Random Thoughts from a Restless Mind

Dr. Darrell White's Personal Blog

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Posts Tagged ‘recovery’

CrossFit and Recovery.

You can’t do a search for “CrossFit” without wading through countless articles about CrossFit “injuries” and whether CrossFit is safe, or how to do CrossFit safely. Heck, half of my “Zite” CrossFit section is polluted with that genre. The CrossFit community itself is awash in comments and stories of folks who are over-worked. Rashes of niddling little injuries pile one upon another until the recipe brews up not a finely tuned soufflé but rather something more like the cheesy crust rimming the pan that contains the remnants of over-baked mac n’cheese.

How can this possibly be? We watch our Games athletes in this run-up season to our Games, parse their programs and compare their 3-a-days to our 3-a-weeks, and yet it is we who fall apart, not them. We marvel at the Princes and Princesses of our kingdom like the wondrous Christmas above, see them parachute into view leaving behind shock and awe, only to find ourselves reading about this or that danger or catastrophe or calamity from an “over-trained” CrossFitter. How come?

It’s simple, really, and that’s probably why it’s so hard. The sensational stories about danger? Meh, nothing more than tabloid folderal, no more common in reality than teenage vampires in bikinis on page 3 of some magazine at CVS. Oh sure, they both exist, but the noise made about their existence is laughably out of proportion to their true numbers.

No, the real reason we as a group struggle with this is that we forget a couple of really fundamental things about CrossFit, the fitness and health program. The WODs here on CrossFit.com are openly described as created to challenge the fittest athletes on earth. Period. Sorry, but that’s not you, and that’s not me. If we do these as Rx’d and as scheduled the vast majority of us will have a “wheels come off” experience, either a little at a time or in one spectacular crash.

Again, why? Well, because of the other CrossFit fundamental that we all too frequently forget: OUR CrossFit is a training program to allow us to be fitter, healthier, and therefore better at LIFE. Christmas, Jason, Rich, Julie et al are our equivalents of Andy Murray (now playing in the Wimbledon Finals) or Danica Patrick (driving a car and turning left this afternoon): they are paid in part to excel at CrossFit. Each day is carefully planned and includes a healthy dose of rest and recovery.

Ah, there it is. Rest and recovery. Not only that but carefully planned rest and recovery. You talk to your Coach about loads and time domains but when’s the last time you sat down and talked with your trainer about your schedule? Have you EVER discussed recovery? Whether you work out in a Box or on your own, do you have an injury prevention plan? Think about it. If we are doing Crossfit in order to be better at something…anything…whenever we have some sort of Crossfit malady that decreases our functionality we’ve achieved the exact opposite of our goals. Maybe we can’t go to work. Even worse, maybe we can’t go to the Box. CrossFit is FUN and the gym is FUN; not being able to go to the gym stinks.

Here’s my bid: pushing ourselves to our limit 3 days on/1 day off is part of who we are, and we should continue to do just that. Go ahead and take a full dose of the CrossFit prescription. Be inspired by Christmas and her peers and occasionally give in to the temptation to do something extraordinary like “CrossFit for Hope” as Rx’d. Or really crazy, like “Eva”!

At the same time follow their example and consciously build recovery into your own CrossFit program. Can’t fit 10 hours of sleep into your 24 hour day like Jason? No time or money for a couple of massages and the chiropractor every week? Me either. My day job really messes up my CrossFit, ya know? I can’t remember the last time I took a nap. So go hard when you workout, but schedule in breaks. Make them mandatory. Allow those little aches and pains that prove that you are, indeed, working hard to heal before they become an unstoppable cascade of real injury. (Do a search on the Message Board for “Larry Lindenman” and “rest”, “scheduled rest”, or “de-load”). Accept that you may need to make tiny compromises in order to prevent injuries. For example, if you can’t afford to have your hands rip from pull-ups, do whatever it takes to prevent them regardless of the sniping you may encounter here or elsewhere about gloves, wraps, or tape.

There are three fundamental aspects of CrossFit: business, sport, and fitness. The few and fortunate among us who participate at the highest levels of the first two often have the luxury of fewer non-CF priorities and can apply laser-like focus on training, including recovery. You and I, on the other hand, must remember that CrossFit is a tool, the best tool, that we use to make ourselves better. Like all powerful tools it must be accorded respect.

We must plan our recovery lest we recover from our wreck.

 

Economic Stimulus. A True “Shovel-Ready” Proposal *

It’s the jobs, Stupid. That’s what should be on the office wall of every legislator at every level of government across America. Say what you will about Bill Clinton, but did anyone ever get it more than that first Clinton presidential campaign? A simple sign in their campaign war room reminded everyone of the central message: “It’s the economy, Stupid!”

It’s more than that, of course. Now, you could say, “It’s the jobs, Stupid!” What can you do to stimulate the creation of jobs now? Sure, you can take a page out of Rahm “Never Waste a Crisis” Emmanuel’s book and combat our crushing unemployment by pumping money into grand public works. Who doesn’t agree that our bridges, roads, sewers and subways are in dire need of repair? But everyone was enticed by President Obama’s promise of “shovel ready” public projects into which stimulus funds could be pumped, followed instantaneously by the hiring of willing hands to man those shovels. Stimulus I didn’t really turn out that way, so why would we embark on Stimulus II? Or III? Return on this investment was pretty much zero.

Nothing will get our economy moving faster and restore our national spirit than employing more people, and at a higher wage. Let’s take a quick look at the kind of job sector that would be most desirable.

Any industry into which we might pump money should have the ability to ramp up employment at the first dollar of public investment, or the first loosening of a needless regulation. OR BOTH.

Any sector targeted should be able to create and fill jobs across a broad range of salary, experience, and skill levels, and it should be relatively gender-neutral. It should reward achievement and educational advancement. Any jobs created should be domestic, although any hard products created must be attractive for export. It should be an American business sector that is expanding now, and poised for additional growth.

Pretty ambitious list of criteria, huh? Where will we ever find an industry or economic sector that could fulfill all of these criteria without some new genius discovery or mega-bureaucratic mischief?

Easy. Healthcare.

Think about it. Right now our country is fixated on cutting the money flowing into healthcare businesses such as hospitals, nursing homes, and doctors’ practices. Government regulations make it more and more difficult to make a profit while providing healthcare. Perhaps more frightening is the fact that similar regulatory agencies make it nearly impossible to bring new medical products to the market or build the sales of existing products.

Despite that, healthcare and related industries (pharmaceutical manufacturing, medical device manufacturing, health insurance administration and sales) continue to grow in all ways that we can measure, except the most important one: jobs.

I know your reaction. “We’re gonna go broke paying for healthcare as it is; how could we possibly pump MORE money into that?”

Hear me out before you dismiss my theory out of hand.

Every new regulation, every new requirement, every cut in payment for an office visit or a medicine or a hospital stay results in a net LOSS of jobs. And worse, pretty much no one in the entire healthcare and medical sector is hiring now, partly because of declining pay for services and products, and partly by the gloom caused by an assumption that the future holds nothing but more of the same.

We should try to identify regulations to remove. Start with removing the prohibition on drug companies marketing so-called “off-label” use of prescription drugs when it is clear they are beneficial. More sales of existing drugs means more jobs. More sales of existing drugs — along with fewer barriers to approving new drugs — means even more jobs.

People in healthcare and related businesses make a good wage, and there are jobs available across a broad wage scale. These folks buy houses, employ skilled trades, go out to eat and the like. As they advance, they earn higher salaries, and then they do the American thing: they spend it!

Pump more money into healthcare rather than less. Stop all of this talk of cutting payments to hospitals and doctors and instead index fee increases to inflation. Stop reducing Medicaid rolls and give doctors and hospitals an incentive to care for these people by increasing Medicaid payment to the levels of Medicare. That would create more jobs.

Education matters in all things medical, whether you are a doctor or someone working in a pharmaceutical factory. Generally, the more education you have, the better you fare economically. There is no systemic gender or race discrimination in healthcare. With doctors, nurses, hospital administrators, academicians, the only requirement is to be good at what you do. Same thing in related industries like medical device manufacturing; ambitious people of all types, men and women, young and old, can advance in their careers. Advancement means more job openings.

And guess what? More jobs means generating more income that can be taxed! More jobs create more spending and more sales that can be taxed! You could even encourage more of this by decreasing income taxes on those people most likely to spend that money, which would then create…wait for it…more jobs!

Oops. Sorry. Politicians are involved. Decrease taxes? That’s just crazy talk.

The next thing you know someone will propose some really crazy thing, like increasing the money we spend on healthcare.

 

*Credit for the idea to William J. Petraiuolo, M.D.