Exercise-Induced Asthma referral

Mike Murray

2015-06-11

I would agree, obviously, given my medical history however I have to point out that even with testing things like coronary artery disease might not get revealed. In my case I had done several regular stress tests and a nuclear medicine stress test which were all normal. These only served to make me ignore increasing symptoms. Some examination is reasonable more examination is not necessarily better and nothing will ascertain that all potential problems will be discovered.

Mike Murray
Sent from mobile device

> On Jun 10, 2015, at 16:03, via OBRA wrote:
>
> Jeff, all...
> If you are having shortness of breath with increased effort, the PCP recommendation is a good one. I strongly advise getting your heart checked beyond your Dr. doing the normal office visit stuff. It may not be your heart, but getting something like a stint put in place is way better than surviving a massive heart attack or dropping dead. There are many of you out there that may think your arteries and heart are in supreme condition....and your fitness might mask some problems with your infrastructure. My symptoms before my second heart procedure were much different (I was at a much higher fitness level than the first time) were much different. I am glad I made the decision to go get checked.
> Push your doctor to get some testing done. I know several people who were miss-diagnosed but finally got the right call before they said bye-bye to life. Better to race / ride tomorrow knowing more about your body than riding off a cliff.
> There might be some others on the list who might agree or not....but going to see your doctor (not Salazar or Rupp) is a great start. Do not let him/her poo-poo your concern. Asthma is not CPD. You can have both. Work to get your heart checked by the people who specialize in that. If you come out clean, the work on the Asthma trail. Advocate to know!
>
> ron
>
> From: Robert via OBRA
> Sent: Wednesday, June 10, 2015 11:13 AM
> To: Jeff Lorenzen ; Jeff Lorenzen via OBRA ; obra@list.obra.org
> Subject: Re: [OBRA Chat] Exercise-Induced Asthma referral
>
> There are other issues that it could be that are not related to asthma .... with the shortness of breath being a symptom of the problem. A trip to your PCP is in order.
>
>> On June 10, 2015 10:53:13 AM PDT, Jeff Lorenzen via OBRA wrote:
>> Okay, so you all were so good about providing shoe/cleat fit recommendations, I thought I'd try something different. I have exercised-induced asthma that is pretty well managed. However, as I work harder toward maximum effort (hill sprint intervals/PIR hot laps), I sometimes feel wheezing and tightness in my breathing (insert joke about just training harder here). The tightness does not diminish after the effort, and rescue inhalers/bronchodilators have no effect.
>>
>> Two questions:
>> 1. Has anyone had similar issues and possible resolution? If so, reply off list and we can discuss the specifics of my symptoms and treatment protocol. obra369 (at) gmail dot com
>> 2. Does anyone have a recommendation for a GP doc/respiratory therapist/pulmonologist who is good with exercise-induced asthma as it applies to people who are training at high intensity?
>>
>> Chris Horner remarked in an interview that he is having a similar problem, questioning if it is chronic bronchitis. As may be the case with me, Russell Cree offered, "There's no cure for old age."
>>
>> I found some interesting discussion of a similar issue on this thread, particularly comments 10 and 23:
>> http://forum.slowtwitch.com/forum/Slowtwitch_Forums_C1/Triathlon_Forum_F1/Powerlung_%26_strengthening_your_breathing_muscles_P4735904/
>>
>> OBRA mailing list
>> obra@list.obra.org
>> http://list.obra.org/mailman/listinfo/obra
>> Unsubscribe: obra-unsubscribe@list.obra.org
>
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rond..@spiritone.com

2015-06-10

Jeff, all...
If you are having shortness of breath with increased effort, the PCP recommendation is a good one. I strongly advise getting your heart checked beyond your Dr. doing the normal office visit stuff. It may not be your heart, but getting something like a stint put in place is way better than surviving a massive heart attack or dropping dead. There are many of you out there that may think your arteries and heart are in supreme condition....and your fitness might mask some problems with your infrastructure. My symptoms before my second heart procedure were much different (I was at a much higher fitness level than the first time) were much different. I am glad I made the decision to go get checked.
Push your doctor to get some testing done. I know several people who were miss-diagnosed but finally got the right call before they said bye-bye to life. Better to race / ride tomorrow knowing more about your body than riding off a cliff.
There might be some others on the list who might agree or not....but going to see your doctor (not Salazar or Rupp) is a great start. Do not let him/her poo-poo your concern. Asthma is not CPD. You can have both. Work to get your heart checked by the people who specialize in that. If you come out clean, the work on the Asthma trail. Advocate to know!

ron

From: Robert via OBRA
Sent: Wednesday, June 10, 2015 11:13 AM
To: Jeff Lorenzen ; Jeff Lorenzen via OBRA ; obra@list.obra.org
Subject: Re: [OBRA Chat] Exercise-Induced Asthma referral

There are other issues that it could be that are not related to asthma .... with the shortness of breath being a symptom of the problem. A trip to your PCP is in order.

On June 10, 2015 10:53:13 AM PDT, Jeff Lorenzen via OBRA wrote:
Okay, so you all were so good about providing shoe/cleat fit recommendations, I thought I'd try something different. I have exercised-induced asthma that is pretty well managed. However, as I work harder toward maximum effort (hill sprint intervals/PIR hot laps), I sometimes feel wheezing and tightness in my breathing (insert joke about just training harder here). The tightness does not diminish after the effort, and rescue inhalers/bronchodilators have no effect. Two questions:1. Has anyone had similar issues and possible resolution? If so, reply off list and we can discuss the specifics of my symptoms and treatment protocol. obra369 (at) gmail dot com2. Does anyone have a recommendation for a GP doc/respiratory therapist/pulmonologist who is good with exercise-induced asthma as it applies to people who are training at high intensity?Chris Horner remarked in an interview that he is having a similar problem, questioning if it is chronic bronchitis. As may be the case with me, Russell Cree offered, "There's no cure for old age."I found some interesting discussion of a similar issue on this thread, particularly comments 10 and 23:http://forum.slowtwitch.com/forum/Slowtwitch_Forums_C1/Triathlon_Forum_F1/Powerlung_%26_strengthening_your_breathing_muscles_P4735904/------------------------------------------------------------------------------OBRA mailing listobra@list.obra.orghttp://list.obra.org/mailman/listinfo/obraUnsubscribe: obra-unsubscribe@list.obra.org
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Robert Jackson

2015-06-10

I concur with Russell.

On Wed, Jun 10, 2015 at 11:43 AM, Russell Cree via OBRA
wrote:

> I highly recommend Dr Kuehl at the OHSU Human Performance Lab as a good
> place to start.
>
> http://www.ohsu.edu/xd/health/services/providers/?personid=425
>
> RC
>
> On Wed, Jun 10, 2015 at 11:13 AM, Robert via OBRA
> wrote:
>
>> There are other issues that it could be that are not related to asthma
>> .... with the shortness of breath being a symptom of the problem. A trip to
>> your PCP is in order.
>>
>> On June 10, 2015 10:53:13 AM PDT, Jeff Lorenzen via OBRA <
>> obra@list.obra.org> wrote:
>>>
>>> Okay, so you all were so good about providing shoe/cleat fit recommendations, I thought I'd try something different. I have exercised-induced asthma that is pretty well managed. However, as I work harder toward maximum effort (hill sprint intervals/PIR hot laps), I sometimes feel wheezing and tightness in my breathing (insert joke about just training harder here). The tightness does not diminish after the effort, and rescue inhalers/bronchodilators have no effect.
>>>
>>> Two questions:
>>> 1. Has anyone had similar issues and possible resolution? If so, reply off list and we can discuss the specifics of my symptoms and treatment protocol. obra369 (at) gmail dot com
>>> 2. Does anyone have a recommendation for a GP doc/respiratory therapist/pulmonologist who is good with exercise-induced asthma as it applies to people who are training at high intensity?
>>>
>>> Chris Horner remarked in an interview that he is having a similar problem, questioning if it is chronic bronchitis. As may be the case with me, Russell Cree offered, "There's no cure for old age."
>>>
>>> I found some interesting discussion of a similar issue on this thread, particularly comments 10 and 23:
>>> http://forum.slowtwitch.com/forum/Slowtwitch_Forums_C1/Triathlon_Forum_F1/Powerlung_%26_strengthening_your_breathing_muscles_P4735904/
>>> ------------------------------
>>>
>>> OBRA mailing list
>>> obra@list.obra.org
>>> http://list.obra.org/mailman/listinfo/obra
>>> Unsubscribe: obra-unsubscribe@list.obra.org
>>>
>>>
>> --
>> Sent by an Android >^•^<
>>
>> _______________________________________________
>> OBRA mailing list
>> obra@list.obra.org
>> http://list.obra.org/mailman/listinfo/obra
>> Unsubscribe: obra-unsubscribe@list.obra.org
>>
>>
>
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>
>

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Sean Hunter

2015-06-10

You could go talk to Alberto Salazar and Galen Rupp. I hear they may have
some asthma solutions.

On Wed, Jun 10, 2015 at 10:53 AM, Jeff Lorenzen via OBRA wrote:

> Okay, so you all were so good about providing shoe/cleat fit
> recommendations, I thought I'd try something different. I have
> exercised-induced asthma that is pretty well managed. However, as I work
> harder toward maximum effort (hill sprint intervals/PIR hot laps), I
> sometimes feel wheezing and tightness in my breathing (insert joke about
> just training harder here). The tightness does not diminish after the
> effort, and rescue inhalers/bronchodilators have no effect.
>
> Two questions:
> 1. Has anyone had similar issues and possible resolution? If so, reply
> off list and we can discuss the specifics of my symptoms and treatment
> protocol. obra369 (at) gmail dot com
> 2. Does anyone have a recommendation for a GP doc/respiratory
> therapist/pulmonologist who is good with exercise-induced asthma as it
> applies to people who are training at high intensity?
>
> Chris Horner remarked in an interview that he is having a similar problem,
> questioning if it is chronic bronchitis. As may be the case with me,
> Russell Cree offered, "There's no cure for old age."
>
> I found some interesting discussion of a similar issue on this thread,
> particularly comments 10 and 23:
>
> http://forum.slowtwitch.com/forum/Slowtwitch_Forums_C1/Triathlon_Forum_F1/Powerlung_%26_strengthening_your_breathing_muscles_P4735904/
> _______________________________________________
> OBRA mailing list
> obra@list.obra.org
> http://list.obra.org/mailman/listinfo/obra
> Unsubscribe: obra-unsubscribe@list.obra.org
>


Russell Cree

2015-06-10

I highly recommend Dr Kuehl at the OHSU Human Performance Lab as a good
place to start.

http://www.ohsu.edu/xd/health/services/providers/?personid=425

RC

On Wed, Jun 10, 2015 at 11:13 AM, Robert via OBRA
wrote:

> There are other issues that it could be that are not related to asthma
> .... with the shortness of breath being a symptom of the problem. A trip to
> your PCP is in order.
>
> On June 10, 2015 10:53:13 AM PDT, Jeff Lorenzen via OBRA <
> obra@list.obra.org> wrote:
>>
>> Okay, so you all were so good about providing shoe/cleat fit recommendations, I thought I'd try something different. I have exercised-induced asthma that is pretty well managed. However, as I work harder toward maximum effort (hill sprint intervals/PIR hot laps), I sometimes feel wheezing and tightness in my breathing (insert joke about just training harder here). The tightness does not diminish after the effort, and rescue inhalers/bronchodilators have no effect.
>>
>> Two questions:
>> 1. Has anyone had similar issues and possible resolution? If so, reply off list and we can discuss the specifics of my symptoms and treatment protocol. obra369 (at) gmail dot com
>> 2. Does anyone have a recommendation for a GP doc/respiratory therapist/pulmonologist who is good with exercise-induced asthma as it applies to people who are training at high intensity?
>>
>> Chris Horner remarked in an interview that he is having a similar problem, questioning if it is chronic bronchitis. As may be the case with me, Russell Cree offered, "There's no cure for old age."
>>
>> I found some interesting discussion of a similar issue on this thread, particularly comments 10 and 23:
>> http://forum.slowtwitch.com/forum/Slowtwitch_Forums_C1/Triathlon_Forum_F1/Powerlung_%26_strengthening_your_breathing_muscles_P4735904/
>> ------------------------------
>>
>> OBRA mailing list
>> obra@list.obra.org
>> http://list.obra.org/mailman/listinfo/obra
>> Unsubscribe: obra-unsubscribe@list.obra.org
>>
>>
> --
> Sent by an Android >^•^<
>
> _______________________________________________
> OBRA mailing list
> obra@list.obra.org
> http://list.obra.org/mailman/listinfo/obra
> Unsubscribe: obra-unsubscribe@list.obra.org
>
>


Robert

2015-06-10

There are other issues that it could be that are not related to asthma .... with the shortness of breath being a symptom of the problem. A trip to your PCP is in order.

On June 10, 2015 10:53:13 AM PDT, Jeff Lorenzen via OBRA wrote:
>Okay, so you all were so good about providing shoe/cleat fit
>recommendations, I thought I'd try something different. I have
>exercised-induced asthma that is pretty well managed. However, as I
>work harder toward maximum effort (hill sprint intervals/PIR hot laps),
>I sometimes feel wheezing and tightness in my breathing (insert joke
>about just training harder here). The tightness does not diminish
>after the effort, and rescue inhalers/bronchodilators have no effect.
>
>Two questions:
>1. Has anyone had similar issues and possible resolution? If so,
>reply off list and we can discuss the specifics of my symptoms and
>treatment protocol. obra369 (at) gmail dot com
>2. Does anyone have a recommendation for a GP doc/respiratory
>therapist/pulmonologist who is good with exercise-induced asthma as it
>applies to people who are training at high intensity?
>
>Chris Horner remarked in an interview that he is having a similar
>problem, questioning if it is chronic bronchitis. As may be the case
>with me, Russell Cree offered, "There's no cure for old age."
>
>I found some interesting discussion of a similar issue on this thread,
>particularly comments 10 and 23:
>http://forum.slowtwitch.com/forum/Slowtwitch_Forums_C1/Triathlon_Forum_F1/Powerlung_%26_strengthening_your_breathing_muscles_P4735904/
>_______________________________________________
>OBRA mailing list
>obra@list.obra.org
>http://list.obra.org/mailman/listinfo/obra
>Unsubscribe: obra-unsubscribe@list.obra.org

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Jeff Lorenzen

2015-06-10

Okay, so you all were so good about providing shoe/cleat fit recommendations, I thought I'd try something different. I have exercised-induced asthma that is pretty well managed. However, as I work harder toward maximum effort (hill sprint intervals/PIR hot laps), I sometimes feel wheezing and tightness in my breathing (insert joke about just training harder here). The tightness does not diminish after the effort, and rescue inhalers/bronchodilators have no effect.

Two questions:
1. Has anyone had similar issues and possible resolution? If so, reply off list and we can discuss the specifics of my symptoms and treatment protocol. obra369 (at) gmail dot com
2. Does anyone have a recommendation for a GP doc/respiratory therapist/pulmonologist who is good with exercise-induced asthma as it applies to people who are training at high intensity?

Chris Horner remarked in an interview that he is having a similar problem, questioning if it is chronic bronchitis. As may be the case with me, Russell Cree offered, "There's no cure for old age."

I found some interesting discussion of a similar issue on this thread, particularly comments 10 and 23:
http://forum.slowtwitch.com/forum/Slowtwitch_Forums_C1/Triathlon_Forum_F1/Powerlung_%26_strengthening_your_breathing_muscles_P4735904/