Saturday, November 16, 2013

A Thank You.

I've had some time now since the race to let my body recover and to ruminate on the incredible experience that was the marathon. After what proved to be a tough and very humbling race, the body feels back to 100% after more than a week of rest and (mostly) healthy gorging. The mind has had time to digest and place in some context the whirlwind of a weekend that was. With this post, what I expect to be my final post for sometime (although I'm almost certain we'll revisit something similar in the not too distant future), I wanted to accomplish two things: 1) recount the experiences of race day for my own documentation and for your curiosity, and 2) say thank you to everyone who has been a part of this. Here goes.

The alarm went off at 3:30 am. Sarah woke with me and helped get me out the door. Folks at Team Boomer really emphasized making race day as stress free as possible and I had tried to have everything ready to go the night prior. This was definitely the right approach as getting out of the apartment was no trouble at all. It was pretty chilly out in the morning and I was bundled up in sweats when I left Sarah's. I dropped into an all night bar and coffee house at around 5:00 for a coffee to go. It was full of partiers from the night before dressed in Halloween garb, eating their drunken eggs and bacon, some still working on beers. They all seemed genuinely confused that a man could be up and preparing to go for a run at such an hour. From there I hailed a cab down to Central Park South where I was to board a Team Boomer charter bus that would take us to Staten Island. As I exited the cab and began to walk across the street a cyclist, out early for her morning ride, recognized me as a marathoner and wished me luck. The positive energy put a smile on my face.

I had hoped to catch a few extra minutes of sleep on the bus, but the nerves and good will text messages that started coming in before 6am did not allow for this. The sun was still making its way up into the sky as we crossed the Verrazano and arrived at Fort Wadsworth around 7:30. Team Boomer provided a comfortable tent in the charity village where the 85+ members were able to find shelter from the wind and cold and prepare in comfort. There was a lot of conversation among the folks strewn out across the ground in the tent, but I opted mostly for ear-plug mode and tried to zone into some good music to help me focus.

In what seemed like only minutes the time had come for me to check my bag and head to my corral. I was set to begin running in the second wave which went off at 10:05 am. All runners had to be in the corral by 9:35 or so. There was an endless line of port-a-poddies inside the corral offering a last chance to take care of business before the gun. After capitalizing on this opportunity I used the remaining time to continue to stretch. From the corral we saw the first wave go off and watched them trot above us across both the upper and lower levels of the bridge. Sinatra's "New York, New York" came on over the big PA system which put another smile on my face. Soon after, we began to move up towards the finish line. This was the first time in my life I'd found myself in a crowd of individuals that were about to run a marathon. I was surprised by the relaxed mood of the majority of the people, many of whom were smiling and chatting. I think I was able to feed off that energy and relax myself which really allowed me to take in the moment.

Knowing that the race was about to begin was a great feeling. I was excited but there were very few nerves. The moment was a long time coming and I was just happy to have completed my training, met my fundraising goal, and proved to myself that I had the guts to get to the starting line. My body felt good - no recent aches or pains - and I felt ready to begin a long race. I shed my sweatshirt layers, threw them to the side to be collected for donation, and walked beyond the gate towards the finish line. The crowd seemed to quiet down a bit now, a collective realization that a difficult task lay ahead. Game faces were on. This was it.

And after a few more moments we too were a-pace to the sound of Sinatra. This turned out to be the most emotional moment of the race for me. It was the only time I had to fight off tears. I was there not to post a super competitive time, but simply to show myself and others that I could go out and complete this thing. And with those first few paces it was immediately apparent to myself that I was doing so. Those strides across the Verrazano, packed in amid thousands of other runners, are something I will never forget.

The bridge was something of a slow calibration period for most people, I think - an opportunity to get a feel for things. Everyone is running slowly at that point because of the limited space (I ran a 10:30 in the first mile, well above my target pace of 8:55-9:05). And despite it being a moving mass of people, its quiet. It was more of a time to settle into that subdued mental place that is required of a sustained effort. Go to zero. And hopefully you've tapped into your inner fortitude and found your comfort zone before spilling out onto the streets of Brooklyn, because when you do its no longer quiet and you can not possibly ignore the influence of the crowd. Which is not a bad thing. The crowd starts as a trickle just after the bridge but quickly turns to a stream and then a torrent of people lining the streets. The cultural diversity of New York is on full display as the predominant ethnicity changes as one runs through the different neighborhoods. I often found the outstretched hands of kids looking for high fives irresistible.

Not too far into the neighborhoods of Brooklyn, maybe about mile 3, someone came up behind me and smacked me on the shoulder and said, "hey!" It was a friend from high school, Lisanne. She had alerted me on Facebook that she would be running and at about the same pace as me. We were both very happy to see one another and ended up running the next 10 miles together, chatting and giving one another encouragement along the way. We talked training, and strategy, and made general observations about the crowd and about life. I have been struck more than once that the community of marathon runners is a very real one. Everyone who runs seems to be extremely supportive of every one else, regardless of skill level, and always willing to share helpful information. Lisanne (who would go on to smoke my time) and I were separated at a water stop somewhere in Queens. The crowd was still dense and it was easy to lose someone in the fray. I was on my own again.

It was shortly after this that some of my troubles began. Pain began to set in in my right calf and knee, eventually working its way up to my hip. I wasn't pleased about this, but I wasn't shocked or worried yet either as these had been mild trouble points along the way during training. I was wearing a patella support band on my right knee because of pain experienced during training, especially during some of my longer runs. The pain started to intensify around mile 15 when crossing the Queensboro Bridge. Things get quiet on the bridges as the crowd disappears, and that expanse crossing the East River seemed to go on forever. But the reward of the dense crowd packed in at 1st Ave is known to lift the spirits and it was no exception for me. That jolt of noise and energy gave me a boost, no doubt, but unfortunately it was not enough to adequately sustain me for the miles ahead.

Around mile 17 I heard a familiar voice call my name. I looked to my left to see another high school friend, Jen, with her husband and daughters just behind the barricade. I quickly ran over to her, gave her a hug, and muttered the telling words, "I'm so tired." They had come in from New Jersey to enjoy the day and to cheer me on. Another incredibly touching gesture and one that gave me another real boost. But reality quickly sets in when you turn around and begin working your way back up the road. Another mile up the road and the gravity of my physical state began to make itself clear. My pace had slowed a bit at this point, but I was still contemplating the goal of a finish somewhere near four hours...until the cramps started. I think I stopped between mile 18 and 19 for the first time to try to stretch out my legs, hoping that would improve the cramps that were now radiating out from my calf muscles in either leg. But the reality is that when cramps begin, its already way too late to deal with them effectively. I used to get severe cramps during high school football and they were very much on my radar as a potential problem, but despite my precautions and preparations they surfaced on race day. Salt imbalance is a major part of CF and it got the better of me this day. At the 30k split (18.9 miles) my time was 2:59:30 - a projected finish time of about 4:12. At the 35k split my time was 3:41:18 - a projected finish of about 4:27. In other words my pace fell off from about 9:10 seconds to 13:30 seconds per mile in those roughly 3 miles. I was crashing.

Needless to say the rest of the race was very difficult. The dehydration was clearly affecting me and my legs were beginning to shut down. This was disappointing and frustrating because I had not experienced this in any serious way during training and I had been vigilant about drinking Gatorade along the course. It snuck up on me and now it was taking me out. In subsequent conversations with some of the other CFers that ran, they all recommended the use of salt pills prior to and during the race. Advice I will surely heed in future efforts. If there was a bright side to this, it was the simple fact that I was limited by my legs and not by my lungs as one might expect for an individual with CF.

The last 7 miles were a real gut check. I had to keep it together a midst watching any chance of finishing under four hours evaporate. I had to do my best to manage a tremendous amount of pain and fatigue with every step. And I had to do my best to keep a respectable form at 110th street where I knew my family and friends had congregated. This was mostly for not though, as somehow I missed them (and the incredible turtle-themed signs Sarah and my sister Emily made) and they missed me (fortunately I did see my Aunt Jane). Perhaps the most disappointing part of the race was entering Central Park. This was the part of the race that was supposed to be triumphant - the part where the runner relishes in their display of stamina and toughness and is rewarded with the throngs of adoring onlookers. Instead I had to shut all that out and focus on the task of getting one foot in front of the other, sometimes walking, so I could get to the finish line and start rehydrating. It was a very humbling experience watching waves and waves of people run passed me on their way to a much stronger finish. My official finish time was 4 hours, 42 minutes, and ten seconds.

Despite all this though, it would be misleading to spend too much time dwelling on the disappointing parts of the race because the positive experiences of the day far outweighed the struggles. As I would soon find out, crossing the finish line was actually just the beginning of the excitement. After some trouble locating my checked bag (which was probably a blessing in disguise as it forced me to keep walking and probably work out some of those cramps) I made my way up to my uncle's apartment on W 86th street. What started as plans for a rendezvous of a few core supporters had grown into a much larger group in the days immediately before the race. When I arrived I was thrilled to see a group of over 20 people that had assembled to congratulate and share in the my accomplishment.

The crew of family and friends that assembled for post-race festivities.

Without question this was the most rewarding part of the day. The race hadn't transpired exactly as I had visualized, but here I was with finisher medal in one hand, beer in the other (I told you I needed to rehydrate), surrounded by family and friends and having accomplished what I set out to do. The next couple hours were spent drinking, eating, laughing, recounting the race, and catching up with loved ones. Life doesn't get any better. It really doesn't.

Being in that apartment, feeling the encouragement and love, made clear to me that this was much more than a personal experience. So many people had a part in it and without what turned out to be an enormously successful fundraising campaign I truly doubt I would have found the motivation to follow-through with something like this.

There are too many people to thank personally (though many, many thank you cards will be making their way through the mail shortly). I just want everyone who has donated, or lent a few words of advice or encouragement, or read this blog to know that from the bottom of my heart I am thankful. Thank you for being a part of this journey. A journey from which I emerge a stronger, more optimistic, more prepared person ready to deal with all challenges that lay ahead. You have inspired me and together we have done something very real. Let's do it again sometime.







Saturday, November 2, 2013

Go Time.

I'm sitting now in Sarah's apartment on the Upper West Side drinking a tall glass of water, eating plain yogurt, doing the meds, and checking and rechecking everything I have neatly laid out on her couch for tomorrow. The coffee pot is set for 3:30 am.

I am reflecting on the training that began in April and I remember the decision. It did not come at once - not an instant crystallization. More like something that started lukewarm in the recesses, gradually demanding more volume in the sphere of my consciousness. From some seed planted long ago, years ago, that has managed to find enough sunlight and water in the conversations and inspiration I took from others to grow into something real.

As many before me understand, and as I have come to understand, that decision to train for a marathon is in essence a bet with the self. It is an agreement to turn inward and challenge, for more than 26 miles, the mad conglomeration of bones and muscle, and nerves and blood, and experiences and memories, and doubts and fears, and strengths and determinations that make you, you.

I have not run 130 miles per week, and I'm not going out to break records tomorrow. But I have put myself in a position to complete this marathon. And that, even putting CF aside for a moment, is something special.

And as the gates and grandstands in Central Park await, empty and cloaked in darkness now only a few short blocks away, I turn inward again. I'm ready to go.  


Friday, October 18, 2013

Wednesday, October 16, 2013

Newport Half Marathon.

Less than 3 Weeks Left to Make a Donation!

Well it wasn't that hard, but if I had to do it again I think it would have been hard.

That was my conclusion from the Newport Half Marathon that Sarah and I ran on Sunday. Crossing the finish line I was relieved that I did not have to run the same distance again. But as we know, in a couple weeks I will have to run the same distance again...

Weather was fair with some wind, mostly sunny.  It was a beautiful course with a few hills that meandered along the southwest rocky shore of Aquidneck Island. There were long stretches of ocean views with sailboats in the distance. And this being Newport, one runs in the shadows of mansions.

I felt pretty strong throughout the race granted I was running at a pretty easy pace. I ran a 1:56:44 - an 8:55 mile. I felt very strong on hills which was encouraging.

As with all strenuous activity the best part is it being over. There was complementary minestrone soup, pizza, gu packets, and Gatorade for all runners after the race. No small task for a race with almost 4000 people. There was also free beer. The race was sponsored by Narragansett Brewery and we got one free Narragansett tall boy each for finishing the race (SCORE!). We drank up in the award tent and then made our way back over to the mainland for some more beer and bar food (and "Pumpkin Bombs" at Sarah's insistence) at the Mews Tavern in Wakefield. All in all a great way to spend a beautiful fall day.    

Sarah and I shortly after finishing the Newport Half Marathon.
The day's prizes.


Friday, October 4, 2013

New Kicks!

Did a nice little sundown 7 miler today and was feeling like I had some ran-far capital to spend.  Bought myself a Howlin' Wolf record.  Also bought myself a new pair of mother f%$*!g kicks boyeee!  These are the pair I'll be running in in just one more month! Happy Friday!

Wednesday, October 2, 2013

Reflections On Obamacare From A Poor, Sick Kid That Used To Live In Massachusetts.

Fine. I give up. I'll chime in. I really didn't think I'd be driven to this, but all the political theatrics, all the misinformed Facebook rhetoric, the entirety of the misunderstanding of the law that is Obamacare stemming from both innocent and very unvirtuous origins has me feeling exasperated. The fact that Congressional Republicans would go to the lengths that they have to try to repeal the law elicits the same confounded expression I just took out of my multivariate statistics class. I'm frustrated, depressed, and a little angry at the state of the misunderstanding of what this thing is and its actually quite relevant to this blog. I'm in a good position to try to explain Obamacare from an interesting perspective because:

  • I'm sick
  • I'm poor*
  • I used to live in Massachusetts and have purchased health insurance using the model that is now being implemented throughout the country. 

Some biography for context...

As folks who have been following this blog know I have Cystic Fibrosis. That qualifies me as sick by a long shot - annual prescription drug costs that flirt with 6 figures are no joke. Compounding difficulties that stem from the maintenance of my health is the fact that I have chosen, for the time being, a path of lots of work for little pay. I am a research assistant pursuing a PhD in wildlife ecology (and as of a few weeks ago I also move boxes around a liquor store for $10/hour so I can avoid using my credit card at the grocery store). This decision comes in part because I am passionate about what I am doing, but also because a terminal degree opens doors in a very competitive field with few career positions and very limited prospects for growth over time. I am fortunate to have a job that offers adequate (albeit lackluster) health insurance for the first time in my life. 

You might assume my struggles are the product of laziness or lack of direction, but believe it or not, us granola eating, tree loving types clamor for the opportunity to pull weeds in a National Park somewhere for virtually no pay, and just getting to the position I am in is a rather competitive and time consuming prospect. I spent years paying very high premiums for private health insurance with very lackluster benefits (especially when it came to prescription coverage) in the years following college. From 2007-2012 I worked with the National Park Service performing various seasonal biological technician positions at Cape Cod National Seashore, also completing a MS in wildlife ecology during this time. Health insurance is not offered with seasonal Federal positions (and my option for health insurance through school was an outright joke), and every year it was back to New Jersey in the Fall where I lived with my parents in order to be able to cover living expenses, namely NJ health insurance premiums that exceeded $500/month. 

Come 2011 I decided I could no longer take the prospect of returning to NJ to live with my parents and decided to make Massachusetts my new home some how, some way. I switched my residency to the Land of Belichick, got me a nifty new driver's license, and realized I could now qualify for this slick new (sort of - it was enacted in 2006) health insurance program that people from the state seemed to brag about. And they really did - regardless of political affiliation so far as I could tell, there was a real pride, especially among young people, in the fact that Massachusetts took care of its own and provided affordable access to what is some of the world's best healthcare. 

Sometime around September 2011 I jumped on board and purchased a health insurance plan using the Commonwealth Connector, a website that helps people find plans for which they are eligible. No bullshit, I logged on for the first time with less than an hour before the enrollment period ended (for the entire year!) and found a plan that was both significantly less expensive and fulfilled the essential requirements that my very complicated situation requires. I settled on a plan from Neighborhood Health, a non-profit corporation that operates in New England, and virtually overnight my premiums were reduced by more than 50% and because there was an out-of-pocket maximum incorporated into the prescription drug portion of the plan (which my previous plan did not offer despite the higher premium) I would now finally have some relief from the endless cycle of dealing with patient assistance organizations in order to pay for medications. Had I realized that I probably would have qualified for a subsidized plan based on my income, my premiums may have cost less. I soon found a specialist at Mass General - considered one of the best hospitals in the world - and continue to receive care from that team to this day. 

Saving $250 a month is a big deal to someone on a very modest income. Especially us independent types who have a tendency to piece together a living outside of the realm of the corporate world. Having that extra cash on hand can easily be the difference between assuming additional debt or paying down debt. That's exactly what my experience was and its exactly the kind of experience more people need given the times. But I'm just one person, right? And this whole healthcare law is something that society has to swallow. Its great if we can help sick people, but what about the choice of someone who is young and healthy and wants to roll the dice without health insurance?  That's a fair question and the fact is that there are many out there choosing to do so now. And they can continue to do so, the difference is they will now be penalized if they opt out of buying health insurance. Those on the Right frame this individual mandate as a tax. But do taxes usually provide the individual directly with new services? No, they don't. Its more like a strong incentive for young people to play a necessary role in the healthcare market - a market that they have been largely absent from in the past. A market that desperately needs them in order to control costs for individuals, businesses, and governments over time.

Do some people have a legitimate gripe with having to buy health insurance? Yes, they do albeit a pretty modest one because most will be getting it for a song. Unlike their predecessors (read: me) who did not get it for a song. Are throngs of young conservatives going to rebuff the program on the principles of liberty, justice, and freedom for all? Doubt it, but we'll see. One of the most intriguing things that gets overshadowed by all the political nonsense is that the story of whether or not the people want this will ultimately be told in the market. Something that those who oppose this law don't want you to know. If people don't sign up, the program will fail. And so be it. The thing is, a principle of economics is that if you want people to exhibit a certain behavior, give them an incentive to do so - which Obamacare does in a really smart way by making decent health coverage affordable and offering disincentives for continuing to go without. The great irony of all the political theatre is the fact that Obamacare is really a conservative idea. Presidential campaign spinelessness aside, give Mitt Romney some credit for recognizing and implementing a good market based solution to a real challenge in Massachusetts.

Table 1. Some common criticisms of Obamacare and my responses/opinions to those criticisms.


So what about Massachusetts? The health care system works wonders for individuals, but how's it working out for the state government and the state as a whole? Well, its not perfect, but its pretty darn good. The bad news is it does cost the state government money. See this link for a quick synopsis (note the quote at the end). Upwards of $100 million dollars a year!? Sounds scary right? Well, its not. Deval Patrick himself has said that it barely affects the State's bottom line. The only other bad news I could find is that emergency room visits have not decreased as expected, something that can probably be explained by a general higher demand for services in the state. Which leads us into the good news beginning with ... a general higher demand for services in the state. In other words, its a good time to be a doctor or healthcare professional in Massachusetts (business is booming). The other obvious good news is that almost everyone in Massachusetts has health insurance: ~97 percent. For comparison, in Alaska and Florida more than 1 in 5 people don't have coverage. Healthcare costs have risen at the national average in Massachusetts and the health of the people has improved. And not for nothing but the people of the Bay State have peace of mind.

Implementing Obamacare on the national scale will probably be less efficient and more costly owing mostly to the fact that a minority are philosophically opposed to the idea of a government having any hand in markets and/or having any hand in anything. Ideology is usually an impediment to progress. But for states that have elected to create their own state-based exchanges rather than having them controlled by the Feds (which was an option to everyone) I suspect things will go pretty smoothly. The only folks with a real gripe are the small to medium sized businesses, many of whom are now going to have to pay for employee coverage or pay a penalty (more significant a penalty than individuals foregoing coverage). It will probably hit them where it hurts in some cases. Nonetheless, it will push few over the line. I have no sympathy for big businesses crying about giving health insurance to their employees. They will be able to absorb the cost.

So that brings us to Congress and the government shutdown. Republicans are staking their future on the fact that they think their constituents don't want Obamacare which may be so in some places. But those constituents have had their perception of Obamacare confused and diluted by these same politicians, most of whom go to bat for more powerful interests than the sick and poor. What's going to happen when they actually see for themselves what the program is? Maybe that is the answer to why these Republicans are so opposed to the law becoming law (see what I did there?). When you start believing your own bullshit the people will be left with no choice but to sweep you to the curb come the next election.   

*I consider myself very fortunate for everything I have and I use this term somewhat tongue-in-cheek. And besides, I count my richness in friends and experiences. But for all practical purposes I live at the razor's edge during the best of times. I'm not necessarily proud of this and the plan is that one day this will change. For the time being though: PB&J anyone?             

Friday, September 27, 2013

Sport.

Is sport all about competition and winning?  You decide.