[136875209]
The unit did not contract during nmes treatment. The unit was turned up to 100 ma with no effect; the unit was turned back down to 50 ma, the patient experienced what she described as sweeping pain up her body through her torso. A check connections error displayed prior to the event on channel 2. Pt used reusable self-adhesive original electrodes. Patient has experienced an elevated heart rate since the event. Patient noted the following: pain, noted tension in low to mid back and nausea at the end of session, but thigh and back pain had eased some. Since the event, the patient has reported an elevated heart rate beyond her usual value (which she states is usually in 70-72 bpm range and reported pcp confirmed) along with discomfort in her low and mid back. On (b)(6) 2017: the patient noted mild headache, felt her heart rate was elevated and vitals as follows: hr 104 bpm, bp 140/80 mmhg (1st reading) and then 130/70 mmhg (second reading), respiratory rate 12 cycles per minute. On (b)(6) 2017: resting heart rate 92 bpm, blood pressure 135/80 mm hg, no burn marks noted under electrode sites, but muscle tenderness and guarding in the lumbar, thoracic and cervical regions. On (b)(6) 2017: via phone conversation, the patient stated had follow-up appointment with pcp who ordered ekg which showed a change vs. The one performed prior to surgery and pcp deemed it "not significant" but was sending to cardiologist for further consult. On (b)(6) 2017: her heart rate was 86 bpm, and bp 128/82 mmhg. On (b)(6) 2017: she stated she went to emergency room (hr 108 bpm) and was fitted with holter monitor and would undergo a stress test. On (b)(6) 2017: pt was scheduled for a physical therapy evaluation to treat her spinal complaints but the patient canceled as her heart rate had climbed again and did not feel she could physically handle the demands of the evaluation. On (b)(6) 2017: via phone, patient reported continued cardiac issues with hr 120 bpm. On (b)(6) 2017: reported continues to wear holter monitor, had stress test and ct scan (results not known) and would be consulting with cardiologist.
Patient Sequence No: 1, Text Type: D, B5