Jul 25, 2006

Indoor Rowing Provides A New Lease On Life

Jim’s Story

Last April, at our children’s elementary school fundraiser, my wife and I sat at one of 40 dinner tables. I struck up a conversation with a man who was in his late forties to mid fifties. His name was Jim and I found out that he was an avid runner until three years ago. He would run over forty miles per week and weighed fifty pounds less than when I met him. A growing pain in his left knee stopped him from running. Different doctors told him that the knee was irreparable. Uncertain of the success of knee replacement surgery, Jim waited to go under the knife until the pain and inability to move become so overwhelming that he saw no other way out. When I met Jim, it had been ten months since his joint surgery. He explained to me how hard he had to work to bring back flexibility to his leg and the pain that went with it. He was able to walk on an elliptical machine and pedal a recumbent stationary bike. I told him that this must be so darn boring after having been able to run freely for thousands of miles a year over his lifetime. Before I even asked the question I knew that he had never heard of indoor rowing. He was very intrigued by my accounts of the benefits of rowing and the competitive side of it and he accepted my invitation to come to the Iron Oarsman for a workout. Jim is now a regular at the Iron Oarsman. There were two comments he made during his first two rows: “Xeno! This feels so smooth and I feel my entire body working” and “I don’t remember the last time I was able to sweat this much.”

Callie’s Story

I met Callie (she is in her mid-fifties) six months ago when she first walked into the Iron Oarsman. I immediately felt her positive energy. Her sister researched a form of exercise that would be good for Callie in anticipation of hip replacement surgery. Rowing was the solution and I was the only location. After I heard of Callie’s medical future, I knew that chances were good that she could row. I carefully walked her to her rowing machine and once she was seated I made sure she was alright. She announced to me that she was highly uncoordinated and that I should not get frustrated with her slow learning ability. I told her that no one fell off the turnip truck knowing how to row. Callie learned fast and she loved every second of it. In the same fashion as Jim, rowing was extremely liberating for Callie too. She stayed with us for three months, and in early May went in for her hip replacement surgery. I spoke to her a couple days after the replacement and she sounded great. She told me that most of her rehab exercises were like rowing and how amazed the doctor and the physiotherapists were to witness her quick recovery. Here is her account in her own words:

Dear Xeno

Just wanted to thank you for getting me prepared for hip replacement surgery.
Because of your wonderful classes three months prior to surgery my therapists & doctor were amazed to see how quickly I recovered. My upper body & legs were strengthened to do the strenuous exercises for recovery.
My sister Joreen also attends your classes and did serious research on the best means of exercises for hips and knees and rowing was number one -- just as you are dear XENO

Callie

Callie returned to rowing in early July and is doing better than ever. Now, each time I watch Jim and Callie row, I feel a combination of joy and inner peace. I know that I introduced them to an activity that will improve their quality of life continuously for all their years to come.



The Story Of Blind Children at Camp Bloomfield, Malibu, California

Aerial Gilbert and her guide dog Hedda (http://www.guidedogs.com/bios-Gilbert.html) are friends of ours. Aerial is known in the rowing world as a competitive adaptive rower. We joined her last spring for the Junior Blind Olympics in Los Angeles. This summer she invited my family and I to join her at Camp Bloomfield, a summer camp for blind/visually impaired children in Malibu Canyon. Thanks to Loyola Marymount University’s crew program, six rowing machines were kindly loaned for the duration of the camp. I was given the opportunity to work with a group of eight children who ranged from 10 to 12 years of age. Every sentence I said to explain the rowing stroke stuck with the kids immediately and it was awesome to watch how quickly they understood rhythm and relaxation during the stroke cycle.

These three experiences make it extremely rewarding for me to keep publicizing the sport of indoor rowing. So many people throughout the world can and will improve their quality of life stroke by stroke and I look forward to helping mediate this dynamic change.
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 23, 2006

OK, Day one at Northstar and I rowed 60 minutes on a new Concept2 rowing machine

This is the first time in a very long time that I have been able to row straight for 60 minutes without TALKING. Besides the high altitude I mustered up a nice 14.7KM. When I checked out I asked as to how it happened that the gym finally got a rowing machine. As it turns out, the young woman who works in the office rowed for UCSB and worked on the management for six months before they agreed to get a rowing machine.
While I was rowing I was watching Tiger Woods at the British Open. He was doing great. As I was happily rowing, an elderly woman was thundering away on the tread mill for the whole hour. Even though she looked a little neurotic, I was impressed by her pace . She was wearing some out of date head phones and blankly stared at the number board. I could not help but think that she was walking on joints that will give in the future. Occasionally I decide to gently inform a random person of indoor rowing and its benefits. This time I kept my mouth shut.
It is now an hour after my row and I feel great. Thank you so much to the person in the office for pushing the gym to aquire a rowing machine.
Over and out
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 22, 2006

We are in the Lake Tahoe area and I found a rowing machine

We arrived at Northstar. Erin's father, my father in law, has a little mountain home up here. Close by is a gym which FOR YEARS did not feature a rowing machine. FINALLY there is one. A model D with a track that I will wipe clean before my row tomorrow morning. I shall take picutres to make the blog more exciting to us.

Yesteday we stayed at an Embassy Suites Hotel a few minutes south of the San Francisco Airport. Let me say this much, if you every needed to have a restful sleep, don't be a guest there on a Friday night. Before we checked in the receptioniest made us sign a form stating that we will not behave unruly and loudly... Man I had to call security three times before loud teenagers were evicted at 140AM.

Over and out
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 18, 2006

Indoor Rowing is the solution for obese people to enjoy exercise

Here is an interesting article that was sent to me by a friend from MIT. It is sad that nation-wide indoor rowing is so unknown and would be terrific for so many people. All of us who enjoy indoor rowing need to let more people know the benefits of indoor rowing. As for this article it is important to know that the Concept2 rowing machine is capable of carrying a person of 500 pounds and 400 pounds when using the tractor seat.

Here is the link and below is the article: http://www.boston.com/
yourlife/
health/fitness/
articles/2006/07/18/
obesity_is_fueling_a_rise_in_joint_replacement_surgeries/

Obesity is fueling a rise in joint-replacement surgeries
Increased obesity fuels a rise in joint-replacement surgeries
By Liz Kowalczyk, Globe Staff | July 18, 2006
Surgery to replace damaged knees and hips with artificial joints has become so common among active baby boomers that it almost seems like a badge of honor. But evidence is growing that it's not only skiers and joggers fueling the explosion of operations, but obese Americans.
Some hospitals estimate that half to two-thirds of their patients having joint-replacement surgery are overweight or obese, and these patients are posing added challenges for medical teams.
They appear to suffer more complications during and after surgery, require more costly rehabilitation, and, because of the strength it takes to manipulate their bones, can even create physical risks for surgeons. Heavy patients face increased risks of blood clots, wound infections, and pneumonia, according to studies, causing some surgeons to turn away patients unless they lose weight.
Three in 10 American adults, 66 million people, are considered obese, up from 23 percent a decade ago, according to the federal Centers for Disease Control and Prevention. And because this group is believed to have a higher incidence of osteoarthritis than people of normal weight, obese Americans may suffer a joint-replacement epidemic, in addition to increased rates of diabetes and high blood pressure.
``Ten to 15 years from now, we're going to be faced with even more obese patients," said Dr. Thomas Turgeon, a Canadian orthopedic surgeon who recently found that obese patients undergoing hip replacements experienced 2 1/2 times as many complications as normal-weight and somewhat-overweight patients.
Obese patients also were 2.6 times more likely to be discharged to a rehabilitation facility. ``We have to figure out how to address these issues before the surgery," Turgeon said.
The number of hip replacement operations done annually in the United States increased 75 percent to 217,000 between 1993 and 2003, while the number of knee replacements grew 133 percent to 402,000, says the American Academy of Orthopaedic Surgeons. At the organization's annual meeting in March, researchers predicted that the number of operations will grow to 572,000 and 3.5 million, respectively, by 2030, as a result of growing acceptance of the operations, the aging of the population, active baby boomers, and increasing obesity.
While there are few detailed analyses of how much obesity contributes to the overall trend, one Canadian study of 17,000 patients found that 9 in 10 who had knee replacements and 7 in 10 who had hip replacements in that country in 2004 were overweight.
Scientists at the Massachusetts Institute of Technology and other institutions that study osteoarthritis suspect that obese people are damaging their knees and hips in ways that go beyond the additional weight they carry . One MIT lab is studying whether certain proteins that are abundant in fat tissue cause chronic inflammation and destroy cartilage in the joints.
In Boston, New England Baptist Hospital does the most joint-replacement operations, and it estimates that more than 70 percent of its orthopedic surgery patients are overweight or obese. About 35 percent of US adults age 20 and over are overweight, and another 30 percent are obese, according to the CDC.
``Weekend warriors are not the majority of patients we're operating on," said Diane Gulczynski, the hospital's senior vice president of patient care services and chief nursing officer.
Concerned about an increased rate of infection among hip- and knee-replacement patients, Gulczynski decided last year to search these patients' medical records for patterns. She discovered that doctors were operating on a high percentage of obese patients and that those patients accounted for a disproportionate share of infections.
In one recent three-month period, 39 percent of the hospital's orthopedic surgery patients were obese, with a body mass index of more than 30, accounting for 44 percent of the wound infections. Obese surgery patients are more prone to wound infections for various reasons, doctors said, including difficulty keeping folds of skin clean and high rates of diabetes, hypertension, and heart disease.
Because of the higher risk of infection for these patients, the hospital is implementing more aggressive infection-prevention measures, such as more carefully controlling obese patients' glucose levels during and after surgery. Soon, all patients will be tested for a certain antibiotic-resistant bacteria that can cause wound infections; those who test positive will take a special antibiotic before and during surgery.
``You don't want to eliminate obese patients from having operations, because you'd be eliminating so many people," Gulczynski said. ``You want to give them a chance for a better quality of life. And they're not going to be able to lose weight beforehand if they can barely walk."
Indeed, overweight patients with arthritis in their hips or knees often find themselves in a no-win situation.
Guy Snowden, 60, has struggled with his weight for years. When he was 50 pounds overweight, his knees began to ache. As the pain grew worse, he stopped going for walks, playing golf, or even going to the movies. By the time he was ready to have his left knee replaced four years ago, he was 100 pounds overweight.
Dr. Richard Scott, chief of joint-replacement services at Brigham and Women's Hospital and New England Baptist, did the operation and then, a year ago, replaced Snowden's right knee. After each operation, Snowden spent about a week in a rehabilitation facility.
Since the last operation, Snowden has resumed walking and golfing and has lost 20 pounds.
``Dr. Scott said it was key to try to get some weight off, that the knees would last longer," Snowden said. ``I am really hoping these will go the distance."
Scott said that when people walk, they place a force equal to three times their body weight on their knees and hips; that force grows to five times their body weight when climbing or descending stairs. So if a person is 20 pounds overweight, that can burden joints with 100 extra pounds.
Scott said he sets eligibility limits on patients seeking surgery. If they are very obese and have other health problems, he'll give them ``a tentative date for surgery a year away maybe."
``I tell them: `If you lose so much weight . . . then I will fill my end of the bargain, and we'll go ahead with your surgery. If you don't do it, you're telling me you're not motivated,' " Scott said.
The purpose is to decrease the risk of surgery and to improve the chances of success. Obese patients generally experience as much pain relief as normal-weight patients after surgery, studies show. But the long-term picture is cloudier. According to a 2004 study at Johns Hopkins University School of Medicine in Baltimore, 99 percent of knee replacements in nonobese patients were successful 6 1/2 years after surgery. The success rate dropped to 88 percent for obese patients.
But, Scott conceded, most patients don't drop much weight. Given the risks for patients, he said he would not operate on someone who weighs 400 pounds or more. The operation would be difficult for him to perform, after tearing his rotator cuff several years ago from the sheer exertion of trying to expose the bone of a morbidly obese patient during surgery.
Liz Kowalczyk can be reached at kowalczyk@globe.com.
© Copyright 2006 Globe Newspaper Company.
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 16, 2006

Changes are happening here at the Iron Oarsman

Hello all.

We started getting really hot a few weeks ago. I finally decided to get an industrial size fan that blows air into the Iron Oarsman. The temperature in the studio dropped nicely immediately.

I am also excited to announce that a few more rowers will lead workouts at the Iron Oarsman. A couple of them graduated from Brown university. While I was making a list of all the rowers in our area, I stated contemplating rowing an eight once a month or so for fun and maybe for different head races.

I am very lucky to have a bunch of smart business people and doctors rowing at the Iron Oarsman. It is safe to say that I am getting smarter by talking to them. I apologize to my "rowing consultants" for not implementing their advice faster...

In the next couple of days I will interview a few agents who will help me market me better, so stay tuned.

I am almost ready to send out my next newsletter. If you are interested in getting it go to www.ironoarsman.com and fill in your email address.

Don't forget the DVD workouts that we have for rowing and indoor rowing. We have a planned German DVD workout coming soon.

In addition check out the conditioning schedule for the next fourteen months at camps

Remember the rowing web cam at the Iron Oarsman.

Check out the Iron Oarsman clothes.

So far this is it. I hope you are all having a great weekend and summer.

XENO
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 11, 2006

Rowing with blind children was great again!

Today I coached a small group of blind kids how to row the ergo. The place was Camp Bloomfield in Malibu, California

Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Trying something new

Looking to send pictures from my smart phone

Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 9, 2006

From the Learning Channel, TLC in the US.

Just now I am watching a special on people who lost enormous amounts of weight through different surgical interventions. One lady said that she can not wait to finally be able to walk on a tread mill. It would be great if they were to include indoor rowing to their physical activities. They would love it.
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

This is rowing on the water amazing control of a single scull

Check out this great footage!
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Watching the Space Shuttle Crew is amazing!




I have been watching the video footage of the latest Space Shuttle mission. I am totally impressed with what the crew does up there in space.

It is amazing to read the short bios on the astronauts. Their job is out of this world.

Watching the take off footage made me very emotional. It requires such dedication of so many people to make space exploration happen.

Of course, I had to find a picutre of an astronaut rowing in space. The best form of exercise on earth is also the best in space.

I hope you are all having a great summer.
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 7, 2006

Rowing in a motion picutre

A US kids TV channel showed the movie "WHAT A GIRL WANTS" and it had a few rowing scenes in it. The movie took place at the HENLEY ROYAL REGATTA
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 6, 2006

New Blog for endurance athletes, read below. We also have gorgeous new fan at the Iron Oarsman.

Look on the right where I have the web links listed. I have added another blog called Rowing Science. Check it out.
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 4, 2006

Our blog is getting hijacked, why?

How can I prevent our indoor rowing blog from getting hijacked?
XENO
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 25, 2006

Indoor Rowing Provides A New Lease On Life

Jim’s Story

Last April, at our children’s elementary school fundraiser, my wife and I sat at one of 40 dinner tables. I struck up a conversation with a man who was in his late forties to mid fifties. His name was Jim and I found out that he was an avid runner until three years ago. He would run over forty miles per week and weighed fifty pounds less than when I met him. A growing pain in his left knee stopped him from running. Different doctors told him that the knee was irreparable. Uncertain of the success of knee replacement surgery, Jim waited to go under the knife until the pain and inability to move become so overwhelming that he saw no other way out. When I met Jim, it had been ten months since his joint surgery. He explained to me how hard he had to work to bring back flexibility to his leg and the pain that went with it. He was able to walk on an elliptical machine and pedal a recumbent stationary bike. I told him that this must be so darn boring after having been able to run freely for thousands of miles a year over his lifetime. Before I even asked the question I knew that he had never heard of indoor rowing. He was very intrigued by my accounts of the benefits of rowing and the competitive side of it and he accepted my invitation to come to the Iron Oarsman for a workout. Jim is now a regular at the Iron Oarsman. There were two comments he made during his first two rows: “Xeno! This feels so smooth and I feel my entire body working” and “I don’t remember the last time I was able to sweat this much.”

Callie’s Story

I met Callie (she is in her mid-fifties) six months ago when she first walked into the Iron Oarsman. I immediately felt her positive energy. Her sister researched a form of exercise that would be good for Callie in anticipation of hip replacement surgery. Rowing was the solution and I was the only location. After I heard of Callie’s medical future, I knew that chances were good that she could row. I carefully walked her to her rowing machine and once she was seated I made sure she was alright. She announced to me that she was highly uncoordinated and that I should not get frustrated with her slow learning ability. I told her that no one fell off the turnip truck knowing how to row. Callie learned fast and she loved every second of it. In the same fashion as Jim, rowing was extremely liberating for Callie too. She stayed with us for three months, and in early May went in for her hip replacement surgery. I spoke to her a couple days after the replacement and she sounded great. She told me that most of her rehab exercises were like rowing and how amazed the doctor and the physiotherapists were to witness her quick recovery. Here is her account in her own words:

Dear Xeno

Just wanted to thank you for getting me prepared for hip replacement surgery.
Because of your wonderful classes three months prior to surgery my therapists & doctor were amazed to see how quickly I recovered. My upper body & legs were strengthened to do the strenuous exercises for recovery.
My sister Joreen also attends your classes and did serious research on the best means of exercises for hips and knees and rowing was number one -- just as you are dear XENO

Callie

Callie returned to rowing in early July and is doing better than ever. Now, each time I watch Jim and Callie row, I feel a combination of joy and inner peace. I know that I introduced them to an activity that will improve their quality of life continuously for all their years to come.



The Story Of Blind Children at Camp Bloomfield, Malibu, California

Aerial Gilbert and her guide dog Hedda (http://www.guidedogs.com/bios-Gilbert.html) are friends of ours. Aerial is known in the rowing world as a competitive adaptive rower. We joined her last spring for the Junior Blind Olympics in Los Angeles. This summer she invited my family and I to join her at Camp Bloomfield, a summer camp for blind/visually impaired children in Malibu Canyon. Thanks to Loyola Marymount University’s crew program, six rowing machines were kindly loaned for the duration of the camp. I was given the opportunity to work with a group of eight children who ranged from 10 to 12 years of age. Every sentence I said to explain the rowing stroke stuck with the kids immediately and it was awesome to watch how quickly they understood rhythm and relaxation during the stroke cycle.

These three experiences make it extremely rewarding for me to keep publicizing the sport of indoor rowing. So many people throughout the world can and will improve their quality of life stroke by stroke and I look forward to helping mediate this dynamic change.
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 23, 2006

OK, Day one at Northstar and I rowed 60 minutes on a new Concept2 rowing machine

This is the first time in a very long time that I have been able to row straight for 60 minutes without TALKING. Besides the high altitude I mustered up a nice 14.7KM. When I checked out I asked as to how it happened that the gym finally got a rowing machine. As it turns out, the young woman who works in the office rowed for UCSB and worked on the management for six months before they agreed to get a rowing machine.
While I was rowing I was watching Tiger Woods at the British Open. He was doing great. As I was happily rowing, an elderly woman was thundering away on the tread mill for the whole hour. Even though she looked a little neurotic, I was impressed by her pace . She was wearing some out of date head phones and blankly stared at the number board. I could not help but think that she was walking on joints that will give in the future. Occasionally I decide to gently inform a random person of indoor rowing and its benefits. This time I kept my mouth shut.
It is now an hour after my row and I feel great. Thank you so much to the person in the office for pushing the gym to aquire a rowing machine.
Over and out
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 22, 2006

We are in the Lake Tahoe area and I found a rowing machine

We arrived at Northstar. Erin's father, my father in law, has a little mountain home up here. Close by is a gym which FOR YEARS did not feature a rowing machine. FINALLY there is one. A model D with a track that I will wipe clean before my row tomorrow morning. I shall take picutres to make the blog more exciting to us.

Yesteday we stayed at an Embassy Suites Hotel a few minutes south of the San Francisco Airport. Let me say this much, if you every needed to have a restful sleep, don't be a guest there on a Friday night. Before we checked in the receptioniest made us sign a form stating that we will not behave unruly and loudly... Man I had to call security three times before loud teenagers were evicted at 140AM.

Over and out
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 18, 2006

Indoor Rowing is the solution for obese people to enjoy exercise

Here is an interesting article that was sent to me by a friend from MIT. It is sad that nation-wide indoor rowing is so unknown and would be terrific for so many people. All of us who enjoy indoor rowing need to let more people know the benefits of indoor rowing. As for this article it is important to know that the Concept2 rowing machine is capable of carrying a person of 500 pounds and 400 pounds when using the tractor seat.

Here is the link and below is the article: http://www.boston.com/
yourlife/
health/fitness/
articles/2006/07/18/
obesity_is_fueling_a_rise_in_joint_replacement_surgeries/

Obesity is fueling a rise in joint-replacement surgeries
Increased obesity fuels a rise in joint-replacement surgeries
By Liz Kowalczyk, Globe Staff | July 18, 2006
Surgery to replace damaged knees and hips with artificial joints has become so common among active baby boomers that it almost seems like a badge of honor. But evidence is growing that it's not only skiers and joggers fueling the explosion of operations, but obese Americans.
Some hospitals estimate that half to two-thirds of their patients having joint-replacement surgery are overweight or obese, and these patients are posing added challenges for medical teams.
They appear to suffer more complications during and after surgery, require more costly rehabilitation, and, because of the strength it takes to manipulate their bones, can even create physical risks for surgeons. Heavy patients face increased risks of blood clots, wound infections, and pneumonia, according to studies, causing some surgeons to turn away patients unless they lose weight.
Three in 10 American adults, 66 million people, are considered obese, up from 23 percent a decade ago, according to the federal Centers for Disease Control and Prevention. And because this group is believed to have a higher incidence of osteoarthritis than people of normal weight, obese Americans may suffer a joint-replacement epidemic, in addition to increased rates of diabetes and high blood pressure.
``Ten to 15 years from now, we're going to be faced with even more obese patients," said Dr. Thomas Turgeon, a Canadian orthopedic surgeon who recently found that obese patients undergoing hip replacements experienced 2 1/2 times as many complications as normal-weight and somewhat-overweight patients.
Obese patients also were 2.6 times more likely to be discharged to a rehabilitation facility. ``We have to figure out how to address these issues before the surgery," Turgeon said.
The number of hip replacement operations done annually in the United States increased 75 percent to 217,000 between 1993 and 2003, while the number of knee replacements grew 133 percent to 402,000, says the American Academy of Orthopaedic Surgeons. At the organization's annual meeting in March, researchers predicted that the number of operations will grow to 572,000 and 3.5 million, respectively, by 2030, as a result of growing acceptance of the operations, the aging of the population, active baby boomers, and increasing obesity.
While there are few detailed analyses of how much obesity contributes to the overall trend, one Canadian study of 17,000 patients found that 9 in 10 who had knee replacements and 7 in 10 who had hip replacements in that country in 2004 were overweight.
Scientists at the Massachusetts Institute of Technology and other institutions that study osteoarthritis suspect that obese people are damaging their knees and hips in ways that go beyond the additional weight they carry . One MIT lab is studying whether certain proteins that are abundant in fat tissue cause chronic inflammation and destroy cartilage in the joints.
In Boston, New England Baptist Hospital does the most joint-replacement operations, and it estimates that more than 70 percent of its orthopedic surgery patients are overweight or obese. About 35 percent of US adults age 20 and over are overweight, and another 30 percent are obese, according to the CDC.
``Weekend warriors are not the majority of patients we're operating on," said Diane Gulczynski, the hospital's senior vice president of patient care services and chief nursing officer.
Concerned about an increased rate of infection among hip- and knee-replacement patients, Gulczynski decided last year to search these patients' medical records for patterns. She discovered that doctors were operating on a high percentage of obese patients and that those patients accounted for a disproportionate share of infections.
In one recent three-month period, 39 percent of the hospital's orthopedic surgery patients were obese, with a body mass index of more than 30, accounting for 44 percent of the wound infections. Obese surgery patients are more prone to wound infections for various reasons, doctors said, including difficulty keeping folds of skin clean and high rates of diabetes, hypertension, and heart disease.
Because of the higher risk of infection for these patients, the hospital is implementing more aggressive infection-prevention measures, such as more carefully controlling obese patients' glucose levels during and after surgery. Soon, all patients will be tested for a certain antibiotic-resistant bacteria that can cause wound infections; those who test positive will take a special antibiotic before and during surgery.
``You don't want to eliminate obese patients from having operations, because you'd be eliminating so many people," Gulczynski said. ``You want to give them a chance for a better quality of life. And they're not going to be able to lose weight beforehand if they can barely walk."
Indeed, overweight patients with arthritis in their hips or knees often find themselves in a no-win situation.
Guy Snowden, 60, has struggled with his weight for years. When he was 50 pounds overweight, his knees began to ache. As the pain grew worse, he stopped going for walks, playing golf, or even going to the movies. By the time he was ready to have his left knee replaced four years ago, he was 100 pounds overweight.
Dr. Richard Scott, chief of joint-replacement services at Brigham and Women's Hospital and New England Baptist, did the operation and then, a year ago, replaced Snowden's right knee. After each operation, Snowden spent about a week in a rehabilitation facility.
Since the last operation, Snowden has resumed walking and golfing and has lost 20 pounds.
``Dr. Scott said it was key to try to get some weight off, that the knees would last longer," Snowden said. ``I am really hoping these will go the distance."
Scott said that when people walk, they place a force equal to three times their body weight on their knees and hips; that force grows to five times their body weight when climbing or descending stairs. So if a person is 20 pounds overweight, that can burden joints with 100 extra pounds.
Scott said he sets eligibility limits on patients seeking surgery. If they are very obese and have other health problems, he'll give them ``a tentative date for surgery a year away maybe."
``I tell them: `If you lose so much weight . . . then I will fill my end of the bargain, and we'll go ahead with your surgery. If you don't do it, you're telling me you're not motivated,' " Scott said.
The purpose is to decrease the risk of surgery and to improve the chances of success. Obese patients generally experience as much pain relief as normal-weight patients after surgery, studies show. But the long-term picture is cloudier. According to a 2004 study at Johns Hopkins University School of Medicine in Baltimore, 99 percent of knee replacements in nonobese patients were successful 6 1/2 years after surgery. The success rate dropped to 88 percent for obese patients.
But, Scott conceded, most patients don't drop much weight. Given the risks for patients, he said he would not operate on someone who weighs 400 pounds or more. The operation would be difficult for him to perform, after tearing his rotator cuff several years ago from the sheer exertion of trying to expose the bone of a morbidly obese patient during surgery.
Liz Kowalczyk can be reached at kowalczyk@globe.com.
© Copyright 2006 Globe Newspaper Company.
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 16, 2006

Changes are happening here at the Iron Oarsman

Hello all.

We started getting really hot a few weeks ago. I finally decided to get an industrial size fan that blows air into the Iron Oarsman. The temperature in the studio dropped nicely immediately.

I am also excited to announce that a few more rowers will lead workouts at the Iron Oarsman. A couple of them graduated from Brown university. While I was making a list of all the rowers in our area, I stated contemplating rowing an eight once a month or so for fun and maybe for different head races.

I am very lucky to have a bunch of smart business people and doctors rowing at the Iron Oarsman. It is safe to say that I am getting smarter by talking to them. I apologize to my "rowing consultants" for not implementing their advice faster...

In the next couple of days I will interview a few agents who will help me market me better, so stay tuned.

I am almost ready to send out my next newsletter. If you are interested in getting it go to www.ironoarsman.com and fill in your email address.

Don't forget the DVD workouts that we have for rowing and indoor rowing. We have a planned German DVD workout coming soon.

In addition check out the conditioning schedule for the next fourteen months at camps

Remember the rowing web cam at the Iron Oarsman.

Check out the Iron Oarsman clothes.

So far this is it. I hope you are all having a great weekend and summer.

XENO
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 11, 2006

Rowing with blind children was great again!

Today I coached a small group of blind kids how to row the ergo. The place was Camp Bloomfield in Malibu, California

Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Trying something new

Looking to send pictures from my smart phone

Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 9, 2006

From the Learning Channel, TLC in the US.

Just now I am watching a special on people who lost enormous amounts of weight through different surgical interventions. One lady said that she can not wait to finally be able to walk on a tread mill. It would be great if they were to include indoor rowing to their physical activities. They would love it.
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

This is rowing on the water amazing control of a single scull

Check out this great footage!
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Watching the Space Shuttle Crew is amazing!




I have been watching the video footage of the latest Space Shuttle mission. I am totally impressed with what the crew does up there in space.

It is amazing to read the short bios on the astronauts. Their job is out of this world.

Watching the take off footage made me very emotional. It requires such dedication of so many people to make space exploration happen.

Of course, I had to find a picutre of an astronaut rowing in space. The best form of exercise on earth is also the best in space.

I hope you are all having a great summer.
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 7, 2006

Rowing in a motion picutre

A US kids TV channel showed the movie "WHAT A GIRL WANTS" and it had a few rowing scenes in it. The movie took place at the HENLEY ROYAL REGATTA
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 6, 2006

New Blog for endurance athletes, read below. We also have gorgeous new fan at the Iron Oarsman.

Look on the right where I have the web links listed. I have added another blog called Rowing Science. Check it out.
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.

Jul 4, 2006

Our blog is getting hijacked, why?

How can I prevent our indoor rowing blog from getting hijacked?
XENO
Xeno Muller, Olympic gold and silver medalist, indoor rowing, rowing technique.