"I don't think, though, that if a cyclist walked into a hospital after a hard stage in the middle of a race, that any doctor would prescribe him EPO or whatever drug, as treatment. Probably, the medical solution would be a couple of aspirin and a recommendation of some rest."
Again, of course not. EPO raises hematocrit, and unless the rider had an unhealthly low level of hematocrit this would be the wrong treatment for whatever the condition is. Everyday we *treat* ourselves so that we can keep doing whatever it is we love, rather than resting or giving it up all together. Part of a doctor's responsibility is to prescribe the correct treatment but also enable the patient to maintain the same quality of life.
"In other words, do you think most dopers are doping to self-medicate, in a sense, or to gain an advantage over their competition?"
I speculate that it's a bit of both, with the tendency moving toward simply maintaining normal levels of various hormones within the body (I posted a link to an article by Jorg Jascke's doctor saying pretty much the same thing). So, if athletes are able to keep their bodies in homeostasis, I doubt the difference between those riders and the ones over-doing it is going to be very great, and the performance gains from doing so might be negligible enough to dissuade cheating because of the risk involved.
Again, of course not. EPO raises hematocrit, and unless the rider had an unhealthly low level of hematocrit this would be the wrong treatment for whatever the condition is. Everyday we *treat* ourselves so that we can keep doing whatever it is we love, rather than resting or giving it up all together. Part of a doctor's responsibility is to prescribe the correct treatment but also enable the patient to maintain the same quality of life.
"In other words, do you think most dopers are doping to self-medicate, in a sense, or to gain an advantage over their competition?"
I speculate that it's a bit of both, with the tendency moving toward simply maintaining normal levels of various hormones within the body (I posted a link to an article by Jorg Jascke's doctor saying pretty much the same thing). So, if athletes are able to keep their bodies in homeostasis, I doubt the difference between those riders and the ones over-doing it is going to be very great, and the performance gains from doing so might be negligible enough to dissuade cheating because of the risk involved.