So, with swimming being a potential “trigger” and caffeine known to cause irregular heart beats (or “ectopic foci”), I looked for deaths associated with energy drink consumption and sport.  According to the Sport Journal, when these are reported, they seem to be isolated cases involving multiple servings with high levels of caffeine.  For example, according to Rice University over 15 years ago, one study looked at the whether caffeine intake increased the risk of heart disease. Over 45,000 people were evaluated and the data indicated a slightly increased risk of death from heart disease in individuals who had an average daily consumption of more than 5 cups of *decaffeinated* coffee.

As a trial lawyer who must present evidence with sufficient reliability to pass muster in court, the question becomes, “How can we know for sure if the combination of intense swimming, changing suddenly from a vertical position to a horizontal one, sudden increase in stress and anxiety, coupled with significant caffeine intake will lead to a cardio-pulmonary event or syncope ?”   While testing on a swimming ergometer (VASA or similar equipment) with a sufficiently large number of subjects and placebos such as would yield statistically significant results, the fact that actual competition can occur in very cold or hot water and the athletes do not always get “air” every time they breath.  The added stress of ingesting water during intense aquatic competition could be another piece of the puzzle.  Certainly further study is warranted, and all athletes should have regular physical exams.

Like the bride & groom (who share a bicycle built for 2) that adorned Herndon bike injury lawyer Doug Landau's wedding cake, Trucks, Cars & Motorcycles must learn to share the road

Truck vs. Bike – Guess who loses ?  The YouTube from the DC biker’s helmetcam (Caution: Profanity) resonates with many of us who have ridden on DC metro area roads, commuted by bicycle and seen inexplicable road rage, distracted driving and other dangerous maneuvers by motorists.  The troubling incident was discussed on the Landau Injury Law site.

I do not believe I have ever posted a comment to YouTube, but this video should be “Exhibit A” to those who contend bikers are not endangered by truck drivers or ridden off the road.  After reviewing the film with my own bride (and bicycling partner for life) I wrote:

“With cars parked in the left lane, traffic relatively light in the other 2 lanes, I would have ridden a safe, straight line in the same situation.  I have seen how devastating the injuries are from being “doored” & many motorists do not pay attention to bicycles riding inches from the curb.  So when the biker is forced to go left to get around parked cars, they can get “clipped” by motorists paying more attention to cars on their left and straight ahead.  If we want to curb unsafe conduct by people driving trucks, cars & motorcycles, then responsibility must be taken when they unnecessarily endanger others.”

P.S. If this had been a child riding to school & permanently injured, what would we make of the trucker’s cowardice then ?”

• 9/7/2011 Manassas, VA: Virginia Workers Compensation hearing, slip and fall at a federal facility job accident case.
• 9/8/2011 Washington, DC: Trial Lawyers Association of DC “Meeting with the Judges” (CLE), at The University Club, 16th Street, NW, preceded by a program introducing the OsiriX software for Macintosh computers
• 9/09/2011 Alexandria, VA; U.S. District Court, Eastern District of Virginia, Alexandria Division, Motion in Limine (to exclude irrelevant evidence) in union construction plumber’s shopping mall on the job slip and fall case
• 9/10/2011 Reston, VA: South Lakes High School, bicycle helmet safety inspection and athlete registration volunteer for the Reston Triathlon
• 9/11/2011 Reston, VA: Lake Audubon, compete in Reston Triathlon,
• 9/15/2011 Washington, DC: Social Security Administration, Disability claim before an Administrative Law Judge
• 9/18/2011 Winchester, VA: Warrenton Aquatic & Recreation Facility, compete in Virginia Triathlon Series (VTS)
• Sprint Triathlon, currently in 4th place in the Age Group, Landau hopes to again win the Series by accumulating enough points in addition to Masters and Age Group awards. ABRAMS LANDAU, Ltd. is a sponsor of the series.
• 9/20/2011 Fairfax, VA: Fairfax County Circuit Courthouse, Ethics and Social Networking CLE program sponsored by the Fairfax County Bar Association.
• 9/22/2011 Williamsburg, VA: Virginia Workers Compensation hearing, job vehicle accident case, late payment penalties
• 9/22-25/2011 Atlanta, GA: American Association for Justice (AAJ) College, Sheraton Atlanta Hotel, (CLE)
• 10/02/2011 Spotsylvania, VA: Acorn Sprint Triathlon, Lake Anna Beach marina, final competition in the Virginia Triathlon Series, Bumpass, VA
• 10/03/2011 Washington, DC: Social Security Administration, Disability claim before an Administrative Law Judge
• 10/5-6/2011 Monroe, LA: Social Security Administration, Disability claim before an Administrative Law Judge on a case remanded from an unfavorable decision for a client for whom ABRAMS LANDAU was successful in his car crash and related workers comp claims.
• 10/6-9/2011 Bergen County, NJ: Client visit, returning to volunteer at High School Parents Weekend, McLean, VA
• 10/10/2011 Richmond, VA: Mediation in a Virginia Workers Compensation claim for a disabled nurse with a Tidewater area insurance defense firm, even though the office is closed for the Columbus Day holiday.
• 10/12/2011 Fairfax, VA: Virginia Workers Compensation hearing, health care provider’s slip and fall brain injury case; the original claim was won, but when additional brain surgery was needed, the insurance company disputed that it was related to the original, on the job fall on the ice and refused to pay the medical bills.
• 10/13/2011 Fairfax, VA: District Court of Fairfax County, monitoring the Traffic Court prosecution of the defendant whose unsafe driving caused permanent injury and death.
• 10/15-16 Williamsburg, VA: Old Dominion University Department of Accounting, compete in annual 5km.
• 10/17/2011 Fairfax, VA: Virginia Workers Compensation hearing, nurse’s car crash back and head injury case. The original claim was won (covering her spinal surgery) and her car crash liability case settled for policy limits, but when additional traumatic brain injury case was sought, the insurance company disputed that it was related to the original, on the job crash and refused to pay the medical bills.
• 10/19/2011 Manassas, VA: Virginia Workers Compensation hearing for a Michigan client with a back injury
• 11/3/2011 Fairfax, VA: Virginia Workers Compensation hearing, after winning permanent and total disability hearing against the Department of Disability Services, seeking van modifications and other additional benefits
• 11/4-6/2011 Lakeville, CT: Volunteer Leadership Weekend, The Hotchkiss School
  nurse’s car crash back and head injury case.
• 11/11-13/2011 Richmond, VA: Virginia Trial Lawyers Advanced Workers Compensation retreat, (CLE) Courtyard by Marriott West
• 11/12/2011 Richmond, VA: Arthur Ashe Athletic Center Health Expo and Richmond Sportsbackers Marathon Festival, compete in 8km. road race.
• 11/18/2011 Herndon, VA: Herndon Community Center Annual Turkey Trot 5km cross country race (in the afternoon, just blocks from the Landau Law Shop !)
• 11/23/2011 Glen Ridge, NJ: United States Track & Field-NJ Championship Road Race, Ashenfelter 8K Classic, benefiting the Glen Ridge Educational Foundation (Landau Law Shop closed for the Thanksgiving holiday)
• 11/30/2011 Colorado Springs, CO: Triathlon World Championship Age Group Sprint Distance qualifiers, like All American Doug Landau, international paperwork for competition in Auckland, New Zealand, October 14-22, 2012

If you want to see Triathlon Trial Lawyer Landau “in action” at these or other events, please e-mail or call the Landau Law Shop (703-796-9555) beforehand, as insurance companies settle on the eve of trial, judges postpone trials and races get canceled due to weather or other unforeseen events, and your time is valuable.  Several races and court cases (including a complex Interpleader for insurance policy limits in Chesterfield Circuit Court as the result of a single car crash injuring several international exchange students) have already been cancelled and postponed due to Hurricane Irene.  Herndon Reston area injury lawyer hopes to see you soon !

The sound of the impact when 300 pounds of professional football player, sprinting at top speed, strikes another player moving in the opposite direction at maximum velocity, it something not soon forgotten.  The momentum of each player (speed times mass) is truly shocking.  The league recognizes the potential for devastating and career ending head, neck and brain injuries and is looking into way to modify the game while still keeping its essential features.  Read more at the Washington Examiner.

It is also a time to think of those who may be less fortunate than ourselves.  While I give of my time to volunteer, direct and help with school, sports and law related events, at ABRAMS LANDAU, we donate clothing, food, and supplies to the local free clinic, neighborhood resource center and community center.  In addition, regular donations of goods to Purple Heart, AmVets, the Lupus Foundation, Salvation Army, and the Red Cross Blood drives and National Bone Marrow Registry collection efforts.  While money may be tight throughout the USA, there are many ways we can give to others and contribute to help our fellow Americans.  Everyone at the Landau Law Shop hopes to do even more in 2011.

Herndon Reston Virginia spine and brain injury lawyer Doug Landau with a gift basket from a thankful neurologically disabled client

Injuries to the brain and spine do not necessarily mean the end of exercise and sports.  While brain injury can be a life changing event, advances in sports medicine and rehabilitation have enabled bike crash and car accident victims to remain more active than in the past.  It is important to remain upbeat, active and exercise.  As we used to say at ACSM (American College of Sports Medicine) meetings, “If it isn’t physical, it isn’t therapy !”  Physical and occupational therapy is essential to maximum recovery after a spine or brain injury.  Nerve cells need stimulation for recovery and repair.  Reorganization may occur.  Synapses, that is the contacts between the nerve cells, may strengthen with stimulation and use.  Sports injury lawyer Doug Landau has several hemiparetic clients who are paralyzed on one side of their bodies.  To advance recovery from hemiparesis after stroke, one novel treatment, Constraint-Induced Movement therapy (“CIMT”), entails the temporary restraint of the functional limb while the patient is encouraged to carry out tasks with the paralyzed limb.  According to medical researchers, CIMT produces greater improvements in movement and functional use of impaired arms and hands.

The repair of broken connections between nerve cells is poorly understood.  Doctors understand that a sudden snap of the head pushes the brain so forcefully inside the skull that the long processes of the nerve cells are severed.  This effect is known as axonal shear.  The Abrams Landau trial team has seen this in cases of head trauma or rapid deceleration car crashes.  Contracoup injuries involves the stretching and shearing of the nerves in the brain, bleeding inside the skull and intracranial swelling.  Extensive data has been gathered on the effects of ischemia, that is when the blood supply to the brain tissue is disrupted, and strategies are being developed to rescue nerve cells under this condition.  For more on this interesting area of brain injury research and rehabilitation, click here.

A California sporting goods company has recently announced a recall 160,000 sporting trampolines over the risk of the structures breaking.  Bravo Sports announced the recall in conjunction with the Consumer Product Safety Commission last week, saying “the trampolines, if improperly assembled, can result in weak support, posing the risk of the top rails or legs bending or breaking during normal use.”  The trampolines were imported from China by Bravo Sports of Santa Fe Springs, Calif., and sold nationwide from January 2007 through September 2010 for between $200 and $400.  According to the news report, the company has received 247 reports of problems with the trampoline railings.

The trampolines, if improperly assembled, can result in weak support, posing the risk of the top rails or legs bending or breaking during normal use. The firm has received 247 reports of problems with the top rail, the commission said in a statement.  The recall involves AirZone and Variflex trampolines. They were sold in 12-feet, 13-feet and 14-feet models in blue, yellow and red.  Consumers were advised to stop using the trampolines and contact Bravo Sports for instructions on how to inspect and reassemble the support pieces. Any top rails and legs damaged due to assembly errors would be replace for free, the commission said.  Consumers can call 877-500-2459 for information.

Bike and car crashes at the Mount Vernon, W&OD, Four Mile Run and other local Trails suggest that area drivers are not looking out for Washington, D.C., Maryland and Virginia cyclists, runners, skaters and walkers

The recent  in Alexandria underscores the importance of drivers looking BOTH ways when crossing DC area cycling, skating and running paths.  Too often motorists are looking to see vehicular traffic approaching in whatever direction is closest to their car or truck.  Northern Virginia drivers tend to pull out to the street without regard for cyclists or joggers.  The “Share the Road” goal is observed more in the breach of this safety maxim.

In an area blessed by so many bike trails and cycling venues, it is incumbent on school and private drivers education professionals to teach students how to safely share the road.  With an increase in the number of bike commuters and recreational cyclists, habits need to change to recognize that not looking out for bikers and runners can lead to injury and death.  Cell phone use has only exacerbated the problem, as more drivers are driving “distracted.”  Distracted drivers are not focusing on the other travelers around them.  When a bicycle rider or jogger is traveling from one side or the another and the motorist is focused only on the road ahead, their GPS and/or their cell phone, impact, injury and disability are usually the tragic result.  When traveling with friends and family in a car, remind them to look out for cyclists, runners and others on the road.  Together we may be able to change dangerous habits and increase the safety of everybody on the roads and trails that surround our Nation’s Capitol.

Biker AND bicycle safety lawyer Doug Landau in Old Town Alexandria (VA)

Bike racks do not have to be ugly metal masses in our city centers.  Rather, the places to secure one’s bicycle can be artistic, and even be incorporated into the overall look of the town.  While arguing Pre- Trial motions at the Courthouse in Old Town Alexandria, bike crash injury lawyer Doug Landau noticed the bike racks along King Street in front of the Courthouse Plaza – the original home of ABRAMS LANDAU, Ltd.  Art and function in the same unit !  Landau salutes the Alexandria City planners, architects and artists.

Despite road rash, cuts and other injuries, Traithlete John Brannock finished the Warrenton Sprint Triathlon with a smile

John Brannock, a former training partner and team mate, came in this weekend  on a business trip.  As is Doug Landau’s habit, the Herndon trial lawyer convinced his friend to join him for the first annual Warrenton Sprint Triathlon on Sunday.  Landau borrowed a bike, brought extra helmets and other safety gear, and loaded the mini van so that they could car pool to the pool.  The 300 yard indoor pool swim, 11.8 mile hilly bike ride and the 5 km. up and down run course would take less than 2 hours.  However, Brannock had been in a mountain bike accident on Friday, and his bruises were just coming into their full black and blue color !  The new Warrenton Aquatics Center (“WAC”)  was a clean, state of the art facility for this new Virginia Triathlon Series event in Fauquier County.  Located just passed the exit for “Old Town” Warrenton and the Court House area where the ABRAMS LANDAU Law firm has represented injured workers, car crash survivors and the families of brain injured victims, the bike course takes races on Route 29/211 and the run course is a very challenging two loops.  It was only after the race that Brannock showed Lawyer Landau his cuts, bruises and swelling !  Brannock raced on a borrowed bike, ran with the wrong shoes and was limited by his battered joints.  Nevertheless, despite these handicaps, and the 2 hours time differential coming from his home in Colorado, John had a strong showing and even won a prize for having come to Fauquier County from the mid-west !  Congratulations John Brannock !