sample_1.txt

Mr. Smith is a 56-year-old gentleman formally followed at Carolina Premier who presents to obtain a new
primary care physician secondary to insurance changes. He has a past medical history significant for a
myocardial infarction in 1994. His cholesterol has been fine. Catheterization showed a possible "kink" in one of
his vessels and it was thought that he had a possible "eddy" of current which led to a clot. He has been on
Coumadin since then as well as a calcium channel blocker with the thought that there may have been a
superimposed spasm. He has had several unremarkable stress tests since then. He works out on a Nordic-Track
three times a week without any chest pain or shortness of breath. He has a history of possible peptic ulcer disease
in 1981. He was treated with H2 blockers and his symptoms resolved. He has never had any bleeding to his
knowledge. He had a hernia repair bilaterally in 1989 and surgery for a right knee cyst in 1999, all of which went
well. He also has about a year long history of right buttock pain. This happens only when he is sitting for some
time and does not change position. It does not happen when he is walking or exercising. He wonders if it might
be pyriformis syndrome. If he changes positions frequently or stretches his legs, this seems to help. He has no
acute complaints today and is here to get plugged into the system. He does wonder if there is anything else that
can be done about his buttock pain.