You tried to change to the new prerace hemoglobin value of 12.8. I said fine, and did all new calculations and analysis.....and now you don't like how that turned out!!!....... and you quickly want to change back to the old value of 12.0, which came from Paula herself in her biography, but you just said that the 12.0 value was not reliable, so we should switch and use the 12.8 value from the IAAF report and Dr. Saugy, with the 2.8g/dl increase in hemoglobin to 15.6g/dl postrace.................. So which is it, rekrunner?Maybe you would like to combine the hemoglobin changes from one with the reticulocyte changes from the other to possibly explain away everything?...........Sorry, but that is not allowed.You made the exact response I anticipated you would make, coming back with......Wait!!!..... I want to go back to the old score!!!!!!.... with an increase of Hb from 12.0 to 15.6, but then the increase is 3.6g/dl, and Dr. Saugy said it was only a 2.8g/dl increase, so you can't go back. You need to stay consistent. If the increase is 2.8, then you should use the 12.8 as the prerace value, which shows the reticulocytes decreasing by 20% from 0.59% to O.47%. If we start from 12.0 and increase it by 2.8 to 14.8 (which was the original number in an old Russ Tucker article, which was the hemoglobin value I used in an original analysis before the new Hb number of 15.6 was published), then we get the reticulocyte score decreasing from 0.4% to 0.3%, a 25% decrease again consistent with transfusion.If we go to 12.0 to 15.6 for Hb, we get the reticulocyte score increasing from 0.4% to 0.47%. Your calculation solving for reticulocytes is correct (I did the same calculation myself about a year ago). I anticipated you would make this argument, and if I was you, I would make the same argument. Well done finding the reticulocyte score increase!!!However, it doesn't really matter. Hemoglobin scores are what really matters, not reticulocyte scores (which really just become a dead end). Hb scores and reticulocyte scores are not linearly related. Just because one changes a certain percentage doesn't mean that the other must have the same relative percentage change, or that different people should have the same relative percentage change in reticulocytes. Not correct. In fact, sometimes the reticulocyte score can actually increase with a transfusion, as shown in this example, even though it "should" decrease. That is because so many variables can affect the reticulocyte score from transfusions, to altitude, to EPO use, frequently with all of these variables interacting at the same time. For example, reticulocyte scores can also be manipulated by athletes, just like hemoglobin and hematocrit scores can be manipulated. Some athletes actually use EPO in combination with the blood transfusion to increase the reticulocyte score to counteract the decrease in reticulocytes from the blood transfusion, so that the transfusion is masked with a normal reticulocyte score, while still stopping the EPO soon enough to have a negative EPO urine test! In fact, this method was used by Dr. Fuentes and is used today to beat the ABP! See how the athletes are always ahead of the testers!There was a show where the journalist cyclist orders EPO over the internet, injects himself for weeks, gets performance enhancement, and then has his ABP blood tests done, which are looked at by an expert who says he would pass the ABP test. And this is a guy by himself with no help, no doctors, and no sophisticated methods like I just outlined. The ABP is not hard to beat at all. Imagine what sophisticated methods can get away with!!!So basically any reticulocyte scores can be "explained" away. They are most useful only in a general way, as in what is causing high hemoglobin values; transfusion (generally lower range reticulocyte values, which Paula's are) or EPO (generally higher range reticulocyte values, above 1.5%), or to show that Dr. Martial Saugy is not telling the truth...... as he has shown that pattern over and over in the past.So Paula still has either:1) a suspicious 21.8% Hb increase of 2.8g/dl from 12.8 to 15.6g/dl in 2 days, which is 75% more of an increase than a known blood doper, with reticulocytes that decrease.OR2) a suspicious 30% Hb increase of 3.6g/dl from 12.0 to 15.6g/dl in 2 days, which is 125% more of an increase than a known blood doper, with reticulocytes that increase. Which one would you like to pick? I would guess..........neither!!!!...none of the above!.....lab error!... ...all pre-2009 scores are null and void!....etc......etc..........etc.......................It doesn't matter, as both are suspicious, and are best explained by an autologous blood transfusion. Go Paula!!!........Go Dr."Plan B LIAR AND FRAUD" Saugy !!!!!!!!!.................
rekrunner wrote:
I don't like or dislike it. Yeah that's weird, as it contradicts what is supposed to happen with blood transfusions, and here there were actually two in between the tests. I note there is no timeframe indicated for the infusions or tests. Probably have to read the study to see if they explain this.
The problem is to understand what is a significant RET change, and if 0.59 to 0.47 can rightfully be called significant, or if we should call Dr. Saugy and the IAAF liars. If 44% is typical and comparable, then 20% doesn't seem so much.
Ndereba's knitted brow wrote:rekrunner, you aren't going to like this but from your own "example B" athlete rubishes your post. There is another transfusion data point:
Between tests 7 & 8 the Hb goes up 1.1 g/dl and the Ret% goes up from 0.50 to 0.61. Such is human variability.
http://sportsscientists.com/2011/03/the-biological-passport-legal-scientific-and-performance-views/