jamiegiven

@spragg247 Ohhoh! That's a huge signing 👌🏻

Even more big things to come next season! 👊

@neuromanter thanks for all your help concerning the chats we had about this young athlete with MALS. There is now a positive resolution to the situation and hopefully the athlete will be returning to sport in 2025 🙏

If you want to help your child enjoy sports more, it starts with what you ask immediately after the game. Those questions are the "consequences" of performance - what your kid will remember most. If you want sports to be fun, start by asking what they enjoyed and learned/

Had a great conversation with Tom from Spill the Watt’s podcast this morning. If you’d like to take a listen, click the link below 🙏🏻🖤 open.spotify.com/episode/4v94v8…

@jem_arnold A maximal effort for a specified duration.

What does "all-out" mean to you? Is it synonymous with "maximal"? Is it something about effort? Or pacing? Which of the following would you call "all-out"?

@neuromanter @UZBrussel @UZBrusselchir Thank you 🙏 We will try that.

@jamiegiven @UZBrussel @UZBrusselchir Contact UZ Brussel Universitair Ziekenhuis Brussel Brussels Health Campus Laarbeeklaan 101 1090 Jette 02 477 41 11 (telephone belgium)

Interesting case: For the last year I have been coaching an extremely talented youth who was suffering from severe abdominal cramps during HIT training & racing. The athlete had been to several doctors, specialist and exercise physiology labs and gotten a clean bill of health.

@neuromanter @UZBrussel @UZBrusselchir @neuromanter would you happen to know how to get in touch with professor Debing? This athlete and family would like to get his opinion.

@jamiegiven @UZBrussel @UZBrusselchir By professor erik debing.

@feelthebyrn1 @EliasLehtonen We travel quite a bit with the Turku<>Stockholm ferry. We usually travel with our children, we don't drink and we like to get to bed at a reasonable hour. We really prefer to use @vikingline_fi their ships are more interesting, family friendly and there is way less debauchery.

Nordic Friends 🇸🇪🇫🇮 Is there a ferry from Stockholm to Helsinki? Is it a fun trip? I was thinking I'd visit @EliasLehtonen after racing the Utö SwimRun in June VO2max tests for Axel and me. Also check-in on my cycling fuel profile

We were both at home last week with flu. Still not 100% but couldn't take it anymore and needed to get outside today.

@feelthebyrn1 @johanrojler 👍

@jamiegiven Thanks for the share. I passed along to @johanrojler

This was a really good presentation on preparation for orienteering competitions (with some really nice insights about performance in general) from 14 time orienteering world champion and Finnish National coach Thierry Gueorgiou. youtu.be/3yWLJyz6ruc?si…

Competition “don't make it more complicated then what it is”

This was memorable: “The best self confidence is the one based on facts.”

@jem_arnold @MamaSimmons @SeanSeale @Physiomandan @lorenzomojo @Innerunner Hi Jem, The individual only experiences cramps at close to max intensity exercise. They stopped racing and doing intense exercise that brings on the cramps. We were told the only option to resolve the issue is surgery but surgeon thought the risk was greater than the benefit.

@jamiegiven @MamaSimmons @SeanSeale @Physiomandan @lorenzomojo @Innerunner Thanks for the update. Another sport-related vascular condition I'll have to learn about! What are your first thoughts for conservative management?

I have permission to post this. Trying to help a young healthy athlete get to the bottom of a cramping problem that is currently limiting their performance. - The athlete marked on drawing ⬇️ where cramps are felt. - cramps starts when the athlete is at 90% HRmax or greater.

@MamaSimmons @jem_arnold @SeanSeale @Physiomandan @lorenzomojo @Innerunner An update. We discovered the reason for the cramps. The athlete has MALS. So at high intensities their median arcuate ligament puts pressure on their celiac artery which sends blood to the upper abdomen and this causes pain.

@jem_arnold @jamiegiven @SeanSeale @Physiomandan +1 on the diaphragm theory. @lorenzomojo teaches how to release deep spasms that might be lurking there. Check @Innerunner for more info.

@neuromanter @KeppleyPeek Yeah, it's a good question. They have started to look for experts and answer that question. I know the surgeon had discussed both the + and - outcomes of having the surgery. The athlete thought the - outweighed the + I know this was heart breaking for them.

@jamiegiven @KeppleyPeek Its an opinion of course .... whats the outcomes in early vs late surgery? Waiting till things get worse in daily life? Or early intervention? A genuine question, i don't know if there is any data?

@KeppleyPeek @neuromanter The thing is that this is a healthy young person who only experiences symptoms when their involved in close to maximal intensity exercise. The surgeon advised against surgery because they were worried that surgery would most likely worsen this persons quality of life.

@jamiegiven @neuromanter Surgery could reduce or resolve some or all of his unpleasant symptoms which usually occurs-outcome in the majority of cases. Recommendation is to reduce diagnostic delays and promptly treat as soon as possible, same as any other disease. I wish him much needed healing! 🙏

@MedBonnevie @IsisCasalduc I think it's the same in the athlete's home country. The surgeon didn't explicitly say they wouldn't do the surgery but they made it abundantly clear that the risk outweighed the benefit.

@jamiegiven @IsisCasalduc I’m not a surgeon myself, but affiliated with the vascular surgery dept. at my hospital. In general, I can say the consensus in 🇳🇴 is a rather conservative approach. So an athlete only symptomatic during racing/training, probably wouldn’t get surgery over here. #riskvsbenefit

@KeppleyPeek @neuromanter We were told that the residual unpleasantries could be worst than living with MALs. I think they have started to reach out to some experts to get more information and one of the questions they had was if they leave it, how does this effect their health in the future.

@jamiegiven @neuromanter As with “any” surgery, procedure or medication there is a possibility for residual unpleasantries. If we’re being honest.. That being said, I hope the surgeon also discussed the dis-ease process and progression regarding the consequential cellular and molecular changes.

My wife and our friends have been trying to get me into orienteering for the last 16 years with little to no success. I did the local kid's "orienteering school" with my son this summer and ran some easy competitions with him and now we have this fun new hobby. They're annoyed🙄