Monday, October 12, 2009

An Ironman!

After 14 hours, 41 minutes in the heat and wind of western Hawaii, I finally crossed the finish line. The swim went well, and I felt pretty good about my time. The bike segment was going OK until I ran into the headwinds while heading north to the turn around at Hawi. They then shifted (as they often do) to become headwinds as I returned south! The umbrella my sister was using to protect her one-year old from the sun was actually inverted by a gust. Not suprisingly, my bike time was longer than I had hoped at 7 hours, 11 minutes. After that long ride, I headed out in the afternoon heat to start the marathon, which took 5 hours and 46 minutes. Half of it was run in near total darkness as there are no street lights as soon as you leave Kona. Thankfully, I had a lovely note and a picture of our sweet Forrest waiting for me in a special run needs bag at about mile 16. In that bag, I also had my father's tie. A tie I have worn or had present at most major events of my adult life. I carried that tie the last 10.2 miles and held it high as I crossed the finish line at 14 hours, 41 minutes and 1 second. In a field of top 5% finishers in qualifying Ironman races (plus 149 other lottery winners), I placed 162 out of 192 in my age division and 1501 out of 1853 overall. More importantly, I learned something about my inner resolve I did not know before, met some inspiring and encouraging people and raised over $4300 to help cure ALS. All of this has made every hour of training and every mile of distance covered worth it. Now, I think I will take a nap...

Saturday, October 10, 2009

Race Day

Laurie and Forrest, Terry, Mary, Dorothy, Aud, Peter, Margaret and Paul This is for you.

Friday, October 9, 2009

One Day to Go

I dropped my bike and T1 (Swim to Bike) and T2 (Bike to Run) gear bags off today for tomorrow's race. You are led by a volunteer through a path lined by people taking note of all the gear on your bike. The volunteer assigned to me was a cheerful italian girl who is working in Honolulu. Like 5000 people, she volunteered to be a part of this special event. After learning where the showers (garden hoses coming down from the roof of a tent) and changing tents are located, I placed my bags on a numbered hook and was led out. I called Randy Collee this morning and got some very helpful advice about nutrition before and during the ride, and some practical advice about how to handle the difficult moments during the run when it feels like too much (make something in your head, from the barest essential ingredients). He was, as always, incredibly reassuring and helpful. I also called Al Truscott and got some very helpful tips. He was at the pre race banquet and meeting too and was a huge help. I had an early dinner of pasta and chicken and plan to be in bed and trying to sleep by 9PM. I feel a little calmer today but really felt the enormity of what I am taking on as I drove back to the hotel along the seemingly endless Queen K highway. John and Nancy and Trisha, John and Liam are here. To have family here means so much to me. ***1 Day to Kona!***

14 Mile Queen Kaahumanu Highway Bike Ride on 10/08/2009

It's 2:30 PM Laurie and Forrest have just dropped me off at the Waikoloa turnoff. I am down on the aero bars riding along the famous Queen K Highway in preparation for the 31st running of the World Ironman Championship. This us surreal. Imaging getting to practice hitting and running the bases at Yankee stadium, or to drive the Indy 500 course. I chose this part because it is representative of the infamous winds that can blow up to 60 MPH, usually in your face on the way out to the turnaround at Hawi and then back again on the return. In addition, there are long rolling hills that are deceptive due to the stark lava fields. I still really can't believe I am here! I went for a .9 mile swim in Kailua Bay this morning, just out to the floating esspresso stand at the 700 meter makr (complete with underwater sign and I am not making this up). We went to the pre-race banquet (carbo loading fest) with a great traditional Hawaiian show and lots of inspirational video clips and pep talks. The temperature has been in the mid 80's. The wind on the ride makes this bearable. The run will be harder, but this will occur later in the day. My race number is 631. Anyonw who logs onto Ironman.com can follow my progress live throughout the day on Saturday. I am also # 6 in fundraising through the Janus Charity Challange. If I can get to # 5 I will be one of the top finishers who gets a $1000 matching gift from Janus to go to curing ALS. Any readers are encouraged to visit the fundraising link at the top left of this page. ***2 Days to Kona!*** MapMyTri.com - Road Cycling - Medium Intensity: Bike Ride on 10/08/2009 Shared via AddThis

Wednesday, October 7, 2009

45 MinuteTreadmill Run on 10/07/2009

Back to training after a call day and preparations for the trip to Kona. One of our great medical assistants Kim Nichols put together a lovely card signed by the gang at work to wish me well. That meant so much to me. I'll be taking it to Hawaii. I woke up early this morning and decided to get a quick run in before the long plane flight. I think that will help calm some of my pre-race jitters, at least for today! ***3 Days to Kona!*** MapMyTri.com - Treadmill: Treadmill Run on 10/07/2009 Shared via AddThis

Sunday, October 4, 2009

36 Mile Kitsap Color Classic on 10/04/2009

I started my training with the first organized Cascade Cyclic Club ride of the year, Chilly Hilly. Only then, I didn't know I would win a lottery slot to race in Kona. I just wanted to loss some of that winter weight. Today, I rode in the last organized ride of the season, the Kitsap Color Classic. A lovely fall color ride through the Kitsap penninsula. I chose the 36 mile Port Gamble-Pouslbo loop as my tapering program only called for a two hour ride today. The strong headwinds from the north and the 2000 feet of climbing made for a serious workout. The trees in Port Gamble were in full fall regalia and Poulsbo is as charming as ever. How I managed to peda; past those bakeries, I'll never know! ***6 Days to Kona!*** MapMyTri.com - General Road Cycling: Kitsap Color Classic on 10/04/2009 Shared via AddThis

Saturday, October 3, 2009

17 Mile Ride then 4 Mile Run: Brick Workout: Biking/Running on 10/03/2009

1 Hour ride to Seward Park and back, then 4 mile run in the neighborhood with Murphy. Had to bundle up as fall has definately arrived! ***7 Days to Kona!*** MapMyTri.com - General Road Cycling: Brick Workout: Biking/Running on 10/03/2009 Shared via AddThis

2 Mile Lap Swim on 10/02/2009

3500 yard lap swim at Evans Pool with brother John. Followed by a nice take out dinner from Costa's. Yum! MapMyTri.com - Laps / Swimming Pool: Lap Swim on 10/02/2009 Shared via AddThis

Friday, October 2, 2009

5 Mile Treadmill Run on 10/02/2009

Early morning 45 minute treadmill run this morning to make up for yesterday. I had some things to after work that got in the way. I pumped up the pace to 7 MPH for part of the workout to see how I would tolerate that. Not ready to sustain it but it felt pretty good! ***8 Days to Kona!*** MapMyTri.com - Treadmill: Treadmill Run on 10/02/2009 Shared via AddThis

Wednesday, September 30, 2009

Brick Workout ~4 Mile Run with Forrest and Murphy Then 15 Mile (1 Hour) Roller Training Ride on 09/30/2009

Back to training after a rest day and a day I took off to watch after ForrestI picked up Forrest after work from Blossoming Buds. It was a little cool this evening so I had him wear the lovely socks Dottie knit for him and his cloud blanket while we ran around the neighborhood with Murphy. I had to get a picture of him in front of the bike. Then I went downstairs to the basement to ride for an hour while I watched Blade Runner. ***10 Days to Kona!*** MapMyTri.com - Regular Run: Madison Park Run with Forrest and Murphy on 09/30/2009 Shared via AddThis

Monday, September 28, 2009

Weekly Totals for 9/20-9/27

Hours: 10.5 Miles: 130 Calories: 7500 ***12 Days to Kona!***

Sunday, September 27, 2009

Brick Workout: 9 Mile Treadmill Run then 90 Minute Roller Ride

Another call weekend workout saga. I managed to get in 90 minutes on the treadmill at the gym before they closed, then home to watch X Men Origins: Wolverine while riding. Hey, wasn't that Aussie Hugh Jackman droving cattle just yesterday? These combined workouts are challenging but good training. I am on call tomorrow, just as well as it is my rest day in the training. ***13 Days to Kona!***

Saturday, September 26, 2009

2 1/2 Hour Roller Training Ride

I had to get my long ride in on the rollers this weekend as I am on call. I looked for an epic length movie to rent to keep my attention. I settled on Australia. I must say, were it not for the screen presence of the aboriginal child actor Brandon Walters at the center of the story, this would have been one of my more painful training rides... ***14 Days to Kona!***

Friday, September 25, 2009

6 Mile Early Morning Madison Park and Arboretum Run with Murphy on 09/25/2009

I got up early this morning to get a run in before my call weekend starts. Fall is definately on the way! Murphy joined me this morning and we ran our usual double loop through the neighborhood and the arboretum. I really enjoy running along the winding service road near the Broadmoor golf course. In the early morning light, it feels like a New England country lane. ***15 Days to Kona!*** MapMyTri.com - Regular Run: Madison Park and Arboretum Run with Murphy on 09/25/2009 Shared via AddThis

Thursday, September 24, 2009

Brick Workout: 18 Mile Home to Seward Cycling Loop then 35 Minute Run on 09/24/2009

Back to biking and running after two swim days and a rest day. I felt stronger on the bike, maybe the result of Sunday's long ride? I found a great Irish reel through the music shuffle on my Crackberry. I kept playing it over and over again on the way around Seward Park and back home. Then Murphy the Irish Setter joined me for the run. Saints and Begorrah, I feel like I'm back in the Old Country! ***16 Days to Kona!*** Garmin Connect - Activity Details for Untitled Shared via AddThis

2 Mile Open Water Swim Magnusen Park to Kirkland on 09/24/2009 on 09/23/2009

I enjoyed my monday afternoon swim so much, I thought I would try it again. This time, John and his wife Nancy came along with Laurie and Forrest in the support boat. I managed to finish the swim in just over an hour, about 30 minutes faster than Monday! I got an earlier start due to better planning. It was nice to finish in the daylight this time. I hope to do this once more before the race. ***17 Days to Kona!*** MapMyTri.com - Open Water: Open Water Swim Magnusen Park to Kirkland on 09/24/2009 on 09/23/2009 Shared via AddThis

Tuesday, September 22, 2009

2 Mile Open Water Swim: Magnuson Park to Kirkland on 09/21/2009

I have wanted to try this swim for some time. I thought it would be good practice to see what it feels like to swim in wind waves and swells. It really does take more effort but the feeling of looking up a the open sky and the rolling of the waves is worth it. John drove Ken's ski boat while Laurie and Forrest watched. It was a great treat to see them off to my side when I took a breath! MapMyTri.com - Open Water: Magnuson Park to Kirkland Open Water Swim on 09/21/2009 Shared via AddThis

Sunday, September 20, 2009

94 Mile (6 Hour Ride) Chuckanut Century on 09/20/2009

This is the longest ride of my Ironman training. As luck would have it, the Chuckanut Century ride out of Bellingham was today as well. This is, easily, the most scenic organized ride I have ever been on in Washington state. The views along Chuckanut drive are just amazing. As I was riding through the farmland south of Edison, an adolescent Bald Eagle (still all brown) crossed in front of me and started flying low over the farmland, not 10 feet of the ground. He was likely searching for rodents. We traveled along together for about a mile as I looking over from my position on the aero bars marveling at the grace and effortless power of this magnificent animal. It is a memory I will cherish forever. ***20 Days to Kona!*** MapMyTri.com - General Road Cycling: Chuckanut Century on 09/20/2009 Shared via AddThis

Saturday, September 19, 2009

17 Mile Home to Green Lake Loop 3 Hours on 09/19/2009

The longest run of my training. I ran from home to Green Lake, around twice and home again. I managed to find a 3 hour window without rain. That was a relief. MapMyTri.com - Regular Run: Home to Green Lake Loop 3 Hours on 09/19/2009 Shared via AddThis

Friday, September 18, 2009

1.6 Mile Open Water Swim on 09/18/2009

Swam 1.6 miles from Stan Sayres boat launch to Seward Park. Brother John got in the water a little ahead of me and we finished at about the same time. John's wife Nancy motored nearby in Ken's ski boat for support. The swim felt good and went by quite quickly. I had hoped it would be more like 2 or more miles but I was out of the water in an hour, so I am pretty sure this tells me I could be out of the water in Kona within 2 hours, 20 minutes. ***22 Days to Kona!*** MapMyTri.com - Open Water: Open Water on 09/18/2009 on 09/18/2009 Shared via AddThis

Thursday, September 17, 2009

Brick Workout: 18 Mile Home to Seward Cycling Loop then 35 Minute Run on 09/17/2009

"Character cannot be developed in ease and quiet. Only through experience of trial and suffering can the soul be strengthened, ambition inspired, and success achieved." Helen Keller I found this quote on an Ironman Facebook page. It really nails it for me. Another inspiring message was a bumper sticker I saw in the early weeks of my training back in April. It read, "Don't Die Wondering" Today's workout called for a 1 hour ride and a 30 minute run. I really kicked it in riding back from Seward Park, a maintained a 24 MPH pace for a few miles on the aero bars. Prolly a warmup pace for a lot of triathletes, but prety speedy for me :-) Murphy, our Irish Setter decided to join me for the run. That was a real treat! ***23 Days to Kona!*** MapMyTri.com - General Road Cycling: Home to Seward Loop on 09/17/2009 Shared via AddThis

Wednesday, September 16, 2009

Brick Workout: 18 Mile Home to Seward Cycling Loop then 2 Mile Lap Swim on 09/16/2009

Back to training after a recovery day. I managed to get a one hour bike ride to Seward Park in before the heavy rains started, then to Medgar Evers pool for a 2 mile lap swim. This is the kind of days I should be having until just a few days before the race. ***24 Days to Kona!*** MapMyTri.com - General Road Cycling: Home to Seward Loop on 09/16/2009 Shared via AddThis

Monday, September 14, 2009

~6 Mile /1 Hour Run on 09/14/2009

I had a nice run through Marymoor Park this evening while helping my brother drop his car off for repair. The first couple hundred yards were tough, on account of the last two days, but I kicked into my regular pace soon enough. Laurie brought Forrest and the dogs over so the dogs got a nice run at the dog park. *** 26 days to Kona!*** MapMyTri.com - Regular Run: 1 Hour Run on 09/14/2009 Shared via AddThis

Sunday, September 13, 2009

11 Mile Centenial Trail Ride with Laurie and Forrest on 09/13/2009

My training schedule for today actually calls for a 1 hour ride after my 2 1/2 hour run. We decided to ride the Centennial Trail in Lake Stevens. Forrest and I rode 5 miles down to a play structure that looks like a train. Of course, we had to stop. Laurie continued on for another 10 miles for a total ride of 20 miles. Yeay Laurie! Totals for this week: Hours: 13.65, Calories: 12,600, Miles: 132.63 27 Days to Kona! MapMyTri.com - General Road Cycling: Centenial Trail Ride with Laurie and Forrest on 09/13/2009 Shared via AddThis

14 Mile Home to Green Lake Loop (2.5 Hour Run) on 09/13/2009

Another long training day, this time running. I ran my usual home to Green Lake run but looped a third of the way around again and came back down through Wallingford. I happened to follow the course of the Breast Cancer 3 Day Walk. What an inspiration to see all those women (and a few men, in pink hair and grass skirts no less!) out there working out for a cause they feel passionately about. MapMyTri.com - Regular Run: Home to Green Lake Loop 2.5 Hours on 09/13/2009 Shared via AddThis

Saturday, September 12, 2009

92 Mile MS 150 Ride on 09/12/2009

There is nothing like spending 6 hours riding with 2000 other folks to make a long workout go by faster. My colleague Ben kindly traded weekend call with me so I could go on this ride as part of my long training ride while supporting MS research and patient care. The ride over Deception Pass was incredible, as always. I was riding with my colleague Jamie early in the ride when he had a bad spill. He got up and was good to go but we got separated not long after. I heard later that he finished his ride and was OK. All in all, a great day, capped off with a boat ride in Uncle Ken's outboard boat with Forrest and his cousin Elias. MapMyTri.com - General Road Cycling: MS 150 Ride on 09/12/2009 Shared via AddThis

Friday, September 11, 2009

6 Mile Early Morning Madison Park and Arboretum Run on 09/11/2009

Back to running again. I felt better this morning than I thought I would after last night's swim. Less than a month to go till Kona! MapMyTri.com - Regular Run: Madison Park and Arboretum Run on 09/11/2009 Shared via AddThis

Thursday, September 10, 2009

1.5 Mile Open Water Swim South of Stan Sayres Boat Ramp to Seward Park on 09/10/2009

Great open water swim with my big brother John. My other brother Ken helped provide support from his ski boat. The water was cold at first but that passed as I started to swim. It was great to stop and see my brother coming along with his well honed swim stroke. I made it ashore at Seward Park to find a group of triathletes practicing a water start. I got back in to meet up with John and we swam over to some moored park diving dock to get back in the boat. I can really feel my upper chest and arms after last night's 2 mile swim and today's 1.5 mile swim! I hope we can do another family swim workout before Kona! MapMyTri.com - Open Water: Open Water Swim South of Stan Sayres Boat Ramp to Seward Park on 09/10/2009 Shared via AddThis

Wednesday, September 9, 2009

2 Mile Lap Swim on 09/09/2009

Back to the pool for a 2 mile lap swim at the end of 36 hours of call. I finished the workout in 75 minutes. Add another 0.4 miles and I would be done with the swim leg of the Ironman race. I felt pretty good. Managed to hold my own in the "Fast" swim lane. :-) MapMyTri.com - Laps / Swimming Pool: Lap Swim on 09/09/2009 Shared via AddThis

Tuesday, September 8, 2009

5.9 Mile Early Morning Madison Park and Arboretum Run on 09/08/2009

Had to get an early morning workout in before going on call for the next 36 hours. After the first 200 creaky joint yards, it really quite nice to be out in the early morning air with less traffic. I'm starting to feel the need to really ramp up the workouts until the end of this month. The closer October gets, the more daunting it feels. Lately, my Mantra has become "What would Lou (Gehrig) do?". Then it all becomes clear... MapMyTri.com - Regular Run: Madison Park and Arboretum Run on 09/08/2009 Shared via AddThis

Sunday, September 6, 2009

37 Mile (2 Hour) Roller Cycling on 09/06/2009

Too much rain and wind for a 5 mile ride today, so I did a 2 hour ride in the basement. I will try and join a longer ride tomorrow morning on my usual rest day to make up the rest. MapMyTri.com - Road Cycling - Medium Intensity: Roller Cycling on 09/06/2009 Shared via AddThis

Saturday, September 5, 2009

13 Mile Home to Greenlake Loop on 09/05/2009

Despite the weather forecast it stopped raining at about 10AM this morning so I decided to try and get my long weekend run in. Another jaunt up to Green Lake and around. It started to cloud up again just as I returned home so it looks like I lucked out. MapMyTri.com - Regular Run: Home to Greenlake Loop on 09/05/2009 Shared via AddThis

Friday, September 4, 2009

17.5 Mile Home to Seward Park Loop on 09/04/2009

A quick ride to try and beat the rain. Still got rained on a bit but the ride felt good. It looks like I may not get a long ride in this weekend with rain and thunderstorms predicted. I'll have to switch to swims and treadmill running, maybe some time on the rollers. Now it's off to date night with my child bride! :-) MapMyTri.com - General Road Cycling: Home to Seward Loop on 09/04/2009 Shared via AddThis

Thursday, September 3, 2009

0.7 Mile Open Water: Swim on 09/03/2009

Swam in Lake Washington from off of my brother's boat to the Stan Sayers boat launch. Only 0.7 miles but I swam hard. It felt great to swim somewhere other than a pool! MapMyTri.com - Open Water: Swim on 09/03/2009 Shared via AddThis

Wednesday, September 2, 2009

8 Mile Run: Home to I-90 Loop on 09/02/2009

Took advantage of the remaining nice weather this week to get a long run in. For a change of pace, I thought I would run along Lake Washington Blvd to I-90 and back by way of Madison Park. Saw a swimmer making his or her way north from Leschi with a kayaker paddling nearby for support. What a great idea! MapMyTri.com - Regular Run: Home to I-90 Loop on 09/02/2009 Shared via AddThis

Tuesday, September 1, 2009

18.5 Mile Conbination (Brick) Workout: Seward Park Ride and Madison Park Ride on 09/01/2009

Back to training after my Monday rest day. The rain stopped so I decided to do a combined ride and run. Took my usual course down Lake Washington Blvd to Seward Park and back then a 30 minute run around the neighborhood. Back in time to take the dogs to the dog park with Laurie and Forrest. Yay, everybody wins! MapMyTri.com - Road Cycling - Medium Intensity: Seward Park Ride and Madison Park Ride on 09/01/2009 Shared via AddThis

Monday, August 31, 2009

When I am not trying to cure ALS, I am thinking about ways to help improve the quality and affordability of health care. Here are my ideas:

Health Care: Fast, Good or Cheap: Pick Any Two During residency, one of my mentors offered this little adage. “Listen to the patient, she’s telling you the diagnosis”. As congress prepares to begin debate on healthcare reform, those of us on the front lines of health care would do well to look inward and consider the ways in which our actions have contributed to the problem and can help solve it. Our “patient” is the individual we care for in our clinics or hospitals but, in a larger sense, our “patient” is healthcare in the United States in general. And by many measures, that patient is not faring well. The choices we make every day contribute to a system of care that is, far and away, the most expensive in the world yet results in health outcomes that are average at best. In addition, 50 million of our fellow citizens are without any form of health insurance at all. Despite our best intentions, the health care we provide is certainly not cheap, not always good and fast only for a select few. If we are to take our rightful place, where our patients want us to be, as the leaders of health care reform, we must begin by asking ourselves what we can do to bring about meaningful, timely and efficient medical care. I believe the solution lies in radically rethinking what constitutes a doctor visit. The electronic medical record can allow us to achieve that goal. It is a rare patient who has not had the unnerving experience of sitting for over an hour in a waiting room only to be rushed through a doctor visit. Studies show that, on average, doctors listen actively for about 18 seconds before interrupting a patient. Somehow, doctors and patients have come to accept the idea that interrupted visits, “overbooking” and long waiting room stays are a necessary price for quality care. In fact, we cheat our patients and ourselves out of the one chance to truly provide meaningful health care. Furthermore, at the end of these abbreviated visits, patients frequently leave the office remembering only half of what they were told during the visit, and half of this is remembered incorrectly. In the rush to create quality care out of limited time, we can easily succumb to the temptation to order tests, treatments and surgeries when similar outcomes could easily be achieved with listening, explaining and teaching. For example, several thorough studies of non-radiating low back pain have shown little to no overall gain to spine imaging, surgery or long term pain medicine use and yet these treatments represent the “standard of care” in modern treatment. The typical rejoinder to this criticism is that these are the things that patients insist on. My experience has taught me otherwise. In 17 years as a neurologist, I have come to believe that what most patients want from their doctor is understanding and education rather than pills and tests. They want to tell the story of their symptoms and they want us to appreciate its meaning to them. They want their symptoms explained back to them in a way that tells them what is going on with their body. Sometimes they want or need tests or medications or further referrals but many times, once they understand what is going on, they are more than happy to try simple time tested interventions first before resorting to pills and surgeries. When the necessary time to reach this understanding is not provided, patients (and their doctors) often use medicines and tests to fill that void. For example, a patient with a straightforward headache history with no worrisome signs or symptoms comes in asking for a brain MRI to ‘see what’s going on”. Admittedly, our medico-legal climate and the proliferation of “doc operas” on TV have created a climate of fear and expectation of the worst in both patient and doctor. However, many times, after a careful history, a thorough examination and a thoughtful explanation many patients will say, “That makes sense, why don’t we try a few simple things first and I will let you know if it helps or not?” This statement, I believe, is the holy grail of health care affordability. As a neurologist, I have a fairly large population of older patients, many of whom have limited ability to see or hear and, not uncommonly, to even comprehend. It became clear to me early on that I could not hope to provide good medical care for them without giving them a written summary of our discussion. This document explains their symptoms in plain language and outlines some simple interventions I would like them to try to find relief. Sometimes, there are further tests in addition to the treatment recommendations, but the simple recommendations are elevated in importance to the same level as the tests and medications and other interventions I might recommend. With the advent of digitized radiology imaging, I can often paste into this note a representative imaging study to reinforce the message. Any medicines I recommend will have a few lines about common side effects and a dosing schedule and range that starts low and builds slowly emphasizing taking the lowest dose that helps and coming off the medicine once symptoms are better. Any medicine I recommend comes with a printed patient information sheet as well. At the end of this note is a request to talk by phone or at a scheduled return visit to see how this plan has worked. I always type out my request to have the patient call me if he or she has questions or is clearly getting worse. While this may sound like an enormously time consuming endeavor, the truth is, many patients have similar symptoms making it possible to create a file of basic Care Plan building blocks that are customized for the individual patient. This is not, however, the same thing as a boilerplate handout that is too generic to have any meaning to an individual patient. The note I hand to the patient is pasted into our electronic medical record so that our medical support staff can see what I told our patient. This is a vital part of this process as it keeps everyone on the same page and helps our nurses and medical assistants encourage the patient to give the simple recommendations a good try. This extra documentation also serves to support levels of coding that support the time and work involved in the visit. For the most part, my patients have been very happy with this approach. The spouses, children and caregivers are even happier as they too are fully engaged in the process. I end up seeing a lot of their family members and friends. This work takes time. In fact, the note is only the end product of a very time intensive visit. I can only do this work because I have been able to use our electronic medical record to review the chart days in advance of the visit so that none of the visit time is spent pouring through the medical record. This pre-visit preparation allows me to arrange for necessary records and imaging studies to be forwarded prior to the visit. As a result of this preparation, I can begin the visit with a simple question to ask the patient to tell me the story in his or her own words. Then I sit quietly and listen. For most patients, the history unfolds in vignettes and disjointed fragments, usually punctuated by reading from the back of an envelope where notes have been scribbled. Sometimes they bring in a three paged single spaced summary and ask me to read it. I gently encourage them to read it to me, so they can add color and context. This history comes out like a torrent at first but eventually tapers off to, “That’s about it doc”. The drop in the tension in the room is palpable and we can all feel that the stage has been set for healing. I then ask questions from my prior reading and notes I have taken to gather the threads into some narrative. At the end of the history, I ask, “Is there anything else you think is important that we haven’t discussed yet?” Since the advent of Google and WebMD and the like, I have also started asking, “Is there a specific diagnosis you have been concerned about that you want to make sure we think of today?” I never cease to be amazed at the things people come up with that I would never have thought of. But if that question is not asked, it remains the 500 lb. gorilla in the room. In addition to previewing charts ahead of time, I do not “double book” patients or allow my clinic to run late. A patient sitting in a waiting room after the beginning of their scheduled visit is a failure on my part to properly manage my time. If a patient arrives and my staff is busy, I get them myself. The whole of the visit time is simply that important. I am fortunate enough to work at an organization that recognizes the time it takes to do good work and gives me that time. We encourage our patients to be here 20 minutes before their visit so that any paperwork or other details that might cut into our visit time are taken care of. If the patient arrives late, I give them my full attention for the remainder of the time we have and then schedule a make up visit. To do otherwise is to cheat every other patient on the schedule that day. The electronic medical record has also created the opportunity to make every kind of patient encounter more meaningful. For example, I typically call my patients with most test results. This allows me to update the narrative arc of the issue I saw them for in a section of the note called the “Problem List”. Here, a concise summary of their symptom or diagnosis is available for any provider to review without having to plow through the chart in search or an initial note and subsequent phone or office visits. The story of the issue I saw them for is readily available and updated as test results and treatment responses are reported. Our urgent care, emergency doctors and hospitalist find this particularly valuable. These phone visits also allow me to check in on how the simple treatment strategies are working, suggest minor adjustments and provide encouragement. For some patients, their preference is for this to occur through a virtual visit through our secure email system. For others, a return visit works best. What the electronic medical record affords is the ability to provide seamless care to far more patients that the traditional check back visit allows for. Here again is another way to increase the efficiency of health care while sacrificing none of the quality. As for me, this approach has enhanced rather than detracted from my work satisfaction. I can see the appreciation in the faces of patients and their loved ones that they have finally gotten an explanation. I feel that the reasoning skills that led me to this profession are honored and appreciated, rather than my ability to order tests and medicines. And I can see the subtle ripple effect of these teaching notes in the care plans of my colleagues. This administration has touted the electronic medical record as a vital tool in reforming our system of care. Like any tool, it is only as good as the skill and dedication of the user. We must always remember that

August: Miles/Calories/Hours

Total Miles (Swim/Bike/Run): 455 Total Calories: 42,600 Total Workout Hours: 47

12 Mile Family Bike Ride on the Centennial Trail on 08/30/2009

Today was supposed to be a 5 hour ride. Instead we all packed up the bikes and drove to Snohomish to ride along the Centennial trail. Forrest ride with me in his kiddy seat on my mountain bike. We saw horses and sheep and donkeys and stopped to play at a train themed playground at one of the old stations along this rails-to-trails conversion. We then returned to Snohomish for some ice cream and wandering through the antique stores. Probably not the best Ironman training but a wonderful day together that did as much for my soul as any ride would do for my training. Here is a video Laurie made of Forrest and his Dada riding in downtown Snohomish. MapMyTri.com - General Road Cycling: Family Bike Ride Centennial Trail on 08/30/2009 Shared via AddThis video

Saturday, August 29, 2009

13.2 Mile Home to Greenlake Loop on 08/29/2009

The ride at Mt. Rainier I had hoped to go on this morning was cancelled on account of cold rain. I spent the day running errands with Laurie and Forrest and managed to find time to get this run in this evening. Another beautiful late summer evening with all the healthy Seattle folk running their dogs and kids in strollers around Green Lake. MapMyTri.com - Regular Run: Home to Greenlake Loop on 08/29/2009 Shared via AddThis

Friday, August 28, 2009

1 Hour Medgar Evers to I-90 Run Then 1500 Yard Swim on 08/28/2009

Another early morning "brick" workout with a run followed by a swim. I managed to get this done before work but had to cut the swim short as I had a patient to see in the hospital before work. Lake Washington was beautiful in the early dawn light from the I-90 bike lane, a great start to the day! MapMyTri.com - Regular Run: Medgar Evers to I-90 Run on 08/28/2009 Shared via AddThis

Thursday, August 27, 2009

16 Mile Early Morning Ride to Seward and Back on 08/27/2009

Got up early to get a workout in before going on call. The lack of traffic along Lake Washington Blvd was a nice change from usual. The first few miles were a bit rough after yesterday's workout, but I got settled into the groove and finished feeling rejuvinated and ready for the day. MapMyTri.com - Road Cycling - Medium Intensity: Ride to Seward and Back on 08/27/2009 Shared via AddThis

Wednesday, August 26, 2009

7.2 Mile Run (Medgar Evars Pool to Mercer Island and Back) then 2 Mile Swim on 08/26/2009

View Interactive Map on MapMyTri.com Today's workout was typical of what I should be doing from now until early October, a combined run or bike with a swim during most weekdays. The weekends are reserved from one long ride (6+ hours from here out) and a long run then ride combo. Monday is my rest/recovery day. Who woulda thunk I would be looking forward to Mondays! The run was lovely, looking out at the Thistle sailboats racing off Leschi from the bike lane on I-90. Ah, la dolce vita! MapMyTri.com - Regular Run: Medgar Evars to Mercer Island Loop on 08/26/2009 Shared via AddThis

Tuesday, August 25, 2009

30 Minute Run (Madison Park Loop) Plus 47 Minute Roller Ride on 08/25/2009

Another call night so I did as much of Wednesday's 1 Hour ride and 30 minute run workout as I could. I can run with my pager and phone as long as I stay near the house, hence the neighborhood loop, but for a ride, I gotta use the rollers in the basement. Tonight, I watched the DVD of Stop Making Sense by the Talking Heads. Always a sure bet for a high energy workout! MapMyTri.com - Regular Run: Madison Park Loop on 08/25/2009 Shared via AddThis

Sunday, August 23, 2009

13.2 Mile Home to Green Lake Loop on 08/23/2009

Long weekend training run. A little tougher than usual. I don't think I have completely recovered from my 72 mile ride from yesterday! MapMyTri.com - Regular Run: Home to Greenlake on 08/23/2009 Shared via AddThis

Saturday, August 22, 2009

Training for Ironman, Seattle neurologist raises $ for patients

Here is a nice article Monica Guzman at the Seattle P.I. wrote about my ALS fundraising efforts Training for Ironman, Seattle neurologist raises $ for patients

72 Mile Ride Around Lake Washington and Lake Sammamish on 08/22/2009

This is my long training ride of the week. I thought I would expand my usual ride around Lake Washington to take in Issaquah and Lake Sammamish. When I got to Marymoor Park, I hopped on the Sammamish River Trail and then home via the Burke Gilman trail. I felt pretty tired and sore at the end, but less so that earlier (and shorter) rides this summer. I'll take that as a good sign! MapMyTri.com - General Road Cycling: Ride Around Lake Washington and Lake Sammamish on 08/22/2009 Shared via AddThis

6 Mile Run with Forrest on 08/21/2009

Another fun run with our little bunny. I was going to slip out the door on my own as it looked like he needed a nap, but Forrest plunked himself down in front of the door and announced he wanted to come with dada. We had a great time talking about our trip to the park last night and making funny animal sounds :-) MapMyTri.com - Regular Run: Run with Forrest on 08/21/2009 Shared via AddThis

Thursday, August 20, 2009

9 Mile Run then 1.2 Mile Swim on 08/20/2009

The cold that has been running through our home finally caught up with me yesterday. I took a rest day on Wednesday but got back at it today. I did OK through the run (out over I90 and back then up the stairs from Madrona to my starting point at Garfield High). I began to feel my reserves tap out during the swim but managed to get 1.2 miles in. I'm going to try and not push it tomorrow so I can get a long ride in on Sat. and a long run in on Sunday. MapMyTri.com - Regular Run: Run on 08/20/2009 Shared via AddThis

Tuesday, August 18, 2009

Training Ride to Seward Park Then Run with Murphy on 08/18/2009

First workout after the Lake Stevens 70.3. I was stiff at work all day but feel I have made a much better recovery after this race than at Vineman. I rode down to Seward Park and back and felt good on the bike, then a quick transition to running shoes and headed out for a 30 minute run with Murphy. That was a little more of a challenge, particularly the steep hill at the climb. But, I learned there is no hill you can't climb if you have an Irish Setter at your side and Alison Krauss singing with Robert Plant on the iPod :-) MapMyTri.com - Regular Run: Post Ride Run with Murphy on 08/18/2009 Shared via AddThis

Monday, August 17, 2009

Lake Stevens Ironman 70.3 on 08/16/2009

Another 1/2 Ironman distance race. This was to be my race to validate my lottery slot, but I managed to get into the Vineman race. I figured I would run this one for practice. The swim was harder than I expected but my transition to the bike ride went much faster this time. The ride was quite hilly but I managed to post a pretty good time. The run was in weather 15 degrees cooler than Vinemen and that made a huge difference. I really felt much stronger and didn't walk any of it. I shaved about 20 minutes off my Vineman time. Yay! It was so nice to see Laurie and Forrest at the finish. What a sight for sore eyes (and legs) :-) Now for the heavy lifting up to Kona. MapMyTri.com - Regular Run: Lake Stevens Ironman 70.3 Bike and Running Legs on 08/16/2009 Shared via AddThis

Friday, August 14, 2009

4 Mile Pre Race Run w/ Murphy on 08/14/2009

The workout intensity tapers down before a big race. Today called for a 40 minute run. Murphy and I ran a variation of our usual neighborhood course taking in Madison Park, brother John's place, brother Tom's place and back home via Madison Street. Murphy was sagging a bit at the 40 minute mark so I stopped the timer and we walked up Madison Street. Then he wanted to run again! What a trooper! MapMyTri.com - Regular Run: Pre Race Run w/ Murphy on 08/14/2009 Shared via AddThis

Thursday, August 13, 2009

1 Hour Roller Training Ride in the Basement on 08/13/2009

Came home to a downpour and a wife with a cold. I thought I would get my 1 hour ride in with the rollers in the basement so I could watch our little one and let Laurie have a rest. Tried out my new (to me) Zipp 404 aero wheels. Sweet! MapMyTri.com - General Road Cycling: Roller Training Ride on 08/13/2009 Shared via AddThis

Wednesday, August 12, 2009

3000 Yard (1.7 Mile) Lap Swim on 08/12/2009

Another swim before the Lake Stevens 70.3 (1/2 Ironman) this Sunday. I felt stronger in the water tonight. Not having run 10.5 miles just before probably had something to do with that :-) MapMyTri.com - Laps / Swimming Pool: Lap Swim on 08/12/2009 Shared via AddThis

Monday, August 10, 2009

Brick Workout: 2 Hour I-90/Leschi/Madrona Run, Then 1.5 Mile Swim on 08/10/2009

I parked at Medgar Evers Pool at Garfield High and ran for two hours across I90 to Mercer Island, then down to Leschi and Madrona Park, then up the long climb along Madrona Avenue back to Garfield High School. I had to add a few loops to finish the run in time for Lap swim at Medgar Evars. The swim felt great but its a strange feeling to be surrounded by water and still feel thirsty! Tomorrow is a call day so no workout until Wednesday. Then the workouts taper down in anticipation of the Lake Stevens 70.3 on Sunday. MapMyTri.com - Regular Run: I-90/Leschi/Madrona Run on 08/10/2009 Shared via AddThis

Saturday, August 8, 2009

10.5 Mile Lake Stevens 70.3 Run with Murphy on 08/08/2009

I got a few hours off on my call weekend to get a run in. Murphy and I ran most of the 13.1 mile running segment of next weekend's 1/2 Iroman. The run is a double loop with a long hill late in each loop. The good news is that the run follows the lake with some lovely views. Murphy was pretty played out by 10 miles and I had to get back to resume call, so we passed on the last section. At least I know the whole course now! MapMyTri.com - Regular Run: Lake Stevens 70.3 Run with Murphy on 08/08/2009 Shared via AddThis

Friday, August 7, 2009

50 Mile Bike Training Ride: Tacoma to Seattle Ride on 08/06/2009

I worked in the Tacoma clinic today and decided to combine my commute home with a training ride. After a slow start (forgot my jersey and had to buy one at Tacoma Bike) I started out. I then got a little lost in Sumner and did a bit of a loop before finding the road to Milton and then north to the Interurban Trail. From then on it was a pretty straight shot to Boeing field, Safeco Field and then home. Yay! MapMyTri.com - General Road Cycling: Tacoma to Seattle Ride on 08/06/2009 Shared via AddThis

Wednesday, August 5, 2009

7 Mile Elliot Bay Trail Run with Forrest on 08/05/2009

Pushed Forrest in the jogging stroller from the Denali gym at Interbay past the Interbay train yards (always a hit with Forrest!) and then onto the Elliot Bay trail to Pier 70. We had a great time talking about trains and planes and boats and the grain elevator. Laurie got a nice workout in at the gym and we all went out for dinner at Romio's afterward. Another great evening! MapMyTri.com - Trail Run: Elliot Bay Trail Run with Forrest on 08/05/2009 Shared via AddThis

20 Mile Indoor Roller Training Ride on 08/04/2009

Riding of my rollers allows me to get a workout in while I am on call. If needed, I can get to the emergency room or hospital almost as quickly as if I was not working out. This ride averaged 15 MPH, a slow pace except that the resistance device on the rollers makes the ride not unlike a long slow climb. I have been thinking about what an amazing opportunity this lottery win is. The Ironman World championship is the World Series or Super Bowl of this sport. Imaging winning a chance to play for in one of those events! I've also been looking back over my training log. Since April 11 (when I first started tracking my workouts on MapMyTri.com) I have logged 1180 miles and have burned through 117,000 calories! And I still have 2 months of the hardest training yet to go! MapMyTri.com - Road Cycling - Medium Intensity: Roller Training Ride on 08/04/2009 Shared via AddThis

Sunday, August 2, 2009

13.2 Mile Run : Home to Greenlake on 08/02/2009

Yesterday, I rode the 1/2 Ironman bike distance. Today, I ran the 13.1 mile running distance. I ran from Madison Park up past the UW fountain, through Frat row and over to Greenlake and around. I tried out my new Amphipod hydration belt. It holds a 20oz. bottle in a pouch in the small of your back. I really like it, but forgot to put the bungee holder back on and lost the bottle coming back to the UW. Gotta go look for it! MapMyTri.com - Regular Run: Home to Greenlake on 08/02/2009 Shared via AddThis

Saturday, August 1, 2009

55 Mile Training Ride: Lake Stevens Ironman 70.3 Bike Course on 08/01/2009

Thought I would preview the Iroman 70.3 (1/2 Ironman distance) bike course. There are two long hills and a bunch of rollers in the double loop. The hills and the heat were a real challenge, but it felt good to get familiar with the course. I won't have a chance next weekend as I will be on call, and the weekend after is the race (August 16th). MapMyTri.com - Road Cycling - Moderate Hills: Lake Stevens Ironman 70.3 Bike Course on 08/01/2009 Shared via AddThis

Friday, July 31, 2009

Early Morning 6.25 Mile Madison Park and Arboretum Run with Murphy on 07/31/2009

The dogs didn't get a run last night so Murphy was happy to get out for some exercise. We'll get Callie in the water today, as that is where she loves to be. It felt good to run in the cool morning air for a change! MapMyTri.com - Regular Run: Madison Park and Arboretum Run with Murphy on 07/31/2009 Shared via AddThis

Thursday, July 30, 2009

2 Mile Lap Swim on 07/30/2009

Back in the pool for the first time sine Vineman. It's great fun to share the pool with the little tykes taking swim lessons and their parents and grandparents watching from the side. I'm hoping to do some open water swims in Lake Washington, now that the water is warmer. MapMyTri.com - Laps / Swimming Pool: Lap Swim on 07/30/2009 Shared via AddThis

Monday, July 27, 2009

5.6 Mile Run: Twice Around Greenlake w/ Murphy on 07/27/2009

Good training run for Kona. Temperature at the start was a blitering 92 degrees!. Had to stop and let Murphy swim at the crew docs during the first lap. That sure perked him up for the rest of the run! MapMyTri.com - Regular Run: Twice Around Greenlake w/ Murphy on 07/27/2009 Shared via AddThis

Saturday, July 25, 2009

67 Mile Ride to Mt. Baker Ski Area and Back: 6000 ft. of Climbing! General Road Cycling: Mt. Baker Ride on 07/25/2009

Cascade Cycling Club ride from Maple Falls to Artists Point at the Mt. Baker Ski Area. The 6000 ft. climb was gruelling but rewarded by amazing views of valleys and waterfalls and glacial runoff. The last climb from Heather Meadows to Artists Point was particularly gnarly! The view in the picture is of Mt. Shuksan. The descent was a blast. I was going 50 MPH while Bob Marley's "Jammin'" was blasting on the iPod. I highly recommend it!

Friday, July 24, 2009

Madison Park and Arboretum Run with Forrest on 07/23/2009

Back to training after Vineman. Had a nice run with Forrest. A little stiff but otherwise it felt good to be back at it. MapMyTri.com - Regular Run: Madison Park and Arboretum Run with Forrest on 07/23/2009 Shared via AddThis

Thursday, July 23, 2009

Vineman

Last Sunday, I took the last step to validate my lottery entry for Kona. In order to race, you need to complete a half-length Ironman race within a year of the event. I started with the last wave start of the morning at 8:30AM with a 1.2 mile swim in the Russian river. Our wave of 45-49 year old guys was the largest (219). Laurie and Forrest were there to wish me well and stayed for the swim to bike transition. I was out of the water in 39 minutes and then on to the bike for a 55 mile ride through the lovely vineyards of Sonoma county. At about 35 miles, I came across a fire crew removing a fallen tree limb. I learned later it had pinned three riders, stopping them in their tracks. Two suffered broken collarbones and one is still in the hospital! I finished the ride in 3 hours, 11 minutes at the town of Windsor. I then started the 13.1 mile run in 95 degree heat. The road wound through country roads past farms and pastures to the turn around at the La Crema winery. It is an out and back course so you see the other runners going the opposite direction. The nectarines at the water stations were to die for! Part of the body marking for the race is your age written on the back of your left calf. At the last mile of the race, I came upon a 72 year old man (who likely started with one of the first waves around 6:30 AM). That was an inspirational moment. Laurie and spent the day at the Windsor High School in the heat waiting for me to come in from the ride and then the run. Tavo, Robin and Benjamin arrived a couple of hours before the finish. It was so nice to see all of those friendly faces at the end of the race. Laurie dropped Forrest down into the chute as I was finishing. I didn't know other parents had been picking their kids up to cross the line with them. I waved and ran to the finish and then turned around to see Forrest crossing the line after me! What a treat! I finished 114 out of my 219 person age group and 1361 out of the entire field of 2286. From what I have heard, you double your 1/2 ironman time and add an hour and this prety much predicts your full ironman time. If that is what I can expect, I should be able to complete the Kona race well ahead of the 18 hour cutoff.
Aside from a need for a good sleep and a little lightheadedness from dehydration, I felt pretty good the next day. We drove up the California coast, stayed the night in Crescent City and then drove up the Oregon coast as far as Coos Bay, then over to I-5. Forrest was a real trooper for being in the car seat for so long, thanks to Thomas the Tank Engine, Blues Clues and Shaun the Sheep DVDs. Laurie was a great help and support for the whole trip. I could not have done this without her.
Now its back to training...

Wednesday, July 15, 2009

Ride: Home to Seward and Back (18 Miles) on 07/15/2009

Last bike training ride before we drive to Santa Rosa for Vineman. I tried out the aero wheels I am renting for the ride. I don't know if they helped much, but I sure felt faster! :-) MapMyTri.com - Road Cycling - Medium Intensity: Cycling on 07/15/2009 Shared via AddThis

Monday, July 13, 2009

8.5 Mile Madison Park and Arboretum Run on 07/13/2009

Nice long run after a long call weekend. I managed to bump the pace up a little for this one. Thanks, in part, to Stevie Wonder on the iPod! MapMyTri.com - Regular Run: Madison Park and Arboretum Run on 07/13/2009 Shared via AddThis

Saturday, July 11, 2009

2 1/2 Hour Roller Training Ride on 07/11/2009

Watched "The Fast and The Furious" and half of "Runaway Train" while riding on my rollers in the basement. Good high energy movies. It's not a ride around the lake but it's the best I can manage on a call weekend. MapMyTri.com - Road Cycling - Medium Intensity: Roller Training Ride on 07/11/2009 Shared via AddThis

Friday, July 10, 2009

3000 Yard (1.7 Mile) Swim on 07/10/2009

Early morning swim before a long call weekend. It felt good to get there early enough to complete the full workout before lap swim ends at 7:30AM MapMyTri.com - Laps / Swimming Pool: Swim on 07/10/2009 Shared via AddThis

Thursday, July 9, 2009

6 Mile Madison Park and Arboretum Run with Forrest on 07/09/2009

The hardest part about all this training is not the miles or the near constant pain. The hardest part is being away from my dear wife and our son. He is 3 now and growing by leaps and bounds. Each day is another precious memory to cherish and embrace. Today, I was able to get in a run with him while Laurie went to the gym. This is the best of all worlds. I get my workout in, Forrest and I get to talk and look at the birds and the trees and make funny sounds, and Laurie gets to have some time to recharge her batteries. The only better time is when we all go out for a ride and I can tack on some miles at the end. All in all, a great day.

Wednesday, July 8, 2009

2600 Yard (1.4 mile) Swim on 07/08/2009

Another swim at Medgar Evars Pool. Swam in the fast lane again! MapMyTri.com - Laps / Swimming Pool: Swim on 07/08/2009 Shared via AddThis

Madison Park to Arboretum Run w/ Murphy on 07/07/2009

Murphy decided to join me on my run workout. Sometimes he sees me in my running shoes and just lays down. I think he likes the sprinting and ball chasing at the dog park more than these long runs. Still, he kept up great and it was a nice treat to share the run with him. MapMyTri.com - Regular Run: Regular Run on 07/07/2009 Shared via AddThis

Monday, July 6, 2009

Early Morning Lap Swim at Medgar Evars Pool: 1.4 Miles

Managed to get 2500 yards in before having to head home to shower and get dressed to be on call. Hopefully, I'll get a chance to log some time on the rollers tonight.

Friday, July 3, 2009

Road Cycling - Long Distance: Ride Around Lake Washington on 07/03/2009

Trying to get my long weekend ride in before the Wooden Boat Festival at South Lake Union. This ride plus this morning's swim comprises 2/3 of a half-ironman! MapMyTri.com - Road Cycling - Long Distance: Ride Around Lake Washington on 07/03/2009 Shared via AddThis

Early Morning Swim on 07/03/2009

Managed to get in 1.3 miles before the end of early morning lap swim. Then Murphy the Setter to the dog groomers, then a ride around the lake! MapMyTri.com - Laps / Swimming Pool: Early Morning Swim on 07/03/2009 Shared via AddThis

Wednesday, July 1, 2009

Brick Workout (Continued) Bike Ride to Seward Park and Back to Leschi

Nice combination of running then riding. Looks like I will be doing more of this in the coming weeks. Getting nervous about Vineman 1/2 Ironman on July 19th... MapMyTri.com - General Road Cycling: General Road Cycling on 07/01/2009 Shared via AddThis

Brick Workout:: 40 Minute Run on 07/01/2009

Ran from Leschi Marina to home, then rode bike to Seward Park and back to Leschi. MapMyTri.com - Brick Workout: Run on 07/01/2009 Shared via AddThis

Tuesday, June 30, 2009

Call Night: Roller Ride on 06/30/2009

Watched a movie while riding my bike on the rollers in the basement. This is the only way I can get a workout in and still be within 20 minutes to the ER. MapMyTri.com - Stationary Bike: On Call Roller Ride on 06/30/2009 Shared via AddThis

Sunday, June 28, 2009

Weekly totals for June 22-28: Calories burned: 11, 195 Training Time: 12.44 hours Total Distance: 103 miles Monthly Total for June: Calories burned: 33,500 Training Time: 40.36 Total Distance: 350 miles

Seward to Madison Park Shore Run on 06/28/2009

My father and I participated in this run back in 1978. It has always had special meaning to me. MapMyTri.com - Regular Run: Seward to Madison Park Shore Run on 06/28/2009 Shared via AddThis

Saturday, June 27, 2009

Long Training Ride to Tukwilla

Rode over to Alki Beach, then south to SeaTac then east to Southcenter where I discovered the lovely Green River trail. I rode this north to near Boeing field, then cut over to pick up Lake Washington Blvd at the Stan Sayres Pits. After returning home, I ran for another half hour. Uff da! MapMyTri.com - General Road Cycling: Ride to Southcenter Then Run on 06/27/2009 Shared via AddThis

Madison Park and Arboretum Run with Forrest

Forrest and I had a great time counting dogs and birds on our run. The hardest part about this training is the time it takes away from being with him. Combined runs and Dada-Forrest time are a real treat! MapMyTri.com - Regular Run: Regular Run on 06/26/2009 Shared via AddThis

Thursday, June 25, 2009

Laps / Swimming Pool: swim on 06/25/2009

3000 yard (1.7 miles) in 50 minutes. I felt tired after yesterdays workout but it all kicked in after the warm up. MapMyTri.com - Laps / Swimming Pool: swim on 06/25/2009 Shared via AddThis

Wednesday, June 24, 2009

Brick Workout: Biking/Running on 06/24/2009

A "brick" workout in triathalon training is a combination of two or more of the event sports in one workout. Nice ride to Seward Park and back along Lake Washington Blvd, then a run around Madison Park. Felt great! MapMyTri.com - General Road Cycling: Brick Workout: Biking/Running on 06/24/2009 Shared via AddThis

The Original Family Ironman

My father grew up poor in rural North Carolina. After serving in the Marines in Korea, he made his way to Washington. D.C. to attend college on the GI Bill. He then went to work at the ticket counter at United Airlines where he met my mother. During this time, he held down a full time job while taking a full course load. His co-workers agreed to change their schedules so that he could attend classes during the day and work in the evening shift. After completing the swing shift, he would sit down to study until late at night. According to my mother, his coworkers were so impressed with his dedication and hard work that they called him "The Ironman".
I lost my father to a disecting aortic aneurysm in the early months of my residency. His tireless commitment to his family, his marriage and his work are a major source of inspiration to me during this training and I will try to follow his lead during the Ironman race this fall.
Here he is pictured with his little girl, my adorable sister Trisha.

Monday, June 22, 2009

Neighborhood Run.

I cut the run a little short so Laurie could get to yoga. It felt good to be running again after so much swimming and cycling. MapMyTri.com - Regular Run: Regular Run on 06/22/2009 Shared via AddThis

Sunday, June 21, 2009

Training RollerRide (On Call Weekend So Home Workouts Only)

Set up my rollers in the basement and watched a movie while riding. Forres was napping and Laurie was at yoga so it was just me and the dogs. Didn't workout yesterday so I will call that my rest day and do Saturday's workout tomorrow. MapMyTri.com - Stationary Bike: ride on 06/21/2009 Shared via AddThis

Friday, June 19, 2009

Early Morning (6AM!) Swim: 1.7 miles

Trying to get a workout in before a weekend on call. I need to complete the 2.4 mile swim in Kona in 2 hours, 20 minutes. Otherwise, me race ends right there at the shore. That would be a major bummer. My pace this morning would get me out of the water in 1 1/2 hours, so I can breathe a little easier :-) MapMyTri.com - Laps / Swimming Pool: Swim on 06/19/2009 Shared via AddThis

Thursday, June 18, 2009

Brick Workout: 60 Minute Ride Then 30 Minute Run

Nice combined workout before a long call weekend. Watched the DVD of last year's Ironman. I am so way in over my head!!! MapMyTri.com - General Road Cycling: General Road Cycling Plus Run on 06/18/2009 Shared via AddThis

Tuesday, June 16, 2009

MapMyTri.com - Laps / Swimming Pool: Lap Swim on 06/16/2009

The Watery Realm 1.4 mile swim in the Fast lane at Medgar Evers Pool. Managed not to get passed. Yea! MapMyTri.com - Laps / Swimming Pool: Lap Swim on 06/16/2009 Shared via AddThis

Monday, June 15, 2009

MapMyTri.com - Regular Run: Regular Run on 06/15/2009

Early Morning Run. Still a little creaky after Saturday's ride, but all was well after a mile or so. MapMyTri.com - Regular Run: Regular Run on 06/15/2009 Shared via AddThis

Saturday, June 13, 2009

MapMyTri.com - Road Cycling / Mountain Biking: Bike and Run on 06/13/2009

Ride Around Lake Washington By Way of Marymoor Park, Then a 30 Minute Run. Pretty tired after 5 straight workout days, including a double workout on Friday. You look pretty comical when you first start running after a long bike ride. Short, choppy steps, like your legs don't know how to change gears. After a few minutes, the old stride kicks back in though. MapMyTri.com - Road Cycling / Mountain Biking: Bike and Run on 06/13/2009 Shared via AddThis

Friday, June 12, 2009

MapMyTri.com - Regular Run: Run on 06/12/2009

One hour run around home. Murphy (the Irish Setter) was having none of it. Callie (the Black Lab) lasted only a half hour! MapMyTri.com - Regular Run: Run on 06/12/2009 Shared via AddThis

MapMyTri.com - Laps / Swimming Pool: Laps / Swimming Pool on 06/12/2009

One mile swim after 6 mile run . Uff Da! MapMyTri.com - Laps / Swimming Pool: Laps / Swimming Pool on 06/12/2009 Shared via AddThis

MapMyTri.com - Regular Run: Regular Run on 06/11/2009

Around Greenlake Twice with Forrest: Trying to run and talk like "The Count" from Sesame Street while pushing a jogging stroller is a sure way to build up your lung capacity! MapMyTri.com - Regular Run: Regular Run on 06/11/2009 Shared via AddThis

Wednesday, June 10, 2009

MapMyTri.com - Laps / Swimming Pool: Lap Swim on 06/10/2009

3000 yards in 1 hour, 10 minutes. I am starting to feel stronger in the water. Swam in the "Fast" lane for the first time. Yes! Maybe I will actualy get out of the water before they close the course... MapMyTri.com - Laps / Swimming Pool: Lap Swim on 06/10/2009 Shared via AddThis

Tuesday, June 9, 2009

MapMyTri.com - Training Log for forrestsdada

MapMyTri.com - Training Log for forrestsdada Shared via AddThis

No Turning Back

Here is a link to the Seattle P.I. article written by Monica Guzman upon learning from Ironman.com that I had won a slot in this years Championship race.

http://www.seattlepi.com/local/405516_ironman27.html?source=mypi