Among the hundreds of lessons I learned during my youngest child’s first year of life was this: If you earnestly pursue dunking after your athletic peak years of 18 to 30, give or take, it can be done. You can enjoy what it feels like to dunk. You can even feel it more purely than I did, maybe without needing a lob from a friend, and hopefully without all the hand damage. But you should expect a long, frustrating, demeaning war of attrition that pits mind, body, spirit against the most oppressive, unrelenting opponent of them all: gravity. The sun rises and sets, the tides creep in and out—even taxes and death seem negotiable nowadays—but gravity remains constant, forever pounding our shoulders, stooping us shorter as we grow gray, never letting up—no matter what NASA tweets.
The dose was determined according to the patient's body weight. Doses of dopamine could be increased or decreased by 2 μg per kilogram per minute and doses of norepinephrine by 0.02 μg per kilogram per minute (or more in emergency cases) (see Figure 1 and Figure 2 in the Supplementary Appendix, available with the full text of this article at NEJM.org). An example of the dose-escalation table is provided in Table 1 in the Supplementary Appendix. The target blood pressure was determined by the doctor in charge for each individual patient. If the patient was still hypotensive after the maximum dose of either agent had been administered (20 μg per kilogram per minute for dopamine or 0.19 μg per kilogram per minute for norepinephrine — doses that have been shown to have similar effects on mean arterial blood pressure12,13), open-label norepinephrine was added. The dose of 20 μg per kilogram per minute for dopamine was selected as the maximal dose because this upper limit was the standard of care in the participating ICUs, in line with expert recommendations14 and international guidelines.15
Among patients with cardiogenic shock, the rate of death was significantly higher in the group treated with dopamine than in the group treated with norepinephrine, although one might expect that cardiac output would be better maintained with dopamine26-28 than with norepinephrine. The exact cause of the increased mortality cannot be determined, but the early difference in the rate of death suggests that the higher heart rate with dopamine may have contributed to the occurrence of ischemic events. Whatever the mechanism may be, these data strongly challenge the current American College of Cardiology–American Heart Association guidelines, which recommend dopamine as the first-choice agent to increase arterial pressure among patients who have hypotension as a result of an acute myocardial infarction.7
I met Janik at Velocity Sports Performance in Manhattan, where he trains clients. Janik was so handsome and well built he looked like an X-Men character. We talked about my athletic background and what I needed to do in order to dunk in ten weeks. He assigned me a three-days-a-week program that would improve my explosiveness and overall leg strength and told me to check back in three weeks to adjust it. "If you follow the program and your intensity level is high," he said, "I guarantee you’ll dunk again."
In the tradition of New Year’s resolutions and the like, you can give yourself a year. I certainly didn’t want to give myself more than a year, because after a year I knew I would grow tired of it, and my body would start to get quite unhappy with me. But I would recommend to someone that they give it a go for at least six months. It’s also a way of just getting yourself in fantastic shape. I mean, trying to dunk a basketball in itself is awesome. It’s really great to be able to dunk a basketball, to get yourself higher up than you thought possible. But the process of getting yourself in that kind of position is itself rewarding.
I have to admit...I bought this for my 5 year old son, but I found it to be just as enjoyable! Setup took a matter of minutes before he was launching his first rocket in the air. he was impressed with the THUMP followed by a dissapearing act as it launched into the sky. After he had a few tries it was my turn, I assumed it would not handle my 200lb frame very well so I started light and worked my way up to an all out double foot stomp that left craters where I landed. The SQUEEEEEL from my son as the rocket nearly "went to the moon" was priceless. We lost a few rockets that day to rooftops, damage from landing on pavement, and one down a difficult to repeat sewer drain. I advise to have the little ones wear safety ... full review
One morning a week later, the gym at the Y was empty. I picked up the same mini-ball and unsuccessfully tried to throw it down. I found the more relad I was, the higher I could jump. So I loosened my shoulders, took a depth breath, and approached the rim. I held the ball for a beat longer this time, and easily popped it over the rim. It felt incredible. I did it a few more times, each easier than the last, pulling down on the rim with unnecessary force for maximum satisfaction. But as exhilarating as it was to dunk again, I was only using a mini-ball—I hadn’t completely reached my goal.
Other binary end points were analyzed with the use of chi-square tests, and continuous variables were compared by means of an unpaired Student's t-test or a Wilcoxon rank-sum test, as appropriate, with the use of SPSS software, version 13.0 (SPSS). All reported P values are two-sided and have not been adjusted for multiple testing. The study statistician and investigators remained unaware of the patients' treatment assignments while they performed the final analyses.
How do you know these will work? A little over a year ago, I was a 6′7″ HS junior, and I could almost touch rim. I decided that I wanted to dunk as soon as possible. I worked by butt off, doing these numbers or more every day (well, almost). 3 to 4 months later, I threw down my first dunk on a regulation goal (10 feet). Fast forward to today, I am a 6′8″ HS senior, and can dunk regularly (am close to doing a two handed standing dunk).
I continued to follow the program for the next few weeks, and I was dunking fairly regularly. I got a friend to film me, and then bored everyone I knew by showing them the video for weeks on end, like a proud father of my own dunk. Each one was the same: I could only do it after a couple days’ rest, and only with a ball I could palm. I approached from the left, jumped off two feet, and dunked with my right hand. There would be no cocked-back, in-your-face, two-handed throw downs; no acrobatic Russell Westbrook highlight reel slams.
Three weeks after I received that counsel, on a rare afternoon when I felt fully rested, I dunked a volleyball on a 9' 11" rim. Again, I knew I could never swing my arms while palming a basketball the way I’d swung them while palming that volleyball, but I’d be lying if I said it didn’t feel badass. Thirteen failed attempts later, I did it again. Then two more times, each one an unexpected thunderclap. All of the explosive Olympic lifting I’d been doing was paying off, but my problem wasn’t going anywhere: How could I get my hand and a basketball over the cylinder? A lob to myself off the backboard? A big bounce off the blacktop?