Category Archives: exercise

Breathe: Inhale to Breakdown Fat, Exhale To Lose It

09 Monday Apr 2018

Posted by in Aging, All Rights Reserved, exercise, Generational, habits, Health, Lessons of Life, Life, Medicine, Nevada, parenting, Random, Recreation, Reno, Science, Women

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Fat is not all bad. In fact, it is absolutely necessary as a body regulator and protects the body from injury and heat loss. It is basically an organic, cushy, multiuse storage unit in the body. The problem is that most of us don’t need all that storage, so we attempt to rid ourselves of it. To accomplish that we need to remember to breathe.

BEAR: Do I look fat to you? Think before you answer.

[NOTE:  This article is based on an article from Live Science, “What’s in a Fat Cell?”]

Fat Has a Purpose, Many Actually

If we ate the same food, and the same amount on a consistent schedule, fat would be less relevant. Fat is a buffer, retaining surplus compounds and releasing them when the body lacks those compounds.

Most people know fat is storage unit, but it is also a hazmat locker when the bloodstream has can’t process toxins in the blood. Fat also is necessary to process certain vitamins so the cells can use them. In addition, fat has two functions that many people overlook. Fat cells are a shock absorber for the body, and certain fat cells break down and generate heat to help regulate the body temperature.

The Big Three of Fat

Fat has three main elements. Carbon, hydrogen, and oxygen. When fat is ‘burned’ it is a chemical process caused by oxygen interacting with the carbon and hydrogen. The outcome is water (H2O) and carbon dioxide (CO2.) The water is removed from the body through sweat or the digestive tract (urine and feces,) but the carbon dioxide is expelled when we exhale.

This makes the respiratory system critical in the elimination of fat cells. The oxygen inhaled is the oxidizer needed to break down the fat cell, and the carbon dioxide is exhaled. When we lose weight, the waste product is liquid and gas, not solid.

So, just breathe…and exercise…and eat healthily.

Are You Not Breathing When You Sleep?

30 Saturday Dec 2017

Posted by in About Reno, Aging, exercise, Generational, Health, Lessons of Life, Science, Technology

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Hooked up for my sleep study

One of the scariest situations I have encountered is to learn that my brain sometimes forgets to trigger my breathing while I’m sleeping. It is called Central Sleep Apnea and it is different from Obstructive Sleep Apnea that typically is related to snoring.

Central apnea is a ‘systems disorder’ in that the nervous system fails to trigger the breathing reflex. Obstructive apnea is a ‘mechanical disorder’ caused by blockage of the respiratory airways as the soft palate and the tongue relax and collapse into the airway reducing or stopping the airflow. Obstructive apnea is usually associated with snoring. Central apnea is not.

In my case, I have both obstructive and central apnea. Both affect my oxygen saturation in my blood when I sleep, and both can disrupt the quality of my sleep cycles. My central apnea may be a result of my 2012 Wallenberg’s Stroke (AKA:  Wallenberg’s Syndrome.) This is a stroke affecting the medulla, or brainstem that controls automatic body functions such as breathing.

Obstructive sleep apnea is relatively common; however, central apnea is not as common. In addition, obstructive apnea is effectively treated by using a CPAP or BiPAP machine during sleep to force pressure into the airway. Central apnea can be improved by this treatment; however, neither a CPAP, nor a BiPAP machine are designed to recognize a lack of breathing; therefore, a patient with central apnea may still have an issue with low oxygen saturation because the carbon dioxide is not being expelled from the lungs.

Unfortunately, some pulmonary medical professionals involved in diagnosing and treating sleeping disorders focus on obstructive apnea because it is more common, and it is effectively treated with a machine. Central apnea may have fewer events per night than obstructive apnea and when a medical professional observes that most of the apneas are resolved with a CPAP or BiPAP machine, it could be easy for them to view the remaining central apnea events as insignificant.

However, if a patient has central apnea, his brain may still be starving for oxygen even if the obstructive apnea events are completely resolved. The only way to determine this is for the physician to do a follow-up oximetry study to determine if the oxygen saturation of the bloodstream is at normal levels after treatment of the obstructive apnea has begun.

Both obstructive and central apneas can lead to serious health issues including excessive insomnia, fatigue, weight gain, headaches, nighttime chest pain, difficulty in concentrating, and mood changes.

Central apnea can also result in death. There have been documented cases (SEE below) of a patient dying in their sleep (Ondine’s Curse) within days or weeks of a Wallenberg’s stroke. The assumed cause is a failure to breathe.

The only way to determine central apnea is for the patient to undergo a sleep study; however, it is important to remember that not all sleep study programs recognize central apnea as a significant issue. If the patient has both obstructive and central apnea, they may assume that treatment of the obstructive apnea issue resolves the problem. It is vital that a follow-up nighttime oximetry test be done to determine if the oxygen saturation is resolved by the use of a CPAP or BiPAP machine.

My apnea issues were undiagnosed for five years after my Wallenberg’s Stroke. Hopefully, the neurological medical community will someday require a sleep study for every Wallenberg’s Syndrome patient as part of the best practices for stroke patients. Post-stroke apneas seem to be overlooked because they don’t present obvious symptoms unless the patient dies.

Links to central apnea related to Wallenberg Syndrome:

Central sleep apnea (Ondine’s curse syndrome) in medullary infarction

Central type of sleep apnea syndrome caused by unilateral lateral medullary infarction

Obstructive sleep apnea after lateral medullary syndrome

Sleep Apnea as a Feature of Bulbar Stroke

Delayed Central Respiratory Function After Wallenberg’s Syndrome

Rapidly progressive fatal respiratory failure (Ondine’s curse) in the lateral medullary syndrome

Ondine’s Curse in a Patient with Unilateral Medullary and Bilateral Cerebellar Infarctions

Death By Snoring

17 Monday Jul 2017

Posted by in Aging, exercise, Generational, Health, Science, Technology

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My sleep study wasn’t all fun and games….in fact…

Not all people who snore have sleep apnea, a stoppage of breathing during sleep, but most, if not all, people who have sleep apnea, snore. The problem is that if a person has sleep apnea, they are likely dying a slow death.

I have snored for most of my adult life, and I’ve known it was bad. What I didn’t understand was that my snoring was a sign of sleep apnea, and it has affected the quality of my life. Left untreated, sleep apnea acts almost like a disease that nibbles away at a person’s health, until the body systems began to fail.

A sleep study, involving sleeping in a lab where I was observed all night, revealed that my breathing stopped 82 times…in one hour. In addition, my oxygen levels dropped below acceptable levels.

What that means is that the following health issues may have been caused by, or exacerbated by my sleep apnea:

Stroke:  Five and a half years ago sleep apnea may have contributed to, or caused my Wallenberg stroke.

Fatigue:  My sleep apnea likely has kept me from obtain quality sleep every night, and led to a near constant state of fatigue.

Overweight:  Most of my life I have been able to eat almost anything and not gain weight; however, in the past twenty years, my weight has soared, and now I am almost sixty pounds over my recommended weight. While aging is a factor, sleep apnea, and the resulting fatigue is likely contributing to the issue.

High Blood Pressure:  Sleep apnea is linked to high blood pressure, and my blood pressure has gone from borderline high to blood pressure that requires treatment with medication.

Brain Atrophy:  After my stroke I had a MRI scan of my brain. The neurosurgeon wrote that I had brain atrophy, but he linked it to normal aging. Now I question the role sleep apnea has played in the shrinkage of my brain.

Depression:  I have had issues with mild depression since my stroke. I believe most of the depression is linked to the frustrations with lingering effects of the stroke. Sleep apnea may be a primary cause of those issues, and/or it has had an effect on my overall sense of wellbeing.

Difficulty Exercising:  I often become light-headed and mildly dizzy when a begin to exercise. Even a simple walk can generate the symptoms. If my brain is starved for oxygen at night, it might be establishing a deficit during the day that leads to a lack of oxygen for exercise.

Concentration:  In the past few years I have written less. It is possible that sleep apnea has made it difficult to concentrate.

It is unclear how much sleep apnea has contributed to my health issues, as aging also contributes to many of the above symptoms; however, it is almost impossible to establish natural aging issues from issues caused by sleep apnea. It may take months for me to feel a difference using a machine to maintain an open airway at night.

Still, starving the brain and body of oxygen every night is going to cause damage over the long term. If left untreated, I won’t die of sleep apnea, but I will die of what sleep apnea does to my brain and body.

Pokémon NO GO December Events

24 Saturday Dec 2016

Posted by in About Reno, Business, Communication, Customer Relations, Customer Service, exercise, Generational, Health, Honor, Information Technology, Internet, parenting, Pride, Public Image, Public Relations, Recreation, Technology, Travel

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The Pokéstop locator screen reinforces the blandness of the game with no interesting creatures for kilometers

The Pokéstop locator screen reinforces the blandness of the game with no interesting creatures for kilometers

Pokémon GO has announced its Christmas/New Years events and players were served coal in their stockings. It’s clear the people at Niantic are out to teach their customers about having expectations, and they want to end any hope for trainers that the game will become reenergized.

The stunning game of the Summer of 2016 has been replaced by an anemic and expensive app that rapidly drains the phone battery, insults players, and rewards loyalty with false hopes. Those loyal players have kept a belief that Niantic was committed to keeping the game interesting, and that by the end of the year there would be scores of new characters in the field to seek and capture.

Instead, we discovered that the naysayers who pitied us for playing a game that they felt was a waste of time, were correct. The Pokémon GO game has become Pong. 

Niantic’s cruel trick of December 12 was doubled down with the anti-event for the end of the year. Not only did Niantic fail to add new characters in the field…AGAIN, they took away the double point bonus of the Halloween and Thanksgiving events.

I’m embarrassed by my support for Pokémon GO. I thought Niantic was a company who appreciated their customers, and were keenly aware of what had to happen to keep their loyal players and bring back their old ones, but I was completely wrong. I apologize to former players who I mislead. Niantic is not going to reenergize the game, and it is a waste of time.

Pokémon GO: December 12th Coulda, Woulda, Shoulda

13 Tuesday Dec 2016

Posted by in Branding, Customer Relations, Customer Service, exercise, Generational, Health, Information Technology, Internet, Management Practices, Public Image, Public Relations, Recreation, Respect, Social Media Relations

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If you can’t say anything nice, don’t say anything at all.

That is sage advice that I almost never take. 

12 December 2016, could have been a big day in Pokémon GO lore. It was the day that Niantic would recapture the interest of millions of trainers who have lost that loving feeling for the game. It was the day that Niantic, in a stroke of brilliance, would tease, and then deliver on infusing life back into the game.

December 12, 2016: Disappointment Day

December 12, 2016: Disappointment Day

Let’s back up for the muggles. The alpha and omega of Pokémon GO is capturing virtual characters in the wild on a player’s smartphone. There are currently 149 characters of which, some are common as dirt, others uncommon, others rare, and a few that are almost nonexistent. There are other aspects of the game, but those are secondary to capturing ‘wild’ Pokémon GO characters.

Since its launch in July, millions of people have played the game and moved through multiple levels of the game; however, the game has lost the attention of many players (or trainers) because they have caught most of the available 149 Pokémon Go characters. When someone has reached Level 25, they have seen and captured almost all the ones that they can realistically find. By Level 25, a trainer is mostly seeing the five to ten ‘common-as-dirt’ characters, and that makes the game boring.

Rumors have been flying for a couple of months now that Niantic has been aware of the issue and was preparing to introduce the “2nd Generation” or 2nd Gen of characters, that would add about 100 new Poké creatures. Last week, Niantic updated the sound files on everyone’s smartphone app, adding 100 new files, leading to speculation that the addition of the 2nd Gen characters was imminent. Then, Niantic said that on 12 December they would make a major announcement about adding new characters. The stage was set and anticipation was building.

What happened? They apparently added eight baby characters, and gave Pikachu a Santa hat. Oh, and the new characters can’t be caught in the wild. A trainer has to take their phone for a walk of up to ten (10) kilometers to hatch an egg that may or may not have a new character inside.

Do you hear that sound? It is the deafening sound of millions of former trainers shrugging their shoulders, shaking their heads and walking away.

So what positive things can I say about Niantic’s big 12 December announcement?

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Pokémon GO Partners With Starbucks

08 Thursday Dec 2016

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It's official!

It’s official!

It’s no longer rumor. Pokémon GO is now a partner with Starbucks, and it is the perfect match.

At shortly after noon today (8 December 2016,) Mountain Standard Time, Niantic (the developer/partner of the Pokémon GO app for The Pokémon Company International aka: TPCi) turned on over 7,500 new PokéStops and Pokémon Gyms at Starbucks locations around the United States. Starbucks also began serving Pokémon GO frappuccinos to complete the partnership.

During its July launch, Pokémon GO placed PokéStops and Gym in retail centers and malls, creating a windfall of potential customers; however, businesses were not active partners with Pokémon (TCPi.) This week’s launch of business partnerships with Starbucks and Sprint (launched yesterday) signals a new era in cross-pollination of business interests with increased customer traffic created by the Pokémon GO game.

Rumors suggest that Pokémon GO is not finished in December surprises. The most anticipated update is the addition of the second generation of Pokémon GO characters. Trainers (players) are running out of new characters to capture, so a holiday event that includes expansion of the character field would be vital to keeping trainer interest.

Stay tuned!

Successful Exercise Incentive Program Disguised As Smartphone Game

03 Saturday Dec 2016

Posted by in About Reno, Aging, Business, exercise, Generational, Green, Health, Information Technology, Internet, Public Image, Public Relations, Sports

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Exercise is evil. Almost anything we do to exercise is tedious, which is why many of us don’t do it. Newsweek® tells us that seven out of ten people in the United States are overweight. Several sources have suggested that we should walk about 10,000 steps a day, or 8 kilometers (about five miles) but most of us don’t.

However, all that changed in July of this year.

On 6 July, a new game application (App) was launched for use on smartphones. The App creates a real world Google-based map of the player’s location and uses incentives to encourage players, (also known as the trainers,) to walk. Incentives include fictional characters that must be collected. Some characters are common, some are less common, and some are exceedingly rare. Each character that is collected, or captured scores points for the trainer.

Users of new exercising app

Users of new exercising app

In addition to ‘hunting’ for characters, trainers can walk around public areas such as parks, campuses, and commercial shopping areas (like downtown areas and malls) to find locations, or stops, to free supplies used to capture, cure, and hatch more characters.

The hatching process also encourages walking. Trainers who collect character eggs at a stop must walk either two, five, or ten kilometers (1.2 mi., ≈3 mi., or ≈6 mi.) to hatch the egg. The greater the distance to hatch an egg, the rarer the character.

The game limits the speed of the trainer to a walking pace. Even the cruising speed of a bicycle is too fast for obtaining mileage (kilometerage?) credit towards an egg hatch, and most game functions shut down at anything approaching the speeds of motorized travel.

After it’s launch, the game became the most successful launch of any App in history with over 10 million people downloading the App in the first week. It was so successful that some were threatened by the amount of people exercising in public areas. 

Most people know the exercise App by the name Pokémon GO. Millions of people use it every day and many of them don’t realize that it is encouraging them to exercise.

Copyright 2016 – Paul Kiser