 I spoke with Dr. XYZ of infectious diseases, and Dr. XYZ asked me to talk to the patient about any contact with animals, given the fact that we have had a recent outbreak of tularemia here in Utah. 
I spoke with Dr. XYZ of infectious diseases , and Dr. XYZ asked me to talk to the patient about any contact with animals , given the fact that we have had a recent outbreak of tularemia here in Utah .