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Re: Push/Crash Ref?

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The push/crash symptom is simply something that is reported by

almost all PWCs. If we didn't crash after pushing, there wouldn't

be anything wrong w/ us, i.e., we could live normal lives. P/C

is similar to the cause of CFS-nobody really knows for sure.

I am going through P/C right now. Every PWC that I know suffers

from it. Never heard of a good medical explanation. Sorry for

not answering your question.

Mike C

>

> I was asked for some readily available reference that says how

pushing can do

> serious damage.

>

> I think Cheney said pushing injures mitochondria. I know there is

a

> correlation between RNase L and physical abilities, but I need

something that says how

> pushing does real damage.

>

> Anyone have an understandable, accessible, and scientific

reference I could

> use?

>

> Thanks,

>

> Jim

>

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Hi, Jim.

I don't know of anything that's published in a peer-reviewed

journal. All I can offer is a logical argument, for which I think

there is a lot of evidence.

First, most PWCs are in a state of oxidative stress. If you want

the references for that, see page 15 and the reference section of my

2004 AACFS poster paper at

http://www.cfsresearch.org/cfs/research/treatment/15.htm

Second, a state of oxidative stress means that the production of

reactive oxygen species is exceeding the ability of the antioxidant

system to chemically reduce them. That's just the definition of

oxidative stress.

Third, oxidative metabolism produces reactive oxygen species. This

has been known for a long time, and it is the reason why the

mitochondria have their own superoxide dismutase enzyme. I have

seen estimates that as much as 2% of the oxygen used in oxidative

metabolism goes into making superoxide ions.

Fourth, when a person exercises, the metabolic rate in the skeletal

muscles increases. I think this is obvious.

Fifth, if the metabolic rate is increased, rate of oxygen utilizion

is increased. Anyone who has exercised knows this.

Sixth, a higher rate of oxygen utilization means a higher rate of

production of reactive oxygen species. This follows from the fact

that they are more or less proportional.

Seventh, if the rate of production of reactive oxygen species is

increased in a cell that is already in a state of oxidative stress,

the extra reactive oxygen species will not be reduced by the

antioxidant system, because it is already overtaxed.

Eighth, these extra reactive oxygen species are highly chemically

reactive, and they will find something to react with. Since most of

them are produced in the mitochondrial membrane, the first target

will be the lipids in the membrane, particularly the unsaturated

essential fatty acids, since they are the most chemically reactive.

Damage will also be done to proteins and to DNA. These things are

well established.

I hope this helps. Sorry I don't have one peer-reviewed reference

where it's all set down together. Maybe if there was one, the

British psychiatrists would have a tougher time selling their

exercise programs. I think that J. Mark Van Ness, Snell and

Staci s are the people who have the right approach to exercise

in CFS. They may not understand all the above, but they proceed as

though they do.

Rich

-- In , jschm111@... wrote:

>

> I was asked for some readily available reference that says how

pushing can do

> serious damage.

>

> I think Cheney said pushing injures mitochondria. I know there is

a

> correlation between RNase L and physical abilities, but I need

something that says how

> pushing does real damage.

>

> Anyone have an understandable, accessible, and scientific

reference I could

> use?

>

> Thanks,

>

> Jim

>

>

>

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push just means pushing yourself physically, and the idea is to do as much as

you can w/out causing a crash. push too hard and you crash.

jim

> I'm still looking for a thorough explanation of what a " push " actually

> is. Anyone?

>

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I'm still looking for a thorough explanation of what a " push " actually

is. Anyone?

in Champaign IL

>

> I was asked for some readily available reference that says how

pushing can do

> serious damage.

>

> I think Cheney said pushing injures mitochondria. I know there is a

> correlation between RNase L and physical abilities, but I need

something that says how

> pushing does real damage.

>

> Anyone have an understandable, accessible, and scientific reference

I could

> use?

>

> Thanks,

>

> Jim

>

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That makes sense. Thanks, Jim.

Isn't there another kind of " push " being talked about here

periodically though? Someone might be taking a particular medicine

by a particular method (IV drip or other?) and then they will say

they either did, themselves, this " push " (of the same medicine or

another one entirely) or else their doctor did (or prescribed)

the " push. "

Can you (or anyone) explain this better for me?

Thanks again,

in Champaign IL

>

> push just means pushing yourself physically, and the idea is to do

as much as

> you can w/out causing a crash. push too hard and you crash.

>

> jim

>

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Guest guest

>

> Isn't there another kind of " push " being talked about here

> periodically though? Someone might be taking a particular medicine

> by a particular method (IV drip or other?) and then they will say

> they either did, themselves, this " push " (of the same medicine or

> another one entirely) or else their doctor did (or prescribed)

> the " push. "

>

>

***Hi - It sounds like you are asking about an " IV Push " . As

you know some meds/supplements can be administered directly by a

needle and syringe into the muscle and takes all of about 15 seconds.

Another method is a slow IV drip from a bag that can take a good hour

or more.

With an " IV Push " , the patient is usually sitting comfortably

reclined, an needle is inserted into the vein in the elbow, a long

tube is attached to the needle and at the other end is a big syringe.

The person administering the " IV Push " SLOWLY pushes the contents of

the syringe into the vein. This usually takes 5 to 10 minutes.

I'm crap at explaining things so I hope that this makes sense to

you :-)

Take care.

Bernie

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No, you did fine, Bernie! Thank you. That helps. I think what

confuses me still is whether the medicine that is " pushed " is the

same stuff that would otherwise be administered another way or during

a different length of time. Does that make sense? Or if it's

another totally different medication and it's " pushed " at the time

the person, the patient, usually gets whatever other regular

(different) medication he might get. Does **that** make any

sense? ...I feel like I'm digging this hole deeper and deeper!

>

> ***Hi - It sounds like you are asking about an " IV Push " . As

> you know some meds/supplements can be administered directly by a

> needle and syringe into the muscle and takes all of about 15

seconds.

> Another method is a slow IV drip from a bag that can take a good

hour

> or more.

>

> With an " IV Push " , the patient is usually sitting comfortably

> reclined, an needle is inserted into the vein in the elbow, a long

> tube is attached to the needle and at the other end is a big

syringe.

> The person administering the " IV Push " SLOWLY pushes the contents

of

> the syringe into the vein. This usually takes 5 to 10 minutes.

>

> I'm crap at explaining things so I hope that this makes sense to

> you :-)

>

> Take care.

>

> Bernie

>

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Guest guest

>

> No, you did fine, Bernie! Thank you. That helps. I think what

> confuses me still is whether the medicine that is " pushed " is the

> same stuff that would otherwise be administered another way or during

> a different length of time.

***Hi - It is the same drugs that are being " pushed " , it is just

a different method of delivery.

Take care.

Bernie

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Thank you, Bernie. I appreciate the help.

>

> ***Hi - It is the same drugs that are being " pushed " , it is

just

> a different method of delivery.

>

> Take care.

>

> Bernie

>

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I may be the guilty party who referred to a magnesium " push " . In this

case the doctor wanted me to have more magnesium than could be

administered in a shot, and since magnesium sometimes is not well

absorbed orally, doing it IV is sometimes the best alternative. In

this case a large (30cc) syringe of normal saline and a certain amount

of magnesium chloride are administered IV. It takes a very short time

to do this, a few minutes. This is opposed to an IV drip, where you

sit for a long period of time having medication dripping from a

bag/bottle thru the IV.

Maybe the other confusion is that if a person has an adverse reaction

to whatever is in the " push " they can " crash " - get worse.

Michele G

> >

> > ***Hi - It is the same drugs that are being " pushed " , it is

> just

> > a different method of delivery.

> >

> > Take care.

> >

> > Bernie

> >

>

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" Guilty party " ? Hee-hee. Thanks for the explanation, . It

helps a lot.

>

> I may be the guilty party who referred to a magnesium " push " . In

this

> case the doctor wanted me to have more magnesium than could be

> administered in a shot, and since magnesium sometimes is not well

> absorbed orally, doing it IV is sometimes the best alternative. In

> this case a large (30cc) syringe of normal saline and a certain

amount

> of magnesium chloride are administered IV. It takes a very short

time

> to do this, a few minutes. This is opposed to an IV drip, where you

> sit for a long period of time having medication dripping from a

> bag/bottle thru the IV.

> Maybe the other confusion is that if a person has an adverse

reaction

> to whatever is in the " push " they can " crash " - get worse.

> Michele G

>

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