
Went to the podiatrist yesterday to deal with the pain around the neuroma, and things started out badly when I was informed that the referral from my primary care doctor (or bumbling intern as I remember) had expired, which meant I was going to be billed the full amount for my appointment instead of the usual co-pay. I could have spent an hour on the phone there to get around it, most of it in voice-prompt-auto-response hell, but I decided to forego it and just pay the bill at the end.
My podiatrist is named Marvin, and we go back at least a year and a half now. On the surface he's what you would expect; a cranky and cantakerous man who has chosen a career that inevitably involves dealing with old, damaged feet, usually attached to ailing diabetics or the nursing home set. But he leads a double life. While I was at least 20 years junior to everyone else in the waiting room, when I was led back to a different examination room than usual I found myself surrounded by countless University of Arizona sports team posters. Cross-country, track, volleyball, basketball, the list goes on, all signed by the athletes this grumpy fellow has helped over the years.
We've hit it off since my first visit, where I complimented his wife's paintings, which decorate much of the practice. I could tell who taught her by the style of artwork and the framing, and her mentor happened to be someone the art gallery I work for represents. When we get tired of talking about my smelly foot our conversations can drift aside to art and then back again.
After going over the problem we decided to go the conservative route, which involves building up the metatarsal pad a little more in my racing shoe. He added to it with a different color, so I could strip it off if it bothered me. Any big movement to the left or right could produce a bigger problem race day, which wouldn't be good. He believes that lower mileage, plus ibuprofin and ice if necessary should allow the swelling around the nerve bundle to recede, which should mean little to no pain on race day, but probably some numbness.
Now it's time for him to have some fun with me. This fellow is into orthotics and motion control shoes for those who need them, and approves of my usual 13 ounce Brooks Adrenaline training boats. "So, Michael", he says as he starts to examine the flimsy Asics DS trainer I've decided to race with, twisting and contorting the shoe with relative ease, then bending it at the midsole and holding it with one hand to prove a point, "why have you chosen to use these shoes for a 26 mile race?" "Don't make me say it", I beg. "Michael, this is my office and I'm entitled to ask you these things to effectively treat you". I start to stammer, "I know, I know, the weight I save doesn't make any difference, think of the increased pounding your body will take over that long a distance, etcetera etcetera". He starts to smile a little. I go on, "But lifting three extra ounces, 180 times a minute, over 155 minutes if I'm lucky, that adds up." He gives me the "that's really your answer?" look for a moment, then graciously lets me off the hook. "That's all I wanted to know".
I exit his office and return to the front desk, readying myself to fork out the going rate for Johnny-off-the-street-no-insurance. "Dr. D says there's no charge today".
In his own way this guy roots for me, even as he admonishes me for the potential damage I'm doing to my feet and the rest of my body. As I'm driving home I realize that my family has been doing the same thing, and that supporting someone and worrying that they may go too far aren't mutually exclusive. A guy shouldn't have to learn this from a podiatrist, but I can be a bit thick sometimes.
"There are those who can run and there are those who cannot", he mentioned to me once, referring to the complex biomechanical struggle many face in this sport. "I think I'm probably somewhere in that gray twilight in-between" was my response.
I ran 8 miles today in the race shoes, easy, but with two miles at marathon pace. This is Lydiard's last scheduled time trial before the race, and it's also part of Pete Pfitzinger's last week in his schedules. I ran the two miles at six minute pace, but didn't pay too much attention to the numbers as I tried to use the time to dial in what race pace feels like. Truth be told, it felt a little fast, but on race day it will hopefully be fine, along with the foot.
Training: 8 miles, 56:48, 7:06 pace, with 2 miles at 6 minute pace.



