How to be an Ultra Pacer – Part 3

So far we’ve learned much of what to expect when pacing someone, mostly through clinical analysis, hypothetical situations, and real life personal accounts sprinkled in to make it sound legitimate.  If you haven’t yet, you’ll need to get caught up by reading Part 1 and Part 2.  Hurry up and go do that now; we’ll wait for you…whatever.

Ok, now that we all have a grasp of how unglamorous pacing truly is (travel on your own dime, taking time off work, telling a grown person when to eat, often moving at a pace that makes you feel as though time is actually going backwards, and watching your runner cross the line to loud applause, hugs, medal, buckle, and other accolades while you stand alone off to the side, soup broth stains on your shirt, picking burrs out of your socks, and wondering where you can get a beer at 4 o’clock in the morning), we can now look at a case study in the form of one’s pacing duties at Western States 100 from last weekend.

Brandonali Fullerton

In fairness and to avoid any critical and/or theoretical analysis reaching the subject (runner), we will use fictitious names.  We will call our case study from this year’s Western States “Brandonali Fullerton”.  We’ll call him Brandon Fuller for short.

Brandon contacted me to pace him after his first choice of pacer made up some lame excuse for not being able to make it.  Personally, I’m certain it was because he had paced Brandon the last two years at Leadville.  The first year, Brandon ran the first half of the race like the finish line was at 50 miles, so the last 50 took him around 20 hours.  To his credit, and his pacer’s horror, he finished, averaging something like 800 meters per hour.  Last year, with all this experience (one crappily run 100 miler 12 months previous), Brandon apparently decided he could win Leadville and, in fact, was winning Leadville…for the first 1.5 miles, hitting the first aid station at mile 13 just minutes behind the leaders and about an hour ahead of his prescribed pace split.

By the time his pacer (Jay Pee Patrickonovich) picked him up at mile 50, Brandon was scraped hollow like an avocado shell and couldn’t remember his wife’s name.  This brings us to the exploding gels in the butt scene on Power Line (read Part 2) and eventual DNF.

Now, as mentioned in Part 1, a DNF can save a life.  Specifically, it can save the pacer from spending the 25 hours of slow walking and subsequent planning of the perfect accidental death of the runner.  The pacer can facilitate a DNF, thus ending the suffering, saving time, saving his runner’s life (from the pacer’s own throat strangling hands), and hopefully allow him time to find a good Pale Ale in the nearest town.  Subtle utterances work like, “Damn, we only covered one mile in the last two hours.  We won’t see the next aid station until sometime next week.”  Eventually, your runner will see the light and fold his cards.  Unfortunately, when you have an inexperienced ultra runner AND a novice (read innocent and un-calloused sympathetic loser) pacer, you have ensured yourself misery until death.

So, with one barely finished 100 miler (a dime sized belt buckle) and one DNF, Brandon got his name drawn in the Western States lottery (that bitch!).  I was happy for him (in a fun I-want-to-punch-you-in-the-throat sort of way) and offered my gifted, first-rate pacing services.  Initially turned down, I scratched BF off my large group (3) of friends and deleted him from my phone’s contact list.  Jay Pee came to his senses and made up some ridiculous excuse to back out of pacing Brandon at WS, like not wanting his legs to be tired for some race about 8 months later, and, low and behold, I get an email asking whether I’m free to pace the two-faced jerk.  The nerve of some people!  I happily accepted.

The months roll by with a couple of informational, detailed emails from Brandon to his crew and pacer (I never read them, so I can’t tell you what they were about).  Soon, it’s June 22nd, the day before the race and I text Brandon to tell him I’m on my way and will see him that morning.  We spend a little time together that day but don’t really discuss the race or the pacing.  Everyone else on his crew is so wrapped up in all the important details, like what color Underoos he’s going to change into after the race, that I just assume he’s leaving my pacing details and plans up to me.  I didn’t have the heart to tell him I had no plans other than to drag his dead carcass across the finish line before the clock hit 24 hours.

Two pacers awaiting their runners.  Gary Gellin lucked into pacing a sub 17 hour finisher, hence the reason he’s dressed in running clothes ready to fly and I’m, well, not.

After standing around for about 10 hours at my designated aid station, waiting for Brandon to hurry his ass up and meet me, I changed into my running gear and started getting excited to run.  As noted in part 1 of this guide, I was hoping my excitement matched Brandon’s.  That hope slowly dissolved as Brandon came into view.  His bow-legged shuffle was slow and choppy and the expression on his face looked as though he just worked a 12 hour shift at a butt sniffing factory.  He was also 15 minutes behind the splits for a 24 hour finish and we had roughly 40 miles to go.  I had my work cut out for me and knew I’d be employing all my pacing tricks to get him his undeserved silver buckle and save myself from 20 hours of torture.

Assume your runner is short on brains – you’ll have more compassion for him that way.

Once we left the bubble of comfort of his family and friends, all coddling him like a lost puppy, he was all mine and I began the task of snapping him to reality:  “You’re going to eat when I tell you and we’re going to move fast and efficiently until we cross the line.”  At first my sternness was met with whiny, “I don’t care about 24 hours.  I just want to finish.”  Wrong answer.  I’m as compassionate as the next guy.  Heck, I even once picked up a salt tab a fellow competitor dropped.  I ate it right in front of him, but at least I picked it up.

Every 20 minutes I’d calmly look back and tell Brandon it was time to eat.  I’d hear wrappers and disgusting sucking noises on his water tube, and I was content.  When I was a little kid, for some reason I hated taking baths.  My mom would fill the tub and I learned that I could go in the bathroom with the door closed and make splashing noises with my hand and touch parts of my hair with my wet hand to make it seem as though I’d taken a bath when, in fact, I was still grimy with the same dirt from days previous.  Eventually, my mother caught on and after losing a few patches of hair from minor child abuse, I agreed that taking a bath was the right choice.

I began to realize that Brandon was pulling the same shit on me, so I began asking him what exactly he ate.  “One Clif blok.”  “Brandon, that’s 25 calories.  That wouldn’t give a mouse enough energy to stand up.”  “Eat two more.”  20 minutes later, “Brandon, time to eat.”  [zipper and wrapper noises] “What’d you eat?”  “A pretzel.”  “Brandon, a fucking pretzel?  You need to eat more, NOW.”  This went on for a while until I started getting his food at aid stations for him, putting it in his hands and staring at him until I was content the food found his stomach.

Hwy 49 aid station.  BF left and me right.

The constant prodding to get your runner to move faster is a true art form.  You know he has a million miles on his legs and feels like shit but you also don’t want to waste half your life waddling slowly through the woods, so you find the edge you can push your runner to (figuratively, for now) and keep him there without going over that edge.  Once I saw that Brandon could hike at a nice clip, I began allowing him to walk more (it was usually faster than his “running” stride).  We maintained a pace that wouldn’t necessarily kill him, yet would allow me to keep my sanity.

Bribing works wonders.  I promised Brandon Ibuprofen once we reached mile 70.  Within 20 minutes he went from a slobbering, mute sloth to a jabbering speed demon.  We must have clicked off a couple 13 min miles!  I took advantage of my drug dealing and pushed him through the next hour, even having him lead us for a bit.  As I pointed out previously, pacer talking is a no-no.  Follow your runner’s lead when it comes to talking.  Nobody cares about your kid’s stupid little birthday party after he’s been up for 18 hours and covered 75 miles.  If the runner wants to talk, that’s a sign the pace can increase.  Whenever Brandon started talking about something (to which I wasn’t paying attention), I would turn the pace up just a bit so it was barely noticeable but would make him stop talking.  It was like the volume on the family stereo.  If you could hear other noises in the house, you could probably turn the volume up a surgical fraction.  It was easy to tell if you had it too high because your brother or father would come into the room, kick you as you scrambled under the sofa and then snag your “Air Supply” record off the turn table, needle ripping crossways through the lovely falsetto songs (wait, did I just write that out loud?).  It’s a balancing act and can be mentally draining to achieve the desired results.

I was losing the battle with Brandon, but the war was still within grasp.  I gave up on making him run.  He was shelled and I can tell when there’s nothing left to give.  This is the point (around mile 94-ish) when you need to act like you have a heart, walnut-sized perhaps, but you have one.  Remind the runner of all the sacrifices he’s made and how selfish he’s been with his family and how it’s all going to be worth it in just a few short miles.  In no time he’ll be crossing the deserted finish line in the middle of the night and get a cheap belt buckle that only the biggest tool would wear in public.  Inspirational.

At the finish, the pacer typically peels off and allows the runner to act as though he ran the entire race alone, no aid, no crew, no pacer.  He crosses the line, announcer proclaims his name and accomplishment, family and friends embrace him, tears of happiness flow.  And there you are, standing alone to the side in your filth, cantaloupe juice stains on your shirt, wondering where the hell your car is parked.

Pacing is a true art form that some will never master.  It takes a certain mentality mixed with physical ability.  It basically sucks.

Brandon came back from a 15 minute deficit to finish sub 24 hours in 23:22 at Western States.  Congratulations, Brandonali.

Here’s Brandon’s Report

How to be an Ultra Pacer – Part 2

“Will you please get up.  You’re embarrassing me.” 

In the intro to How to be an Ultra Pacer, we covered the wide range of emotions from ebullient anticipation, to the grinding sad reality of the lead up and preparation, to the time you finally meet your runner.  Now we’ll focus on the process of pacing.  An important thing to remember going into your pacing duties is that, at one point or another (or many), you will hate your runner.  I mean like push-him-off-the-mountain in the middle of the night hate.  Like all misery and suffering in running ultras, once you anticipate and accept it, you’re able to manage the emotion and situation in a somewhat sane manner without actually killing anyone.  Side note:  Your runner will undoubtedly hate you at times as well, but who cares.

Before you meet up with your runner it helps if you’ve been crewing for him over the first sections of the race, so you can see the gradual transformation from happy, clean, likable person, to filthy, hobbling, scratchy-voiced, grouchy shell of a human.  With any luck, you will grow a tiny seed of pity for the poor slob, which will hopefully give you at least a touch of patience.  This patience will disappear “poof” the first time you start arguing with your runner about eating.  “Time for a gel.”  “I don’t want anything.”  “You have to eat.”  “I don’t want to.  It sounds gross.”  “If you don’t eat, you’ll bonk and die.”  “I don’t care.  Gels are disgusting.”  “I will beat you to death if you don’t eat a gel…”  

This could go on for hours, until he finally eats, or until you actually kill him.  This is a good opportunity to start lying.  “If you down just one gel and some water, I won’t bug you about it anymore.”  This will only work for about eight gel feedings, unless your runner is really dumb.  Another embarrassing tactic is to treat your runner like a small child.  “If you finish the three gels you have before the next aid station, I’ll buy you pizza and beer after the race.”  This is an awesome lie for a number of reasons, the main one being that your runner will never remember you said it and he’ll be so happy to be done running after the race, that he’ll be throwing money around like a drunken sailor in Charleston.

Eventually, nothing will work to convince him to eat gels and you’ll have to find anything he may like at aid stations and employ aid station workers to help you force your runner to eat.  “Eat the goddamn turkey sandwich, and shut the hell up.  You’re doing great!”  Getting your runner angry isn’t all that bad, actually.  In many cases it will serve to give him a shot of adrenaline and you’ll be relishing the speedy 12 min per mile pace as your reward.  At Leadville while pacing a guy, I refused to go further until he ate a gel and drank some water.  We stood on Power Line at mile 80, two grown men arguing over eating 1 ounce of sugar.  He finally ate it and then tried to drop me by running up that bitch.  He finished in 6th place overall and all was forgotten.

How far you want to take your pacing duties is up to you.  Charming lore of the pacing world are abundant.  There was last year at Hardrock when some dope dropped his shoe off the side of an icy mountain and Scott Jaime was on the verge of giving up one of his shoes to the runner until finally risking his life by climbing down to retrieve the shoe dangling on a lower ledge.  No freakin’ thanks, I say.  I’d be like, “Whoa, dude, that sucks.  If we hurry, you’ll probably only lose a couple toes to frostbite.”  “Now eat a gel.”  Then there’s that sad image of Alex Nichols squatting solemnly next to a dehydrated and soon to be DNF’d Anton at Leadville.  The image reminds me of animals that stay with their dead animal friends for days (apparently not bright enough to realize they need to move on and find a new friend, who’s breathing). 

Alex Nichols wishing he was getting teeth pulled instead of squatting in the middle of nowhere.  Photo Rob O’dea

And one of my favorite stories, sadly, about the same guy I’ll be pacing at WS this weekend.  He was out of it after running a poorly paced race at Leadville last year and at around mile 78 fell backwards to a sitting position.  The unfortunate part of it was that he had like ten gels in the back pockets of his shorts and they all exploded upon impact.  He now had a butt crack of sticky gels, was shivering, and couldn’t remember his name.  His pacer was forced to dress the poor slob in warmer clothes on the side of the trail in the middle of the night.  They somehow crawled to the next aid station and their race was over.  That’s loyalty (I would’ve just left him, sticky-assed and all, and jogged on into town for a beer).  I’ll omit my own story at Hardrock last year.  I hear about it regularly from my heartless pacer and am still scarred by the experience.

Once in a while you’ll get lucky and your runner will run a smart race, show up to meet you for your pacing duties and be in fine shape, run reasonable paces to the finish and you look like a hero for just running along with him.  This brings up the next topic of how to run with your runner.  Following or leading is a matter of taste.  I prefer the pacer to lead, both when I’m pacing and being paced.  Unfortunately, novice pacers will shoot off the front and yo-yo back and forth in front of you anywhere from two feet to two miles.  Don’t do this.  You’re not there for yourself; leave your ego at home.  Just because you see other runners up ahead does not mean that your runner wants to break into a 6:30 pace after 70 miles of running to catch the other poor bastard walking up ahead.  Do this to me and I’ll rip your shoes off and throw them in the woods.  Stay with your runner.  

While you’re staying with your runner, the thought of talking and keeping him company may cross your mind.  Let that thought cross and go away.  Your runner likely isn’t in the mood to be hearing stories of your boring ass life.  Very sporadic encouragement is key.  “You’re doing awesome.” or “That was a good stretch you just did.” Those statements uttered in a quiet voice will sink into your runner’s mind and make him feel like this stupid thing he’s doing might have some (albeit unknown) purpose and that he’s actually doing an “ok” job of it, even if he’s sucking wind at 16 min/miles.  Don’t over do it, either in exuberance or frequency.  Like sex, an hour is fun, 10 hours is chaffing.

Up next in How to be an Ultra Pacer:  Part 3 – Finishing the race and salvaging any fragments left of your friendship.  And how to embellish the details to make your runner look as dumb as possible.

How to be an Ultra Pacer – Part 1

Part 2

Part 3

Dream pacer.  Jenn Shelton.  Photo Bad Ben’s blog

With Western States 100 approaching and Hardrock 100 just around the corner after that, you may find yourself on both sides of the rusty razor barbwire pacing fence.  So I felt it appropriate to discuss the act of pacing.

One of the most selfless acts a human can perform is pacing another person in an ultrarunning event.  Mother Teresa never paced, nor did any of the popes.  It transcends all mundane humanity and will surely secure you a ticket in heaven (I visualize heaven as an all day BBQ on the 4th of July with the majority in attendance being thin twenty year old women – you get your own heaven).

Becoming a pacer is the easy part.  With the abundance of novice (read: scared petrified) ultrarunners bravely signing up for races so far in advance that it never occurs to them that the race will actually take place until they get the final instructions letter from the race director warning them of injury, wild animals, lightning strikes, kidney failure, and, of course, running in the dark, there are plenty of pleas for pacers to be found.  This is where you come in, cape embroidered with a big “P”, tautly flowing from your broad shoulders and say, “Uh, I can pace you.”  The rush of relief and gratitude is palpable through the email response and you feel like you just kicked five Ninjas’ asses and saved a baby from a burning yurt.

Once the emotions settle, you and your runner have to figure out a few things.  Where along the course will you start your pacing duties?  Are you in good enough shape to pace for 50 miles?  Is your runner faster than you, even with 10 hours of running on his/her legs?  Will you lead or follow your runner?  Should you talk or stay quiet (or sing TV show tunes)?  Are you prepared to give the runner all your clothes and finish the race naked in 25 degree weather?  Are you ready to simultaneously feed a gel to your runner while he’s squatted with diarrhea? (I draw the line at feeding and wiping).  Can you stomach walking at 2 mph for 20 hours when your runner falls apart but is stubborn to finish? (tips on how to subliminally convince your runner he’s wasting his time and should DNF coming later).

There are a lot of things to consider before you take on this seemingly simple task.  Once you figure them all out, you can forget about them because nothing will go as planned and you’ll need to ad lib the pacing gig as it unfolds.  This flexibility in planning comes into play as soon as you meet your runner for the first time.  You have played and replayed the scenario of him scampering into the aid station, switching out bottles, sponge bath, eating gels, all while in full stride running at you yelling, “Let’s do this!” in a college football coach voice that sends chills down your spine.  You latch on to this running machine and the two of you bolt out of the aid station and onto endless ribbons of singletrack trail with the finish line as the one gravitational force.

By the time your runner shows up you’re amped up like a rabid squirrel that just shot an eight ball mixed with white heroin.  Your runner, on the other hand, looks as though he just fell off a 1,000 foot cliff onto a ten lane highway and got pummeled by speeding traffic.  Balancing this odd mixture is an art form and imperative if you want to make it twenty feet together, let alone 40 miles to the finish.

Here’s Part 2 of “How to be an Ultra Pacer”:  How to lie and how to not kill your runner.

Here’s Part 3 of “how to be an Ultra Pacer”: The Case Study

Valentines Day Special. The ADD Episode

friJoin us today on Elevation Trail as we talk about everything from Friday the 13th and Buddhism to focusing on the pleasure of your lover…

Please write in your own top ten list on our Facebook page of Top Ten Last Minute Things to Get Your Valentine as a Gift.

Oh, and check out and subscribe to our videos!

Direct mp3 file

Blake Wood Interview

Blake at Island Lake - Hardrock 100 course 2014

Blake at Island Lake – Hardrock 100 course 2014

Wow, what a full show. Going for 20th finish at Hardrock this year, former Hardrock winner, Nolans 14, second finisher ever of Barkley (with scandal!), tinkering with nuclear weapons, and so much more. Join us today as we chat with Blake Wood from his bedroom closet.

Blake Wood Interview mp3

Interruptions in Training and Motivation

Screen Shot 2015-01-29 at 10.25.31 AM

Now we’re motivated!

Lots of topics today. What happens when your training gets derailed by something like weather or injury? Why some are more competitively motivated than others. Secret locker room at gym. Toned down rant on how to engage with free entertainment (you don’t want to hear the full rant…). The Top 10 List. And other stuff, too.

Check out some video blogging and maybe subscribe. You may hear or see something interesting.


Listen, watch – or don’t. Who cares?

Direct .mp3: Interruptions In Training and Motivation




MotoVlogging Replacing Writing?

I will refrain from writing up a full recap of the Supercross race in Oakland over the weekend but it was probably some of the most exciting racing I’ve watched. In a nutshell, the 450cc class was turned upside down when Ken Roczen came up short on a jump and smashed his face into the bars; he regained his senses and finished the race, albeit in 16th place. The two from the black flag incident last week, Canard and Reed, rebounded in spectacular fashion with Reed leading several laps and Canard overtaking him to win his first SX final since 2011. The 250 class was just as exciting. You can find the two final races on youtube, just search “ama supercross 2015 rd 4”.

IMG_1008Speaking of YouTube, I’ve been organizing stuff to get me into a place where I can begin some serious motovlogging (for those who may not know, “vlogging” is simply blogging but using video and audio instead of writing). I’ve “vlogged” off and on over the years on training runs and mtb rides but never took it very seriously, which resulted in very shaky camera handling, high wind noise, muffled audio, and general low quality production.

Writing the site regularly, I amassed over 500 blog posts but felt that much of it was a little too raw and personal, so made it private. I still write daily but keep it more as a normal journal, of sorts. What I’ve missed tremendously is the polishing required to lay something out for public consumption. The only outlet I’ve had for that purpose has been this site and the podcast shows at Elevation Trail, which is a lot fun and challenging. But I needed more. Yeah, I could try to produce two ET shows a week covering different topics but I sorta like to do multiple things with new challenges.

I’ve had my YouTube channel since April of 2007 and sadly had 8 subscribers as of last week. Of course, with the aforementioned quality and scarcity of videos I had done, it’s expected that only true, hardcore friends could stomach the prospect of clicking the Subscribe button. I found motovlogging about seven years ago when I stumbled upon M13, a Canadian who moved to Taiwan and vlogged around that country on his Ninja. He is the originator of motovlogging as it exists today. He also recently suffered a horrific crash that will likely take over a year to recover from.

Anyway, it never really occurred to me to motovlog myself until very recently. I had a GoPro Hero 3 that Teva had sent me free, was learning to ride my dirt bike, and watching a lot of other motovloggers, both dirt and road, from around the world. So, I started out setting up the gear and figuring out how to shoot, edit, and produce these things. It will be a learning experience, especially the editing part, but it’s filling that desire to create and polish something for public consumption, which I mentioned I was missing. The topics will be varied and will be a very similar “voice” as my base voice in the footfeathers writing, since I write like I talk, for better or worse.

bangs1With all that, here is Part 1 of a video I did yesterday: Bangs Canyon Part 1

Please Like, Share, and SUBSCRIBE. Thanks!

Preview of Monster Energy Supercross Round 4, Oakland, CA

tomac and roczen

Eli Tomac and Ken Roczen. Photo: Hoppenworld

In a small, selfish effort to both lure ET listeners into dirt bike sports and dirt bike fans into Elevation Trail’s community, here are some things I’ve written up for you to watch and be engaged in tonight’s race.

This is the 4th round of the 2015 AMA Supercross season (Rd 1 Anaheim, Rd 2 Phoenix, Rd 3 Anaheim). Today’s race takes place in the Coliseum in Oakland CA (lock your car doors if you’re attending! 😉
Race coverage begins live tonight (Jan 24) on Fox Sports 1 at 7pm PT – 10pm ET.

Things to keep an eye on:
The murmurs that the season is early and RCH Soaring Eagle/Jimmy John’s Factory Suzuki’s Ken Roczen may not stay as hot and fast as he was in round 1 are quieting and fading. After the first three rounds he owns two first places and a second place, has led 52 of the 60 laps raced, and holds a 12 point lead in the standings over 2nd place Ryan Dungey. The rest of the field simply cannot let this guy get an early lead because he may not always have the fastest qualifying lap times but he’s consistent with his speed and will check out and say bye-bye if he gets a gap on everyone.

Ryan Dungey absolutely has the ability to win but it seems he can’t do it on his own terms, meaning that whoever is in front of him will need to slip up. Dungey NEEDS to get more aggressive. Listening to Red Bull KTM’s manager, Roger DeCoster, in interviews, you’d expect him to be thrilled with his rider sitting in 2nd overall but he knows Dungey’s talent and work ethic and knows he is capable of owning these races. He simply rides too conservatively.

Meanwhile, Coloradan, Eli Tomac (son of one of the greatest mountain bike racers ever, John Tomac) sits in 3rd overall after his win in Phoenix, where he controlled Roczen, and his 3rd last week in Anaheim. Tomac has the ability and aggressiveness to win every week. I’m guessing we’ll see him on the podium several times over the next 14 rounds. The only question is, does he have the consistency of Dungey and the speed and drive of Roczen to stand on the top step of that podium?

Speaking of aggressiveness, the big talk over the week following last Saturday’s race was Chad Reed getting black flagged after intentionally running into Trey Canard after Canard basically landed on top of him in the previous turn, causing both of them to go down hard. Most opinions I’ve heard and read feel the black flag was uncalled for. The AMA race official (John Gallagher) was standing right in front of the incident when Reed crossed the track and ran into Canard (who was riding one handed while clearing his goggles), causing him to endo and somersault over the tough block barriers. Gallagher almost immediately called for the black flag on Reed, which means “get off the track, your racing night is over”. Reed was stunned and words were exchanged between all three parties after the race.

Most seem to feel that they should’ve just let everyone finish the race, then evaluate possible penalties and fines. Comments have also voiced concern that this ruling may set precedence and influence aggressive riding in the future races. I personally am on the fence with the black flag. I’ve watched the incident (the whole thing from the previous lap through Reed’s black flag) a few times and feel that it could’ve gone either way (flagged or not). I don’t believe it’s going to influence anyone’s riding style or aggressive racing and I don’t think it will set a precedence for future flagging. In fact, I think it may have the opposite effect, where we see a reluctance to flag riders because of the heat they received over this one. We shall see.
Regardless, it will be interesting to see how Canard and especially Reed bounce back from this. Reed really suffered a hit with the black flag with him being the team owner and rider of 22 Motorsports Discount Tire. The loss of any points essentially knocked him out of the the overall running in the standings (he sits 15th now). Just to rub salt in the wound, Reed’s team rider, Josh Grant, DNF’d, so the team went home with some things to think about.

I won’t cover the 250cc class but Cooper Webb is on a tear, Tyler Bowers is a classy, aggressive rider who’s ready to mix it up for the championship, and Malcolm Stewart (James Stewart’s little brother) is really fun to watch.

So, that’s it from a novice fan of the sport. Let me know if you watch the race and what you thought of it.

Here’s the Trey Canard / Chad Reed incident:

Super Size It With Guest, Dr. Allen Kinsler

Map-of-Obesity-ratesUltrarunner, Dr. Allen Kinsler joins us today to discuss his work with low income and homeless populations and the issues of obesity in the US. Seems like rich folks are gaining weight just as fast, maybe faster, but is it for different reasons? And, the new ET Fartlek feature is a fail. I don’t have the energy to play with the audio tracks, so we’ll work the fartleks into the next show… You’ll have to listen to know what that means.

Direct .mp3 file: Super Size It With Guest Dr. Allen Kinsler

Obese show appendix. Allen sent this to me after the show – Lots of complex issues (I think he’s looking to secure a spot on a future show again… hmmm):

Thank you very much for having me on. I think the saliva finally started coming back in my mouth about 30 minutes ago. Totally nervous. Hopefully I didn’t come across as a pompous asshole doctor. The problem is so complex and getting worse. It is a huge source of frustration. Not to mention that the numbers of people out there that are obese are going to overwhelm the medical system. Some would argue that has already happened.

Medicine/medical care, is very personal and can be a sensitive subject. Everyone has their own experiences and there is nothing more personal than one’s health. It was really hard because the way I practice medicine works for me and my patients. Certainly not everyone agrees with me which is why I am always reluctant to discuss this in public forums.

I am big into figuring out the cause and fixing that issue. I do a fair number of joint injections for pain. However I refuse to inject someone’s joint with steroids unless they agree to go to physical therapy. My explanation is that the pain is there for a reason and steroids are getting rid of the pain but not fixing anything. We need to fix the mechanical problem. I get some resistance but it is amazing when they go and sort out the issue and I never have to inject them again. The more economical plan for me is to just keep injecting them every 3-6 months that only really helps me ($). I refuse to work that way.

I got curve balled with the weight loss drug question: I still don’t know the answer as I haven’t looked up the drug. The quick snap shot of all the weight loss drugs thus far are is this: they yield about 10% weight loss (but only in about 50-60% of people, it’s not even a given that if you take the pill you will lose weight. the pills only work as long as you are on them. Drug approval time for treatment is usually less than 6 months, some of the amphetamine based ones are no more than 3 months. In 12 months time after stopping the drug people gain all the weight back. Cost is usually $300+ a month. In my view having someone lose 30 lbs over 6 months for$1800 (not to mention the costs to see me, get labs, etc etc) when they are going to gain it back seems to be pretty futile and a waste.

I do use medications, many are very helpful. However for my chronic disease stuff (diabetes, blood pressure, cholesterol) medications are always accompanied lifestyle counseling and tons of encouragement with the goal that one day we can hopefully stop the pills.

I did attach 2 articles that I tried to incorporate into the show that provide good discussion. They likely make way more sense than I did.

Really appreciate the work you guys put into the show.