28 nov. 2014

Triathlon and Medicine III



We posted two previous articles with this title.  Ferguson and Ayotzinapa prompted me to write again using the same title.   More and more hysteria is in my practice, which untreated properly ends in a chronic psychosis (craziness): “People see/believe things that are not corroborated with the experience or our senses.” Sigmund Freud casted the name of hysteria which is very inappropriate because it has nothing to do with the phenomenon.  I believe that it is why Einstein said: "Two things are infinite: the universe and human stupidity; and I'm not sure about the universe."

A week ago, a young Politian came to see me because of excruciating leg pain bilaterally.  The legs were without swelling, and color-temperature was within the normal parameters as well as the pulses of both legs.  I knew the Politian, reason why I did not ask much about his pain.  I just asked: “How is life?”  To say a Politian in Latin America and most of the countries means dishonesty.  When dishonesty is our way of living, sooner or later we end up with this kind of symptoms if we do not give up our lies and have a little bit of consciousness.  We end up lying to ourselves feeling and believing things that are not there; pain without a physical cause.  I do not believe our first lady (Angélica) will have hysteric symptoms for saying what she says about her properties because she does not have that consciousness.

We have had the same phenomenon in our athletes when encounter fear or simply when they are lying.  They experience “imaginary” pain that can last months.  Interestingly, when confronted about their fear, most of them deny it.  Bad news, we have very little to work on when this happens. The British neurologist, Oliver Sacks, wrote a book related to this subject:
A Traumatic Injury
Jon Stone, Jo Perthen, Alan J Carson

J Neurol Neurosurg Psychiatry. 2012;83(9):864-867. 
Ten years before he wrote his book, A Leg to Stand On, [1 2] Sacks was hiking in Norway when he sustained a severe leg injury. On an isolated mountain path he stumbled upon a bull and as he fled from the animal he fell and found himself "lying at the bottom of a short sharp cliff of rock, with my left leg twisted grotesquely beneath me, and my knee in such pain as I had never, ever known." Finding himself "terrifyingly and seriously alone", he formed a makeshift splint for his "utterly useless"' injured leg from his umbrella and anorak and partially descended down the mountain. Sacks described a sense of being near to death and talks about the leg as an object which was "stupid, senseless… out of control"
He was eventually rescued by reindeer hunters, put in a temporary cast and reached a hospital in London, where his leg was successfully operated on to repair an avulsed quadriceps tendon. Postoperatively he spent two days "feverish, shocked and toxic, and there was intense pain in my knee…I had periods of delirium…I felt horribly sick." He described "the systematic depersonalization which goes with becoming a patient." It was clearly a painful, fearful and distressing experience…
Sacks recognised immediately that his condition was not simply a physical injury confined to his leg: "What was now becoming frightfully, even luridly, clear was that whatever had happened was not just local, peripheral, superficial—the terrible silence, the forgetting, the inability to call or recall—this was radical, central, fundamental. What seemed, at first, to be no more than a local, peripheral breakage and breakdown now showed itself in a different, and quite terrible, light—as a breakdown of memory, of thinking, of will—not just a lesion in my muscle, but a lesion in me ."

15 sept. 2014
We have written a previous post on Medicine and timidly spoke about the problems related to research:
There are very few things like the one I mentioned above observing and testing athletes; they are well done by Medicine.  On the contrary, we have made many mistakes in Medicine that takes a long time to recuperate from.  We have had the Framingham Study for a long time but we continue to believe in consensus instead of looking at the data very closely.
Lately, more and more doctors and researchers are looking at these problems of biases and errors.  Our Federation has done and advertises researches done by them that are directing us to abuses against athletes and failures in our performance as a nation.  If Mario Mola or Richard Murray would be Mexicans they would not be able to compete internationally because they would be unable to give the “MARCAS MÍNIMAS,” required by the Mexican Federation.

We did a test on our triathlete who has been with us for the last 13 years the last month.  There were things to mention that have been recorded before for other sports:
1)   The ECG findings were:
a)   Huge R waves and T waves on V2,V3,V4,V5,V6 compared to controls and meeting criteria for LVH (left Ventricular Hypertrophy); without left atrial enlargement, left axis deviation, ST segment depression, T wave inversion or pathological Q waves.
b)   IRBBB (incomplete right bundle branch block) was seen in aVR and V1.
c)   No ventricular arrhythmia was seen.
2)   His lactate threshold was located at 178 beats per minute at a speed of 16.7 kilometers per hour.
3)   His lab work is below.  It took us several years to accomplish the hematocrit and hemoglobin levels working on nutrition and recovery.  The changes suffered several genetic inductions which most likely are irreversible.  Please see our post:
There is a good article written regarding the athletes changes by ECG, meaning athletes training more than 4 hours a day of training for decades. 

Jerzy Hausleber told me a story of a champion who used to have cramps when he was losing.  In his broken Spanish he said: “Cramps in his head.”
Hausleber coached Mexican walkers to nine Olympic medals - three gold, four silver and two bronze medals - and a total of 118 medals in major international competitions.
The IAAF wishes to pass on its condolences to his family and many friends.
http://www.iaaf.org/news/iaaf-news/jerzy-hausleber-death

19 nov. 2014

Triathlon and Einstein II



We speak about Einstein frequently and try to understand what he meant with his sentence:
"Two things are infinite: the universe and human stupidity; and I'm not sure about the universe."
Most of the quotes by Einstein are revisions of daily living.  The things he thought and felt for a while.  He spoke bravely without editing his thoughts.  The relationship to triathlon has to do with the need to revise triathlon training if we want to continue improving.

·  "Any intelligent fool can make things bigger, more complex, and more violent. It takes a touch of genius -- and a lot of courage -- to move in the opposite direction."
·  "Imagination is more important than knowledge."
·  "Gravitation is not responsible for people falling in love."
·  "I want to know God's thoughts; the rest are details."
·  "The hardest thing in the world to understand is the income tax."
·  "Reality is merely an illusion, albeit a very persistent one."
·  "The only real valuable thing is intuition."
·  "A person starts to live when he can live outside himself."
·  "I am convinced that He (God) does not play dice."
·  "God is subtle but he is not malicious."
·  "Weakness of attitude becomes weakness of character."
·  "I never think of the future. It comes soon enough."
·  "The eternal mystery of the world is its comprehensibility."
·  "Sometimes one pays most for the things one gets for nothing."
·  "Science without religion is lame. Religion without science is blind."
·  "Anyone who has never made a mistake has never tried anything new."
·  "Great spirits have often encountered violent opposition from weak minds."
·  "Everything should be made as simple as possible, but not simpler."
·  "Common sense is the collection of prejudices acquired by age eighteen."
·  "Science is a wonderful thing if one does not have to earn one's living at it."
·  "The secret to creativity is knowing how to hide your sources."
·  "The only thing that interferes with my learning is my education."
·  "God does not care about our mathematical difficulties. He integrates empirically."
·  "The whole of science is nothing more than a refinement of everyday thinking."
·  "Technological progress is like an axe in the hands of a pathological criminal."
·  "Peace cannot be kept by force. It can only be achieved by understanding."
·  "The most incomprehensible thing about the world is that it is comprehensible."
·  "We can't solve problems by using the same kind of thinking we used when we created them."
ETC.
Reading what he thinks about the theory of relativity for lay people is very similar: He revised the physicist’s thinking.  Nothing out of the ordinary but it requires much of UNLERNING.  Einstein unlearned to give us the Theory of Relativity. 
 

We have a previous post about Einstein:
We have champions in science; applying science to triathlon is not something for everybody, it is for champions. We need more than common sense, but at least common sense to be researchers.  Einstein would say:




That is why he sentenced:
"Two things are infinite: the universe and human stupidity; and I'm not sure about the universe."
Are we ready to unlearned?
Please read Triathlon Physiology for Dummies and the Tendency toward the Mean in this blog. It was divided in several parts.
13 avr. 2012

Physiology of targets when training triathlon
Tenth part
Targets should be a neurological workout. Meaning the cadence during the workout should be the one we use in competition or as close as we can, without involving much of the muscular system, e.g.  Spinning when biking; small steps running at a 210-220 of cadence; kicking 6 per stroke swimming without applying force.  This training prepares the body to use fuel for neurons in competition.  Remember, neurons only use glucose as fuel and glucose comes from glycogen stored in the liver, muscles, and in the case of brain neurons in the astrocytes. But glycogen can be wasted in matter of minutes and the body starts using proteins to keep glucose at the level close to 80.  The other way of forming glucose in the body is from lactate, which is produced by the muscles as a mechanism of emergency to help the neurons to keep firing, but such mechanism happens in the liver after training.  So we need to drink calories in the form of glucose and proteins to help with the process while training.