,y gi MASSACHUSETTS HARVARD GENERAL HOSPITAL MEDICAL scuoor g. Wang Ambulatory Care Center, 460 Randall D. Gaz, MD Boston, Massachusetts 02114 Endocrine Surgery rei: 617 726-3510 Em 617 724-3951 August 25, 2012 Healthcare Statement RE: Willard Mitt Romney Date of birth: 3/12/47 The purpose of this letter is to briefly summarize the medical evaluations, past medical history, and current state of medical health of Willard Mitt Romney. I practice at the Massachusetts General Hospital in Boston, Massachusetts. I have been the personal physician for Willard Mitt Romney from June 1989 until the present. I have kept his personal medical records and testing results, and have performed regularly physical examinations. His past medical history is notable for a concussion and fractures in a motor vehicle accident in 1968. He Hactured the left distal radius. He is allergic to penicillin. He takes low dose aspirin 81 mg. daily and Lipitor 10 mg. daily but no other medications on a regular basis cmrently. He has undergone 1965 appendectomy, 1985 back lipoma excision, and 1987 right hand inj1u?y laceration sut11re repair. He totally abstains from drinking any alcoholic beverages, and does not use any tobacco products or illicit drugs. He eats a high fiber diet with abundant fruits and vegetables and minimizes intake of high cholesterol foods and concentrated sweets. His cun?ent medical issues include hyperlipidemia with a stable mild triglyceride elevation at 179 and normal cholesterol of 169, minimally benign prostatic hypertrophy, and sinus bradycardia without palpitations, syncope, chest pain, or shortness of breath. He has not had asthma, hemoptysis, hypothyroidism, diabetes, hypertension, coronary artery disease, heart murmur, hepatitis, jaimdice, ulcer disease, pancreatitis, GI bleeding, HIV, cancer, claudication, epilepsy, seizures, stroke or transient ischemic attacks. His routine health maintenance evaluation includes normal colonoscopy, normal PSA blood testing and prostate urological examination. He has undergone extensive prior cardiac evaluation including EKG showing sinus bradycardia, normal CXR, Holtor monitoring, cardiac stress testing showing no ischemic changes with intensive exercise, and totally normal echocardiogram. His slow, resting, regular heart rate in the 40's is most likely related to l1is past intensive exercise with regular rurming. His family history is notable for cardiac heart attack, and prostate cancer. In light of these familial tendencies he will continue to have close observation of the prostate with serial PSA testing and urologic examination. He knows that he should notify his physicians of any cardiac such as light-headedness, frequent palpitations, shortness of breath or chest discomfort. He will undergo regular lipid blood testing and regular cardiac evaluation with monitoring of his EKG and heart His most recent physical examination on 8/9/12 revealed a healthy appearing, energetic, strong, physically tit male. He appears years younger than his age. His vital signs included a TEMP 98.4 orally, HR resting 40 rising to 107 with stress, BP 130/80, height 6' and weight 184 lbs. Cardiac exam disclosed a regular slow no mtumur or ectopy, and no signs of cardiomegaly. The remainder of the exam was nonnal and unremarkable. He has shown the ability to be engaged in multiple, varied, simultaneous activities requiring complex mental, social, emotional, and leadership skills. He is a vigorous man who takes excellent care of his personal physical health. He has reserves of strength, energy, and stamina that provide him with the ability to meet unexpected demands. There are no physical impairments that should interfere with his rigorous and demanding political career as the next President of the United States. Randall D. Gaz, M.D. Massachusetts General Hospital Suite 460 - 15 Parkman Street Boston, MA 02114 THE PHYSICIAN CONGRESS OF THE UNITED STATES H-166, u.S. CAPITOL DC 20515-9086 P. MONAHAN, MD, NIACP September 7, 2012 Timothy E. Kronquist Davis Kuelthau Attorneys at Law 111 E. Kilbourn Avenue Suite 1400 Milwaukee, WI 53202-6613 Re: The Honorable Paul Ryan Dear Mr. Kronquist: The enclosed medical summary is provided to you as per the request of Congressman Ryan. Should you have any questions or require additional information, please contact this office at 202-225-5421. Sincerely, Brian P. Monahan, MD, MACP BPM:rai22> Encl THE ATTENDING PHYSICIAN CONGRESS 05 STATES H-166. u.s. nc 20515-9085 P. IVID, NIACP September 7, 2012 The Honorable Raul Ryan U.S. House of Representatives 1233 Longworth HOB Washington, DC 20515 Re: Medical Information Dear Congressman Ryan: The enclosed medical summary regarding your general health is provided to you as per your request. Your overall health is excellent. You have practiced important preventive lifestyle choices to include regular vigorous aerobic and strength-building exercises, a heart healthy diet, smoking abstinence, and infrequent alcohol use. You have a previously established diagnosis of airway hypersensitivity occasionally treated with an as needed albuterol inhaler, as well as a history of a herniated disc L5- Sl and a right knee medial meniscus injury. Your paternal family history is significant for early onset (late fifties) of coronary artery disease. You have undergone annual physical examinations and health maintenance at my office since being elected to Congress at the age of 28. Your most recent examination of December 14, 2011 revealed well controlled blood pressure (121/62), heart rate (59 bpm), ana weight (l63lbs 74in BMI of 20.9 kg/m2). Furthermore, your electrocardiogram (EKG), pulmonary function test (FFT), and comprehensive laboratory assessments were normal. Specifically, your total cholesterol was 184mg/dl, high density lipoprotein (HDL) 71mg/dl, low density lipoprotein (LDL) 96mg/dl, and triglycerides were 86mg/dl. ln conclusion, 1 consider your overall health to be excellent. Sincerely, - Brian R. Monahan, MD, gp