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and fluctuating memory disturbances. The girl had round small discolorations on her lower shins. Her muscles seemed a bit tremulous. But most significant was her eye exam. Dr. Chondra noticed small cloudy white puffs alongside the retinal vessels. A group ahhhh went up, though many surgeons were making pursed lip shoulder shrugs. Doctor Ivory allowed a smug smile of recognition and was eyeing Macaluso to see if his favorite challenger had keyed in on the problem. Mac was sitting in his best poker face knowing that Ivory was probing his brain. Of course, not a single lip unsealed the answer. At M&M and CPC - clinical pathologic conference where a single physician is selected and a case presented to see if the correct final diagnosis can be arrived at - only three physicians had perfect scores. Blake was one, Macaluso and Ivory were the other two. Of course pathologists don't play, they have the answers. So for that reason, perhaps, Macaluso imagined Blake also probing him for signs of recognition. Mac, decided to look clueless and so put on droopy beagle eyes as Ivory and Blake simultaneously and visibly went smug with their chests puffed and lips drawn a la Mussolini. Ranjeeta Chandra went on in her soft voice beneath the huge hovering butterfly. This surmised, but so far unstated, diagnosis was not in Title 107 listings which included examples. These were not intended to be exclusionary of others. However, to be certain that the youngster would not be transferred out in this condition, Ranjeeta went on, "I asked Dr. Macaluso to help as he is so, mmmmm, well, mmmm, people listen to him." Blake and Ivory deflated, but then wondered if, perhaps, Macaluso might not have gotten the correct diagnosis if he hadn't been told up front. They did admire his fake out body language, though.

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