Here are a couple of scanned pages from a booklet titled Outcomes which was handed out at a recent Grand Rounds session at Fairview Hospital which is where I had my bypass surgery. Click on the image to enlarge it to readable size. The picture is me dancing with my daughter at her wedding which was in a beautiful outdoor setting near Chagrin Falls, Ohio. The article is a fairly accurate rendition of what happened to me on June 3 last year. I was told, however, that it was more like 15 minutes between the time my heart stopped and when it was restarted. There is no mention of my adoption of a plant-based diet in a quest to keep my vein grafts patent. Also, well-before the 12 week mark (sternum healed rock-solid), I was back to limited weight lifting. I have been progressing my workouts, and the spinning class that is mentioned is now up to two hours and is very intense. Many of my workout mates are triathletes. I run trails with my pooch, Casey, and lift heavier weights than the typical 20-40 year old at the place where I workout. I have been lifting 2 or 3 times a week, spinning twice a week, doing yoga a couple of times in between, and playing tennis several times a month. Not bad for a guy whose ER report listed the diagnosis as "Sudden Clinical Death." Both my cardiologist and surgeon (identified in the article) say that I suffered a plaque rupture which is an acute (sudden) event where a narrowed portion of a coronary artery splits and results in formation of a clot which acts effectively as a cork in the particular artery (in my case, the trunk of the left main -not good!). How fortunate (blessed) was I to have a cardiologist and pediatric intensivist within a few yards?

Hiking at Sunrise

Here are a couple of shots taken by my hiking buddy, John Shaffer, at River Styx Park a couple of weeks ago. We meet for a sunrise hike once a week no matter the weather. This day, it was about 5 degrees when we started. I'm carrying my pooch, Casey, after he came up limping with ice balls between his toes for the second time. The first time, I thawed his foot with my ungloved hand. The hand stayed cold so the second time he limped, I figured the over the shoulder carry was better than frostbite. He didn't seem to mind!

My New Way of Eating

After my cardiac "event" last summer (more on that in a subsequent post), I investigated what I could do to improve my lot. My search led to Dr. Caldwell Esselstyn, http://www.heartattackproof.com, a Cleveland Clinic surgeon who resolved to find a way to prevent disease rather than default to surgery and/or heavy medications. He emperically proved that a vegan diet not only prevents heart disease but reverses existing pathology.

Many people have asked me about the tradeoffs resulting from such a strict approach to diet. Other than the inconvenience of having to explain special requests when eating out, I don't consider any of the effects a negative. My weight has stabilized near what it was during my college years, and I have the same strength measured by resistance training that I had on my formerly omnivorous diet. My wife and I have discovered and invented dozens of new recipes and our meals at home have more variety than ever. The foods have also had a miraculous effect on my blood lipid and glucose levels.

Check out Dr. Esselstyn's website. His son, Rip, an Austin, Texas firefighter and former national swim and triathlon champ, also has a book out, The Engine 2 Diet, that explains how he transformed the health of several of his workmates with a vegetarian approach to their firehouse meals.

Steph and Matt's Wedding Day

My daughter, Stephanie, and new son-in-law, Matt Corbett, were married on Saturday. It was a beautiful ceremony and the reception was on a huge outdoor terrace. Here is one picture of Matt and Steph dancing and I will post one by the official photographer as soon as his are available.

Time to Get Out on the Lake

I haven't had my sailboard out yet this year. This shot as I am just working away from shore is from the upper deck of a rented house on the Sound side of Cape Hatteras near Avon. Here in Ohio, we sail on local lakes. Windsurfing is a great sport calling for balance and strength, and balance in the context of appreciation of the cues of the shifting elements is the primary factor. The sport is all about planing- the point at which the bottom of the board pops up and skims the surface. As I am slogging upwind in this picture to "get out," I am not yet planing. A windy day here in NE Ohio provides the opportunity to move in the elements. It doesn't require a trip to the coast.

Red-headed Woodpecker

This is the only eastern woodpecker with an entirely red head. Beautiful. We had a pair at our feeder for a few days. They are relatively rare around here. We have red-bellied, hariy and an occasional pileated as well. The crow-sized pileated are not seen at our feeder but rather ripping large holes in rotting trees as they dig for ants.

The woodpeckers depend on the life cycle of the forest. The trees succumb to insect, fungus and other predatory life forms. Some are just touched up and used; others lose the battle and begin to return the carbon and minerals to the forest floor. The woodpeckers thrive on the middle stage when insects and their larvae inhabit the dying or dead wood.

Book Reviews

These two books are targeted to my demographic (aging fitness buff) but are filled with advice that should interest athletes of any age who are trying to stay in the game as long as possible. Roy Wallack authored Run for Life and co-authored Bike for Life with Bill Katovsky. Both books share the core premise that there are things that one can do to extend (or shorten) the number of years available for reasonably competent running and biking though much of the advice has general fitness application. What attracted me to the books is that the authors are not only credentialed athletes, but that they did lots of homework. The medical/technical information is cutting edge. Recent research shows that we can generate the stuff of youth (growth hormone, for example) with specific kinds of training. I also liked the profiles and interviews of folks who are showing what can be accomplished. Lots of inspiration there. Both books emphasize the necessity of strength training, the restorative and corrective benefits of yoga (Steve Ilg appears in text and demo photos–the authors couldn't have done better than tapping one of the seminal teachers of the wholistic approach to fitness), and the balance achieved by cross-training.

I was pleased to see that the authors are onto the revelation that less exercise (if intense) can be more so long as the less is in the form of power intervals: brief bursts of maximal effort embedded in a relatively short workout. These can be 30 second sprint bursts followed by 2 minutes of slow recovery on moving or stationary bike or running. Intense weight lifting has the same effect and that effect is the release of HGH; that's right, human growth hormone. Long, slow distance running and cycling don't have that effect. Hitting the pavement for a few miles a day is not enough for most of us to preserve muscle mass. And prolonged aerobic exercise produces oxidative stress or as Running for Life interviewee and former champion triathlete and "runaholic" Mark Sisson puts it, "continuous systemic inflammation that was severely suppressing my immune system . . leaving me soaking in my own internal cortisol (stress hormone) both . . . [and causing] increased oxidative damage that was tearing apart my muscle and joint tissue" (129). I am a bit biased in favoring advice from Mark as he is an advocate of the evolutionary fitness approach that looks to pre-agricultural human adaptations to formulate what we should be eating and how we should be exercising (that's a big subject for another post but check out Mark's blog which is linked to the right as Mark's Daily Apple).

I appreciate the pragmatic approach of the authors. They have surveyed the field to see what has and is working for athletes who defy the aging curve, and they are not shy about exploding myths and confronting the fact that the endorphin high that addicts so many to long and repetitious workouts and high carb diets has a steep downside. Without the muscle mass preservation of resistance training, the postural, range of motion, and meditative benefits of yoga, and the hormonal drive enhancement of interval training, the very long slow stuff will grind one down. Get either or both of these books to find out how to remain fit in a balanced, tech-savvy way. Roy and Bill have done a ton of reading and research for you.