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Scratchy tapes today

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Hi,

The doctor is fading in and out a lot on the tapes today. Here are a couple of

things that I can't quite make out.

1. Of note is that the pt had *multilobar* pnuemonia in 1997. A ____ostopy

failed to isolate any organism. (any clues?)

2. Her angiotensin converting enzyme level was slightly elevated at 56. An

*ophthalmologic* (?) examination was negative. Does this make sense?

Thanks for any help.

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