I gave myself six months to dunk because that was the low end of the “six to eight months” prescribed on the website of Brandon Todd, a 5'5" former D-III star who set the same goal for himself in 2005, and then, at age 22, accomplished it. When I first contacted him, Todd perfectly expressed the more shallow reason behind my goal: “When you can dunk, it means you’re a good athlete. Period. It takes away any subjectiveness.” I also chose six months because, as would be proved repeatedly during this mission, I am prone to tragic spells of overconfidence.
In this multicenter, randomized, blinded trial comparing dopamine and norepinephrine as the initial vasopressor therapy in the treatment of shock, there was no significant difference in the rate of death at 28 days between patients who received dopamine and those who received norepinephrine. Dopamine was associated with more arrhythmic events than was norepinephrine, and arrhythmic events that were severe enough to require withdrawal from the study were more frequent in the dopamine group. In addition, dopamine was associated with a significant increase in the rate of death in the predefined subgroup of patients with cardiogenic shock.
Some days I would be doing leg exercises — you want to give yourself a 48-hour break between heavy lifting involving any given part of your body, to give yourself time to recover. Some days, I’d go out to the track and do a track workout like sprints. I was avoiding doing long-distance running, because I didn’t want to develop slow-twitch muscles. I wanted to concentrate on fast-twitch muscles. And then for fun, on the weekends, I would play soccer or pickup basketball. I was becoming a better athlete because of this. Not only was I faster and stronger, but I was also more confident, in terms of just the run of play in any of these team sports, because I was more athletic than I had been.
Single leg jumping with it's high impact forces and dependence on the elasticity of muscles and tendons works best for young athletes. With increasing age, the tendons and muscles lose their elasticity and springiness and the risk of injury gets higher and higher. That's why a lot of basketball players start to rely more and more on their two-foot jump as they get older. And the winner of the Olympic high jumping contest are almost always below 30.
I learned that insects are fucking awesome. There was an insect in particular that I was interested in called the froghopper, or spittlebug, that is basically one of the world’s top jumpers. It’s a survival mechanism. It can jump far, far higher than we can as a function of its weight, basically. So I learned that humans are quite modest in the jumping scheme of things.
Circulatory shock is a life-threatening condition that is associated with high mortality.1,2 The administration of fluids, which is the first-line therapeutic strategy, is often insufficient to stabilize the patient's condition, and adrenergic agents are frequently required to correct hypotension. Among these agents, dopamine and norepinephrine are used most frequently.3 Both of these agents influence alpha-adrenergic and beta-adrenergic receptors, but to different degrees. Alpha-adrenergic effects increase vascular tone but may decrease cardiac output and regional blood flow, especially in cutaneous, splanchnic, and renal beds. Beta-adrenergic effects help to maintain blood flow through inotropic and chronotropic effects and to increase splanchnic perfusion. This beta-adrenergic stimulation can have unwanted consequences as well, including increased cellular metabolism and immunosuppressive effects. Dopamine also stimulates dopaminergic receptors, resulting in a proportionately greater increase in splanchnic and renal perfusion, and it may facilitate resolution of lung edema.4 However, dopaminergic stimulation can have harmful immunologic effects by altering hypothalamo–pituitary function, resulting in a marked decrease in prolactin and growth hormone levels. 5
Original shocks have a secocnd lower nut that prevents the shock rod from spinning when loosening or tightening the upper mounting nut. The Bilstein shocks are not equipped with the second nut and the shock rod turns while trying to tighten the upper mounting lock nut, making it impossible to tighten. I had to return the shocks and bought a different brand. Also, Bilstein's installation instructions are about the worst I have ever seen.
Early in my mission, my editor had given me a book, Jump Attack, by Tim Grover, personal trainer to Jordan, Dwyane Wade and myriad other NBA stars. I’d ignored it at first; I figured I knew plenty about how to jump higher. When I finally opened it last December, I was further dissuaded. The exercises Grover prescribed to increase one’s vertical leap looked either nonsensical (hold a deep lunge for 90 excruciating seconds, without moving) or sadistic (the series of rapid-fire bursts and landings that he’d named “attack depth jumps”). These self-immolations, Grover wrote, would last for three months.
Dunking exposes you to some extra risk of injury. First of all, you can get low-bridged or get your legs tangled up with defenders near the hoop, causing you to fall awkwardly from a significant height. You can also throw yourself off balance by trying to hang on the rim and slipping off, resulting in awkward falls. If you are in heavy traffic on the dunk, then being able to grab and hang on the rim until the clutter beneath you clears is a safety technique. If you are in the clear on a dunk, then avoiding hanging on the rim at all is the recommended safety technique (It's also a technical foul to hang on the rim in that situation). Whatever the situation, you need to come down with control and balance. Ankle, knee, neck, and head injuries await those who fail to control their momentum after a dunk.
In the 2011 NBA contest, Los Angeles Clippers power-forward Blake Griffin completed a self-pass off of the backboard prior to elbow-hanging on the rim. A number of other variants of the elbow hang have been executed, including a lob self-pass, hanging by the arm pit, a windmill, and over a person. Most notable are two variations which as of July 2012, have yet to be duplicated. In 2008, Canadian athlete Justin Darlington introduced an iteration aptly entitled a 'double-elbow hang', in which the player inserts both forearms through the rim and subsequently hangs on both elbows pits. Circa 2009, French athlete Guy Dupuy demonstrated the ability to perform a between-the-legs elbow hang; however, Guy opted not to hang on the rim by his elbow, likely because the downward moment could have resulted in injury.
Increase your vertical leap. You will need the lifting power of your legs to get you in the air and up to the basket. Building a regimen of leg workouts that will increase the fast-twitch strength and the flexibility of your leg muscles can help you add inches to your vertical leap, getting you that much closer to the rim. A good regimen to get started with might include:
Overall, 309 patients (18.4%) had an arrhythmia; the most common type of arrhythmia was atrial fibrillation, which occurred in 266 patients (86.1%). More patients had an arrhythmia, especially atrial fibrillation, in the dopamine group than in the norepinephrine group (Table 3). The study drug was discontinued in 65 patients owing to severe arrhythmias — 52 patients (6.1%) in the dopamine group and 13 patients (1.6%) in the norepinephrine group (P<0.001). These patients were included in the intention-to-treat analysis. There were no significant differences between the groups in the incidences of other adverse events.
The things I had going for me: an understanding spouse; a modicum of foot speed and leaping ability, flashed during the occasional Motrin-supported pickup game; proximity to one of the best training centers in the world; and, again, an understanding spouse. The forces working against me made for a longer list and included (but were far from limited to) my average hand size and arm length, a lower-back injury that I suffered while playing semipro football in 2009 and my age. I was 42.
Smaller observational studies have suggested that treatment with dopamine may be detrimental to patients with septic shock.3,9,10 However, Póvoa et al. reported a lower rate of death among patients treated with dopamine than among those treated with norepinephrine.25 In our study, which included more than 1000 patients with septic shock, there was no significant difference in the outcome between patients treated with dopamine and those treated with norepinephrine.
My quest to dunk started poorly. The main problem was that I could only do about half of the very long list of ercises the Jump Manual instructed at the crowded and inadequate YMCA near my place. The basketball court—the only space big enough to do some of the drills—was always occupied with classes. The Strength Shoes, meanwhile, were so absurd that I was too embarrassed to wear them in front of other gym-goers. I used them only a handful of times, in an empty stairwell on the top floor of the gym.
High-Reach Jumps – Are similar to tuck jumps, but instead of brining your knees to your chest, you just reach as high as you can. This is done best under a basketball ring or near a wall so that you can tell how much lower your reach becomes as you fatigue. Try to reach the same height through all repetitions. if you don’t have anything to measure against, that’s ﬁne. Just jump as high as you can each repetition.