The man who acts as his own lawyer has a fool for a client. And the physician having himself for a patient? One of the biggest challenges in team coverage is to cover and direct oneself – and that is particularly true for medical professionals. This article serves as a first hand report of the ways and vagaries of winning the IRONMAN age group world championship while working as a self employed orthopedic surgeon.
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Exercise testing in athletes and patients is an important and valuable diagnostic tool in the hand of the physician and sport scientist. A close collaboration between sport scientist and sport physician creates a win-win-win-situation for athletes and patients and professionals equally. According to the demands of the sport an incremental lactate threshold test (determination of the anaerobic threshold), testing of ­VO2max and performance at VO2max, and a testing of aerobic capacity (performance at competitional level) are the tests of choice. All tests need to be valid, reliable and sport specific. Sport specificity in testing is for practical purposes the most important.
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