BY DAVID WARDEN
Day 28 Splits
Sunny asked me to comment more on James' recent blood test. I'm really not qualified. Short of posting the actual results here, Dr. Rob Chen, who drew the latest sample, had this to say:
As you can see, there are some minor findings of significance. The BUN is slightly elevated to suggest mild dehydration. The Albumin is also mildly low. He can probably benefit from increasing his protein intake. The Calcium level is a little low, but is a measure of "total calcium". The more accurate measurement of biological calcium is tested under "ionized calcium", which is usually very tightly controlled by the body. What this means is that you can have a total calcium level that's a bit off but the true functioning level is fine. No real way to know for sure unless you specifically run the ionized calcium test. Usually not needed unless there's a concern for parathyroid insufficiency. Bottom line, no major concerns here, except perhaps to hydrate better and up the protein intake to combat the level of breakdown from his exertions.
This echos Dr. Post's assessment as well.
I find it incredible that after 25 straight days (the day the blood was drawn) of an Ironman, that James has nothing of major significance. Of course, a CMP test can only indicate so much, but he's doing something right. Diet, pacing, his training plan, recovery, increased sleep...it's all come together for a string of outstanding days.
James reported to me earlier today that he would be able to get 7 hours of sleep tonight. Sweet dreams, James!