Inheritance of more than one of an array of genes, including a mutation for URO-D and genes conferring enhanced susceptibility to iron-mediated oxidative processes, or to environmental hepatotoxins. As seen in this patient, bacterial infections such as melioidosis, may have a similar effect to that of viral infections, although the cause of iron overload in this case remains unclear. The association between melioidosis and PCT seen in this patient is unlikely to be coincidental given that both diseases are rare in Hong Kong. Although melioidosis has been shown to occur most often in people with an underlying disorder such as diabetes mellitus, blood glucose levels in this patient had been well controlled for years with a single oral hypoglycaemic drug, and there was no evidence of diabetesrelated complications. Neither had the patient suffered from severe systemic disease such as liver disease, renal failure, or haematological malignancy, or been treated with systemic steroids, any of which may increase the risk of developing melioidosis and isoflavone. What do Tiger Woods, Michael Jordan, Roger Federer, Hachem El Gerroug, Lance Armstrong, Ricky Ponting, Ian Thorpe, Andrew Johns, Mohammad Ali, and Michael Dodd all have in common, other than shit load of cash? OK then, what attributes do you think contributes most significantly to a great athletic performance? Is there an order of importance in the following list of supposedly necessary ingredients to make a champion performance? Genetic make up Training volume and intensity Nutrition Technique improving efficiency, balance Psychology mind set Recovery techniques Equipment Environmental factors Now of course they all contribute, but in my humble opinion what makes great athletes great, is their efficiency of movement, eg balance and coordination. Great athletes sportspeople seems to have more time to do things, seemingly playing at half pace producing graceful yet effective movement with world leading results. I love it. Why have I formed this opinion? Because I have seen great athletes, train poorly, eat and drink crap, rest poorly, and still produce awesome performances. They simply flow from movement to movement - naturally. Often they have been genetically blessed with supreme balance, but particularly more so these days, they spend a considerable portion of their training week devoting time to improving their balance, coordination and proprioception. Outside the cauldron of multi million sports stars, on our recent Kokoda trip, I couldn't help but notice and marvel at the way our porters carried themselves over the arduous terrain. It seemed like every five minutes for the entire 7 days at least one of us would be picking ourselves up after tripping commonly member John Joris. Yet I can't ever remember seeing one of the natives ever loosing their footing. They never seemed to get tired, and hey, sure they might be relatively fit, but with the number of bungers they smoked every day they can't be running V8s. They didn't get tired because they were ridicoulsy efficient. Simply gliding across the demands of greasy tree roots and 85 degree decents while of course carrying a 20 + back pack for people like Michael Hanrahan and that man Joris again. I found myself matching them for pace on the ascents, but was simply blown away on the decents. Their efficient use of gravity was, for a human movement freak like myself, simply astounding. Oh yeah I almost forgot, while our cheapest pair of footwear was say $250, for many of them, they simply relied on the footware given to them by God. There wide spread feet looked like they'd done some serious sessions in the gym while on roids. So my point is, if you want to improve your athletic perfromance, or simply improve your everyday movement and reduce the potential of injury, then consider improving your efficiency of movment technique and time honoured form ; by training your balance and coordination skills, not just on your engine cardio work ; and muscle strength weight training ; . Balance Training We hear a lot about how to keep our heart and lungs healthy, but not so much about how to keep our balance system healthy. Your balance system includes all the senses in your body that tell you how you are moving, the brain which puts this information together, and the muscles that control your movements. This complex system needs plenty of regular 'practice'. As children we develop good balance by practising balancing activities walking along walls, jumping, spinning and climbing. I catch myself analysing the difference in coordination between my children aged 5 , 3, 18 months ; and my 7am Friday pilates class aged between 35 I don't know how old Michael O'Dea, for example, heart disease!

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