Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

Triathlete defies odds, qualifies for world championship after grueling half Ironman race

Dinesh Arab, MD
Physician
July 3, 2023
Share
Tweet
Share

Rick Taylor was swimming the race of his life. The Virginia half-Ironman (70.3 miles) was underway, and Rick swam the 1.2-mile course in the Carvin Cove Reservoir in 30 minutes and 43 seconds, coming out of the water first in his age group at a blistering pace of 1 minute and 35 seconds per 100 m (1.36/100 m). What was more incredible was that his heart rate through that effort was an easy 109 beats per minute. He was warming up. The heart rate in long-distance racing is like an RPM meter in a car; you want to have it as low as possible in the initial part of the race. If your heart rate gets too high too early, you can accumulate lactic acid, which affects muscle contraction and possibly end your race. To put the swim in perspective, the swim speed of top professional athletes is between 1.10/100m and 1.25/100m depending on the course.

Rick turned 52 this year and became a grandpa last year. I met Rick through his wife, who is a pharmaceutical representative. He reminded me of a younger version of Bruce Willis, with his dry humor and one-liners. The amateur circuit for triathlon racing is an intense one. While the professionals have to only train and concentrate on nutrition, the amateur racer balances training with a full-time job and family obligations. There are no endorsements, crowds, or large prize monies at the end of the race. The training is brutal, to say the least, with early morning 4:30 am starts and the weekends chewed away with the longer distance 60-mile rides and 12-mile runs. The half Ironman distance is a 1.2-mile swim, 56-mile bike, and 13.1-mile run. The full Ironman is double that distance.

Rick’s journey was challenging. He was racing his first Ironman 70.3 a few years ago and was near the end of the race when he cramped up and almost had a seizure. He was hauled into the medical tent and needed IV fluids to stabilize him. The second time, training harder and convinced he had a better grasp on his nutrition, he managed to rupture his Achilles tendon as he ran out of the water, tripping on a hole in the beach. He needed surgery and was laid up for a few months, during which he put on weight and drove everyone around him crazy. He returned to training with a renewed focus and, during a particular training session in the hills, proceeded to cramp up again and almost passed out. He was whisked away to a local hospital by ambulance. He texted me from the hospital bed, asking me whether it was safe for him to sign out of the hospital, as they wanted to keep him for additional tests. The standard joke among the group was while others would acquaint themselves with the race course, Rick would familiarize himself with the medical tent personnel.

The answer was straightforward from a medical standpoint. Rick needed to replace his electrolytes faster. Humans sweat to lose heat. The average athlete loses up to 1000mg of sodium an hour, which varies with the temperature, humidity, and wind speed. He decided to take a sweat test, something professional athletes frequently do, to determine their sweating rate under different conditions. Rick, as expected, was an outlier, and armed with his new data, he doubled his electrolyte rate. He lost weight, got a new bike, and redoubled his training.

Back to the race, Rick finished the 56-mile bike ride with 3967 feet of elevation in three hours and four minutes, averaging a speed of 18.1 miles per hour (28.9 km/hr). His maximum speed on the descent was 45.2 MPH (72 km/hr). When you think of these speeds on a bicycle, with turns, surrounded by other racers, and visibility of 30 feet at best due to the mist, the sheer insanity of the race comes into perspective. His average heart rate through all this excitement was 126 BPM.

Rick wasted a few minutes as he stopped to pee, one of the issues with getting older. The younger ones pee on the bike, but the prostate in us more senior men puts an end to those shenanigans. He finished the half marathon in an hour and 40 minutes, finishing sixth overall, with an average heart rate of 140 BPM. The first-place finisher in the 50-year-plus age group completed the half marathon in an hour and 30 minutes. The whole race had taken Rick five hours and 11 minutes, with a 3,500 kcal burn.

Many of our friends think that older triathletes are going through a mid-life crisis. It is a mid-life awakening: the realization that health is an essential asset that will dictate how we spend the finite time ahead. Rick qualified for the world championship in Finland, where he will race with stronger, leaner, and badder grandpas. As for me, I am happy to hang in the back; I know I will catch the leaders at the breakfast cafe after the race.

Dinesh Arab is a cardiologist.

Prev

Unmasking physician burnout: a survivor's story and solutions for a healthy medical profession

July 3, 2023 Kevin 0
…
Next

Fourth of July daredevil fireworks mishap: a tragic tale of loss and redemption

July 3, 2023 Kevin 0
…

Tagged as: Cardiology

< Previous Post
Unmasking physician burnout: a survivor's story and solutions for a healthy medical profession
Next Post >
Fourth of July daredevil fireworks mishap: a tragic tale of loss and redemption

 

ADVERTISEMENT

More by Dinesh Arab, MD

  • Why lab-grown meat matters: USDA approval and environmental impact

    Dinesh Arab, MD
  • The Djokovic saga: Vaccination policies revisited

    Dinesh Arab, MD
  • Unveiling the game-changing diabetic drugs: Revolutionizing weight loss and diabetes management

    Dinesh Arab, MD

Related Posts

  • Doctors as the gatekeepers of marijuana is a race to the bottom

    John Schumann, MD
  • How do we talk about race, racism, and white supremacy without screaming at each other?

    Jacques Ambrose, MD, MPH
  • Against all odds: How two cities tackled the COVID-19 crisis

    Michael Fine, MD

More in Physician

  • 3 reforms to counter wellness influencers in practice

    Farid Sabet-Sharghi, MD
  • Choosing a limb lengthening surgeon requires accountability

    Hrayr Basmajian, MD
  • How to reassure patients: 5 steps beyond normal tests

    Devina Maya Wadhwa, MD
  • Setting boundaries as a physician doesn’t mean caring less

    Jerina Gani, MD, MPH
  • How emergency medicine decision making works under pressure

    Geoffrey Mount Varner, MD, MPH
  • Why I stay in emergency medicine: a dancer at nearly 100

    Howie Mell, MD, MPH
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • 4 fibromyalgia myths the current evidence doesn’t support

      Kayvan Haddadan, MD | Conditions and Diseases
    • AI governance in health care has to reach the exam room

      Amanda Heidemann, MD | Health Technology
    • The Pennsylvania measles outbreak and the cost of forgetting

      Christine King, CRNA | Conditions and Diseases
    • 12 psychiatrists missed my medication-induced psychosis

      Scott Standage, MD | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Stigmatizing language in medical records harms care

      Monica McEathron | Patient
    • Improving patient access starts with board governance

      Donna Harvin‑Graham, MBA | Patient
    • Drought and antibiotic resistance are linked in new study

      Benedette Cuffari | Conditions and Diseases
    • Pain score after surgery should not define recovery

      Dr. Girishkumar Modi | Conditions and Diseases
    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • 4 fibromyalgia myths the current evidence doesn’t support

      Kayvan Haddadan, MD | Conditions and Diseases
    • AI governance in health care has to reach the exam room

      Amanda Heidemann, MD | Health Technology
    • The Pennsylvania measles outbreak and the cost of forgetting

      Christine King, CRNA | Conditions and Diseases
    • 12 psychiatrists missed my medication-induced psychosis

      Scott Standage, MD | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Stigmatizing language in medical records harms care

      Monica McEathron | Patient
    • Improving patient access starts with board governance

      Donna Harvin‑Graham, MBA | Patient
    • Drought and antibiotic resistance are linked in new study

      Benedette Cuffari | Conditions and Diseases
    • Pain score after surgery should not define recovery

      Dr. Girishkumar Modi | Conditions and Diseases
    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...