A part of

Health, Wellness and

Preventive Care Institute
8333 Naab Road, Suite 301
Indianapolis, IN 46260
317.338. WELL (9355) TEL
317.583.2480 FAX
stvincent.org

September 15, 2016

Governor Michael R. Pence
4750 North Meridian Street
Indianapolis, IN 46208
Dear Governor Pence:
This letter summarizes your general health history and current medical evaluations that
have been completed at your request. I have served as your physician since March 18, 2013.
I have reviewed all your past medical records. I am certified by the American Board of Internal
Medicine in Internal Medicine. I am also a Pulmonologist involved in clinical research in
COPD and asthma.
You live a healthy lifestyle and maintain an excellent diet and exercise program. You do
cardiovascular training 4 days per week. Your main form of exercise is bicycling. You also
extensively walk and climb stairs. You have met with our staff Dietician and Exercise
Physiologist. You follow their diet and exercise prescriptions.
You have a past medical history of seasonal allergic rhinitis, asymptomatic left bundle branch
block and diet controlled heartburn. Your past surgical history includes a left inguinal
hernia repair in August 2015 and removal of basal cell carcinomas of the face in 2002 and
2010. Review of your family history is remarkable only for your father passing away from a
myocardial infarction; however, he did smoke cigarettes. You have never smoked cigarettes
and do not drink alcohol. You have no history of drug allergies and the only medication that
you take is Claritin only as needed for seasonal allergies. You follow adult preventative health
care guidelines and are up to date with your adult vaccines. Your last colonoscopy was in 2009,
which demonstrated no polyps. You will be having a repeat colonoscopy in 2019. You see the
Dermatologist annually and you have regular visits with your Dentist.
You see physicians regularly on an annual basis for prevention of disease. You are followed by
Preventative Cardiology and see the Cardiologist annually. In 2002, you had a heart scan for
a total coronary artery calcium score, which was 0 or no calcium deposits (excellent score).
You have had extensive evaluations of the asymptomatic left bundle branch block with the
Cardiologists at St. Vincent Health. In 2014, you had a graded exercise stress test, transthoracic
echocardiogram with Doppler and Color Flow, and a complete cardiac MRI with stress. The
evaluations showed a paradoxical septal motion consistent with the asymptomatic left bundle
branch block. The complete cardiac MRI with stress demonstrated no evidence for ischemia,
no evidence for infiltrative cardiomyopathy, normal left ventricular chamber size and cardiac
function, and all the heart chambers and heart valves were normal. The evaluations did
demonstrate borderline to mild enlargement of the proximal aorta. Repeat echocardiograms
have shown it to be stable and you are followed annually with an echocardiogram. The
evaluations also demonstrated a benign right renal cyst. The cardiologists feel you have
a very good and strong heart.

A part of

Health, Wellness and

Preventive Care Institute
8333 Naab Road, Suite 301
Indianapolis, IN 46260
317.338. WELL (9355) TEL
317.583.2480 FAX
stvincent.org

I performed your most recent physical examination on July 6, 2016, when you were 57 years
old. You are 5 feet 10 inches tall and weigh 208 pounds. Your blood pressure was 116/81,
oxygen saturation of 96%, and heart rate of 76 beats per minute. Your general physical and
mental health examination was normal. The comprehensive laboratory tests demonstrated
normal or within normal limit the following tests: Hemoglobin A1c, Cardio CRP, PSA (0.320),
thyroid stimulating hormone, ferritin, vitamin D level, complete blood count, urinalysis,
comprehensive metabolic panel, phosphorous, fractionated bilirubin, serum iron panel,
gamma glutamyl transferase and lactate dehydrogenase. The electrocardiogram was stable
showing the previous left bundle branch block and the spirometry (breathing test) was
normal. The lipid panel demonstrated total cholesterol of 216, triglycerides of 57, HDL of 55,
and LDL of 150. You met with our Nurse, Exercise Physiologist and Dietician to continue a
healthy diet, exercise program and lifestyle.
Overall, you are in excellent general and cardiovascular health. You maintain a healthy
lifestyle and prevent disease through your lifestyle and by practicing the adult preventative
care guidelines. You are medically able to maintain your high level of professional work and
your physical activity programs without limitations. I congratulate you on your desire to stay
healthy and your continued healthy lifestyle.
If you have any further questions, please feel free to contact me.
Sincerely yours,

Michael F. Busk, MD, MPH

System Executive
St. Vincent Health, Wellness and Preventative Care Institute