To Dr.

Thomas Kockinis (Physician for-Steven Arroyo 58)- - Descriptions of ailments 01 26 2016

1. I seem to have inflamed of cerebral cortex when buildup of testosterone occursthis and after
about a month to a month and a half of abstinence, I find myself needing to take azithro-like
medicines, then feel ok for another 45 days until testosterone buildup returns-
(a) Patient (myself) has had several blood test procedures the past ten years or / and during duration
of these said symptoms and in all cases tested negative for stds. Patient firmly believes he contracted
something when he was with Eve some ten years ago and has been self-advocating strong anti-biotics
upon flair ups. Steven expresses a dis-contention toward spinal lumbar puncture testing.
(b) Patient (Myself) had no such improper carnal relations .Patient-Myself self-advocating medication
to stop the production and buildup of semen as potential and viable treatment.
Can you help to prescribe accordingly Dr. Kockinis Sir? Thank You.

2. I suffer from very uncomfortable sinus congestion frequently-The interdiction or use of cordico
steroid-like inhalant (nasonex etc) along with Prednisone does and has been proven effective for us.
Can you help treat this such ailment accordingly Dr. Kockinis Sir? Thank You.

3. Patient-(Myself) alleges having right ear pain for past 2 years. Weve had our ears medically cleaned
and used pharmaceutical eardrops but to no avail. We ended up at urgent care. When treated with
azithromycin He/I seem to think this medication did/does seem to work to quickly provide about 6
months relief. 2X250mg. Can you help in this area of close scrutinys Dr. Kockinis Sir? Thank You.

4. Patient claims itchy and rash-like flare-ups in and around areas of genitals. We tried acyclovir and it
seemed to dissipate rashes. Although it served its purpose we do seek refills, or perhaps something
similar or a bit stronger. Can you help Dr. Kockinis Sir? Thank You.

5. Although we may think jock itch may be the same symptom of that in described the preceded
paragraph above, aside from paragraph 4, we feel as though a fungal ointment for this believed
symptom, an effective remedy to this area of a specific treatment. Can you help Dr. Kockinis Sir?

6. Arthritis and back pain/spasms can be debilitating-weve had such ailment(s)for quite some time.
Your noted and trusted medical expertise has been a proven remedy for me in the sudden and
welcomed remissions of such painful ailments. We cant thank you enough Sir. Much to our amazement
after have been started on courses of Naprosyn which we recommend to others, our symptoms of this
ailment has phased toward Ibuprofen 600 mg as needed in my personal care.
Can you help Dr. Kockinis Sir? Thank You.

I Steven V. Arroyo have been treated off and on by doctor Thomas Kockinis near ways to 30 years. In
concluding, if time is given to describe your illness and take notes as to make a more fuller contribution
to its said treatments and remedies, as we see here in these notations a physician may enjoy his
fiduciary and honorable successes that of preventative medicine. Can you help Dr. Kockinis Sir?

Thank you Dr. K, California Coast Medical and associates;

Peace be with you and your staff and clientele.

Reverence in sickness and health:

Steven V. Arroyo
01 26 2016