On this episode I sit down for one of my favorite conversations I have had on the podcast for a while. Dr. Gary Chimes is a medical doctor in Bellevue, WA and specializes in Sports Medicine. His practice is unique in the fact that he focused on helping people optimize their physical health and reach the next level of performance.

Dr. Chimes is currently writing a book with a working title of "50 is the new 50". This is all about how to get the most out of your middle ages. He touches on some great points and tactical advice for those of you aged 40-60.

Dive into the topic of specialization and variance in physical therapy, comparing the differences between smoking and obesity, and how healthcare providers can tackle these topics without coming off as rude. Explore how physical therapists can safely teach patients to squat and progress, as well as the concept of subspecialty and the importance of allowing providers to focus on their areas of expertise.

Finally, join us as we explore athletic self-selection and skill sets, discussing the different muscle fibers and the importance of precision and excellence in endurance sports. We reflect on our athletic journeys and background. Listen in as we share our thoughts on navigating risk and middle age, exercise strategies for aging, and the importance of stress management and domain specificity in our lives.

--------- EPISODE CHAPTERS ---------

(0:00:00) - Telemedicine and Sports Medicine Practice

(0:10:44) - Specialization and Variance in Physical Therapy

(0:16:58) - Specialization in Physical Therapy and Medicine

(0:21:23) - Wrestling and Brain Injury Statistics

(0:33:06) - Athletic Self-Selection and Skill Sets

(0:45:20) - Navigating Risk and Middle Age

(0:50:55) - Exercise Strategies for Aging

(1:02:53) - Exercise, Aging, and Performance

(1:08:51) - Stress Management and Domain Specificity

(1:16:31) - YouTube Channel for Medical Topics

--------- EPISODE CHAPTERS WITH SHORT KEY POINTS ---------

(0:00:00) - Telemedicine and Sports Medicine Practice

Dr. Chimes and I discussed telemedicine, physicality, history-taking, rural access, payment parity, and our practice model.

(0:10:44) - Specialization and Variance in Physical Therapy

Healthcare providers discussed smoking vs. obesity, physical therapy progressions, subspecialty importance, and congratulated Dr. Gary Chimes.

(0:16:58) - Specialization in Physical Therapy and Medicine

Physical therapy subspecialists, population density, East Coast/Pacific Northwest Chinese restaurants, and pro wrestling's impact on medicine are discussed.

(0:21:23) - Wrestling and Brain Injury Statistics

Brain injury, testosterone supplementation, and pro wrestling discussed in relation to my MD/PhD at Stony Brook.

(0:33:06) - Athletic Self-Selection and Skill Sets

I'm training for a quarter mile, exploring muscle fibers, setting goals, and using my pro wrestling and brain injury knowledge to become a better Ironman triathlete.

(0:45:20) - Navigating Risk and Middle Age

Risk taking, diversified portfolio, age, and exercise, parenting, and career decisions discussed.

(0:50:55) - Exercise Strategies for Aging

George St. Pierre's style changed over time, emphasizing balance between high and low variance strategies, and contrasting risk aversion between my father's and my own experience.

(1:02:53) - Exercise, Aging, and Performance

We discuss hearing aids, individualized physical therapy, performance and health, and high/low variance strategies for athletic performance.

(1:08:51) - Stress Management and Domain Specificity

Fear and relaxation are discussed, with examples of stress management to stay calm in adversity.

(1:16:31) - YouTube Channel for Medical Topics

Dr. Gary Chimes and I discussed lip of gems, frozen shoulder, calcific barbitage, and non-steroidal anti-inflammatory drugs.

If you need physical therapy check us out at www.hidefpt.com

The Secrets of "Prehab" and Future of Physical Therapy with Arash Maghsoodi

HIDEF Performance PodcastBy Mitch HarbJul 20, 2020