and to preclude serious injury.Previous follow up with the neurologist's office revealed that the patient has not been seen since the patient has seen surgeon.
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It was later reported by the patient she was experiencing arm pain and trouble breathing with stimulation.She stated that her neurologist had informed her that the vns settings were too high.Follow up with the physician's office revealed that, at one point, the patient had wanted the vns removed.However, the patient later stated that she had decided not to removed the vns.The patient no-showed at the latest scheduled appointment at which they planned to do an emg.The physician's office stated that the relation of the numb/immobile arm and its relation to vns was unknown to date.At the patient's last appointment she attended, it was stated that the diagnostics checked out fine and there were no changes to the programmed vns parameters.
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