Punctuated this properly.

according to the records, the patient is 69 years of age, has a history of rheumatic heart disease with mitral stenosis that is severe, congestive heart failure, a-fib, with history of multiple cerebral emboli, that probably has caused senile dementia.

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i go to the store and buy some cheese,suddenly there was akward silence.   out of no where comes a ninja, and he takes an apple, and chokes the cashier, until he passes out.   the disapeared in a puff of smoke.   the cashier went to the doctor, and everything was fine again.   they all lived happily ever after without anymore ninjas.

the end

go to buy cheese= exposition

akaward silence= rising action

ninja chokes the cashier= climax

cashier goes to the doctor= falling action

they live happily ever after= resolution

i would say the correct answer is not concrete.