Category Archives: running

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!

Transitions

I am a day away from starting my General Surgery Residency. Gulp. I (and so many others) have been working for years for this day and it is simultaneously exciting and terrifying.

I am and always will be a runner. I will continue to run and race throughout residency and continue to engage in the running community as a competitor, observer and constant supporter. By virtue of my schedule for the next five years, however, keeping this blog going with the level of quality I attempt to achieve is going to be incredibly difficult. I have come very close to pulling the plug on it entirely in the past few weeks but then I read something from the running community that moves me or run a race that I want to recap and I change my mind again.

What I’ve come to is that this blog creates a place for me to gain insight into my running and archive my experiences even if no one else engages. It is also a repository for a lot of experience with the recovery from compartment syndrome, a rare and frustrating condition for many runners. Every few months, I get an email from someone who found my blog after searching for information on CS who is relieved to find SOMETHING out there on coming back afterwards.

This blog is going to slow down after tomorrow. It will still hold race reports as I race and product reviews as I do those. It will have training updates as I work towards my next marathon and towards my much larger goal of the Olympic Trials. It won’t have a weekly training update; I don’t have that many hours in the week to be consistent. It won’t capture every running thought or share as much exercise physiology as it did. In the coming months, I may transition back to a free WordPress blog rather than the very expensive hosted version that this currently is. If that changes something for readers from an interface perspective, you’ll be the first to know.

If you miss a daily dose of me (who wouldn’t…), my Instagram account will stay very active as it’s easier to do on the fly. My Instagram is more diverse than this blog; after all, I’m more than a runner. It includes food, gardens, insight into medicine but also a healthy dose of running. My handle is @runswatrun if you’re interested.

To the 503,666 visitors to this blog (holy sh*t), thank you so much for your support and encouragement and interest.

With Love,

Sarah

Running During Intern Year***

***Caveat: This is a plan. The shit may hit the fan a month from now and this may all be a pipe dream. That said, I went into medical school planning for the worst and it never really happened, so I’m doing the same for Residency.

One of the benefits (??) of Residency is that we know our schedules way, way, way in advance. It takes an inordinate amount of organization to cover a hospital and our schedules are done almost before we Match. Because my program is new, ours will be a little less set as we work out kinks in coverage but we still have a full year schedule to work from which is amazing from a running perspective. Our schedule is unique because we do three month blocks from the beginning rather than one month blocks. From a professional perspective, this allows us to actually get our feet under us and build proficiency. From a lifestyle perspective, this allows us to adjust to a schedule for a longer period of time and supports more normal sleep cycles. The other big change for this year is that the work hour restrictions, a huge controversy in all residencies but especially in surgery, have been loosened. We still can’t work more than 80 hours a week (averaged over 4 weeks), but we are able to take 24 hour call as interns. I know some people hate call because they have to be up for 24 hours but I find it immensely preferable to night float where you work 7 pm to 7 am for a month at a time. With 24 hour call, you take a big nap when you get home, get a half day off and go to bed early the night before the reset.

From the 40,000 foot view, my schedule looks like this:

  • July, August, September on Acute Care Surgery (Tuesday Call)
  • October, November, December on Pediatric Surgery (Sunday night call)
  • January, February, March on Trauma Surgery (Thursday call)
  • April, May, June on Wound/Ambulatory Surgery (Saturday call)

What this means is that I have a guaranteed post-call day off as well as a weekend day off most weekends. Occasionally, I’ll have both days of the weekend off (known as the “Golden Weekend.”) From a training perspective, this means that I have two and occasionally three days for quality workouts. One of the big hurdles that I’ve already experienced in medical school and expect to experience even more as a resident is a lack of recovery. We work about 12 hours a day and much of that is standing. Even with almost no additional social life, this doesn’t leave a ton of time for quality sleep. Planning for my recovery, then, is almost as important as planning my runs. My general plan is to take my call day as my off day, which will allow me to sleep in a bit. On my post-call day, I’ll aim to be in bed early and on a full day off, sleep in as late as I can even if it means my run happens at a warmer time of day. Finally, I’m working on giving myself permission to take an extra rest day to prioritize sleep if I’m feeling exhausted.

For the first three months of intern year, then, this is the basic mockup of my schedule with strength training in italics and a presumption that my weekend day off will be Sunday which isn’t necessarily true. Because we’re easily the luckiest residents ever, we work 7 am to 7 pm (instead of 5 am to 5 pm), which means I can get my runs in before work without having to get up at 3 am. My hope is to keep my mileage between 50 and 60 miles a week but I will reassess this after the first couple of months and see if 40 to 50 might be more appropriate/improve recovery.

  • Monday: Interval Effort. Short hills or time based interval paced effort. Legs and Core.
  • Tuesday: Call Day. Off.
  • Wednesday: Post-Call Day. Long Run with/without steady state or tempo miles. Legs and Core.
  • Thursday: Recovery run. Arms and core.
  • Friday: Regular run. Core. 
  • Saturday: Regular run with striders. Core. 
  • Sunday: Workout with tempo and turnover work.

One of the biggest challenges for me is going to be being flexible in my training. I get stressed out when I deviate from my schedule or miss a workout but I’m working on accepting that this is a given with my current life. There will certainly be days when I can’t get a run in but there will also be days with surprise opportunities to get an extra mile or even an extra run in. A training cycle isn’t made or broken with one workout or even one week, and I will need to remind myself of this regularly.

I’ll cover my strength training approach in a post for tomorrow (I have a new app and I want to give it appropriate attention) but I’ve recently gotten in a great routine of getting some aspect of strength building in daily and want to continue that trend. Thankfully, this is the easiest piece to keep in my routine. Squats when I brush my teeth, crunches and pushups in the charting room, stairs at work etc…

 

Small News: I Picked a Fall Marathon

I just signed up for the RDC Marathon in November.

Yes, you read that correctly. I’m about to start General Surgery Residency and I registered for a fall marathon. Before you think I’m entirely crazy, let me attempt to explain.

First, I need something outside of the hospital for me. Running is an excellent outlet for stress for me but I need something to focus me more than just vague “stay in shape,” so a long race is a great motivator.

Second, I need to dip my foot back in the marathon pool. My last marathon was in 2014 and my last big focus race was the Philly Half in 2015. As I’ve covered, perhaps ad nauseam, Philly and the failure there wounded me more than I can express and it’s been an ugly road back. I’ve self sabotaged races, half assed training and generally faced an enormous amount of fallout from that one race. I’m at a point now where I’ve accepted that I can’t expect to come back at the same place I left in 2015. I haven’t trained at a high level in over a year and have had numerous setbacks in that time. What I can do, however, is start fixing the foundation and looking forward to the Olympic Trials for 2020.

So why a full marathon and not a half? I often joke that for a marathon to go well, God himself needs to come down and anoint you for the perfect day but that you can run a good half marathon with locusts falling from the sky. That’s still true, if you have the perfect training setup. If you don’t, however, you lack the requisite speed to run fast at the half distance. As I’ll detail in an upcoming post, my schedule for the next year is a bit…challenging and will require a ton of flexibility on my part. What it does include, however, is a guaranteed post-call day when I can get my long run in.

Why did I choose a brand new marathon that it unlikely to have a ton of people or crowd support? See above with Philly. I considered trying to get into the elite field of a race but my times are too old and I didn’t want to automatically assign the pressure of being an invited athlete to my comeback. As Abbey said the other day, “just let me run with regular people and drink from paper cups and run fast.” Yes, the ultimate goal is to post a 2017 time that will get me back into invited fields but I don’t need to add pressure for this first big race back.

Right now, I don’t have any hard goals. After all, I have 23 weeks and almost half a surgical intern year between then and now. In my mind, I would really like to break 3 hours but I’ll reevaluate that as I get closer to the race. My other big goal is to have a good training cycle that will help me to put Philly behind me once and for 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.

Giveaway: Marathon Woman

There are few running scenes more recognizable than that of Katherine Switzer being forcibly removed from the Boston Marathon course. With the help of fellow runners, she was able to fight back and finish the race, the first woman to run the Boston Marathon and an undeniable marker of women’s coming of age in running. When Switzer ran Boston again this year, it was in her original bib 261 and was one of my favorite moments of the day. I even told the story to my non-running colleagues in the SICU and they too celebrated as she crossed the line again.

I was thrilled, then, when the publisher of her new book offered me a copy of Marathon Woman and a copy to share with others!! I haven’t finished the book yet but it is an inspiring read that I would recommend to all runners. 

Enter to win by Sunday May 21st at 11:59 and I will select a winner on Monday. There are three ways to enter and you get a chance to win from each:

  1. Comment here on your favorite Boston Marathon moment.
  2. Head to my Instagram (@runswatrun), find this Giveaway Post and comment there on what running means to you.
  3. On the Giveaway post, tag three friends who inspire you to move daily.

Do one or do all three for three chances to win! Winner will be chosen via random number generator. 

Race Report: Sleepy Hollow Mountain Race

1:01:56, 18th Woman.

First and foremost, I am a road runner and spend very little time on trails (although I would like that to change in the coming years as we’re moving to an epic trail running town!). That said, I LOVE playing around in the woods and am wholly entertained by sliding sideways through mud and skittering along cliff edges. Despite moments of frustration yesterday, I had a complete blast getting out of my comfort zone and up some big hills at Sleepy Hollow.

Before I recap, let’s take a flash back to my last trail race and the areas of improvement I identified after that adventure.

  1. Learn how to tackle downhills.
  2. Don’t give up time on the easy parts.
  3. Tie your shoes tightly and learn how to cross rivers/mud.
  4. Know when to hold em, know when to fold em.

Coming into yesterday, my goals were simple: finish, keep both shoes on and try to apply lessons from last year’s Rivah. I actually spend a fair amount of time at Sleepy Hollow in the winter on skis but had literally never seen it without snow until yesterday. That said, I knew it featured some super gnarly singletrack and set a goal of 10 minute pace overall to balance the faster grass sections with the singletrack. Other than that, I didn’t have any plans, hopes or dreams.

The weather was perfect for a trail race with temps in the low 40s with just a touch of drizzle. We were well protected in the woods from wind but I suspect spectating wasn’t a ton of fun. Will and I ran the last 2 mile chunk of the course as a warm-up and although it was technical, it featured an amazing last mile of downhill and flat with good footing so I hatched a plan to use this place to move up if my legs allowed it.

This was the largest Sleepy Hollow Mountain Race (300 runners) ever and since I’m no trail runner, I positioned myself midpack for the start. When the horn sounded, people shot off while I jogged up the first incline. Since I didn’t know what to expect, my plan was to take it easy on the first ascent and see how I did. Even at that easy pace, I was breathing hard by about 5 minutes in. We turned onto a lovely singletrack and since we were still densely packed, this gave me time to calm my breathing and settle in. One of the best parts of this race was that it was either up or down and once you survived a climb, you knew you had a lot of recovery coming. After we crested the first hill, I felt good and started on the downhill. And people started STREAMING by me. Apparently my downhill skills have not really improved since last year…With rocks and roots and mud and leaves, I just wasn’t comfortable sending it and just did my best as what seemed like half the field went by me.

We then hit a long section of flat to downhill packed gravel/grass and I found my tempo effort and went. This awareness was a HUGE improvement from last year and was something I was able to do throughout the race. As we reached the bottom of this trail and the lowest point of the course, the hardest climb (for me) began. It started as a mudslide uphill that was nearly impossible to run, so I stayed to the side of the trail and powerhiked. (Look at all this learning!) Then after another short section of wide gravel/grass , we turned onto a switchback heavy singletrack where you could see so far up the ridgeline that the leaders were visible. Mentally and physically taxing, this was probably the hardest part of the course for me, especially when we hit the mile 3 marker and I realized I wasn’t even half done. Towards the top of this section, we saw Darth Vader and traversed a sketchy little cliff section where I literally grabbed a tree as I second guessed my footing. We went up over the absolute top of the land (another powerwalk hill) and finally headed down towards the start/finish area and the final loop.

This downhill and flat section offered a great opportunity to settle back into tempo effort and I felt strong and in control. Cruising past Will at the beginning of the third loop, I focused on my form with driving knees and turnover and felt super confident in my ability to tackle the third loop. After all, I’d already run it and it wasn’t THAT bad. Ha. As we turned onto the singletrack portion (most of which is at a 28% grade), I found myself struggling to powerwalk, let alone run. The only reason I wasn’t completely devastated was that literally everyone else around my was powerwalking too. Turns out that what might seem easy on a warm-up is a bear after 4.5 miles of racing. When we finally reached the top of that climb, I forced myself back into a jog and carefully watched footing then rejoiced when we hit the gravel/grass road descent. As I’d planned on my warmup, I clicked into tempo pace and started moving towards home. I was able to pass two people and caught up to the woman whom I’d passed on every uphill but who decimated me on the downhills. As we worked up the last hill, I realized I wasn’t sure what the etiquette was for kicking it in at a trail race and felt like maybe, that wasn’t cool. I stayed a couple steps behind her as we finished up and crossed the line at 1:01:56.

All in all, I’m so happy with the way this turned out. I wanted to get a solid effort in, have some fun in my last race in Vermont for a while and see if I could apply what I’d learned from my last trail race. I did a great job of keeping both shoes on, powerwalking when appropriate and running fast where it was possible. My downhills, however, still leave a lot to be desired. There’s always next time!

 

Week in Review 4.24.17 to 4.30.17

MEDICAL SCHOOL IS OVER!!!!!!! Finished up my last shift in the SICU on Friday and when it was done, wasn’t sure if I was supposed to spike my badge, fist pump through the halls or run out of the building. Med school was never as bad as I expected it to be but I would never, ever want to do it again. Sorry, not running related but good riddance!

Monday: Tested out the ankle with a 30 minute trail run. All good, although I was being a wimp on the more technical portions. Legs after.

Tuesday: Simple treadmill fartlek with 10 by 1 minute on, 1 minute off. On pace was somewhere between MP and tempo.

Wednesday: Got out of the unit early and snuck in a 13 mile long run. Did a couple of miles alternating between regular pace and MP to shake out lazy legs.

Thursday: Rest Day, prorated at 4. Much needed after three days that were harder than easy in a row.

Friday: 7.6 miles easy. 82 degrees out so I felt terrible! Arms afterward.

Saturday: 3 mile shakeout. Ran to the track and back, then a mile of ins/outs.

Sunday: Sleepy Hollow Mountain Race.  Remember the last time I ran a trail race? My only goal for this morning was to use some of my lessons from last year’s Rivah. My biggest goal was to keep both shoes on, which I did! I’ll recap the rest in a Race Report tomorrow but I had a blast, stayed upright and finished somewhere around 1:01:50, although I don’t know what place I was.

Total Miles: 44 miles, 2 strength workouts

Total April Miles: 153

Going up…

Now that school is done and I have a couple of months off, I’m looking forward to getting in some more consistent training. I’ll slowly be increasing my mileage towards 55 and working on fitting three explicit strength workouts in weekly (plus my daily toothbrush squats/core etc). My next race focus is the Asheville Half Marathon. I haven’t honed in on goals yet but as I get back into workouts, I’ll be setting my A, B and C goals. I also spent a lot of time putting all sorts of possible races on my calendar for the next year. Although I don’t have my call schedule, I’m hoping that I can just keep myself in good enough shape to jump in races as I can!

 

Hello Asheville

I’m about a week away from moving to Asheville and I should be packing. Instead, I’m researching places to run, races to jump into and ways to find new running friends in Asheville. Sigh. Can’t teach an old (running) dog new tricks. My schedule for the next few years will be much less predictable than it is now, so my basic approach is to try to identify every possible race in the area, write them in my calendar then register as I know my schedule! Will this lead to top performances in every race?  Of course not. What it will accomplish, however, is a general fitness base that can hopefully parlay into a few outstanding performances a year.

Luckily for me, Asheville is a well developed running town and there are lots of group runs and races to get involved in. I joined the Asheville Track Club last night so that I can be a part of the 2017 Grand Prix (although I won’t be able to get 10 races in to be eligible for overall awards this year) and I’m considering connecting with the Asheville Running Collective which seems like an Asheville version of Olde Bones. I was also excited to find the Carolina Runner blog, which is an amazing resource of events all over the area.

When I get to Asheville next week, my first order of business after unpacking is to get an Annual Pass to the Biltmore, where there are 22+ miles of relatively flat trails to train on. Also on my list is a membership to the North Carolina Arboretum (10 miles of trails) and exploring the Bent Creek Trails.  I’m also looking forward to exploring more of the Mountains to Sea trail and to finding my daily routes from the new house!

Here’s to new adventures!

Weeks in Review: 4.10.17 to 4.23.17

When time is short, write up two weeks of training at once!

4/10/17 to 4/16/17

Monday: 5 mile recovery run. Feeling Unplugged now!

Tuesday: 7 mile run at the crack of dawn.

Wednesday: Planned off day.*

Thursday: Fartlek workout, 5 miles.

Friday: 2.5 mile early morning run.

Saturday: 12 mile long run.

Sunday: 4 mile trail run, most of which was spent sideways in mud.**

Total Miles: 35.5

4/17/17 to 4/23/17

Monday: 4.5 mile run plus striders.

Tuesday: 7.5 mile fartlek. 2 by mile uphill at t pace. 5 by 45 seconds hard uphill.

Wednesday: 2.5 mile early am run.

Thursday: Planned off day. Arm routine. 

Friday: 2.25 shake out run with 4 by minute at tempo pace, 2 by 30 seconds at interval pace.

Saturday: Off. Ankle. ***

Sunday: Off. Ankle.***

Total Miles 20.5

1 decent week, 1 not so decent week. I have 1 (how?!!?!??!) week of medical school left now and am so excited for a few weeks where all I have to do is pack, move and train.

* As I mentioned on my Instagram earlier this week, I have decided to schedule an off day every week. My recovery has been really poor over the past year and as much as I want to pretend my life is set up for optimal training, it’s not and I have to do what I can to maximize my training impact. As such, I’ll be taking a day off each week instead of a day every other week.

** This run was absurdly muddy and my ankles were sore after which I think set me up for an ankle twist later in the week.

*** I wear clogs in the SICU and usually, they + compression socks are the most comfortable thing going. On Friday, however, I was a little overzealous when wandering around in them and tweaked my ankle. It didn’t swell too badly but was sore bearing weight on Friday night so I decided to forego the Rollin Irish Half Marathon and rest instead.

The weather is beautiful, I’m ready to train again and I’m so looking forward to getting back in a groove and looking forward to the Asheville Half!