When reviewing TUE applications, the Independent TUE Committee are required to follow the TUE validities for common medical conditions as indicated in the table below.
| Condition | Validity |
|---|---|
| ADHD | 4 years with annual review. |
| Adrenal insufficiency | 8 years with annual review by an endocrinologist. |
| Anaphylaxis | Days. Normally retroactive approval. |
| Arterial hypertension | 4 years (no annual review). Eligible for retroactive approval. |
| Asthma | 4 years with annual review; new pulmonary function tests every 4 years. |
| Growth hormone deficiency(adults and children) | 1 year. |
| Infertility/polycystic ovarian syndrome | Clomiphene citrate: 1 year. Spironolactone: 2 years with annual review. IVF: 2 years. Male infertility and unexplained infertility: 2 years. |
| Inflammatory bowel disease | 4 years with annual review. |
| IV infusion | Normally a single intervention of relatively short duration. Eligible for retroactive approval. |
| Male hypogonadism | 1 year. |
| Musculoskeletal conditions | Days or weeks. |
| Narcolepsy - cataplexy | 1 year, with review by a sleep specialist. |
| Post-infectious cough | Normally no longer than 2 months. |
| Renal transplant | Glucocorticosteroids:lifelong. EPO:1 year. Diuretics: 4 years with annual review. |
| Sinusitis/rhinosinusitis | Glucocorticosteroids: up to 10 days. Pseudoephedrine: 8 weeks. |
| Type 1 diabetes | 4 years.HbA1c every 4 years. |
Huge news. Nadal out of Doha and AUSTRALIAN OPEN. Blames a bizzare stomach virus for it. Could it be that's not the real problem?
ReplyDeleteCraig Gabriel @crosscourt1
JUST IN - official. Rafa Nadal is out of the Australian Open due to stomach virus.
Jon Wertheim @jon_wertheim
From the camp : Rafa Nadal will not play DOHA & MELBOURNE... a stomach virus makes him stop his rehabilitation and thinks in the new season
Of course that's not the REAL problem. We all know what the real problemo is don't we?
ReplyDeleteNadal just pulled out of AO as well. THSP what is going on?
ReplyDeleteWow, wodner if that is somewhat related to those last-minute OOC tests beginning of December...It surely is related to that Rosol match.
ReplyDeleteStomach virus, my ass! Out for six months and counting...
So Acapulco then? End of February... Let's see what he comes up with then.
I just re-watched the 2012 RG final and the 5-set match again reminded me more of a boxing match in its final stages - the sheer force both players use to get power behind the ball... continuing after 44 shot-long rallys as if nothing happened.
Watching it confirmed to me that one can at best maybe survive one of those gruelling contests somehow by using up all one's energy - but to come out and play almost as fresh as a daisy after beating Murray is beyond me. My body literally shrank when re-watching that match. Also, Nadal was lucky that there was a rain delay which stole Djokers momentum after winning what, eight games in a row against Nadal.
Seems like Nadal is done for the year.
Wait, I was going to contribute to the post as well. Without offending people who are affected by those conditions, some of them seem rather favorable to have in terms of how TUE's are granted...
ReplyDeleteSo, eligible for retroactive approval... that means you can get caught and then claim that IV was only once and get exonerated.
Looking at the diabetes TUE for four years, I am not enough of a medical expert, but I know that those parameters are crucial when blood doping and using EPO so it would be nice to establish if that condition is really true or not.
In general, I consider the handling of TUE applications another weak spot in the ITF's anti-doping program, though I am aware that they only stick to what WADA initially created. It needs to be more transparent in so far as any exemption is to be made public so everybody knows what exactly players have been granted and which substances they are using.
what would be really useful and helpful for people would be the medications that are taken for these various ailments and the benefits that a sportsman might gain for taking them.
ReplyDeleteFor example Contador has a TUE after suffering an EPO induced stroke a number of years back. The 'epilepsy' he suffers allows him to take medicines which very conveniently would be banned otherwise because they are common masking agents.
So what does claiming ADHD allow you to take and what are benefits PED/Masking from those medications etc
Can you really perform as a professional athlete anytime remotely soon after a renal transplant?
ReplyDeleteApparently you can! There is a pro-football player who got two renal transplants a few years ago, Ivan KLasnic (SV Werder Bremen).
DeleteCase got dirty when he sued the team doctor for maltreatment and not checking his kidney parameters properly. It came to light that said doctor treated Klasnic despite his bad parameters with Diclofenac for 4 years which severely damaged both kidneys and led to a transplant.
Klasnic currently plays for Mainz 05, German Bundesliga.
Here is a nice quote from an SZ article about the Klasnic case:
"Nach einer Blinddarmoperation bei Klasnic im November 2005 erinnerte seine Medikation, so der Spiegel, gar "an die Reiseapotheke eines Radlers vom Team Telekom in den neunziger Jahren". Es befanden sich darin das Kortikosteroid Urbason, das blutdrucksenkende Rampiril, der Harnsäureblocker Allopurinol, das Vitamin-D-Präparat Vigatol, und zur Bekämpfung der Blutarmut einmal die Woche 1.000 Einheiten Epo."
Translation:
"After an appendix operation in November 2005, his medication reminded you of a team Telekom cyclists' first-aid-kit from circa the mid-nineties." Among other things, it contained Urbason, a corticosteroid, bloodpressure-lowering Rampiril, Appopurinol to block urid acid, Vitamin-D supplement Vigatol and to fight anemia 1.000 units EPO once a week."
So much for football being clean.
Source: http://www.sueddeutsche.de/sport/ivan-klasnic-fussball-ist-ein-dreckiges-geschaeft-1.215762-2
Oh, I just found this on the AO website:
ReplyDelete"Nadal was originally due to play his first matches since the surgery in Abu Dhabi followed by an event in Doha. The virus has meant he has had to withdraw from both, thus depriving him of match practice and no doubt playing a large part in his decision to withdraw."
Surgery? Did I miss anything? I mean, we followed all his contradictory anouncements slavishly, we know he had Hoffas and tendonitis followed by that stomach virus. But when did that happen?
Personally, I find it rather strange that a virus THREE weeks prior to the AO means he will be a no-show. Withdrawing in advance. After all that relentless training as seen on numerous vids posted on his facebook and talk about coming back, the knee being fine and all...
Source:http://www.australianopen.com/en_AU/news/articles/2012-12-29/201212281356705033061.html
He's either withdrawing because a) he's serving a silent ban or b) he knows he can't win the AO so why bother showing up. He has to keep up that favorable H2H with Federer after all so he can't take the chance of having to play him when he's not 120%. He won't play until the clay season is my guess. But if he isn't serving a ban he should be fined by the ATP/ITF for not fulfilling the mandatory requirements of play. His excuses are beyond lame.
ReplyDeleteADHD: "Annual Review" can be by any doctor and there is no objective test. You can get all kinds of amphetamine and similar derivatives for this.
ReplyDeleteAdrenal insufficiency: Corticosteroids. Doesn't say whether the endocrinologist has to provide any lab to prove it.
Arterial Hypertension: Various antihypertensives are used as masking agents.
Asthma: Pulmonary functions tests are easily manipulated if they have to be shown at all. Salbutamol and Prednisone can be TUE'd
Growth hormone "deficiency": This is a big problem in the Juniors. Lots of kids are given growth hormone. Don't know how prevalent it is as an adult TUE, but they say "children and adults." If there is a player who pulled this one off, that is special.
Polyscystic ovaries: Can be given hypertensives that are also used as masking agents. No way to disprove the diagnosis.
Infertility in men: Presumably, they can get a TUE for HCG, which is used by men on steroids to keep their balls from shrinking.
Inflammatory bowel disease: Likely for corticosteroids
IV infusion: Presumably, this would be a chance to claim that you got IV fluids if you are caught with a transfusion or "plasticizer."
Male hypogonadism: This if for testosterone. Lots of male athletes get it... from using steroids. If you had it from natural causes, you probably wouldn't have made it to the top of the tennis world.
Musculoskeletal conditions: This is vague. This is what Nadal used to justify PRP treatments.
Narcolepsy: Seems unlikely in a pro tennis player, but can't be disproven and would allow for amphetamine derivatives.
Post infectious cough: Excuse to use asthma-type meds and pseudoephedrine, likely a ruse for back-dated TUE's
Renal Transplant: Presumably, a red herring. Is there a player with a kidney transplant?
sinusitis, rhinosinusitis: Pseudoephedrine.
Type I diabetes: Not sure if there is an angle for this.
I think the diabetes type I might be helpful to manipulate hormon levels.
DeleteType I means you lack insulin, a hormon produced in the pancreas.Insulin stimulates glucose to be taken up by cells and provide fuel. It also stimulates the synthesis of muscle glycogen after exercise...Insulin promotes protein synthesis and inhibits protein breakdown. It has therefore been misused as an anabolic agent.
As I recall narcolepsy was used by the BALCO athletes and also other athletes and connected to the use of a stimulant. Just checked - Kelli White was the person who claimed she had it,
Delete