Problem: Your patient a 58-year-old male truck driver presents with complaints of a 3-week history of increasing epigastric pain. He is a heavy smoker and enjoys 2- 4 oz glasses of Makers Mark Bourbon after his daily long-haul routes. He has had dyspepsia in the past week for which he took Tums. However, it is much worse and only partially relieved with chewable antacids.