Friday, October 26, 2012

The Pain in Gain


For my job yesterday, I was talking on the phone to a physical therapist in Pittsburgh who, four times now, has completed the 34-mile Rachel Carson Trail Challenge, and once placed ninth out of 600 finishers. “Unlike in a footrace,” its Web site tells readers, "the ‘challenge’ is not to win, but to endure—to finish the hike in one day.”

There’s a clickable video on the event’s home page with the still image of participants engaged in various states of movement—running, walking, testing their footfalls—as they try to negotiate a downhill gulley in the middle of a forest. Above this scene appear the sentences, “This time [the event always is held on the Saturday closest to the summer solstice], the Challenge starts at North Park at sunrise, 5:50 am. The deadline for finishing is sunset, 8:54 pm, or 15 hours 4 minutes, whichever comes first.”

Below the video image, under the heading “Course Description,” are advisories that the trail is “primitive,” that it features “no special grading or surfacing materials,” that it isn’t always clearly marked, and that it includes “poison ivy, nettles, bugs, loose gravel, wet stream crossings and steep hills.” Participants are advised to “expect the unexpected and think the unthinkable.”

The PT with whom I spoke—a 45-year-old father of three who’s a university professor, researcher and clinician—conceded with an appreciative whistle that the course is indeed “brutal,” but added that he finds himself “chuckling” when the marathoners start fading at around mile 28. This guy also has completed the Mt Washington Auto Road Bicycle Climb in New Hampshire, described on its site as “the toughest hill climb in the world, at 7.6 miles in length, with an average grade of 12%, extended sections of 18% and the last 50 yards an amazing 22%.” (It’s probably worth noting, too, that Mt Washington is more than a mile high and, per Wikipedia, is “famous for dangerously erratic weather”—which has included a wind gust of 231 mph that was a world record for 76 years.

The previous day I’d been speaking on the phone with a different PT—a woman ’d interviewed for a story about 10 years ago. We’ve kept in occasional touch over the years, and I often kid her about her athletic mania. Kim and her husband compete in all manner of long-distance mountain biking and cross-country skiing events, and she’s placed first in her age group (she’s in her mid-40s now) in a multi-race cycling series in Wisconsin. We’ve only ever met in person once, but I’ve issued a standing invitation for Brian and her to cycle to DC from their house in Iowa for a visit—or to hop a freight train and leap from it at 100 mph at a local rail yard, or perhaps parachute onto our yard from a military cargo plane.

When we spoke the other day she regaled me with the story of how once, in the midst of a leisurely hike up a steep mountainside while on vacation in Colorado, Brian pointed to a guy hiking at a rapid clip in the far distance and suggested they try to pass him. Kim, of course, was up for that. A hiking competition ensued. Kim and Brian won. Kim, oxygen-deprived and as exhausted as she’d ever been in her life, celebrated by spiritedly vomiting off the mountaintop.

This story came after she’d noted that, in addition to being a PT, she now works two days a week for Brian’s construction company—roofing, tiling, pouring cement, hauling plywood, laying drywall. All in order to ensure, you see, that she gets enough exercise.

I conceived the story for which I interviewed Kim and the Pittsburgh guy. Its working title is “Extreme PTs and PTAs [Physical Therapist Assistants].” My idea is to highlight two things: 1) the ways in which these individuals’ background in physical therapy helps them train for demanding athletic pursuits and avoid or at least limit injury, and 2) what these PTs and PTAs have learned in competition that informs and enhances the patient care they provide. It’s slated to be published early next year in PT in Motion, the magazine my employer, the American Physical Therapy Association, distributes to its 80,000-plus membership.

Given that physical therapy is all about motion science, it’s not surprising that within the profession’s ranks there are many individuals who practically make it their second job to move around quite a lot. By the time I complete my interviewing process for the story I’ll have spoken with triathletes, Ironman competitors, and an array of other men and women who may see the pavement or trail about as much as they see their own families. But it isn’t just PTs and PTAs who do this, of course. Rather counterintuitively, as our nation gets more and more obese there’s also been an explosion in recent decades of interest and participation in endurance competitions, with mere 26.2-mile marathons being the least of it. (I myself lack the endurance at the moment to seek out supporting statistics, but I know they’re there. My God, every other burg hosts a marathon these days, and it sometimes seems there are so many Ironmen and Ironwomen walking among us that it’s a surprise Robert Downey Jr still sells movie tickets each time he dons the suit.)

Maybe it’s another 1% versus 99% thing, with the health-wealthy on top of the heap while the rest of us simply hope we can afford the health care we’ll need to battle sloth-and-gluttony-fueled type II diabetes. But that’s not quite right, because then there are people like me: those who get a reasonable amount of exercise and try to watch our weight, but to whom “thinking the unthinkable” is trying to picture ourselves tripping over exposed roots on some damn Pennsylvania trail for 15 hellish hours, or vertically cycling up a mountain into gale-force winds.

It’s my friend Kim’s philosophy that life is all about seeking out, facing down and overcoming challenges. I suspect a lot of extreme athletes feel the same way. In an e-mail this week she wrote that one of her favorite quotes is, “There’s no growth in the comfort zone and no comfort in the growth zone.” She added that she believes “growth only comes from a person’s ability and willingness to experience discomfort.”

I’ve been thinking about all this quite a bit over the past few days. My route to and from work takes me past the staging area for the Marine Corps Marathon, which will be held this Sunday. I entered that race only once, several years ago. Though I thought I’d trained sufficiently, and had successfully completed half-marathons in the past, I had a miserable experience that day. I developed a foot injury about halfway through the course that forced me to walk the last several miles, and I posted what I considered to be a shameful time. I had experienced discomfort, all right, not to mention embarrassment. But, growth? I grew all the way to never entering the event again.

For years afterward I continued to enter shorter races, however—10Ks, 8Ks, 5Ks. But I always dreaded them, and I never enjoyed or got any kind of adrenaline rush out of participating. The only part I liked was regaining my breath afterward and feeling I’d “earned” the T-shirt for which I’d paid $20 and most of my lung capacity. Again, the discomfort seemed less to me like a growth opportunity than like what Lynn called it: idiocy. I used to tell people that, for me, running in a race was like hitting oneself on the head with a hammer: It feels so good when you stop. For years, Lynn essentially had been reminding me that if this was a vaudeville joke, the punch line would be, “So, don’t do that.” A few years ago I stopped running in races entirely.

I do still run, of course, but at my own plodding pace, which I purposely don’t time. The only time I’m interested in is one hour. That’s how long I generally run. Sometimes a little longer, every once in a while 90 minutes or even two hours. There are various routes I like—in DC, my neighborhood, sometimes Arlington on the Virginia side of the river—and as I lope along I watch the world wake up, in that post-dawn period when people are out walking their dogs or heading to work or the gym, when traffic is light, when stray deer sometimes linger at the edge of the woods. It wouldn’t be quite accurate to say I enjoy those runs. It’s still work to keep at it for an hour, however slowly, and it certainly feels much better afterward, when I’m sipping coffee somewhere and reading the newspaper.

I mull this equation of discomfort with growth, which hardly is original to Kim. It echoes through a thousand books on entrepreneurism and maximizing one's potential, and it’s filled countless arenas where motivational speakers preach the gospel of shaking up your life and laying bare the power, will and fortitude you never knew you had. The thing is, though, that I’ve never really seen comfort as an enemy. If I did, I’d no doubt be more ambitious professionally, more knowledgeable about any number of things and less intimidated by 21st century life. Perhaps I’d be a supervisor or a manager. Computer savvy. Fluent in French. I’d undoubtedly run faster—and force myself to compete.

For better or worse, however, I seem unable to push myself any farther than earning a decent living, staying sharp in the one language I know, and remaining an obesity outlier among our, um, growing population.

Last Saturday, Lynn, our friend Julie and I went to Arena Stage to see the musical production One Night with Janis Joplin. I referenced the play’s subject in an e-mail to Kim this week, writing, “It occurs to me that you are to athletic competition as Janis was to boozing and pouring out raw emotion. It’s just that you and your Bobby McGee leave it all out on the trail rather than on the stage or at the bottom of a bottle of Southern Comfort. (Interestingly, though, both hard-driving lifestyles seem to involve copious amounts of puking.)”

Maybe that’s what it boils down to for me. A little bit of discomfort—as I huff and puff my way down city streets or face occasional obstacles in my relatively low-pressure job—is one thing. Vomit-level discomfort, however, is quite something else. I’ve visited the Rock ‘n’Roll Hall of Fame, but I never will be enshrined in it. I jog, but I don’t race

 Am I growing? Not much, I suppose. But even jogging is not standing still.


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