It was time for my annual checkup with my cardiologist. It's been two years since my last stress test so I was excited to battle the treadmill again and hopefully get the thumbs up for another season of ultra running. The test starts with attaching about 8 electrodes around my chest and back(some shaving req.) and wrapped a blood pressure strap around my arm. Then I laid on my side for an echocardiogram. Using an small ultrasound wand, the technician targeted different areas of my heart, creating a series of colorful short videos that showed the blood flowing through the chambers and valves. It was very interesting to watch the old heart work away. Then it was time to start the treadmill. The test is call the Bruce treadmill test, you start out at a walking pace 1.7 mph and incline of 10%, then every 3 minutes, it speeds up and elevates. Our treadmill was set for 7 sessions that ended with 3 mins at 6.0 mph at a 20% incline. I did the same test a couple of years ago and hold the distinction of being his only patient that completed the whole 21 minutes. You have to understand that most of his patients are 20 or more years older and have trouble walking fast and I'm the only one that shows up in running shorts. While I was plugging away, in the other room, they ran a couple of other patients through their complete tests. They thought that was funny. The nice thing about this test, is that it allows me to check out my maximum heart rate under medical supervision. When I got to the last of my 21 minutes, I was at my maximum heart rate 174, (my resting is 38). I was ready to stop, but they wanted to see what the machine would do after 21 minutes. Would it stop? would it keep speeding up? no one knew since they never went that long. So they said hang in there so we can see what happens. The treadmill just stayed at the same pace and incline, fortunately after another minute they stopped the machine and laid me down for a post run echocardiogram. My heart was really pumping away but settled down very quickly. My cardiologist told me I didn't have any issues, sent me for a blood test and I was done. So I'm good for another year, a little adjustment on my chlolesterol medication, and I'm on the trails again!