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In the last 25 years the challenges presented by performance enhancing drugs in sports and the inadequacy of the drug testing agencies to deal with it, has come to a point that even high ranked officials are venting their frustration.
"There's definitely a performance-enhancing effect if you use things that improve oxygen transport to the tissue," says Larry Bowers, an expert on athletic drug testing and senior managing director of the U.S. Anti-Doping Agency. He says anonymous surveys of athletes indicate that only a tenth of them use performance-enhancing drugs. But he acknowledges that doped Athletes may win most of the time."
"Charles Yesalis, an epidemiology professor at Pennsylvania State University who has written extensively on the use of performance-enhancing drugs in sport over the past 23 years, believes a "large percentage" of record-holders probably doped their way to the finish line. "A lot of experts, at least in private, feel that way," he says."
"Yesalis maintains that drug testing, as practiced at past games, has been a "farce." "Just because of my own value system, I have never seriously entertained legalizing drugs," says Yesalis. "But the stench of the hypocrisy is starting to outweigh my hesitation to just throw up my hands and say, 'Let everybody do whatever they want.'" Performance Drugs Outrun The Olympics - Matthew Herper, 02.15.02, 12:00 PM ET Forbes.com
As Charles Yesalis, of the US. Anti-Doping Agency, I feel like saying "'Let everybody do whatever they want.'", but perhaps it would be the wrong signal, so let us analyse, what might happen if performance-enhancing drugs were legalized for professional athletes:
- Young people would get the wrong message.
- Our general anti drugs laws would not make any sense because; athletes are users and abusers of illegal drugs such as;
Amphetamines, Diuretics, Growth hormone, Anabolic Steroids, Cocaine, Coca leaf juice, Cannabis even Monkey Brains and G.O.R.K. (God Only Really Knows)!
- All drugs would have to be legalized!
- We would have a quarter of the world taking speed, a quarter smoking cannabis another quarter snorting cocaine and the rest wondering what to take to look "Normal"! Kidding apart it would be a catastrophe! Or would it be?
- The already existing sports fanatics and wanabe champion dysfunctional and destitute of any talent would start taking drugs
in the hope it would work for them! (Even though it would not work, because you still need to be a pure bread/great athlete
to win.)
- Greedy parents would start pumping their children with all kinds of terrible things. (How naive am I, as if they were not
doing it now?)
- High school coaches of all sports would have a heyday!
"A 2005 survey of high school students across the country by the national Centres for Disease Control and Prevention reported that 4.8 percent had used steroids without a doctor's prescription.
Not that anyone needs a doctor. A 2005 study by monitoring the Future, a federally funded research organization, found that nearly 40 percent of high school seniors said steroids were "fairly easy" or "very easy" to acquire." Impact of steroids felt across high school sports C.W. Nevius Wednesday, September 20, 2006 - San Francisco Chronicle
So if; At the Sydney Games, out of almost 3000 athletes tested, some 80 per cent of them admitted to taking at least one ‘legal’ drug or supplement. Over 500 admitted to taking more than five. It is clear that the ‘medicalisation’ of human performance, at least at the Olympics, means that sport could not, ironically, exist without drugs whether they are ‘legal’ or not." Drugs in sport - a bitter pill to swallow Fri, Dec 8, 06 16:15
''No one wants to see me put the shot 65 feet or throw the discus 200 feet, and the only way I can make a big throw is to use steroids.'' He said the competition would still be legitimate because he said 80 percent to 90 percent of the athletes he would face were using steroids. VIEWS OF SPORT; Liberate Track and Field From Steroids VIEWS OF SPORT; By EDWIN MOSES
Nicolas Escude former ATP player (Career High ATP Ranking - Singles: 17 (26-Jun-2000) at the French open 2002. In Paris, French Davis Cup player Escude said: "To say that tennis today is clean, you have to be living in a dream world." By Piers Newbery - BBC Sport Online at Wimbledon Friday, 28 June, 2002, 17:05 GMT 18:05 UK
Now the case for making it legal for professional athletes to take drugs:
- If the estimate is that around the 80% of the Athletes use some sort of performance enhancing substance, there is a strong case for legalization!
- Performance enhancing drugs should be legal for professional athletes only and above the age of 18 years old.
- Laws should be made to protect non-professional athletes and youngsters - No Tolerance on use or abuse.
- No tolerance for the use of performance enhancing drugs for non-professional until the age of 18 years old!
- Doctors and Medicine Sports Centres should be responsible for the Athletes medication.
- The Athletes and Doctors and labs should take full responsibility for their own decisions.
- Coaches should stay completely out of the equation, the professionals on the field; Doctors, Scientists and Labs should be the only ones making decisions with the Athletes.
There are a lot more issues, but to make this article shorter we have to understand that, the general public is well aware of what is going on and so do officials, sponsors and governments. There is too much money involved, billions and billions of dollars; we are no longer in the "Pierre de Coubertin" era. It is time for a change and everyone will feel better with the situation, the IOC, the governing bodies, the testing sites and the Athletes themselves.
Why are we then continuing this charade? Keeping on saying that our sports are clean when in any given Olympic games more than 8O% of the Athletes are "sick" or asthmatic, or have liver, heart or lung problems in order to be prescribed "legal" (Illegal) drugs and compete! And when almost every week there is a report about drug use by professional Athletes!
Remember in my last article; - "SYDNEY, Australia (AP) -- John McEnroe has reportedly admitted he unknowingly took steroids during his tennis career.
"For six years I was unaware I was being given a form of steroid of the legal kind they used to give horses until they decided it was too strong even for horses," McEnroe was quoted as saying in The Daily Telegraph newspaper in Sydney on Monday." [http://www.cnn.com/2004/SPORT/01/11/mcenroe.steroids.ap/] - CNN WORLD SPORTS Sunday, January 11, 2004 Posted: 8:52 PM EST (0152 GMT)
...and the ATP, the ITF and whoever else tests the players did not detect "HORSE DOSES of Steroids" in John McEnroe's urine or blood tests? Definitely, "They cannot be serious!"
"In his book ''You Cannot Be Serious'', McEnroe said he suspected that steroids and amphetamines had made their way into the top levels of the sport in the 80's. " Why were steroids or amphetamines not detected on other players either, that is if players were tested at all?
The excuse, "the tennis authorities were testing for recreational drugs only", oh!...and cocaine apparently stays in your body for the rest of your life in the roots of your hair. How come cocaine was never detected in any of the possible suspected culprits in the Tennis Tour then? Or is this a case of the whole world being "stupid" and these organizations know better?
We could go on and on citing more and more questionable actions by officialdom to no avail. The crux of all of this is; "Should we legalize performance-enhancing drugs in tennis/sports?" As much as I hate to say it, to bring this absurd hypocritical charade to an end, my answer is a redundant yes!
Your opinion is very much appreciated, please go to my website and vote, yes or no, the results will be there for everyone to see.
For quick access to all links to the referenced articles please go to http://www.tenniscruz.com
Copyright © Tenniscruz.com®. All rights reserved.
I recently discovered that a few of my over-40 patients appeared to be over-medicated from a combination of prescription drugs they had been given by different doctors. They came in complaining of not feeling well and said that they had been taking all of their prescriptions.
When I asked them what prescription medications they were taking, some reeled off a long list of drugs and others would bring in all of their pill bottles. One person was taking so many prescription drugs that they kept them in a shoe box! I was astounded at the amount of prescription drugs some were taking daily, often with duplicates and triplicates of the same types of drugs. No wonder they were feeling so poorly, complaining of things like memory loss, weakness, and stomach upsets.
Today, I'd like to talk to you about the potentially serious health risk of over-medication and how to prevent it.
How To Prevent Over-Medication
Over-medication is commonly referred to amongst medical personnel as polypharmacy, the taking of an excessive amount of prescription, pharmaceutical drugs. It is actually reaching epidemic proportions in the United States today, and it's most common in over-65 patients. It also occurs, however, in younger patients with multiple health conditions, including people who may be taking over 20 different drugs a day!
A patient may unknowingly be taking several prescriptions of the same types of drugs. How is that possible? Well, here's how.
A new patient came to me complaining about feeling ill with symptoms that were not related to her asthma condition. It was discovered that she was taking 5 different drugs, when only 2 were needed She had seen a few different doctors in the past and all had prescribed a drug for her condition. Trying to trust her doctors and follow their orders, she had just continued to take all of them! When we omitted the 3 extra drugs, her symptoms and ill-feelings disappeared.
Unfortunately, over-medication is not often discovered until a patient winds up in the hospital from either an overdose, or when they become ill from over-treatment, and/or side effects from taking too much of certain drugs. Sometimes a pharmacist notes that a patient has several doctors prescribing similar types of drugs and will alert the patient and/or physicians.
Did you know that 1.5 million adverse drug reactions occur in the United States every year, with thousands of them fatal? Research has shown that over half of all those events could have been prevented by streamlining a patient's drugs to the actual symptoms and effects of their specific medical condition. We've become, sadly, a culture of "a pill for every ailment". What can happen when a patient starts complaining about possible side effects from too many drugs is that another doctor will step in and prescribe a different medication for the same symptoms! Pretty soon, the patient is taking a whole arsenal of pills and not feeling any better. The answer is not to stop telling your doctor about ill feelings from possible side effects, but rather to better monitor the drugs you are given.
Before you end up in a hospital from an overdose or making yourself feel worse from taking too many medications, here are some ways to prevent from becoming over-medicated:
Talk to your pharmacist - ask if any of the medications you are taking could be causing certain side effects. Pharmacists often know specific side effects and drug interactions of specific drugs better than many doctors do. That's their job. It is important to tell them about any prescriptions you may have received from another pharmacy that you are continuing to take, as they will only know about the drugs dispensed from their pharmacy to you. This will help rule out duplicates of the same class of drugs, i.e. drugs for diabetes, drugs for heart condition, tranquilizer drugs, pain drugs, etc.
Talk to your physician - ask your doctor if it is possible to reduce the amount of drugs you are taking every day or week. Give the physician any information obtained from your pharmacist, i.e., drug information sheets that should include side effects or drug interactions. Or, have your doctor speak directly to your pharmacist about the drugs you are taking. It is likely the two of them can work out a more efficient pill taking regimen. Some physicians may feel insulted that you're asking them to work with a pharmacist on your behalf to reduce the amount of your prescriptions and may even reprimand you for not trusting him or her. If so, find another doctor.
Take Your Medications Correctly - it's not always the doctor's fault. Some people do not take their prescribed medications correctly or just don't take them at all. They continue to complain of symptoms and continue to have abnormal lab results, but are embarrassed to tell their doctor they didn't take their prescriptions consistently. A doctor may then think that the drug he prescribed to you is not working and may either increase the dosage or give you another prescription! Be sure to follow the directions on your prescription bottles exactly. Get a pill reminder box and fill it, or have someone you trust, fill it every week to ensure you are taking your medication as prescribed.
Know What Each Medication Is - it's up to you to participate in your health care. Know what each medication you take is for and how to take it correctly. Read the drug information sheets that are given by your pharmacy, discuss any questions with the pharmacist and/or your physician.
Don't Forget OTC's and Alternatives - even though these agents are sold "over-the-counter" they sometimes may interact adversely with prescription drugs or prevent them from working. Make sure you tell your doctor about any herbal supplements, vitamins, minerals, pain relievers, etc. For example, calcium cannot be taken within 3-4 hours of taking thyroid hormone as it will inactivate it. Grapefruit extract, an herbal supplement which some people take, can also interact with and/or prevent certain drugs from working. This is why it is important to detail everything you take.
Like some of my patients, you may need to take several prescription medications for various health issues that you may have. However, if you are taking a long list of medications, there is a risk that you may be over-medicating and you should take the time to talk to your doctor about possibly having your personal "pharmacy" reduced to a more effective, and safe, amount.
Mark Rosenberg, M.D.
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