Help read doctor handwriting

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brianz24

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I would like to further research on the ophthalmologist's diagnosis but I cannot read some words of the handwriting. Here it is:
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I'll get you some of the way.

Alternating exotropia, left eye _______ (rest probably) true congenital in or with ptosis?

Best you'll get from me, just call the bastard.
 
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Remarks: for pediatric ophthalmology referral
 
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alternating exotropia, left eye _________ (that word may be proptosis, does the patient's left eye bulge out?)
to consider congenital in nature
for pediatric ophthalmology referral
 
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