Journal of the American Medical Athletic Association

Volume 29, Number 2 Summer 2016

Division of the American Running Association AMAA Journal

FOUNDER Ronald M. Lawrence, MD, PhD BOARD OF DIRECTORS The Mile: A Starting Point for Cathy Fieseler, MD, President Charles L. Schulman, MD, Immediate Past-President Douglas J. Casa, PhD, ATC, FACSM Fitness in our Youth S. Mark Courtney, PA-C Mark Cucuzzella, MD, FAAFP Running a mile in under 15 minutes struggled in PE classes due to being out of Ronald S. Dubin, MD sounds easy to all of us. It is almost a fast shape and overweight. The MILE event pre- Ronald M. Lawrence, MD, PhD, Member Emeritus walking pace. Yet when I witness overweight sented a challenge. It turns out that the PE Noel D. Nequin, MD, FACSM, FAACVPR, middle school students struggling to break teacher at this particular school added a Member Emeritus 15 minutes in a mile, I know we are on the twist to how they were going to stage the RUN COL Francis G. O’Connor, MD, FACSM correct path. That is a path to help improve A MILE event. To earn or receive the special Chris Troyanos, ATC the fitness level of our kids before they hit t-shirt, every boy and girl had to break 15 HONORARY DIRECTORS high school. It’s at that point in a youth’s life, minutes in the mile. I paused. This teacher Marv Adner, MD Judi Babb the high school years and beyond, where we must have felt the same way as many of us Walter M. Bortz II, MD lose the advantage of direct influence. We who believe this is the minimum standard Ken Cooper, MD have all experienced it, even with our own pace any boy or girl should run, although EXECUTIVE DIRECTOR kids. Sure, we are leaned upon for advice we never wrote it in our sales pitch when David Watt and counsel once our kids mature and real- promoting the concept of NATIONAL RUN A MANAGING EDITOR ize that the stuff we urged or preached when MILE DAYS to a new school’s principal or Barbara Baldwin, MPH they were younger may now be the answer. lead PE teacher. TALKING ABOUT TRAINING EDITOR The home-field advantage held by parents is This middle school PE teacher, on her Douglas F. Munch, PhD one big reason that we as outside influenc- own, set the bar to reach. The value of wear- BOOK REVIEW EDITORS ers have our best shot to affect change in ing that “Are You A Miler?” tee just went up a Paul J. Kiell, MD kids’ daily lives in the elementary and mid- notch. The mom continued telling her son’s Douglas F. Munch, PhD dle school years. story. He started running during the period CONTRIBUTING WRITER I have told one story that came to my at- in PE class set aside for training for the mile. Jeff Venables tention in the form of an email forwarded to She said it had been hard for her son as he MEETING COORDINATORS me from a PE teacher in Washington State. had let his being overweight be the reason Judi Babb In the note a mom reached out to thank the to not run. When RUN A MILE DAY arrived Barbara Baldwin, MPH organizers at her son’s middle school and at his school, however, her son focused on EDITORIAL ADVISORY BOARD our organization, ARA and AMAA, for put- that 15-minute time limit to receive the free Brian B. Adams, MD Donald B. Ardell, PhD ting on the RUN A MILE event. She admitted t-shirt. He ran the day of the event and broke Robert Bice, Jr., MD, FACS upfront that her son was overweight. He had 15 minutes. The mom concluded the email Paul E. Casinelli, MD George M. Dallam, PhD Edward R. Feller, MD Lawrence A. Golding, PhD, FACSM Steven J. Karageanes, DO Paul J. Kiell, MD John M. Levey, MD Steve Morrow, DDS Douglas L. Noordsy, MD Edward R. Sauter, MD, PhD Walter R. Thompson, PhD Bruce Wilk, PT, OCS

The American Medical Athletic Association (AMAA), professional division of the American Running Association, was founded in 1969 by Ronald M. Lawrence, MD, PhD, to educate and motivate fellow physicians to disseminate information about exercise and nutrition to their patients, thereby enhancing their quality of life. The AMAA Journal is a peer-reviewed publication. Opinions expressed in the AMAA Journal are not necessarily endorsed by AMAA. Address editorial, membership, advertising and change of address information to AMAA, 4405 East-West Highway, Suite 405, Bethesda, MD 20814-4535, TEL: 301-913-9517, FAX: 301-913-9520, E-mail: [email protected], www.amaasportsmed.org.

2 AMAA Journal Summer 2016 CONTENTS by writing that her son told her “getting the at a sports medicine meeting. We also are ‘Are You A Miler?’ tee was his gold medal.” looking for a national sponsor (or two) for Messages to Remember..…….. 4 We are life influencers. The NATIONAL the RUN A MILE program and events. We are Mark Cucuzzella, MD, FAAFP RUN A MILE DAYS event is part of our main also going explore a “kickstarter” campaign Fitness is Not Exclusively push or cause to “simply get more kids fit for NATIONAL RUN A MILE DAYS. Physical …………...... 7 one step at a time.” We have momentum We can make the mile be much more than Laurel Mehler, MD with a sustainable program and people just 26.2 parts to a . Each of us can who believe in our cause, as evidenced by either raise funds, start a MILE program at Friendships, Teachings, the success in our fundraisers at the Boston a school where our kids or grandkids at- and Athletic Achievements...... 8 Marathon. Yet we are at a precarious point tend, or get others to help us. Together we Barbara Baldwin, MPH; Dexter when it comes to raising funds for ARA- can make the 15-minute mile the minimum Emoto, RN; and Katie Powers, RN AMAA. We do not control our position to standard in all schools. We now know that provide charity slots in Boston. We now are the “Are You A Miler” t-shirt can mean as AMAA 2016 Finishers ………. 13 competing with many other charities for the much as a gold medal, and overweight kids right to sell x-number of invitational entries can be motivated to win! On the Road with into the 2017 marathon. We must look be- Dave and Dan …………...... 14 yond Boston and create opportunities for Enjoy the run! supporters to raise funds and experience a Dave Watt, Executive Director Book Review: half or full marathon and obtain CME credits First Ladies of Running…….. 18 John L. Zinkel, MD

NATIONAL RUN A MILE DAYS YOUTH FUND 2016: TOP 10 FUNDRAISERS Keyon Vafa Chestnut Hill, MA $7,772 Catherine Rubinstein Charleston, SC $5,475 Carolyn Bruckmann Cambridge, MA $6,077 Tori Machado Baintree, MA $5,462 Sherry Braheny La Mesa, CA $5,941 Paul Thur Bala Cynwyd, PA $5,443 Jessica Drescher Glencoe, IL $5,901 Ashley Thompson Cambridge, MA $5,183 Jennifer Kizza Cambridge, MA $5,522 Billy Porter Kenova, WV $5,181

Photo Credits: Austin Dickey and Dexter Emoto. Cover: “Doc Bill” Paronish at his ninth consecutive finish.

AMAA Journal Summer 2016 3 AMAA SPORTS MEDICINE SYMPOSIUM Messages to Remember

By Mark Cucuzzella, MD, FAAFP

It was a privilege to be one of the co-chairs of the American Medical Athletic Association’s 45th Annual Sports Medicine Symposium at the Boston Marathon. This year we hosted an amazingly diverse and experienced group of clinicians. I always learn a ton but often for- get some of the key messages; therefore, I am pleased to share with you thoughts and key mes- sages I have gathered from some of the speakers. I also want to give a huge thanks to all the speak- ers and meeting organizers Dave Watt, Barbara Michael Silva, PT explains how the whole body approach to training yields optimal results. Baldwin, Judi Babb, and Maria Kolanowski for making this event a continued success. Year after year, when the symposium has improvement than their peers who have been Jeffrey Brown, PsyD (The Runner’s Brain: commenced and it’s time to drop the doctor hats running since childhood or early adulthood. Deciphering the Most Unique Organ to Cross for a day, I always have fun enjoying the people a Finish Line) of Boston and running the Boston Marathon. Fred H. Brennan, Jr., DO (MASCAL Response • From my 15-plus years with the Boston Congratulations to all who challenged them- at Endurance Events: Lessons Learned from Marathon, it’s clear that a runner’s brain is selves in the 2016 race; it was a warm day, but Baghdad to Boston) the single most utilized organ, yet often re- one filled with crowds and excitement. We hope • If covering an event, unlikely as it may seem, ceives little attention. to see you next year! be prepared to triage and basically stabilize • Fine tuning a runner’s thinking can improve patients in a MASCAL situation. Remember, if performance, reduce pain, increase resil- Elisabeth Beyer Nolen, MD (Menopause & you are the only provider covering an event, ience, and solidify athletic identity, among Exercise) two seriously injured athletes could be a other fine points of the sport. • Exercise has been shown to at least subjec- MASCAL for you. • Many runners admit they almost obsessively tively decrease menopausal symptoms both • Effective communication is often your big- desire information about their brains and op- in runners and non-runners. gest challenge. Add austere conditions like timizing performance. That need can be met • Hormone replacement therapy (HRT) has wind, rain, snow, and the darkness of night for runners, but it must be offered to them been shown to decrease hot flashes but little and effective triage and care gets exponentially through pre-race events and even in medical data exists on HRT improving running per- harder. tents. formance. Also, the decision as to whether • Finally, if you have multiple casualties, your or not to initiate HRT needs to be a decision goal is to stabilize as many as you can. Treat Bradley Cox, MS (The Missing Link for between physician and patient, taking into the first person you see in front of you, triage/ Running Efficiency: Upper Body Mechanics) account both personal and family history. treat as quickly as you can, then move to the • Due to the dynamic sling system that connects • Women who begin running later in life often next one. Understand you may need to move our upper and lower body, many lower body is- experience more of an initial performance on and will not be able to save everyone. sues are actually being caused by dysfunctional

Zola (Budd) Pieterse Bradley Cox, MS Bob Murray, PhD Paul D. Thompson, MD 4 AMAA Journal Summer 2016 AMAA SPORTS MEDICINE SYMPOSIUM

André La Gerche, MBBS, PhD diagrams the relationship between exercise and David S. Ludwig, MD, PhD discusses the causes of obesity. atrial fibrillation. upper body mechanics. It is essential to also • Running causes no greater risk of spine in the heat for 30 minutes (without drinking), evaluate upper body mechanics when looking or large joint disease. In fact, running may and then weigh yourself again after toweling off. at gait analysis and pain in the lower body. have reparative effects on some orthopedic Double the difference to equal your sweat rate • Common upper body failures include: abnormalities. in L/hr (a kg is a liter). So, if you weigh 71kg o Poor thoracic rotation either bilaterally • In terms of impact force, there is probably no sig- before exercise, and 70kg after, you lose about or unilaterally. This decreases the trans- nificant difference between running on a variety 2 L/hr in sweat when exercising at race pace in ference of power between upper and of surfaces, including asphalt, cement, and grass. that environment. lower body and in the case of a unilateral • Your strategy should be to lose less than two restriction can also lead to opposite side André La Gerche, MBBS, PhD (The Heart of percent body mass during activity. This will hip imbalances. the Million Dollar Athlete) help maintain thermoregulation and perfor- o Rounded upper back with tight traps • The athlete’s heart is a big engine with “su- mance. On the contrary, nobody should gain and pectoralis muscles. This negatively pranormal” filling and ejection. weight during activity. Measuring your body impacts diaphragmatic breathing and • There are limits and they manifest similar mass (in kg) before and after activity is a great proper hip extension. to that of heart failure patients. Specifically, way to let you know how you’re doing. If you o Unilateral muscular restrictions in the increased atrial pressures and right heart gain weight, you’re drinking too much. If you shoulder girdle, such as an internally pressures, as well as increased AF and RV lose five percent, you’re not drinking enough. rotated shoulder with a restricted sub- arrhythmias. • Practice, practice, practice! The other two scapularis and pec minor and a weak • To understand exercise’s effect on the body, take home messages don’t mean anything if latissimus, can decrease the transference exercise the patient! you don’t practice them. Consider the novice of power between upper and lower body. • Go run…there big benefits and very small runner who tries a supplement touted by a This lack of power negatively affects prop- risks! sales person at the race expo the day prior to er hip extension of the opposite hip. a race. Would you use this during your race • After identifying the mobility and stability David S. Ludwig, MD, PhD (Which Comes for the first time? No! This should be the same problems in the upper body, it is necessary to First, Overeating or Obesity?) develop a corrective strategy that incorporates • Overeating doesn’t make you fat. The process active mobilization of the restricted area. This of getting fat makes you overeat. should be followed by stability and form drills • The highly processed carbohydrates that to work the improved mobility back into stride flooded our diet through the overly promoted mechanics. If you are in a clinical setting with- “low-fat years” has raised insulin levels and out the ability to create such a plan, it is highly programmed the body for fat storage. recommended you partner with a functional • Increasing fat intake and reducing processed movement specialist or physical therapist who carbohydrates is the quickest way to improve understands gait analysis to develop an appro- metabolism for most people. priate plan for the patient. Brendon P. McDermott, PhD, ATC Howard L. Dorne, MD (Debunking Myths (Optimizing Hydration for Safety and about Untoward Effects of Running) Performance in Sport and Physical Activity) • As compared to controls, runners have no- • Everyone should know their personal sweat rate! tably increased longevity. Runners enjoy Hydration status, thirst, sweat rate, and fluid bal- roughly 50% or greater decreased risks of ance vary from person to person and, therefore, Brendon P. McDermott, PhD, ATC outlines coronary artery disease, stroke, cancer, and you should measure your sweat rate. It’s easy! guidelines for optimal hydration. Alzheimer’s disease. Weigh yourself (in kg), exercise at race pace AMAA Journal Summer 2016 5 AMAA SPORTS MEDICINE SYMPOSIUM continued from page 5 with your hydration strategy – your beverage choice – should be practiced. Go with what works for you as an individual, not what any- one else tells you.

Bob Murray, PhD (How Curiosity Killed the Cramp) Practical suggestions for cramp-prone athletes: • Pace within your limits. • Follow established guidelines for hydration and nutrition. • Use strong transient receptor potential (TRP) ion channel activators to prevent/treat EAMCs (exercise associates muscle cramps). Pickle juice is in this category. • Use passive stretching and rest if cramps persist. Elisabeth Beyer Nolen, MD discusses menopause, hormone replacement therapy, and running performance. Ed note: Stay tuned for the fall issue of the the immune system to target cancer cells. • Get proper rest, hydrate, eat well, get strong, AMAA Journal where Dr. Murray discusses the • There is growing evidence to support exercise’s and train smart. If you are unsure about any emerging science on the cause and prevention role in tempering the adverse effects of cancer of these aspects, seek professional help and of exercise-associated muscle cramps. therapy and help in recovery rehabilitation. get guidance so you can become your own successful runner. Zola (Budd) Pieterse (A Holistic Approach Michael Silva, MS, PT, CSCS (From Injury to to Running) the Finish Line: Strategies for Optimal Recovery) Natalie Stavas, MD (Exercise and the The message is simple—find joy and health in • Today’s lifestyle and stressors make it more Developing Brain) running, even after extreme times of negativity and challenging for us to stay healthy and tolerate • Significant advances in neuroscience, biology, challenge. It can be inspirational to us all, regard- the forces of running. It takes a well-designed and genomics have dramatically changed our less of the situation, to simply keep moving. and efficient plan to allow us to combat the neg- understanding of health and development across ative stress and help us to enjoy the benefits of a lifespan. From this has emerged the knowledge Haywood J. Robinson, MD (Can Fitness running. It is a “whole” body approach involv- that early life experiences have a profound im- Level Impact One’s Cancer Survival?) ing mental, emotional, and physical efforts. pact on our development and behavior. • Fitness is associated with a lower risk of • Every positive effort we make allows us the • America’s children are at high risk for poor certain cancers and overall mortality. After opportunity to become a better runner; developmental and health outcomes based diagnosis of certain cancers, one’s fitness without those efforts, our opportunities are on their early life experiences: level may lead to a more positive outcome. limited. The success in running goes far be- o 16 million children live in poverty. • Anti-tumor effects of exercise, associated with yond what type of foot strike you have or what o 10 million children have experienced pa- the catecholamine system, lead to stimulating shoe you are wearing. rental incarceration. o In 2013 there were three million reports of child abuse. • Children who experience childhood adver- sity have structural changes in their brain affecting their amygdala, hippocampus, and pre-frontal cortex. • The effects of exercise have been shown to improve and even reverse some of the chang- es in the structure and function of the brain. • Exercise has been proven to improve mem- ory, attention, and trauma symptoms seen in vulnerable children. Ed note: Dr. Stavas will present this topic as a keynote lecture at AMAA’s 25th Annual Sports Medicine Symposium at the Marine Corps Marathon on October 28, 2016. For more in- formation, go to www.amaasportsmed.org.

Richard J. Wood, PhD explains the process of ketoadaptation and its effect on the athlete. 6 AMAA Journal Summer 2016 AMAA SPORTS MEDICINE SYMPOSIUM

Paul D. Thompson, MD (Update on Lipid Richard J. Wood, PhD (Can Distance Management: New Guidelines & New Drugs) Runners Perform Well Without the Traditional • The 2013 ACC/AHA Guidelines are statin centric High Carb Eating Pattern?) because only studies published after 1995 were • Getting into a ketogenic state takes time, and considered in establishing the guidelines. This that period of time is often referred to as era required that all studies of lipid-lowering “ketoadaptation.” drugs be evaluated when added to background • A ketogenic diet is different from eating a diet statin therapy. Statins are so effective that it’s that is just low in carbohydrate. hard to prove that new drugs add much. • Our current understanding of maximal fat • The LDL receptor is the key factor regulating burning capacity, and the point at which that LDL levels; drugs and factors that increase occurs on the VO2 curve need to be re-eval- LDL receptor function both reduce LDL and uated given a recent study by Dr. Jeff Volek coronary heart disease. (FASTER Trial). It also appears that long ad- • Because insulin drives free fatty acids into fat herence to a ketogenic diet changes the way cells, elevated triglycerides are an early indi- glycogen is spared and stored. cation of insulin resistance. When insulin is Ed note: See Dr. Wood’s article on the low car- Cardiologists André La Gerche, MD; Paul Thompson, MD; and Aaron Baggish, MD are insufficient or ineffective, free fatty acids are bohydrate diet in the Spring 2016 issue of the a wealth of knowledge for the sports medicine made into TGs. AMAA Journal. community. Fitness is not Exclusively Physical: A Lecture Prompts Reflection By Laurel Mehler, MD meeting goals. It also encourages camara- It was noon on the second day of AMAA’s derie with others working toward similar sports medicine symposium and I was feel- goals. And for me, I am definitely rewarded ing the need to get up and move. As usual, with a sense of peace after many of my runs. all the speakers and topics had been great, As I continue to work on my patient pres- but it had been two long days and the Boston entation for the “exercise prescription,” I Marathon was the next day. Not only was I will certainly remember the passion from feeling like I had “ants in my pants,” I also which Dr. Stavas spoke and her call to us felt my mind wandering to thoughts of pre- fellow physicians to instill the love of fitness paring for the race. What should I eat for in our youth. I have learned over time that the rest of the day? What time should I go to sometimes the prescription of exercise is sleep? What should I wear for the predicted received as proselytizing or hocus-pocus or climbing temperatures? I was thinking I may BS, despite the fact that it has the potential just have to miss the last speaker. Then I re- to cure and prevent so many ills. But, as Dr. membered who it was—Dr. Natalie Stavas. Stavas demonstrated so well in her lecture, I Dr. Stavas gave an impressive presen- have also learned that the “message” is more tation in 2015 on childhood obesity and I Natalie Stavas, MD delivers a passionate plea to likely to be well-received when administered health care providers. recalled being drawn in by this charismatic by a caring provider. So I will continue to young physician who was very passionate energetic style, Dr. Stavas shared the hard push along with hope that I can make a dif- about children and fitness. I also felt a kind science of how exercise affects the brain, ference in the lives of my young patients. of kinship with her, as both of us followed in which was quite impressive and interesting, the footsteps of our fathers who happen to and also drew us powerlessly into her story Ed. Note: Natalie Stavas, MD, will re- be physicians and runners. In addition, she of “walking the walk.” I was choked up with visit her lecture on “Exercise and the and I both chose the specialty of pediatrics. a reminder of why I went into pediatrics, and Developing Brain” with a keynote pres- I didn’t need to get up and move….I knew I’m convinced she pulled the heartstrings of entation at AMAA’s 25th Annual Sports this lecture was going to be good, if not great! every single person in attendance. Medicine Symposium at the Marine Corps Dr. Stavas’ presentation on “Exercise and I recognize the non-physical rewards that Marathon. The symposium will be held the Developing Brain” ended up being the running brings me and do my best to impart on October 28, 2016, at the Georgetown “dessert” of the symposium, the icing on the value of such endeavors to my patients University School of Medicine in the cake, the cherry on the sundae; she was on a daily basis, especially to adolescents. Washington, DC. For more information, there to remind us what it’s really, truly all Running helps develop a sense of purpose go to www.amaasportsmed.org. about—the fitness of our youth. In her very and can show you the value of creating and AMAA Journal Summer 2016 7 Boston Friendships, Teachings, and Athletic Achievements

“As every runner knows, running is about more than just putting one foot in front of the other; it is about our lifestyle and who we are.”— Samuelson, Two- Time Boston Marathon Winner

As the door of the cab swung open, I saw a familiar face smiling at me—Norman, a long-time employee of The Colonnade Hotel. Each year he’s there to warmly greet us as the AMAA staff and guests arrive in Boston. It’s almost reminiscent of the old movie “Same Time, Next Year,” as we all come together in the same place year after year. That’s what AMAA Board Member Mark Cucuzella, MD discusses how to successfully run the Boston Marathon with I love most about the weekend, getting to AMAA runners. see Colonnade employees and AMAA mem- bers who have become good friends over the years. In addition, it’s such a wonder- ful community of comradery supporting the field of sports medicine and facilitating ac- tive lifestyles. The first stop after my arrival was the AMAA suite where fellow AMAA employee Maria Kolanowski and Judi Babb awaited to do our final meeting preparations. Judi has been with AMAA since day one and has been a fixture at Boston since AMAA’s first medical meeting in 1971. She is an incredible source of the organization’s historical knowledge. Although Judi retired from AMAA years ago, she still makes a yearly trip from her home in California to the east coast to help with onsite meeting management. Together the three of us wrapped up the final meeting pa- The “AMAA Crew” (from left): Maria Kolanowski, Dave Watt, Barbara Baldwin, Judi Babb, and Dexter Emoto. perwork while AMAA Executive Director Dave Watt met with , Editor-at-Large Fat Cells, and Lose Weight Permanently. are underserved. Natalie ran the Boston for Runner’s World, to have him sign copies The following morning AMAA Board Marathon with an 18-year-old young man of his newly released book First Ladies of Member Mark Cucuzzella, MD, started the who she mentored through the Boston- Running. Amby’s book was the inspiration day with an informal gathering to discuss based non-profit program Soul Train. At age for this year’s pre-marathon AMAA pasta party strategies for successfully completing the 14, he was homeless but through mentored and was given as a gift to all party attendees. Boston Marathon. Australian cardiologist running, found “hope” and was able to get a The next morning, Saturday, April 16, we André La Gerche, PhD, opened the morning full scholarship from Brandeis University to kicked off our two-day sports medicine sym- lectures with a talk focusing on anomalies attend college this fall. posium (in its 45th year) with an interesting of the athlete’s heart while long-time AMAA After the lectures concluded, we gathered talk on MASCAL (mass casualty) response at member and cardiologist Paul Thompson, for our AMAA Board of Directors meeting endurance events by Fred Brennan, Jr., DO, MD, focused on lipid management for the and then prepared for our annual pasta par- who served as a trauma physician in Iraq dur- runner and physical therapist Michael Silva ty. As we greeted arriving guests to the party, ing Operation Iraqi Freedom and is in charge outlined strategies for overuse injury pre- we were so surprised when not only did our of Medical Tent B at the Boston Marathon. The vention and recovery. three invited “First Ladies of Running” ar- day of lectures also included talks by running We concluded the symposium with a rive—Zola (Budd) Pieterse, Jackie Hansen, legend Zola (Budd) Pieterse and best-selling wonderful and inspirational talk on exercise and —but they also author David Ludwig, MD, PhD, who dis- and the developing brain by pediatrician brought with them many more featured fe- cussed concepts described in his book Always Natalie Stavas, MD, who requested a “call male runners from Amby Burfoot’s book. Hungry?: Conquer Cravings, Retrain Your for action” from all attendees to encour- It turned out to be quite an exciting even- age our youth to run, especially those who ing with Dave Watt acting as the moderating 8 AMAA Journal Summer 2016 commentator for Zola, Jackie, and Sara Mae, along with Julia Chase, , Cheryl Bridges, and Brazilian runner Ellie Mendonca. Marathon Monday started bright and early with the AMAA staff regrouping in The Colonnade lobby at 4:45 am. AMAA runners trickled down between that time and 5:30 to gather food and coffee before boarding the two coach buses for Hopkinton. Once we ar- rived in Hopkinton, some runners departed the buses to check out our surroundings AMAA Executive Director Dave Watt listens to inspirational stories AMAA Board Member Mark and Athletes’ Village while others chose to and firsthand accounts from the “First Ladies of Running.” Courtney, PA-C with Amby Burfoot’s new book. stay put on the parked AMAA bus to get some extra sleep. The day began to warm up and as I shed my own layers, I realized the beau- tiful skies may not be so ideal for a run of 26.2 miles. It would be a day more suited for the spectators along the course. Following the first and second wave starts, I headed down to the corrals to see if I could spot any of our AMAA YOUTH FUND TEAM runners. Walking through Athletes’ Village, I saw the “new norm” following the 2013 bombings—military and police sur- veillance from the high school’s roof—as I slowly made my way through all the secu- rity check points. I also noticed an armored

AMAA President Cathy Fieseler, MD (right) and Nicole Clark, RN board the early morning Laura Ment, MD (left) and others applause as the bus to Hopkinton. “First Ladies of Running” are introduced.

AMAA YOUTH FUND TEAM runners Sherry Braheny, MD; Joe Zasik, MD; and Karen Zasik, RN AMAA runners get prepared as the buses head toward Athletes’ Village. enjoy the festivities prior to the Boston Marathon. AMAA Journal Summer 2016 99 Jim Flanigan, MD and Thomas McCarty, AuD Dexter Emoto, RN looks ready to race in the BAA 5K. vehicle parked near a school bus. top-notch volunteer medical team was suc- AMAA headquarters in Bethesda, Maryland, The streets were filled with runners push- cessful with everyone they treated. and the staff, along with some friends, went ing their way toward the water stations and free As the crowds thinned out, I made my to dinner to wrap up the weekend festivities. sunscreen dispensers. In fact, the air smelled way to the finish line stands. I always enjoy Farewell Boston, we’ll see you again the as if we were at the beach as runners slathered watching the finishers come in after five and same time, next year! —Barbara Baldwin, themselves with globs of sunscreen. Again, I six hours. Although they are not the fastest MPH, AMAA Programs Director was reminded of the issues the runners would group, they seem to be full of passion and face as they ran under the cloudless skies and drive to get across that line—even after “Success is a journey, not a destination. temperatures soaring to the mid-70s. the timer comes down. And the remaining The doing is usually more important than After I yelled “good luck” to many AMAA crowds cheer for them as if they are elite the outcome.”—Arthur Ashe charity and qualified runners, I headed back runners heading toward victory. It’s ex- to the bus to join Maria and Judi for our ride tremely uplifting and often emotional. This The journey to the Boston Marathon back to Boston. Once back at The Colonnade, year I saw a double-amputee wounded war- starts with the Boston Athletic Association we unloaded the runners’ baggage into the rior cross the finish as they were dismantling (BAA) 5K, now held on the Saturday before Brasserie Jo restaurant, where the restaurant the timer overhead; it took a while for him the marathon. For those not running the 26.2 folks were busily setting up our post-race to gain his composure as family and friends miles but dream of racing down Boylston party and taping the televised marathon for jumped onto the course to congratulate him. Street, crossing the Boston Marathon fin- our runners to enjoy the replay. That image continues to stick with me as a ish line, and proceeding past the Old South After four hours into the marathon, I reminder of the 2016 Boston Marathon. Church, the 5K is a fun way to do it. It’s also headed out to the two finish line medical Once I got back to The Colonnade, we a great way for marathoners to get geared up tents and as expected, saw quite a few IV bags handed out the last few runners’ belong- for the big race two days later. hanging next to beds. It had been a warm ings that needed to be picked up and closed On April 16, the day of this year’s 5K, the day and many runners ended up dehydrated, down the party room in the Brasserie Jo. weather was cool and beautiful—perfect for even among the elite field. Thankfully, the Boxes were packed up to be sent back to a short run! I have run the 5K every year since

AMAA runners and staff gather for an early morning pre-race photo in Hopkinton. A wounded veteran triumphantly approaches the finish line. 10 AMAA Journal Summer 2016 its start in 2009, with the exception of 2014, of maladies that accompany running 26.2 miles. you run another race! —Katie Powers, RN, and always enjoy it. The course, which starts And once again we were a well-oiled team that Boston Marathon Finish Line Medical Tent and finishes between the Public Gardens and worked in sync, never missing a beat. Volunteer Boston Common, is flat and fast. The temperature in Hopkinton was re- The finish line is well-stocked with wa- ported to be 69 degrees for the start of the ter, sports drinks and bars, bananas, and women’s elite race and 71 degrees for the bagels…and of course, prior to hitting men’s start, temperatures that exceed the the food line, you get adorned with the 5K ideal running temperature for elites by close Unicorn Medal. That, in itself, is worth the to 30 degrees. As a result, we saw much ac- effort to register early for entry into the tion throughout the earlier part of the day always sold-out race! You also receive an of- with the “heat deck” getting frequent use to ficial Boston bib and a great tech shirt. cool overheated runners. I look forward to seeing you all again next According to the Boston Emergency year—I’ll be the one behind the camera ask- Management Services, 2,218 runners of the ing you to smile! —Dexter Emoto, RN, AMAA 27,488 who started were reportedly treated Photographer at medical sites along the course and 58 were seen at hospitals (as of 4 pm). I also heard “The music of a marathon is a power- that the 2016 women’s champion Kenyan ful strain, one of those tunes of glory. It Caroline Rotich dropped out at the five-mile asks us to forsake pleasures, to discipline mark with an ankle injury, long before she the body, to find courage, to renew faith would have reached us at Medical Tent A. and to become one’s own person, utterly In 2017, I hope to see returning friends and completely.” —George Sheehan, MD at the AMAA Sports Medicine Symposium and look forward to meeting even more AMAA Once again the amazing Boston Marathon members. If your plans for the weekend 2016 medical team came together to treat hy- also include running the marathon, always Katie Powers, RN (right) welcomes Barbara perthermia, cramps, confusion, and the variety know that the medical team is there to help Baldwin to the medical tent. AMAA Journal Summer 2016 11 Laurel Mehler, MD Mark Cucuzzella, MD

Howard and Andrew Dorne John Zinkel, MD Jeffrey Hawkins, MD

Matthew Thomas, MD Joe Zasik, MD 12AMAA Journal Summer 2015 AMAA Journal Summer 2016 AMAA 2016 Finishers

Listed are members who ran the Boston Marathon with Invitational completed the marathon and were mistakenly omitted, please send Entries to support the NATIONAL RUN A MILE DAYS YOUTH FUND your name and finish time to [email protected]. and also those who qualified on their own. Some names may be Congratulations to all the AMAA finishers! missing due to lack of information. If you are an AMAA member who

First Last Finish First Last Finish Name Name City State Age Time Name Name City State Age Time

Otto Aldana Chicago IL 61 4:57:29 Steven Harder Mountain Lake MN 61 4:15:12 Michael Alexandar Lafayette LA 63 3:32:30 Erin Flanagan William Bachicha Rocklin CA 52 4:58:46 Hardies Burr Ridge IL 49 4:43:15 Ray Baker Surrey BC 68 5:01:46 Jeffrey Hawkins Birmingham AL 68 4:14:48 Timothy Beamesderfer Fair Oaks CA 51 3:10:57 Tom Ho Wisconsin Rapids WI 57 3:23:26 Karen Bertrand Manlius NY 36 5:08:13 John Howick Knoxville TN 67 4:39:21 Elisabeth Beyer Nolen Marion IL 51 5:55:21 Pengxiang Hu Medford MA 22 4:42:55 Mary Brittain Grace Huckins Cambridge MA 20 4:36:37 Blankenship Greenville SC 33 3:43:23 Isaac Inkeles Cambridge MA 21 4:24:06 Thomas Boud South Jordan UT 51 4:21:43 Richard Jacques Greenville SC 62 4:15:13 Sherry Braheny La Mesa CA 73 6:00+ Christa Johnson Manistee MI 43 3:43:35 Carolyn Bruckmann Cambridge MA 22 3:57:09 C. Douglas Johnstone Camden ME 67 4:49:05 John Buday Essexville MI 62 4:17:03 Ahmed Jouar North Bay ON 50 4:40:10 John Campbell Grand Rapids MI 68 6:02:04 Paula Keating Miramichi NB 49 2:59:25 Jennifer Cash Brentwood TN 40 4:15:40 Tanya Kern Denver CO 46 3:47:28 Nicole Clark Tucson AZ 43 3:32:37 Jennifer Kizza Cambridge MA 21 5:09:10 Ruben Contreras Naples FL 61 3:44:16 Jeffrey Kommit Spring Lake MI 64 4:47:48 Robert Cooney Phoenix AZ 56 6:00:00 Kurtis Kowalski Clarksville TN 45 3:37:22 Bill Cottrell Belleair FL 47 3:37:04 Jordan Leff Sharon MA 63 6:00+ Laura Coughlin Pembroke MA 22 5:01:36 Timothy Lepore Nantucket MA 72 6:00+ S. Mark Courtney Grove City PA 60 3:33:22 John Levey Westborough MA 55 4:29:28 Mark Cucuzzella Shepherdstown WV 49 2:57:03 Jennifer Li Cambridge MA 18 5:24:37 Mark Denny Richardson TX 57 4:24:39 David Lindgren Maple Grove MN 58 4:24:02 Vishal Doctor Davis CA 41 3:11:22 Gerardo Lopez-Guerra Brookline MA 41 3:59:40 Mira Phil MacBride Ann Arbor MI 56 3:51:37 Maureen Dolph Glen Ellyn IL 44 5:04:49 Tori Machado Baintree MA 22 3:43:10 Andrew Dorne San Francisco CA 24 5:51:13 Jeffrey Mastro Scottsdale AZ 48 3:59:40 Howard Dorne Irvine CA 60 5:51:13 Jared Matlick Shepherdstown WV 30 3:03:36 Kathleen Doughney Ormond Beach FL 63 4:15:35 Thomas McCarty Anchorage AK 63 6:00+ Jessica Drescher Glencoe IL 36 4:09:21 Sarah McCullough Bismarck ND 53 3:50:26 Saad Ehtisham Leesburg FL 46 4:05:02 Thomas Eisenhauer Asheville NC 55 3:53:44 Jennifer Espiritu Boston MA 26 4:46:12 Cathy Fieseler Tyler TX 57 5:33:05 Jim Flanigan Davis CA 66 5:08:24 Richard Flick Glendale AZ 50 5:52:17 Betty Floyd Marion SC 59 4:10:06 Rick Fossen Minocqua WI 57 4:14:24 Wade Gaasch Ellicott City MD 61 3:52:53 Rick Ganzi Holland MI 52 5:01:03 John Gilpin Greenville SC 56 3:57:04 Jeffery Golden Somerset KY 46 3:24:09 Jon Goldstein Bloomfield Hills MI 45 4:03:39 Rennie Guinasso San Rafael CA 57 4:03:15 Larry Handt Doylestown PA 54 5:30:17 Beverly Handy Houston TX 57 4:18:44 Sandeep Shah, MD AMAA Journal Summer 2016 13 Laurel Mehler Santa Barbara CA 53 3:56:41 Ali Sadr New York NY 47 4:26:56 Laura Ment New Haven CT 68 6:28:00 Jay Schwartz Scottsdale AZ 49 4:17:01 Michael Mercado Windermere FL 58 4:25:15 Sandeep Shah Austin TX 40 3:51:57 Vanessa Morse Florence AL 50 3:59:15 Anadir Silva Bel Air MD 42 4:29:01 Lauren Mulcahy Medford MA 31 5:44:01 Evan Sussman Charlestown MA 36 4:28:47 Elise Murray Medford MA 22 4:42:21 Emily Tannenbaum Boca Raton FL 19 5:52:50 Brian Nash Cincinnati OH 56 3:35:46 Matthew Thomas Minocqua WI 44 3:31:03 Stacy Nelms Florence AL 38 4:21:47 Ashley Thompson Cambridge MA 28 4:57:12 Samantha Otten Ashland MA 24 4:11:27 Paul Thur Bala Cynwyd PA 43 4:08:57 William Paronish Northern Cambria PA 60 5:59:54 Keyon Vafa Chestnut Hill MA 21 4:22:41 Todd Parrish Anchorage AK 49 4:26:08 Robin Venick New York NY 53 4:22:09 Richard Pectol Greeneville TN 50 3:08:02 Mary Jo Voelpel Metamora MI 64 5:04:48 Wes Penn Jacksonville TX 39 4:59:31 Joel Weber Elk Grove CA 55 4:22:51 Joseph Peters Savannah TN 63 4:48:38 Joseph Welty Dixon IL 60 3:58:50 Michael Pfeifer Austin TX 49 4:03:16 David Wilson Lanesborough MA 54 3:34:30 Billy Porter Kenova WV 42 5:47:48 Robert Wilson San Antonio TX 55 3:42:48 Doug Powers Greenlawn NY 21 4:50:31 Karen Zasik Tyler TX 48 5:50:22 Alina Ranjbaran Cambridge MA 22 4:31:15 Joseph Zasik Tyler TX 65 6:00+ Robert Rayder Germantown TN 47 5:00:10 Marshall Zhang Cambridge MA 21 4:59:03 Gregory Richterich Eugene OR 70 4:37:02 John Zinkel St. Clair Shores MI 60 4:22:22 Melissa Richterich Eugene OR 37 4:37:02 David Zygun Edmonton AB 45 4:14:49 Frank Rodriguez Burleson TX 54 5:45:18 Heather Zygun Edmonton AB 43 4:14:49 Catherine Rubinstein Charleston SC 47 4:48:07

Elisabeth Beyer Nolen, MD Karen Perzyk and Sherry Braheny, MD Joe and Karen Zasik

Andrew Dorne Howard Dorne, MD

AMAA Finishers (from left) John Campbell, MD; Michael Mercado, MD; Otto Aldana, MD; John Zinkel, MD; and Laurel Mehler, MD 14 AMAA Journal Summer 2016 NATIONAL RUN A MILE DAYS 2016

On the Road with Dave and Dan: Notes from the 2016 MILE DAYS Grassroots Tour

By Jeff Venables for the true political will to change the nation’s tra- setting up the water stations, ordering the race med- jectory away from youth sedentarism will always be als and wrangling students, parents, and teachers American Running Association-AMAA execu- an uphill one. True change happens not within vast to participate each year are largely self-sustaining. tive director Dave Watt wants your attention. More bureaucracies but in what Dave calls “hot spots,” For an up-close look, on May 1, Dave Watt specifically, in order to generate interest and small communities in cities and towns that from and Dan Kesterson, publisher of ARA-partner involvement in the ARA’s flagship youth-fitness the bottom up lead the way organizing MILE DAYS Youth Runner magazine set out in a boldly- program NATIONAL RUN A MILE DAYS (NRAMD), events and similar programs to show kids firsthand decorated NRAMD cargo van to check in with as Dave believes in not just grassroots organizing but the lifelong joys and benefits of running and physi- many of these events as they could. “It was a tight grassroots public relations tactics as well. cal activity. These hot spots, in his experience, are turnaround,” Dave says. “Coming from the AMAA The now nearly month-long series of local almost always the result of a tiny handful of peo- symposium at the Boston Marathon, I had just mile runs the program helps organize annually ple—or often single individuals—who deeply care one week in between.” in schools and communities across the country enough to volunteer, organize, fundraise and cajole Kesterson, who is based in Portland, Oregon, is now in its 10th year. That alone brands it a their communities and schools into action. flew out to meet Dave in Atlanta, where they were success. Yet the need to grow is always apparent, And so it is only natural that Dave wants to get first tasked with finding the colorfully shrink- as PE programs for America’s youth continue to out among these communities each year to help wrapped van in the airport parking garage where be marginalized, in spite of many promising top- draw attention at the local level, as well as to see it had been left by MILE DAYS program coordi- down efforts like Michelle Obama’s Let’s Move! how they’re doing. Over the years the ARA has of- nator Maria Kolanowski. “I had Maria position initiative, started in 2013. Even the much-vaunt- fered much support for local mile runs in as much the van in Georgia because her daughter is a ed President’s Challenge Youth Fitness Program as its meager budget allows—by providing t-shirts, student athlete at the University of Georgia,” Dave advises officials to start kids running one mile fitness literature, information on effective organ- explains. Like a scene out of the beat-the-clock only as late as the fourth grade. An overwhelm- izing, and other assets. Registered host schools adventure reality show The Amazing Race, they ing majority of lifelong runners, coaches, and currently receive free promotional, training and lo- located the van in a garage “in the most obscure trainers will tell you that this is far too late; many gistical support tools and “Are you a Miler?” t-shirts spot possible,” he laughs. will tell you age four is much more like it. for every student participant. But many of the pro- This first hurdle vanquished, the two-man In any case, Dave Watt believes that the battle grams that have been hauling out the traffic cones, NRAMD 2016 Tour headed south to Columbus,

Kids from Columbus, Georgia, take off in the MILE RUN in a Columbus Park as some parents run in-tow. continued on page 16 AMAA Journal Summer 2016 15 NATIONAL RUN A MILE DAYS 2015

Georgia, where they had to set up by 3 pm in a It is ideal for schools to keep kids active all park for the first event. There they met up with year round, of course, and yet too often what longtime ARA associate, podiatrist, and AMAA can happen is that competitive sports lead that member Ed Lopez, who, having worked as a charge, becoming de rigueur and inevitably venue manager for the 1996 Olympics in Atlanta, excluding many students. MILE DAYS seeks to coordinated the tent setup and the rest of the lo- bring an entire school together one one day— gistics for a successful first MILE DAYS race. and there is great power in that all-inclusiveness. Immediately following that, Dave and Dan be- When a whole school does a physical event to- gan driving some 300 miles east, with Dan at the gether, Dave points out, “Even the jaded eighth wheel and Dave navigating. Destination: The RUN graders who are too cool for school,” can feel A MILE DAYS “annual strategic planning confer- a kind of reverse peer pressure to participate. ence,” as Dave refers to it, in Hilton Head, South Over the course of the spring and into mid- Carolina, where the two would map out their June, Dave and Dan both visited NRAMD events plans for the next six weeks in detail. on their respective coasts. “It was not quite ‘Bing and Bob’ but ‘Dave and Dan garnered some prime MILE DAYS visibil- Dan’ had some good times together both on the ity by strategically parking the NRAMD vehicle road and at schools in the U.S.,” says Watt, refer- right outside the entrance to Hayward Field in ring to The Road to Morocco and other classic Eugene, Oregon, where running luminaries like Bing Crosby-Bob Hope road comedy films. Nike chairman emeritus Phil Knight were enter- A few days later, traveling nearly 500 miles, ing and exiting during the 2016 NCAA Track & the NRAMD 2016 Tour rolled into Midlothian, Field Championships in June. Virginia, in all its shrink-wrapped glory. It was Kesterson also visited schools in Seattle, here, about 13 miles west of Richmond, where Salem, and elsewhere. Along with AMAA mem- a large middle school was hosting its first ever bers Patrick Hogan, DO, who is based in MILE DAYS events, held ambitiously over two days Tacoma, Washington, and Tanie Hotan, MD, who in early May, with some 1,400 kids participating. Lead PE teacher Amy Canada completes the MILE helped organize a private school event, Dan has RUN with one of her students at Robious Middle In addition to robust participation in this School in Midlothian, Virginia. been hugely instrumental in bringing attention year’s NRAMD, the Robious Middle School had and organizational expertise to communities in Such initiatives help ensure students are ready previously created “Fitness Fridays” during the the Pacific Northwest. for NRAMD. And in addition to the usual course school’s first academic semester. Every Friday “Every school set up their MILE DAYS a lit- preparations, according to Pellegrini, Robious for 30 minutes, students and teachers par- tle differently,” Dan says. He recalls one Seattle school principal Dr. Patrick Held even emailed ticipated in a physical activity appropriate to a school at which the “hard chargers” among the parents to remind them about the upcoming MILE specific fitness theme. “In October, the UCI World first and second graders there all ran the mile’s DAYS events. Championships took place in our town,” Health four laps, and then went on to voluntarily com- Watt praised Canada and the other admin- and Physical Education teacher Amy Canada told plete a few extra laps—giving the lie to the idea istrators’ efforts. “I like to see a community or runamile.org writer Jennifer Pellegrini, “so the that the mile is beyond the reach of children as school embrace the concept of getting every theme that month was biking.” young as six or seven. single kid to run the mile,” he says. “It’s about At the widely successful event at Abiqua getting out there and moving.” Academy, the private school in Salem, a roughly square course in the middle of a field featured cheerleaders, students blowing bubbles, music, and various other entertainments set in each corner to entertain and encourage the runners as they passed. Dan watched as veteran MILE DAYS middle schools added their elementary-school coun- terparts into the festivities for the first time this year. He also witnessed veteran schools from last year attracting additional schools from the same district who were new to MILE DAYS this year. He observed what Dave has as well: There is often a single “point person” who then tells other teach- ers, friends, and others in the community, “and it grows.” In western Pennsylvania, Watt met up with Boys and girls gather after the kick-off to NATIONAL RUN A MILE DAYS 2016 at the Columbus Georgia AMAA board member and longtime event or- Roadrunners event. ganizer S. Mark Courtney in Grove City. It was 16 AMAA Journal Summer 2016 NATIONAL RUN A MILE DAYS 2016

amazingly, got several new schools to join this year’s it as growing pains. He is currently looking for MILE DAYS, even though it was but one month away. sponsorships, and doesn’t rule out crowdsourc- Next year the association meets in Boston, ing sites like Kickstarter. Just as there are many which is quite serendipitous for Dave Watt and motivated individuals who have single-hand- the other hardworking directors of AMAA, who edly transformed entire communities—Watt as it happens organize a certain gathering every estimates 15,000 kids are now involved in a April there as well. He has submitted a proposal program Patrick Hogan started by himself in to deliver a presentation at the 2017 expo, a per- his Puget Sound community—there are just as fect fit of pitch and audience if ever there was many equally committed private citizens who un- one. (To learn more about SHAPE America, visit derstand the importance of introducing children shapeamerica.org.) to a lifetime of physical fitness. They are the ones For information and resources on how to join who get it, not the cumbersome bureaucracies. AMAA Member Ed Lopez, DPM (right) discusses the NATIONAL RUN A MILE DAYS effort, as well as As Dave Watt puts it, “When you stay away from the event with Youth Runner Publisher Dan Kesterson. to read more about the many great schools and politics, it works.” communities now fully committed to the cause, visit here that Watt witnessed an entirely uncoerced runamile.org. Jeff Venables is the editor of Running & FitNews® occurrence that epitomizes the spirit of NRAMD: Fundraising continues to present challenges and a regular contributor to the AMAA Journal. “The elementary school kids had come to watch to MILE DAYS, but in the big picture Dave sees the older runners, and they spontaneously began cheering the slower finishers among the middle school kids, without the teachers having to tell the kids what to do,” he recalls. The contrast is stark between these grass- roots, earnest scenes of genuine enthusiasm, and the standoffish hedging that can occur in bureaucratic circles whenever Dave tries to start MILE DAYS programs through more political channels. This year he’d arranged to meet with at least one city mayor’s office, and wound up in a drawn out meeting wrought with noncom- mittal doublespeak, thinking, “This isn’t going to go anywhere. This staffer is going to go talk to his boss, who might draft a memo to the mayor, and…nothing ever happened.” Still, the boots-on-the-ground approach to searching for new schools remains hard work. In a perfect world, being an exercise enthusiast would be a prerequisite for hiring all new teachers. So what if you could go to where they gather, en masse? This is precisely what Toni Aluisi, a public rela- tions professional for NRAMD, did in April. Aluisi attended the SHAPE America National Convention & Expo, held this year in Minneapolis. SHAPE America is a national association of PE teachers based in nearby Reston, Virginia—just across the Potomac from the Bethesda-based ARA-AMAA headquarters. Toni immersed herself in the scene, which at- tracts some 5,000 health and physical education professionals annually. She handed out fliers and,

Lead PE teacher Amy Canada provides last-minute guidance to a student at Robious Middle School in Midlothian, Virginia, prior to the start of one of many mile races held over the two-day RUN A MILE event at her school. AMAA Journal Summer 2016 17 BOOK REVIEW First Ladies of Running: 22 Inspiring Profiles of the Rebels, Rule Breakers, and Visionaries Who Changed the Sport Forever

By Amby Burfoot Paperback, 288 pp, Rodale Books, April 2016

Reviewed by John L. Zinkel, MD

Sport reflects life and life At AMAA’s annual pre-race reflects sport. Sport is not just dinner held prior to the Boston about “the numbers;” it takes Marathon, we had the great place in a social context and honor of having seven elite this context determines what female runners tell their stories. the sport can achieve. For Five were profiled in Burfoot’s example, at the Rio Olympics, book and two were not. They it was accepted, expected, and were Sara Mae Berman, Cheryl normal, that event categories Bridges, Julia Chase, Jackie are equally accessible to male Hansen, Nina Kuscsik, and also Amby Burfoot signs books in preparation for the AMAA Pasta Party. and female athletes, and that Zola Budd and Ellie Mendonca. all events are presented by the Each speaker was fascinating, do it so can I”—and in doing so, they inspired media with equal commitment not only for the details of her thousands to participate in their sport. “If I can and respect (and are received story but also for the natural and do it so can you!” Hence the completion in 1994 by the sport audience without gender bias). But unpretentious manner in which each projected the of the Marine Corps Marathon by Oprah Winfrey, in the history of sport, this gender indifference extreme mental and physical intensity, the love of which is also profiled in the book. is only a recent phenomenon, as Amby Burfoot sport, and the surprising playfulness that allowed The First Ladies of Running is historically explains engagingly in his new book First Ladies them to endure and progress as they did. Burfoot informative and most importantly, an inspiration of Running. captures their spirits perfectly in his book. to any marathoner who all too well understands This book is a very well-written account of Sport is life and life is sport. The “First the hardships of his or her sport. We can look to the social progress achieved by women through Ladies” pushed open the male establishment these inspiring individuals and say, “If they can sport between the late 1950s and 1994. With doors to their sport for themselves—”If you can do it, so can I!” emphasis on the female marathoner, Burfoot presents individual stories of 22 elite athletes and how they broke down the gender barriers to sanctioned competition in their sport. Each athlete was interviewed directly by Burfoot and profiled skillfully within historical context. The reader bonds with each runner as a personality, and also as a crusader by circumstance simply because she wants to compete. We are upset by the injustices she faces and thrilled by the successes she achieves, and by the obvious increment she adds to social progress in her sport. The book is prefaced by Olympian , who describes growing up with her mother Cheryl Bridges, one of the profiled athletes. Cheryl was the first woman to run a sub 2:50 marathon (by 20 seconds). The book is appended for the student of sport with three additional sections: a follow up on the profiled athletes, a mention of over 50 historically important runners not profiled, and a timeline history of female running. Each section adds even value more to the book. “First Ladies” (from left) Sara Mae Berman, Nina Kuscik, Ellie Mendonca, Julia Chase, Cheryl Bridges, Zola (Budd) Pieterse, and Jackie Hansen. 18 AMAA Journal Summer 2016 AMAA Member (since 1971) Sam Paris, MD and AMAA Board Member Ron Dubin, MD AMAA PREMIER MEMBERS The American Medical Athletic Association wishes to thank those members who have contributed to the organization beyond their annual dues. This list reflects membership upgrades received from April 1, 2015 to August 1, 2016.

OLYMPIAN ($250) Peter Oroszlan Laura R. Ment Joseph M. Gaffney Charles H. Stubin Elisabeth Beyer Nolen William Paronish Don G. Nelson John Geren Greg Thorgaard Christianne Bishop Daniel Pereles Michael W. Moats Bernard Gitler Toussaint G. Toole Mary C. Boyce Frank J. Rodriguez, Jr. Arnold G. Greene Stewart Turner Christopher Bullock James Salisbury SUPPORTER ($100) Michael Hamrock J. Michael Ward Todd Daniels Charles L. Schulman* Bill Borowski Beverly Handy Clay Whiting Ronald Dubin* Dave Sealy Richard Bosshardt Dexter Handy John Zinkel A. Christine Emler Robert Sholl Thomas Boud John W. Houri Cathy Fieseler*± Matthew L. Smith Richard G. Bowling± Allan Katz Robert Frimmel Joseph L. Verdirame William Braswell Jeffrey T. Kirchner Wade Gaasch Joel B. Weber Julius S. Brecht Howard M. Marker John W. Gilpin Philip Zitello James Bristol Franklin G. Mason± Scott Glickman Brad Carmines Frank Massari, Jr. Jeffrey Hawkins PATRON ($150) Charles (Scott) Clark John McAuliffe Patrick J. Hogan Larry Boies, Jr. Steven D. Coffman Peter Mendel John Howick Robert Erickson II Edgar L. Cortes Crystal Neel Francene Mason John Hagan III James Culpepper Sam Paris George Morris Susan Harding Hawkins Kathleen Doughney Mark Rubenstein Steve Morrow*± William Kraus Michael S. Doyle Robert A. Sabo Terry Murphy Robert Janigian, Jr. Robert Erickson Lann Salyard Woehrle Robert A. Niedbala*± Daniel Lieberman Edmond G. Feuille William Simmons

* Contributions surpass Olympian level ± Life Member making contribution at the level of Premier Member

To become an AMAA Premier Member, please go to www.amaasportsmed.org and click on “Join AMAA.” The funds from this program help support the AMAA running medicine awareness campaigns and the American Running Association’s signature national outreach campaign event National Run A Mile Days held annually in May. AMAA Journal Summer 2016 19 American Medical Athletic Association Division of the American Running Association AMAA Journal

4405 East-West Highway, Suite 405 Bethesda, MD 20814

AMAA members, staff, and friends join the “First Ladies of Running” at the 2016 AMAA Pasta Party.