Awesome October 2021: A month of 31 half #marathons on 31 consecutive days- sharing my experience
1.Starting from 30th September, and ending on 31st October 2021, I completed 32 runs of 21.1 km or longer, with a total mileage of 817 km in 32 days (average of 25.5 km/day).
This included one Full marathon (42.2 km) on 30th October.
2.The purpose was to test my #endurance, and to see the #physical & #mental effects of long distance #running on 32 consecutive days. I present my observations here.
3. How difficult was it? In reality, it was not difficult. Once you get up and start the run, it is easy to complete. The most important is- you need 2.5 to 3.5 hours time to compete the distance. I could manage that in the mornings between 5 and 8:30 AM.
4.Did it affect my work? I did not feel mentally fatigued or physically tired after the runs. I continued to do my hospital work- OPD, ward and ICU rounds as usual. My attention, focus and concentration were normal. I continued to remain physically active during rest of the day.
5. Did it have any adverse effects on my #Heart? My #HR and #BP remained normal. Resting HR: 40-45 bpm, Av HR 120-125 bpm (Max HR 125-135 bpm). BP range: 110-120/70-80 mmHg. Echoardiogram and Tread Mill Test done in November 2021 were normal.
6.Did if affect my #joints? There was no knee or ankle joint pain. I suffer from #ankylosingspondylitis, and as a flare up, I did have enthesopathy, causing pain in Achilles & hamstring tendons, which caused left heel and right thigh pain (mild & tolerable) while running.
7. Sleep & diet: I ensured about 7 hours of night sleep and that was adequate. Diet was as usual- high protein, low carb and plenty of hydration (500 ml lime juice and 1.5 litre water during runs; another 1.5 to 2 litres of water post runs). 10 soaked almonds and 2 dates pre-run.
8. Effect on #weight: Lost about 2 kgs weight (77 kg to 75 kg). Had been losing 1-2 kg weight every month since I started running in Nov 2020. Was about 95 Kg in Nov 2020, reached 75 kg by Oct 2021, now my weight is 72 Kg. #weightlossjourney
9. Conclusions: Doing half marathons daily on 32 consecutive days is possible. I had trained for about 11 months before I attempted this. This does not result in adverse effects on heart, brain or joints.
10. Advice: There are no health-related benefits of doing daily half marathons, so, I would not recommend it for all. However, for expert long-distance runners, who want to challenge themselves, can attempt this (or surpass this). #running#marathontraining#Fitness#fitafter50
Screenshot of October 2021 running (strava could only record 35 km on Oct 30th, Garmin recorded the 42.2 km that day)
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How to achieve a lower heart rate (HR) while running?
HR increases while running as with any aerobic activity. Workout is more effective when HR increases. How much increase in HR is ideal? How to achieve a lower HR if it exceeds the recommended maximum HR? Sharing my experience
1/n
What is the recommended maximum HR while #running?
It is 50-70% of max HR for medium paced running and 70-85% of max HR with fast paced running.
Max HR is 220 minus age. (Ref: American Heart Association- AHA)
2/n Are there any dangers if we exceed the recommended HR zones while running?
Lower HR generally indicates good heart health, and higher HR suggests the reverse. High HR puts extra strain on the heart and can cause heart muscle damage in the long term, leading to scar formation
Reasons I love #neurology 1. 2022 is my 25th year in Neurology. I enjoy this subject many times more than 1998, when I entered this branch as a #resident at @OffCMCVellore I was dissuaded by many of my teachers to take up DM in another specialty but I stuck to Neurology
THREAD
2. Neurology is vast: If you love reading, there are several topics you can read. There are about 600 common #diseases in Neurology to read about. Newer diseases are being discovered, so there is no dearth of new topics to learn about.
3. History & physical examination are still the most important to arrive at a diagnosis. Whether it is epilepsy, migraine, stroke, Parkinson's disease or Alzheimer's disease, history & physical are more valuable than any investigations. MRI, EEG & EMG contribute but are not final
Use of Hormone Replacement Therapy (#HRT) and Risk of #Dementia 1. HRT is prescribed in women after #Menopause (natural or surgical). A recent study looked at the risk of dementia in women taking HRT (estrogen, progesterone or combination) #MedTwitter#neurotwitter#Alzheimers
2. The risk of dementia was 35% higher in women taking HRT as compared to those who did not take it. 3. The risk of Alzheimer's disease (AD) was 20% higher and Vascular dementia (VaD) was 79% higher in the HRT group.
5. There was a trend toward an increased risk of dementia with a higher cumulative dose of HRT prescription (but not the duration of HRT). 6. Possible mechanism- increased risk of brain strokes and silent micro-infarcts with HRT
2. A retrospective large cohort study revealed that skipping dinner was significantly associated with ≥10% weight gain and overweight/obesity (BMI ≥ 25 kg/m2) in both male and female students. Skipping breakfast or lunch did not result in weight gain. (Ref: Nutrients, Jan 2021)
3a. A recent meta-analyses indicated an 11% increased RR for overweight/obesity when breakfast was skipped on ≥3 days per week compared to ≤2 days per week. The meta-analysis on body mass index (BMI) change displayed no difference between breakfast skipping and eating.
Doctors in India live 10 years lesser than average population- What can doctors do to save their lives?
1/n Yes, you heard it right. Studies from Kerala and Pune by Indian Medical Association revealed these shocking statistics- doctors die about a decade earlier that the rest.
2/n Life expectancy of a Malayali (native of Kerala) is 74.9 years but according to the IMA study, the mean ‘age of death’ of a Malayali doctor is 61.75 years. Indian doctor’s average lifespan is 55-59 years, almost 10 years lesser than that of the general population (IMA, Pune).
10 qualities that make a #doctor popular (among #patients)
Surprisingly, it is not the #NEETPG score, reputation of medical college, gold medals received in medical college or number of research papers published. After 30 yrs as a practicing doctor, I present my observations here
1. Ability to #listen: You will be #popular if you let your patients speak without interrupting them. You should start only after patients have finished saying what they have to. Also, they like it, if you don't interrupt or cut them short, while they are speaking.
2. #Smile: Patients love it, if you smile while receiving them. A serious face puts them off. If you get angry (even if it is their fault such as if they arrived late, or they have not followed your instructions), your popularity as a doctor would diminish. Smile relaxes them.