text_1: One month ago I did a physical exam, his alkaline phosphatase was elevated.  Had a questionable prostatic nodule, prostate specific antigen was normal.  I discussed with my partner, bowlegged, question Pagets, fractionated alkaline phosphatase and both liver and bone were high, got x-rays of skull and pelvis, which were normal.  Do I really want to go chasing after this elevated alkaline phosphatase?
text_2: Let's give these immunizations.  That's right isn't it?