Journal of the American Medical Athletic Association
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Division of the American Running Association JOURNAL OF THE AMERICAN MEDICAL ATHLETIC ASSOCIATION Volume 28, Number 2 Summer 2015 AMAA JOURNAL FOUNDER Ronald M. Lawrence, MD, PhD BOARD OF DIRECTORS FROM WIND AND RAIN Cathy Fieseler, MD, President Charles L. Schulman, MD, Immediate Past-President Douglas J. Casa, PhD, ATC, FACSM Dr. Laurel Mehler is a whirling ball of embarrassed by how such a simple question S. Mark Courtney, PA-C energy and the ideal model for the next ties my tongue. Mark Cucuzzella, MD, FAAFP generation pediatrician. She is also a “It’s THE BOSTON MARATHON! Of course Ronald S. Dubin, MD Ronald M. Lawrence, MD, PhD, tour-de-force when it comes to running it was amazing! Boston puts on the best run Member Emeritus marathons and Boston specifically. We party ever! Those fans are out of their minds Noel D. Nequin, MD, FACSM, FAACVPR, decided that her reflections on this year’s and out-of-this-world wonderful.” Member Emeritus AMAA Boston Sports Medicine Symposium “The AMAA Boston Sports Medicine COL Francis G. O’Connor, MD, FACSM Kathleen Russo, MD and her account of running the Boston Symposium is fantastic! It’s so exciting, like Chris Troyanos, ATC Marathon fit perfectly in my opening col- going to a Rolling Stones concert!” HONORARY DIRECTORS umn. So here is Laurel and a wonderful But in the same shouting sequence, I Marv Adner, MD look back at the 2015 AMAA Boston. want to add “It was miserable! Did you see Judi Babb —Dave Watt, any of the weather coverage?” (Although, Walter M. Bortz II, MD AMAA & ARA Executive Director they probably only saw the Elites finishing Ken Cooper, MD dry.) So, I’m trying to practice saying “It EXECUTIVE DIRECTOR Believe it or not, I’m still bumping into was great; I did a really good job.” However, David Watt people around town whom I haven’t seen there’s part of me that desperately wants to EDITOR-IN-CHIEF since running the Boston Marathon in April. add, “But I wanted to finish faster!” Steven Jonas, MD, MPH, FNYAS When asked, “How was it?” I have a mul- Leading up to marathon day, I was feel- MANAGING EDITOR titude of answers that immediately scream ing well-trained and ready. I was thrilled the Barbara Baldwin, MPH to be released by my tongue….but some- snow finally had left Boston, and was so glad BOOK REVIEW EDITORS how I trip over the words and feel a little the rains were forecast for the day after the Paul J. Kiell, MD Douglas F. Munch, PhD continued on page 3 CONTRIBUTING WRITER Jeff Venables MEETING COORDINATORS Judi Babb Barbara Baldwin, MPH EDITORIAL ADVISORY BOARD Brian B. Adams, MD Donald B. Ardell, PhD Robert Bice, Jr., MD, FACS 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. Rain-soaked Laurel Mehler races to the Boston Marathon finish. 2 AMAA Journal Summer 2015 continued from page 2 the point that I could hardly speak or keep CONTENTS race. Why in the world did I think I could from tripping over my own feet. When I final- rely on that weather forecast? We all know ly stumbled into the AMAA’s post-race party Message from the Editor…….. 4 forecasters don’t always get it right. I guess at Brasserie Jo, I was a little embarrassed by Steven Jonas, MD, MPH it was wishful thinking on my part. my appearance and soaking wet attire (that I’ve run in rain before, but it wasn’t in felt like it weighed a ton). But I was greeted Another One for the Books..... 5 my race plan for THIS day. When asked, by what felt like the “AMAA angels” as Judi, Cathy Fieseler, MD “What did you wear?” my reply has been a Barb, and Maria helped peel off my wet, Rain Drops Keep Falling......... 7 resounding “Everything!” (In fact, I wore cold layers and replace them with a warm Dave Watt everything in my suitcase plus a garbage and VERY DRY robe. They then sat me down bag.) I was soaking wet for the entire race and Dr. Cathy Fieseler handed me a hot bowl AMAA 2015 Finishers ………. 11 with temperatures hovering around 44 de- of soup, which I first used to warm my hands grees Fahrenheit and a headwind blowing and help the shaking subside. Summer of the Tick …………. 12 up to 20 to 25 mph. I wish I had remem- I felt enormous pride to be part of this Timothy J. Lepore, MD, FACS bered sooner my coach’s words of wisdom wonderful “AMAA Family” and was so to “tuck in behind a big guy,” but by the thankful I had the staff and fellow members Run A Mile Days …………...... 14 time I headed his advice, I was far into the to greet me with smiles and reassurance af- race….and already wet and cold. ter such a difficult marathon. Guest Profile: Ed Lychik……. 17 When I crossed the Finish Line all I I will be back! Jeff Venables could think about was getting back to The Colonnade and AMAA HQ pronto! I was Laurel Mehler, MD, Pediatrician trembling like an earthquake, shivering to Santa Barbara, California AMAA YOUTH FUND 2015: TOP 10 FUNDRAISERS Andrew Quint Columbia, MO $7,004 Scott Phillips Chicago, IL $5,776 David Durrett Tyler, TX $6,300 John Macropoulos Medfield, MA $5,728 Anna Dolan Medfield, MA $6,050 Chris Cannell Pembroke, MA $5,620 Daniel Yue Cambridge, MD $5,865 Caroline Leahy Chestnut Hill, MA $5,600 Daniel Gilday Olympia,WA $5,790 Zaid Qureishi Chappaqua, NY $5,270 Photo Credits: Austin Dickey and Dave Watt Cover: Nicholas Nicholson gives a Boston Marathon “roar.” AMAA Journal Summer 2015 3 MESSAGE FROM THE EDITOR 12 YEARS ON THE COURSE: A RETROSPECTIVE Time flies when you are having fun…and, they not only “talked the talk” but also set exam- indeed, I have had much fun during my 12 years ples as role models in their communities. as the AMAA Journal Editor-in-Chief. But, as they In the Winter/Spring 2014 issue, I again say, “All good things must come to an end” and addressed the topic of overweight and obe- it has come time for me to move on from this sity with a discussion on the American Medical position. I would like to thank AMAA Executive Association’s decision to label obesity as disease. Director Dave Watt for his support over the I discussed the pros and cons of that definition years and, of course, Barbara Baldwin, whose for patients; however, my primary focus was on supporting role behind the scenes as managing the “800 lb. gorilla” in the obesity room—the editor made my position even more enjoyable. U.S. food industry. In 2002, the then-chair of For this last “Message from the Editor,” I’d like Nutrition at New York University, Dr. Marion to share with you a retrospective on some of the top- Nestle, published a book entitled Food Politics. ics I have addressed over these past 12 years. In In it she pointed out that by the end of the last my third message (Fall/Winter 2003), I dealt with century, when the average person needs 2,200 to the “Health at Any Size” movement and concluded 2,500 calories to maintain a healthy weight, the that, as health promoting professionals, our focus food industry was producing about 3,800 calo- should be to help the overweight/obese population ries of food per person per day. The U.S. obesity/ take part in health-promoting behaviors (inde- Steven Jonas, MD, MPH, MS, FNYAS; Professor diabetes epidemic cannot be dealt with effectively pendent of a focus on weight loss, should they have Emeritus, Stony Brook Medicine, Stony Brook without taking this very big gorilla into account. significant trouble losing weight). It was a subject University. And so I come to the end of this particular race. matter I had also addressed in 1997 when I co- is the best approach. As our good friend George Being slow at the beginning of my own multi-sport authored the book Just the Weigh You Are: How to Sheehan once wisely observed, “The difference be- racing career (Mighty Hamptons Triathlon, Sag Be Fit and Healthy, Whatever Your Size. tween running and jogging is a race entry blank.” Harbor, NY, September 17, 1983) and getting slower Following this theme of weight loss/manage- In the Spring/Summer 2011, issue I discussed ever since, I have always raced for fun. But that does ment, in the Spring 2007 issue, I discussed the briefly the American College of Sports Medicine’s not mean I did (and do) not take the activity serious- possible contribution of a “Third Factor” in over- “Exercise is Medicine” program, originated by Dr.