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She has had bilateral tremors dating back at least a year and a half, when we first saw her in July, and noted a long history of anxiety and Geodon use, the latter starting about 3 months before the tremor, and at the time noticed on exam a 4-extremity tremor, worse right greater than left, a mixed rest and action, with marked rigidity right greater than left, upright gait with some posture instability and a masked facies with a decreased blink rate and a positive Myerson's.
I typed the comma's as dictated.. would it be best to break up this sentence, as it is so long?