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Episodic E-mail or Telephone Coaching

I answer episodic questions via e-mail or telephone, $100 per consultation which includes same-subject follow-up queries received within two weeks.
 

There are three steps:

1. Pay for the service

2. Complete background information

3. Ask you query
 

Pay for Episodic Coaching $100.00.

Prefer not to use PayPal?
 

Questions generally fall into one of two types:

1. Training or

2. Bicycling medicine.
 

Many questions about training and riding are answered in my book Smart Cycling. At least 90% of questions about medical problems are answered in my Bicycling Medicine book. These books are published by Simon & Schuster and are available through this website and in many bookstores. These books can provide an inexpensive way for you to answer your own questions.
 

Unless we come to some other formal arrangement, any response to a query is considered episodic.
 

With your first question I open a file and keep records. If you have a follow-up question or a new problem in the future, please remind me that I already have a file on you. If I don't hear from you in over one year, I archive or trash my file. It may take up to a week to retrieve archived files.
 

Background Information: Coaching Query

If I'm to help you with your question, you must answer all of mine first.

E-mail your question to me at . Please clip into your e-mail the following questions and your replies.
 

1.  Your full name.

2.  Have we met or corresponded before?

3.  How did you find my website, or who referred you to me?

4.  What is your postal address? Your voice-telephone number?

5.  What is your birthday? Your sex?

6.  What is your height? Your weight?

7.  Are you a smoker? How much?

8.  Do you ever drink alcohol? How many drinks per week?

9.  What percentage of the time do you wear a bicycling helmet when you ride?

10. Have you read Smart Cycling?

11. How many years have you been riding?

12. Weekly mileage?

13. Are you a racer? Category?

14. Type of riding: road, mountain-bike, track?

15. Type of pedals?

16. Satisfied with bike fit/position?

17. Satisfied with nutritional knowledge?

18. Do you have a current bicycling coach? Past coach? Name of coach?

19. Main cycling motivation? Goals for this year?

20. Do you use a heart rate monitor?

21. Do you use aero bars?

22. Major cycling accomplishment?
 

Background Information: Bicycling-Medicine Query

If I'm to help you with your question, you must answer all of mine first.

E-mail your question to me at . Please clip into your e-mail the following questions and your replies.
 

1.  Your full name.

2.  Have we met or corresponded before?

3.  How did you find my website, or who referred you to me?

4.  What is your postal address? Your voice-telephone number?

5.  What is your birthday? Your sex?

6.  What is your height? Your weight?

7.  Are you a smoker? How much?

8.  Do you ever drink alcohol? How many drinks per week?

9.  What percentage of the time do you wear a bicycling helmet when you ride?

10. Have you read Bicycling Medicine?

11. Do you have any other medical problems?

12. Do you take any medications?

13. Do you have any allergies?

14. When was the last time your blood pressure was checked? What was it?

15. When was the last time you saw a doctor? For what?

16. When was the last time you had a complete physical exam?

17. Have you ever been hospitalized? For what? Any operations?

18. How long have you had your current problem?

19. What have you tried so far?

20. Have you seen a doctor for this problem already?

Note: I do give coaching advice about bicycling-medicine and running-medicine related overuse and traumatic injuries. This is not the same as practicing medicine. I do not practice internet medicine, and am no longer have medical practice.
 

I don’t regard the response to e-mail queries as constituting a doctor-patient relationship, continuing care, or in any way a substitute for professional care. In fact, I don’t regard, and you shouldn’t regard, any correspondence we have as constituting the practice of medicine.
 

Most of you I have never met. Many of you tell me your diagnosis. Please remember that, having not examined you, I can’t confirm that your diagnosis is correct. Even assuming that your diagnosis is correct, without personally examining you I cannot presume to give medical treatment. I can only outline typical treatments in typical patients. Generalizations or the applicability of information I supply may not apply to you as an individual. Your case may be different. Although I am a physician, without examining you personally and gaining more details, I can only presume to offer occasional advice that may or may not apply to you specifically. I can’t presume to know the individual nuances or particulars of your case to provide medical care.
 

For example, a patient tells me she has a groin pull. I outline, in general, what happens with groin pulls and how some people manage them. Failing to improve, she later sees her local physician. After some delay, this physician takes an X-ray and discovers a pathological pelvic fracture: a fracture related to a cancer that has spread to a pelvic bone. Admittedly, this would be a very unusual case. But unusual things do occur.