using System;

public class Program

{

    public static void Main()

    {

        Console.WriteLine(System.Web.HttpUtility.UrlDecode(@"

**AGE-APPROPRIATE DENIAL STATEMENT**

Your doctor has asked for a nuclear stress test. This test looks at blood flow to your heart.  Based on Guidelines and your records, our Medical Director could not see that this service is reasonable or necessary.  You must have a recent history and physical examination.  This test is used for worsening chest pain or pressure.  This test is used for worsening shortness of breath.  You cannot walk on a treadmill.  You can have a Left Bundle Branch Block on EKG.  You may be very overweight.  A nuclear stress test will expose you to radiation.  The notes say that you have had a positive stress test in the recent past but no coronary intervention. The decision for cardiac catheterization is clinically based. For this reason, this service cannot be approved. Please call your main doctor (PCP) to talk about your care.

​

        "));

    }

}