The patient was referred for the removal of the vns device as the patient believes the device chokes the them when it stimulates.Programming history was reviewed, and the patient¿s device was disabled on (b)(6) 2002.The last diagnostics showed good impedance.No indications of a device malfunction were identified in the programming history.The patient's device had previously been disabled due to choking and coughing.Per clinic notes, the vns had not helped to decrease the patient¿s frequent seizures of having 1-2 seizures per week.The patient was also said to be having swallowing issues.A second office reported that the patient did not have any discomfort when the device was programmed off.It was reported that the patient was referred for removal in order to allow for mri imaging, however it had previously been reported that the patient was referred for removal due to the feeling of choking so the reason for the patient's removal surgery is unknown.No relevant surgical intervention has occurred to date.No additional or relevant information has been received to date.
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