Saturday, June 19, 2021

An Offal Burrito!

 
latimes.com
On January 14, 2021, Shelby Houlihan, American record holder in the 1500 meters and 5,000 meters, was informed that she tested positive for a banned substance called nandrolone (19-norsteroid potent anabolic steroid). Anabolic steroid is a compound somewhat like testosterone, a hormone that can boost strength by helping muscles bulk up. At low levels, it’s natural in males and to a lesser degree in females, and is part of a family of compounds involved in the synthesis of testosterone, which occurs in the testes of men and in the ovaries of women. It is also found in pregnant women. 
 
Houlihan received a four-year ban from competition from the World Anti-Doping Agency (WADA) and on June 11, 2021 she lost her appeal in the Court of Arbitration for Sport (CAS). She has been tested approximately 100 times since 2016 and has never tested positive nor missed a test in that time.1
 
Houlihan was not pregnant. She believes the result came from a pork burrito purchased at a food truck near her home in Beaverton, Oregon, and ate the night before the 6 a.m. test. Obviously, many people reacted with skepticism, sarcasm and dismissed her claim. But what if she is correct? Is it true that a pork burrito can contain nandrolone?
Can pork burritos even contain nandrolone?
As crazy as it seems, yes, if the pork comes from an uncastrated hog. Nandrolone and related compounds do occur naturally in meat, especially offal of male animals, particularly uncastrated hogs (boars). And while boar meat is a small fraction of the overall pork supply (in the United States, nearly 100 percent of male pigs are castrated.2), “small” isn’t the same as “none.”
 
Offal is the entrails or internal organs of an animal used as meat. If you’ve ever eaten liver, you’ve eaten offal. Houlihan claims that she ordered a carne asada burrito (which should have been beef) but got something unusually greasy and not like normal carne asada. She believes she was accidentally served a pork burrito made from pork stomach meat at the food truck. Houlihan has the receipt and the iPhone tracking data to substantiate her purchase at the food truck. The proprietor of the food truck stated that they use pig stomach in two of their burritos.3

Did that one burrito contain enough nandrolone to cause her to fail the test? 

 According to the Handbook of Experimental Pharmacology, the steroid (nandrolone) has been used in breeding and is produced naturally in some animal species, including boars, but that "the likelihood of ingesting steroid-contaminated food must be considered slim."  However, there are studies that have demonstrated that "slim" doesn't mean impossible.

In one study, three male volunteers agreed to consume 310 g (11 ounces) of boar offal. We don’t know the weight of the burrito that Houlihan ate, but we can estimate. A standard Chipotle restaurant brand burrito weighs 17 ounces.4  So we can safely use 17 ounces as an estimate for her burrito.

The three men delivered urine samples before, during and 24 hours after eating the offal. Ten hours after eating, nandrolone concentrations in urine reached 3.1 to 7.5 microg/L – enough to trigger a positve nandrolone test result. The researchers concluded: eating tissues of non-castrated male pork might induce some false accusations of the abuse of nandrolone in antidoping.” 5

Additionally, another study found that it was possible that unknowingly ingesting boar offal can produce positive test results. The researcher concluded: “Although highly improbable, athletes should prudently avoid meals composed of pig offal in the hours preceding the test since the consumption of edible parts of a non-castrated pig has been shown to results in the excretion of 19-norandrosterone (nandrolone) in the following hours.”6

Finally, in order to differentiate between synthetic (drug) and natural (boar offal) nandrolone a lab must test specifically for the difference. The use of isotope ratio mass spectrometry is the only way to distinguish and prove the origin of nandrolone.7   Houlihan’s urine sample was measured at the parts per billion level which established the presence of nandrolone but not its type nor its origin. 
 
outsideonline.com

Houlihan’s Response:

“… the lab never accounted for this possibility (ingesting pork offal). They could have reported this as an atypical finding and followed up with further testing.”

Houlihan also passed a polygraph and had a hair sample analyzed by toxicologists.

WADA agreed that test (hair sample) proved that there was no build up of this substance in my body, which there would have been if I were taking it regularly. Nothing moved the lab from their initial snap decision... I also believe it was dismissed without proper due process.” 8

The Judgment:

A three-judge panel from the Court of Arbitration for Sport ruled against her. All they said, in a brief May 15 press release was, The CAS Panel unanimously determined that Shelby Houlihan had failed, on the balance of probability, to establish the source of the prohibited substance.”

Anti-doping organizations and the Court of Arbitration for Sport have generally declined to entertain arguments about contaminated meat unless the athlete can provide a sample of the meat for testing.

On January 29, 2021, Sports Resolutions (an arbitrator) ruled against Kenyan long-distance runner James Kibet. Kibet claimed that he tested positive for nandrolone after ingesting pork fat. He informed anti-doping regulators that the meat in question came from a shop called "Glorious Pork Joint." Kibet provided additional evidence to support his claim, but the arbitrator said he did not provide a sample of pork fat from that location to be analyzed and therefore "failed to prove that the pork fat he allegedly consumed contained nandrolone."9

Houlihan plans to appeal the decision to the Swiss Federal Tribunal, but that process would take months and require hiring a Swiss lawyer.

My 2 Cents

If the US food supply is tainted with nandrolone, then WADA and the AIU need to change the level needed to trigger a positive test or mandate that athletes not eat certain foods.

Or tell athletes that if they do eat those foods and test positive, they are out of luck unless they provide a meat sample.

But in the meantime, they should re-verify the initial screening results with an isotope ratio mass spectrometry test to determine the type and origin of nandrolone, especially if the athlete has a long history of negative results on doping tests.

Finally, athletes should NOT eat pork, especially from food trucks!

[NOTE: I am a vegetarian and, all the research – especially on boar offal, - makes me very happy I am!]

clipartlibrary.com
 

Sources:

Tuesday, June 15, 2021

“You only live once …

Last Sunday I passed one of my “bridge peeps” – the people who run, walk, or cycle the Beach Blvd. Bridge – she was walking towards me so we greeted one another. On my second lap, we again passed one another. I was ready to give my usual “second-pass” greeting, (“Have a great day!”) when she said, “You are my inspiration!” 

I responded, “And you are mine!”

She laughed and said, “We must be doing something right.”

Comedian Fred Allen once said, “You only live once but if you do it right, once is enough.”  I don’t know all their names but I been fortunate to come across many runners who “do it right.” Their impact has nothing to do with their great speed or phenomenal distances covered. Their impact has everything to do with their apparently trivial actions, words, or, even simply, their presence. They clearly demonstrate the value of this “one life.”

My brief intersection in with the lives of these few runners (and one spectator) added value to my life. I am so thankful our paths crossed.

Photo credit: c-ville.com 
“Running Man” – Who was this guy running shirtless, ½ naked, rain or shine, in snow and wind? I saw the “Running Man” at numerous races in Virginia and the D.C. area. And, while his lack of attire captured everyone’s attention, there was something else about him that was even more noteworthy – his smile. His smile spread from ear to ear. Running Man simply exuded joy, he obviously loved running – it showed and it was contagious! Just looking at him was a joyful experience, you simply had to smile.

Unfortunately I learned Running Man’s real name after he was hit by an SUV while running and died. His name was Philip Weber III and he died December 29, 2015. I also learned that when he wasn’t running, Philip was an enthusiastic reader and he had a passion for learning. A memorial 8K was run in his honor to benefit the Jefferson-Madison (Virginia) Regional Library ensuring the library can continue being the inspiration to others that it was to Philip, the Running Man.


Joy is a circle. When you do things from your soul, others are inspired let their joy flow, and once the joy begins to flow, even death can’t stop it.


“Teen Spirit”- In was raining in Johnson City, Illinois during an out-and-back road race. Cones separated the runners from the automobile traffic in adjacent lanes. I was running in a pack which included a teenage girl.
We were only a ½ mile into the race when a car slowed, and then crept along next to us, a window rolled down, and a woman called out.” Honey, get in the car!”
We kept running, looking at the car, slack-jawed in disbelief. Then the teenage girl yelled, “No!”
The man driving, (her father?) leaned across the woman and said yelled, “Get in the car NOW!”
“I’m running,” the teenager replied.
“But, honey,’ the woman pleaded, “it’s raining!”

The teen pumped her arms and surged ahead, “I’m running in the rain!”
The car pulled away. Teen spirit won.

Spirit matters, there will always be someone or some circumstance that could extinguish your dreams, your goals. Let your spirit run …even in the rain!


“Kick-Ass Couple”- There are no great metropolitan areas in Southern Illinois so all the races I ran while living there were between 50-maybe 200 runners tops, and you noticed everyone. There was this couple, a husband and wife, who stood out because they seemed to run every race. They were back-of-the-packers, and each time they chugged across the finish line together, they high-fived one another, grabbed a banana and some water, and then, after exchanging a few words with one or two people they left.

This happened for years until, finally, as they crossed the finish line, a race director announced their names and asked them to come forward for an award. I was as surprised as they were. The director said, “Now I know you don’t like public recognition but this will be short and sweet. This couple has run a 5K together every weekend for the past 5 years. (Applause) But that isn’t as amazing as the fact that they did while each was battling cancer. (Gasps) Therefore, on behalf of your running brothers and sisters, I present you with this Kick-Ass award!” (Cheers!!) 

Quiet determination is a strength. You don’t have to be loud, big, or bold to be Kick-Ass. 


“Little Cheerleader” – In 2019 I crossed the Acosta Bridge in Jacksonville, Florida, turned the corner and headed for the finish line. People lined the course yelling encouragement, “You’ve got this!” “You’re almost there!” “You rock!” “You get the beer!” For decades I have heard basically the same encouraging words over and over again. Until this race.

I saw a little girl jumping up and down along the sideline, waving her arms. She looked right at me and yelled the words I know were meant just for me, in that moment, “Run, lady, run!”

Encouragement is hearing a few choice words at just the right moment -- priceless!

"Make this one life you have a work of art. 
Live with class and you'll go out in style." 
- Dr. George Sheehan

*See also, Zip Rzeppa 

Tuesday, June 8, 2021

Amazing Aunt Astrid

My Grandaunt, Sister Astrid Erling (Ancestry.com)

Inga Astrid Kristina Ärling (Erling) was born on January 6, 1907 in Hässjö, Västernorrland, Sverige (Sweden). Her mother died when she was 3 years old and her father left her and her younger sister in foster care in Sweden while he moved to Chicago, Illinois, remarried and started his second family. Astrid did not see her biological father again until she was 20 years old. From ages 3 – 6 years old Astrid lived in Sweden with foster families and experienced the deaths of two of her foster mothers. 
The Ahlgrens- Astrid's foster parents.  (Ancestry.com)
In 1913, a childless, Swedish-born couple, John Ahlgren and Hulda Maria Sundling Ahlgren, were visiting Sweden from St. Paul, Minnesota. They became Astrid’s foster parents. When she was six years old, Astrid emigrated with the Ahlgrens to the United States. She was raised by the Ahlgrens in South St. Paul and graduated from high school there. Sadly, during her junior year of high school, Hulda Ahlgren was killed in an accident – which means Astrid experienced the deaths of her mother and three foster mothers before adulthood!
In the fall of 1929, she began nurses’ training at Immanuel Deaconess Institute (Augustana Lutheran Synod) in Omaha, Nebraska. 
(Northomahahistory.com) 
*NOTE: I have included the Wade-Giles spelling (1940s, what Astrid used) for the Chinese place names. The current, Pinyin, spellings are included at the conclusion of this article.
After completing her training, Astrid requested assignment to India. Her request was denied and she was assigned to China. In November 1932, Astrid sailed for China and began language school in Peking. No English was ever spoken in the classroom and she attended class 6 days a week. 
China 1928-1937 (unimaps.com)
In 1933 she went to Loyang, Honan Province where a language tutor helped her with medical terms so she could teach nursing in Chinese. 
 
From there Astrid went to Hsuchang Missionary Hospital in Honan Province where she was the nursing school director, OB nurse, and treasurer of the hospital. They had 22,000 outpatients and 982 inpatients.
However, world events would soon devastate their community and challenge them professionally and personally in ways Astrid had never imagined.
1940 Augustana Lutheran China Missionary Conference (E. Christensen)
In 1937 the Japanese invaded China. Hsuchang was isolated from the rest of occupied China which made getting medical supplies extremely difficult. 
1937 - Red arrow pointing to Astrid's location, Hsuchang, Honan Province (thinglink.com)
In June 1938, The Chinese Nationalist Army destroyed levees flooding thousands of square miles of land, creating a “no man’s land” - making it difficult for the Japanese to cross and, unfortunately, for supplies to get into Honan province. Between 1938 and 1947, this environmental disaster killed more than 800,000 people and displaced nearly four million people. For several years the Japanese were only 60 miles north of Astrid’s hospital, on the other side of the Yellow River. 
1938 Yellow River Flood (inews.com)
 On December 7, 1941, the Empire of Japan attacked Pearl Harbor and the United States declared war on Japan the following day. The American missionaries were now at risk of capture and internment in Japanese concentration camps.

Then, during 1942 – 1943, there was an extreme drought, locust infestation, and great famine. The exact number of people who died from starvation varies greatly from a million to tens of millions. 

At the Hsuchang Missionary Hospital, Astrid and the other medical staff treated hundreds of starving people suffering digestive obstructions from eating tree bark, grass, thistles, and dirt. In addition to the millions who died, perhaps a further three million fled their homes seeking food elsewhere.
1942-43 Great Famine, collecting bark to eat. (disasterhistory.org)

In the early spring, 1944, the hospital staff received a letter and then a telegram from the United States Consulate warning them to get to a place of safety as they expected the Japanese to cross the Yellow River. 

Two trucks were used to evacuate the American missionary wives and children west to Hsing Ping and the hospital stopped admitting new patients. Astrid and two missionary doctors stayed behind with the Chinese staff and nursing students to care for the few remaining patients. 
Dr. Carlson and Aunt Astrid helping patients. (E. Christensen)
On April 19, 1944, the remaining hospital staff received news that the Japanese had indeed crossed the Yellow River. They began packing as many medications, equipment, and supplies as they could and loaded boxes onto ox carts, placed overstuffed bags on bicycles and packed suitcases to carry by hand. 

Early on the morning of April 20, 1944, Astrid, the remaining hospital staff, and nursing students fled on foot, on bicycles or in ox carts. Astrid rode a bicycle, along with fellow Augustana Lutheran Medical Missionary, Dr. Carlson. (Dr. Carlson’s pregnant wife and two young daughters, Erleen and Faith, had already been evacuated to Hsing Ping).

They cycled from Hsuchang to Kiahsien. They waited there two days for the other hospital staff and nursing students on foot to catch up. But there was bad news, the Japanese were only 10 miles away. 
(U.S. Army Military Institute)
THE 300 MILE BIKE “RIDE”

Astrid and Dr. Carlson once again rode away on their bicycles. The roads were packed with people fleeing west so they stayed off the roads and rode on cart paths or through wheat fields. That evening they arrived in Linju.
 
The next morning they began riding again. They were strafed by Japanese aircraft and the roads were bombed. Several times they had to throw their bicycles to the ground and take cover wherever they could. Once the planes left, they continued to Iyang. 
 
After two days in Iyang, the hospital staff on ox carts caught up with them. It was decided that the staff (Chinese) would stay there and set up a clinic while the missionaries (Americans) and nursing students (Chinese) would continue to flee west. 
Refugees fleeing the Japanese (Ohio State University)
From Iyang, Astrid, Dr. Carlson, and the nursing students rode bicycles to Hsiunghsien. There they decided that the nursing students would remain at the temporary location of the Honan University Hospital to continue their studies and treat patients. 

Astrid and the other medical missionaries continued west on their bicycles through the mountains. Many times they had to push their bicycles uphill. Astrid’s bicycle did not have brakes so she could not ride it down steep mountains unless she used her foot as a brake on the front wheel!

Throughout the 17 days of travel, the roads were packed with refugees and they were strafed many times by the Japanese. They bicycled a total of about 300 miles from the start of their escape from the flatland of Hsuchang to mountainous Lushih.
Astrid's Bike "Ride" to escape the Japanese. (E. Christensen)
In Lushih, they sent a telegram to Dr. Carlson’s family and missionary officials to let them know they were okay and still moving west.
 
With the Japanese now only a mile behind them, Astrid and the other medical staff managed to jump on a freight train with their bicycles and luggage. They traveled via the railway to Hsing Ping. 
1940s Chinese Train like the one Astrid rode on. (E. Christensen)
In Hsing Ping, they were reunited with Dr. Carlson’s family and, with a group of about 50 missionaries, chartered a freight rail car to transport their bicycles and luggage to the western end of the railroad in Paochi. On May 24, 1944, they left Hsing Ping in the freight car. 
 
Once in Paochi, the missionaries began selling things to raise funds in order for the group to charter a bus. Astrid sold her bicycle, a typewriter (?!), and some other personal items. With the proceeds the missionaries then traveled by chartered bus south through the mountains to Chungking – which took 4 ½ days. 
(Carleton University Archives)
In Chungking, Astrid and the Carlson family were taken in by the Canada Mission Hospital. Mrs. Carlson had her baby, Jon Paul, there. Unfortunately, Mrs. Carlson developed phlebitis so Astrid nursed her and the baby full-time. 
 
Meanwhile, Dr. Carlson was recruited by the Office of Strategic Services to return to Honan province as an “Advance-base Chief.” Astrid then became responsible for ensuring his family made it safely home to the United States.
 
Due to the war, there was no passenger airline service. So, finally, after waiting 4 months in Chungking, Astrid, Mrs. Carlson, Erleen, Faith, and baby Jon Paul were able to get on a freight airplane and fly to Calcutta (Kolkata), India.
Farewell card made by Chungking missionaries. (E. Christensen)

Astrid and the Carlson family arrived in Kolkata on October 17, 1944. Then they traveled to Bombay (Mumbai) where they waited 5 months for a ship to travel back to the United States. There were no passenger ships due to the war so they sailed on a troop ship, the USS General William Mann.

They left Mumbai on March 14, 1945 and sailed to Melbourne, Australia and Noumea, New Caledonia to allow troops to disembark. The few civilian passengers on board were not allowed off the ship. On April 15, 1945, almost exactly a year from the beginning of her journey, Astrid arrived in Los Angeles, California, United States of America.
USS William Mann (United States Navy)
Post WWII
After WWII, in 1946, Astrid returned to the Xuchang Missionary Hospital but left in 1949 when the control over all religious activities and organizations was placed in the Chinese Communist Department of Religious Affairs. All missionaries were excluded.

From 1950 – 1953, Astrid served as a missionary in Japan until the Japan Evangelical Lutheran Church was established. She then returned to the United States.

Astrid continued her nursing career. She taught nursing at the Lutheran Deaconess House of Omaha, Nebraska and served on the Lutheran Board of Social Ministry in St. Paul, Minnesota. Astrid also nursed patients at Salem Home for the Aged in Joliet, Illinois, Augustana Hospital in Chicago, Illinois, and Trinity Lutheran Hospital in Ashland, Michigan. 

Astrid died at the age of 91 on August 9, 1998. She is buried in Lakewood Cemetery in Minneapolis, Minnesota. 
 
A life well-lived!  Well done, Amazing Aunt Astrid!

Sources:

Christensen, Erleen. In War and Famine: Missionaries in China's Honan Province in the 1940s. McGill-Queen's University Press, 2014. 

Erling, Astrid, "Midwest China Oral History Interviews" (1978). China Oral Histories. Book 33. http://digitalcommons.luthersem.edu/china_histories/3

Erling, Astrid. Astrid Erling to Marie Erling, Hsing Ping, China, May 22, 1944.
Mitter, R. Forgotten Ally: China's World War II, 1937-1945. Houghton Mifflin Harcourt, 2014. 

Wade-Giles spelling / Pinyin spelling: in the order of Astrid’s travels

Peking / Beijing

Loyang / Luoyang

Hsuchang / Xuchang

Honan / Henan

Linju / Ruzhou

Iyang / Yiyang

Hsiunghsien / Songxian

Lushih / Lushi

Hsing Ping / Xingping

Paochi / Baoji

Chungking / Chongqing

Thursday, June 3, 2021

Are You an Ultrarealist?

 

It seems like every five years I get an injury that “interferes” with my running. I do not handle recovery well and several times I have prematurely returned to running which resulted in re-injuring myself. I simply refused to accept the reality of my situation.

Fortunately, this time I read Matt Fitzgerald’s Comeback Quotient: A Get-Real Guide to Building Mental Fitness in Sport and Life. He has written several “running” books and this one, I think, is his best. In this book he identifies men and women who overcome injuries, cancer, childhood traumas, mental health challenges, and all-around bad situations. They are ultrarealists because they squarely face reality rather than turning away from it. 

Some Examples of Ultrarealists:

Jamie Whitmore (from pro-athlete to paralympian)

Geoffrey Kamworor (from a fall at the start of a race to winning the race)

Gabe Grunewald (from track star to rare cancer advocate )

David Goggins (from abused child to ultra-endurnance athlete)
 
How do they do it? By fully accepting, embracing, and addressing the reality of their situations. Can anyone stage a great comeback? Yes! Anyone can become an ultrarealist to some degree. You can make the best of a bad situation and you can bounce back from your own setbacks in life. Here is a summary of the three steps involved in becoming an ultrarealist. 

1. ACCEPT the situation -Accepting reality is always the best path forward in life, even when the reality you accept forces you to admit you have a weakness you need to work on.

Barriers to Accepting Reality:

Fear and laziness – Turning away from the uncomfortable, scary or daunting realities. You must be able to call bullshit on yourself and ask yourself, “What the hell am I doing? What are my options? What choice, no matter how difficult, reflects my values?

Cognitive bias – Our brains establish beliefs on limited information, and having formed these beliefs, become resistant to changing them. You must be able to ask yourself, I know I have heard that before, but is it true? Accurate? How do I know?”

Ego defense – Thoughts of not being “enough” are a result of judging yourself by the world’s standards. The reality is that you can’t control what the world thinks, you only control what you think. Replace self-doubts with self-criticism, judging yourself by your own standards and asking, “Is this what the world thinks or what I think?”

Whatever the present moment contains; accept it as if you had chosen it.” - Eckhart Tolle
 

2. EMBRACE the situation – Embracing the reality of a bad situation entails committing to making the best of it.

Three Steps in “making lemonade from lemons”:

1. Internal locus of control – You have the capacity to achieve your goals by your own initiative. Focus on what you can control. Censor self-limiting thoughts. Pivot from problem to solution. Don’t think in all-or-nothing terms. Ask for help, you don’t have to go it alone.

2. Growth mindset – People with a growth mindset believe that through hard work they can increase not just their knowledge or skill, but also their underlying ability. They readily embrace challenges. Challenges you experience are steps in your life journey, embrace them, and make the best of them. Just do the work. It doesn’t all have to happen today. Sometimes you might need to just check the box and move on.

3. Gratitude – Every experience has layers and facets, and they’re never truly all bad simultaneously. By focusing on the “silver lining” of an overall bad situation helps you to embrace it. Make a regular practice of listing things you are grateful for. As you move through your day, give thanks for all the people, places, and things you experience. Gratitude works, not by transforming reality itself, but how reality is seen.

Freedom is what we do with what is done to us.” - Jean-Paul Sartre

3. ADDRESS the situation – Addressing the reality of a bad situation means making the best of it.

Three Things Needed to Address a Situation You Have Accepted and Embraced

1. The What – aka “The Goal” Ask yourself, “What is my end game? What kind of person do I want to be? When things go wrong, you have to be able to pivot from wishing to willing, replacing your original (and probably superficial) goal with one that codifies what kind of a person you want to be – what you stand for.

2. The Why – aka “Motivation and Commitment” Motivation is the desire to do something, commitment is the continuing work you do to meet your goals. Ask yourself, “Why am I here? How can I keep moving forward? Commitment means that you know the difference between an excuse (factors you have control over but you deny and then blame) and a reason (something you consciously choose or have no control over). Connecting your activities to your deepest values means that you will probably never “throw in the towel.”

3. The How – aka “Improvisation and Belief" When things go wrong in an unexpected way and you are forced to abandon your well-laid plans, you must be willing to improvise. Remember, “where’s there’s a will, there’s a way.” The second part is the belief that "going for it", in an albeit improvised way, is worth the risk. Ultrarealists look at one-in-a-million odds and focus on the one, they believe they have a chance.

The impediment to action advances action. What stands in the way becomes the way. - Marcus Aurelius
 
 Reality is that which, when you stop believing it, doesn’t go away.” - Philip K. Dick


Fitzgerald, M. (2021). Comeback quotient: mastering mental fitness for sport and life. Aurum Press.