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| Training, Nutrition & Dialysis |
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Training
Nutrition
Dialysis |
| Training |
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| Training Program - 6 Week schedule |
Archived Training - (+/-) View
| Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
| 8/6 |
8/7 |
8/8 |
8/9 |
8/10 |
8/11 |
8/12 |
Run
1 mile warm up
6 X 100, 3 X 200, 2 X 400 at rep pace
2 mile warm up |
SWIM
300 yard drills
12 X 100 :30 rest
100 cool down
LIFT: MA Phase 2 sets |
Bike Hill Repeats
(:20 minutes)
see note below
Total ride time should be less than 1:15
RUN :20 at MAF |
SWIM
Workout: 50’s A2
LIFT (FMS) 2 sets |
OFF |
Edurance Run
5.5 miles at E-Pace with middle 1 mile at continuous tempo pace
(try and do this run on a hilly course) |
Endurance Bike
1:40 at EA with 2 times
:10 at EA
:10 at low MAF
:10 at mid MAF
RUN
:20 at E-PACE |
| Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
| 8/13 |
8/14 |
8/15 |
8/16 |
8/17 |
8/18 |
8/19 |
|
Endurance Bike
:40 at EA / Low MAF
RUN
:10 at E-PACE
|
* SWIM
Workout: IMS-H3
LIFT (FMS) 2 Sets
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* BRICK
B:30 at EA with
:3 stand 60rpm
:1 seated 75rpm
:3 seated 90rpm
repeat 9 min block 3 times
R: 15 at MAF
|
SWIM
Workout: CSS-D5
LIFT (FMS) 2 Sets
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* RUN
:25 at LOW MAF - you can add 3-5 x 100 yard strides at the end of the run
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*Endurance Run
2.5 miles at E-Pace with 3 x 100 strides at the end of the run
|
*OFF
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| Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
| 8/20 |
8/21 |
8/22 |
8/23 |
8/24 |
8/25 |
8/26 |
|
Run
1 mile warm up
3 x 100, 2 x 200, 1 x 400 at rep pace
2 mile warm up
|
* SWIM
300 yard drills
12 x 100 :30 rest
100 cool down
LIFT: MA Phase 2 sets
|
* Bike Hill Repeats
(:10 minutes)
see note below
Total ride time should be less than :35
RUN :10 at MAF
|
* SWIM
Workout: 50’s A2
LIFT (FMS) 1 set
|
Endurance Bike
:40 at EA with 2 times:
:5 at EA
:5 at low MAF
:5 at mid MAF
RUN
:10 at E-PACE
|
* Endurance Run
3 miles at E-Pace |
* OFF
|
Weight Lifting - (+/-) More Details
- Squat (or 'Step-Up' or Lunge)
- Seated row or lat-pulldown or chin-up
- Hyper-extension: (1 set of 20-25 reps)
- Leg press
- Bench press (or Chest-press)
- Oblique-Crunch: (1 set/20 reps on left side then 1 set/20 reps on right side)
- Leg extension/Leg Curl (split the sets to include both)
- Shoulder press
- Knee raise hanging or seated: (1 set of 20-25 reps)
Macro-cycle reps, and 'periodization':
*Anatomical Adaptation-AA: 12-15 reps w/ fairly ez weight (70-75% effort by the end of the set)
*Muscular Strength-MS: 6-8 reps w/ heavy weight (95% effort by the end of the set)
*Muscular Endurance-ME: 25-35 reps moderate weight, (but extensive duration and repetition make these sets feel like 95% by the end.
*Maintenance Phase-MA: 15-20 reps very light (65-70% effort by end of the single set)
Swiming - (+/-) More Details
Structure:
The swim workouts are arranged this way:
• 1st-Drill-Specific warm-up
(Placed here to give you the correct stroke-feel BEFORE you swim hard.)
• 2nd-“Tempo” or Interval set (Where race-pace swimming is done. We'll often include stroke work as well.)
• 3rd-cool-down (Again, drill-oriented so that the ideal feel is the last thing your nervous system registers until you swim again. [note: This is why many great basketball coaches end each practice w/ players shooting free-throws.]
How to begin and end each workout:
For a 200 Warm-up:
Drill-sequence #1 and #2
For a 400 Warm-up:
Drill sequence #1 then 2 then 3 then 4
For a 800 Warm-up:
Repeat Drill-sequence 1-4 twice
[then the "main set" of intervals]
Standard cool-down [:15 sec rest int.]
2 x 100 (25 of catch-up fist swim, 25 easy swim, 25 catch-up fist, 25 easy swim)
NOTE: the Drill-sequences are found on the "Swim-Specific Drill Sheet." Choose the warm-up distance that most closely matches your swim ability
Biking & Running - (+/-) More Details
Bike
1-Tempo Rides….Also called "threshold Tempo rides" & sometimes called "Cruise Intervals" (the purpose is to push back the point @ which lactic acid forces you to slow down). We do this by riding AT that threshold, NOT ABOVE IT.
2-Time-Trial Intervals….sometimes simply referred to as "intervals" or "VO2max intervals". (the purpose of these is to increase your VO2max and increase wattage and speed @ your VO2max.)
Each intensity has a very specific purpose for what we're trying to achieve on a given day. The following sessions have been designed as such in terms of volume, duration, intensity, and mph-pace.
RUN:
Run intensity can be broken into 3 distinct & clearly defined paces:
1-Tempo Runs….also called "Threshold Tempo" (used to "push back your lactate threshold", the point at which lactic acid slows you down.)
2-Intervals….also called "Vo2max Intervals" (used to increase your VO2max, the total oxygen that you consume.)
3-Repetitions….also called "Speed Reps" (used to increase muscular explosiveness and improve run economy & efficiency of movement.)
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| Nutrition |
Information being added daily – Please check back.
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| Dialysis |
| The number one question I receive from patients and renal professionals is “What is the formula and how are you able to do what you do?” Below you will find the answer to that question as well as other personal information. You see, I decided to share my treatment prescription, nutritional plan, monthly lab values, medication regiment, and other personal information with everyone so that both patients and their medical teams can track my progress and begin to examine their approach. I am not advocating for everyone to follow my prescribed treatment plan however, I am advocating for care to return to an individualized approach. You see, I believe that by returning to an individualized approach we can improve the level of care delivered. By pushing the envelope and delivering more frequent/longer treatments as well as universal access to drug therapies we know will provide preventative results we will not only improve quality of life, but also improve the physical and emotional well-being of every patient. I believe this concept which my medical team and I have already successfully implemented will also directly result in a significant cost savings for insurance companies and the Medicare system. My recent URR was 98.00% whereas the standard nationwide is only 70.00%.
I believe the results we are achieving speak for themselves. |
| *HGB Hemoglobin HCT Hematicrit BUN Blood Urea Nitrogen URR Urea Removal |
Shad’s Lab Values
June 08 | May 08 | April 08 | March 08 | February 08 | July 07
June 08
| Potassium |
4.5 |
| Calcium |
10.5 |
| Phosphorous |
6.5 |
| CA X P Product Calculated |
68 |
| Intact PTH (Plasma) |
94.7 |
| Corrected CA X P Product |
66 |
| Albumin |
4.5 |
| HGB Verified by Repeat Analysis* |
14.3 |
| HCT Verified by Repeat Analysis* |
43 |
| Iron |
48 |
| Bun* |
40 |
| Creatinine |
11.3 |
| Bun/Creat Ratio Calc |
3.5 |
| Bun (Post) Verified by Repeat Analysis |
2 |
| URR Calc* |
95 |
Medication Regiment
| Phoslo |
2 with meals, 1 with snacks |
| Hectorol |
7.5 mcg once daily |
| Sesipar |
120 mg once daily |
| VitalOils |
High Potency Omega-3 Fish Oil (1 daily) |
| Folic Acid |
3mg once daily |
| Dialysist, a Renal Multi-Vitamin |
1 tablet daily |
| EPO |
3000 Units (4 times per week) |
May 08
| Potassium |
4.5 |
| Calcium |
10.7 |
| Phosphorous |
5.1 |
| CA X P Product Calculated |
55 |
| Intact PTH (Plasma) |
121.2 |
| Corrected CA X P Product |
54 |
| Albumin |
4.2 |
| HGB Verified by Repeat Analysis* |
10.7 |
| HCT Verified by Repeat Analysis* |
33.3 |
| Iron |
83 |
| Bun* |
34 |
| Creatinine |
9.2 |
| Bun/Creat Ratio Calc |
3.7 |
| Bun (Post) Verified by Repeat Analysis |
1 |
| URR Calc* |
97 |
Medication Regiment
| Phoslo |
2 with meals, 1 with snacks |
| Hectorol |
7.5 mcg once daily |
| Sesipar |
120 mg once daily |
| VitalOils |
High Potency Omega-3 Fish Oil (1 daily) |
| Folic Acid |
3mg once daily |
| Dialysist, a Renal Multi-Vitamin |
1 tablet daily |
| EPO |
3000 Units (4 times per week) |
April 08
| Potassium |
5.0 |
| Calcium |
8.5 |
| Phosphorous |
6.8 |
| CA X P Product Calculated |
58 |
| Intact PTH (Plasma) |
453.9 |
| Corrected CA X P Product |
56 |
| Albumin |
4.3 |
| HGB Verified by Repeat Analysis* |
10.8 |
| HCT Verified by Repeat Analysis* |
34.0 |
| Iron |
40 |
| Bun* |
70 |
| Creatinine |
13.0 |
| Bun/Creat Ratio Calc |
5.4 |
| Bun (Post) Verified by Repeat Analysis |
2 |
| URR Calc* |
97 |
Medication Regiment
| Phoslo |
2 with meals, 1 with snacks |
| Hectorol |
7.5 mcg once daily |
| Sesipar |
120 mg once daily |
|
VitalOils |
High Potency Omega-3 Fish Oil (1 daily) |
| Folic Acid |
3mg once daily |
| Dialysist, a Renal Multi-Vitamin |
1 tablet daily |
| EPO |
3000 Units (4 times per week) |
March 08
| Potassium |
4.2 |
| Calcium |
9.3 |
| Phosphorous |
4.2 |
| CA X P Product Calculated |
39 |
| Intact PTH (Plasma) |
Canceled |
| Corrected CA X P Product |
37 |
| Albumin |
4.5 |
| HGB Verified by Repeat Analysis* |
11.4 |
| HCT Verified by Repeat Analysis* |
34.8 |
| Iron |
55 |
| Bun* |
45 |
| Creatinine |
9.7 |
| Bun/Creat Ratio Calc |
4.6 |
| Bun (Post) Verified by Repeat Analysis |
8 |
| URR Calc* |
82 |
Medication Regiment
| Phoslo |
2 with meals, 1 with snacks |
| Hectorol |
7.5 mcg once daily |
| Sesipar |
120 mg once daily |
|
VitalOils |
High Potency Omega-3 Fish Oil (1 daily) |
| Folic Acid |
3mg once daily |
| Dialysist, a Renal Multi-Vitamin |
1 tablet daily |
| EPO |
3000 Units (4 times per week) |
February 08
| Potassium |
5.4 |
| Calcium |
9.1 |
| Phosphorous |
4.5 |
| CA X P Product Calculated |
41 |
| Intact PTH (Plasma) |
367.1 |
| Corrected CA X P Product |
40 |
| Albumin |
4.3 |
| HGB Verified by Repeat Analysis* |
10.2 |
| HCT Verified by Repeat Analysis* |
31.1 |
| Iron |
95 |
| Bun* |
44 |
| Creatinine |
11.2 |
| Bun/Creat Ratio Calc |
3.9 |
| Bun (Post) Verified by Repeat Analysis |
2 |
| URR Calc* |
95 |
Medication Regiment
| Phoslo |
2 with meals, 1 with snacks |
| Hectorol |
7.5 mcg once daily |
| Sesipar |
120 mg once daily |
| VitalOils |
High Potency Omega-3 Fish Oil (1 daily) |
| Folic Acid |
3mg once daily |
| Dialysist, a Renal Multi-Vitamin |
1 tablet daily |
| EPO |
3000 Units (4 times per week) |
July 07
| Potassium |
3.9 |
| Calcium |
9.3 |
| Phosphorous |
2.5 |
| CA X P Product Calculated |
23 |
| Intact PTH (Plasma) |
160.5 |
| Corrected CA X P Product |
23 |
| Albumin |
4.3 |
| HGB Verified by Repeat Analysis* |
9.5 |
| HCT Verified by Repeat Analysis* |
29.7 |
| Iron |
65 |
| Bun* |
41 |
| Creatinine |
11.7 |
| Bun/Creat Ratio Calc |
3.5 |
| Bun (Post) Verified by Repeat Analysis |
1 |
| URR Calc* |
98.00 |
| Glucose |
89 |
Medication Regiment
| Renagel |
30 tabs a day
(9 tabs with meals/ 3 with snacks) |
| Hectorol |
5.0 mcg once daily |
| Sesipar |
120 mg once daily |
| Folic Acid |
5mg once daily |
| Renal Multi-Vitamin |
1 tablet daily |
| EPO |
5000 Units (3 times per week) |
Dialysis Prescription / Misc. Info
| Dialyzer |
Fresenius F 200 NR |
| Dialysis Machine |
Fresenius K@ Home |
| Dialysate Flow Rate |
800 |
| Blood Flow Rate |
600 |
| Bicarbonate |
40 mEq/l |
| Sodium (No sodium profiling) |
134 mEq/l |
| Concentrate K2 |
36.83X |
| K+ |
2.0 mEq/l |
| Ca++ |
2.5 mEq/l |
| Mg++ |
1.0 mEq/l |
| Ac |
4.0 mEq/l |
| Dex |
200 mEq/l |
| Heparin |
1.0 Bolus w/ 1.0 Hr (Turn off 1 Hr before) |
| Treatment Time |
4:30 Hours |
| Treatment Prescription |
Every other day- (m-w-f-su-t-th-sat-m) |
| Needles |
14 Gauge |
| Dialysis Access |
A/V Fistula RT Forearm
(24 years with no revisions) |
| Current Treatment Modality |
Home Hemo-Dialysis |
| Dialysis Treatments Originally Began |
October 1983 |
| Diagnosis/Cause of Renal Failure |
MPGN Type 1 |
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