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Sep 28, 2026  ·  Gene Dinh, ICU RN

Weekly Rx W05 — Bolus

Volume week. W04 was heavy and slow, with full rest and low reps. This one swings back the other way: moderate weight, more reps, shorter rest. Alternating like this is what keeps it sustainable on a rotating schedule. You can't go heavy every week when half your weeks start with three twelves.

Pick upper or lower. Then everyone runs the same finisher.


RX-W05-A — Upper

Volume. Moderate load, short rest, lots of clean reps.

  1. Incline dumbbell press — 4 sets of 10–12, rest 75 seconds. Bench at a low incline, one or two notches up. Lower under control and stop just short of the shoulder rolling forward at the bottom. No bench? Feet-elevated push-ups.
  2. Lat pulldown — 4 sets of 12, rest 60 seconds. Pull the bar to your upper chest and drive your elbows down into your back pockets. No machine? A resistance band anchored high does the same job.
  3. Band pull-apart — 3 sets of 15–20, rest 45 seconds. Arms straight, squeeze your shoulder blades together at the end. It's the counterweight to every hour spent leaning over a bed, a keyboard or a med cart.

RX-W05-B — Lower

Quads and glutes, with a finish for the feet that carried you through the shift.

  1. Heels-elevated goblet squat — 4 sets of 10–12, rest 75 seconds. Heels on a small plate or a folded mat. It lets you sit deeper and stay upright, and it puts the work straight into your quads.
  2. Hip thrust — 4 sets of 12, rest 60 seconds. Shoulders on a bench, weight across the hips. Pause for a second at the top with your ribs down. Don't finish the rep by arching your low back.
  3. Slow calf raise — 3 sets of 15, rest 45 seconds. Off a step if you have one: three seconds up, a pause at the top, three seconds down. After twelve hours on your feet, this is the most useful thing on the page.

The finisher — BOLUS

As many rounds as possible in 12 minutes. Same for everyone, upper day or lower day.

  • 8 dumbbell thrusters (or 12 air squats)
  • 10 dumbbell rows — 5 per side
  • 20 mountain climbers — 10 per side

A lot of volume, delivered fast, all at once. The first few rounds feel fine. Around minute eight you'll understand the name.

Score: rounds plus extra reps. Write it down.


Reduced dose

Coming off nights, running short on sleep, or working back from something?

  • Upper: 3 sets instead of 4. Keep the rest periods, drop the load a little.
  • Lower: 3 sets of each, and take the heels off the plate if your knees are cranky. The goblet squat still does its job.
  • Finisher: 8 minutes instead of 12, and swap the thrusters for air squats. A tired body pressing weight overhead at speed is how shoulders get tweaked. Keep the movement, lose the load.
  • Under five hours' sleep: strength work only, skip the finisher.

Scaling isn't failing the prescription. Running it wrecked is.


A new Rx every Monday

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This is one dose. No refills. RX-RC is the twelve-week protocol it came from — sequencing, progression, and volume built around a rotating schedule instead of a normal training week.

Prescribed by Gene Dinh, RN · Scrubs & Steel