Sports Medicine Broadcast Jeremy Jackson

Long COVID - define it. 







Symptoms after a covid infection that last past 3 months







Resurfacing of a past issue like asthma















Share some of your story. 







Exposed on March 8th







Symptomatic on March 16







Body aches, shortness of breath







Sprint run chest burning







Mental fog - it was hard to learn new things







Exacerbated an autonomic condition







I tried to keep going but some friends did an intervention







You recently presented at two conferences about Long COVID.  Give me the cliff notes.







San Diego Pain Summit - more theoretical and it is available to watch for free







NJATS - practical and scientific application for the Athletic Trainers







Some settings no longer require an RTP.  What are your thoughts?







Most RTP does not address Long COVID







Encourage Cardiac testing







Breathing symptoms and cognitive symptoms







How do you tell the difference between out of conditioning, a cold, and long COVID?







Look at a normal deconditioning response indicator like heart rate







The aerobic system is broken.







People with cardiopulmonary testing or rehab do worse on day two, typically much worse.







It may be hard for athletes to verbalize their needs and concerns.  It was hard for me as a grown adult medical provider to recognize and verbalize my needs.







The heart rate does not match what they are doing.







When I shower it may be 150 where I am 120 bpm walking upstairs.







Do they seem like they are getting sick from exercise?







What is the one take-home message for ATs dealing with Long COVID personally or professionally?







Make it simple







Crippling fatigue







PEM or PESE post-exertional symptom exacerbation







Breathing pattern disorders - hard breathing when they should not be







Mast cell activation syndrome







An estimated 50% of long covid will have autonomic dysfunction







Heat illness is a major concern







LongCOVID Physio - a group for medical providers struggling - peer support







Stop rest and think







Be intentional







Have conversations early and often







Altered taste and smell is a thing with COVID







This can lead to difficulty with student-athletes getting proper nutrition







This is a Mass Disabling event















Contact:







Daria - OnTapPhysio 







Jeremy - MrJeremyJackson







Resources:







longcovid.physio







David Putrino







Medbridge Course from Todd Davenport/a...

Tips and tricks for using BFR are usually best with some experience. At this point, we have used Delphi BFR for about 6 months.







Jennifer Asberry has used it as a clinician and as an injury-loving weekend warrior. She shares some of her injuries later.







Kyle Kimbrell has been working with BFR for years and has plenty of tips, tricks, and thoughts. He has previously been on the podcast to discuss BFR in adolescents.















Before we get to BFR Tips I have a few shoutouts.







Judy Bittar - a student AT Aide for listening and reaching out when you visited our campus. 







Tony Young - for purchasing the Compex and looking into BFR after we discussed it here on the podcast







We received funding for the BFR unit from our Pasadena Education Foundation - a few quick tips on getting grants funded:







* Will it make my classroom more innovative?* Will it boost student engagement?* Will it be used primarily in the classroom/ campus?* Is it underfunded or not funded by the regular school budget?* Does it relate to student learning, development, and academic success?







Favorite success story







Femur fracture returned to sport-specific activity after 3 months with equal quad size.







PCL - patient returned after 4 months







Derek - ACL repair after 5 months







Best BFR tip for ease of use.







JJ - you can press anywhere on the clock circle to start the 30-second timer.







Jennifer - Have the exercises planned out before starting.







Jeremy - Teach helpers and patients to set it up.







Why does my LOP swing about 30 mmHg day to day?







The LOP is a measurement of what it takes to measure occlude blood flow at that moment.







* Stress can effect it* Prior activity* Cuff placement







Any blunders?







I had a user have the cuff slide down and “pop-out” the BFR cuff. How can we prevent it?







* User error…that is all …lol* You can press deflate without having to do LOP again* Or remove the tube from the cuff and press your thumb over it while you readjust the cuff







Large leg, can’t get the cuff to measure LOP. What else can I do?







* Isometric Exercise* External cuff pressure* Skip the sleeve if they are wearing compression pants already







“More likely to get funded” tips from the Education Foundation:







* Makes learning more engaging and innovative.* Impacts a larger number of students & teachers.* Reusable, sustainable, and long-lasting projects.* Supports classroom instruction and boosts college or workplace readiness skills.* Includes matching funds from other sources.* Completed applications with accurate information.







Matching Funds:















Contact:







Jennifer - Jennifer.Asberry@cps.k12.ar.us







Kyle - kyle@owensrecoveryscience.com

Valerie Tinklepaugh-Hairston presented on Recovery at the Trinity Sports Medicine Conference in 2022. I had some questions about her presentation because I like technology and toys.







Mike Hopper has some questions about Kelvi and was being an AT Nerd and watching the Facebook live of her presentation.















Food, Sleep Hydration…Valerie, give us something fancy…







* Tell them why they need these things* 61% injury reduction rate when these issues are mitigated







The Sports Nutrition playbook







Movement is Medicine - Active recovery is king







* Alternate activities* Vary heart rates







Explain the co-contraction with the Theragun a little more…







We need external stimuli to help the internal stimuli get moving.







This could be done without a percussion gone but would be tiresome. You are basically poking the bear until it wakes up and chases you.







You talk about needing an inflammatory response but knowing when to step in and help control it.







This is the way we were biologically made







It is basically the EMS crew coming in with the wrecker crew and the fireman to sweep up, clean up, haul off the bad stuff and get traffic flowing again.







Pain is great, but sometimes those sensors just get stuck on.







Treat the individual and not the symptom.







Valerie tell us about Kelvi







You really need to see it to believe it. The ability to go from hot to cold in 15 seconds is amazing.







The technology is incredible, we have sensors inside the sleeve that measures and maintain the skin temperature.







Pain management is one area Ice and Heat have really shown beneficial.







Preparation to work is a great way to use the heat feature.







Contact us







Valerie - vhairston@kelvi.com







Mike - Mike.Hopper@bishoplynch.org







Jeremy - info@sportsmedicinebroadcast.com

I run for recreation, to keep myself healthy, and to set an example for my kids, students, co-workers, and family. Meredith Sorenson runs because she is good at it...like really good. KP runs because he does not want to break his streak.







Regardless of why we are all recreation runners now and need to refuel.















Meredith, give us a quick tip in case someone turns it off after this.







If you are running do not cut carbs







Kyle - SIX YEAR recreational run streak…let’s talk about that







Started with one month in college and then just kept going.







I was a cross country runner and baseball player in high school.







Now running is for recreation.







Meredith as a collegiate runner what were your eating habits?







In high school, I ran about 30 miles per week







In college, it went to about 55+miles.







I continued with under-fueling which lead to stress fractures since I was cooking for myself.  







I was not good a preparing or planning ahead.  I did not bring snacks.







75 miles in a week is my personal record







GO TO Breakfast







I have a sensitive stomach…so I tried a lot of sports drinks with carbs.







Bananas and clif bars do not work for me







GoGo fruit squeezes work for me.







How are the demands for a steeplechaser different from a straight runner.







You need more muscles than you usually do running







It is a 3k race with barriers and the barriers do not move.  One time I ran into one and got a really big bruise on my knee to show for it.







There is a lot more pounding involved







As an adult / recreational runner how have you changed?







Currently a 40+ mile per week runner







Recovery after runs is a priority at this stage in my life.







I learned to cue into my hunger signals.







Athletic Trainers are like every other profession, some are fitness nuts and some are very unhealthy.  Give us some more depth of fueling the recreation runs.







Early morning you could skip the food if it is low intensity short (under an hour) duration.







In higher intensity runs you need to get something small then follow up with a good breakfast.







You have 60 or less to pick one of these for fuel…lets see how you do!!







Jeremy - Hershey's bar with almonds







Kyle -  Hershey bar without







Jeremy - Protein shake







Kyle - Protein bar







Kyle - Oreos







Jeremy - Gatorade chews







Jeremy - Hot Cheetos or Takis







Kyle - Pringles







Call to action:







Contact:







Meredith IG @MeredithDarcieNutrition







Kyle - MonroeCentralAT on IG and Twitter







Jeremy - @MrJeremyJackson on Twitter







Resources:

APATS or Asia Pacific Athletic Trainer's Society started in a hotel conference room when some ATs were trying to figure out the best way to help new Athletic Trainers get settled in Asia Pacific.















Our Guests







Erick Chen spent time in China, working with Cirque De Soleil, and opened up a hospital rehabilitation clinic before moving back to the United States (just before COVID)







Ngan "Nina" Chung is an Athletic Trainer at the Candian International School of Hong Kong.







Share some of your story Ngan







* Born in China* Immigrated to the US* New Jersey became home* An internship in Asia* A collegiate AT back in the US.







Erick share some of your expereince







* SoCal growing up* Attended Fresno * Several different AT jobs in the states* Went to work with Cirqe in Macau* 8 Years at United Family Hospital* Now back a Los Angeles City College







Struggles of working as an Athletic Trainer in Asia







* Communicating and education are a huge piece of the puzzle for ATs in Asia Pacific* We have to tell people who we are, what we do, why we are important.* Creating the role from scratch* Literally no space or supplies for an AT Facility* The culture of traditional medicine







How did you connect with other ATs in Asia







We did not for a while. We were on our own.







We decided we needed to team up to grow our profession and met up at a hotel and started APATS shortly after.







Now we have the organization and social media.







What are the goals?







* Community* Improve the CLinician* Improve the Community buy-in







Where should we go to learn more?







* Website- https://www.apats.org/* Facebook- https://www.facebook.com/APATSociety/* IG- https://instagram.com/apatsociety



















http://sportsmedicinebroadcast.com/1freecourse

Daniel Bellamy left us with a great line in his first podcast: Question Without Questioning. I knew we needed more time to discuss this so we scheduled another session.















We missed some parts of the story







* Grew up in Washington DC* Son of a pediatricain and a recreational therapist* Grew up in the church* When he got to college he decided to test out the college life







Where did that lead you?







I began to question my faith, and I struggled with anxiety. I used drinking and smoking and partying as a way to cope or deal with the anxiety. I eventually came to an "I am going to fix this" situation. That's when I met my wife and started doing great.







"When my wife got pregnant I panicked and started back up. My son was born and I heard a sermon that really struck my heart and changed everything."







I need to have some initiatvie, I need to get my wife and I out of my parents house and lead my family. I need to take advantage of the time and blessing i have been given.- Daniel Bellamy







Why did you move on?







I was just coasting, I was chilling at the high school and not really growing.







I needed to repair some relationships, get out of my parent's house and make some more money.







That lead me to develop my core values as an AT while at Howard University.







What are those Core Values?







Effort







Empathy







How do we question without questioning?







Assume the BEST - almost no one was out to get me. If I approach from that perspective it usually goes well.







Be curious to understand - truly ask how, why, when because you want to learn







Enter their space - hit the weight room with the coaches or catch up at baseball practice







Overcommunicate - this leaves you with plenty of deposits in that relationship bank account.







Invite them into your world - joint CEU options or planning and policy teams.















Invite Daniel to speak to your AT program







Daniel - Daniel.Bellamy@utsa.edu







Victoria - @morris_atc