I have never reposted anything from Reddit, so let’s see if this works.
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I'm a physician and here's my take re: Sinner.
My first post (a thoughtful and factual post) was deleted without justification despite dozens of click/rage-baity posts that remain up. Reeks of censorship, I got only positive and grateful comments, asked the mods for reasoning and got nothing, way to go guys! So here I go again. [EDIT: they responded it was likely a mistake, and that makes sense given that the sub was a cesspool today.]
I’m an anesthesiologist, I understand drugs, metabolites, half-lives, and pharmacology/pharmacokinetics on a DEEP level. And my take on whether or not he doped...is NEUTRAL. I am including scientific/medical info to consider for laypeople below but all of it leads to — we don’t know. Feel free to ask earnest questions in the comments, but I won't be responding to weirdos or trolls.
**I feel that I'm uniquely equipped to speak on this issue and find that the more you know, the more you understand what you don't know.**
I am NOT derailing the criticism of the greedy corporations behind this, their lack of transparency/treatment of other players/favoritism/etc, so see below for more on that.
It’s really easy to spiral into theories that confirm our biases either way.
The truth is, “doping” and all of its testing is an incredibly complex process. **To me it’s theoretically possible that Jannik doped (and I generally like him) AND theoretically possible that his side of the story is 100% true. Doping may indeed be common, AND the anti-doping regulations are so strict/extensive that it’s hard to live a normal person’s life without accidentally consuming something.**
Some points to consider for laypeople:
1. “Billionths of a gram” is how almost all PEDs / metabolites are measured, in nanograms per deciliter. It’s a common measurement for many tests. It was smart of the PR team to include it in that language as laypeople will read it a certain way, but it’s not meaningful in context. What IS meaningful is that that amount, taken at that time, is not effective to enhance performance. We do not have further information to say if the levels were ever higher, and that’s why he was proven innocent. Whether or not the levels were ever higher is a question mark, and one could postulate that’s likely if they wanted to accuse him, but they were never \*documented\* to be higher.
2. For detectable systemic (bloodstream) absorption in the time frame described, the anabolic-androgenic steroid would have had to enter Sinner via cuts, not transdermally, which is why the open skin is mentioned so much.
3. As many of you have mentioned, it’s definitely icky / not within medical standards to not perform hand hygiene/wear gloves before something like a massage knowing both parties have open cuts. AND, it was a physiotherapist, not a physician, we don’t give massages, we wear gloves for everything and they perhaps don’t. And these physios have close, long term relationships to their athletes unlike a typical healthcare worker with a patient they know for less than a day. Like, it’s possible that some of them almost never wear gloves. [Edit: I removed a tongue in cheek stereotypical comment about Italians being touchy.]
4. Most people are familiar with topical corticosteroids like hydrocortisone or clobetasol (note very similar spelling to clostebol). Those are corticosteroids and commonly used worldwide for pretty much all skin conditions. Over time, corticosteroids generally lead to catabolism (molecule breakdown). Interestingly, used systemically, they are ALSO banned per doping regulations and only allowed topically. Clostebol in contrast is an anabolic (molecule building) steroid with vastly different effects. Any topical use would likely not be an issue if it had not absorbed through the bloodstream.
5. This is why I see so much grey zone. If topical corticosteroid use is allowed and it’s known to absorb systemically with high doses over time, why allow it? Corticosteroids are a perfect example of a life saving drug for people with asthma and are indicated for hundreds of other medical issues. Without a deep understanding of how these nuances are handled for athletes with medical conditions, seriously just put the phone down, your opinion doesn’t make sense.
6. I know nobody wants to think about this, because we all want cold hard scientific facts, but lab error when we’re talking about this minuscule level of a highly uncommonly tested metabolite is real. Even when you test a basic blood level like potassium, it can be off by a pretty significant margin of error depending on numerous location-dependent lab factors, and that test is drawn billions of times a day across the globe and I make medical decisions based on these imperfect data points as do all physicians.
All told, I **fully support criticism of a corporation that limits transparency in order to profit.** And… that’s every corporation. I’m as leftist as they come and the idealist in me wants a fair world but that’s not the world we are in, unfortunately for many athletes who have been burned and robbed of a living by this same process. And media/public criticism would likely be inflated, like many here mention, if it were not a Western European. And lightyears worse if the player was \*gasp\* Black.
Please just take a walk, everybody. Or practice your serve toss indoors if it’s nasty outside and try to hit the target on the ground. Tennis is not dead. We don’t have nearly as much information as a select tiny percentage of humans who have the critical info and we never will. Carry on.
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The poster is a female anesthesiologist…
So this is what one poster wrote. I don’t know how to link a story, apparently.