Im 73 very healthy except orthopedic and spinal issues. i had to find a new md when my doctor of 40 years retired . im concerned that md i saw is ordering tests that are just not necessary. is echocardiogram and carotid ultrasound nec? no cardiac?

It is difficult to comment on this as what the doctor ordered may depend on the findings they found on physical exam and EKG. An echocardiogram may be ordered to evaluate cardiac valves, murmurs and wall motion abnormalities. A carotid ultrasound to check for the degree of calcification/narrowing of your carotid You should discuss with your M.D, the reason he's ordering these tests.

It is understandable that it will take time to build trust with your new physician. In the current medical climate, it is almost impossible to order unnecessary test due to insurance restrictions. Mild symptoms, findings on clinical exam and/or current preventative guidelines may be involved in the recommendation. Asking your doc straight will only help in building a trustworthy relation.

Yes, at 73 years old, if you have not had these done it is time. If for no other reason than to establish baselines for future reference. It is doubtful you made it this far without forming plaque in your arteries and the carotids are an easy place to look while simultaneously evaluating your risk for stroke which can occur without warning. Some degree of heart failure is inevitable with aging.