A Virtual Pacer with Real Results

Today's run on the Bethpage trail

Last February an ignorant orange man told the country that COVID-19 would soon disappear with the heat, "like a miracle." The only miracle is that, seven months later, 42% of the country still believes him. Sadly, we're pretty much where we were the last time I posted (April 28). If there's anything positive I can say about this, it's that on the road things are pretty much the same as they were pre-COVID. Socially distanced outdoor runs don't require runners to wear masks as long as the six foot rule is rigorously maintained. It's really not that hard to do.

It's been about sixteen months since I've had to commute to a job and my time is structured very differently these days. I now get 8 hours sleep every night and my stress level is pretty low. I give a lot of credit to my 6 day a week runs for keeping me healthy. However, I've recently realized that while daily cardio may be great for my vitals and heart health, it doesn't necessarily mean I'm actually in good athletic shape. Can I run five miles without stopping? Yes. Can I run five miles in 42 minutes like I used to? No. Nein. Nyet. 没有.  

During my last checkup in August I asked my doctor why my pace has gone from age group competitive to pathetically slow over the last five years. I'm running a lot more than I was back then and I couldn't understand why all this running wasn't making me any faster. My doctor looked at my chart and said, "Physically there's no reason. You must not be trying hard enough." I knew he was right. I was so inspired that I went out the next morning and did absolutely nothing different because trying was harder than floating through my run.

Since that doctor visit I did try making some changes to my technique that yielded modest speed increases. I focused on cadence and stride length intermittently during runs. The improvement was not dramatic but I did pick up about 30 seconds per mile. Knowing that a little extra effort yielded a marginal performance benefit, I started thinking about ways to really move the needle.

I did a search to see if there was anything online that would inspire me to try harder and I came upon an article about virtual pacers. My old Garmin 210 had alerts that beeped when your pace slowed below a set speed and I was surprised to find a video from DC Rainmaker that showed how to use the virtual pacer feature on my FR35. I had no idea that my watch even had this feature because getting to the menu is not intuitive. But I was able to configure it to beep if my pace went out of range.

Just hit Run > Run Mode > Virtual Pacer > Edit > Set...

My first run was scary because I was so afraid my watch would be beeping like an EKG, with each tone broadcasting my failure to keep on pace. But a funny thing happened. The only time it beeped was to indicate I was ahead or on pace. I was so fearful of the watch's judgement that I ran 1:20 faster than the threshold I'd set. It was like the movie Speed when Sandra Bullock needed to drive over 50 MPH or the bus would blow up. My run was like that but more stressful.

I've been using the virtual pacer (VP) feature on every run I've done since Friday and my pace has been over two minutes per mile faster on each of those runs. The VP is a great motivator but I needed to own the effort. It's a different experience going out with the gas pedal down from start to finish rather than wending my way through my route at a comfortable speed. The sad part is that I'm pushing very hard to run almost three minutes per mile slower than my former everyday running pace.

I'm determined to run 3+ miles at a 9-something pace by the end of the year. I went out to Bethpage this morning to torture myself on the hills and was pleased that I still paced well, even with my bête noire, the big hill that crests near the parking area. If I can keep this up, maybe I can again run alongside the cool kids: SIOR, KWL, Professor Mike and TPP.  Who knew that listening to the doctor could be so helpful!

Back to running and seeing

Prêt à porter

Today's run (street): 3.1 miles
Yesterday's run (treadmill): 2.25 miles

Okay, I lied. It's still September and here I am posting again. On my last post (not the one that confused SIOR because I used a complicated word like hiatus) I wrote about my enduring problem with plantar faciitis. That was in late August. Although I didn't say it at the time, it was the start of a planned running break. I needed to have a couple of eye surgeries and my doctor said I wouldn't be allowed to run again until mid-October.

I had my first surgery a couple of weeks ago in my left eye. It went well but my recovery has been slower than expected. So much so that we ended up postponing the second one. It's been a roller coaster of experiences: frustration, surprise, concern, excitement. The exciting part was what happened after I stuck a contact lens in my other eye for the first time in 25 years.

After surgery I could technically see about 20/30 without a corrective lens in my left eye. With the contact in my right, I was able to look at the world clearly again without glasses.  I'm still dealing with some left eye vision issues but my ophthalmologist has cleared me for highway driving.

The doctor also gave me the okay to resume running. It was sunny on Friday morning and, without sunglasses, I opted for the treadmill. I was concerned that a month's layoff from running would mean a substantial loss in fitness, but I felt good the entire time. The secret to that was only running 2.25 miles at about 5 MPH. I didn't care about mileage or performance, I just needed to know I could run.

This morning was cool and overcast and I wasn't going to run inside again. I borrowed a pair of giveaway sunglasses that my daughter got from freshman orientation last year. They were fine except the arms were a bright Hofstra blue. They did the job but I didn't feel that comfortable wearing $2 novelty shades, especially after eye surgery.

My plan was to do the route I used to follow every morning at 4:00 AM before taking the train into the city. The distance is 2.5 miles, just a small increase from yesterday and something I thought would be easy to handle. My first steps confirmed that and I knew I would be in for a good run. It had rained overnight and the smell of ozone mixed with the aroma of maple trees was very pleasant. The 55° weather made me feel like I could run forever. Maybe not forever, but more than my planned 2.5 miles.

Still, the sunglass situation had to change, so this afternoon I drove over to Dick's in Melville to buy off the rack sunglasses for the first time in two decades. I had visions of getting some of those cool, aggressively shaped tri athlete shades with removable lenses for different sports. Dick's has nothing like that, and if they did, they'd charge $300 for them. They did have cheap lookalikes made of chintzy plastic that looked awful on me.

I found a decently made pair for $20 with a reassuring label on the front that said "Polarizing lenses, 100% UV protection." That may be the law but I wasn't taking any chances. As a matter of fact I was so risk averse I texted the above selfie to my wife so she could tell me it was okay to buy them. They were.

So I'm back to running and seeing, two things I really missed. I'll do the other surgery eventually but since it's not medically necessary right now I'll wait. I plan to go out again tomorrow and increase distance a little more. My plantar faciitis went away during my hiatus and I really hope it's gone for good. Or at least for a really long time.

Running route or Rorschach test?

 

Today's run (street): 4.75 miles

My grand plan for returning to my old weekday running routine went off the rails this week because of changes at work that took up a lot of my time. Bottom line, we had a big re-org that unfortunately affected a lot of people. As a result, I will take on additional responsibilities within the organization. Great, I guess. But I've liked the fact that (up to now) my role has been primarily consultative. That has allowed me to have a very flexible schedule and I'm hoping that can continue.

My flexible schedule allows me to work from home on Fridays and that allowed me to fit in my annual checkup with my doctor. One year ago, I'd told my doctor about ending up in the medical tent after the Brooklyn Half. He proceeded to put me through a long tedious day of tests and never gave me results. He only acknowledged I was fine by having his assistant send me a signed release form that allowed me to use my company's fitness center.

I decided to switch doctors and I was happy with the change. Everything was fine but that caused me to miss one of my key running days. I considered running later in the day, but I was concerned about being depleted by the blood work. I think that was a good call because I felt lethargic on today's run and I'm wondering if a slightly lower plasma level had something to do with that.

This morning I knew I needed to get out for more than a 3 mile easy run. We had some things going on in the morning that prevented me from getting out as early as I planned. I didn't think that mattered but, looking back, I would have liked a little more time of the street before the humidity went off the charts. I sometimes experience a minute or two of discomfort at the beginning of a run that dissipates once I fully transition to aerobic breathing. Due to the humidity and pollen level, I never really got past that today.

My route started as a two mile loop through my neighborhood before I cut over to neighborhood #2. I'd targeted four miles but hoped to exceed that. The lower neighborhood is set up with multiple roads that provide different route options. I ended up doing an out-and-back along a road I like due to its length and shade. The humidity continued to build as the sun grew higher in the sky. I reached a point around 4 miles in when I considered a cool down stop. I decided to keep going, knowing I was less than a mile from home.

I was glad to get enough distance to support my goal of increasing my base closer to 6 miles. It wasn't particularly enjoyable today, but it was necessary. After mapping my run in Gmaps, I saw that turning the route map 90° made it look a little like a tractor as well as roughly describing the shape of my home state of Massachusetts. I enhanced the image further to make the point (see above). Mrs. ER thinks the original route map looks like a person snowboarding. What do you see?

Tomorrow may be a good day for a trail run. I'll need to watch my time because thunderstorms are supposed to come through at some point on Sunday. I'm hoping to get out earlier when it's cooler and less humid. I don't know how flexible my schedule will be next week, so I want to make the most of my weekend runs.

Disc error

I discovered I'm not a diagnostician after meeting with a real orthopedist this afternoon. He shot down my piriformis theory in about two seconds. I went to the same office that screwed up my appointment last time because it's five minutes from my house and convenience counts. This time the doctor was in. I was curious to find out the true cause of the sciatic pain that I've had since early December. After chilling (literally) for 30 minutes in the freezing checkup room, the doctor came in and started asking questions.

After a quick check of the source of the pain, he said, "I think it's your back." He took some X-rays and we looked at the results that showed that my hips and pelvis looked fine. I must say I photograph well from the inside. Then we looked at the spinal view where he pointed out compression in my lowest segment - a herniated disc. The disc problem was putting pressure on the sciatic nerve that makes it feel like the injury originates from a lower place.

I asked the doctor if this meant no more running. He said that running wouldn't do any harm, but I should avoid hills. Yay! The doctor also suggested that I run on a soft, flat surfaces like the track or the treadmill. What he really recommended was to lay off running and focus on the elliptical for the time being. He showed me some stretches that would be beneficial and suggested I keep heat on my lower spine as much as I could.

I'm going back next week to get an MRI. I'll follow his orders, especially the one about not running hills. I think I can do that one really well. I told the doctor that I'd read that trail running helps injuries because the soft dirt and the constantly changing surface supports many different muscles. He said trail running's fine, but don't run hills. So much for Stillwell.

I have my heating pad working and I'll run through the stretches tomorrow. I'll stick to the elliptical for now and sneak a treadmill run in when I can. The good news is that I don't have any torn muscles, tendons, or - apparently - piriformis syndrome.

Orthopedist appointment invokes Murphy's Law

 

I cannot remember the last time I've run, but it was at least three weeks ago. Since then, my workouts have been done on the elliptical machine. It's a fair trade-off, but not an equal one. I know I've lost fitness as a result. While I've wanted to return to running, I've been concerned about further aggravating what I'm calling a piriformis issue. I wish I could be more specific about the cause of this soreness. Unfortunately my opportunity to get a diagnosis today was taken away by an incompetent receptionist.

Most people are familiar with "Murphy's Law," the idea that if something bad can happen, it will. That law has been in full effect today, starting with news from our electrician that the cost to bring our pool electrical system up to code will be five times what we expected. And we'd expected it to be a lot. Next it was the plumber, who informed us that the cost to replace our leaky shower fixture will be double our expectation. We have to stop inviting these people to our house.

A little later, I received a message that the cool new fitness equipment that I'm helping to test (they're no-impact treadmill alternatives) will be delivered late. I was counting on having access to this gear so I could do workouts that match running intensity without inviting further injury. The stuff is coming, but I'll need to wait a couple of more weeks to start the program.

The worst of it was when I arrived at the orthopedist this afternoon, after waiting three weeks for my appointment, only to find that the doctor wasn't in. Apparently they'd tried to call me to reschedule, but the person who made the appointment had recorded my number incorrectly. So, after looking forward to some type of resolution of this problem, it's still a mystery. I still don't know if I should be running on it, but my patience has grown short.

I'm going to try a run this weekend, either on the treadmill or around my neighborhood. I don't think I've run on pavement since January and I don't expect it to be easy. I plan to take it very easy and stop if the soreness goes past moderate discomfort. I'll make another doctor's appointment and will hopefully be able to schedule it soon. But I'm going to lay low for the rest of today and let Murphy find someone else to bother.

The doctor will see you...soon

Today's workout (elliptical): 40 minutes

I'm old enough to remember the days when the doctor would come to your house when someone got the sniffles. Besides the fact that physicians actually did house calls, it was remarkable that the doctor could be summoned on a moment's notice. These days, I plan my doctor visits strategically, taking the first appointment of the day in hopes of "only" waiting an hour to be let in to the exam room.

It's much harder to get in to see a doctor these days, especially if that doctor is a specialist. I was surprised that I was able to schedule an appointment with an orthopedist as early as next week. I've been careful not to aggravate my self-diagnosed piriformis syndrome, substituting the elliptical for the treadmill for the past three weeks.

I thought I'd try an easy run this morning to see whether things had improved. My pain has reduced, but it hasn't gone away. I still have sciatic pain when sitting for long periods (i.e., my morning commute) and I was curious to know how my glute/hamstring area would respond to some easy running.

I started out slowly "running", first at 3 MPH and then increasing  to 4 MPH. I felt okay, but noticed a little discomfort. Once I brought it up past 5 MPH, I knew I was borrowing trouble. I shut the treadmill down, walked over to the elliptical and did my workout there.

That experience made me realize that this problem will not resolve itself through patience. I looked online and found a sports orthopedist whose office is located five minutes from my house. I called them up, verified that they take my health plan and made an appointment for next Friday. I was shocked that I was able to do that. The last time I tried to meet with an orthopedist, the appointment had to be scheduled so far in the future that my injury went away before I was due to meet with him.

I'm encouraged to know that I'll have a qualified person diagnose this problem and (hopefully) put me on a path to quick recovery. I've been dealing with running discomfort since last November and have concluded that enough is enough. I fear that the doctor may say that my injury is more serious than I thought, either requiring surgery and/or extended physical therapy.

But it's better to know the cause than to continue this cycle of running, recovery, and re-aggravation. I just want to get back to running the trails.

Stress testing in sixteen steps

Not as fun as it looks

Today's run (street): 3.4 miles

Despite my resistance to the idea of taking a stress test, I finally acquiesced and went through it this week. My experience at the end of the Brooklyn Half provided the impetus to do it. Actually, it was strong encouragement from my wife, the Runsketeers and my friend KWL that made me go through with it.

If you've never gone through a stress test (this was my third), you should know that it's not particularly stressful. But it sure takes a long time. I don't know if the process is universal, but at my doctor, the process goes like this:

1. Arrive at doctor's office at your scheduled time.
2. Wait an hour to be called in.
3. Wait for the doctor in the exam room. You can pass the time by reading your chart on the computer display (at least that's what I did).
4. Have a conversation with the doctor about how you ended up in the medical tent after running a half marathon. Hint: his response will always be, "I want you to run a stress test today."
5. Have an EKG.
6. Have blood taken.
7. Have an heart ECHO sonogram.
8. Go to stress test lab and wait.
9. Get your first injection of thallium, a radioactive isotope that's used as a trace agent during the imaging process. Very reassuring.
10. Go into the imaging room and get scanned for 12 minutes.
11. Go into another sonogram lab and have carotid arteries checked.
12. Go into the room with the medical treadmill, where the technician attaches electrodes all over your body attached to a belt unit that you wear during the process.
13. Start at walking pace, with the goal of getting heart rate over 140. She ended up putting the incline to 16% and the speed to over 5 MPH to get me there.
14. Get your second injection of thallium and wait.
15. Get your second imaging to compare to the first after exercise.
16. Go home six hours after you arrive.

The good news is that you do get feedback throughout the process. My doctor said my EKG and ECHO were fine, the sonogram tech said the same about the carotid check and the treadmill technician said I didn't have a single missed beat during my session. I needed my doctor to review the imaging results. If there were concerns, I would have got a call yesterday. All of that, and no issues.

So why am I running so slow?

My doctor's office should now deliver my clearance form so I can use my company's fitness center. I can then do workouts in the morning when I get into the office. Without that, my options are either to go back to 4 AM runs, or work out when I get home from work. I worked from home today and got in a few miles before I started what turned out to be a busy day. It's the weekend now, and I hope to give those Cascadia's their first experience on the trails either tomorrow or Sunday.

Time for my knee to see the doctor

Today's workout (elliptical): 25 minutes

I'm still paying the price for over-training prior to my half marathon. I obviously aggravated something in my left knee that got worse as a result of the race. Since then I've tried to minimize impact on my knee by keeping my runs below 5 miles. Despite that, my knee continues to feel sore and I'm now experiencing pain in the heel of my left foot.

I iced my knee for about 90 minutes last night and took Aleve before I went to bed. It felt okay when I got up and though I planned to do my usual 2+ mile run this morning, I decided that a no impact workout would be a better choice. I pushed as hard on the elliptical as I would have if I'd ran and in the end I knew I made the right decision. Later today I'm seeing the company doctor (who I understand is also a runner) to get his opinion on whether my injury should be looked at by an orthopedist (please say no!).

Powering through

My head cold continues and yesterday afternoon I paid a visit to my company's medical department. The doctor, who I've known for years, said "Sorry, but I don't have a cure for the common cold." I told him it wasn't the cold that was bothering me, I actually wanted his take on my running injury. He had me lie on the table and tried to isolate the problem but it was inconclusive. He didn't understand why the pain was intermittent and why the discomfort went away after I walked or ran on it. He then suggested that I see an orthopedist and though he warned me not to overdo it he didn't tell me to stop running.

This morning I was determined to run and, despite some sneezing and coughing I got on the treadmill for what I'd accepted to be a low impact run. Once I got moving my leg started feeling better so I turned up the speed. I ended up running 1.75 miles at a 9:05 pace although the last two thirds were probably faster since I'd run the first six minutes at about 9:50/mile. Since the run I feel pretty much okay. It wasn't a long run today but I needed to show my cold who's in charge.