Life, Running, & Medicine.
Notes on life as I see it.

Tuesday, August 19, 2008

Running Hot

The past two weeks have brought the heat down in the ATL.  I've been doing a lot of running indoors, including the treadmill and elliptical.  I (barely) completed a 10 miler sunday, mostly limited I think by a tanked-up stomach and some leg cramping (lets hope anyway).  I ran strong on the treadmill today, averaging a 8:20 pace or so with 2% incline... and NOTHING on TV.
 
Leading up to the Chicago Marathon are the Grant Park 5K, the US 10K Classic and the Buckhead Sizzler 10K.  I also just learned of another 10K (officially certified) to support research at Grady.  All these 10K's hopefully will help keep my pace-training on track.
 
I'm also approaching the marathon with a little weight loss in mind.  Hopefully I can dump about 10-15 lbs the next 6 weeks to make the run all the easier... we'll see...

Sunday, August 10, 2008

Democracy, human rights a backburner issue in Beijing

The 2008 Olympic Summer Games had what most would agree was the most awe-inspiring Opening Ceremonies.  Truly a gargantuan assemblage of human capital and technology to make it fly and it went off without a hitch.  Some would even say it was intimidating to Americans to see such a demonstration of national ability and pride by another country, and a red country nonetheless.
 
However a story that quickly fell of the radar to Page 6 news seems to overshadow the whole affair: Joey Cheek (2006 Winter Olympic Gold Medalist in 500m speedskating) was denied his travel visa to China just hours before his trip.  Also refused for travel include Kendra Zanotto (2004 USA Synchronized Swimming Team), Chris Boyles (decathalon and soccer), and Brad Greiner (Water Polo turned model turned activist co-founder of TeamDarfur.org).  From what everyone can tell, and what is public information, it looks like the only reason for the visa revokation was the three's involvement in TeamDarfur.org, a human rights website promoting awareness and peace in Darfur.  The Website was founded by Cheek and Greiner, among others.  It has a following of over 400 registered world-class athletes who have signed up in support.
 
The Chinese Government has taken heat for multi billion-dollar investments in Sudan (mostly for oil) while ignoring the humanitarian crisis, many say they are enablers of the genocide.  China denies wrongdoing of course.  It is a huge hypocrisy to host the Olympic Games and disallow peaceful activism.  Somehow this made news on the TV networks for about an hour then I never heard anything more.  I almost assumed it had been resolved.  I feel like the world media outlets have a greater responsibility to the people to carry this story a little further.  NBC I am disappointed.
 
 
 
 

Saturday, August 2, 2008

Decatur Run

This morning did a nice 9-miler to Decatur from the house, ending at Sweet Melissa's for a great omlette.  Was fairly warm and humid out, and despite the dry-cool socks I was wearing still got soaking wet feet.  Additionally felt a little heavy and slow all morning, probably from the humidity and my crappy diet the past 3 days (eating out nearly every meal).  If you check my MotionBased record of the run (left pane) you'll see I had a few long pauses for water and even a short walking spell.
 
I've got a long way to go for the marathon.

Saturday, July 19, 2008

Running Behind

Almost from day 1 of my "marathon training schedule" I have been behind.  My schdule calls for me running three runs a week, two mid week medium distance and one long weekender.  So far I have been doing pretty poorly at keeping up.
 
I've been able lately to get in some midweek 6, 7, or 8-milers but long weekend runs just aren't happening.  My goals for the Chicago Marathon are getting reevaluated.  I've adjusted downward to a "strong finish", hopefully averaging a 10 minute pace.
 
In other news, a week after the Peachtree Roadrace I did the Southeastern Brain Tumor Foundation 5K , a fun charity run hosted out of Atlanta Station.  I was impressed at the attendance here (several hundred runners).  The course was the Atlantic Station "back loop" 5K looping westward around Hemphill and 17th streets rather than Midtown.  All in all a good race with a near PR time.
 
Goals for August:
  1. Run more.
  2. Blog more.

Sunday, July 6, 2008

Peachtree Madness

My first running of the Peachtree 10K Roadrace Friday was a blast.  I didn't submit a qualifying time so I got placed way back in Corral 5 (50,000's).  We actually started the race some 10 minutes after the winner finished.  Regardless though it was a blast.  I left my iPod at home and chose instead to talk to complete strangers - most of whom were running by themselves with their families looking-on.
 
Every half mile or so of the race was met with another band, DJ, comedian, you-name-it.  I stopped for a quick snapshot with the onlooking wife at Uncle Julio's Casa Grande near the halfway point.  At about mile 4 I threw any hope at a PR out the window and gladly accepted an ice cold Milwaukee's Best to help with Cardiac Hill.
 
From a technical standpoint the race is a nice fun run through Atlanta, highlighting the Buckhead and Midtown commercial areas.  Basically he first 3 miles are downhill, and the last three uphill.  It not being a loop or "out and back" also adds some appeal but also some logistical hassle.
 
But who cares about the details?!  It is one big sweaty 6 mile party that I will surely find myself in again next year.
 
Godspeed.  And Chicago is just 3 months away...

Sunday, June 15, 2008

Running, the iPod, and Hearing Loss

Since my wife got me an iPod Nano some 2 1/2 years ago I have been hooked.  Only recently did I fill up the 2 GB memory and have begun picking "favorites" with my music and leaving some music on the PC out of necessity.  The iPod has been there for most all of my running, in fact until only recently I found it difficult to run any distance without it.  I feel like the iPod definitely keeps my spirits up and helps to pass the time when things get tough on the road.
 
So when my ear buds went dead (from sweat I think) I felt it was the perfect time to replace them with an upgrade.  Of course in my professional life I am constantly dealing with the effects of my patients' hearing loss, and know about the warnings associated with headphones and loud "leisure noise".  Non-professionally I like the earbuds but wish they fit a little more snug.
 
Noise and Hearing Loss:
It is well known that loud noise causes hearing loss.  Generally this is loud noise over a sustained period of time, but sometimes a single close "gunshot" can cause permanent damage.  OSHA has set some safety guidelines for workplace noise exposure that is a decent guide but unfortunately a little arbitrary and non-scientific.  OSHA limits are 8 hours @ 90dB OR 4 hours @ 95dB OR 2 hours @ 100dB OR 1 hour @ 105dB.  Some estimate that hearing loss can happen with sustained volumes of only 85dB.
 
For example, a quiet room is about 30dB, normal talking about 60dB, major highway 90dB, jackhammer 100dB, jet engine 50m away 150dB.
 
The iPod's earbuds get up to a volume of about 115dB at maximum volume.  As you can see, at this volume this is way too loud for safe sustained listening.  There are no well studied recommendations for "maximum personal listening device volume".  However, the best rule of thumb is to never listen so loud that you can't hear people talking around you.  In other words, if you can't carry on a normal conversation while listening, then you are probably turned up too loud.
 
There are a few good studies out there that seem to indict "personal listening devices" as culprits in early hearing loss (here and here).  In science it is extremely difficult to prove a causal relationship - for example we still can't prove that tobacco causes cancer.  Most of the studies look at hearing tests of young adults that are frequent listeners compared to those that are not.  They find that frequent listeners have some decline in their very high frequency hearing (4KHz and above).  There is not much that we listen to in these very high frequencies but it has been established that most sensorineural hearing loss starts very high and then works its way down into the more moderate frequencies as it progresses.  So this very high frequency loss is the first sign of damage.
 
Choosing Earbuds:
I swapped out my older iPod plastic molded buds for Skullcandy-brand.  The Skullcandy's come with three sets of silicone molds that can be exchanged to get a secure fit in the ear canal.  I thought this would be great for running and exercising because it provides a "tight fit".  But ahhh I forget so quickly about the occlusion effect - when you plug your ears (say with your fingers) every noise from your body gets LOUDER, and of course the outside world is silenced.  While the medium earbuds fit the most snug and comfortable, the noises of my breathing, chewing, talking, the earbud wire rubbing on my neck were overwhelming.  Wearing this while running sounds like a freight train.
 
The occlusion effect also amplifies the music by up to 20dB (which is 100-fold, as the spl scale is logarithmic).  The net effect is that if you use these while running you are probably listening at around 100dB or greater to overcome the "personal noise" and forget about hearing the outside world.  They do a good job of "noise reducing" but while road running not hearing your surroundings is unsafe.
 
I wound up switching our the silicone mold to the smallest ones which do a good job of holding the bud secure but does not cause too much occlusion effect.
 
Honestly the classic iPod buds may be the best for running if they fit your ears.  Nike also has the Vapor and Flow headphones which utilize a behind-the-ear anchor like a Blutooth cell phone headset.  If these stay on while running they may do the best at protecting your ears as the mechanics are not forcing the bud into the ear canal and it allows you to hear plenty of background sounds.
 
Safety of iPods on the Road:
The USATF has recently taken the position to ban personal listening devices during their sanctioned races (Rule 159).  They cite the physical danger of running while being distracted (and possibly deafened) as well as the concern that some elite athletes will disguise communication devices and get an "edge up" on the competition.  They also claim that runners will not be able to listen to race instructions or listen for important notices along the way.  Personally I think this is a strong and unfortunate position they are taking.
 
I have never had a problem running with headphones in on suburban streets.  I can't find any studies about headphones making you more prone to getting run over by cars.  I keep the volume low enough that I can still hear cars approaching and still talk to my running buddies.  The music is just there in the background.  In a race scenario this would even be safer as the course is closed to traffic, and it's not like you can do much to stay out of the way of an aberrant fellow jogger anyway.  I will admit that I usually don't wear headphones when I do my 5pm downtown Atlanta runs from work.  I would worry a little about getting distracted.
 
The bit about not hearing race instructions is bologna.  Keep the volume to an acceptably low level and you're good to go.
 
As for the elite runners using headphones to cheat... I may have an answer:  Only actively disqualify headphone users from the top spots (ie money or placements).  This will allow the 98% of other slower runners who don't care about placing to keep using.  (This is more or less what the USTAF has been doing as they are not actively disqualifying average runners yet).  Just make it a rule that you can get an official time but not place.
 
I think there are a lot of folks out there who would be fatter and slower if it weren't for the iPod.  Lets not discourage its use.  Some simple adaptations can keep you listening safely for a lifetime.

Saturday, June 7, 2008

Hot Seven Today

First off you'll notice my lack of posts recently.  My life is a mess.  I had a very rough May and so far no releif for June.  On call this weekend, and after rounds this morning went out for what was to be a leisurely jog.  Unfortunately it seems summer has already arrived.  The scorching hot weather combined with my general state of dehydration and not a water-fountain in sight made for a hot little run.
 
I actually was able to find a restroom and drink from the sink... pretty bad I know.  Anyway I finished seven and quit.  Was hoping to make it up to ten or so, but will have to be a day when it's cooler and when I'm rested and hydrated.  I guess the deadly heat of summer will give the elliptical machine another time to shine.
 
Still planning on Chicago in October.  Next race coming up is the Peachtree 10K on July 4, which is mostly a 6 mile social (with 55K participants and me being non-seeded).  Should be a good time at least.