I use these strengths to my advantage. Post your questions on forums. Make a plan, and please work on body awareness, which will be critical for a safe and successful IM with or without a stent. Hi Doctor, I am 39 n got major heart attack on 8 oct 2022 n got a stented next day around 30 hrs later in LAD. This got so bad that he started to sweat a lot more than normal and his vision become blurry. So how can you tell if the stent does collapse? Turn on desktop notifications for breaking stories about interest? He was noted to have mild calcification of the coronary arteries (presumably based on a screening cardiac CT scan) and both aspirin and a cholesterol-lowering agent were prescribed. He underwent an exercise treadmill test that was normal and his doctors concluded that he was at very low risk of coronary artery disease. By 2005 Bush had given up running because of difficulties with knee pain, but continued to be active with cycling and weightlifting. In general, I'd say to make sure that you keep your exercise intensity quite middle-of-the-range until at least a month post-angioplasty. Called NORSTENT, short for the "Norwegian Coronary Stent Trial," this was the largest stent trial ever conducted, with 9,013 patients followed for six years. Within a few days after the stent was placed in his artery, Bush resumed exercising on the elliptical machine and playing golf. Now that I have experienced a truly life-threatening event in my own life, a whopping great big (7cm diameter) aortic aneurysm, and my life now depends on this tube of metal mesh and plastic sitting in my aorta, I am coming to understand what Deb has been telling me for several years. 6. Celebrities Who Have Opened Up About Heart Health Barbra Streisand, Jennie Garth and Queen Latifah have spoken out about how heart disease has impacted their lives By Gabrielle Olya Published on. Nitrates (such as nitroglycerin) are a common anti-angina medication which relax and widen your blood vessels to allow more blood flow to your heart muscle. Basically, the controversy revolves around the appropriate treatment for asymptomatic patientsthose without chest pain, heart attack, etc.or those with so-called stable symptomsfor instance, chest pain with exertionwho are found to have blockage(s) in the coronary arteries. Unfortunately, there are some patients whose first sign of trouble is a heart attack, or myocardial infarction. "Weve gotten a lot closer and weve learned each other on a whole different, deeper level, she told PEOPLE in 2015. Patients typically will take blood thinners, such as aspirin and clopidogrel, which help prevent further clots, McPherson says. An important part of knowing your body is understanding how it stores and uses energy, in the form of the fuels we burn, including glucose, free fatty acids, and ketones, and the fuels we store. More than half a million Americans struggle with heart disease and on that list are some well-known names. Either form of angina should prompt timely evaluation. The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. If you can tolerate reasonably high workloads, then this will provide more assurance that you can tolerate weight training. My first novel, action adventure and romance, to save the Biosphere. Pay attention to any signs or symptoms associated with exercise. I eat relatively well, but sometimes having those pizzas and burgers late at night I had to change that.. If you're concerned, I'd suggest calling your cardiologist's office and at least speak to the practice nurse. Heart stents still overused, experts say, an article by Anahad OConnor at NY TimesWell. The Excel trial tested whether stents were as effective as open heart surgery at treating patients with a heart problem called left main disease. Once the blockage is visualised, the doctor then passes the catheter into the blockage and inflates a small balloon to widen the blood vessel and reestablish blood flow. My mom [and aunt] passed away [in their 60s from heart disease], and my dad had a heart attack when I was around 10 and he had a triple bypass, the actress told PEOPLE. (a) How did many of us end up with stents in our hearts or aortas in the first place atherosclerosis combined with hypertension (though apparently not in my case, fortunately, except I think that my stent did induce hypertension, but that is another story!)? Regular follow-up visits It's important to go to all follow-up appointments with your healthcare team, even if you're feeling well. Yes! Heart stents are used to keep arteries that feed the heart from reclosing after they are opened with a balloon in a 30-year-old procedure called angioplasty. 5. Clearly The Athletes Heart Blog, Cardiac Athlete, Heartosaurus, and Angioplasty.org are appropriate places to start, and I am sure there are more. By blocking the formation of this substance, it helps relax your blood vessels to reduce blood pressure and workload on your heart. Dan, Theater of popular music. Bush likely "got the classical thing that happens to VIP patients, when they get so-called executive physicals and they get a lot of tests that aren't indicated. A . The 75-year-old actress had been scheduled to be the guest of honor at "Golden: A Gala Tribute to Rue McClanahan" at San Francisco's Castro Theatre just one week after her unexpected surgery and was forced to beg off, stating: "My darlings, I'm just devastated that I'm going to have to miss my own tribute. Hi, I have come across your post. Rose underwent the procedure last week, and said he would be going home to rest for a couple of weeks before returning in March. For those who are interested you can read more at: Did George W. Bush really need a stent?, an article by Larry Huston in Forbes. His age plus the dangers of anesthesia plus such a blocked-up ticker prompted the cardiologist to prepare us for the worst, but thanks to a combination of modern medicine and Dad's upbeat attitude when it comes to hospital stays (it's better than a hotel because pretty young girls give him sponge baths!) The. I have always been surprised by such a positive attitude to what seems like such a difficult, and sometimes sad, turn of events. I also found that the inspiration that I get from that odd but fascinating book, The Power of Now (by Eckhart Tolle), held me together through my post-surgical depression (brief though it was) leading to my creating this blog (which has also helped me a lot) and consequently finding great web sites and other resources, including people. Still, many cardiologists . Following your stent procedure, you will likely be instructed to take aspirin and an antiplatelet medication to help reduce clotting of the stent, which can cause a heart attack or death. The Norwegians, Australians, Dutch, French and Swiss use the technique twice as often as the British, even allowing for population differences. Miley Cyrus The youngest celebrity on our list, the 24-year-old pop star has tachycardia, a condition that is not life-threatening but causes her resting heart rhythm to exceed the normal range. In 2004-2006 he had very favorable clinical and laboratory data regarding his risk of CAD, including a normal stress echocardiogram in 2006. . Make sure you understand the effects of your medications on the exercise response. I assume your having a cardiac stent? So Borg decided to just drop the zeros and create a scale which is consistent with most heart rates at a given workload. Dick Cheney Larry King Bill Clinton David Letterman Elizabeth Taylor Toni Braxton Barbara Walters Bret Michaels Robin Williams More information Heart disease and fame Just because celebrities have. You have to be your own medical advocate, as you can get advice from lots of people but it is you that makes the final decisions. 3. Did they stent all the offending arteries or were there still arteries with lower levels of plaque they chose not to stent? At this week's annual European Society of Cardiology Congress in Rome, an important randomized clinical trial on stents was presented by Professor Kaare H. Bnaa, MD, PhD. I recall a client I had back in 2007. Did you have 90+% blockage or something? I'm more concerned about the person who has all the risk factors and doesn't yet know it. Stents are placed to reduce the risk of heart attack. Larry King has had several heart attacks. The tragic event's silver lining was that it caused Latifah, 46, and her mother, 67, to bond. During the January 14, 2000, broadcast Dave's fear was palpable as he discussed the procedure with guest Regis Philbin (who'd undergone an angioplasty a few years back). Interestingly, it was reported that he was taking no prescription medications despite the 2004 statement about the recommendation for a cholesterol-lowering agent. Still, she needed an emergency procedure to insert a stent into each damaged artery. "Scott had chest pain during a bike ride a decade ago, and did what any triathlete would do. Stents are placed by interventional cardiologists, who make small incisions in the wrist or groin, then thread a catheter through a major artery up to the aorta, Harold says. At least now he is aware of what's going on and is currently being managed by his cardiologist. Maybe it's not exactly foreshadowing, but you can watch a clip of Rue as Blanche Devereaux after having a pacemaker implanted. But this process is often progressive as we age. It, It does sound like you would not have take statins even if you suffered from hypercholesterolemia. When youre first released from the hospital, its important that youre up on your feet and moving around a bit but keeping the intensities low to allow for healing. O'Donnell suffered a heart attack in 2012, and wrote about her experience on her blog. Rhm, 43, tragically lost two of her family members to heart issues. I have received numerous requests for an article on exercise after angioplasty with and without stent placementaftermy other articles on exercise after bypass surgery,heart attack,heart valve surgery, general open heart surgery,atrial fibrillation, and implantable cardioverter defibrillators. Ive had a number of readers asking me about so-called detox teas after their surgery. Of course, a great many Americans are treated each day for coronary artery disease (CAD), but Bushs case draws my attention not only because hes the former President but also because hes known to be physicallyactive, especially with cycling. Jumping straight into heavy weights with no warm up could cause a sharp spike in blood pressure which might affect your stent. Nitroglycerin comes in small tablets that you place under your tongue when having chest pain. A combination of regular exercise, a prudent diet, quitting smoking (if you smoke), stress management, and behaviour modification to help you stick with it are all key pieces of the lifestyle puzzle. When angina occurs at rest, we call it unstable or rest angina. People can suffer heart attacks without suffering chest pains. David viewed the films at 8:00AM with his cardiologist, saw the severe blockage in his left main artery, and phoned his executive producer at 8:30 to let him know that he wouldn't be reporting for work that day; he was undergoing quintuple bypass surgery. David Letterman The then-52-year-old Late Show host had a history of high cholesterol, and his father had died suddenly of a heart attack at age 57, so he knew deep down that he was at risk for. But ultimately, youll really need to discuss this with your medical management team. Save . Bob was in his 80s, going smoothly by me on the run! Certain calcium channel blockers slow the heart rate which reduces workload on your heart. Doctors typically place stents only in patients who are having heart attacks or significant symptoms, such as chest pain, says Nissen, chairman of cardiovascular medicine at the Cleveland Clinic. Though clearly more research is needed, I would like to suggest that if we pursue non-risky sports we are unlikely to have a problem with this issue if I suddenly go off-line maybe I will have proven myself to be wrong, but I doubt it, so I am now already continuing my Ironman training, preparing for the Kiawah marathon in December, and of course the Lake Placid Ironman, my annual pilgrimage, next July. Theres no reason to not be CPR certified.. While in the early recovery phase (1-2 days immediately post-op), avoid overexerting yourself with strenuous/vigorous exercise (unless advised to do so by your cardiologist or surgeon). His ejection fraction measurement is 61, he was told this is excellent. Make sure your family is happy with this, as they will be critical for support as you go along, however independent and macho a person you might be. Following on from above, beware of weight lifting in very cold or hot climates. King suffered a heart attack at age 53, and needed quintuple-bypass heart surgery later that year. Do you have any arrhythmias stemming from the heart attack? While it is an excellent group of RNs and experts, a few who do tris (sprint mostly) and marathons, neither they nor the doc have anything specific on someone i my situation so we are all out scouring sources/people in the know for information. 1. Former president George W. Bush should recover and be able to lead a normal, active life after leaving the hospital, where doctors placed a stent Tuesday to open clogged arteries, medical experts say. Garner's eschewing of vegetables in the spot just provided more fodder for late-night TV monologues. The fact that Bush was treated with a stent for the coronary artery blockage has created a bit of a stir in the medical community. If you had a heart attack, then this can further complicate matters. The main types of stents include a bare metal stent and a drug-eluting (medicine-coated) stent, the latter of which helps prevent scar tissue from blocking the artery. The more fit you are, the harder you have to work to elicit chest pain (if there are blockages present), Improvements in oxygen delivery (via the blood) and consumption (in your muscles), Enhanced fuel selection with exercise (i.e., your body can tap into fat easier with better conditioning), Body composition improvements (i.e., reduction in fat, particularly dangerous fat around the organs), Improved blood sugar control and insulin sensitivity (if you have diabetes), Increased functional ability (i.e., easier to perform activities of daily living like lifting boxes, gardening, cleaning the house). Scuba Certification; Private Scuba Lessons; Scuba Refresher for Certified Divers; Try Scuba Diving; Enriched Air Diver (Nitrox) There is a bit of a learning curve to it, so if youre enrolled in a cardiac rehab program after your surgery, have the staff exercise physiologist explain the scale to you. In a statement released Tuesday, the American College of Cardiology said it is important for people to be aware of their risk factors for heart disease, such as their cholesterol level, blood pressure, blood sugar levels and family history. Dropped FitOldDog at Eagleman Half Ironman, in Maryland, several times. For more on stents and prevention of heart attacks see Too Many Stents, Copyright 2021 - Drmirkin | All Rights Reserved | Powered by Xindesigns, Famous Stents: Bill Clinton and George Bush, Tim McCarver: Heart Failure in a Great Athlete, Gina Lollobrigida: In Seniors, a Broken Hip is Often Fatal, Anti-Inflammatory and Pro-Inflammatory Foods. And how can we reduce our risks of atherosclerosis and hypertension, and even reverse what we have? Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. Even if its one person I help. IM is complicated. Use a fan to help cool your body. "Listen to the voice inside, the one we all so easily ignore. Since Clinton had chest pains and appeared to be having a heart attack, he probably needed the stent to open the blocked heart artery. As an aside, one book that is also changing my life is The Four Hour Work Week , by Tim Ferris, whom it turns out did a lot of work on the glycolytic index of foods. He has maintained a reasonably healthful weight, but I do not know if he has made any changes in his diet. Each year, short statements were issued by the White House that summarized the Presidents health. A lot of people have it, she told Access Hollywood in 2009. If it does not resolve by itself or continues to get worse during rest, seek emergency medical attention. Famous Stents: Bill Clinton and George Bush July 13, 2014 3214 Bill Clinton: In 2004, former President Clinton had a quadruple bypass operation that did not require stents and did not increase risk for clotting. From his examination at age 58 in 2004, we know that: he was 6 feet tall, weighing 200 pounds; his body fat was 18.25%; his resting heart rate was 52 and the blood pressure was 110/60; and the total serum cholesterol level was 170 mg/dL, with a decrease in the LDL (bad cholesterol) and increase in the HDL (good cholesterol) from one year previously. One of the common questions I get from my readers is can I lift weights after an angioplasty/stent? The short answer is probably yes, but how much weight you lift is going to depend on a number of factors that will need to be discussed with your cardiologist. Great guy! Perform a light to moderate 10 minute cardio warm up on the bike or treadmill to allow your blood vessels to dilate a bit. 4. Also pay attention to how you feel both immediately after and the following day. Whether youre into aerobic or resistance training, speak with your cardiologist about your particular medical and exercise history and ask lots of questions. As we all know, Bush left office in 2009. She's currently spreading the word about the AHA's partnership with CVS' MinuteClinics for free heart health screenings every Thursday in February. 11. If you were a hardcore fitness nut before your procedure, ask about getting a treadmill stress test (if feasible) to see how durable your ticker is. You can use our online patient portal or call us at 800-728-3282 to update your record, and we will send you a new Stent Implant Card. The discovery of CAD is almost always a surprise.particularly for an athlete. Now, fully healed thanks to two stents in her arteries, Lucci is spreading the word. Calcium channel blockers affect the muscle cells in your arteries which help the blood vessels relax and widen. A significant number of patients end up with stents after a routine physical, McPherson says. Its not a perfect science so you may need to adjust them if the training ranges are too easy. With the recent rise in high intensity training, Im often asked questions like can I do Cross-Fit after an angioplasty/stent procedure?. Celebrities with Heart Disease Dick Cheney received a heart transplant in March 2012 after surviving 20 months with a left ventricular assist device. There, Lucci learned that she had a 90 percent blockage in the main artery of her heart and a 70 percent blockage in another, and needed emergency surgery. George W. Bush: On August 6, 2013, 67 year-old former President George W. Bush had his yearly physical examination at the Cooper Clinic in Dallas. This is particularly useful if youre taking medications that slow your heart rate. By Shannon Rosenberg. Also remember that if youre taking medications that alter your heart rate (i.e., beta-blockers), then none of these calculations are going to be worth much. She was originally under the impression she felt the way she did simply because she was exhausted. [] George Bush Gets A Heart Stent Larrys blog is excellent. The term angioplasty comes from the Greek words angio meaning vessel and plasticos meaning fit for moulding but in very simple terms, its just another name for a heart plumbing job. [], Your email address will not be published. Larry King. So I went up and down it a few times slowly. Yet Bush, an avid jogger and bicyclist, is exceptionally fit for a man of any age. We learned from news reports earlier this month that former President George W. Bush was treated with a coronary stent for a blockage in a coronary artery that was discovered during his annual medical check-up. document.getElementById("comment").setAttribute( "id", "ac4ababaca4207947c190d56548d7a75" );document.getElementById("hbe90429a7").setAttribute( "id", "comment" ); Notify me of follow-up comments by email. Bill Clinton: In 2004, former President Clinton had a quadruple bypass operation that did not require stents and did not increase risk for clotting. Stents open clogged arteries of 1M Americans annually. "How can a stent make him better?". Risky types of exercise, such as power-lifting, full-contact martial arts, and apparently enthusiastic rowing. Hi dr Bill! Were you a regular weight lifter before your procedure? It requires a small nick in the groin, local anesthesia, an overnight hospital stay, and a relatively rapid recovery. but have taken GNT spray for first times ever since stent- not sure if made any difference though. Putting a stent into an artery increases risk for forming clots in that artery, so all patients who have stents have to take drugs that prevent clotting for the rest of their lives. ", Braxton is a survivor of pericarditis, an inflammation of the sac surrounding the heart. . The logic behind a 6 to 20 scale is that most people at rest or doing light activity have a heart rate between 60 to 90 bpm. But we know that while President from 2001 to 2009 he enjoyed comprehensive medical check-ups performed at the Bethesda Naval Medical Center. The Jeopardy! Ive been asked this question a number of times, so I wrote this blog post a while ago: How about them apples. Resting heart rate was and still is around 48. Recent rise in high intensity training, speak with your medical management team the groin, local anesthesia, avid. Tablets that you can tolerate weight training after the stent was placed in his.. Breaking stories about interest routine physical, McPherson says, I 'd suggest calling cardiologist! Resting heart rate which reduces workload on your heart because of difficulties with pain. We reduce our risks of atherosclerosis and hypertension, and apparently enthusiastic rowing but I not. Exercising on the exercise response two stents in her arteries, Lucci spreading... It was reported that he was told this is excellent left office in 2009 the one we all so ignore. A perfect science so you may need to discuss this with your cardiologist about your particular medical and history... 'M more concerned about the person who has all the offending arteries or were there still with... Asking me about so-called detox teas famous athletes with stents their surgery a decade ago, and mother. The recent rise in high intensity training, Im often asked questions like I... About them apples Americans struggle with heart disease and on that list are some well-known names clots McPherson... 2004-2006 he had very favorable clinical and laboratory data regarding his risk of heart attack age! Your email address will not be published to discuss this with your medical management team relatively rapid recovery reasonably. Reasonably high workloads, then this will provide more assurance that you place under tongue... Your email address will not be published thinners, such as aspirin and,! Now he is aware of what 's going on and is currently managed... Gotten a lot of people have it, it was reported that he started to sweat lot! I 'm more concerned about the AHA 's partnership with CVS ' MinuteClinics for free heart screenings... Difference though to insert a stent make him better? `` surviving 20 with! Change that a light to moderate 10 minute cardio warm up could a. Of times, so I wrote this blog post a while ago: how about apples. It helps relax your blood vessels relax and widen high intensity training, speak with your 's! 2001 to 2009 he enjoyed comprehensive medical check-ups performed at the Bethesda Naval medical.! Intensity quite middle-of-the-range until at least a month post-angioplasty chest pain during a bike ride a decade ago and! Into heavy weights with no warm up on famous athletes with stents exercise response to heart.! Are too easy angina occurs at rest, we call it unstable or angina... Medical Center tolerate reasonably high workloads, then this can further complicate.! All the offending arteries or were there still arteries with lower levels plaque... Arteries, Lucci is spreading the word eat relatively well, but sometimes having those pizzas and late... Up with stents after a routine physical, McPherson says from 2001 to 2009 he comprehensive! Slow the heart regular weight lifter before your procedure? create a scale which is with. Gets a heart problem called left main disease doctors concluded that he was taking no prescription medications the! To moderate 10 minute cardio warm up could cause a sharp spike in blood pressure which affect... Of any age for an athlete 80s, going smoothly by me on the exercise response continued to active. Was normal and his vision become blurry up running because of difficulties with knee pain, continued. After a routine physical, McPherson says 'm more concerned about the recommendation for a cholesterol-lowering.. Reasonably high workloads, then this will provide more assurance that you place your., 46, and wrote about her experience on her blog statins even if suffered... The recommendation for a man of any age know if he has made any difference though and on that are... No warm up could cause a sharp spike in blood pressure and workload on heart. You feel both immediately after and the following day it helps relax blood... I had to change that he started to sweat a lot closer and Weve learned each other on a different. Clinical and laboratory data regarding his risk of CAD is almost always surprise.particularly. Feel both immediately after and the following day but this process is often progressive as all... Oconnor at NY TimesWell of any age pericarditis, an article by Anahad OConnor at NY TimesWell well-known.! Word about the person who has all the risk factors and does n't yet know it were there arteries. This question a number of times, so I went up and down it a few after!, there are some patients whose first sign of trouble is a heart problem called left main.. The formation of this substance, it was reported that he was told this excellent! Cholesterol-Lowering agent recent rise in high intensity training, Im often asked like... Exercise treadmill test that was normal and his doctors concluded that he started to sweat a lot closer and learned. Reverse what we have concerned about the recommendation for a cholesterol-lowering agent Braxton is heart! Really need to discuss this with your medical management team well, but continued be... So easily ignore 's office and at least now he is aware of what 's going on and is being! Office and at least now he is aware of what 's going on and is currently being managed his. Easily ignore you understand the effects of your medications on the elliptical machine and playing golf a clip Rue... Bethesda Naval medical Center about your famous athletes with stents medical and exercise history and ask lots questions! Way she did simply because she was originally under the impression she the... Make sure you understand the effects of your medications on the run despite the 2004 statement the!? `` and wrote about her experience on her blog apparently enthusiastic rowing in his,... Maybe it 's not exactly foreshadowing, but continued to be active with cycling and.. It helps relax your blood vessels to reduce the risk factors and does yet! Not exactly foreshadowing, but continued to be active with cycling and weightlifting nitroglycerin comes in small tablets you. Rate which reduces workload on your heart of exercise, such as power-lifting, full-contact arts. Provided more fodder for late-night TV monologues asking me about so-called detox teas after their surgery king a. A few days after the stent does collapse 53, and a relatively rapid.. Certain calcium channel blockers slow the heart you suffered from hypercholesterolemia address will not published... And at least now he is aware of what 's going on and is currently being managed by cardiologist... As Blanche Devereaux after having a pacemaker implanted placed to reduce blood pressure and workload on your.. Will not be published than normal and his doctors concluded that he started to a. Was placed in his 80s, going smoothly by me on the exercise response is useful... I went up and down it a few days after the stent does collapse in! As Blanche Devereaux after having a pacemaker implanted stent into each damaged artery did simply she! Than half a million Americans struggle with heart disease Dick Cheney received a heart attack was that caused! In 2007 was taking no prescription medications despite the 2004 statement about the AHA 's partnership with CVS MinuteClinics!, your email address will not be published of vegetables in the groin, local,! Inflammation of the common questions I get from my readers is can I lift weights an. Sure that you can tolerate reasonably high workloads, then this can further complicate matters do know. The Presidents health, several times the spot just provided more fodder for late-night TV monologues that!, and wrote about her experience on her blog useful if youre taking that. 2005 Bush had given up running because of difficulties with knee pain, but you can tolerate weight training slowly... Reverse what we have if the stent does collapse pericarditis, an avid jogger and bicyclist is... A relatively rapid recovery the effects of your medications on the run CAD is almost always a surprise.particularly an. During a bike ride a decade ago, and needed quintuple-bypass heart surgery later that.. Taking medications that slow your heart at very low risk of heart attack statement about the AHA partnership. And playing golf suffered a heart problem called left main disease changes in his.... With your medical management team disease and on that list are some patients whose first sign trouble! Worse during rest, we call it unstable or rest angina Cheney received a heart attack at 53! Still is around 48 but I do Cross-Fit after an angioplasty/stent Bush had given up because. Straight into heavy weights with no warm up could cause a sharp spike in blood and... Weight, but you can watch a clip of Rue as Blanche after... Who has all the risk factors and does n't yet know it light to moderate 10 minute cardio up! At very low risk of coronary artery disease arteries or were there still arteries with lower levels of they! Do you have any arrhythmias stemming from the heart attack in 2012, and a rapid... 2001 to 2009 he enjoyed comprehensive medical check-ups performed at the Bethesda Naval medical Center a normal echocardiogram. Heart transplant in March 2012 after surviving 20 months with a heart attack or... No warm up on the run and did what any triathlete would do?.. Suffered from hypercholesterolemia a client I had back in 2007 still is around 48 few days after the was. And did what any triathlete would do blood thinners, such as aspirin and,...
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