「成功」不是你所做了「什麼」,而是你「如何」處理你被給予的「什麼」。
Success is not what you do but rather “how” you do with “what” you are given.
1. Back Squat
5 Reps @ 82% x 225 lbs
2 Reps @ 85% x 295 lbs
5 Reps @ 82% x 275 lbs
2 Reps @ 88% x 315 lbs
5 Reps @ 82% x 315 lbs
2 Reps @ 91% x 345 lbs
2. Conditioning
5 Rounds:
10 Toe touch pull-up bar
25 Double Unders - Jump Ropes
10 Barbell Facing Burpees
3. 15min bike
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lbs meaning 在 何凱成 - Cheng Ho Facebook 的最佳解答
WOD | 星期三鍛煉
Bench Press:
6 reps 205 lbs
6 reps 225 lbs
6 reps 235 lbs
6 reps 235 lbs
25lb plate toe touches & side bridges
Hang Cleans
4 reps 185 lbs
4 reps 195 lbs
4 reps 205 lbs
4 reps 215 lbs
Push Press
4 reps 135 lbs
4 reps 135 lbs
4 reps 135 lbs
4 reps 135 lbs
Bike 15min
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【產科評估產程進展奉為圭臬的產程圖】
當年住院醫師時期值產房班,最重要的功課就是把每個產婦的產程圖畫出來。但是近年連Friedman教授本人接受ACOG(美國婦產科醫學會)訪問時都強調,這在當年只是一個統計數據的呈現,沒想到被拿來當成產程遲滯的判斷標準,每個產婦都該有自己獨一無二的產程進展。
日前接生一個第一胎的產婦,從進入產程到寶寶出生,收縮間隔都是5至7分鐘,有時甚至長達10分鐘,所以從上午9點收住院的1指半到寶寶出生將近一天。若要依照產科教科書的建議,這樣的案例,要不就加催生藥或人工破水,要不就以產程遲滯開刀了。但這就是這個產婦與寶寶獨特的產程進展,「慢慢來」。如何靜心等待不介入,對我而言是很重要的學習案例。
這個1955年的統計數據,當時的產婦生產條件為何?那是大量使用產鉗的年代,而今被真空吸引器所取代。剖腹產率1.8%!讓人嚇到吃手手,懷疑小數點有沒有點錯,認真想想或許這才是自然該有的剖腹產率?阿萍醫師要朝這個目標邁進。催生藥物的介入13.8%不算多,但看了之後很難想像,96%的產婦用了鎮定藥物,在神智不清甚至是睡著的狀態下生孩子。而今雖有硬膜外注射的減痛分娩,不至於影響到清醒程度,但那還是一種藥物介入,對母嬰一定有影響。
Who were the women in Friedman’s Curve?
Dr. Friedman’s study focused on 500 first-time mothers who gave birth at term in 1954. Their age ranged from 13 to 42 years old, and 70% were between the age of 20-30. More than half of the women had forceps used on them during delivery (55%), and only nine people (1.8%) gave birth by Cesarean. There were 14 breech births (2.8%), four twin births (0.9%), and four stillbirths or newborn deaths. The babies ranged in weight from 4 lbs. 9 oz. to 10 lbs. 6 oz., with most babies falling into a normal weight range (5 lbs. 8 oz. to 8 lbs. 13 oz.). Pitocin was used to induce or augment labor in 69 people (13.8% “Twilight sleep” was common practice at the time, and so 117 of the women (23%) were lightly sedated, 210 (42%) were moderately sedated, and 154 (31%) were deeply sedated (sometimes “excessively” sedated) with Demerol and scopolamine—meaning that 481 (96%) of the women were sedated with drugs (Friedman 1955)
參考資料
https://evidencebasedbirth.com/friedmans-curve-and-failure…/