How do I find a decent sports Dr?

Ian F

Well-Known Member
I'll try not to make this too wordy, but if you've read my posts over the years, I'll know I'm not very good at that...

Basic stats: 50 year old male (51 in July), 5' 10", reasonable weight (~175 lbs.), average to thin build. Past tests: normal/average blood pressure; slightly high cholesterol. "Beer gut" is somewhat reduced since I've mostly stopped drinking in 2021. Try to eat healthy, but could do better.

About a year ago I started using a heart rate monitor to go with mu Wahoo Elemnt Bolt. It seems my heart runs "hot". My "conversational" HR is pretty much around 180 BPM or less (can easily hold a conversation at that HR). A max-effort 4 minute sprint will put me into the mid 190's. Trying to do a "Zone 1 or 2" recovery ride is damn near impossible as it's very hard for me to keep my HR that low. A HR under 150 feels like I'm not working at all.

Over the last few years, when I've done long, sustained efforts on climbs have required me to stop and catch my breath. I've attributed this to simply being out of shape and needing to train more, but in no matter how much I ride it hasn't really improved as much as I'd like. Mtn bike rides are worse than road rides.

I've been told by some that this just means my heart is strong. I've also been told by many more that I really need to get checked as my HR is not normal. I'm hesitant to go to my GP office as in my experience they simply don't do well with this sort of thing (it took many visits and more $$$$ than I care to think about for them to get a frozen shoulder diagnosis correct back 2009).

So... how does one go about finding a Dr. who knows how to deal with this sort of thing? I'm in SE PA, so unfortunately, NJ recommendations may not be helpful (although if they are in the Trenton to Burlington general area, I'd consider them). What questions to ask? Search parameters?

My health insurance sucks (FU: Aetna...), so I fully expect to pay for a fair bit of this myself.

Thanks for any thoughts or comments.
 
I'll try not to make this too wordy, but if you've read my posts over the years, I'll know I'm not very good at that...

Basic stats: 50 year old male (51 in July), 5' 10", reasonable weight (~175 lbs.), average to thin build. Past tests: normal/average blood pressure; slightly high cholesterol. "Beer gut" is somewhat reduced since I've mostly stopped drinking in 2021. Try to eat healthy, but could do better.

About a year ago I started using a heart rate monitor to go with mu Wahoo Elemnt Bolt. It seems my heart runs "hot". My "conversational" HR is pretty much around 180 BPM or less (can easily hold a conversation at that HR). A max-effort 4 minute sprint will put me into the mid 190's. Trying to do a "Zone 1 or 2" recovery ride is damn near impossible as it's very hard for me to keep my HR that low. A HR under 150 feels like I'm not working at all.

Over the last few years, when I've done long, sustained efforts on climbs have required me to stop and catch my breath. I've attributed this to simply being out of shape and needing to train more, but in no matter how much I ride it hasn't really improved as much as I'd like. Mtn bike rides are worse than road rides.

I've been told by some that this just means my heart is strong. I've also been told by many more that I really need to get checked as my HR is not normal. I'm hesitant to go to my GP office as in my experience they simply don't do well with this sort of thing (it took many visits and more $$$$ than I care to think about for them to get a frozen shoulder diagnosis correct back 2009).

So... how does one go about finding a Dr. who knows how to deal with this sort of thing? I'm in SE PA, so unfortunately, NJ recommendations may not be helpful (although if they are in the Trenton to Burlington general area, I'd consider them). What questions to ask? Search parameters?

My health insurance sucks (FU: Aetna...), so I fully expect to pay for a fair bit of this myself.

Thanks for any thoughts or comments.
Any chance you may just have chipmunk DNA ?

Seriously though, @rick81721 is correct.

I would just double check with your insurance if you need to be referred to a specialist by your primary care doctor in order for them to cover whatever part of the cost they're supposed to cover, especially if the coverage is not the best.
 
Ok. I'll start looking for a cardiologist who can do a stress test. Thanks.

One of Aetna's wonderful "cost-saving" ideas was to eliminate having a PCP to do referrals, so you basically have to go searching through the "in network" list of care providers, then roll the dice on whether or not Aetna will actually cover the visit. It's awesome.
 
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This is your guy.


Stress that you are an athlete when you call to make an appointment or they may not take you.
It is usually hard to get an appt, figure a month or so before you see him. Don’t waste your time with a normal cardiologist as most have no understanding of what we do to our hearts and they are use to treating mostly unhealthy or older patients. I believe he has an office in PA as well, or he at least he did. I can’t recommend him enough.
 
FWIW, your HR numbers are not unheard of. I used to train with a guy in his early 50s who would regularly see mid 190s. Past 180, I'm digging a hole that's going to be hard to get out of.

Random: my PCP, who's known me for (Jesus) 26 years, remarked that my heart is bigger than normal. He attributed it to the years of cycling.
 
I’ve been through all this over the that last 3 years so I understand your concerns.

First thing you need to do is get a full physical with complete blood work. Have them check for everything. Literally tell the doctor you want to check everything... testosterone levels, hemoglobin, iron, white cell count, Lyme... everything. You’ll get a lot of info from a proper blood test. A cardiologist is also a good idea. Sounds like you might need a stress test but I’m no expert.

Start there and see what happens. If there are things that pop up then seek out referrals for specific specialists. Good luck man.
 
Beware of “full blood” work as you can see some hefty bills from that.

other than that, listen to these old guys, they know much better
 
So... how does one go about finding a Dr. who knows how to deal with this sort of thing? I'm in SE PA, so unfortunately, NJ recommendations may not be helpful (although if they are in the Trenton to Burlington general area, I'd consider them). What questions to ask? Search parameters?

I know you're limited in scope(no pun), incase you come further north my wife recommended these DRs





 
Dr. Randazzo is my brother's doctor; he's outstanding.

My wife use to work with cardiologist on the regular, I know its out of his range but maybe someone else in the area is looking for recommendations. figured it couldn't hurt to post a list.

Feel free to join our post vasectomy group ride next month
 
My wife use to work with cardiologist on the regular, I know its out of his range but maybe someone else in the area is looking for recommendations. figured it couldn't hurt to post a list.

Feel free to join our post vasectomy group ride next month
Not sure about his range, but my brother is a life-long runner and had his first heart attack during a martial arts workout at age 42. Dr. Randazzo has provided excellent care and diagnostic work. He's needed a couple of stents, but Dr. Randazzo guided my brother through his issues and got him running again.
 
I've been told by some that this just means my heart is strong.
Yeah, you're probably/hopefully fine, but be aware of the "you're an endurance athlete so your heart must be strong" stuff. Exercise is good in moderation. Many of us take it well past that level.
 
Yeah, you're probably/hopefully fine, but be aware of the "you're an endurance athlete so your heart must be strong" stuff. Exercise is good in moderation. Many of us take it well past that level.
Below news had a good article about that a few years ago. How life long endurance athletes have heart issues later in life.
 
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