Can anyone recommend a sports pulmonologist or a pulmonologist that works with athletes in the DC area? |
Sorry, my daughter is a swimmer and needs a pulmonologist and we are military - so we have an amazing one.
Can you be more specific on the issues? I will say there are not too many good ones out there if there are specific issues. |
History of asthma but swimming seems to exacerbate it. Not really exercise induced- it’s more the pool (or pool environment) itself. Would like to get a better handle on meds and inhalers used. Also concerned about the overuse of rescue inhalers. |
Guessing indoor pool since it's winter. OP do you swim outdoors in the warmer months? Is your asthma affected then? |
It is the AQI of the pool. Depending on age there are various treatments that can be used. I would not worry so much about a sport expert as much as a good pediatric pulmonologist. Have your swimmer (or you) document attacks, acid reflux type symptoms, coughing, eczema, etc and environmental factors Day/Night, sleeping, after swimming (which pools), cold weather, hot weather, if allergies are present, etc. Then it becomes trial and error on meds and what works. There are a ton of options. Also note, something can work for a while and then not. How often are they using rescue inhalers? Let the pulmonologist know that as well. That would be very concerning. |
More than likely caused by the chloramines that are released when chlorine binds to things like sweat. The number one thing that can be done to help improve AQI is to shower for at least 15 seconds in warm water before getting in the pool, and something everyone should be doing but is usually overlooked. Talk to the coach about implementing this. |
Who is your amazing one? Our military one is terrible. |
Where do you go? Do not go to Belvoir. |
Is changing clubs (and thus pools) an option, OP? Some pools are just really bad for air quality. In my personal experience those problems just tend to get worse with increased exposure, and people who are sensitive just aren’t going to be able to train at certain pools without having issues that really affect quality of life. I swam in a pool with bad air quality for a couple of years. I was an adult on a Masters team so only like twice a week. Even the next day I could feel what that air had done to my lungs. My asthma definitely got worse during that time. A friend had to quit completely because she got to the point where she was having severe coughing fits every single time she tried to swim there. Growing up we all knew certain pools would make us cough and dreaded going to meets at them. |
Walter Reed, they are just as bad. |
We had a good one in Fairfax, but he retired. We are now seen by his partner - Dr James Clayton. Haven’t had any real issues since she is more in maintenance mode now. |