Journal of the American Medical Athletic Association Volume 27, Number 2 Summer 2014

Division of the American Running Association AMAA Journal

FOUNDER Ronald M. Lawrence, MD, PhD BOARD OF DIRECTORS The Longest Mile Cathy Fieseler, MD, President Charles L. Schulman, MD, Immediate Past-President Douglas J. Casa, PhD, ATC, FACSM Every marathoner experiences that last mile to the finish. It seems endless. Your legs feel S. Mark Courtney, PA-C heavy, sweat has dried to caked bands of salty deposits on your face. Yet, you start to pick to Ronald S. Dubin, MD pick up the pace. Your goal may simply be to finish and look good when you cross the finish Ronald M. Lawrence, MD, PhD, Member Emeritus line. Others may be focused on time to set a new PR. Those thoughts were disrupted for over Noel D. Nequin, MD, FACSM, FAACVPR, 5,000 competitors on April 15, 2013. Member Emeritus This spring was about redemption and finishing the final mile. For some, their 2013 point- COL Francis G. O’Connor, MD, FACSM to-point journey from Hopkinton to finish line was pre-empted more than Kathleen Russo, MD Chris Troyanos, ATC a mile from the finish. Others were stopped with just over a half mile to go. Therefore, the 2014 ’s final mile was going to be cherished, celebrated, and remembered. HONORARY DIRECTORS Marv Adner, MD AMAA had over 40 runners return from the 2013 race who did not have the opportunity Judi Babb to run that last mile. The Boston Athletic Association (BAA) had provided a special entry Walter M. Bortz II, MD to any 2013 Marathon competitor who had not completed the 26.2 race. The special entry Ken Cooper, MD provided to non-2013 finishers precipitated the additional change to add another start wave EXECUTIVE DIRECTOR to accommodate the extra 5,000 runners. There was an increase in the field size for quali- David Watt fying runners, too. The field size grew to nearly 35,000 registered EDITOR-IN-CHIEF competitors. This race would be the second largest Boston Marathon in its long history. Only Steven Jonas, MD, MPH, FNYAS the 100th Boston in 1996 exceeded the 2014 field size (back then, chip timing had just been MANAGING EDITOR introduced into road racing). Everyone knew that this year would be different. Nearly all the Barbara Baldwin, MPH non-finishers wanted to return to complete that unfinished mission of 2013. BOOK REVIEW EDITORS The “Longest Mile” would have emotional memories for everyone in Boston, not just the Paul J. Kiell, MD competitors returning to complete the unfinished race of 2013. Some had been spectators Douglas F. Munch, PhD on Boylston Street. Others were finish line and medical tent volunteers. There were also CONTRIBUTING WRITER those fans and spectators who were directly affected or injured by the twin Boylston Street Jeff Venables bombings. Some of them had made the 2014 Marathon a centerpiece of their physical and MEETING COORDINATORS mental recovery. One of AMAA’s own was among those injured spectators who received a Judi Babb Barbara Baldwin, MPH special entry from the BAA to come and compete in the 2014 race. On April 21st, I returned to my spot on Boylston Street after escorting the AMAA runners EDITORIAL ADVISORY BOARD Brian B. Adams, MD on coach buses to the start in Hopkinton. Security checkpoints had reduced some access Donald B. Ardell, PhD along the course and finish line. Many of these changes in the name of security were expect- Robert Bice, Jr., MD, FACS ed and accepted. As I gazed up at the finish line photo bridge, I could not escape the image Paul E. Casinelli, MD of what I saw in 2013 after 2:50 pm. Looking out among the finishers this year, however, I George M. Dallam, PhD Edward R. Feller, MD continued on page 3 Lawrence A. Golding, PhD, FACSM Steven J. Karageanes, DO Paul J. Kiell, MD Photos are credited to the two “running fools” Dexter Emoto and Dave Watt. 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 2014 continued from page 2 notable in 2014. He had joined the Martin CONTENTS saw smiles, thumbs up signs to the crowds, Richard Charity Team and raised funds. hugs, and high-fives with fellow runners. It After collecting himself, Amby began the fo- Message from the President…………………....….. 4 was a return to normalcy. cused look for his wife Christina who also ran. I spotted Joe and Natalie Stavas. They Twenty minutes later, he spotted her and they AMAA Symposium…………….. 4 were running as a father-daughter tandem embraced. I kept pressing my view and held once again. This go-round, Natalie reflected my telephoto at the ready. The finishing crowds BAA 5K/Pasta Party………...... 6 on her move in 2013 to get past the police were as thick as a Boston “T” stop after a Red barrier and make her way to the second Sox game. I missed many AMAA runners but 2014 Boston Marathon....…..... 7 bombing site to assist victims but this year, did capture the joy of several others. By Dave Watt ...…..…...…...... 7 she and her father finished together. Just By 7:00 pm, the final finishers strolled before the Stavas duo, I saw , across the Boylston Street finish stripe. The the 1968 Boston Marathon winner, wearing “Longest Mile” was now completed. Bib # 1968. He finished his incomplete 2013 marathon which had come 50 years after his Dave Watt, ’68 win. Amby had also done something else Executive Director

AMAA Journal Summer 2014 3 COMPLETING THE MISSION AMAA’s 43rd Annual Sports Medicine Symposium

Another AMAA Sports Medicine Symposium everyone can perform; the biggest challenge is get- lectures on myofascial therapy, running injuries, in Boston has come and gone, and what an event ting them started. and strength training addressed injury prevention it was. The conference was outstanding, starting We know that exercise is good for us but if and treatment. An ounce of prevention can go a off with a lecture by Dr. Bob Sallis that perfectly some is good, is more better? We don’t run mara- long way in a marathon. summarized our mission―”exercise is medicine.” thons with the mistaken belief that 26.2 miles has It’s also important to recognize that being a It was a great reminder that we shouldn’t just walk greater health benefits than 6.2 miles. Instead, runner does not make us bulletproof to cardiac the walk (or run the run) but, instead, need to we enjoy the challenge of setting a goal, training, disease. Even though we exercise, don’t smoke, encourage our patients (and friends and families) and completing the task. With greater challenges, and eat healthy, the incomparable Dr. Paul to be active. There is some type of exercise that there is an increased risk of injury. Excellent Thompson reminded us that cholesterol may still require intervention. Our cardiac vulnerability was brought to life during one of the highlights of the conference: an appearance by Boston Marathon Race Director Dave McGillivray. Dave, an avid run- ner, had started experiencing shortness of breath during the start of his runs and was later diag- nosed with coronary artery disease. Dave also spoke about the 2013 marathon and its impact on him and the city. “” was truly the theme of the weekend. The 2014 Boston Marathon was all about the resilience of the human spirit; the ability of the spirit to not just overcome tragedy but also to soar to the highest levels. It was a reminder that anything is possible. In closing, I’d like to remind you to take care of yourselves and preach the message of exercise is medicine to your corner of the world.

Cathy Fieseler, MD AMAA President

Triumph in the Medical Tent Since the , I had already To be truthful it wasn’t until I was back in don’t cower from challenges.”There were several faced and overcome my fear of being back on a Boston that I think I fully comprehended the times I just wanted to pinch myself because the marathon course by volunteering at the Marine impact of what we did in the tent that day. Being day felt somewhat surreal. It was so wonderful to Corps and Cowtown . So as April 2014 there again, before the marathon, and listening to have a “normal” medical marathon day. We all got approached, I could hardly contain my enthusiasm the news reports, reminded me that a lot of good right down to business….and it was a joyful, pro- to head back to Boston. I couldn’t wait to see the happened in that tent that day. And on Marathon ductive, “wicked awesome” day. others who were with me in the finish line medi- Monday, Medical Coordinator Chris Troyanos gave At the end of the day, I walked with some fellow cal tent attending to the innocently wounded people an incredible speech to the medical team at our nurses to Fenway Park. We held our celebratory on April 15, 2013. Those living in Boston already morning meeting which helped get us pumped up free beer and sat looking out over the historic had times of togetherness to sort out their emotions and ready for the day. baseball field. It seemed like an appropriate way from our experience from last year. I, however, was How did the day go? What was the spirit of to end a day that was also historic in its own way. the outsider, the nurse from Florida. I wondered if the tent? It was such a fabulous, wonderful, and they would remember me. I tried to anticipate how I incredible experience! Everyone was so happy Kathleen Powers, RN, IBCLC would feel when I was back in the tent. I wondered, to see each other (and many did remember―and AMAA Member, Finish Line Medical Tent “Would I have feelings of anxiety? Would I be flood- hug―me). The spirit was one of “YES! Let’s have a Volunteer ed with memories of that tragic day? How would I great experience! Let’s show the world we really function and react when I finally saw everyone?” are strong in spirit and determination and that we

4 AMAA Journal Summer 2014 AMAA Symposium

BAA 5K

AMAA Journal Summer 2014 5 Pasta Party Return to Boston: A day in the life… one year later

It was dark outside on Monday, marathon morning. I have gotten up in the dark for most marathons but not so early that we would be boarding buses in the dark and arriving in Hopkinton soon after sunrise. Welcome to the new era of the Boston Marathon―post April 15, 2013. We accepted it and put on the “happy face” that ended up being the image of this day in April 2014. The famed marathon was back and ready to burst at the seams with pride. Following is my recap of a day that embraced arly orning on ace ay its past and accepted the new restrictions of E M R D security and safety measures. What a day! — Dave Watt, AMAA & ARA Executive Director 4:40 am: We gathered in the Colonnade Hotel lobby. This year we upgraded to coach buses that included the one sought-after feature, bathrooms. They also had more seats, so we cut back to four buses. The big change for transport to Hopkinton by the BAA was a staggered bus schedule. Now runners could opt to sleep in and skip the early departure of the “Club” buses (which is how the AMAA buses were categorized). With such an early start, our buses were to arrive in plenty of time. Getting everyone to Hopkinton is usually the only stressor of race day for me. Now, I could semi- relax and keep our huddled runners inside to partake in the early-morning bagels, coffee, and bananas. Departure was set for 5:30 am. 5:30 to 6:30: The buses rode west to Hopkinton, as stress levels appeared to be down among the runners. It was pitch black when we left downtown Boston and headed west on the Mass Turnpike. The much larger race field prompted a “wave arrival” of buses to fit the extra fourth wave start added to accommodate the 2013 non-finisher and increased number of qualified runners. Now each bus was assigned an arrival time period in Hop-kinton. All “Club” buses had to arrive no later than 7 am. We pulled in as sunlight graced the area in and around Hopkinton High School and the adjacent Hopkinton School, which was our bus parking zone this year. 6:45 to 9:30: It was a comfortable but chilly morning in Hopkinton. The first thing we noticed about the new parking areas and perimeter of Hopkinton was the extent of the security force. A few of us walked up towards the athletic fields of Hopkinton High School, the site for “Athletes’ Village” and staging area for the marathon. At each entrance runners had to go through “wanding” and a bag check. The bag restrictions reduced 6 AMAA Journal Summer 2014 The Marathon

what you could wear or bring into the enclosed Ashland. Would we see another epic finish on encampment in Hopkinton. The process was Boylston Street? orderly. To our left we saw the noise detection 9:35 to 10:20: First Wave Start. The fastest equipment courtesy of the Army and Department AMAA runners were slated to be in the first of Homeland Security. These devices can pinpoint wave. At the front of that wave, and separated the location of noises such as gunfire, explosions, by a platoon of BAA start officials, were the elite or any noise above a normal volume. Snipers men. Ten to 15 minutes before the 10 am start, could be spotted on the high school roof. In the the elite men departed the church on the north Village, runners found spots to lie down and sleep side of Main Street in Hopkinton. Runners in until called to leave for the start corrals. Wave #1 were already settled into their corrals. The wheelchair and mobility-impaired divisions Applause began in Corral #1 and continued down were slated to start first. I headed towards the the street towards the other corrals. A flyover of Village Green to be in place for the start of the Elite Air National Guard d helicopters Women’s Race. At a checkpoint near the Village also revved up the runners. Green, I encoun-tered the new reality. Credentials We were now five minutes from the start. were required anywhere near the start area and Remembrances of 2013 were on runners’ singlets within the Village Green. In past years, residents and shirts. “Boston Strong” signs were held up by of Hopkinton could roam freely and find a spot young bystanders. The gun fired and down the hill along the road at or just past the Start Line. This went the elite men followed by the runners in Corral time it was noticeably quiet. Elite runners entered #1. When the first wave of runners became a trickle, the street to polite applause. Press and dignitaries I spotted a familiar face―AMAA’s Mark Courtney. He made up the majority of the crowd. Because there was standing in the street about 30m back from the were fewer people near the Start Line, my press Start Line. There were only 50 to 60 runners left to 10:20 to Noon: I missed the BAA Press credential gave me closer access than recent pass the start line chip mats. Mark’s plan was to wait bus. I was now committed to ride with the years. At 9:20 am the elite women began to line up. until the back end of Wave #1 had crossed the start. AMAA staff back to the Colonnade with all the looked relaxed for someone who Then he’d take off hoping to have an easier path to runners’ gear. In the interim, I headed into welcomed the attention of a quest to win Boston as run at his pace and move up in the field as the race the edge of the corrals tod take some photos a hometown girl (Marblehead, Massachu-setts, on progressed. Mark waved goodbye as he crossed the of the runners as they moved past Collela’s the north shore of Boston). The gun fired and the line about 10:15 am. It was now time for Wave #2 to Market onto Main Street in Hopkinton. Wave 40 or so elite women bolted down the hill towards enter the corrals for the 10:30 start. continued on page 8 AMAA Journal Summer 2014 7 ago on Boylston. This year, the crowds were back. Faces showed both exhaustion and elation. The twin bombing tragedy of 2013 was in our thoughts on this day, as all of us felt a sense of joy, relief, and remembrance. 3:00 pm to 5:00 pm: AMAA post-race party. As I ventured back to the Colonnade to see how finishing runners were celebrating their day, I spotted some AMAA runners in the slow walk down Huntington Avenue. I yelled out to a familiar face. The head turned and even with soreness and fatigue, the face lit up with a wide grin. Such was the image of April 21, 2014. 5:00 pm to Marathon Shutdown (7 pm): I headed back to Boylston Street. We knew there were close to 10 AMAA runners who were in the final wave and projected to finish in the six-hour range. The larger field size could slow them down. The press had stuck around much longer than any previous year. The main reason being the compelling stories of injured runners continued from page 7 from 2013 who had either run all or a portion of #2 was gone and Wave #3 was moving past me. Twitter was our source to follow the elite races. the marathon course. Tears streamed down the I spotted a few AMAA runners in their singlets We learned that Shalane Flanagan had boldly set faces of family members greeting these runners and captured their wide grins. This was a day the pace and led for a good portion of the race who had never envisioned running Boston in any of redemption for many who never finished the until the latter stages in the Newton Hills. The news capacity. Today they were the heroes. 2013 race, and it was a day of renewal and re- from the Elite Men’s Race had us riveted to Twitter As the sun dropped below the skyline, runners membrance for others. like my days as a kid listening to baseball playoff were still coming down Boylston Street. I was Water stations were alive with exuberant games on a hand-held radio. USA’s able to creep closer to the actual finish line as volunteers. The water was free yet they hawked not only had the lead but had stretched it to over the clocks were about to be removed. Barbara the filled cups as if they are giving away gold. a minute! No US Male had won Boston since 1983 Baldwin joined me to wel-come the final AMAA One particular sign along the start corrals had so we knew today’s marathon could have an extra finishers. No matter what the pace, all the AMAA me, as well as several runners, laughing. It read special story line. Our bus neared Boston and my runners crossed the Finish Line on that day. “Donuts, Cigarettes, and Beer.” Sure enough, Twitter feed announced what we had hoped to The lasting image of the 2014 Boston Marathon several residents were handing out donuts and hear: Meb had won! was the “smile.” It was everywhere. It was on the swigs of beer to any runner who wanted to 12:45 to 3:00 pm: Boylston Street Finish water stop volunteer’s face in Hopkinton who partake. A few minutes later, I saw my friends Line. I raced down to the media checkpoint in was hawking water like a veteran beer seller in the Wittichs. Ernie and Julie were side-by-side Copley Plaza. I headed back to the spot where Fenway Park. It was the grin on Mark Courtney’s as they headed towards their start corral. One I usually take photos of finishing runners and face as he waited to be nearly the final runner to year earlier, Julie and her three daugh-ters were scenes in the marathon. The slow departure from start the race in Wave #1. It was on the faces of caught near the second bombing site as they Hopkinton delayed my arrival, yet I was thrilled four close friends, the Galloways and Burfoots, were about to leave Boylston Street. Julie broke to be back to witness finishes on Boylston. My who stood arm-in-arm at the finish area. It was her ankle but came back to run in the 2014 memory of 2013 flashed before me as I saw the the beaming face of Professor Dan Lieberman on Boston Marathon. There was no doubt she was Finish Line clock click past the three-hour mark. Bolyston Street just after he requalifed for next going to have a great day rac-ing. The one noticeable dif-ference from 2013 was the year’s Boston Marathon. Van Strickland, Beth 11:45 to 12:45: The new security system in sheer volume of runners streaming down Boylston Luedtke, and Stanley Zaslau all crossed the Finish Hopkinton encountered its first snag. Club buses Street (the race field of nearly 33,000 surpassed Line with huge smiles on their faces just before in the new parking lot area could not get out. It previous years by over 6,000). the scaffolding came down and the triumphant day seemed that no one in the command post let the It was difficult to scan the finishers to spot a came to and end. BAA volunteers know that these buses could be familiar AMAA face or anyone wearing an AMAA Boston 2014 was special for its toughness released. We were originally told that club buses singlet. I glanced up at the Finish Line clock and kindness, which wrapped along the entire could leave once the final wave of runners was and saw 3:55. Runners were pouring across the 26.2 mile course. We shall remember and always in-place to go. Because of the snag, however, we Finish Line. It was at that time when my camera be thankful. departed 40 minutes later than expected. shook in the midst of taking a photo one year

8 AMAA Journal Summer 2014 AMAA 2014 Finishers

Listed are members who ran with AMAA numbers, those who quali- Caitlin Lewis, San Luis, Obispo, CA • David Lindgren, Maple Grove, MN • fied on their own, those who provided care in the medical tents, and Gerardo Lopez-Guerra, Boston, MA • Brian Maloney, Atlanta, GA • Rhonda the AMAA staff that supported the runners. Some names may be missing Martin, Watertown, MA • Fran Mason, Boulder, CO • Jane Mays, Cincinnati, due to lack of information. OH • Kenneth Mays, Oak Park, IL • Gregory Mazman, Wenham, MA • Robert McCallister, Indianapolis, IN • Thomas McCarty, Anchorage, AK • Jonathan Adkins, Madison, MS • Tom Albright, York, ME • Robert K. Kyle McLaughlin, Canmore, AB • Scott McPherson, Jackson, MS • Laurel Anderson, Jackson, MS • Ronald Anglade, Alpharetta, GA • Adolph Anglade, Mehler, Santa Barbara, CA • Michael Meister, Miami, FL • Matt Melander, Albany, NY • Laura Ankrum, Crivitz, WI • Adam Ankrum, Crivitz, WI • Judi O’Fallon, MO • Laura Ment, New Haven, CT • Randall Mercier, Pinehurst, Babb, Porter Ranch, CA • William Bachicha, Rocklin, CA • Aaron Baggish, NC • Carrie Mullin Innes, Calgary, AB • Terry Murphy, Atlanta, GA • Dan Boston, MA • Ray Baker, Surrey, BC • Barbara Baldwin, Boyds, MD • Ricarda Murray, Spokane, WA • Richard Ohye, Ann Arbor, MI • Bonita Ohye, Ann Benz, Brea, CA • Marlow Prado Blankenship, Boyds, MD • Larry Boies, Jr., Arbor, MI • Sam Paris, North Syracuse, NY • William Paronish, Northern Flagstaff, AZ • Walter Bortz II, Portola Valley, CA • Ruth Anne Bortz, Portola Cambria, PA • Jennifer Parris, Norcross, GA • Richard Pectol, Greeneville, Valley, CA • Bob Boyd, Colonia, NJ • Fred Brennan, Lee, NH • Michael TN • Angie Peng, Baton, Rouge, LA • Dominador Perido, Elkhart, KS • Mark Brummer, Shumway, IL • John Campbell, Ada, MI • Joni Carmack, Van Perido, Witchita, KS • Elizabeth Pike, Woodside, CA • Kathleen Powers, Buren, AR • Moses Christian, Loma Bradenton, FL • Jim Puklin, Detroit, MI • Linda, CA • John Cianca, Houston, Julio Cruz Ramon, Dublin, OH • Charles TX • Eric Colon, Bridgewater, MA Raper, Maryville, TN • Leonard Raphael, • Peter Cook, Anderson, SC • College Station, TX • David Reichwage, Robert Cooney, Springfield, MO • Fort Wayne, IN • Danielle Reny, Boston, Karl Dauphinais, West Hartford, MA • Amanda Reynado, Houston, TX • CT • Kurt Davey, Omaha, NE • Jennifer Riess, Edmonton, AB • Elizabeth Pierre d’Hemecourt, Newton Riggs, Lafayette, IN • Emily Rinaldo, Highlands, MD • Leonora North Smithfield, RI • Kelly Robinett, Delsesto, East Greenwich, RI • Carrollton, TX • Haywood Robinson, Neal Dempsey, Menlo Park, CA • College Station, TX • Frank Rodriguez, Mark Denny, Richardson, TX • Burleson, TX • Michael Rogers, Augusta, Gretchen Desmond, Medford, MA GA • Lisa Rogien, Boise, ID • Chris Rupe, • Amy Doneen, Spokane, WA • Salina, KS • Ray Rupel, Centennial, CO • Howard Dorne, Irvine, CA • Kit Kathleen Russo, Salisbury, NC • Zainab Doughney, Ormond Beach, FL • Shamma Othman, Lewisburg, WV • Arthur Ronald Dubin, Middlesboro, KY J. Siegel, Belmont, MA • Samuel Singer, • Julia Edwards, Wellesley, MA • Cambridge, MA • Catie Smith, Greenville, Thomas Eisenhauer, Asheville, NC SC • Paul Smith, Greenville, SC • Bill R. • Dexter Emoto, Loma Linda, CA • Thomas Fabian, Port Charlotte, FL • Snyder, Grosse Pointe Park, MI • Nicole Sommer, Springfield, IL • Steve St. Carol Fabian, Port Charlotte, FL • Ginny Fahs, Atlanta, GA • James Ferguson, Clair, Williamstown, MA • Natalie Stavas, Boston, MA • Joe Stavas, Chapel, Edmonton, Alberta • Cathy Fieseler, Tyler, TX • James Flanigan, Davis, CA Hill, NC • Peter Stock, San Francisco, CA • Maurice Van Strickland, Wichita, • Richard Flick, Glendale, AZ • Richard Fossen, Minocqua, WI • William KS • Paula Thomas, Murfreesboro, TN • Matthew Thomas, Minocqua, WI Funk, Newark, DE • Rick Ganzi, Holland, MI • Ed Geary, Clermont, FL • • Jose Tongol, Albany, GA • Joseph Townley, Omaha, NE • Eugene Toy, Samuel Gillis, Birmingham, AL • Jinnohn Gilmore, Centennial, CO • John Houston, TX • Chris Troyanos, Norfolk, VA • Seth Udlis, Fond du Lac, Gilpin, Greenville, SC • Diana Gilson, Sharon, MA • James Glass, Colorado WI • Ginger Urquidez, Austin, TX • Joe Urquidez, Austin, TX • John Van Springs, CO • Jennifer Glass, Colorado Springs, CO • Judy Graham-Garcia, Savage, Shreveport, LA • Hariharan Velayudhan, Basking Ridge, NJ • Robin Ipswich, MA • Lisa Griffin, San Francisco, CA • Steven Grufferman, Ellicott Venick, New York, NY • Dave Watt, Springfield, VA • Joel Weber, Elk Grove, City, MD • Richard Guynes, Ridgeland, MS • Scott Hadden, Salem, OR • CA • Scott Weisberg, Birmingham, AL • L. Michael Weiss, Clearwater, FL Matthew Hall, Orlando, FL • Fawwaz Hamati, Jonesborough, TN • Jeffrey • Heather Wiebe, Calgary, AB • David Wilson, Lanesboro, MA • Laurence Hawkins, Birmingham, AL • Eric Henricks, Indianapolis, IN • Jerry Henry, Wilson, San Mateo, CA • Ernie Wittich, Springfield, VA • Edward Wnek, Grosse Pointe, Farms, MI • Brian Hoard, Charlottesville, VA • Patrick Cincinnati, OH • Rachel Wong, Vancouver, BC • Brodie Wood, Olympia, WA Hogan, Tacoma, WA • John Howick, Knoxville, TN • Heidi Hurst, Vancouver, • Jessica Wright, Mamaroneck, NY • Stanley Zaslau, Pittsburgh, PA • John BC • Debra Jacobson, Newton, Center, MA • Matthew Janigian, Atlanta, GA Zinkel, St. Clair Shores, MI. • Robert Janigian, Cranston, RI • Reena John, Schererville, IN • Patricia Johnson, Tacoma, WA • James Johnson, Saltillo, MS • Roan Johnson, Saltillo, MS • James S. Jones, Jackson, MS • Ahmed Jouar, North, Bay, ON • Kevin Kalish, Medford, MA • Kevin Kasper, Voorhees, NJ • Julia Kennedy, Furlong, PA • Jeffrey Kommit, Spring, Lake, MI • John Kraus, Devon, PA • Roger Larson, Mercer Island, WA • Allison Lemovitz, Cambridge, MA • AMAA Journal Summer 2014 9 AMAA Finishers

Tom White Beth Luedtke Carol Fabian

Ed Geary Van Strickland Dan Lieberman

Bill Paronish Fawz Hammati 10 AMAA Journal Summer 2014 Jim Pucklin Jack Hasson Angie van Bemden

Charlie Raper and Family

Kathleen Doughney Cathy Fieseler (left) with AMAA Finishers

AMAA Journal Summer 2014 11 Reflections on Boston by Mark Cucuzzella, MD

April 21 was my twenty-first running of the Boston Marathon. The week before I wrote an article challenging runners to be fearless on race day just as the bombing victims have been fearless in their journey back to health. At last year’s marathon, I had already finished the race and was with my family, safe in a nearby hotel a block away, when the terrorism attack occurred. The bombings destroyed lives, wrecked bodies, and brought the running community together in a universal show of compassion and support. This year, similar to last, I gave a talk at AMAA’s Annual Sport Medicine Symposium on strategies for running the Boston Marathon. After running 20 Bostons, I’ve either made or seen every mistake in the books. My challenge this year to the runners― no matter what their ability, tweaky injuries, or suboptimal training―was to be fearless. We all have something, but nothing compared to what the vic- tims have gone through this year in rehab and pain. medical tent and out onto the course as the med scene he was stopped by police. His own chil- Probably the guy with the most stressful day on tent was eerily quiet on a cool day. He was right dren were at the finish bleachers. He showed his the planet took time out of his busy schedule to talk there on the site of the first bomb and was the first “Race Director” badge but was quickly told by at the symposium. Race Director Dave McGillivray responder, even with shrapnel in his body. Aaron local authorities that the race was over and it was thanked the many for their heroic work last year. was leading the medical tent again this year. law enforcement territory now. This year the city One quiet hero was Harvard Sports Cardiologist Dave gave a short but emotional talk as he of Boston made a mission to take the race back Dr. Aaron Baggish. Aaron had walked out of the reflected on the race. When he arrived at the from fear, too.

1212 AMAA Journal Summer 2014 Dave also shared his personal journey this year dealing with heart disease, which occurred despite his active lifestyle. He has been a runner his whole life running well over 100 marathons, completing eight Hawaii Ironman Triathlons, and even running across the US to raise money for the Jimmy Fund and Dana-Farber Cancer Institute. Following this health scare, his resounding mes- sage now is “run to be healthy, not just to be fit.” Race day was an incredible spectacle on all accounts. It started with security tighter than the Pentagon but we all made it to the start. Thirty- seven thousand runners stood silent for the national anthem. Over 100 amputees set out on the course well before the main pack. I passed several of these fearless runners through the day and gave a huge shout out for each one. The estimated crowd size was two million with over 5,000 law enforcement officials in uniform. American Meb Keflezighi ran fearless tak- ing the lead early and fighting off a posse of East Africans to be the first American victor since 1983. Considering a suboptimal prep this winter I was happy finishing in 2:48 and 37th in Masters age group at age 47. This does not get easier with age and I am proud I ran fearless over 26 miles with the longest training run since the fall being 13 miles. My brother Neil also ran; this is the tenth time we have run this event together and this year, of course, was like none of the others. It’s one we will remember for a long time.

AMAAAMAA Journal Journal Summer Summer 2014 2014 1313 NATIONAL RUN A MILE DAYS 2014

lap on the school’s crushed gravel e a iler track and an extended loop of B M ! the schools’ fields. Every mile fin- isher collected his or her Miler R U A Miler and BE A MILER ask similar Certificate and “BE A MILER” tee. questions. Young boys and girls took to the The Midwest MILE DAYS’ Tour fields and tracks to run a mile and let it be started in earnest with American known, they were “Milers”. Close to 20,000 Running’s Ambassador 3 time students in elementary and middle schools from Olympian . Craig is a New Hampshire to Virginia to North Carolina legend in Illinois dating back to to Washington to California hosted MILE DAYS his record-setting high school days Events in the May 2nd thru 12th timeframe. out of Lebanon IL. As ARA’s MILER RUNNING THE MILE is the Campaign. Thanks Ambassador, Craig visited 4 schools to the outstanding fundraising efforts of our leading up to the annual NATIONAL RUN A MILE over a 4 day period. He gave a rous- AMAA Runners in the 2014 Boston Marathon, DAYS in May. Since American Running began this ing presentation at Shariel Espinoza’a Goodwin ARA and AMAA were able to provide materials grass roots program in 2007, schools and clubs School in Cicero. He concluded his Illinois Miler and staff support to 25 sites. The Call to run across the country have taken the challenge to Tour in the suburban Chicago area. All told, or participate has either asked or demanded kick-start spring running programs. The call to Craig Virgin assisted over 2000 students who hit that you “are” or “be” a miler. Whether a boy “Be A Miler” or the question “Are You A Miler” the track or trail to run a mile. His takeaway: that or girl knows it or not, we consider everyone was answered with a resounding “Yes!” at more kids today just need the opportunity to run and a miler. How fast you cover that mile defines schools and clubs in 2014. the encouragement of educators who believe in your preparation, motivation and fitness. The The 2014 “RUN A MILE DAYS TOUR” hit the fitness for all shapes and sizes of students. American Running Association just wants one road starting in Northern Virginia with Mark Our West Coast MILER DAYS Tours were high- thing: answer the call and do your best to run Twain Middle School in Alexandria VA. ARA lighted by events in the state of Washington and the mile and start a fitness regimen. That first was fortunate to have several VIPs act as our California, not to mention Oregon. ARA was repre- mile can lead to a love of running and ultimately Ambassadors at several stops during the 11 days sented at our top SoCal Tour stop in Anaheim by a healthier person. of the 2014 MILE DAYS Tour. ARA’s Executive Dexter Emoto. Dexter is a recovery room nurse Once a principal or lead PE teacher com- Director covered the East Coast and more specif- and prolific marathon runner. He also is an accom- mitted to the MILE DAYS event, classrooms and ically the Mid-Atlantic states plus Virginia. Dave’s plished photographer and visited Gauer Elementary hallways in elementary and middle schools be- first stop was the middle school in Alexandria, in Anaheim as our California Ambassador the Mile. gan the process of training their students. “BE A VA. Mark Twain Middle School has just over MILER” posters arrived and training plans were 900 7th and 8th graders. It is an ethnically di- initiated during the winter and spring weeks verse school with youth from over 30 countries. Each PE class ran a mile course that utilized a

14 AMAA Journal Summer 2014 RUN A MILE DAYS 2014

Gauer Elementary is a school comprised of over 85% Hispanic, Latino and other ethnically diverse students. Through the efforts of their fitness-crazed RUN A MILE DAYS concept in previous years. Dr won this year’s mobility impaired division of principal Debbie Schroeder, the call to run a mile Pat has not stopped. For 2014, we added several the Boston Marathon. Ed was all the motivation is not taken lightly. When Dexter visited, he was met more schools and now estimated the number needed to get kids to run a mile on a drizzly day. by an enthusiastic and motivated group of children. of Mile Finishers during the May 2 – 12 period The MILE DAYS Tour wrapped up with Running the Mile was both a challenge and an en- to be over 15,000 students. Pat would tell you some Mile events in new locales including New riching experience. that he is not the key but merely the guy who Hampshire and Alaska. The Alaska Mile Day s The Pacific Northwest is no stranger to run- has infected the area with enthusiasm for the event took place in Skagway. ARA sent tees and ning. Eugene Oregon has reinforced itself as the MILE in schools. His key person continues to be certificates to the remote town making their Mecca of track and field with legendary Hayward PE teacher Dave Rucci. Together, the two have community the furthest and most remote US Field host to many National and international convinced other schools to jump aboard. New “MILE DAYS” participant. track events. The trails and tracks in neighbor- to the event this year was a high school. In ad- If you or your community is interested in ing Washington have just a storied background dition, neighboring school districts have joined hosting MILE DAYS events in 2015, please email in running. Perhaps the influence of running the MILE DAYS and have gotten their commu- Maria Kolanowski, [maria@americanrunning. community has led to the Peninsula School nities to volunteer at the Mile events. Hedden org] and include your name, school or club, District and Greater Gig Harbor – Tacoma area Elementary in Edgewood Washington is one of email address and daytime phone number. We being our largest single hosted “RUN A MILE those communities who worked with Pat Hogan are expanding the MILE DAYS timeframe to cov- DAYS” event. Our host and champion is Dr Pat to grow and prosper. This year, they brought in er the first 2 weeks in May 2015. Hogan. We have touted his salesmanship of the Ed Lychek, a hip leg amputee above the hip who

continued on page 16 AMAA Journal Summer 2014 15 MEMBER PROFILE

S. Mark Courtney Checking in Seven Years Later with a Man on a Running Streak

By Jeff Venables As with this July, during which he raced three the top ten in the state championships, several times in five days, that number is usually higher. times. Given the geographic size of PA, that’s S. Mark Courtney is a longtime AMAA board He estimates he currently runs a bit more than outstanding for a town like Grove City. member who, since taking up running in 1978, 30 races per year, from an all-time high of 74. Each year, over the course of two days, has immersed himself so completely in the sport Mark and his team organize a total of 12 one- that few could argue his status as something of A Runner’s Streak and Runner’s High mile races for Miles Days, providing course a legend. Mark has not missed a day of running Courtney’s immersion in the running world measurement, timing chips and music among in over three decades; on December 19, he will doesn’t end there. Since his debut Boston back other equipment and services. The students have run at least one mile per day for 35 straight in 1980, he has not missed one starting gun then use their chip-recorded times to fulfill the years. These days, he runs about 30 miles in Hopkinton, totaling 35 consecutive Boston mile requirement portion of the President’s per week. “I’ll increase when it gets closer to Marathons so far.His company, Runner’s High Challenge (once known as the “Presidential Boston, or to a marathon [in general],” he says. (www.runhigh.com), provides timing services to Fitness Test”). Mark runs the mile events for all Still, Mark always squeezes in at least one race as many as ten races on any given weekend day. physical education classes from fourth through in each calendar month (and has since 1978). In 2012, they timed 364 races in the Mid-Atlantic sixth (though only the two oldest grades record states of PA, OH, NY, WV, times). This amounts to six races per day, one MD, VA and a few in Florida. approximately every 45 minutes, with hundreds Runner’s High also preps of students participating. additional chips for timers and The fact that Run a Mile Days is in its sixth year events throughout the country. in Grove City (and seventh nationwide) means Since we last profiled Mark a newer generation of students are hopefully in the AMAA Journal back in growing up with the running bug somewhat 2007, the main change he sees culturally embedded—it’s just what you do. And in the technology is the ubiquity that’s the point; now the annual mile races are of the timing chip. “More races a rite of passage, a coveted achievement for the are using disposable chips students. now,” he says. “Even the small races want the chip. Many race Running and Medicine directors don’t even remember Courtney received a BS in Medical Science the popsicle stick or manual in 1978. He decided he wanted to run the timing at all.” Boston Marathon before turning 40, a goal he completed 17 times over before that date. His Run a Mile Days medical background made it easy to join AMAA, This past May, Courtney then AMJA, and he did so in 1980 to ensure was back at home in Grove he would get to race even if he failed to meet City, PA, where he was once the qualifying standards, but he needn’t have again donating his race-timing worried. He ran a 3:02 that first year, right in step services to the middle school with the just-under half of all finishers who hit there, for races staged in the three-hour mark or lower. That percentage conjunction with National Run peaked a year earlier (at 51%), and that has a Mile Days. He has done so declined dramatically in the decades since. for six years, seeing many of Courtney’s marathon PR is 2:28:48, from that whole first generation of the 1990 . Now 58, he might fifth and sixth grade students compete less often but his marathoning is very go on to pursue track and much alive and well; he ran a 3:16 at this year’s cross country in high school Boston. “I don’t have any specific goals right now, and college. “One student just to keep the streak alive and keep my fitness is now running for the same up. I’m just involved in a lot of things,” he says. school Dave Watt’s daughter That is certainly an understatement, but two runs for, Virginia Tech,” he years ago it was even more so. says. In recent years, Grove City runners have finished in Mud Races Come and Go

16 AMAA Journal Summer 2014 In 2012, the “mudder race” craze was in physician’s assistant at Family Healthcare Partners more runners of every ilk entering marathons, full swing, and Mark found himself uniquely in Grove City, PA, since 1980. Seven years ago in fun runs, mud races and other events of every poised—and capable—of handling all the packet this journal he posited that he would leave this size and distance that it’s possible to become preparation for not just the Warrior Dash series, endeavor “soon,” to focus on his wildly successful wistful for a simpler, more cultish time—when a but Zombie Runs and Tough Mudders as well. Four timing business full time. He may finally do so in tiny club of people in the know showed up to toe years ago it had begun with a call from a friend. December of this year, in a fitting follow up. the line. But that is not Mark’s way. “A friend of mine in Chicago had a contract to do With 35 years in medicine, as many “People are moving,” he says, clearly happy all the timing for the Warrior Dashes. They were consecutive days of running and 35 Boston for those who enjoy the health benefits and having trouble getting packets prepped with chips, Marathons under his belt, there are many camaraderie that many fewer did three and half pins, numbers and envelopes, so they called me milestones presently. Mark has had almost the decades ago. “Plus,” he jokes, “it’s good for my to see if I could help them out.” he explains. “In same in years of race management, which he business because they all want their times.” the course of two years, the Warrior Dash grew in started doing in 1980. leaps and bounds. One race would have 15,000, In that time, races have certainly changed a Jeff Venables is the editor of Running & the next one would have 25,000, sometimes two lot. “It’s a different ball game than what it was 35 FitNews and a regular contributor to the AMAA on the same weekend.” years ago,” he says. There are indeed so many Journal. In 2012, they prepped over 1,000,000 packets for the Warrior Dash and Tough Mudder race series. With multiple crews of friends and colleagues helping, Mark kept a stock of up to 100,000 packets at a time, storing them in his garage. He’d then ship whatever amount was needed directly to the race by UPS—sometimes as far away as Australia and Ireland. So it went for three years. Mark says, “This year they decided not to do any timing at all, so they phased me out of that project.” But not before witnessing tractor trailer deliveries full of nothing but four million safety pins at a time, weighing in at two tons! “So that is something that’s come and gone in seven years,” he says. “Who knows what’s going to happen in the next seven years?” There are always many projects. He just finished building a barn for his wife Debbie’s horses, a project that involved help from some Amish folks and more than a little elbow grease. “The entire barn was under roof in six days,” Mark says. He and Debbie celebrated 17 years of marriage this past May.

Seven Years On And through it all, Courtney has been a

AMAA Journal Summer 2014 17 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 June 1, 2013 to July 1, 2014.

OLYMPIAN ($250) John Kraus Edmond G.Feuille, Jr. Don G. Nelson J. Thomas Albright William Kraus Gary Fish Marife Quiros| Terry Adirim Peter Mendel Richard Flick William Radcliffe Christianne Bishop Laura R. Ment Robert Frimmel Gregory C. Richterich Gretchen Bruno George Morris Joseph M. Gaffney Jack H. Scaff Todd Daniels John Kraus John J. Geren Philip Schneider Kathleen Doughney William Kraus Samuel P. Gillis James L. Sechler Ronald Dubin* Sharon Staier John W. Gilpin Michael F. Shekleton Cathy Fieseler*± Barbara A. Stewart Jeff Godin Bruce J. Silverberg Christina Flaxel Joel Weber Laura Goldberg William Simmons Fawwaz Hamati Thomas White Bert Grapin Jamie Spriet Patrick J. Hogan Steven Wynder Steven Grufferman Maurice (Van) Strickland John Howick Kevin R. Haley Charles H. Stubin Susan Love SUPPORTER ($100) Beverly Handy Meghan Sutherland Michael W. Moats Luis G. Alcaraz Susan Harding Hawkins Darryl Tannenbaum Steve Morrow*± Elisabeth Beyer Nolen Douglas Heller Suzanne Thomashow Terry Murphy Leon R. Blue W. Horne Greg Thorgaard Robert B. Niedbala*± Richard T. Bosshardt Bret Jacobs Toussaint G. Toole Peter Oroszlan Julius S. Brecht Lloyd D. Lense Stewart Turner Daniel Pereles Brad Carmines Daniel Lieberman Wendy Welch Bradley B. Price Tawfik Chami Christine Maggs Clay Whiting Francisco Rodriguez John E. Codwell Robert Malinzak James S. Wilk Michael B. Rogers Steve Coffman Howard M. Marker R. Bruce Worley Kathleen Russo Richard Cox Rhonda Martin Joseph L. Verdirame Charles L. Schulman* Marshall Cyrlin Franklin G. Mason J. Michael Ward Michael DeMauro Frank Massari, Jr. Philip Zitello PATRON ($150) David Dozier Gregory Mazman Douglas J. Casa Thomas Easley John McAuliffe Anna Duncan Robert Erickson II Ted Metzger * Contributions surpass Olympian level Jeffrey Hawkins A. Douglas Felts David H. Moore ± 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. 18 AMAA Journal Summer 2014 BAA Team

Quote Here about something Quote Here about something Quote Here about something Quote AMAA YOUTH FUND 2014: Here about something Quote Here TOP 10 FUNDRAISERS about something Quote Here Susanne Handling Talleyville, DE $8,316 Minesh Patel Boston, MA $6,343 about something Quote Here about Kerry Flynn Cambridge, MA $5,650 something Frank Massari, Jr. Tampa, FL $5,305 Jeremy Michaelson Farmington Hills, MI $5,300 Stuart Bresee Knoxville, TN $4,925 Susan Pereles Potomac, MD $4,909 David Siegel West Bloomfield, MI $4,875 Andrew Dorne Boston, MA $4,675 Joanna D’Afflitti Boston, MA $4,608

AMAA Journal Summer 2014 19 American Medical Athletic Association Division of the American Running Association AMAA Journal

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Frank Massari & Racquel Wilkes