Generate a doctor-patient conversation based on sections from an Electronic Medical Record (EMR):
PAST MEDICAL HISTORY - He has difficulty climbing stairs, difficulty with airline seats, tying shoes, used to public seating, and lifting objects off the floor.  He exercises three times a week at home and does cardio.  He has difficulty walking two blocks or five flights of stairs.  Difficulty with snoring.  He has muscle and joint pains including knee pain, back pain, foot and ankle pain, and swelling.  He has gastroesophageal reflux disease.
PAST SURGICAL HISTORY - Includes reconstructive surgery on his right hand 13 years ago.  
SOCIAL HISTORY - He is currently single.  He has about ten drinks a year.  He had smoked significantly up until several months ago.  He now smokes less than three cigarettes a day.
FAMILY HISTORY - Heart disease in both grandfathers, grandmother with stroke, and a grandmother with diabetes.  Denies obesity and hypertension in other family members.
CURRENT MEDICATIONS - None.
ALLERGIES - He is allergic to Penicillin. ,MISCELLANEOUS/,
REVIEW OF SYSTEMS - Negative for head, neck, heart, lungs, GI, GU, orthopedic, and skin.  Specifically denies chest pain, heart attack, coronary artery disease, congestive heart failure, arrhythmia, atrial fibrillation, pacemaker, high cholesterol, pulmonary embolism, high blood pressure, CVA, venous insufficiency, thrombophlebitis, asthma..
 Provide two versions of response separated with exactly 6 asterisk symbols: ******.
user