Me and Serena Williams

On Wednesday Serena Williams tweeted “bad day” to her Twitter followers.

Serena has won 13 major tennis championships. She is a successful business person in the fashion industry. Her endorsements contracts are huge. What could be so bad?

“It’s a blood clot in your lungs.” That’s what they told me in the spring of 2006. The medical term is pulmonary embolism but at the time it didn’t register in my head. It should have. My father-in-law had died from a post-operative pulmonary embolism ten years earlier.

For me, it started with what felt like an upset stomach at noon on a Friday. It was uncomfortable enough that I left work early that day (I was a corporate cubicle dweller at the time). By 6pm I thought I had pulled a muscle in my left rib cage. It was plausible; I had worked out that morning and could have strained something.

By Friday evening I had tied the pain to my breathing. Deep breaths equaled searing pain in my ribs. Shallow breaths meant the pain wasn’t so bad. Being the stubborn, indestructible guy that I think I am, I went to bed.

By morning, at the urging of my wife, I headed to the emergency room. Every moment ratcheted up the pain level. In at 10am, put through a battery of tests including x-rays, blood tests, physical exams, more x-rays and finally six hours later a CAT scan.

Even after the CAT scan the nurse came into my room and prepared to release me. They hadn’t found anything. It must be a muscle strain.

Then 30 minutes later things changed. A small embolism was found in my lung on the last scan. Quickly I was put on a blood thinner and whisked up to a hospital room where I spent the next 5 days bed ridden while the Heparin dissolved the clot.

“Bad day” indeed.

Serena was diagnosed with a pulmonary embolism last week and is likely to face a minimum or 6 months on a blood thinner, perhaps a lifetime. This is not good news for an athlete. The regular intense workouts, the hours spent on a hard court surface and the occasional scrapes and falls that go with it are not great for someone who, once cut, can’t form a clot due to their medication.

Add the endless travel of a pro athlete and she has many obstacles to overcome to regain her footing as a great tennis player. (Airline travel was likely the cause of my clot. If you don’t move around regularly your blood will pool and the risk of a clot increases.)

However, I'm proof that a fully active lifestyle is possible. Six months of blood thinners and I was allow to stop taking them. I had no family history and no risk factors for forming clots. I get up and walk around on any flight that lasts more than an hour. I ride my bike fast, mix it up on the tennis court occasionally, hike with the dogs and stay moving like I did before. That clot changed my life in other ways.

That small clot is largely responsible for a dramatic turnaround in me. I used that bad day as a wake up call. My life changed significantly over the next several months. I chucked my corporate career, re-committed to be fit and healthy, and started my personal training business. I’ve never felt better and never loved what I do as much as I do today.

Hopefully Serena's bad day is just that, a single day that she will fully recover from.

Be well,

Paul

Paul Dziewisz
Active Personal Fitness
www.ActivePersonalFitness.com
267.626.7478

Why we really don't know what to eat

Why can I eat 3,800 calories a day, workout 4 times a week for 30 minutes each and not gain any weight? And then turn around and train for a marathon, eating less calories and working out more and not lose any weight. Why am I always between 205 and 210 lbs no matter what? For years I have been trying to understand how to eat and how it will effect me.

The most important book you can read this year is Michael Pollan's "In Defense of Food". But you don't even have to read the whole thing. Pick it up and turn right to the chapter entitled Bad Science (part 1, chapter 9). (The link will take you to the chapter available on Google books.) These 10 pages succinctly sum up the problems with the science of nutrition in a way I have been trying to articulate for several years.

The fundamental issue according to Pollan is that nutrition science, and all science for that matter, must isolate a variable to determine how changes to that variable impact the subject of the research. Nutritional scientists isolate the nutrient. Unfortunately, that approach "takes the nutrient out of the context of the food, the food out of the context of the diet, and the diet out of the context of the lifestyle."

Isolating the nutrient ignores its interplay with other nutrients, chemical compounds, and the human body that is processing it. All of which can create subtle or not so subtle changes in the nutrient's behavior.

Are you familiar with the glycemic index? Many popular diets are based on the principle that some foods have high impact on blood sugar levels than others. In isolation, that is true. A banana will spike your blood sugar level higher than a carrot. But when we start to combine foods (after all, we rarely eat one food at a time) some of the glycemic index science gets blurry. Eat a bagel by itself and those carbs will be processed quickly. Spread some peanut butter on that bagel and the absorption of carbs slows dramatically. The bagels glycemic index number has been altered by the peanut butter.

The supplement industry regularly claims they have "isolated" the enzyme or anti-oxidant responsible for preventing this or that disease. The problem is when the chemical or compound is extracted from the FOOD it rarely has the same impact has when it is left in the food. The reason, the interplay of all the elements of the food is erased when the chemical is processed into a supplement, AND THE INTERPLAY MATTERS. In a test tube, the science works. Beta-carotene in its native food source eats up free radicals. When beta is extracted and placed in a supplement, it just doesn't act the same way.

We don't understand these food interactions very well because our nutrition science doesn't look at food as a whole and doesn't address the uniqueness of our bodies. Eat a steak and you will absorb its iron. Drink coffee when you eat that steak and you won't get much of the iron.

What we do know is that eating real foods in their whole form will provide us with nutrients that help our body function. Continue to eat fruits, vegetables, meats, poultry. Choose organic if you so desire. But be ware of claims about how some part of that food will make you bigger, smaller, taller or smarter. Food is way more than the sum of its parts.

Be well,

Paul

Paul Dziewisz

Active Personal Fitness

www.ActivePersonalFitness.com

267.626.7478

"You give us the effort...we'll get you the results."

Developing Your Healthy Holiday Plan

Having a Healthy Holiday Plan is more than just about avoiding weight gain. For most of us this coming month is about avoiding bad habits. Bad exercise habits and bad nutritional habits. There are several studies that suggest creating a habit and making it stick as part of your life can be done in 21 days; just 3 simple weeks of repeating a behavior and it will be part of you. The sad thing is that those studies are talking about how to create a positive behavior (things like doing weekly and daily planning, getting into an exercise routine, or quitting smoking). Those are habits that take some effort to establish.

Bad habits are much easier to establish. From now until January 1st we have about 5 weeks of time. And for a lot of us it is a time where we typically create bad habits. You know what they are; eating too much, eating too often, skipping exercise, making bad food choices.

Five weeks. 35 days of temptation. 35 days of people not judging you for taking a second piece of pie. 35 days of there being a second piece of pie just hanging around.

For many people it is that time between now and New Years Day where they not only disrupt their healthy lifestyles for a month but they set themselves up for continued struggle into the New Year. And we all know that once you have taken a step back in your progress it becomes very difficult to get your healthy habits back. The key is to set yourself up for a healthy holiday by having a plan, not a plan that prevents you from enjoying time with family and friends or a piece or two of pie. I am talking about a realistic, sensible, simple plan for approaching the holidays. You need to establish a mindset that will guide you into the New Year.

I need you to start by asking yourself 4 simple questions.
- Are you having company to your house or are you travelling?
- How many people will be at your destination?
- What is on the menu?
- Where will everyone be exercising?

It is not unusual to have no answer to that last question. You know where you will be, who will be there and what you will be eating. But you have not thought at all about where you will exercise. Most of us want to avoid weight gain and loss of energy over the holiday season. But what happens is we spend hours planning all the details about how we WILL gain weight and no time planning the details of how we will AVOID weight gain. If you have a plan for gaining weight and no plan for not gaining weight, guess what is going to happen. You’re going to execute on your plan and your going to gain weight.

Keep an eye open over the next week for the remainder of my Healthy Holiday Plan series. The next blog posting talks about setting realistic expectations, determining your “cheat days,” and creating the PLAN. Stay tuned….