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	<title>David Johnston Training &#187; ms physical training</title>
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		<title>Making the Most of the Least</title>
		<link>http://davidjohnstontraining.com/making-the-most-of-the-least/#utm_source=feed&#038;utm_medium=feed&#038;utm_campaign=feed</link>
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		<pubDate>Tue, 09 Feb 2010 07:10:00 +0000</pubDate>
		<dc:creator>David</dc:creator>
				<category><![CDATA[Exercise & Training Tips]]></category>
		<category><![CDATA[fitness]]></category>
		<category><![CDATA[ms physical training]]></category>
		<category><![CDATA[parkinson's physical training]]></category>
		<category><![CDATA[strength training]]></category>

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		<description><![CDATA[I have one personal training client who has multiple sclerosis, or MS, which is an autoimmune disease where an individual’s immune system attacks his or her central nervous system over time. In doing so, the nerve cells in the brain and the nerve cells in the spine lose the ability to communicate. This leads to<br /><span class="excerpt_more"><a href="http://davidjohnstontraining.com/making-the-most-of-the-least/">[continue reading...]</a></span>]]></description>
			<content:encoded><![CDATA[<p>I have one <a href="http://davidjohnstontraining.com?s=personal+training">personal <a href="http://davidjohnstontraining.com?s=training">training</a></a> client who has multiple sclerosis, or  MS, which is an autoimmune disease where an individual’s immune system  attacks his or her central nervous system over time. In doing so, the  nerve cells in the brain and the nerve cells in the spine lose the  ability to communicate. This leads to certain types of physical  deterioration&#8211; specifically, the body’s inability to move and react in  certain manners that you would normally be able to control. Your lose a  certain degree of control over your body with MS. There is no known  cure, simply different methods of trying to manage and deal with the  lifestyle associated with the disease.</p>
<p>I have a second personal training client who has Parkinson’s disease.  Parkinson’s disease, or PD, is a central nervous system disorder that  affects the patient’s motor skills, speech skills, and other functions  of the body. The symptoms of Parkinson’s disease are expected to worsen  the longer you have it. There is no known cure, simply different methods  of trying to manage and deal with the lifestyle associated with the  disease. In this sense, it is very similar to MS.</p>
<p>My client with MS is a bit younger, and definitely more “functional”  overall than my Parkinson’s client. Upon meeting her, most people would  never suspect there was anything at all “wrong” with her. In fact,  before I trained her, she trained for a long time with another trainer,  and I distinctly remember walking over and making fun of her form as  being “terrible” and “imbalanced”, only to later on find out that she  did, in fact, have certain physical imbalances due to the MS! I felt a  little guilty for a while afterwards. However, we ended up becoming  great friends, and when she would no longer fit into the other trainer’s  schedule, I took her on as my own client. The client with Parkinson’s,  by contrast, is a bit older, and has been battling her disease a bit  longer. Upon observing her movement and walking patterns, it becomes  readily apparent that she has certain difficulties walking and moving in  a “normal” manner. She does not have noticeable tremors, but she  definitely shuffles.</p>
<p>In the year and a half I have trained my client with Parkinson’s, I  have rarely seen the effects of the disease affect her personality or  workouts very much. To put it bluntly, I don’t see the disease beating  her, I see her beating the disease. She doesn’t wallow in misery, or get  bitter, or blame the world for her condition. I think maybe once, <em>maybe</em> twice total, have I seen her focus specifically on the issue of her own  mortality. Rather, this client&#8211; and friend&#8211; of mine comes in twice a  week, and works her butt off. There are many exercises we cannot do that  I would do with a “normal” client. She lacks certain types of  coordination, balance, proprioception, strength, flexibility, and range  of motion. But she still comes in and battles for every rep, and does  so, generally, with a smile on her face.</p>
<p>The Parkinson’s client leads what I would call a “big life”. She  takes numerous trips and vacations to locales she is intrigued with, and  loves. She pursues ridiculous clothes and shopping binges, indulging in  outfits others might think odd. She does things in a manner that makes  one think, “This woman loves life, and is living it to its fullest”.</p>
<p>Somewhere down deep, I’m sure her awareness of her Parkinson’s  disease colors nearly every moment of every waking day. I imagine she is  rarely unaware of the fact that she is “different”, both from others,  and from how she used to be. But she doesn’t show it. She doesn’t dwell  on it. She accepts it, states it, and moves on. She has no control over  having Parkinson’s disease. It’s the “given”, that which is out of her  control. So instead, she focuses on what she knows she <em>can</em> control, and makes the most of it. In this sense, she is inspiring.</p>
<p>It’s important to differentiate here between two things: my client  with PD is in no way evading the fact that she has Parkinson’s, or  suppressing, or being a Pollyanna. Rather, she doesn’t use it as a  central, defining factor of her day-to-day existence. It’s merely an  unfortunate aspect of life, and she accepts it for what it is, and she  moves on.</p>
<p>Now, this is not to set up my client with MS as being miserable.  She’s not. She’s a wonderful woman, and an incredibly hard worker. She  is a proud mother, and sports a great physique. When she comes to the  gym, she busts her ass on every rep of every set. She makes constant  strides to improve her diet and her behavior patterns to achieve her  health and <a href="http://davidjohnstontraining.com?s=fitness">fitness</a> <a href="http://davidjohnstontraining.com?s=goals">goals</a>.</p>
<p>HOWEVER, that being said, there is definitely a different approach to  life, or mindset, between my client with Parkinson’s and my client with  MS. My client with MS definitely lets it affect her quite a bit. At  least once every few weeks, it becomes apparent that she is upset about  her inability to do “normal” stuff, and she lets it positively depress  her to the point of affecting her performance.</p>
<p>At first, I wasn’t quite sure how to deal with this. I have a  tendency to be a bit callous and tell the individual to “Suck it up”.  But how do you look at somebody with a chronic disease&#8211; somebody who  has physical problems the likes of which you will probably never know&#8211;  and tell them, “Too bad, suck it up”? Even for the non-empathetic  individual such as myself, such a statement would be a bit harsh.</p>
<p>But then I started thinking: in a broader sense, realistically, we <em>all</em> have a “chronic disease”. It’s called <em>life</em>, and it happens to  the best of us.</p>
<p>I first noticed the phenomenon with my wife, Nikki. Nikki played  collegiate volleyball, and was a monster on the court. From the ages of  10 until the age of 21, being awesome at volleyball was the singular  defining criterion of Nikki’s life. Insofar as she received  gratification and joy from this world, it was from being great at  volleyball. And obviously, this involved a huge physical component.  After college, Nikki would still (and does still) play with a league of  other girls that grew up playing. When she plays, you can see she still  loves it and enjoys it, yet is torn&#8211; she knows she is past her prime,  and can’t hit like she used to hit. As she gets older, this will  probably run in one of two directions: she will either become bitter at  her inability to play like she used to, or she will become somewhat  accepting of her limitations and continue to enjoy the sport she always  loved, in whatever capacity she is able to play.</p>
<p>This same phenomenon occurs frequently with athletes. Many will  describe watching an older athlete as somewhat “pathetic”, seeing them  trying to recapture glory past their prime. This leads to endless  debate&#8211; did it make sense for George Foreman to keep coming back after  the title? How about Michael Jordan&#8211; wasn’t he going to tarnish his  legacy by coming out of retirement and playing for the Wizards after  leaving the Bulls?</p>
<p>I faced a similar situation a few years back. My left shoulder was  injured, and severely limiting how well I could pursue my <a href="http://davidjohnstontraining.com?s=bodybuilding">bodybuilding</a>  goals. Most of the time my workouts were pretty good, but for two years  straight, about a third of the time, my left shoulder would act up badly  and make it so that I had a terrible workout. I would get pissed off.  Pissed off at who? Well, at the world, I guess. There was no direct  object for my anger to attach to. I was simply mad. It felt unfair, like  I shouldn’t have to experience this pain for no reason at all.</p>
<p>Yet I persisted in trying to find new exercises and new angles to  stimulate muscular growth until I had my surgery. Sometimes I was  successful, and sometimes I just grew even more frustrated by the lack  of progress. Overall, however, I tried to retain a positive outlook and  figure it out like a problem to be solved. I knew my shoulder was  injured, and no amount of bitching about it or being upset was going to  fix it&#8211; <em>or</em>, was going to allow me to win a bodybuilding  competition, even if I gained the empathy of others.</p>
<p>Watching the differences between my MS client and my client with  Parkinson’s is telling and educational. It lets me know how I want to  face my life as I get older and my body breaks down. I know it is  inevitable that my body will begin to rebel against me. With the  intensity with which I train, it is only a matter of time before I have  significant chronic injuries and overuse patterns. I will train  intelligently to fight them as long as possible, but realistically, it’s  still part-and-parcel of being a bodybuilder. It’s a price I’m willing  to pay right now in pursuit of my goals.</p>
<p>But how about afterwards? Once I’m older, and I have, say, chronic  back pain, or knee problems, or shoulder pain, or whatever, will I look  back disgruntled at what I did? Will I be angry about my lot in life? Or  will I smile and accept it, relegating it to the backburner of the  unimportant, and instead try to focus my efforts and attention on that  which I can now control?</p>
<p>Life is a constant process of oscillating back and forth between  looking at the past, looking at the future, and assessing the present.  You can’t dwell exclusively on any one of the three to the exclusion of  the others. Your past experiences define your present situation, and  hopefully, inform how you will make decisions in the future.</p>
<p>But in the future, when my body is beat up and I am older and can no  longer perform like I currently do, I hope a few things hold true. I  hope I look back on this time period and, rather than regret it, I  embrace it&#8211; I embrace it as defining who I am, and what got me to my  end goal. I hope I smile at all the times I did stupid stuff, even if it  lead to disaster and injury. I <em>also</em> hope that I think back to my  Parkinson’s client, and how she faced the world. She might have been  slightly afraid, or in pain, but she never showed it. She always smiled  and looked at all the awesome things she was accomplishing, and talked  about the future things she would accomplish.</p>
<p>We come to find, in this world, that there are very few things we  have full control over. Most aspects of the universe are out of our  hands, from our genetics, to the chronic diseases we encounter, to  certain natural catastrophes. But we <em>can</em> control a few things.</p>
<p>First of all, we can control what we focus on. We can focus on the  negative aspects that are out of our control, and dwell on the bullshit  that is ultimately a part of <em>everybody’s</em> life, or we can turn our  attention to the triumphant and heroic aspects that define our days. I  would rather spend my time laughing ridiculously, and training like a  ferocious beast, than worrying about injuries or pain or remorse or  future-regret My time on this planet is too limited to define it  according to negatives. I want to be wheeled to the grave knowing I  couldn’t have given <em>any more</em> than I gave. Knowing you left  something in the tank&#8211; that, to me, is the definition of “regret”.</p>
<p>Second of all, we can control how we face our adversities, which is a  slightly different issue. Cliché, yes, but there is a great line from  the movie <span style="text-decoration: underline;">Gladiator</span>, spoken by Proximo: “Ultimately, we’re all  dead men. Sadly, we cannot choose how but, what we can decide is how we  meet that end, in order that we are remembered, as men”. When life deals  you something less than ideal, how do you face it? Are you afraid, or  bitter, or upset, or angry? Or, by contrast, do you find a way to  overcome it, to rise over it, to smash it and conquer it? And even then,  when all is said and done&#8211; given that nobody will overcome and rise  and smash and conquer indefinitely&#8211; are you able to proudly stare death  in the eye and say you fought as hard as possible? Are you able to find  acceptance deep down within?</p>
<p>It’s a delicate balance between the two. “Acceptance” of something  less-than-ideal is often the consequence of quitting prematurely&#8211;  “Well, I’m never going to get there anyways, so why bother? I’ll just  stop now and save myself the pain”.</p>
<p>The balance is achieved by fighting your struggle on a daily basis&#8211;  to achieve your physique goals, your health goals, your career goals,  your spiritual and emotional goals, your intellectual goals&#8211; and then,  once the evidence becomes overwhelming that you can no longer achieve  your goal realistically in this world, wiping the sweat from your brow  and smiling. The accomplishment of your goal is more in the satisfaction  of knowing you fought as hard as you possibly could, than it is in  having the tangible end by itself. Learning to take the least ideal  situation, and make the most of it, is what defines success in this  world.</p>
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