Case 1 - Mr. H. Jorgan 40 y/o w/m here for initial evaluation CC: “sour stomach & acid back-up” This started about 3 – 4 years ago and only occurred about 1x week. It has progressively increased in frequency and severity. During the past year, it has occurred daily after most meals. He has a feeling of fullness and bloating with nausea for about 2 hrs. post-prandially. There are times, especially after eating a late snack, when it may wake him from sleep. He avoids spicy foods because it makes him worse. He denies dysphagia, odynophagia, chest pain, shortness of breath, hoarseness, and sore throat. PMH: Fractured left leg six years ago Hypertension for three years Medications: Aspirin as needed for left leg pain Tagamet-HB twice daily Procardia Allergies: None Social History: Works as a loan officer for a large suburban bank Denies tobacco use Has 1 or 2 glasses of wine at dinner Family History: Mother 68 y/o with hypertension Father 70 y/o with chronic stable angina Two daughters age 18 and 16, both healthy ROS: Twenty pound weight gain over the past 6 years, which he attributes to a more sedentary lifestyle than he had previously