Cardiologist Nephew seeing more athletes

blion72

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Oct 30, 2021
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our nephew is a cardiologist in Birmingham and was visiting this weekend. The practice he works in sees a lot of the athletes in the region, and he was saying that with more sophistication in the examination process, they can find obscure maladies that would never have been discovered before. he has only been in the field for 5 years and that short time he is seeing increased advice to for athletes to give up their sport. I asked him about the death rate, and he said the physicians are just getting more conservative in their advice. The older docs would tend to let them play more than the young docs. He said their is a local HS FB player who is pretty good being recruited by SEC and has been advised to hang it up, but continues to play.

A couple of their more experienced docs do NFL physicals. He was telling us that the physical that the NFL teams do now is way more sophisticated than even 20 years ago. Now they do imaging of everything - heart, shoulders, knees, back, ankles, etc. The analyze muscles, joints, etc. with equipment and not just examination. I was curious about this (hey I would love a $40k exam for my piece of mind) and the level of effort. He said the new thinking is that most injuries never actually heal, and repeated injuries to the same area are a risk teams want to understand better, so they are forking over the $$$. we are in a new world.
 

Big_O

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Oct 12, 2021
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Twenty years is an eternity in the evolution of medicine and technology.

The old adage in medicine is that medical knowledge doubles every 10 years. So in 20 years there would be 4x the knowledge to learn than 20 years prior. Of course some of the knowledge from 20 years prior is defunct so there would not be any point in learning it except for historical purposes.
 

FrontierLion

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Oct 12, 2021
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our nephew is a cardiologist in Birmingham and was visiting this weekend. The practice he works in sees a lot of the athletes in the region, and he was saying that with more sophistication in the examination process, they can find obscure maladies that would never have been discovered before. he has only been in the field for 5 years and that short time he is seeing increased advice to for athletes to give up their sport. I asked him about the death rate, and he said the physicians are just getting more conservative in their advice. The older docs would tend to let them play more than the young docs. He said their is a local HS FB player who is pretty good being recruited by SEC and has been advised to hang it up, but continues to play.

A couple of their more experienced docs do NFL physicals. He was telling us that the physical that the NFL teams do now is way more sophisticated than even 20 years ago. Now they do imaging of everything - heart, shoulders, knees, back, ankles, etc. The analyze muscles, joints, etc. with equipment and not just examination. I was curious about this (hey I would love a $40k exam for my piece of mind) and the level of effort. He said the new thinking is that most injuries never actually heal, and repeated injuries to the same area are a risk teams want to understand better, so they are forking over the $$$. we are in a new world.
I would assume that the rate of athletes who had heart issues exacerbated by sports to the point of being life-threatening is pretty small historically, correct? Even if more obscure maladies are being discovered, do they really warrant advice to quit playing?

I guess my point is ... generations of athletes probably had the same undetected maladies - at the same rates as current athletes - and "survived" playing sports. Yes, there are very unfortunate cases where this new examination technique may have saved a life. I just hope they don't go "overboard."

Then again, I'm not a doctor. I do find it interesting and think the diagnosis advancement is a great thing.
 

PrtLng Lion

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Oct 14, 2021
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Is there an implication that some percentage of these heart issues are a RESULT of playing the sport? I'd have assumed these were pre-existing conditions.

@blion72 does your nephew see any uptick in heart issue prevalence and having had COVID-19 or an mRNA vaccine? (myocarditis)
 
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Nohow

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Oct 25, 2021
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The vaccine obviously caused major heart issues. It's all coming to light now. Read the leaked docs. These jabb wackos pushed it and no turning back now.
How do know that? You are “obviously” an idiot.
 

blion72

Well-known member
Oct 30, 2021
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I would assume that the rate of athletes who had heart issues exacerbated by sports to the point of being life-threatening is pretty small historically, correct? Even if more obscure maladies are being discovered, do they really warrant advice to quit playing?

I guess my point is ... generations of athletes probably had the same undetected maladies - at the same rates as current athletes - and "survived" playing sports. Yes, there are very unfortunate cases where this new examination technique may have saved a life. I just hope they don't go "overboard."

Then again, I'm not a doctor. I do find it interesting and think the diagnosis advancement is a great thing.
agree - that was my thought. when it comes to heart related deaths, the rate over many years is pretty low, and for a lot of that time there was not exactly care in handling athletes - heat, not getting water,etc. All of us that played HS in the 1980's or before probably experienced that treatment. hope we are not overboard - would Journey Brown have still been playing if he was here in 1990 as an example.

the other thing to me that was surprising was the detail about injury history and healing. the pros cannot afford to take a chance on a guy who may turn out to be a walking re-injury case.
 

EPC FAN

Well-known member
Oct 7, 2021
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The vaccine obviously caused major heart issues. It's all coming to light now. Read the leaked docs. These jabb wackos pushed it and no turning back now.
I hope you ain’t a Penn State gradumate. What a maroon! What an ignoranumas!
 
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