After the affidavit written by George Hincapie:
It is worth taking a look at the biological
passport. Mark Fretta is the first one I
know suspended when followed by this method. Is this our gold standard?
As new diagnostic methods become available, the
"gold standard" test may change over time. For instance, for the
diagnosis of aortic dissection, the "gold standard" test used to be the aortogram, which had a sensitivity as low as 83% and a
specificity as low as 87%. Since the advancements of magnetic resonance imaging, the magnetic resonance angiogram (MRA) has become the new "gold standard"
test for aortic dissection, with a sensitivity of 95% and a specificity of 92%.
Before widespread acceptance of any new test, the former test retains its
status as the "gold standard."
To take the biological passport as a “gold standard”
we need to do more work, and we should continue with our “gold standard” which consists
in “finding the doping substance.” For
instance, we do not have standardized procedures to measure erythrocyte
production without the doubt of making an error.
As we can see in the Hematopathology
/ Automated Blood Cell Counts Am
J Clin Pathol 2008;130:104-116
It is also desirable
that, as with the high standardization for basic CBC parameters, a continued effort
be made for the parameters (ie, RDW, IRF, MCVr, and MPV) for which results
provided are still too different when produced by different analyzers. To reach
these goals, cooperation between long-standing (ie, International Council for
Standardization in Haematology and the
National Committee for Clinical Laboratory Standards, now the Clinical and Laboratory
Standards Institute) and recent (International Society of Laboratory
Hematology) organizations interested in hematologic standardization and the
manufacturers is fundamental. It should be remembered that despite the
essential role of automation in the modern hematology laboratory, microscopic
control of pathologic samples remains indispensable, so much so that in certain
cases, it alone is diagnostic.134 Moreover, knowledge of the limits of the
specific analyzer in use is of paramount importance for the correct interpretation
of results. These considerations require that clinical laboratories performing hematologic
diagnostics have personnel with specific training and profound knowledge in
laboratory hematology.
We can end up having a problem as pointed out by the
innocent project:
The Innocence Project is a non-profit legal clinic affiliated with the Benjamin N. Cardozo School of Law at Yeshiva
University and created by Barry C. Scheck and Peter J. Neufeld in 1992. The
project is a national litigation and public policy organization dedicated to
exonerating wrongfully convicted people through DNA testing and reforming the
criminal justice system to prevent future injustice. As a clinic, law students
handle case work while supervised by a team of attorneys and clinic staff.
It doesn't change much if we take drug enhancing when we
do not have the proper technique and speed.
We can have an athlete with a high VO2 max like Macca, but if he does
not “know” how to go fast he will never be fast. Increasing hemoglobin does not make us fast,
we need to be fast and then improve endurance by doping if you believe in it. As a devil´s advocate, I want to find the drug
first instead of having this gold standard.
It all gets backs to education.
If you do not have the proper education to improve technique, nutrition,
recovery and basic education, it does not matter what you do to improve your
speed. It is the case of Fretta, if he
doped, his last two years competing have nothing remarkable, just look at him running!
He does not have the capacity of going fast.
You win triathlons running.
What Hincapie said gives an idea of how endemic doping
is in cycling and how the justice system works.
We still need “DNAs” to have a real “gold standard.”
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