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Insureds' Brief Medical Histories – June 2012
1. TC042210JH
The insured is an 80 year-old male smoker with a history of Prostate Cancer, Hypertension, mild Cardiovascular
Disease, Peripheral Vascular Insufficiency, Osteoarthritis, Valvular Heart Disease, Diverticulosis, Degenerative
Joint Disease, and COPD.
Medications reported: Enalapril, Flomax, Zocor, Folic Acid, Ramipril, Ibuprofen, Simvastatin, Altace, Lisinopril, 2. SR053110AE
The insured is a 79 year-old male non-smoker. He has a history of Early Alzheimer’s Disease, Syncope,
Dyslipidemia, Glucose Intolerance, Depression, Anemia, Gastroesophageal Reflux Disease, Barrett’s
Esophagus, Hepititis A, Degenerative Joint Disease, Degenerative Disc Disease, Osteoporosis, Gait Instability,
Benign Protatic Hypertrophy, Nocturia, Urgency, Basil Cel Carcinoma, Seborrheic Keratosis, Glaucoma &
Cataracts.
Medications reported: Aricept, Folic Acid, Lortab, Lipitor, Mobic, Namenda, Protonix, Vicodin and Xalatan.
3. BH051510JH
The insured is a 78 year-old male non-smoker. He has a history of Dyslipidemia, Hypertension, Renal
Insufficiancy, Transient Ischemic Attack, Cognitive Decline, Colon Polyps, Degenerative Joint Disease,
Osteoarthritis, Gout, and Vertigo.
Medications reported: Advair, Al opurinol, Antibiotics, Diclofenac, Cialis, Diltiazem, Indomethacin, Lisinopril/ 4. CP042210AE
The insured is an 81 year-old female non-smoker. She has a history of Coronary Artery Disease, Angina
Pectoris, Hypertension, Hyperlipidemia, Hypothyroidism, Atypical Chest Pain, Dyspnea on Exertion, Anemia,
Gastroesophageal Reflux Disease, Diverticulosis, Hemorrhoids, Hiatal Hernia, Cholelithiasis, Degenerative Disc
Disease, Osteoarthritis, Osteopenia, Gout, Dermatitis & Pneumonia.
Medications reported: Reglan, Plavix, Amlodopine, Aspirin, Prevacid, Prilosec, Nexium, Norvasc, Levothyroid,
Premarin, Toprol XL, Lipitor, MVI, NTG and Demadex.
5. CP051910AE
The insured is an 81 year-old female non-smoker. She has a history of Coronary Artery Disease, Angina
Pectoris, Hypertension, Hyperlipidemia, Hypothyroidism, Atypical Chest Pain, Dyspnea on Exertion, Anemia,
Gastroesophageal Reflux Disease, Diverticulosis, Hemorrhoids, Hiatal Hernia, Cholelithiasis, Degenerative Disc
Disease, Osteoarthritis, Osteopenia, Gout, Dermatitis & Pneumonia.
Medications reported: Reglan, Plavix, Amlodopine, Aspirin, Prevacid, Prilosec, Nexium, Norvasc, Levothyroid, Premarin, Toprol XL, Lipitor, MVI, NTG and Demadex.
6. WM051510ING
The insured is an 80 year-old female non-smoker. She has a history of Atherosclerotic Heart Disease,
Cerebrovascular Disease, Hypertension, Dyslipidemia, Anxiety/Depression, Type II Diabetes Mel itus,
Gastroesophageal Reflux Disease, Colon Polyps, Lumbago, Al ergic Rhinitis, Chronic Dizziness, Recurrent
Urinary Infections, Pneumonia, Chronic Sinusitis, and Cataracts.
Medications reported: Actonel, Al egra, Aspirin, Benicar, Lipitor, Pravachol, Seroquel and Zoloft.
7. PE042210PF
The insured is a 79 year-old male non-smoker who has a history of Dyslipidemia, Hypertension, Anemia,
Gastroesophageal Reflux Disease, Diverticulosis, Duodenal Ulcer, Colon Polyps, Hiatal Hernia, Degenerative
joint Disease. Degenerative Disc Disease, Osteoarthritis, Osteopenia, Benign Prostatic Hypertrophy,Glaucoma,
and Old Granulomatous Disease.
Medications reported: Aspirin, Antibiotics, Ativan, Flomax, Fluoxetine, Lisinopril, Prozac, Valium and Xalatan. 8. ZJ042210LN
The insured is a 76 year-old male non-smoker with a history of Chronic Atrial Fibril ation, Hypertension,
Hypercholesterolemia, Atypical Chest Pain, Anxiety, Chronic Kidney Disease Stage 3, Acute
Gastroenteritis,Hemerrhoids, Degenerative Joint Disease, Osteoarthritis, Degenerative Disc Disease,
Spondylolisthesis, Spinal Stenosis, osteoporosis, Calcium Metabolism Disorder, Traumatic Hemothorax, Gout,
Benign Prostatic Hypotrophy, Hypogonadism, Nocturia, Erectile Dysfunction, Vertigo, Nephrosclerosis, Pleurisy,
Al ergic Rhinitis, Sinusitis, Bilateral Sensorineural, Hearing loss, Vitreous degeneration and Cataracts.
Medications reported: Doxycycline, Atenolol, Benadryl, Coumadin, Prednisone, Hydrocodone, Acetaminophen, Mevacor, Al egra, Multivitamins, Minipress, Beconase Inhaler, Vioxx, Viagra, Prazosin, Lovastatin, Nortriptyline, Darvocet N-100, Depo-testosterone, Caudal Epidural Steroid Injections, Protonix, Fortical, Bisacodyl, Percocet, Morphine, Colace, Miralax, Tramodal, Lovastatin, Metamucil and Senakot. 9. MP0811CL
The insured is an 82 year-old female non-smoker with a past medical history for coronary artery disease, chronic
atrial fibril ation, hyperlipidemia, mediastinal and neck mass, history of breast cancer, status post left breast
mastectomy and chemotherapy. There is a history of osteopenia, thyroid nodules, hypothyroidism, chronic back
pain with lumbar radiculopathy, urinary incontinence, cystocele, chronic cough, dizziness, bilateral eye
glaucoma, severe osteoarthritis, uterine fibroids, fatigue, malaise, and bilateral hearing loss as wel as insomnia.
Medications reported: Coumadin, Synthroid, Zocor, Estrace, Refresh, ginkgo biloba, aspirin, Fosamax, calcium with vitamin D, flax oil, melatonin, VESIcare, Aleve, Percocet, simvastatin, Solifenacin scuccinate, Alendronate sodium, Levothyroxine, Warfarin, Metoprolol succinate, Naproxin, Estrodial, Furosimide, propoxyphene hydrochloride, and oxycodone.
10. SH0612AE
The insured is an 82 year old non-smoker with a past medical history of hypertension, hypercholesterolemia,
atypical chest pain, sleep paralysis, Vitamin D deficiency, Gastroesophageal Reflux Disease, colon polyps, de-
generative joint disease, osteoporosis, Adenocarcenoma of Prostate, benign prostatic hypertrophy, Nocturia Fre-
quency, Prostatitis, Hematuria, Nephrolithiasis, Pituitary Nodule, Squamous Cel Carcinoma, Basal Cel Car-
cinoma, Actinic Keratosis, Seborrheic Keratosis, Psoriasis, Vertigo, Headaches, Al ergic Rhinitis, Cataract and
Macular Degeneration.
Medications reported: Vitamin D3, Cozaar, Fish Oil, Red Yeast Rice Extract, Pramosone Ointment, Antivert, Metamucil, Aspirin, Cipro, Tylenal, Casodex, Zoladex, Nasonex, Astelin, Lipitor, Bel aspas, Nifedipine, Atacand (d/c), Gentamicin Sulfate Ophthalmic, Xopenex, Zpak, Celebrex, Flexeril, Prilosec, Zyrtec, Prednisone and An-drogel.
11. SB0612JH
The insured is a 78 year old, female non-smoker with a past medical history of Mitral Valve Prolapse, Asthma, Hyperlipidemia, Hypothiroidism, Cervical/Lumbar Spinal Stenosis, Valvular Heart Disease, Mild Aortic Insuffi-ciency, Trace Mitral Regurgitation, Diverticulosis, Gastric Ulcer, Vitamin D Deficiency, left Shoulder Inpingement, Heel Compression and Ankle Fracture, Tubular Adenomas of Colon and Erosive Duodenitis.
Medications reported include: Zocor, Synthroid, Al egra, Ambien, Medrol and Protonix.

Source: http://www.myconestoga.com/uploads/June_2012_Medical_Histories.pdf

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