  She has recently been to the eye doctor.  She has noticed some hearing loss gradually.  She denies any problems with swallowing.  She denies episodes of shortness of breath, although she has had a little bit of chronic cough.  She has had normal bowel movements.  Denies any black or bloody stools, diarrhea, or constipation.  Denies seeing blood in her urine and has had no urinary problems other than what is stated above.  She has had no problems with edema or lower extremity numbness or tingling.