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60 yo female PMH htn, hld, diabetes not on insulin, ESRD on HD, right breast cancer status post lumpectomy and sentinel lymph node biopsy and also treated with chemotherapy and radiation 1 year ago. MP4, thick neck, good mouth opening, edentulous. NPO since midnight. She states that she has been a very difficult stick in the past. Plan is for atrial fibrillation ablation. What's your plan?
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