Cut & Run is a blog devoted to my goal of running a marathon in all 50 states, which I completed on November 16, 2014. As a practicing orthopaedic surgeon, I have to balance the demands of a busy practice with the training necessary to reach my goals. Some days, quite literally, all I do is cut and run. In this blog, I would like to share training, health, and life lessons learned from 25 years of marathons and medicine.
Friday, June 3, 2016
Tuesday, May 31, 2016
Hard to Take Your Own Medicine
I often have to tell injured athletes that they will miss an important game, meet, or tournament. Part of playing sports, I tell them, is dealing with setbacks and adversity. Fortunately for me, I have had very few of these setbacks to deal with during my running career. I have been amazingly injury free. This weekend, however, I sprained my MCL and badly bruised my medial femoral condyle in, of all things, a paddle board accident. It should heal fully in a few weeks, but I am registered for the Sandhills Marathon in Valentine, NE this Saturday. I can't roll over in bed without searing pain in my knee. It is hard to imagine that it will feel that much better by Saturday. My training has been going really well, too. I put in 59.5 miles last week, peaking for the marathon this weekend. The race was supposed to be a long training run for my 50 mile trail race in September. Unless my knee feels a lot better soon, I will miss my first race due to injury in 20 years. I guess I will understand that much better how my patients feel and deal with disappointment.
Sunday, May 15, 2016
Dr. Swanson's Lifestyle Rx
Dr. Swanson’s Lifestyle Rx
"The doctor of the future will give no medicine but will interest his patients in the care of the human frame, in diet and in the cause and prevention of disease." -Thomas Edison
I firmly believe that lifestyle is a cause of many of our medical ailments, including foot and ankle pain. Try these simple, inexpensive, low-risk lifestyle solutions.
DIET:
I am not simply talking about weight loss, although that is important, too. If you are over your ideal body mass index (BMI), weight loss can be very beneficial. With certain activities, your foot & ankle is subject to many times your body weight. Thus, even a minor change in your weight can profoundly affect the stresses placed on your foot and ankle. Regardless of your weight, my research has convinced me that a whole foods, plant based diet is the way to achieve optimum health and may help cure many bodily aches and pains, without the need for drugs or surgery. There are many stories of amazing transformations that have occurred when patients adopt a whole-foods, plant based diet. The best advice I ever heard is from author Michael Pollan, who wrote, “Eat Food. Not too much. Mostly plants.”
EXERCISE:
It has been said that, “sitting is the new smoking.” While this may be a slight exaggeration, too many of us live sedentary lives and do not get enough exercise. To improve your health, I recommend at least 30 minutes of low impact aerobic activity daily. If that is too much, start with 5 minutes. This can be something as simple as going for a walk, raking leaves, shoveling snow, or working in your garden. Other activities might include swimming or biking. For most people, some sort of strength or resistance training is helpful, too. If you have a heart condition, please check with your primary care doctor or cardiologist before beginning an exercise program!
MEDITATION:
We are learning a lot about the negative effects of stress on the body. Meditation is one of the best ways to prevent or manage stress. Modern neuroscience is just now catching up with this centuries old tradition. There are many scientifically proven benefits to meditation, and I can personally vouch for it’s effectiveness. I recommend starting with a simple breathing meditation. Start with just 5 minutes a day and stick with it! If possible, work up to 10-20 minutes daily.
RESOURCES & RECOMMENDATIONS:
Books: The Omnivores Dilemma
I am not simply talking about weight loss, although that is important, too. If you are over your ideal body mass index (BMI), weight loss can be very beneficial. With certain activities, your foot & ankle is subject to many times your body weight. Thus, even a minor change in your weight can profoundly affect the stresses placed on your foot and ankle. Regardless of your weight, my research has convinced me that a whole foods, plant based diet is the way to achieve optimum health and may help cure many bodily aches and pains, without the need for drugs or surgery. There are many stories of amazing transformations that have occurred when patients adopt a whole-foods, plant based diet. The best advice I ever heard is from author Michael Pollan, who wrote, “Eat Food. Not too much. Mostly plants.”
EXERCISE:
It has been said that, “sitting is the new smoking.” While this may be a slight exaggeration, too many of us live sedentary lives and do not get enough exercise. To improve your health, I recommend at least 30 minutes of low impact aerobic activity daily. If that is too much, start with 5 minutes. This can be something as simple as going for a walk, raking leaves, shoveling snow, or working in your garden. Other activities might include swimming or biking. For most people, some sort of strength or resistance training is helpful, too. If you have a heart condition, please check with your primary care doctor or cardiologist before beginning an exercise program!
MEDITATION:
We are learning a lot about the negative effects of stress on the body. Meditation is one of the best ways to prevent or manage stress. Modern neuroscience is just now catching up with this centuries old tradition. There are many scientifically proven benefits to meditation, and I can personally vouch for it’s effectiveness. I recommend starting with a simple breathing meditation. Start with just 5 minutes a day and stick with it! If possible, work up to 10-20 minutes daily.
RESOURCES & RECOMMENDATIONS:
Books: The Omnivores Dilemma
In Defense of Food
The China Study
Engine 2 Diet
How Not to Die
Websites: nutritionfacts.org
Websites: nutritionfacts.org
how-to-meditate.org
mindbodygreen.com
Documentary: Forks Over Knives
Podcast: The Rich Roll Podcast
Podcast: The Rich Roll Podcast
Saturday, April 16, 2016
Things I've Noticed on Trail Runs
I've spent most of the spring getting ready for a Trail Ultra-Marathon this fall. Along the way I've discovered some great trails around Lincoln that I never knew existed. I can't believe it took me 7 years to run in Wilderness Park! I've also sought out local and regional trail races in order to specifically train for the challenge I'll face in the fall. Two weeks ago, I ran the Ni-Bthaska-Ke Trail 12 K at Platte River State Park and today I ran a trail 1/2 marathon outside Lawrence, KS as part of the "Free State Trail Runs." The Ni-Bthaska-Ke run was the hardest race I've ever run and the one today wasn't much easier. Along the way, I've noticed a few things about trail running, which is distinctly different from road running.
The chance of breaking a bone trail running is pretty good.
There is a little more B.O. on a trail run.
People talk about new bands that remind them of the Grateful Dead.
The aid stations are awesome.
There is nearly always good beer and music I recognize at the finish.
Most runners have tattoos.
Nobody runs in lululemon.
Finish times mean very little.
Listening to music is frowned upon if not frankly against the rules.
Nobody talks about Boston.
Trail running is a lot more fun.
I'll have more on my trail running adventures in the coming weeks and months!
The chance of breaking a bone trail running is pretty good.
There is a little more B.O. on a trail run.
People talk about new bands that remind them of the Grateful Dead.
The aid stations are awesome.
There is nearly always good beer and music I recognize at the finish.
Most runners have tattoos.
Nobody runs in lululemon.
Finish times mean very little.
Listening to music is frowned upon if not frankly against the rules.
Nobody talks about Boston.
Trail running is a lot more fun.
I'll have more on my trail running adventures in the coming weeks and months!
Wednesday, February 24, 2016
Balance & Time Management
I was recently asked to draft an essay for a half-marathon training group, addressing issues of balance and time management. I know many others who are training for spring races. As the miles add up, we can find ourselves stretched thin at home and work. In this essay, I share some tips and tricks I learned while I was in the midst of my heavy training.
Here it is:
One of the questions I often get is, “how do you have time to train for marathons, work as a surgeon, and spend time with your family?” The answer is time management and balance. I would like to share with you what I have learned along the way, and give you some tips and tricks for how to tackle the training necessary for a full or half marathon, and stay balanced in your life, not neglecting your other responsibilities at home and work.
I had completed three marathons already by the time I met my wife, so she knew that I was a runner. However, until you live with one, it is difficult to understand what that means. Full marathons generally require at least one long run of 20 miles and several long runs of 12-20 miles in the weeks or months before that. Not to mention the weekday runs, too! The mileage for a half is obviously less, but the principles are the same. You might be gone for 2, 3, or 4 hours on your long run, but it isn’t just the time on the actual run that counts. The night before a long run you generally are going to want to go to bed early and eat a certain way. After the run, you are going to be tired and sore and not feel like doing a whole lot. Pretty soon, the long run can dominate an entire weekend. If you aren’t careful, this can result in resentment from your spouse or significant other if he or she is not on board. To this day, my wife is mad that when I ran the Salt Lake City Marathon, we never went and looked at the Great Salt Lake. I was too tired!! We joke about it now, but she was really disappointed!
I’ve compiled a few suggestions on how to manage your time and balance the demands of training with family and work responsibilities.
1. Get wise as to your why’s, and share them. If you have a spouse or significant other and he or she is not a runner, explain why you are training. Maybe it is get in shape, lose weight, connect with friends, deal with stress, or achieve a bucket list item. Whatever the reason is, share with those around you. They will better understand your motivation and are more likely to support your endeavor. My wife has learned that when I am training, I am the best version of myself. That spills over into every other aspect of my life at home and work. For this reason, among others, she is extremely supportive of my hobby. Also, when you truly understand why you are doing this, those reasons will help to keep you motivated. For me, my goal was to run a marathon in every state. That goal got me out the door lots of mornings I would have rather stayed in bed.
2. Make it a family affair. Whenever possible, include your family in your training. My wife and I planned our wedding during long training runs for the Country Music Marathon in 2004. It may not be practical to include your family in long training runs, but try and do some of your training with them. My wife and I often go on short jogs together now, and use this time to connect away from the distractions of home and work. Similarly, if your children are old enough to run, ask if they want to run with you. Even if it is only for a hundred yards, you will both enjoy it. Finally, if you have small kids, I highly recommend a Baby Jogger. It’s a great way to include young children in your run, and can lighten the load on your spouse.
A positive side effect of this will be the effect it has on your family. One of the things I am most proud of is the culture of exercise that exists in my house now. My kids think it is perfectly normal for running shoes, hats, and sweaty tech shirts to be lying around. They love to put on headlamps and run around in the back yard, pretending that they are running marathons in the dark like dad.
3. Sacrifice. You will have to sacrifice. My job involves long hours away from home so the last thing I want to do is sacrifice family time in order to train. For this reason, I have become extremely efficient at training. My goal for a weekend long run is to be home by the time everyone is eating breakfast. In order to do this, I usually have to get up and be out the door by 5 AM. I started one long run at 3:30 AM! I love these early morning solo runs. There is nothing more peaceful than a long run on a dark morning. I have found, too, that the miles seem to go by a little faster when it is very dark and early in the morning (probably because I am half asleep during the first half of it). I am usually home by 7 or 8 and don’t feel like I’ve missed much.
4. Use your time wisely. As a surgeon, my days can be unpredictable. I never know what might be waiting for me when I get to the hospital, and never know exactly what time I might get home. I have made the mistake of putting off a run until evening, assuming I would have time. Invariably something comes up that prevents me from getting the run in. Do it first thing in the morning before the many demands of work and family pile up. Sometimes, however, I can’t get my workout in before work, if I have an early surgery or emergency. For this reason, I keep a pair of running shoes and workout clothes in my car and hospital locker at all times. Even if I can only get away for 30 minutes, that is much better than missing a workout altogether.
5. Realize that running isn’t for everyone. I love running marathons and I love training for marathons. My wife has actually trained for and ran a few with me. She is a very gifted runner and has much more natural talent than I do. At first, I couldn’t understand why she wasn’t as passionate about the sport as I was. She could be so good! Over time, I have, of course, realized that running long distances for many is boring and pointless. She has other interests and doesn’t enjoy being tired and in pain. I’ve realized that she is actually the normal one, and I am the nut. I’m glad she has shared the experiences with me, and I enjoy our short jogs together.
6. Say “Thank You.” This is probably the easiest, yet most overlooked and most important key to balancing a time consuming hobby like distance running with family life. There are so many benefits to running, but let’s be honest, training for a half marathon or greater distance is selfish. I don’t mean that in a bad way, but it is. Recognize that others are probably making sacrifices, too, and acknowledge their contribution. When I ran my final state in Nevada my family was there to celebrate with me. The Las Vegas marathon is run on The Strip at night. I finished well after 9PM. My wife insisted that our young children be there at the finish, so she woke them up, loaded them into the stroller and Baby Bjorn, and navigated the throngs of people to get to the finish line. With help from my brothers-in-law, they were able to get through a barricade at the finish and with three kids in tow, we ran across the finish line together. Tears running down her face, my wife said, “it was so hard getting here!” I knew that she didn’t just mean getting to the finish line that day. The thousands of miles and hours before that were hard. Not just for me, but for my whole family. Be appreciative of the sacrifices that your family is likely making, too, and acknowledge them.
Here it is:
One of the questions I often get is, “how do you have time to train for marathons, work as a surgeon, and spend time with your family?” The answer is time management and balance. I would like to share with you what I have learned along the way, and give you some tips and tricks for how to tackle the training necessary for a full or half marathon, and stay balanced in your life, not neglecting your other responsibilities at home and work.
I had completed three marathons already by the time I met my wife, so she knew that I was a runner. However, until you live with one, it is difficult to understand what that means. Full marathons generally require at least one long run of 20 miles and several long runs of 12-20 miles in the weeks or months before that. Not to mention the weekday runs, too! The mileage for a half is obviously less, but the principles are the same. You might be gone for 2, 3, or 4 hours on your long run, but it isn’t just the time on the actual run that counts. The night before a long run you generally are going to want to go to bed early and eat a certain way. After the run, you are going to be tired and sore and not feel like doing a whole lot. Pretty soon, the long run can dominate an entire weekend. If you aren’t careful, this can result in resentment from your spouse or significant other if he or she is not on board. To this day, my wife is mad that when I ran the Salt Lake City Marathon, we never went and looked at the Great Salt Lake. I was too tired!! We joke about it now, but she was really disappointed!
I’ve compiled a few suggestions on how to manage your time and balance the demands of training with family and work responsibilities.
1. Get wise as to your why’s, and share them. If you have a spouse or significant other and he or she is not a runner, explain why you are training. Maybe it is get in shape, lose weight, connect with friends, deal with stress, or achieve a bucket list item. Whatever the reason is, share with those around you. They will better understand your motivation and are more likely to support your endeavor. My wife has learned that when I am training, I am the best version of myself. That spills over into every other aspect of my life at home and work. For this reason, among others, she is extremely supportive of my hobby. Also, when you truly understand why you are doing this, those reasons will help to keep you motivated. For me, my goal was to run a marathon in every state. That goal got me out the door lots of mornings I would have rather stayed in bed.
2. Make it a family affair. Whenever possible, include your family in your training. My wife and I planned our wedding during long training runs for the Country Music Marathon in 2004. It may not be practical to include your family in long training runs, but try and do some of your training with them. My wife and I often go on short jogs together now, and use this time to connect away from the distractions of home and work. Similarly, if your children are old enough to run, ask if they want to run with you. Even if it is only for a hundred yards, you will both enjoy it. Finally, if you have small kids, I highly recommend a Baby Jogger. It’s a great way to include young children in your run, and can lighten the load on your spouse.
A positive side effect of this will be the effect it has on your family. One of the things I am most proud of is the culture of exercise that exists in my house now. My kids think it is perfectly normal for running shoes, hats, and sweaty tech shirts to be lying around. They love to put on headlamps and run around in the back yard, pretending that they are running marathons in the dark like dad.
3. Sacrifice. You will have to sacrifice. My job involves long hours away from home so the last thing I want to do is sacrifice family time in order to train. For this reason, I have become extremely efficient at training. My goal for a weekend long run is to be home by the time everyone is eating breakfast. In order to do this, I usually have to get up and be out the door by 5 AM. I started one long run at 3:30 AM! I love these early morning solo runs. There is nothing more peaceful than a long run on a dark morning. I have found, too, that the miles seem to go by a little faster when it is very dark and early in the morning (probably because I am half asleep during the first half of it). I am usually home by 7 or 8 and don’t feel like I’ve missed much.
4. Use your time wisely. As a surgeon, my days can be unpredictable. I never know what might be waiting for me when I get to the hospital, and never know exactly what time I might get home. I have made the mistake of putting off a run until evening, assuming I would have time. Invariably something comes up that prevents me from getting the run in. Do it first thing in the morning before the many demands of work and family pile up. Sometimes, however, I can’t get my workout in before work, if I have an early surgery or emergency. For this reason, I keep a pair of running shoes and workout clothes in my car and hospital locker at all times. Even if I can only get away for 30 minutes, that is much better than missing a workout altogether.
5. Realize that running isn’t for everyone. I love running marathons and I love training for marathons. My wife has actually trained for and ran a few with me. She is a very gifted runner and has much more natural talent than I do. At first, I couldn’t understand why she wasn’t as passionate about the sport as I was. She could be so good! Over time, I have, of course, realized that running long distances for many is boring and pointless. She has other interests and doesn’t enjoy being tired and in pain. I’ve realized that she is actually the normal one, and I am the nut. I’m glad she has shared the experiences with me, and I enjoy our short jogs together.
6. Say “Thank You.” This is probably the easiest, yet most overlooked and most important key to balancing a time consuming hobby like distance running with family life. There are so many benefits to running, but let’s be honest, training for a half marathon or greater distance is selfish. I don’t mean that in a bad way, but it is. Recognize that others are probably making sacrifices, too, and acknowledge their contribution. When I ran my final state in Nevada my family was there to celebrate with me. The Las Vegas marathon is run on The Strip at night. I finished well after 9PM. My wife insisted that our young children be there at the finish, so she woke them up, loaded them into the stroller and Baby Bjorn, and navigated the throngs of people to get to the finish line. With help from my brothers-in-law, they were able to get through a barricade at the finish and with three kids in tow, we ran across the finish line together. Tears running down her face, my wife said, “it was so hard getting here!” I knew that she didn’t just mean getting to the finish line that day. The thousands of miles and hours before that were hard. Not just for me, but for my whole family. Be appreciative of the sacrifices that your family is likely making, too, and acknowledge them.
Sunday, January 3, 2016
2016 LTC Race Schedule
Here is the link to the schedule for Lincoln Track Club races in 2016. Happy New Year and Happy Running!
http://www.lincolnrun.org/races/schedule
http://www.lincolnrun.org/races/schedule
Sunday, October 4, 2015
Little Run on the Prairie
Great turnout for the 1 mile kids fun run yesterday at Prairie Hill Learning Center! Thanks to our many sponsors!
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