This is a real document from a medical office, dated 10/26/2010
I did not photoshop anything, aside from blocking out details of the name/phone #/address of the office.
I did not write anything on it myself, nor did anyone outside of the office add anything to it.
Also recall that, in the second half of 2010 (including October), I was stricken with a peculiar series of illnesses within a short period of time, including 3 worst-of-my-life colds, shingles, and pink eye.
Explain.