Category Archives: fitness

Still (Mostly) Alive

It’s hard to believe that only 11 weeks have passed since starting Intern Year and in the same breath, 11 weeks has flown by. I am almost done with my first rotation of this year (Acute Care Surgery) and with it, done with the bulk of my training for RDC! As expected, my running has had to take a bit of a back seat to everything else but I’ve done a reasonable job of continuing to train and build and finally have some long term goals in mind!

July: My only real goal for July was to survive and figure out what my running schedule might look like when the reality of 80+ hours of work hit. We had a relatively mild summer here and since I ran in the early morning for most of it, I really didn’t struggle too much with heat and humidity. I ran a very reasonable 181 miles and my long runs progressed to 16 miles. Workouts were non-specific (long trail runs, fartleks and easy tempos) and focused on general fitness acquisition.

August: I started to figure out what work was all about and finally managed to get through my days more efficiently. I hit the wall a bit energy wise in the middle of the month and finished up with only 165 miles. I did, however, get my first 20 miler in for the cycle and my workouts started to get more specific. I also started going to Orange Theory, which has been very interesting in terms of my perception of effort versus my heart rate.

September: After a relatively disappointing August, I have been trying to refocus more on my running in September. I am about as fatigued as I’ve ever been right now and my body is showing it with lots of general aches and leg heaviness. I did get another 20 miler in and my workouts have become even more focused (more on this later). I restarted my iron to make sure I’m tuned up from that perspective and have been focusing on sleep and stretching as much as I can to combat 80+ hours of standing/interrupted sleep/weird positions in the OR. I’m doing a check in half marathon in Johnson City this weekend and interested to see where I’m at as compared to both Unplugged and the Asheville Half. I don’t know what the topography of the course will be and the weather looks hot but it will be nice to have a supported “up-effort.”

I realized in August is that I have to become more flexible with training and with that, workouts have to become more intentional. I don’t have the recovery ability to do multiple workouts a week and instead, have to make do with a couple of quality efforts each week. Because of this and because I have been so frustrated with my stagnation, I finally decided to hire/bring on a coach. I say ‘bring on’ because I am working with Dave Ames, who is a friend beyond being a coach, and the decision was about as collaborative as it gets. As many people know, Will has been my coach forever but with intern year for him and an intentional shift in our marriage to be as focused on just being married and not being co-workers, co-coaches, athlete-coaches, it was time to make a different plan.

One of the amazing things about having a coach is that all I have to do is workout. One of the terrifying things about having a coach ARE those workouts. For example, I had a medium long run on Sunday with a workout built in that didn’t seem that difficult on paper but was EXTREMELY difficult. Similarly, I have a mile repeat workout today that I am convinced is all but impossible so I have the difficult task of convincing myself first that I can do it and second, getting through it. Dave gets incredible results from his athletes and furthermore, has a lot of experience with the sports psychology aspect of racing which I need almost as much as the physiologic piece.

My race schedule has evolved as well, with a new focus on the US 50K Road Championships (hoping to podium) in March and CIM 2018 for my (hopeful) OTQ attempt. This takes a little pressure off RDC where my main goal is to just get back into marathon running and hopefully undo some of the emotional baggage I am (still) carrying from Philly.

But first, the Bluegrass Half in Johnson City on Sunday!

Race Report: Asheville Half Marathon 2017

Short Version: 1:36:10 for 6th place overall, 1st in Age Group

Easily one of the best parts of the day was running into a friend from graduate school and enjoying post race beers!

Long Version:

One of my running partners used to say “The process is the goal” all the time and while I theoretically appreciated what he meant, I didn’t practically start to appreciate it until this Spring when I had to take a hard look at who I am and who I want to be as a runner. 2016 and early 2017 are probably my least successful 18 months of training and racing since I came back to this a decade ago but improving on that isn’t going to come automatically, so I’ve had to be humble and race even though I’m nowhere near my old form. As challenging as that’s been in some respects, it’s also allowed me to focus on different race outcomes than a PR or a win and the Asheville Half was a perfect example of that.

It was a very early start and they asked us to be at the start line at 6:30, a full half hour before the gun. Thankfully, they just meant in the start area and I was able to do some jogging, drills and strides before the race started. Because I knew the course and knew it had two significant hilly sections, I started conservatively which wasn’t entirely easy because the first two miles of the course are essentially downhill. I didn’t wear a watch but my first mile split was 6:36 and my second was 13:00, so my first two miles were relatively quick for my goals. I just focused on effort, however, and hoped that everything would come out okay.

Right after mile 2, the first hill section starts and winds its way around the community college campus. You go up steep hills only to turn around and go down their backsides. My goal through this section was to float on the uphills and cruise the downhills and just keep my effort and legs intact. The group I was running with passed me here but I let them go because I was dedicated to executing my race plan. Towards the top of the campus, we went around a turn that let me see the field in front of me and I noted two women about 2 minutes up who seemed to have fallen off the front pack.* There was another woman (in bright orange shorts, I might add) just a few steps ahead of me but I sensed that she was in over her head so opted to focus on pulling towards the other two. The first hill section finally ended just after the Mile 5 marker and we got onto Meadow Road/Riverside drive for the 4ish mile flat section that this race features.

As we got onto the flats, I finally found my rhythm and worked at a steady state effort as I pulled forward. I passed orange shorts and her running partner, as well as a few other people from the group who’d passed me in the hills and felt cautiously optimistic. As we approached mile 8, I opened my gel on the first try and took it just before I got to the aid station where I actually slowed to a walk-jog and got a full cup of water with which to wash it down. This move was EXCELLENT. Usually aid stations catch me off guard and I can’t get my gel open or I try to move through quickly and choke on water. I lost maybe 10 seconds here and actually had a great fuel stop.

Shortly after the mile 8 aid station, one of the women in front of me was within striking distance.** She had gone out hard and from the looks of it, was paying for it in a place where she should have been cruising. I set my eyes on her and pulled forward. We passed the mile 9 marker and I knew the biggest hill was coming.

And holy shit was it a hill. I’m no stranger to hills but this was a BEAST to put in a race. It climbs all the way up the back of UNCA’s campus and I would estimate that it’s almost a mile long. It has a brutal curve at the top just when you think you’re done and then almost worse, a screaming downhill that will take your quads off right into another uphill. I passed the woman on the hill but she tried to catch me on the downhill. I didn’t react and just pulled away as we hit the second uphill and never saw her again. Finally, we turned to go down the hill in the front of campus, passed the mile 11 sign and turned onto WT Weaver. The other woman was about a minute ahead of me here but I was pretty sure I was out of real estate to make that up.

My proudest part of the day, however, came on the last two miles on Broadway. This is an insidious f*cker of a hill, climbing just enough that you can’t turn your legs over well. I found my tempo effort and pushed the whole way home. We rolled up Broadway, got a tiny reprieve coming into downtown then I gritted my teeth and pushed up Lexington and made the left onto Walnut. I didn’t have much left for a kick but was thrilled that I actually changed gears and held it for the last two miles rather than falling back, out of fitness.

I finished at a hair over 1:36 and although this is my slowest half marathon time by three minutes, it was also the hardest course I’ve ever encountered and I am really proud of the time. I feel like a totally different runner than I did at Unplugged and had the fitness and mindset to attack the course appropriately. I’m going back into base building phase now but would love to do another flatter half to see where I’m at.

Just a few changes in elevation.

There were two super shitty things that happened today that I witnessed. *The first was witnessing my very first course cutting. He passed me early on in the race like his pants were on fire. He was young, so I figured maybe he just didn’t know how to pace well. At Mile 4ish, however, there was a hill and turn that doubled back on itself on two sides of the road with a porto-potty between. I caught him just before this and he was struggling. He stepped off to the side of the road and looked around, then went in the porto-potty. When I came back around 45 seconds later, he came out of the porto-potty, looked around again and jumped back in behind me like nothing happened!

**The second one was almost as annoying. USATF is extremely clear that racers cannot have escorts or pacers, especially if they are competing for money. The formerly mentioned woman that I passed at mile 10 was also young but her dad had been biking with her for at least 6 miles. Not biking around the course to cheer, but actively biking right.next.to.her. Mind you, she was in 6th until I passed her so arguably racing for money and she had started the race in the lead pack. This was a totally empty course; the race happened early and there were not that many spectators so having a friend or family member on a bike was a definite advantage. Not to mention, when I was getting close, he was telling her how far back I was. Anyway, having watched this for a bunch of miles, I decided I would be nice but say something because perhaps they didn’t know that this wasn’t allowed. As I caught her, I said “hey bike guy, you may not know this but USATF prohibits bike escorts or pacers.” And he flipped out. “She’s not competing, that only counts if we’re watching paces and we’re not even timing her, this is just for fun!” I responded (mind you, I’m passing her going up a huge hill), “well, we’re in the running for the money so I would argue that we’re competing.” He sputtered away at me and I (okay, this was not my best moment) said “You seem pretty defensive” and moved on. I passed her and as I said, I never saw her again but a few minutes later, he biked away from her and she completely fell apart. I beat her by more than 3 minutes in the last miles. Maybe I’m oversensitive in light of all the cheating scandals but both of these incidents made me so mad. Play by the rules or don’t play at all…

Back To Our Regularly Scheduled Programming

My first selfie as Dr. Waterman Manning!

I won’t even attempt to recap the past few weeks of training (or life), but the very short version is that I graduated (wooohooo!), celebrated with family and friends and managed to get two very anxious doggies back home to North Carolina. We are now getting settled in Asheville and the dogs look like little kids complete with tons of mud, scratches and sunburns. They love the new backyard and are only happy when they are outside. I’m feeling similarly and have spent countless (uncharacteristic) hours just quietly rocking on the porch and dreaming up home improvement projects. I know the storm is coming but for now, I’m enjoying 9 hours of sleep a night and no real “to-dos.”

Hard to describe the bond between classmates but it’s a bit like leaving the best teammates ever.

Running is going well and I must admit that I’m relieved to feel reinvigorated now that I’m in Asheville. It is getting hot and humid here so runs are slowing down but I’m happy to get out the door every day and enjoying slow progress with my fitness. I’ve started the process of exploring running spots around the area and was blown away by Bent Creek and the new sections of the Mountains-to-Sea trail that I’ve discovered so far. I tried to join in on a group run the other night in an attempt to make some friends but it was a pretty horrible experience (still debating if I want to write about it…). Despite that, I’ve had tempo runs, steady state runs and interval workouts that have demonstrated slow but forward progress.

The Asheville half is this coming weekend and the weather looks…not great. As much as I would like to taper down in hopes of having a great peaked result, my training hasn’t been consistent enough to warrant a taper. Instead, I’m going to train normally this week but add a rest day and extra easy day on Friday and use this as a jump off point for summer training in preparation for my fall marathon. My only goal is to have a strong last three miles, which has eluded me lately in half marathons. I haven’t chosen a race yet (waiting on vacation approval) but am excited to think about starting the (long) journey towards my Trials attempt.

Week in Review 3.27.17 to 4.2.17

What?! A real week of training?

Monday: 5 hilly miles in Asheville. Made a dog friend on my run who followed me for 2 miles. His name was Finn and he was a sweet old guy who loved to run. Happy to reunite him with his dad, however!

Tuesday: 6.4 miles with striders. Super slushy out.

Wednesday: Humbling 7 mile progression run. Legs after.

Thursday: 6.2 mile recovery run. As I thought for 90% of this run, getting back in shape is the pits!

Friday: 4.5 mile run.

Saturday: Another snowstorm! 12 miles on the treadmill. Mind numbing but happy to get a longer run in.

Sunday: 3.4 miles plus this arm workout which was a killer. I can barely type.

Total Miles: 44.5

This week was humbling with a capital H. Almost every run (except my long run thank goodness) felt like a total slog and I spent most of the week being grumpy about being out of shape. That said, I am beyond grateful to be able to run and lift almost at a normal level (and for friends who reassure me that my out of shape isn’t that bad). I was also extremely diligent about my pre-run mobility drills and glute activation exercises, so it’s not surprising that I was sore and tired all week.

The week ahead has the Unplugged Half Marathon and I am looking forward to it! As I’ve said, I’m going to treat it like a workout. My plan is to warm up, ease into the first 2 miles then run at steady state pace until Mile 10. At Mile 10, I’ll try to pick it up if I can. I will be wearing my Garmin to make sure I don’t get over excited and to get a sense of where my fitness is. In my dream world, I would come in under 1:30. In a more realistic world, I’d like to be under 1:32 and feel like I executed a great workout and felt comfortable cruising along.

For the rest of the week, things will be as normal. I start in the SICU tomorrow morning (my last requirement EVER in medical school) and will be back to running at an inhumane hour until I figure out what my schedule looks like.

Spring 2017 Racing Schedule

For many reasons, the last year has not been an optimal one for targeting races. From away rotations to interview travel to surgery, it’s been a whole lot of two steps forward, one step back. On top of that, I didn’t know where we were moving in May, so it was difficult to aim forward at any race. Now that I know we’re heading to Asheville however, I’m ready to plan!

I’m still not able to run a ton without discomfort so I had to adjust Unplugged from a goal race to a workout. I hate running races as workouts. First, I think it’s a cop out that people use. Second, I think that even if you’re not using it as a pre-made excuse, it’s difficult to execute your workout plan and not get caught up in the race. That being said, I’m going to try to make Unplugged a valuable workout although I haven’t decided if I’ll do a progression run or a steady state run.

After that, however, I’ll be gearing up for the Asheville Half in June. What better way to kick off life in my new city!! This is a hilly half and I expect it to be warm, so I’ll be adjusting my training to prepare for the hills and hope that I’ll have enough time to adjust to the heat.

April 8th: Unplugged Half Marathon

April 22nd: Rollin Irish Half Marathon (super hill, muddy race)

April 20th: Sleepy Hollow Mountain Race (Trail 10K)

June 3rd: Asheville Half Marathon

After Asheville, my first task is to adjust to a new town and build a good base and coming up with a training plan that allows me to get good workouts in AND be an intern.

Week in Review 3.13.17 to 3.19.17

Monday: 2 miles easy. Downhill skied.

Tuesday: 2.5 miles easy. Downhill skied again as Stella rolled in. Shoveled the first foot of snow in the evening.

Wednesday: Shoveled the second foot of snow (and the next 6 inches). Downhill skied in the most amazing powder ever.

Thursday: 3 mile run easy.

Friday: Match Day!

Saturday: 45 minute nordic ski at Catamount.

Sunday: 5.75 mile run outdoors.

Total Miles: 13.2

The first big news is that we Matched!!! We will be heading to Asheville NC and Greenville SC for our General Surgery and Emergency Medicine residencies respectively. We were incredibly lucky to interview at a whole host of amazing institutions and are looking forward to starting our careers in the Blue Ridge.

To see just how excited I was, here’s a great video my friend Jack got of the whole shebang:

We also got an INCREDIBLE snowstorm on Tuesday and Wednesday that dropped 30 inches on Burlington and an insane 58 inches at Bolton Valley, which is where I am lucky enough to have my pass. I spent the first three days of the week bombing around on my skis and Wednesday was easily the best day of skiing of my entire life.

I was also able to start doing some easy running this week. I was doing well and excited to get back to normal running…and then my steri-strips fell off which leaves my incision in direct contact with my sports bra. I did finally get 6 miles outdoors in today and although I felt 100% out of shape, it was good to get out there.

One of the nicest things about knowing where I’ll be for residency is being able to plan upcoming races! I now have my schedule set through June and have even been doing some longer range planning for my fall sub 2:50 marathon.

For this week, I’m trying to get back into regular training while also listening to my body. At this point, it’s clear that Unplugged is going to be a training run but I’m hoping to set myself up such that it can be a great workout as well.

Week in Review: 3.6.17 to 3.12.17

Monday: I didn’t have high expectations for this run. I’d been sick and expected to basically survive this. Instead, I had a darn good run! Warmed up then 2 by 2 mile at tempo pace on the track. First set was 6:32 pace, second set was 6:23 pace. Both felt totally in control.

Tuesday: Surgery Day. Didn’t do much besides sleep in the OR, sleep in PACU and sleep on my couch.

Wednesday: Back to class. Short walk with the dogs.

Thursday: Light arm lift with resistance band workout from here.

Friday: Hour walk in the woods with the dogs.

Saturday: 20 minute uphill (10% grade) walk on the treadmill and at-home Barre routine from here. 

Sunday: 20 minute jog on treadmill. Light arms and legs.

Total Miles: 10.3

I had no expectations that this week would be a big one for running. My hope was that I could get a little physical activity in for sanity and heal up so I can get back running soon. I attempted to run on Saturday but a few steps in, knew that it was too soon and settled for an uphill treadmill walk. Today, I was able to do an easy jog.

My restrictions are 1) no strenuous activity and 2) no lifting anything heavier than a milk carton. The latter is pretty objective, the former not so much. What is strenuous? For me, a jog isn’t technically strenuous but perhaps it is on a new scar. I chose (and this is NOT medical advice) to let pain or discomfort be my guide. If anything felt off, I had to stop doing it. I’ll continue that plan through this week. Suffice to say that New Bedford looks to be out of the question. I’m adding some other local races, however, in hopes that I’ll heal quickly enough for those.

There have been two major upsides from this week, however, besides the obvious of a safe, successful surgery. The first is that since I haven’t been running, I’ve had a ton of time to deal with my to-do list. I’m psyched to say that today, I finished a first draft of my manuscript and that by Tuesday at noon, my goal is to have a completely.empty.to do list. Can you imagine?!?

The second upside is that I’ve had to be creative about lifting options and came across some really fun (but really hard) low weight ones. If you think you’re in shape, I encourage you to try to resistance band one. In full disclosure, there was no way I could do 100 of the lying pullovers. I did 50 and literally couldn’t do another one.

The other exciting news for the week is that it’s MATCH WEEK!!!! Tomorrow at 11 am, we find out if we matched via a cryptic email that just says yes or no. On Friday at noon, we have a big ceremony at school (as do all 4th year medical students) where we open envelopes and find out where we’ll be going for Residency. I think I’ll breathe a sign of relief tomorrow at 11 but I have a feeling it’s going to be a long week.

Weeks in Review: 2/13/17 to 2/26/17

There’s no filter to undo those circles…

2/13/17 to 2/19/17

Monday: Early morning snowshoe run for 45 minutes because the snow was just too amazing to not play in. Plus, I’m signed up for the Northeast Snowshoe Championships so I figured I’d better get out and practice!

Tuesday: 8 miles with 4 miles at tempo pace. Downhill skiing in the afternoon.

Wednesday: 4.28 mile recovery run.

Thursday: 8 miles with 4.5 miles at steady state on the treadmill.

Friday: 3.25 miles easy.

Saturday: 45 minute snowshoe run at my parents. SO hard in all the snow.

Sunday: Off day.

Total Miles: 23.5 plus 90 minutes of snowshoe running.

2/20/17 to 2/26/17

Monday: 8 miles with 5 by 2 at interval pace followed by a mile at steady state.

Tuesday: 5 mile recovery run

Wednesday: 6.65 mile regular run

Thursday: 5 mile progression run

Friday: 10 miles of classic skiing at the State Meet.

Saturday: Long call. Lots of hospital walking but no run. 300 abs routine before bed.

Sunday: 11.3 mile long run.

Total Miles: 46.0

The last two weeks have been a bit of a whirlwind. When we’re on Inpatient Medicine, we typically work six days a week with one weekend day off. Since the State Meets fall on weekdays, however, I had to stack some weekends so that I could have the time off. This past week, my “off day” from the hospital was very much an on day at the rainy, windy classic State Meet. Needless to say, I’m pretty wiped out and amazed I ran at all!

The toughest girls you’ll ever meet.

And my resilient, wonderful boys relay team.

My workouts have felt pretty good lately, which I attribute in part to my being fastidious about taking my multivitamin with iron. I stopped taking extra iron after last summer because my running had decreased and the high sweat loss season was done. However, because of the size of my hematoma, I decided to add a multivitamin with iron back in and have felt much peppier on runs lately.

I finally feel like I’m getting in a rhythm with my early morning runs…which must mean it’s time to switch schedules again! I have one more week on Inpatient Medicine, then switch to Surgery Boot Camp. This has a later start time but I think I’ll continue to do my runs in the morning. As ski season winds down, I’ll also be looking to add Body Pump back in for strength training.

Week in Review: 2.6.17 to 2.12.17

Monday: First day back in the hospital. 6 mile early morning workout with 10 by 1 on, 1 off.

Tuesday: 3.25 easy run in the early morning snow.

Wednesday: 5 mile treadmill hill run.

Thursday: 7 mile progression run, starting at 6.1 and ending at 9.1.

Friday: Post-call, prorated off day. 4 miles.

Saturday: Nordic skied in the morning, downhill in the afternoon.

Sunday: 6 mile run plus arms and core.

Total Miles: 31.3

First week back on service! The good news is that I did a good job of getting up and getting my run done. The bad news is that I didn’t get a lot of lifting in and I missed my long run this week. I had intended to do it on Friday when I was post-call because I expected to be done around 1 but didn’t leave the hospital until 5. I coached on Saturday and I am back at work today. I got up early to fit a run in but felt miserable so just did an easy run and lifted.

We’re heading into a big storm cycle today which is going to be GREAT for skiing and snowshoeing but less good for running. I’ll be on the treadmill for my workouts this week but hoping to get outside for my easy runs and hopefully by next weekend, there will be enough clear roads for a long run.

In general, it’s working well for me to have workouts scheduled without prescribed mileage because it changes my perspective to be grateful for any effort. I am of course frustrated that I can’t seem to string together any real training but I’m working on being grateful for the running I can get in.

Finally, I got to try my new Lumo Run  this week and will admit to being a little nervous to see what it said but my initial run was very positive. The pace was off because I was on the treadmill but all of my markers looked good except for braking. I’m so excited to see how this project goes and how I can tweak my running form.

Week in Review 1.23.17 to 1.29.17

Monday am: Thanks to odd January weather, actually made it to the outdoor track for 5 by 800 at interval pace. Enormously humbling to be struggling along just a bit faster than what I consider my usual tempo pace but felt great to get it done. Legs after.

Monday pm: 45 minute skate ski with the team.

Tuesday: 4.7 mile run in the snow/sleet/ice storm. Stayed upright, which is all a girl can ask for.

Wednesday: 5.65 miles while the car was getting inspected. Sidewalks still a little hairy but trail shoes did the trick. Skied with the team in the afternoon, probably 20 minutes or so of real skiing and a lot of coach standing.

Thursday: No run. Had I known how busy the end of the week would get, I would have run on Thursday instead of taking it as a scheduled rest day but I was trying to be good. I downhill skied all day and the conditions were INCREDIBLE.

Friday: 7 mile progression run on the treadmill. Massage in the afternoon.

Saturday: All of the activities day. 3 mile recovery run, 30 minutes of nordic skiing plus coaching then 5 hours of downhill skiing then three rounds of bowling.

Sunday: Got slammed by my schedule (and my own bad planning) and didn’t get any run in, let alone my long run. Disappointed but trying to view my accessory activities as deposits into the fitness bank.

Total Miles: 33.1

The good? I got two solid workouts in, lifted a lot and got a massage which did wonders for my glutes, hamstrings and back. The not so good? I didn’t do a good job managing my schedule and messed up my long run. My senior research abstract is due on Friday and I’m still scrambling to review charts. Interview season and HIPAA made it impossible to do this project on the road so I’ve been working hard to get through it since my travel wrapped up.

I still didn’t manage to get 20 minutes of yoga in this week, which is more a reflection of my prioritization than schedule. I need to make this investment, period. My DQS was > 15 on 5/7 days and even the days it wasn’t, I was making good food choices. Planning meals on Sunday makes a huge difference for me and surrounding myself with good choices for fueling makes it easy to get to 15.

This week brings my LAST interview. Wahooo!!! I’m headed to the Windy City where I’ll get my long run in on Friday, hopefully along the Lakefront Trail if there’s not too much snow. Will has shoulder surgery on Thursday and will be out of commission for 12 weeks so I’ll also be trying to pick up more of our household stuff that he usually manages. Finally, this is my last weekend before I go back on service on Monday for my Medicine Acting Internship. My AI will be a great test for my workout plan during Residency and my goal is to just get my workouts in (including that long run!!) and be at least at 40 miles a week. Everything else is gravy!