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

Aucun commentaire:

Enregistrer un commentaire