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"The patient gives a good history of symmetric inflammatory disease with onset and stiffness that are consistent with a s/l seenya rheumatoid arthritis. She does not have a significant family history, but she is a smoker, which is a known risk factor for developing RA."
I'm unsure if the dr. is changing her mind midsentence and wants to say "that are seen in a" or if she's saying "with a seed of" or something completely different. I thought she might be saying "senior" but the patient is only 54, and I couldn't find anything fitting online.