text_1: Why is she fatigued?  This is follow-up visit.  Automated blood count abnormal but done by hand was normal.  Doing thyroxine today since thyroid stimulating hormone was elevated.  Patient smokes 1 1/2 packs per day.  Trying to cut back.
text_2: Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?