[Thomas Summer, MD]

Thomas Summer, MD on February 7, 2023 at 5:19 am · in reply to: non functional overreaching recovery #75444

If it’s really overtraining then strength training for the upper body could be even beneficial. But keep it short and allow enough rest. You should feel better and less fatigued with that.
Was the rest week a planed one, or did you feel that something was off? Any other issues? Sickness?

Gute Besserung!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on February 5, 2023 at 3:25 am · in reply to: Uphill fitness after shoulder surgery #75375

Thank you for the advertisement Kevin!
Fortunately we have great PTs. You are welcome to talk to them;-)

[Thomas Summer, MD]

Thomas Summer, MD on February 2, 2023 at 5:43 am · in reply to: Elevated HR 12 months later #75300

Thank you for your story. Post vac Syndrom is a problem. Unfortunately not a lot of truly proven therapies. The supplements and strategies for overall healthy lifestyle are a good recommendation. I totally support that.
But why going so much in the direction of covid and vaccines here? Dave, as I understand it, there is nothing to assume that your symptoms are related to that?! Or am I missing something?

[Thomas Summer, MD]

Thomas Summer, MD on February 2, 2023 at 5:24 am · in reply to: Uphill fitness after shoulder surgery #75299

Please be careful with an arm ergometer after shoulder surgery!
After 3 months after surgery you should be getting back to normal.
I would be very careful with skiing for this season, but follow your surgeon’s advice on that.

[Thomas Summer, MD]

Thomas Summer, MD on January 27, 2023 at 2:03 pm · in reply to: Partial or Full Knee Replacement – and Mountains #75141

That’s good news! So I hope you get the surgery soon.

[Thomas Summer, MD]

Thomas Summer, MD on January 27, 2023 at 9:56 am · in reply to: Uphill fitness after shoulder surgery #75136

Hi!
How is the recovery going? I hope you found some good ways for X-training.
Depending on the exact type of injury you should be on the way to normal function.
If there are any questions, please let me/us know.

Lg!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on January 27, 2023 at 9:51 am · in reply to: Partial or Full Knee Replacement – and Mountains #75135

Hi!
Sorry for the late reply.
Did you already get surgery? How are you doing?
I’m happy to help if you have any questions.

Lg!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on January 26, 2023 at 12:01 pm · in reply to: Advice on Recovery from Sickness #75104

Hi!
For how long have you been healthy now? When was the last day of fever? How do you feel at the moment?
You should only train if you feel totally healthy. Start slow and see how your body reacts. Don’t force anything and take it day by day. When in doubt do less. And never push through anything!
First thing should always be to be healthy. And every training is better then getting sick again and not being able to train at all.
So focus on health first and support your immune system. Everything else will follow.
This is what I would recommend.

Hope that helps!
Gute Besserung!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on November 30, 2022 at 2:09 am · in reply to: Covid? #73184

Hi Mike,

Do you regularly check you oxygen saturation? If not I would recommend to do that. At rest and also while exercising. There are these small devices for the finger: https://www.amazon.de/Pulsoximeter-Fingeroximeter-Sauerstoffs%C3%A4ttigung-Fingerpulsoximeter-Pulsmessung/dp/B086MBRPT8/ref=asc_df_B086MBRPT8?tag=bingshoppin0b-21&linkCode=df0&hvadid=80882935787499&hvnetw=o&hvqmt=e&hvbmt=be&hvdev=c&hvlocint=&hvlocphy=&hvtargid=pla-4584482466451125&psc=1
Maybe you still have, what is called “silent hypoxia”!?

I hope I can help you in solving this!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on November 28, 2022 at 3:44 am · in reply to: Elevated HR 12 months later #73040

Some more playful things: climbing, dancing, ball games (tennis…) True endurance training only if you feel healthy and it don’t creates more than “normal” fatigue.
I wouldn’t recommend buying an ECG. Only if you can really read it and don’t drive yourself crazy with it;-)

[Thomas Summer, MD]

Thomas Summer, MD on November 24, 2022 at 7:29 am · in reply to: Elevated HR 12 months later #72886

Overtraining is not the result of just one or two big efforts. But that can push you over the edge, if you were close before. It can take quite a while to get back to normal. How is your fatigue improving? You should really keep the intensity below AeT as long as you don’t feel truly healthy. Are you training anything else than endurance? Sometimes a change in the routine brings good improvements. I would also recommend to do a stress ECG while cycling, or running on the treadmill. Just to see if there is any problem when your heart is at it’s maximum.

[Thomas Summer, MD]

Thomas Summer, MD on November 24, 2022 at 3:28 am · in reply to: Elevated HR 12 months later #72880

How much did you train in the last year? And before? Maybe overtraining is something to consider? Any other illnesses? Covid seems to be an unlikely cause, if you never had it;-) if you want to get totally sure about that you could do a blood test for antibodies.

[Thomas Summer, MD]

Thomas Summer, MD on November 23, 2022 at 11:59 am · in reply to: Meet Thomas Summer, doctor and UA athlete #72841

Hi Kateri,

Sorry for the late reply. I don’t know of anyone who is specializing in athletes with EDS. But I think a good coach who has some experience about the disease would be a great help for you. With Pete Dickinson we also have a great PT with lot’s of experience. I have some experience with patients… if you are interested into coaching I would recommend to write us an email. Or get a phone consultation with Pete or me. You can also write me at thomas@uphillathlete.com
Hope that helps?!

[Thomas Summer, MD]

Thomas Summer, MD on November 23, 2022 at 2:26 am · in reply to: Elevated HR 12 months later #72814

Hi Dave!
Elevated HR (especially during exercise) is seen quite often after Covid. You were sick one year ago!? That’s quite some time! Any other symptoms? What about the ectopics? How often? How do you feel them? Is it restricting your training?
Have you seen a cardiologist? ultrasound of the heart? bloodwork? ECG? ECG while exercising? …
again more questions than answers;-)
hope it helps anyway!

[Thomas Summer, MD]

Thomas Summer, MD on November 12, 2022 at 7:47 am · in reply to: Covid? #72592

Hi Mike!

Sorry for the late reply. I just came back from Nepal myself.
You where sick for 3,5 months?! ICU? What do you doctors say?
The stents must be a separate thing?!
Lot’s of things to consider here. The higher elevation will slow you down even if acclimatized. Also detraining is an issue.
Maybe you could share a bit more details about your medical history?!

Tashi delek!
Thomas