Nice to see you ; how have you been feeling lately ?   I have been feeling great , Dr . Smith .   I am happy that you have decided to come in for your annual physical .   Yes , I am going on a cross-country bike ride on vacation and want to make sure that I don ’ t have any problems .   We are going to look at your heart and lungs , do a few blood tests , and see that your eyes , ears , and nose are all working as they should .   I ’ Ve been having trouble with congestion in my chest . Can you give me some tests for that ? 