Category: Athlete Screening

How to Spend Eleven Billion Dollars


Eleven billion dollars.

Sounds like a lot of money, doesn’t it?

It is. But, I’ll give you even more perspective, Tony Robbins style.

Eleven seconds ago you started reading this page. A few blinks of an eye. But, eleven million seconds? That was a few months back. 127 days to be exact. Can you remember what you were doing then? Eleven million seconds have passed since you did it.

But, when you jump to billions, you’ll begin to see my point. Take eleven billion seconds. How many days ago was that? Not days, really. Try years. I’ll give you a hint. You weren’t born yet. Our country wasn’t even born yet. Eleven billion seconds ago was almost 350 years in the past. It becomes days versus centuries when you go from millions to billions. They are solar systems apart, even when traveling at the speed of light.

So, back to eleven billion dollars.

Remember, as Everett Dirksen once said, “a billion here, a billion there, and pretty soon you’re talking about real money.”

Eleven billion dollars is what the Department of Defense (DoD) is about to spend to revamp their electronic health record (EHR) system. That’s right. Computer software. For medicine.

Continue reading

Screening Athletes Prior to Participation: Why We Need To Do It and How It Should Be Done


Exercise causes a number of changes to the body. Acutely, it results in increased cardiac output (more blood flow), increased blood pressure, decreased peripheral vascular resistance (think of this as dilation of the capillaries at the level of your organs to allow for even more enhanced blood flow), and increased oxygen delivery. Longterm effects of exercise result in structural modifications of the heart, and these changes are most recognizable in male athletes who have been undergoing endurance training.

Continue reading