Month: March 2011

  • Beltline Hike with ITE

    Today I walked two portions of the Atlanta Beltline with the ITE Young Members committee.  We saw some interesting stuff.  Here’s a sample:

    Catlanta!

  • Doctor Frustration

    Warning: The following constitutes generalizations with a sample size of “not very big”.

    Medical Doctors, it seems, don’t really want to look at me as a whole anymore. They want to look at “the problem” and fix it. Or try. Or prescribe medication until it fixes itself. I am not interested in that; I need a long-term approach to a persistent problem; this seems to be an alien thought to the specialists I’ve been seeing.

    Some background: I’ve had two back surgeries, one in 1991 when I was 17 and one in 2001 when I was 27. Both were discectomies, removing bulging discs that were pressing agains my spinal cord and causing debilitating pain. Since then, I’ve had chronic issues with my back, but not associated with the spine per se. The issues have to do with my frequent overstressing of back muscles which then put me on the sidelines for two weeks to a month.

    Additional background: Last July I pulled my calf and this caused me to defer training for the Marine Corps Marathon. It wasn’t for about two months that the calf was healed enough to let me run. Now, after training for the Georgia Marathon, I pull the very same calf muscle ((medial gastrocnemius, if you care)) and am now fed up. With both issues.

    I’ve been a mostly self-coached athlete since taking up running and triathlon. I make efforts to do the things you’re supposed to do in my position: train your core, work on stabilization, improve hip flexibility and strength. Things are obviously not working. So, it’s time to seek some professional help.

    Enter the doctors. They seem convinced of several things:

    • I don’t know what’s wrong with me
    • It’s “my back” or “my discs” ((the first doctor I saw said, “your discs are hurting.” This after I explained my relative familiarity with lumbar anatomy and the several conditions I’ve personally experienced. Kthxbye))
    • It’s something that can be treated through injections
    • It’s something they need to refer to a spinal surgeon

    Finally I gave up and said, “Just give me a referral to a physical therapist who specializes in athletes and sports medicine.” The second doctor seemed convinced that all of my issues were due to overtraining, which I suppose is possible, but there’s no way he could know that from a five minute talk with me and a very brief discussion of my training.

    Thusly, I’m a bit frustrated with the medical community right now. When I made the appointments, I tried to tell the people involved what it was I was looking for (long-term plan and approach) and almost universally I got blank silence on the phone. They seemed to be taken aback that I wanted to vet the doctor I was making an appointment with before showing up. Doesn’t anyone do that nowadays? When I picked my primary care physician, I called the group he is a part of and told the receptionist that I didn’t want to see a doctor who didn’t run at least once a week. I wanted a physician who I could trust at least had an inkling of my habits and conditions.

    Unfortunately, when I started looking around for someone to help treat my calf and my back, I discovered that “sports medicine” around here ((at least within my insurance plan)) does not mean backs. It means arms, legs, elbows, knees, etc. Also, I’ve discovered ((again, within the doctors on my insurance plan)) that “sports medicine” and “non-operative” seem to be mutually exclusive. The doctors have seemed a bit huffy when the very first thing I’ve said is that I don’t want surgery or medication. The guy I saw yesterday said, “I can recommend a non-operative back specialist in our group. He only does injections.” What part of non-operative means “injections”?

    I’ve tried to explain, up front, exactly what I want, and why I want it. I want non-operative, long-term care to take care of muscle imbalances and strains that are affecting my running. I’ve also tried to explain that I do indeed know a little bit about this stuff and that, no, it’s not my discs acting up ((Probably. I obviously can’t guarantee it)) because I know what that feels like, and it’s distinctive ((Truly. There’s nothing quite like leg pain or sensations due to inflammation around my lumbar region. Plus, if my lower back hurts, and it hurts because of a pulled muscle and not lumbar issues, then when someone palpates that muscle and I yell, it’s obvious where the problem lies)). I’m also an experienced athlete with an unfortunate amount of knowledge with these particular injuries. Lastly, it’s my body and I have an investment in knowing what’s going on with it. What I don’t know, and the reason I’m seeing doctors, is how to fix it. Or if not “fix” at least “reduce”, “mitigate”, or “avoid”.

    All of the above is my fault, however. From the very first moment I decided I need professional attention I’ve been tempted to just go to some of the sports physiologists that are associated with the triathlon club I’m a member of, or that hang around the Atlanta Track Club, etc. However, these professionals aren’t members of my insurance plan. I have no desire to spend money I don’t have to, so I would prefer to have the insurance pay the specialist I’m going to see. If I need to, though, I’ll bite the bullet and pay out of pocket.

    So, right now I’m not too keen on the medical profession. I understand why they’re geared up the way they are (no time to spend with patients, paid by the procedure, paid by the patient) but that doesn’t make me happy about it.

  • Memorable Image from Midtown

    I wonder what the dog thought about this

    Dog Footprints

  • Errant Hypocrisy Makes Bill Sad

    Today on the Political Insider:

    Cain: The role of Muslims in American society is for them to be allowed to practice their religion freely, which is part of our First Amendment. The role of Muslims in America is not to convert the rest of us to the Muslim religion. That I resent. Because we are a Judeo-Christian nation, from the fact that 85 percent of us are self-described Christians, or evangelicals, or practicing the Jewish faith. Eighty-five percent. One percent of the practicing religious believers in this country are Muslim. [editor emphasis]

    Herman Cain is from Georgia and is displaying either crass hypocrisy or an amazing unawareness of what he’s saying.

    I will remind my reader that a fundamental tenet of Evangelical Christian sects is to actively promulgate their message to nonbelievers. If you’re not saved, you’re going to hell, and there’s no middle ground.

    It always amazes/depresses me when politicians can say things like this with a straight face. Like the birther movement, you’re either ignorant or a hypocrite. There’s no middle ground.


    About eight seconds after posting this, I read this

  • Georgia Marathon 2011 – DNF

    Today I ran the Georgia Marathon. Exactly 3.8 miles of it.

    Icing the Calf
    I managed to pull my calf again. I was at the water station at on Auburn avenue when the aching in the calf became a shooting, stabbing pain. I told Jenn to keep on without me and I’d catch the sag wagon back to the finish. Thus ended my third attempt to complete this marathon course.

    I am not as philosophical about this DNF ((Did Not Finish)) as I was about the Ironman. Although it’s true that I was badly trained for this race and questioning my ability to finish, I didn’t expect to be hobbling at mile four. I thought I might have to make a call at mile twenty! For crying out loud, I nearly beat a PR in a 10k three weeks ago. To pull a muscle this badly at mile four is profoundly depressing.

    Where to from here? Professional help and treatment. This is ridiculous and I can’t put up with it any more.

    At least I picked an appropriate backdrop for the end of my shitty race.
    Appropriate Backdrop for my Race

  • A Post about Drainage – In Which I Opine with No Real Knowledge about the Legalities

    Crossposted from Talking Traffic. Please leave comments over there.

    Last weekend, I attended Momocon at Georgia Tech, primarily to see The Extraordinary Contraptions play. ((Momocon is an Anime convention and what I know about Anime can be fit onto a 3×5 index card)) I went down a bit early from the start time so I could wander around that part of Midtown Atlanta and just see what could be seen (and take pictures).

    I happened across this particular situation in an alley.
    Drainage 1

    I noticed the eroded watercourse as I walked over it and looked to see where it was coming from. I followed the water back to the hole in the concrete wall shown on the top left of the image. You can see a closeup of the hole in the following image.

    Drainage 2

    You’ll notice that this hole was not created at the time the wall was constructed. You can see rebar within the hole and it’s a rough-hewn rectangle. It’s obvious that someone came along and knocked it out to allow for water to leave the parking lot and drain away. There has been significant erosion underneath the hole. You can see a line on the wall where the level of ground used to be. This has all been caused by the drainage from the parking lot.

    Here’s a picture of the parking lot.

    Drainage 3

    You can see, in the center of this image where some debris is against the wall, the low point in the parking lot where the hole was knocked out of the wall to allow water to escape. It’s hard to tell elevations from this picture but when I was standing there, it was obvious that without some sort of drain inlet, the parking lot would develop a very deep pond until the water could seep through the cracks in the asphalt.

    Drainage 4

    This image shows where the water eventually ends up going. It drains across the alley and into a drop inlet where I assume it meanders its way through the Atlanta stormwater system to the Chattahoochee. ((You can also see an attractive woman who is suffering from a charisma modifier of -5 because she’s smoking. Why do people smoke anymore? I don’t get it! It’s expensive, a lot of people like me find it a huge turn off, and it’s being aggressively shoved out the door and into the street. Oh, and it will kill you))

    Questions that immediately jumped to mind when I saw this were:

    • What are the legalities of the owner of the parking lot arbitrarily knocking a hole into the wall (which is owned and maintained, I’m sure, by the parking lot)? Should a permit have been obtained? Is there anything actually unlawful about this situation?
    • Who owns the swath of land between that wall and the alley? If it’s the owner of the lot, then I don’t think there’s anything going on here that is wrong, per se, although the condition of the eroded drainage course isn’t something that qualifies as “good”.
    • What are the permit responsibilities for property owners within the City of Atlanta for maintaining the drainage of their properties? Is the property owner responsible for the damage that the water is causing to the alley or is that the city’s responsibility?

    Now, if I were the City, I’d want to make it the property owner’s responsibility to address the problems I see in these images. There’s obviously too much water coming through that drainage hole to be handled by a grass or dirt drainage course. The erosion demonstrates that. There should be a properly piped outlet or paved ditch that takes the water to the stormwater drainage ((This feature is what we call the difference between sheet flow and concentrated flow. Sheet flow is what you get from water draining over ground without being concentrated by natural or built features. Think a hillside or a smooth parking lot. Concentrated flow is just that, where water is channeled into a course, such as a ditch or a pipe and becomes concentrated. Concentrated flow can be very destructive if not properly handled)). Unfortunately for the property owner, I can tell that there would have to be some significant pipe installation to address the drainage here. You couldn’t just pave a ditch from the hole to the drop inlet because that would cross the alley, impeding traffic. The most proper way would be to take the water into a pipe, which is installed underground and connected to the box the drop inlet is attached to.

    If I were the property owner, I’d want the city to handle and maintain the drainage because that’s an expensive proposition. From my own experience ((very limited. I haven’t handled much in the way of local jurisdictional permitting and nothing to do with site plans and drainage)) I’d say that if this became an issue, the property owner would be stuck with the cost of addressing this problem. I think there are plenty of city ordinances and regulations that would place the onus on the property owner.

    But would such a condition arise unless someone made an issue? Probably not. I mean, the only reason I happened to be talking about this is because I was walking down the alley and noticed it. The drop inlet to which the water was draining seemed to be functioning fairly well (although a lot of that sand-colored stone you see in the image was piled up on leaves and other debris, blocking half the grate). So long as the amount of water being handled by the inlet exceeds the amount coming off the parking lot and alley, no problems will occur to the other property owners adjacent to this drainage feature, notably the apartments and houses on the left side of the image.

    I took a close look at that drop inlet to see if it had been overwhelmed during our last rain incident and it seemed like no problems had occurred. However, the inlet is in a slight declivity, which is the low point of the alley, but not the low point of the entire area. There is a small berm, shown against the rock wall in the mid-bottom-left of the image above. The other side of that berm is the back yard of a private residence which slopes toward the house, and not toward the alley. If enough water comes to that drop inlet to overwhelm its capacity (and that’s easy to do if it has a clogged grate) then the majority of that water could spill over the berm and into that yard.

    The clever or close-reading among you will immediately object to the inference I’m drawing here: “But the amount of water going to that drop inlet is independent of whether that parking lot has a properly designed outlet!”

    This is true. However, let’s postulate the following: The homeowner was flooded because the drop inlet couldn’t handle the rainfall because it was blocked. Who’s fault is that? The city’s because it didn’t properly maintain the inlet or the adjacent parking lot for causing a condition that drove significant amounts of material into the inlet?

    That, of course, would be something for the courts to decide.

    It may be that these questions have already been answered. I’m not experienced with City permitting and drainage/erosion/stormwater issues. That’s more of site engineer’s bailiwick than an transportation engineer’s. These are the kinds of things I think about as I move around our built areas ((Yes, I’m a geek)).

  • Momomocon 2011 – The Extraordinary Contraptions!

    The Extraordinary Contraptions

    Even with crappy lighting and a weird and echo-ey setting, these guys sound good.

    A few other images at my flickr set

  • Georgia Marathon

    Tomorrow I run the Georgia Marathon. The course map is here (pdf) if you want to come cheer me on. You can figure I’ll cross the start line around 7:10 AM and be maintaining a 12:00 per mile pace (more on that in a second). So, if you happen to be at any location on the course, look for me. I’ll be wearing a blue shirt, red shorts, and a visor. Pretty much exactly this outfit ((Jennifer, also pictured here, although she’ll be wearing something else, will be running the half marathon tomorrow)).
    Peachtree Road Race 2008

    I’m predicting this race to be the most painful I’ve ever experienced.

    First, a little history: I have had great trouble completing training programs for marathons. This makes the 5th marathon I’ve trained for, but I’ve only completed one. I’ve trained for this very race three times, but have had to back out twice.

    The reasons why have been various. Injury. Laziness. Illness. They’ve all contributed. This year, I decided that despite my training being fubar ((Oh, and I haven’t been blogging much so I didn’t tell you that the 20 mile training run on that schedule was cut in half due to a calf pull and I haven’t run since. Tomorrow is going to be soooo much fun)), I was going to run the bloody race no matter what. Even if by “run” I mean, “slowly jog, then stagger, then walk” until I’m done.

    So I will line up tomorrow in my corral and set off on a pace that will not exceed 12:00 minutes per mile. I will husband and cherish and baby my strength so that I can try to get through this race without being a total wreck. I’m confident that I’ll finish. I’m not confident that I’ll be happy about it, at least, not in the miles leading up to the end.

    Wish me luck. Or come cheer me and my 17,999 closest friends on!

  • Been Busy

    I’ve not been doing much besides working eating and sleeping the last while. During that time I compiled quite a list of “things to blog about”. In order to clear the backlog, I present

    A list of things I thought were interesting over the past week which I didn’t have time to blog about and is presented with little (if any) comment