I just read the book “Exercised” by Daniel Lieberman (see here). It discusses the evolution of exercise, and how we have evolved to need this term and to need this idea of separate exercise in our daily lives. I found the story to insightful and educational. It really made me think.
Exercise makes this girl happy.
A big takeaway I gained from it is that exercise can be medicine. It can help with mental health, which I have felt firsthand. It can help decrease your risk of chronic illness. It can slow the effects of aging and debility. It is by no means easy to do, and the book argues we are evolved to rest. But once we can become regularly active, and find ways to make it social and fun, the endorphins and “feel good” aspects of regular exercise keep us going back for more and more. If you are interested in diving into a history of exercise and an analysis of activity now compared to our ancestors, this book is one to definitely checkout.
I am finding it challenging to stay motivated during this COVID-19 pandemic. The lack of in person races is particularly a roadblock for me with my exercise goals. I would use the act of signing up for races as a motivation to start and stick with a new training plan. The training plan would be added to my calendar, providing a framework each week for my exercise. This exercise would help develop me physically but also help improve my mental health, as a form of moving meditation, time away from others and being alone, and improving my self-esteem by achieving little goals (achieving “X” amount of miles per week, doing 2 strength workouts per week, etc).
I miss the fun of in person races and adding completed races to my lifelong list if accomplishments. I have tried virtual races before and now, but I feel these just are not the same for me. When the time comes to safely return to in person races, I will truly cherish this. Toeing the line and running with others is a fun challenge that I miss right now.
One thing that is keeping me going is envisioning the fun that will be had returning to an in person race. I will value the first race back. Lining up at the start line. Reveling in the prerace festivities. Running the race and enjoying the camaraderie of fellow runners. And best of all, crossing the finish line and feeling a large sense of accomplishment after finishing not just the race, but the several week training plan prior to ensure a successful race. I hope this gratitude and appreciation will carry forward in the future as well, as it truly is a gift to have events together with others.
Though I cannot race in person right now, something that I have found helpful is setting a small but doable goal each week. My current goal is to do 3-4 workouts per week. This is a far cry from my prior intense marathon training plans that sometimes entailed 5-6 workouts per week, each often averaging 1-2 hours in length. But setting a doable goal has helped me set my mental and physical health a priority each week. And achieving “checkboxes” each week has helped me stay motivated.
I look forward to a return to “normal” times in the future. But in the mean time, adjusting to a change of pace via smaller doable goals is my way of staying on track. And this COVID-19 pandemic, though challenging, scary, and different, has afforded me more time to slow down, which is a much needed reprieve for this busy mom.
When I am hitting a rough patch in life, be it at work or on my running training plan, this phrase runs through my head: “When the going gets tough, the tough get going.” For me, I think this means you persevere in the face of challenges. If something is tough, you can become tough to rise to the challenge and meet that tough thing head on. Sure, there are some insurmountable challenges out there. But if you face them with grit and determination, I think you can accomplish a lot more than you think.
When the going gets tough, fight back! Also, as Maddie is so aptly demonstrating, making silly faces at the same time makes for a more fun experience.
A tough hill, for example, often breeds some discord in my mind. (There are plenty of hills in western Pennsylvania where I live, I can tell you that.) This hill is crazy. How am I supposed to get over that elevation? Ugh. This is too hard. When the negative self talk starts overtaking my thoughts, I take a deep breath, reset myself, and remind myself “When the going gets tough, the tough get going.” This often helps me reframe my mind and powers me up the hill.
I think this can be an analogy to life as well. There are things I sometimes don’t want to do at work. Again, I think a bit to my running practice, and approaching a nasty hill, and mimic my behavior. I recenter myself, take a deep breath (or two, or three), and quiet my inner critic with the old adage, “When the going gets tough, the tough get going.” I refocus my self talk then to be more motivational. I can do this. Just put one foot in front of the other. Keep moving. Concentrate on this one step. One two, one two. You’ve got this.
Practice doing hard things. And enjoy the lighter (and funnier) things in life along the way!
And the more I practice doing hard things, the easier it gets to take on the challenges. Sure, life is still hard. But by practicing steeling myself and doing the hard things anyway each and every day, I think I become a calmer, more patient human being. And I think I do become tougher the more I do hard things. The challenges in life are by no means a happy thing, and sometimes can crowd out the enjoyable things in life. But with these challenges, I see a way for me to become a better, stronger, tougher person. The going may get tough, that is a given. In spite of this, though, I will strive to meet the challenge head on, and keep going.
I have started to automate things in my life in the last few years. Why automate? I have found ways to automate my actions to free up more brain power. Why should I waste mental (or physical) energy on things I must do all the time, like buy toilet paper or buy toothpaste? I have automated my bill payments. (It really stinks to have a late payment and pay a fee, so why hazard this?) By automating my bills, I feel at ease that my bills will be paid on time even if life gets hectic and busy, and I won’t need to do mental gymnastics to remember to pay things before they are due.
I have also automated several of my purchases. Shopping can be fun, but it also can be draining. All of those decisions and steps to take can wear on your mental stamina, even if it is something you do every month or every week. But I have found automating my shopping has really helped free up mental bandwidth. I use Amazon Subscribe and Save and Target Subscriptions to automate things my household needs all the time – paper products, cleaning products, kid stuff that we need (e.g. pull ups), laundry supplies, etc. As something comes up on my shopping list that we need periodically, I start scouring Amazon or Target for options for subscription. Plus, subscribing has saved me money.
As technology has advanced, I have also found ways to automate my reminders on my “To Do” list and on my calendar. And I have discovered I can schedule emails to be sent in the future in Gmail. A huge savings, as I would sometimes wait, send myself a reminder to write an email, and write it then and there. Now, when a need or thought enters my mind that I need to email to someone else, I can draft it then and there and then schedule it in the future if needed.
I found that the methods in “Getting Things Done” has also helped unload my brain, and keep things fresh and open. In “Getting Things Done”, the author proposes setting up automatic ways to remind yourself of things, keep track of goals, and to break down those goals into smaller, more doable steps. By putting everything down in various To Do lists, I have freed my brain up. Instead of trying to hang on to dozens of different things I must do this day, this week, or this month, my brain feels at ease as I have everything in a logical place, waiting for a time/place to do them.
Something I hope to get better at in the future is using Evernote. There are a lot of ways to use this free online note keeper to track notes, emails, websites all in one place. I have tried categorizing and tagging things as well, so I can search for the tags that match up to the notes I want. I also hope to get better at using Alexa and Siri to use my voice to bring up apps or notes I need. I am using this here or there, but I am sure there are more ways I can use this to save me the time and aggravation of typing in what I want.
Life is cluttered, hectic, and busy, like a waffle block house that is overly accessorized. Be like my cat, find a zen like moment, and try to think of ways to simplify, using technology and systems to your advantage.
My brain definitely thanks me when it is free from clutter. I find I am able to think better and faster at work, am able to write clearer and more concisely, and overall feel more at peace. If I am starting to feel more stress or angst, I try to take a step back to see if I am doing my best to automate things. Technology is great. I admit I need to learn to use it more and have it complement my life to make my life easier. I am always eager to learn new hacks and ways to make life easier, and I will surely share any other tips and tricks I may find in the future. If you also know of any ideas, I’d love to hear them!
I have gravitated toward distance running since high school. I played soccer and also joined my high school track team, opting for the longer 3200 kilometer race. My tendency toward endurance sports likely means my body has more “slow twitch” fibers. Or perhaps I have a penchant for long, grueling processes. Whatever the case, I continued to run both in high school, and afterward.
Later, in college, I joined Naval ROTC, where running was a key part of “PT” (physical training) sessions and a component of the physical fitness test. I loved how much I improved with regular training exercises with my battalion. I also am a perfectionist and a habitual practicer, so I would run on the side to improve my performance at the PT sessions. This, of course, improved my physical fitness even further, and led me to further enjoy running.
Falling off of the Wagon, i.e. my Time Away from Running
My little nugget of Turkey energy, Madelyn, around 15 months of age. In the time period between my daughter’s birth and my son’s birth, I felt progressive fatigue. Kind of like I had just eaten a large Thanksgiving dinner, suffering the hangover effects of Tryptophan!
As I transitioned to medical school and then residency, busy life took over. I blamed my degree of stress and overwork on why I fell off of my beloved hobby. However, as I have mentioned in other posts, I now realize I was also suffering from Graves Disease, which caused exercise intolerance, shortness of breath upon exertion, and palpitations. I was unaware of this, thinking I was simply “lazy” and busy, and blamed the symptoms on poor conditioning and lack of willpower.
My Return to Running, with a Vengeance
Fast forward to the time of my Graves Disease diagnosis. Once the diagnosis was made, I realized my fatigue had a secondary cause. My mind was blown. And also, my confidence grew. I resumed running here and there. And then, to hold myself accountable, I made a “New Years Resolution” to run the Pittsburgh Half Marathon. The longest I had run to that point was probably in the ballpark of 3-5 miles. I was nervous but also excited to challenge myself, and see how far I could go.
I carried out the training dutifully, finding a free beginners training plan online. I entered the workouts into my calendar, and tried to juggle these around my already busy life. The first couple of weeks were pretty rough, I will not lie. I admit I was embarrassingly out of shape. But I persevered, primarily because I had set a goal. I had also registered for the race furthering my commitment. Internally, as well, I did not want to shortchange myself – I wanted to know if I could do it, and do it right!
I finished my first half marathon at age 35 in 2:23. Not too bad for my beginner-level training and several years of couch potatoed-ness preceding this!
A couple of days after finishing, I was incredibly sore. I got Delayed Onset Muscle Soreness with a vengeance, mainly because I did not train on hills leading up to this hilly race. I did not incorporate any strength training into my Half Marathon training. I also ran faster in the race than I had been training (the adrenaline made me do it!). However, mentally, I was buoyed and very proud of my accomplishment.
About 2 days after my race ended, I was motivated to next take on a marathon. I logged on that day to the Columbus Marathon website 2 days after the marathon, still sore and recovering, and (wisely or unwisely) registered myself for my first marathon..
I have been training for this marathon now for 3 months. I have a little less than 2 months to go before my race date. The training is grueling and time consuming. I will admit it is not all gumdrops and rainbows. I have good days, and bad days! I have also begun more strength training this time around, as I have read several books and articles highlighting why it is important to be a well rounded athlete.
I admit I neglected strength training altogether with my Half Marathon training, as I am busy and like to cut corners where I can. But incorporating about 10 minutes/day of body weight strength training most days of the week has improved my health, my sense of accomplishment, and my physical fitness. I think my physique has also improved. All of those smart trainers and exercise physiologists are correct – it pays off to be well rounded!
Thought the training is hard at times, I have come to look forward to my runs. I have also opted to move my runs to the morning. This ensures I get the workout done. I also feel accomplished and more productive early on in my day. The runs are a time for me to focus on me. I push my body with my harder runs, and let my subconscious take over with my easier runs. It is cathartic, a form of mindfulness and meditation for me nearly every day.
My husband, Matt, and son, Luca, two of the reasons that I want to keep fit and healthy each and every day!
Why Should You Exercise?
Now, I realize not everyone enjoys running. But I think there is something everyone’s body is inclined to doing, be it walking, swimming, cycling, etc. I challenge you to start doing this regularly, for example, 4-5x/week for 10 minutes a session at first. Pencil it in (electronically or physically) into your calendar. This will hold you accountable. You will feel guilty ignoring the event, or worse, scratching it off or deleting it. I also encourage you to consider working out in the morning. As I have mentioned, it gets the workout over and done. Also, your mind will be stimulated by the physical activity so early on in the day. I suspect you will perform better and be happier with the rest of your work and life activities later that day.
My daughter, Madelyn, one of the beautiful reasons I live a happy, fulfilled life!
Most importantly of all, exercising regularly not only helps your mental health, it also improves your physical health. You will have lower risk of heart disease, stroke, and diabetes. With the rising overweight and obesity epidemic in our society, I think these are all unfortunately becoming too commonplace in my day to day practice as a family physician. Please do your darnedest to avoid these diseases! It is so much better to avoid the diseases altogether, than to try to treat them once they are present. Part of your risks come from genetics, age, and sex, which I realize are not changeable. However, your physical activity and exercise habits are something you CAN change. Please do so!
I used to struggle with anxiety. I am very glad and fortunate that anxiety is no longer a constant part of me. I have been nervous and worrisome since my childhood. However, I had poor insight into the fact of how problematic this was. I assumed that the things I felt were what everyone else was feeling. I would get “butterflies” in my stomach each morning, particularly worse with school or work. When driving, this feeling of “flip flops” in my gut would happen each time I would anticipate a terrible accident when other drivers would turn or cut in front of me.
As a physician, when I patient would propose a challenging problem or symptom, I would feel the anxiety building in my mind and in my stomach. Speaking in front of crowds would create intense panic. I was so busy and hard headed to recognize that I was experiencing was pathologic. Now, however, I am blissfully anxiety-free. It took the absence of this nagging specter of anxiety for me to realize it for what it was.
My Thyroid Gland
How can this be, that my anxiety is now thankfully gone? I have a condition called Graves Disease. This is an overactivity in the thyroid gland, which is a butterfly-shaped gland that controls metabolism and growth. I was diagnosed with this after evaluation for worsening fatigue. I was placed on oral medicatios. About 3 months into treatment, my fatigue had considerable lessened. In addition, however, and totally surprisingly to me, the anxiety I had been feeling my entire life had disappeared.
Mama – This is getting boring! Move it along, please!
What is anxiety?
The medical definition of anxiety, per Merriam-Webster, is “an abnormal and overwhelming sense of apprehension and fear often marked by physical signs (such as tension, sweating, and increased pulse rate), by doubt concerning the reality and nature of the threat, and by self-doubt about one’s capacity to cope with it”.
Wow. I wish I had looked this definition up sooner, and connected the dots in myself. However, if you do not realize you are having a problem, why would you seek out a solution? I am dabbling in the concept of mindfulness and meditation in the last few weeks. If you start adopting this practice, you will become more in tune with your own symptoms. I hope that by practicing mindfulness and meditation, you will be able to recognize when something is out of balance, and seek appropriate help.
I am so grateful for my improvement with my own therapy. Looking back, I realize that coping with my anxiety all of those years taught me ways to be resilient. I learned to focus and cope through the intense physiologic response of stress. However, I would never go back to the way I felt all of those years. I feel so much more balanced, calm, and free.
My family and me at Idlewild. I am so grateful for my good health, and my ability to fully appreciate and enjoy those I love!
If you also suspect that you have anxiety (or any other condition, for that matter) I encourage you to seek evaluation by a medical professional. The first step is recognition that something is wrong. This is often intuitive, feeling something out of sorts. The job of your provider is to then deduce from your symptoms what is plaguing you. If you are currently struggling with something causing you distress, I hope that you also reach peace soon, so you may achieve balance in your work and your home life.
