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I spoke to Dr. Nilesh Shah, a sports medicine physician for Summa Health, who is the medical director for the marathon as well as team doctor for the Akron Rubberducks and Kent Roosevelt High School, and Laura McElrath, vice president of operations and race director for the marathon.
This is an edited version of the interview. There is also a Now You Know Akron podcast and a video available.
Laura, most Akronites are aware of the “blue line” race route, but give us some highlights
The FirstEnergy Akron Marathon is part of the Akron Marathon race series, which is a three-part series that spans the summer. There is a one mile and 8K in June, a 10K and half marathon in August and full marathon, half and five-person relay on Sept. 24 and a kids one-mile fun run on the night before the race.
We’re still kind of coming out of the COVID world. We’re anticipating aout 8,500 runners this year and we’ll have spectators and volunteers out on the course.
Tell me about the spectrum of people who come out and participate
We have an elite category where we choose 40 to 60 athletes. A lot of people don’t realize runners come in all shapes and sizes.
The full marathon course (which is 26.2 miles) is open for 6.5 hours, so that’s about a 15-minute-per-mile pace. The half marathon (which is 13.1 miles) is open for 3.5 ours, or about a 16-minute pace.
Sometimes people can get scared of the idea of a big event and think they need to run sub-5-minute miles or sub-6-minute miles, but we try to open the course for as long as we can to welcome all abilities to the race.
Dr. Shah, what advice do you have for people who are motivated to start running or walking?
A lot of people read or hear that when they talk about starting a new exercise regimen, you should consult your doctor. Should you really consult your doctor? Undergoing a stress test and seeing your doctor is usually unnecessary for the vast majority of people looking to start a light to moderate exercise program.
As long as they increase slowly and increase appropriately, they don’t need to see their health care provider. But there will be some people who haven’t done a thing in two years, especially with COVID, and if you have some specific concerning symptoms at rest or with exercise or you have a certain medical condition, you might want to see a physician. Things like chest pain or chest pressure with exercise, neck or jaw or left arm pain specifically with exercise, shortness of breath, unusual fatigue, ankle swelling or shortness of breath during the night or a dizzy feeling while exercising. Medical conditions would include previous heart issues, kidney issues, lung issues and diabetes.
If you don’t have any of these issues, but start having any while exercising, see a doctor.
Start with a walk-run program. Start with 15 minutes and break that into five-minute segments. Walk for four minutes and run for one and repeat. Do that three times a week and have a day off every other day to recover.
If that went well, then change that five-minute ratio to walk for three, run for two. Keep adding a little more running until eventually after about four weeks, you’re running 15 minutes straight and then you can kind of play with your numbers. There’s a lot of online tools like Couch to 5K or other things to slowly work your way up.
I work out, but I hate running. I’m grumpy the whole time and can’t figure out whether to breathe through my mouth or nose. Any advice for others like me?
Choose what you like. Don’t force yourself into being a runner. Yes, we have all these great races in the Akron Marathon and they do great job with including everybody. But if running’s not for you, running’s not for you. I’d rather someone do something. If they say, “Oh, I’m just not gonna run and then forget it, I’m just gonna sit on the couch because I don’t wanna go run,” I’d rather you get on the elliptical or the rowing machine or a bike.
When it comes to breathing, I tell people don’t force that either. Don’t think about it. When you get tired, you get tired and you’re going to get air in however you can.
(McElrath also suggests slowing your pace if you have trouble breathing; you might be trying to run too fast.)
What are some tips for protecting your feet and protecting yourself from shin splints?
The most important thing is a good pair of running shoes. We have a lot of running shoe specialty stores in our area and people there are very knowledgeable.
I tell my patients, try on 10 pairs of shoes or as many as they’ll put out for you. They’ll let you go run outside. Don’t just walk around three steps in the store. Once you narrow them down to one or two, try one on each foot.
You might spend a little extra money at these specialty stores, but I think you’re paying for service and knowledge. Also, have a good pair of running socks. It’s amazing how much socks can make a difference.
You also need a good warm up and to me that is not just a static stretch of putting your leg up on something or stretching your hamstrings. It’s a dynamic warmup with arm swings, leg swings, jumping jacks and side to side motions.
Then afterward, for your cooldown you can do a brisk walk or a little bit of static stretching.
I’ve heard there can be chest-area chaffing issues. Any advice?
There can be a lot of chaffing issues if you run for too long. It’s not only on the chest, but under arms and between the legs. If you run long enough, that can become a problem. There’s good stuff like skin lube to put in the hot spot areas and even for your feet if you are prone to blisters.
What about diet and water intake?
Hydration wise, if you’re going for an hour or less, you probably don’t need a lot of excessive water or even an electrolyte replacement drink. I tell people drink 8 to 10 ounces of water a couple of hours before you go run and then maybe another 8 ounces about 15 minutes before you go, then usually 8 ounces for every 15 minutes that you’re out there.
If you’re going for longer than an hour, then you probably want to do some type of electrolyte replacement drink. For the salty sweaters, or those who have a higher salt concentration in their sweat and where you can see a salt ring on your hat or clothes after it dries, they need to just replace that salt a little bit more and that won’t be enough just by drinking something like Gatorade. Those people might need to take some salt tablets to replace those electrolytes.
Laura, any other tips for beginning or moderate runners?
We do have a couple of training plans on the Akron Marathon website, www.akronmarathon.org.
Dr. Shah, for people who have been prepping for the marathon, what tips do you have for them in the final weeks? Should people be carbo-loading the night before?
If you’re really going to do carbo-loading, the way it’s really prescribed is it’s really almost carb restriction initially and then leading up into the early part of the week, actually carbo loading early in the week, which is really kind of cumbersome for most people.
Honestly, it’s probably not necessary. Good hydration and good sleep is the most important thing. Most of us don’t get good sleep and recovery and rest.
For our training and our job and our families, that’s usually the thing we skimp on. Get a good night’s rest, not just leading up to the race, but through your training.
For race day, practice with some type of carbohydrate replacement. For the marathon, we have gels on the course, so make sure you know which we use (GU salted caramel and tri-berry gels) because everybody’s stomachs are different in what they tolerate. Practice with those on your long runs.
Laura, any other tips as people head into race day?
Don’t try to pack in all your training in those last 10 days before race day. It’s best to rest and be recovered and then be ready for race day. Make sure you’re taking care of your body during those days instead of trying to fit in the last long run or hard workout.
Beacon Journal consumer columnist and medical reporter Betty Lin-Fisher can be reached at 330-996-3724 or blinfisher@thebeaconjournal.com. Follow her @blinfisherABJ on Twitter or www.facebook.com/BettyLinFisherABJ and see all her stories at www.tinyurl.com/bettylinfisher
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The FBI explained on Thursday that the modern use of marijuana—and even CBD—automatically disqualifies people from operating at the federal company. Individuals intrigued in becoming a member of FBI ought to have abstained from consuming cannabinoids, which include the non-intoxicating variety, for at minimum a …
OYEN Psychological Wellness Centre aided conserve the lifetime of Edgar Hernenio Garcia of Portland who became suicidal after transferring from Guatemala to Oregon.
Garcia, who lives in Portland, only speaks Spanish, and the language and cultural boundaries he confronted when relocating from Guatemala to Oregon built adjusting to his new lifetime difficult.
Soon after encountering an array of hardships, Garcia stated he became suicidal.
“I was at the place in which I desired to just take my have lifestyle,” Garcia reported, as a result of a translator. “I genuinely essential psychological assist.”
Obtaining OYEN a very little extra than a yr back “motivated me to be much more beneficial in everyday living, to commence about,” claimed Garcia.

From a crisis reaction staff to statewide mental overall health clinic
OYEN, located on North Arney Road in Woodburn, is the only fully bilingual and bicultural psychological wellness clinic in the condition of Oregon. All therapists at the heart are users of the Latino group who are experienced to supply culturally responsive treatment.
Because of the language barrier he confronted, Garcia mentioned he did not know how to get assistance right until he found OYEN.
“That’s why occasionally we stay quiet,” reported Garcia.
It commenced in 2020 as a mobile mental overall health crisis workforce to assistance various local community users impacted by wildfires. OYEN Emotional Wellness Middle was co-established soon just after by Anthony Veliz and Melinda Avila.
“[We] had been motivated due to the substantial want and need in our group for culturally and linguistically proper therapy,” claimed Veliz.
OYEN employs therapists who have shared lived activities with several of the clients. They companion with other local community-primarily based businesses that serve the concentrate on communities they do the job with. They also perform to decrease stigma all-around mental well being care by shifting the language they use, contacting it psychological wellness, not mental health and fitness.
OYEN supplies therapeutic solutions, like teletherapy, children’s remedy, and partners sessions. They schedule appointments in the evenings and on the weekends and serve consumers of all ages statewide. Report:Kids in Oregon, nationwide ‘definitely are a lot more stressed’
“OYEN understands our group needs overall flexibility, so we provide our customers when they need to have it,” explained Veliz.
OYEN accepts most coverage ideas, including Oregon Wellbeing Prepare. If a shopper is in a psychological overall health crisis, there have been circumstances in which they have made exceptions and presented treatment despite insurance policy status by applying exterior funding.
People today trying to find mental overall health products and services can attain OYEN at (503) 395-4224 or email information@oyenwellness.com

‘We can relate to them’: The value of culturally mindful treatment
OYEN therapist Jose Arredondo Araujo moved to the United States from Mexico when he was 12. Not however recognizing how to discuss English, he reported it was tricky to sense welcomed whilst adjusting to a various tradition and trying to find out a new language.
“I normally wished to join to a person, just to feel welcomed in the neighborhood,” said Araujo.
His expertise built him comprehend there were being not a ton of psychological wellness assets for the Latino neighborhood, and that motivated him to go after a career in social do the job and clinical counseling.
Psychological health treatment can be hard to arrive by for people who do not converse English and acquiring a therapist that understands your cultural needs and experiences can be at any time more challenging. Araujo said that possessing culturally skilled therapists is what makes OYEN so special.
“We can relate to them. We speak the exact same language,” Araujo reported.

What remedy seems to be like
OYEN does not believe in a a person dimensions suits all product of care, stated Veliz.
“OYEN is fully commited to meeting our consumers where by they are at, both emotionally and bodily,” Veliz reported.
OYEN therapists make certain clients are knowledgeable of what to be expecting in the course of their periods and assure them that it is Ok if they do not know where to get started.
Araujo says he likes to have shoppers identify what can help them the most, or if they never know, they operate together to uncover it.
“It’s a collaborative method,” claimed Araujo.
Therapists can enable clientele with troubles this sort of as stress and anxiety, despair, adjustment, anger administration, as very well as factors that can aid them transition into the local community, like getting a library card or a bus go.
OYEN therapists test to normalize the practical experience for consumers and make them really feel at ease in getting a conversation. Araujo said he tells his customers for the duration of early classes: “What you are going by way of, it is a normal reaction.”
Araujo believes that OYEN is truly generating an influence in the community and stated he has seen the benefits with his clients.
“It’s just been an incredible journey,” reported Araujo.
A person these customer is Garcia, who explained he feels he is performing a lot much better than he was a calendar year in the past.
“They aided preserve my lifestyle,” explained Garcia. “I’m so grateful.”
Sydney Wyatt addresses healthcare inequities in the Mid-Willamette Valley for the Statesman Journal. You can contact her at SWyatt@gannett.com, by telephone (503) 399-6613, or on Twitter @sydney_elise44 The Statesman Journal’s coverage of health care inequities is funded in portion by the M.J. Murdock Charitable Believe in, which seeks to bolster the cultural, social, educational, and religious foundation of the Pacific Northwest as a result of potential-making investments in the nonprofit sector.