Lyle B. Amer, M.D.
2212 Brothers Road .
‘Santa Fe, New Mexico 87505
Office: 505-983-9490 Fax: 505-983-0568
September 15, 2016
RE: GARY JOHNSON
DOB 01/01/1953
Gary Johnson is a 63-year-old male here for an annual physical
exam. He feels well. He has no complaints of pain anywhere
His appetite is good. He is following a gluten-free diet. He
has done that for the last five years. He is exercising at
least an hour a day and actually was exercising up to two hours
a day until he started campaigning. He does not drink alcohol
He has not had any alcohol since 1987.
MEDICATIONS: He currently is taking no medications.
CIGARETTES: No smoking.
EXERCISE: Currently he is exercising approximately an hour a
day while campaigning; however, before the campaign started, he
was exercising approximately two hours a day. He has been doing
high-level, endurance athletics for the last 30 years, including
triathlons, bike races, running races, and ski races. He has an
extraordinarily high-level of aerobic fitness.
PHYSICAL EXAMINATION: Generally, he is a very healthy-appearing
63-year-old male. WEIGHT: 172. BLOOD PRESSURE: 100/70
PULSE: 60. Head, eyes, ears, nose, and throat are
unremarkable. Lymph nodes are unremarkable. Lungs are clear
Abdomen is soft, nontender, normal bowel sounds. Liver is
normal. Rectal Exam: His prostate is smooth, nontender, normal
for his age. His extremities are unremarkable. He has good
(cont)September 15, 2016
RE: GARY JOHNSON
Page 2
perfusion. He has no arthritis. His left big toe has scarring
from a frostbite incident years ago. His neuro, exam is grossly
intact. His deep tendon reflexes are normal
LABORATORY: Labs are pending, carotid Doppler is pending
stress echo is pending, and bone density is pending.
VACCINES: Pneumovax. PCV13 was offered, and he is considering
it, annual flu shot he is considering, and Zostavax he is
considering.
IMPRESSION: He is an extremely physically fit and healthy 63-
year-old male. Obviously, his decades of dedication to physical
fitness, diet, no drinking, and no smoking have paid dividends
as far as his current extraordinarily good health at this time
of his life.
RECOMMENDATIONS: I am going to check blood work, including
cholesterol, prostate, thyroid, blood sugar, liver, and kidneys
He is going to get a carotid Doppler to get a baseline. He is
going to see Dr. Laurie Good, a dermatologist, for screening of
skin cancer. He is going to have a bone density just to have a
baseline. We talked about maybe doing a stress echo again to
get a baseline given his extreme fitness and high level aerobic
exercise. He is going to start taking vitamin D 1000 units a
day. We talked about maybe starting taking aspirin 81 mg once a
day for prevention of cerebrovascular disease and coronary
artery disease.
( )
Aw uw
Lyle B. Amer, M.D.
LBA/or