Monday, October 21, 2019

My Random Thoughts During the Flu

There are some things I'd rather not have first hand experience with, the flu being one of them.  Sadly,  I was able to check that one of the list this past week.  I'm now a Flu veteran.  I can tell war stories of losing 14 pounds in 3 days, of your joints feeling like they will break, and the occasional movement triggered vomiting.   From what I can tell, I don't think I even had like a "serious" case.  But, you have 3 days and 4 nights of thinking about things and that is all I could do, because that is all I had the energy to do.

Here are the the things I thought about and the answer I found if they were a question.

The deadliest Flu breakout was in 1918, The Spanish Influenza.  Depending on who you read, between 20-50 million people died.   Most agree 500 million people were infected.  What made this such a troubling flu was that it not only killed the young and old, it killed just as many in their 20-30's.  Science has traced back and decided that the flu virus of the early 1900's was different from the one that showed up in 1918 and that a small piece of the bird flu combined to give the perfect killer.  Reading more and more on the research that went on and is going on to learn what we can on the Spanish Influenza made me order a book on the subject.

About day two, so about 48 hours of curled up under blankets without any sunlight or movement, feeling a bit sorry for myself, you start to wonder if having a good aerobic base, lifting weights etc...does anything when it comes to fighting off the flu.  From what I can tell and have read, not much.  The caveat, and it's a big one, is for older populations.  The more muscle mass you have to lose, the better health insurance you have.  Essentially any bed rest at all, sarcopenia starts kicking in fast.  Lose 50% of your muscle and the result is death.

I started to think about the great Indigenous peoples the Americas had.  Huge cities of thousands according to the book 1491.  Massive amounts of people wiped out by virus's such as small pox.  It was one of those things I was just mind wandering around, if I had been born an Inca warrior training for lifetime and one day you go to bed healthy and next you wake up shivering and body sore and everyone around you the same, and your country is being invaded.  Weird where the mind goes.  But I think I understand now, how so few conquered so many, so quickly.

Talk about weirder side thoughts.  If the body, mind and soul are one thing, does one not affect the others and vice versa?  My dreams, when the fever felt to be at it's worse, were truly twisted.  Now, I've had nightmares before, things that truly have frightened you, and I have had dreams where terrible things happened and you woke up sad, I've had majestic dreams where you go on adventures and dreams where it felt like I relived something in my past.  These were different, they left me feeling disturbed.  Things that made you feel like your soul was being attacked.  It was an interesting night contemplating if one has the belief to do so.

The Flu Vaccine.  I don't get it, at this point I probably still won't.  I read it has a 47% success rate for young healthy aged population this year.  Not as gracious for those over 65.  If it was a slam dinger of a vaccine, I'd for sure get one.  But with a 50/50 success rate and basically the symptoms are lessoned, not sure it's worth it for me.  About 5 years ago, one of my all time cool patients I had been helping with a TKR in the past,  got the shot, with in a day, was unable to move.  He didn't move again for like 9 or 10 months.  The flu shot had triggered Guillain-Barre' Syndrome.  He was in a wheelchair directed by breath for the next 9 months and was told it will leave with the suddenness that it came.  It did, but has left him in lifetime battle for the complications.  Stories like that I don't think I can shake.

But, If I had to get the shot, or if I decide to ever get it, I'd ramp up my gut health protocols for about 3 weeks.   I did find this really cool study from Onegevity journal that showed a different response in people that had taken antibiotics that year.  I first heard of Onegevity from Dr. Joel Dudley at the ALTIS High Performance Think tank.  The state of your gut microbiome when you get the shot, will influence how effective the vaccine will actually be!  Outstanding.  Now you have a gameplan if you choose to get one.

How long will the Flu influence return to baseline performance.  I recently did some testing with trap bar deadlift and have been working on 2 hour time trial style mountain biking.  A bike race in two weeks being the goal.  It will be interesting to see how it play out.

I lost 14 pounds from when I weighed myself Monday night at 196lb to when I weighed myself Friday morning, 182lb.  One of the things I tried out was a new style of recovery called RevIVe Therapy.  I went with the standard "Myers Cocktail"  B vitamins, Vitamin C, Magnesium Calcium.  It seemed to be the one most targeted at dehydration.  It did put on 3 pounds quickly.

I've always found it interesting when your tastes change during sickness and what you eventually want to eat.  You know I'm sick when I don't want my coffee!

The lack of food for almost 3 days, most certainly acts like a fast, triggering autophagy.  Although, when you are battling a virus, trying to eat what you can, (don't force feed) is helpful.  Bacterial infections, I would avoid eating.   Two different beasts.

I wear a watch with a heart rate monitor when I sleep.  Most nights my average HR is 48, 49.  Days I work out extremely hard, like a 4 hour bike ride or a super hard 2 hour ride and it was later at night it would be in the low 60's.  The first 3 nights of dealing with the flu it was in the low 60's all 3 nights.  Shows the strain the body is going through.

I'm always surprised how olfaction changes.  The smell of lemon scented cleaning products triggered a dry heaving episode.  I'd say puking, but nothing was in me to come up.  There must be an ingrained sense of evolutionary security that warns us off irritants when we are sick. 

So the best remedy is prevention.  Concrete things.  Get outside, fresh air.  Work at keeping your gut health optimal.  I'd take a probiotic.  I personally use and recommend Sound Probiotic.  Wash your hands.  Did you know its the friction that is important, not necessarily the soap.  It takes 20 seconds of rubbing the hands together to get the desired effects, with warm water.  Get your sleep.  Sweat some.  Stay hydrated.   



Friday, October 4, 2019

Callus of the Mind, Body and Soul

The body has a miraculous way of providing protection against the friction it encounters.  The callus. A callus is a thickening of the skin from repeated bouts of friction or pressure.  It provides a barrier of protection against the threat that is routinely there.

A runner will often develop calluses on their feet.  An extra barrier against the friction of the shoe as it strikes the hard ground over and over again.  A weight lifter or carpenter will develop them on their hands from the friction of the bar or the tool.  Every rep an irritation and trigger for the body to send a response and it lays on more skin as a result.

A callus must form from consistent effort in the correct dose.  To few effort and a callus won't form.  The stimulus isn't consistent enough.  Why put energy into creating a protective barrier if the insult doesn't come along enough.  On the other hand, if the insult comes with to much intensity, you don't get a callus, you get a blister.

A callus is a clue.  Where has the friction been coming from.  Certain coaches and therapists will tell you that looking at a callus in the wrong place may be a clue that biomechanically there is an issue.  A seasoned runner that develops a new callus creates a cause for inspection.

Why has this new friction been accumulating?

Callusing can also happen in other areas of our life.  It struck me this week as I watched a sprinter win the 100m World Championships in 9.76 seconds.  It made the SportsCenter number 7 play.  9.76 seconds! Only 5 other men in the history of the planet have run as fast or faster...ever.  A home run was like number one.  Perhaps it was because there was some controversy over some missed drug testing.  I would say we are callus to that as well.  No longer shocked when an athletic great tests positive.

One of the great things about kids is that they haven't been callused to the wonders of nature.  I don't know how many times I'm made aware of the "awesomeness" of an insect or the "prettyness" of a flower.

I can remember talking to a friend when we heard about the shooting at Sandy Hook.  It was a blister moment etched in my mind.  Sadly, I think with the news media/social media, frequency of horror, shooting are becoming less blister, more callus.

David Goggins has a saying callus your mind.  At least that is where I first heard it.  Simply means when your doing something that is hard and the voice in your mind is screaming quit, don't.  Kill that voice.  Callus your mind.  The brain is all about conservation of self.  It lies essentially to get you to slow down, reduce effort, stop.  The body can go longer, harder, if you don't let your mind stop you.  Callus it.

We need friction in life if we are ever going to do anything worthwhile.  Friction provides the resistance to get stronger.  It gives us the irritant to produce the callus if we put in the consistent work.  Callus allow us to do more work comfortably, it is a buffer.  Buffers for the most part are good. The key is allow the things that should sting us, blister us, continue too.  To not let the things that should make us take action and eliminate that friction from becoming a callus.

Honor the blister, work for the callus.  Be mindful of both.  They both have their correct place.  Choose wisely.

Friday, September 20, 2019

ALTIS High Performance Think Tank Recap

Last week I had the opportunity to fly out to Lake Tahoe and take part in the first ALTIS High Performance Think Tank.  Hosted by a combination of ALTIS and Barton Medical Center, it was the first collaboration.

The event took place over 3 days with ten speakers.  The format was nice.  Two speaker spoke individually.  Then both came up for a round robin of questions.  No days felt long, as some seminars tend to drain your brain.  This allowed plenty of time to drink coffee and get outside hiking to explore the great Tahoe landscape, the coffee was average, but the hiking more then made up for it.

"Great minds discuss ideas, average minds discus events, small minds discus people."
Eleanor Roosevelt


The general theme was dealing with Chaos of sport.


First: Dr. Joel Dudley.  I think 9 out of 10 presenters were Doctors of some sort.  Dr. Dudley was working in New York Mount Sinai system.  This was one of those guys that seems so smart, your like wow...I am not an intelligent man.   He talked about using Deep Learning (AI analysis) to look through 100k people over 20 years.  Things a human wouldn't be able to do.  The problem with this power is we don't know what questions to ask.  I think Einstein said something about the ideas that created the problem will not be the same ideas that solve it.  Joel used the example of trying to make a mechanical horse.  We know we need to evolve away from the horse, but we don't have the imagination of a car yet.  So we try to make a horse out of nuts, bolts and gearing.

They looked through the data and found that Alzheimer's had a huge correlation with patients and the HSV1 herpes virus.  They are now researching drugs along this line of thinking.

 They can now do a legit micro biome test.  In fact, everyone at the conference was given a microbiome test produced by the company Onegevity.

There needs to be more of an open health care system.  We have to much specialization.  There is no communication between practitioners and doctors.

When asked about health, he recommended people switch to the Impossible burger.  This gave me pause, my own bias says why trade a good healthy chunk of meet for fake?  Even brilliant people can be wrong.  (My own opinion)

2nd: Dr.  Duncan French.  Duncan is the  High Performance Director for the UFC Performance Institute out of Las Vegas.  His presentation was based on reverse engineering the result you are after.  This was a concept I have heard and used before, but this brought such clarity to each question or each step in the process.  MMA athletes have so many variable they have to train in that it was superbly interesting to see how all these different disciplines are thought about and trained.  Throw in, fights on short notice or different fights, fighters culture, fighters beliefs and you have one very complicated soup.  How do you navigate?  Measure and get the basics right.  This was one of my favorite talks.

An example from my own thinking.  Goal is to be a Tour De France rider.  What variable do we know.  Most have a 6 Watt per kilogram average.  If you don't have that, you probably won't be on the tour.  If I am at 4, how do I get to 6?  Can I lose weight?  Yes.  How do we lose weight?  How can I get more power on the bike?  Has the athlete every lifted?  Start at the target and work backwards.

3rd: Dr. Robin Thorpe.  Robin works from everyone from Manchester United to a few other performance teams.  He seems to be the guy that reads the data and interprets the decisions.  As in, give this guy some rest or he may get injured.  Rate of Perceived Exertion  (RPE) was highly prized.  Again, the take away was Measure and Keep it Simple.  Get your sleep, your hydration, your post game meal, your post game sleep.   Make small changes that add up to better quality of health.

4th:  Gerry Ramogida and Carl Bergstrom.  Both of these guys are Performance Members of the Golden State Warriors.  They previously were together in Seattle Seahawks.  Gerry talked mostly on the daily inputs he does with his athletes.
1.  Daily morning meeting: communication
2.  Table work:  Key area assessment
3.  Targeted Input:  tendon, activation of treatment area, stimulate
4.  Movement prep:  Step for transference
5.  Lift:  Athlete Specific
6.  Court:  Continuation of movement strategies with more effort and speed
7.  Post:  Timing dependent

Gerry is one of my favorite therapist and I feel like I learn something from him every time I get a chance to talk to him.  He's lead me to a few great seminars or concepts that have helped me improve.

5th:  Dr. Matt Jordan.  Matt may be one of the best presenters on anything I've ever had a chance to listen to.  Dynamic and smart.  He presented on data of when ACL in skiers are ready to return to play.  More specifically it was how to read stats and data as a thought process.  It really put percentages into perspective.  What does 20% mean to you.  If you had 20% chance to rain, would you carry an umbrella, probably not, if it was your wedding day, would you have a back up, probably.  The amount of data they have now on force, angles, power, symmetry and pre and post injury is truly amazing.  No more guesswork.  Measure.

6th: Dr. Sophia Nimphius.  Sophia is based out of  Australia.  She works with lots of athletes including, but not limited to Softball.  The first thing she did was show a diagram of two people squatting and we had pick the girl.  Most people picked the stick figure that had the knee cave.  As IMO this is more of a trait of girls then guys.  It was wrong.  It showed our bias.  But, I disagree with this, as yes we need to know whats more common as well.  She would like people to treat the person in front of them, not bring their bias into the situation they are evaluating.  Language matters.

7th: Dr. Dustin Nabhan.  Dustin is the lead Medical for the USOC.  He travels and works with all the teams that enter major competitions.  This one had some great practical ideas.  First and foremost, as the competition nears, the focus must shift from staying injury free, to staying healthy (not sick).
Flight Travel:  Window seats have the least amount of airborne particulates.  Aisles the most.  Limit how often you get up.  Blow the air nozzle right on you.  It provides an air barrier from said air particulates.  The air from the nozzle is filtered.  Take a hand sanitizer and wipe down everything in your seat, including the seat belt.  Avoid touching eyes, ears, nose and mouth.  If you see someone sneezing or coughing or looking rough, it is not a bad ideas to wear one of those mouth guards when the plane is getting deiced or when it sits and the air isn't going.  When 80% of training is met, the athlete is 7X more likely to meet their target goal.

8th:  Todd Offenbacher.  I'd be lying if I didn't say this was my favorite presenter.  Todd is a local Tahoe legend.  An avid mountain climber, skier, and guide the world over.  North and South pole were talked extensively.  He told about surviving in such extreme conditions and what it takes.  The thought process of surviving.  Never complain.  People invite you back when your don't complain.  Adjust your goals to the new situation.  Don't dwell on mistakes or panic about the future.  Treat the moment.  What do I have to do now.  Be good at suffering.  Get comfortable with it.  Personally, I think this is a bigger deal then what we talk about as a performance world.  I'd be doing him a disservice if I didn't say, "Polar bears are in the north, Penguins are in the south."

9th:  Fergus Connoly.  Fergus seems to be an advisor for many teams and organizations.  Most recently University of Michigan.  He wrote the book Game Changer.  I took quite a lot from his presentation and most impressively, Tahoe had a power outage, so his computer presentation didn't work obviously.  He busted out a white board and lectured on the topic.  My big takeaways were how important Relationships are.  How important it is to create an environment for the vision (not goal) you have or the team has.   Creating the environment you want was another them that came through.  I took it from a personal standpoint what can I change to create an environment for more reading, writing, exercise, diet, husband, father, son, writer, therapist, business owner, etc...break each one down (reverse engineering) and create and environment for that.  How can I improve my space?

Fergus stressed to have a great team, you have to understand desires and fears.  Figure out what people want, what they fear.  This person may not be money driven, but may want security.  This person may want simple recognition.

It also got me thinking.  Environment.  Our world, what are we doing.  What are we creating.  How is it influencing us.  Air we breath, the trees we see, the soil we still have.  Makes me think it's even more important.

10th:  Dawn Scott.  Dawn is the head performance leader for USA women's soccer.  She is a trailblazer.  The first one hired over a decade ago.  At the time there was about 3 staff that traveled with the team.   Now they have over 30.  To be honest, about halfway through I started saying good bye to a few friends and staff.  I had to go catch a plane home.  I left at 10am, got home a little before 1am.  The price to pay to travel west to east.

That being said I missed the last round table where all 10 presenters sat and took questions from the audience.

ALTIS and Barton did a great job hosting.  Venue was great.  Food was great.  Presenters were great. What I've come to believe is that the audience is the key.  Getting interesting people to come and having the opportunity to talk and learn from them is the true key IMO.

My takeaways were Measure.  Measure more, find out whats important.  Track it.  Look for simple things that can push you towards your end goal.  Reverse engineer that end goal.  Create an environment that helps make that end goal more probable.  Work at relationships.  Ask better questions.  Measure some more.  We can all measure stuff in our life.  Penguins are in the south, Polar bears are in the North.


Friday, August 23, 2019

Constraints for Creative Freedom

The mindset lately seems to be the more the better.  The more we have at our disposal, the more options we see, the better results we will attain.  We think the bigger menu is a better menu.  We are lead to believe the more toys we own, the more satisfied we will be.  Fill the minute.  Variation.  Choices.

Yet, we all know deep down this is a lie.  How many of us actually even try the third thing on the menu let alone the 15th.  How many of us actually get fulfillment from the 20th t-shirt we own.  Take a look in the mirror, if you are training, has it changed in 12 months?  24?  Can you look at a training log and see improvements.  Is variety in your workouts more for mental laziness, because if you did the same workout, it would show lack of improvements.  If I do new stuff every time I workout, it feels like I'm training, but deep down, it's just working out for the sake of working out.

Sure I sweated and maybe I got sore or maybe my heart rate got up there a little, but did I make incremental improvements that can be built on.

Constraints:  A limitation or restriction.


Jocko Willink has a famous quote, "Discipline equals freedom."    I agree, but I also think Constraints equals freedom is just as appropriate.  Constraints give boundaries, they give rules.  Most importantly they inspire creativity.

The first time you ever played any sport, no one really knew what they were doing.  In a game like football, there are hundreds of rules.  The sidelines gave you boundaries.  The line of scrimmage gave a boundary.  It wasn't until you knew the rules without thinking, that you could be aggressive.  You could play with abandon, you could express yourself.  Then the game became fun.  Rules or constraints gave you freedom.

Push your shoulder into extension as far as you can.  The further you go, the more it will start to go sideways.  Now go up against a wall, so there is just enough room for your arm to go backwards.  The wall will give a constraint and guide your shoulder into complete extension.  The wall gave your shoulder constraints so you could express should extension and nothing more.

Often times to gain freedom in one joint, we put other joints under constraints.  Not allowing one joint to move, for instance, keeping you right hip glued to a squat rack can put more force and movement into working your left hip.

Walls.  They give support.  They give constraints.  What could you come up with if you had to come up with 20 exercises that have to have one body part on the wall at all times?

If your heaviest weight was a 25lb plate, what kind of workout could you come up with?

One 35lb Kettlebell and a medium band.

Taking away options, focuses your thoughts.  It allows you to start exploring.  It provides a framework to really create deep work.  If I asked me to tell me what you know, you might get stuck with indecision.  If I asked you to tell me everything you know about cooking eggs, you can immediately start unloading your information.  Constraints bring clarity.

You have 30 min to exercise everyday.  What would you do?  The goal is just to move better and have better body composition.  Can you decide what to do?  What if you were told, you have a 16kg KB and aren't allowed to leave a yoga mat or set the bell down for 30 min.  It would force a myriad of different exercises and would probably do the trick.

The next time you are in a funk, in a plateau, in lack luster workouts, bring in constraints.  Creativity will surely follow.

Friday, August 9, 2019

Biking in Iceland with Friends


"You didn't come to Iceland to ride your bike in nice weather!"

That would become prophetic.

We flew into Keflavik on a beautiful sunny day.  At 66 degrees latitude, the days were long and the sun was bright.  I was struck by the lack of trees.  A local told us the Vikings cut them down to make their ships and they have never recovered.  I have no idea if this is true.

After driving into Reykjavik we started walking around.  It is the capitol and biggest city in Iceland.  I was again struck by the quite.  You could have a normal conversation.  There were cars, but not that many.  The amount of people seemed to be about 75% less then what I was expecting in a big city.  In a country of around 300,000 I guess this makes sense when you spread them out over the size of piece of real estate the size of Ohio.  Sorry Iceland to make any comparison to one of our worse states.  (haha)

In America, you go into any store and you are blasted with music.  It seems to drown out your thoughts.  The person I was traveling with develops products as a job and stated that Europeans value quite and are always asking his company if they can make it more quite.  I get it now.  It become something I really enjoyed.  In comparison, on our way home we flew into Minneapolis airport and it was sensory overload.  Music, noise, beeps and flurry of background noise.

I don't believe I heard one siren, or one honk in a week.

Reykjavik is a super easy city to walk around.  No car needed.  Lot of small hills to navigate, but regardless, if you can walk 5-8 miles over the course of a day, you can see it all.  Found an amazing coffee spot called Reykjavik Roasters and over a day and half may have had a few (perhaps 12) cappuccinos.  I was told to try the local fair so we did.  We found a local spot that served them in tapas style.  Puffin, Lamb, Whale, Arctic Char.

The texture was not what I was expecting.  I'm not sure if it was only the place we were at, so reader beware.  N=1.  Not my favorite, any of them.  I was very happy, they came in small doses.

If you look up any top things to do in Iceland, you will eventually see, try an N1 hotdog.  N1 is a gas station.  So we did, and they were quite good.  I looked up what made them different and they are made of lamb.  Fried onions on the bottom of the bun, gave them a nice crunch.

That night we had a beer at Reykjavik Brewery where they were having a meet and greet for the riders of the bike race.  We ended up staying late there talking to the owner and his best friend from high school, who now is a Cardiac Imaging Specialist living in Iowa, who was back visiting.  (High school in Iceland is ages 16-20)  Being able to talk to locals about their country and ours, the interesting viewpoints of what you know and what they know and think is one of the greatest gifts travel can give.

"You are to big up top to make it up our climbs."

This was the first thing he told me when we told him we were doing the race.  Perhaps this was prophetic number 2.


Driving into our next stop where we would be staying for the race was quite a dramatic difference in landscape.  You started to see a few more trees and much larger mountains.  The greens became something of a mind boggling cascade of hues and highlights.  How do you describe the color green when you have never seen shades or highlights in that tone.  My best effort is some colors were so vibrant that it looked like a cheap B movies radioactive green slime was escaping the mountain side.

Most people find race reports pretty boring.  So I'll sum up as it was the hardest I've ever had to work on a bike.  Climbing into headwinds for hours is not my strength.  Nor is crossing rivers.  But, I saw things and had my eyes delight in things you would not get to see if you hadn't toiled for hours getting there.  I understand the development of the Lauf gravel suspension fork after riding washboards for 20 some miles.  An example of your environment dictating function and creativity.  The Rift valley is the crest where the North American and Eurasian tectonic plates bump up.  It creates some of the most spectacular landscape in the world.  We got to ride our bike in it!

The next few days were spent exploring the countryside.  With it being July, the sun really didn't feel like it "set" till after midnight Eastern time.  If you like hiking, Iceland offers a plethora of trails.  Most are interlinked somehow.  Choose your own adventure.  Short, medium, long, hours to weeks could be had.  It was quite easy to get up on the ridge line of several trails and just scan out and take in miles and miles of views.  There is something magical about looking out over a horizon and not having it stopped.  No constraints.

One highlight was hiking an hour up a mountainside and spending a few hours lounging in a hot spring river.  Heated by the Geo thermal energy coming from the earth.  The higher you went up, the hotter it got.  Natures own hot tub.  It was easy to envision ancient Vikings hanging out here.


One question that keeps getting asked and was repeatedly told to me before leaving was the cost of food.  It is more expensive.  They import almost everything.  From a personal viewpoint, some things are really bad and some were not.  I am used to paying 4 or 5 bucks for a coffee drink.  7-8 dollars for a craft beer.  This was no different there.  If you are trying to go to a sit down restaurant for dinner it will be pricey.  I'd estimate about 30-40% more.   You also do not tip in Iceland.   If you tip 20%, take this into account as it will drop your bill to only about 10-20% more.  Now if you are more of a eat on the go, you can find plenty of options on the cheaper side.

The craft beer culture has hit Iceland and it is (becoming) a known tourist attraction.  (Kind of like Grand Rapids where I live)  Siggy the owner of Reykjavik Brewery was telling it has more breweries per citizen then the United States.  They are coming of a beer prohibition that lasted until 1989.  Some interesting laws.  Gas stations and grocery stores can only sell a beer that is 2.25% ABV.  Breweries can not sell beer to go.  Verdun, their liquor stores,  are the only stores that can sell alcohol.  These are government operated and are not open on Sunday.  There is a profit margin per ABV that a brewery cannot go above.  So you won't find many super high ABV and for that matter quality craft beers will cost about the same as a cheaper beer.  One reason the craft beer culture is booming.

Driving along the country you are struck by the number of sheep roaming around and the coolest horses I've ever seen.  The horses are very unique (Don't by the way refer to it as a pony).  Smaller in stature they can have up to 5 gaits.  Most horses will have 3-4.  One unique trot is referred to as a To'lt.  It is a high stepping gait that is super smooth.  So smooth you can hold a beer and not spill it.  So I was told.  Their main is like a mohawk.  They are glamorous to see run.

In 2008 and I believe the following year, Iceland was in the news for almost a year and a half.  First with a banking crisis where they jailed their bankers for the mismanagement of the nations funds and followed up with a volcano eruption.  All the news and videos opened the eyes of the world to the beauty of this tiny island.  They went from getting 3-400 thousand tourists a year, to 3-4 million almost overnight.  It is just now that the infrastructure is starting to be in place to handle this amount of influx.  On plenty of the tourist attractions you could see old paths that lead much closer to a waterfall or tourist attraction that is now chained off.  Steps and walking paths are making it more easily accessible for the general masses.  Depending on your view points and who you are, this is good or bad.  Should nature be accessible to everyone or should you have to "work" to get there?  Should it be safe or should it carry common sense risk?



We drank out of the rivers on the bike ride.  Uncontaminated by man.  It felt weird and somewhat sad that something so natural now comes with the thoughts that I hope I don't get sick.  We had everything from 60 and sunny to 50 and rainy.  Some days, you would put on the rain jacket just in time for the sun to come out.  So be ready for all conditions.

Getting to spend time with friends exploring a new country by bike and hike was quite fun.  Having an event like the bike ride created an excuse to challenge myself from an endurance standpoint, but also gave a framework for the trip that allowed us to meet interesting people and get us to an area that you wouldn't normally explore.   It was a great way to see a country and get immersed into it quickly.  I highly recommend it.



A postcard I found on the way home.  It summed it up nicely.  



More pics can be found on Instagram  @drjasonross













Wednesday, June 26, 2019

Baby Steps into the Endurance World: A Few Lessons I'm Learning

The first time my middle school track coach made me run a 200 meter dash, I half jokingly told him I wasn't an endurance athlete.  I'll stick to the 70m, 100m, and the long jump.  My sophomore year of high school, my track coach added the 400 meter dash to the equation.  I actually started running a few miles for conditioning to try to get better at the event.

College brought football conditioning and more track.  I discovered mountain biking.  But, back then, I was taught that aerobic development would make me slower.  As a fast twitch speed guy, this was the last thing I wanted.  (this is all pre Internet, no real books I found, and Hillsdale had no Strength and Conditioning Coach)

Rugby brought a new way of thinking.  You had run, tackle and display ball skills for 90 minutes.  I brought biking back in and used track workouts to get in anaerobic shape.  I still pretty much shunned straight aerobic work.

Bobsled brought back pure power and speed.  Get big, get fast, run for 5 seconds.  You have 45 min to recover.  Fitness is truly defined by the parameters that you find yourself in.  I was in shape to push a sled well.  More then 5 seconds, and I was very unfit.

Decade and some change later, I find myself riding my bike for longer and longer stretches.  I have friends, that ride even longer.  Friends so good, they are Pros and win big races in the biking endurance world.


I find myself for the first time semi training to be an endurance guy.  Semi as in I try to ride my bike about 2x a week.  About two times less then is ideal.  But, in dipping my toes in this endurance world, there is some very interesting thoughts that come to mind.

Speed world is technical and done.  Mistakes mean hundredths of a second.  Gains are hard to come by.  Rhythm is big in the world.  I think this is why music is such a big deal to fast twitch archetypes.

Endurance you have time to think, I mean time.  Hours and hours.  It's the crux of being good (outside of being slow twitch monster)  It's your mental control of time.  It's your relationship to time.  Can you stay focused with each step or each pedal stroke.  I'm not sure how many times, I have zoned out on a bike, looked down and be going about 2 MPH slower.  My legs weren't tired, I wasn't tired, but my mind was.  I haven't trained the mental focus.  It too, needs to be trained.

Over the weekend I did a 100 mile gravel race as a training ride.  I purposefully went out to hard to put myself in a hole to see how my body would recover, physical and mentally.  I didn't expect to start cramping at 2.5 hours in.  My goal was 8 hours for the race.

It's really easy to project when you are in pain.  If this is how much I hurt now, in 4, 5, 6 hours what am I going to feel?  Fear.  Endurance lesson for me is stay in the moment.  Don't think about the outcome, do what you have to do right now.  Don't Project the Future.

Cramps have been my nemesis since I can remember.  Running through the woods when I was eight and getting a calf cramp.  I think most high school football games and rugby games I got calf cramps.  Every mountain bike ride over 2 hours, quad cramps.  I've tried everything under the sun.  At this point, I think I'm simply neuromuscularly under trained for the race/task at hand.  I don't do enough at the intensity I race at.

Endurance training takes time.  I miss the 45 min workouts.  Even the lung burners.   But, there are some nice life takeaways that are hard to own, when you haven't lived through them.  Be in the moment is great advice, but to shut off your anxiety of the future and work the minute is an entirely different takeaway.  Pain gets worse when we project it into the future.

I have some cool friends to bounce ideas and questions off, or just pick up some tidbits.  Here is my Matt Acker Pro Tip number 7, use loose sandwich bags to hold your snacks in.  Zip lock are hard to open with one hand when your biking down bumpy roads.  I forgot this tip going into the race.  I found myself struggling to open up my snacks.

I brought a PB&J sandwich to eat halfway of my last 100 mile race.  It may have been the 2nd most enjoyable meal of my life.  LOL.  Endurance work has a unique way of making ordinary things extraordinary.

Preparation. 

There might not be a more fitting word to describe a successful endurance athlete.    

Monday, June 10, 2019

Thoughts, Musings and a Book Review

It is nice to be able to sit and write about things that have been percolating in my head.

The first, I have found myself reading more about logic and choices we make as humans.  None of it makes sense.  We are not logical.  We are emotional.  We know what we should do, but still find ourselves not doing it.  The key is most likely understanding and building in constraints.  I'm still building some ideas around that.  For instance, I find myself more genuinely a content person when I'm writing, yet it's the first thing I give up when time SEEMS crunched.  Yet it gives me a sense of peace and creativity.

Thoughts from work.

The best compliment at this point in time, "You seem to genuinely enjoy your work."  Years ago, it would have been, "You really are good at what you do."  Is that age or a different thought process.

A new patient told me a story about his wife.  She had never been to a chiropractor.  She was playing tennis and ran into net.  She could tell she did something to her neck.  It wasn't bad enough to stop playing or even have a thought about seeking help or telling anyone.  A few days later she started having some more pain, but also some mental confusion.  They went to the hospital.  She had a minor stroke.  The first question the MD asked was had you been to a chiropractor.  Lets say she had.  The chiropractor would have most likely been blamed for a cervical adjustment that resulted in this style stroke.  I'm not saying that some have, but the story lays out some potential wiggle room of ambiguity in the future.

I think foam rolling has value from a compression and blood flow idea.  It usually feels good and feeling good can't be denied as a positive outcome.  I usually ask people to get down on the floor 3-5x a day for about one minute followed up with a type of exercise.  (I've had people only do the exercise without the foam rolling and it never seemed to work as well)  I watch people when they first do it and for the most part the coordination of moving the body across that little ball or roller is quite unatheltic looking.  But, a few weeks later they are moving around on it like a professional roller.  I had an aha moment, maybe the benefit is up and down off the ground over and over and learning to coordinate body parts.  They would be a hard research to do.

Thoughts from life.

My problems are all my own.  They aren't from other people.  They may do things you don't like, but they still are all on me.  Don't give up your joy for anything.

Your life is a love story.  It doesn't mean that in a romantic way.  It means find stuff you love and protect it.  Have filters.  It doesn't mean a person or work, but it certainly can be.  Ideas, hobbies, time.  The old thought we all worship a God, so choose carefully.  If we look at the love story like a movie, is it a dud?  How can I make it more interesting?

Read only what interest you.  When it doesn't,  move on.  No guilt.

Thoughts from training.

The tongue is a muscle that doesn't have a bony connection.  The upper palate is the insertion for this muscle.  Having room for this muscle to rest and support the neck and airway seems to be a big deal.

I did an hour of step ups to help prepare for a bike race.  When I looked down (close view) it seemed hard.  When I let my eyes gaze at the horizon, (long view) it relaxed and seemed easy.  I don't really know what this means quite yet, but it seems to hold true.

The better you get at something, the more warm up, or body prep it seems to take to feel like you are ready in that endeavor.

Talking to a friend.  We both have come to the same conclusion.  There is a cycle that seems to repeat itself.  A fringe thing is shared with a few close friends.  It stems from a dissatisfaction with the current way of doing something.  The small group has fun, it separates itself from the pack.  People notice.  They gravitate to the new "cool thing."  The small group is now a large group.  Logistics and big group antics slowly shift the fringe into the thing it was fighting against.  Wash and Repeat.  How do you stop the cycle is a question we both didn't have an answer for.

It is all about consistent effort.  Effort.  Real effort.

Book Review

I recently finished the book "Range," by David Epstein.  He wrote the "Sports Gene." I really enjoyed it.  In a world that is becoming more and more specialized, the generalist is going to have more an more usefulness.  People that can bridge one field of study to another.  Many science, sport, music and research stories are studied.

There are two environments.  Wicked and Kind.  Wicked environments change.  Soccer pitch, with ball moving, people trying to stop you is an example.  Kind environments are always the same, a chess board, a golf game.  Kind environments lend itself to having some success with early specialization.  Wicked do not.  Sorry all you parents that picked a sport like hockey or soccer for your 6 year old.  Years of research have shown it doesn't work out.  Broader range for years, produces a more athletic, healthier, more creative player that has a bigger ceiling.  The myths of early specialization is being propagated by people that have a financial incentive to keep your child in a travel team or single sport.  "Among athletes that go on to become elite, broad early experience and delayed specialization is the norm."

Even musicians that have been told your to old to start that instrument to have any real success have example after example of this being false.

The takeaways, your not falling behind, by trying out different sports or careers.  In fact, it usually is the weird knowledge that comes from something out of your field that triggers breakthroughs or separates trains of thoughts for a more creative outlook.

Brain dump over....



Friday, May 10, 2019

Chew Your Food for Health and Performance

It's funny how some of life's little tidbits of advice that your mom or grandma used to tell you truly are pearls of wisdom.  Things that we may have forgotten or written off as just old sayings get more and more science to suggest perhaps there was something to those old adages after all.

"Eat chicken soup when you have a cold."  Well it turns out the salt, the broth (that has been leached from bones) contains zinc and other vital nutrients that help support a healthy immune system.  Dehydration is one aspect that makes you feel worse with a cold, so getting that soup in your body is a way of hydrating.  The advice has merit.

"Chew your food."  While the advice was most likely coming from a fear of choking, it most likely has been passed down from generation to generation and the meaning most likely lost in the centuries that pass.

I am a notorious fast eater.  By fast, I mean I am a poor chewer of food.  Perhaps, it was being the youngest of five.  Perhaps, it was something I taught myself.  In college dining hall closed at certain time.  Because sports practice ended about 30 min before it closed.  I had about 20 min to get to the dining hall and get dinner.  I was pretty much in gain weight mode for 4 years at school for football.  I adapted a strategy of filling my tray with food and devouring as much of it as I could in 15 min.  Then going back for 2nds before it closed, to sit down and eat "2nd Dinner."  This probably created a habit I find hard to break today.

A few years ago, I tried to get into the habit of eating one big salad a day.  I was pretty good with this for a bit, but I got sidetracked along the way.  I again started to get into that habit and realized one thing, salads require chewing.  In fact, I noticed it took almost 30 minutes to eat the bowl of salad I had at one point.

This got me thinking.  Most diets, whether it is Keto, Paleo, Raw, whatever....require you to chew more.  (as well as you generally just ingest less calories)  Junk food is mostly processed carbs that don't require much mastication as well as you have eliminated most liquid calories.   So, does the chewing have just as much impact as the calories being less?  Food for thought!

I recently did the Valter Longo Five Day Fast Mimicking Diet protocols.  By day 2, without any conscious thought I was chewing slower.  It was as if I subconsciously decided to chew every last calorie out of the food.  To savor this bight instead of shoving the 2nd bite in.  It was an unexpected benefit to this 5 day protocol.

Practical Tip:  Put your fork down every time between bites.  This forces a slower eating, more chewing.  A good friend told me this.  It's a money move for changing behavior.

A few weekend ago, I took the Cervical Revolution seminar with Ron Hruska.  I've always found value in how they approach a few concepts.  I've had a few patients in the past year whose neck issues just seemed odd.  I've also noted a few interesting therapy practical concepts that I couldn't quite figure out why it worked.  I had some of my own theories but wanted smarter people then me to perhaps drive more insight.  For example, when looking at a right femur that was neurally guarded on adduction, working the right trapezius and some of the right occipitals, the femur moved much more freely.  I think this is the best example of purposeful learning.  Something I've been seeking out.  A few concepts your struggling with, a few ideas you have high interest in, seeking those answers.

One of the big takeaways from the course was addressing the mandible.  The jaw bone.  Occlusion and malocclusion and how they can be influencers of other systems and joints.

Tempromandibular Joint (TMJ) pain has a high correlation with other joints being sore or painful, the most common being the knee.  

Testing of knee strength with balanced and unbalanced bite has shown a decrease in eccentric strength of the knee when maloccluded.

Chewing is a mammalian behavior.  Carnivores generally chew very little.  Chewing stimulates the stomach acid and autonomic nervous system.

There has been influence of same side masseter muscle with the same side SCM muscle.

Chewing stimulates the sesorimotor cortex of the brain.  It activates the brains autonomic area.

Note from course:  People with low back pain don't know how to chew with their molars.

Practical Tip:  Chew your first 10 bites of any food, 10 on the back left molars and 10 on the back right.  

In the book "Jaws" by Kahn and Ehrlich, they outline what they call the hidden epidemic in youth jaw and teeth development.  Lack of chewing creates weak jaw muscles and doesn't allow room for the teeth and jaw to widen.  It's influence on fascial structure is very interesting.  It can lead to mouth breathing, which leads to poor airway development.  Interestingly there anecdotal observations with mouth breathing and things like increased nightmares, bed wetting and lack of good sleep.

The book contains on a chapter on GOPex (good oral posture exercise)

Some of the the takeaways of practical use were again.  Chew your food with mouth closed.  Even encouraging gum chewing with the mouth closed.

Practical Tip:  Read out loud with good punctuations.  This encourages nasal breathing.  Pause at full stop and take in a breath through the nose.  5-20 min of this per day.

You can play around with surgical tape on the mouth and do some fun games/activities which forces nasal breathing.


Practical Tip:  Always begin your swallow with the teeth of upper and lower jaws touching.  Consciously pause for at least a once second before the swallow.  This will allow the tongue to go the roof of the mouth.

Chewing is an autonomic activity.  We don't need to think about it to do it.  (unless it's painful).  Much like breathing.  But, like breathing, when we bring conscious thought to it, we can make some significant health and performance improvements.

Monday, March 25, 2019

Learning is Asking an Emotional Question

Growing up, if you asked me what learning meant, I would have answered that learning was the memorization of "stuff."  Ask me a question and I will repeat what I had "learned."  Ask me in a week, and I might not remember it anymore.  I got the A and moved on to the next piece of information to be memorized aka learned.

Is that really learning?

In college, I had the fortunate opportunity to have several, several teachers that didn't allow memorization to be tested.  Concepts were expected to be understood.  They couldn't be memorized.  It took several failed attempts to memorize super large quantities of data to change the pattern of my study process.  Concepts were understood, learned.

Is that really learning?

I had several opportunities to play sports in different settings.  From baseball and soccer,  to football, rugby and bobsled.  Skills were taught.  Techniques were practiced.  Practice until you can do them well.  Looking back, I realized I practiced till I could do a skill, without really an understanding of the why.

Is that really learning?

Taking a poll of my younger self.  I would have stated, I don't like school, I don't like reading, I don't enjoy "Learning."  I just want the end result.  Give me the answers.

Present day, one of my favorite things in life is reading, I'm not really in a Joy state if I'm not learning things, if I'm not pursuing something.

Pursuit.  Pursuing is an emotional thing.  Your whole being is involved.  It implies passion and thought and commitment.  My present self would go back and tell my younger self, you do love learning.  You just don't get what that means.  Learning is finding the secrets to the subject your interested in.  The answers to an emotional question.




What are the emotional questions?

My first emotional question was how do I play football in college.  As a 119lb freshman in High School, the answer was get bigger and faster.  So I learned about training.  I showed up and trained.  I asked questions.  I observed other athletes training.  I wrote every coach I could think of and asked how to train.  I experimented with training.  I devoured a lifestyle of training.  This bled into not only lifting weights and running, but I learned about other methods of training.  I remember writing Istvan Jvorak and learning and using his Complexes and not understanding how all of a sudden by lifting lighter and faster I put 4 more reps on my 225lb bench and 3 inches on my vertical in 12 weeks.  I read up on nutrition and supplements.  I read about hormones.  I learned about wave cycling.  But, I didn't know I was learning.  I was just pursuing an answer to a question.  I never said to myself.  I'm going to study new rep schemes tonight.  I'm going to study some biochemistry tomorrow.  It just happened.

My view point at this point in time is that a thing can't be learned if it doesn't come from an emotional question.  The answer will be superficial at best without.  You may know the answer, but only when the question is exactly what you studied.  Life very rarely gives the story book question.

I knew how to rehab a tendon a year and half ago.  After my own achllies tendon tore a year ago,  I pursued the answer to how to sprint again.  Now I KNOW how to rehab a tendon.  The intricacies of reps/timing/nutrition.  Tendon research.  Tendon researchers.

In 2013, my daughter was one.  I realized I couldn't squat deep anymore.  My mobility had deteriorated.    My emotional question was how do I regain my mobility.  Again, deep dived into mobility training and theories.  Functional Range Conditioning kept popping up.  Dr Andreo Spina, created a system.  An amazing process of principles.  I regained my hip mobility.  More importantly I learned about mobility training.

I don't think you necessarily have to have your own tendon failure to learn about tendons.  But, I do think there must be an emotional connection to your question.  Perhaps it's a friend, family member or patient that drives you into the pursuit.

A person picks up a bow and arrow and shoots it at a target.  They miss. They keep practicing.  They get better.  They start to love archery.  They ask the emotional question, How do I get better.  They learn about wind.  They learn some physics and geometry.  They start making their own arrows.  They study the history of the bow.  They practice breath control.  They test equipment.  They learn the bow and arrow.

Ask an Emotional Question.



Practically speaking we live an an amazing time for available information.  One of my favorite ways to spearhead an emotional question is search out a a concept or person with books/podcasts and articles and listen and read everything that person has done for several days/weeks.  Then if my pursuit is still calling me, you dive into the research papers and textbooks and see how to apply it.  

But again, those deep dives are coming from an emotional question.  Right now,  I have two questions that I'm asking.  One.  How do we create Biological Durability.

"Avoid inactivity of your organism as you would avoid severe illness and cultivate the endurance function as a pathway to biological durability."  Ernst van Aaken.

Two.  What do we know post cancer?  Valter Longo keeps coming up.

These are all my theories and thoughts, and maybe I'm the only one that learns this way.  It would be great if I could just pick up a topic and own it thoroughly, but I'm not wired that way.  I don't think I'm alone.  I do think that we can cheat the system though.  By simply asking better questions, finding that emotional connection, we can learn better.

Keep Learning.




Friday, March 8, 2019

Circadian Rhythm of Life and How to Enhance It

The weekend marks another spring forward time change.  Setting the clocks forward often means a loss of an hour of sleep for many people.  The reason many people have a hard time with time changes is because our bodies naturally adopt a certain ebb and flow to the sleep/wake cycle.  We can essentially train our self to fit our lifestyle.  This can be good and bad.


The good.  Humans greatest physical attribute is perhaps its ability to adapt to its environment.  Cold, hot, sea level, mountain living, city, country, much like a coyote, humans will figure it out and thrive. 

The bad.  We are so good at manipulating our environment to survive, we have altered our natural rhythms of life that we have built into our cell biology.  We are finding this to have some serious health consequences.  

First, some science.  Chronobiology is the study of circadian rhythms.  Humans have built in biological clocks (an innate timing device) in every tissue and every organ.   Biological clocks produce and control circadian rhythms.  There is a master switch in the brain that is composed of 20,000 neurons called the suprachiasmatic nucleus that controls the biological clocks.  This resides in the hypothalamus and receives input through the eyes.  This is an important distinction as this will show the significance and power of light.  

Light has the ability to turn on and off genes that control biological clocks.  Because of this powerful impact light has,  it becomes very important how much we get and when we get it.  To jump start a day, let sunlight hit your eyes.  Sunlight has blue light.  It creates a power trigger for alertness.  Equally important as the sun sets, eliminate or diminish all blue light to allow the body to start producing melatonin (sleepiness hormone).  This also coincides with a slight reduction in body temperature.   Staring at a computer or cell phone is just triggering the biological clocks that it still daytime.  In the absence of light, humans are still wired for around a 24 hours of sleep/wake.  Light just influences how we go about regulating other circadian rhythms in the body.  

Our natural circadian rhythm is built around a 24 hour cycle(day).  There are also other parts of our biology that have circadian rhythms in it.  One of the most important is cell metabolism or energy.  Every cell has an organelle called mitochondria in it.  Mitochondria are the power houses of energy production.  They have a fusion/fission pattern.  If this is disrupted, energy production is compromised.  This pattern is linked with circadian rhythm of the body.  How and when energy is produced is in direct relationship to the health of your rhythm.  Disrupt your circadian rhythms and disrupt your mitochondrial ability to produce energy. 

Performance can even be potentially thought of as having a rhythm.  It has been speculated that peak alertness is around 10am.  Coordination around 2pm and peak cardiovascular and strength around 5pm.  I have heard these numbers thrown around before but couldn't find much on the origins.  Peak body low temperature is around 4am and peak body high temperature is around 7pm.  Perhaps they were able to coordinate it with this.  I for one have never felt strong in the morning when lifting weights.

Other organs also operate with a circadian rhythm.  The liver is a prime example.  Liver enzymes that help to convert calories to energy are stopped being produced at night.  It is producing enzymes to store energy. To take in a large meal before sleeping then disrupts this natural rhythm.  Like light, food then becomes a powerful environmental trigger for supporting the natural circadian rhythm.  This is becoming known as time restricted feeding.  There have been many health benefits shown for creating a smaller window for eating.  Instead of 16 hours of eating, trying to get to 10-12 and even 8 hours.  For myself, I've been trying to do 10-12 as this allows me to still support biking/lifting and a social life.  

Skeletal muscle makes up 40% of all tissues in our bodies.  It also contains biological clocks that influence circadian rhythm.  The last decade has brought lots of research on studying how exercise influences this rhythm and whether there truly is an optimal time of day for exercise.  There have been many studies of mice that show that exercise influences and enhance the health of the biological clocks, but to date no consensus has been shown at what time or what is "best."  Most studies have been done with endurance activities, but resistance exercises have also shown to have an impact on the genes and gene expression of the biological clocks.  

As humans we have built in rhythms.  These rhythms drive almost all aspects of our physiology.  Because we are so amazingly adaptable, we can fight against these natural rhythms for years, perhaps decades, before any "wear and tear" or signs of distress show.  There is a difference between adequate and optimal though.  Science is in agreement, for optimal health, the circadian rhythm must be respected and nourished.  

The 3 most powerful tools we control are LIGHT, FOOD and EXERCISE.  Establish routines for all three.  There will be arguing over the minutia, don't let this paralyze you.  Get 7-9 hours.  Eat in a certain window of time consistently.  Try to exercise everyday around the same time when possible.  Following these three principles will give perhaps the best foundation for a healthier lifestyle.    

Friday, February 1, 2019

7 Ways To Train Your Grip

Since the earliest strongman days, feats of grip strength have often been demonstrated.  Lifting weird or unstable objects have been synonymous with strength.  Many sports, from rock climbing to wrestling, rowing to Jiu-Jitsu,  require extraordinary grip strength to be successful.   Not only is grip a requirement for sports, it has a very high correlation with health and lifespan.  Grip strength continues to show a high correlation with low cardiovascular risk and longer lifespan.  Improvements in grip strength have been shown to decrease Blood Pressure by up to 10-15 units of measurement.  This was studied after early fighter pilots were passing out at higher speeds.  Pilots that gripped the joystick with an intense squeeze stayed conscious.  This act kept the blood flow to the brain adequate.

 Quite often in certain lifts, it is the grip that gives out first.  A secure grips gives the brain/body positive feedback that allows more power to be generated.  The grip is neurologically tied to the rotator cuff muscles.  Often the first thing I will do with a patient or athlete with a rotator cuff injury is to find safe ways to train the grip.

JL Holdsworth owner of Spot Athletics in Columbus OH did a great presentation at the 2018 SWIS in Toronto on training grip.  He outlined 7 ways to train it.  JL is wold champion power lifter and also competed at the highest level in grip competitions.  I was fortunate enough to meet him at a RPR seminar a few years ago and he did an excellent job presenting then as well.

7 Grip Training Methods

1.  Support.  This is your classic hold in hands for time.  Your classic deadlift or farmers carry is a good example.

2.  Crush.  The handshake.  Captains of Crush is a common tool.  The fingers are the movers and the thumb is support.

3.  Pinch.  Holding two 10lb weight plates together and not letting them fall apart.

4.  Friction.  This is something that can slide through your hands.  Climbing a rope.  Doing pull ups with a towel.

5.  Clamping/Crimping.  This is done almost exclusively with the fingers applying pressure into the palms.  Think rock climbing on small crimps and jersey tackling in football.

6. Forearms.  Flexion and Extension as well as pronation and supination.  The old school wrist roller held at arms length.  Holding a dumbbell and doing pronation and supination around the elbow joint.

7.  Wrist.  Ulnar and Radial deviation.  The wrist is the only thing moving.  A common way is to use a hammer and control the uneven weighted object into radial and ulnar movements.

Grip Training is not often scene in many strength programs.  As you can see there are several styles of grip training and each style has to numerous of examples to list.  But, what can't be overstated is the health impacts developing a strong grip can have and also its importance in sports.  For these reasons, grip should be given a higher level of importance then it usually is given.


Friday, January 11, 2019

Growing Focus by Eliminating Multitasking

To improve anything in life requires first and foremost focus.  Focus is the ability to block out all distractions and keep a singular target for the goal at hand.

"Keep the goal, the goal."  Dan John

In todays day and age, it almost has become a bragging right to talk about all the things you got done at once.  I listened to this podcast, returned emails, played with my kid and ate my breakfast.  It's similar to having pride in how little sleep you get.  

We carry around these tiny super computers that bring dings and vibrations when anyone in the world makes a comment or a like to a post or a photo.  We get included into group chats.  We get texts that are expected to be answered within a few minutes.  From this, it is very easy for a quick check to become a lost 5 minutes...15 minutes.  

But times they are a changin'. 

Multitasking has been shown to be pretty much a sugar coated way of saying I'm ok with doing sub par work in a few areas of my life.  There has been shown to be a noticeable loss of seconds when we switch tasks.  Perhaps talking on the phone and doing dishes may not be that big of deal (or is it, I'll come back to this) but driving and talking is. 

They have now shown that driving while texting is the equivalent of driving with 3x the legal alcohol limit.  Doing two cognitive tasks at once is impossible for the human brain.  In fact, there have been some research that even suggests that it is decreasing the brain volume size when we multitask a lot. 

Outside of the dangers of obviously driving or doing anything with machinery, I think the true cost of  multi tasking is that we are training ourselves to get distracted.   Habits are being formed.  A life is being adjusted and created.  We are what we allow ourselves to become, good or bad.  

People understand training.  If you want to get stronger, run longer, move faster, you have to train your body and it will happen.   The whole body will respond to different stimuli.  No gravity and your bones will become brittle.  Don't move your hips, you get immobile.  Ride your bike everyday, your aerobic system will improve.  Practice sitting at a desk for 8 hours a day every day for years and it will get good at sitting.  The body is magical this way.  It becomes what you do.  It gets good at what we repeatedly do.

Multitasking is training the brain to get slower, to perform less, to accept a different level of "good."  It's training your brain to be easily distracted to the next fleeing thought, emotion, feeling, ding and pretty bauble.  We are getting better at being busy with an outcome of less accomplished and what is  less quality.  Multitasking is allowing lack of quality into our life and I think it is creating  stress in our lives.

Back to our example of laundry and the phone.  Surely if anything applied to successful multitasking, something as benign as this, would fit the bill.  I'll politely disagree.  Again, you are teaching yourself to be distracted.  You are teaching yourself to lack focus.  Your Focus muscle is getting smaller and weaker.  

"The way we do small things is the way we do everything."  Robin Sharma

You may think your giving your family or friends your full attention, but again, research has shown you are not.  You are in two places in your mind.  Give me your attention is one of the most powerful acts and also one of the most prized possessions.  So when someone give you theirs, be respectful.  

My favorite story I ever heard about Kobe Bryant was from Kobe himself.  He talks about how he started to the process of training focus.  2:20 on the video.


When we give our focus to a task, good things will happen.  I personally think meditation is becoming so popular, not just because it works (it does) but because it's teaching focus.  What we train we get better at, remember.  There is carryover.  Focus allows us to be a better parent, partner, spouse, worker, craftsman, or friend.  It feels good to apply our focus on things.  We call it flow.  Whole seminars and books are written about finding flow.  Being in the present.  Flow is just the ability to focus and block out all distractions.  

"Concentrate all your thoughts on the work at hand.  The suns rays do not burn until brought to a focus."  Alexander Graham Bell

Every time you block out the task, stay distraction free, say no to multitasking and focus with singular intent, you will do a better job, have a better outcome.  Have a quicker outcome.  But, more importantly your focus muscle will strengthen.  

At first shoot for a few minutes.  If your reading, read and immerse yourself in the words.  What is it trying to say.  When thoughts show up, which they will.  Acknowledge them, flick it way and go back to reading.  After the few minutes, then address your thought.  Sometimes just writing down the thought, allows us to go back for another few minutes of solid focusing.  

Some practice tips are working in 15-20 min blocks.  Are bodies are almost programmed to move every 20 minutes through a process called creep or deformation.  After 20 min of not moving the soft tissue starts to mold to that position at the cellular level.  But if you get up and move before then, it restarts.  90 min to 2 hours are another chunks of time to be used, with a brake that can be anything from 5-30 minutes.

Focus isn't just about doing stuff though.  Lots of people need to focus on shutting off.  Truly just letting the mind relax.  Sitting and thinking about all the stuff you need to do is not taking a time out. Recover.  As the famous saying goes, time wasted wasn't wasted time.  

Practice no phones with people you are talking too.  Practice just allowing one task to be done at once.  See it to the end and move on.  Get better.  One of my big fears in life is to wake up in a 10 years and be no better at manual therapy. To be the same.  To literally have the old cliche of 10 years of work, but it was one year, repeated 10 times.  How easy it for the same days to become weeks, the weeks a year.

In our clinic, I try to make a conscious decision each appointment to take literally 3 seconds and remind myself, have a new experience.  Accumulate new experiences.  Give this patient my focus.  

I thought a lot about what I wanted 2019 to be more like then the previous year.  It was focus.  In a weird twist ala M. Night Shyamalan style, I realized 2018 had taught me it.  A torn achillies basically forced me into a hyper focus rehab mode.  2-3x a day dedicated rehab with lots of my free reading being directed towards tendon and tendon health.  The result was I feel more fit and faster then even before the tear.  My understanding of tendons has improve leaps and bounds.  The first 6 months just flew by.  Flow.  As the focus slowed down, regular life become more normal again, but for one change, the first time I've started to really notice when I'm distracted.  I think it had been a gradual hardly noticeable slide, until it wasn't.  I could make lots of excuses, owning a business, wife, kids, hobbies, friends, fitness, continueing education, etc...but thats what they are, excuses.  Focus on the task at hand.  Then move to the next.  Build that Focus muscle.  Feed it and it will grow, multitask and it will starve.  

I'll leave you with this quote from the great Philosopher Yoda...




Monday, January 7, 2019

Understanding that Context is King

Context:  The preceding or ending event, word or speech that gives clarity to the meaning.

Perspective:  An individual thought or attitude towards something, point of view.

We live in a world where perspectives have become the foundation for many peoples truths.  It's becoming paramount that your perspective is equal to my perspective.  Instead of trying to decide what your perspective is coming from, we just say you have your right to view it that way and I have the right to view it my way.  Go on about our days.

Perspective isn't the same as opinion.  My favorite vehicle is a 4Runner.  That is an opinion.  If I start telling people to never by a Chevy because they always break down and you are dumb if you buy one, my opinion is slowly evolving into a perspective.  That perspective can get dangerous if I start associating my perspective onto others.  Context is needed to change both.  I may have bought a Chevy it broke down and maybe I felt dumb for buying one.  Now I feel that this is universal.  I search for more people that have had similar circumstances and low and behold, my perspective was confirmed.  This is called confirmation bias.  Context would be looking for how many percentage of vehicles were broken down.  There is work that has to be done.  Context takes work.

You have to be careful with statistics when understanding context.  There were only 10 4Runners brought in to Toyota dealers for problems.  Wow, there were 100 Chevy's brought in.  I told you 4Runners were way better!  Dig Deeper.  There were only 20 4Runners on the road.  There were a  1000 Chevys.  This changes the complete picture.

Last year, did you hear Yanni or Laurel?  I heard Laurel clear as day.



My whole family heard Yanni.  I just assumed we have different way of interpreting the acoustic vibrations, maybe the anatomy of the ear had something to do with it.

Now this was a simple and silly difference, but with a little research the answer was found.  What if it had been a bigger thing?

This has been common meme in social media.


In reality, it should really be more like this.


I often play a game with my oldest kid about comparing things.  Are apples and oranges similar or different.  I want her thinking about context.  To ask better questions.  Are you asking if their both fruits or similar color?  Things we can eat or things that grow in Michigan?

Context requires work and thinking and research.  It also will eliminate misunderstandings, misconceptions and perhaps allow for better conversations and relationships.