I wanted to drop a note and say thank you for your diligence during my annual physical in September 2017. I view it as having been a potentially life saving event. You found at the time an undetected heart murmur. Although these can be mild and not cause any issues, that wasn't the case with mine. Reviewing the options with my surgeon, the viewpoint became clear it could be a live threatening situation if untreated in a near term. I've already had the needed procedure with a great prognosis. I want to re-iterate that without the annual physical, this could have become a potential "silent killer" for me in a near term. I would encourage everyone to make and keep that annual physical. I would also encourage everyone to listen to the advice on dietary adjustments, as I've lost 20 pounds since the procedure, again, something found and encouraged during the annual exam. More