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VO2 Max and Health/Wellness

VO2 max

After listening to the Huberman Lab podcast (and you should too! He’s got nuggets of info on health!), I decided to schedule a Dexa Scan as well as VO2 max test. I want to have a baseline of where I am at my age. This year has been a huge year of change. I’ve committed to my health (yes I’m currently 7 months in with a strength program called Rise; I started 1-2x/wk rowing; MMA 1x/wk). I’m changing jobs. I have cut back or cut out unnecessary or harmful things to my life. I’m participating in a glucose monitoring study. I wish I had done these metrics every decade of my life starting at 10.

What is VO2 max?

How to Improve VO2 max

6 Ways to Improve Your VO2 Max

VO2 Max: The Fitness Metric That Can Help You Run Faster and Workout Harder

Effect of dietary fat on metabolic adjustments to maximal VO2 and endurance in runners. Med Sci Sports Exerc. 1994 Jan;26(1):81-8.

VO2 max test on Concept 2

The more I dig into the world of health and wellness, the more there is to learn. Hormones, gut health, nutrition, supplements, macros/micros, exercise (role for mobility, flexibility, cardio, strength, functional, etc). I wish they taught this stuff in medical school. This is the real foundation of health and wellness.

Cardiorespiratory Coordination in Collegiate Rowing PDF

A New Fitness Test of Estimating VO2max in Well-Trained Rowing Athletes. Front. Physiol., 02 July 2021. Sec. Exercise Physiology

How to Improve:

Indoor Rowing Workouts That Boost Your Vo2 Max

More gems:

From Novos

iollo – metabolomics testing (metabolite measuring)

BluePrint

Levels Blog

Novos

Zoe – gut health, blood sugar, blood fat

Athletic Greens – comprehensive nutrition and gut health support

Ka’Chava – whole health meal replacement

Seed – pre- and pro-biotic

Vedge Nutrition – fitness supplements made by vegans for vegans

Mud/WTR and Ryze – mushroom supplementation

Nutritionacts.org

Huberman Lab

Jason and Lauren Pak RISE workout

The Brain Docs

Glucose Goddess

DNAfit

23andMe

Overall, I felt I could have pushed a bit harder but I was nervous on the treadmill. My legs were burning. Oh the dreadmill.


UPDATE 6/2023:

Peter Attia, MD: recommends 3 hours/wk of Zone 2 activity (30 min per sesh at the least). Metformin depletes mitochondria and increases lactate levels.

FreeSpirit Rowing Zone Calculator

Alicia Clark: Heart Rate Training rowing

Concept2 Watt calculator

BrainFlow.co

Reports of Its Demise Are Greatly Exaggerated! MD-Only Practices Still Thriving

https://pubs.asahq.org/monitor/article/88/5/24/140074/Reports-of-Its-Demise-Are-Greatly-Exaggerated-MD

Hypoglossal Nerve Stimulators for OSA

UpToDate: Hypoglossal nerve stimulation for adult patients with obstructive sleep apnea. April 2024

StatPearls: Hypoglossal Stimulation Device. July 2023

Upper Airway Stimulation/Hypoglossal Nerve Stimulator: An alternative treatment for Obstructive Sleep Apnea. Am J Respir Crit Care Med Vol. 202, P23-P24, 2020.

Anesthetic Implications for Patients With Implanted Hypoglossal Nerve Stimulators: A Case Report. Cureus 14(1): e21424. DOI 10.7759/cureus.21424

Anesthesia for Hypoglossal Nerve Stimulator: a Case Report and Anesthesia Implications. J Anest & Inten Care Med 4(5): JAICM.MS.ID.555650 (2018)

Anesthetic Management of a Patient With an Implantable Hypoglossal Nerve Stimulator: A Case Report. A & A Practiceย 15(12):p e01554, December 2021.

Airway Management And The Hypoglossal Nerve Stimulator For Obstructive Sleep Apnea Patients. Dune, University of New England. May 2022

Things that worked for me:

  • ETT, sux (no lingering paralysis secondary to upcoming nerve stimulation)
  • Propofol gtt with 12 mcg Precedex in 50cc syringe
  • Fentanyl for pain
  • HOB 180 degrees away

Programmed Intermittent Epidural Boluses (PIEB) for Maintenance of Labor Analgesia: A Superior Technique and Easy to Implement – PMC

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396900/#:~:text=The%20advantages%20of%20Programmed%20Intermittent,duration%20of%20labor%20(1).

Farapulse for Afib

Pulsed Field or Conventional Thermal Ablation for Paroxysmal Atrial Fibrillation. N Engl J Medย 2023;389:1660-1671.

Nitroglycerin to Ameliorate Coronary Artery Spasm During Focal Pulsed-Field Ablation for Atrial Fibrillation. JACC Clin Electrophysiol.ย 2024 Feb 7:S2405-500X(24)00011-2.

From Nitroglycerin to Ameliorate Coronary Artery Spasm During Focal Pulsed-Field Ablation for Atrial Fibrillation. JACC Clin Electrophysiol.ย 2024 Feb 7:S2405-500X(24)00011-2.

Cardiac Clearance for Surgery

Are you healthy enough for surgery?

Calculators:

MDCalc: Revised Cardiac Risk Index for Pre-Operative Risk

2018 Prevention Guidelines Tool CV Risk Calculator

ASCVD Risk Estimator Plus

The Big Papers:

2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.

UpToDate: Evaluation of cardiac risk prior to noncardiac surgery. March 2024.

StatPearls: Cardiac Risk Stratification. May 2023.

Preoperative Cardiac Risk Assessment. Am Fam Physician. 2002;66(10):1889-1897.

Infographics:

From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.
From 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45.

Compensation for Services

The Full Guide to Physician On-call Pay | Physicians Thrive

AHLA_2013_HC-Transactions-Guide_Valuation-of-Phys-OnCall-Pay-Coverage-Arrangements_Mobley.pdf (sullivancotter.com)

Trends in Direct Hospital Payments to Anesthesia Groups | Anesthesiology | American Society of Anesthesiologists (asahq.org)

Physician Call Compensation Rates: 11 Determining Factors (beckershospitalreview.com)

Anesthesia Stipend Analysis (anesthesiaexperts.com)

Managing Compensation for Anesthesiologists, CRNAs and AAs (beckersasc.com)

28 Statistics on Highest Emergency On-Call Coverage Per Diem Payments (beckershospitalreview.com) –> 2012 data ๐Ÿ™

Hospital Call Stipends : r/anesthesiology (reddit.com)

Anesthesia Management: MGMA: No guarantees for physician on-call pay | Anesthesia Experts –> 2014 post ๐Ÿ™

Locum tenens compensation trends by specialty | 2023 report (locumstory.com)

Understanding Call Pay Compensation Methods – Coker (cokergroup.com)

Developing an Anesthesia Compensation Model That Makes Sense | Change Healthcare

Anesthesia Compensation Methodology – CCI Anesthesia

20_HCT_ResourceGuide_HSG_Anesthesia_Subsidy_Assessment_Fair_Market_Value_and_Beyond.pdf (americanhealthlaw.org)