It takes no special talent to do a transition.
Speaker AIt just takes practice and plan.
Speaker ASo I know you and I both had the experience where we come out of the water, whatever, 20th or 20th or whatever it is, and all of a sudden we're third getting on the bike, right?
Speaker BHello, this is the June 27, 2025 edition of the Tridock Podcast.
Speaker BI'm your host, Chuck Sankoff, the Tridock, an emergency physician, a triathlete, triathlon coach, and a multiple Ironman finisher.
Speaker BComing to you as always from beautiful sunny Denver, Colorado.
Speaker BThe voice you heard at the beginning of the podcast is one that I'm sure you're all familiar with.
Speaker BThat is my friend, my colleague, my partner for the Medical mailbag, coach Juliet Hockman a few episodes ago.
Speaker BGosh, it's a couple of almost a couple of months ago now.
Speaker BJuliet and I paired up to bring you a segment on our philosophies of coaching.
Speaker BAnd it was one that I asked you Arlene listeners for some feedback on.
Speaker BAnd we got a lot of positive feedback.
Speaker BPeople wanted to hear more about what we didn't get to in that segment.
Speaker BI mentioned at the time that we had a list of things that we just didn't have time to get to at that time and people wanted to hear about it.
Speaker BSo we got the band back together.
Speaker BAnd after the Medical Mailbag today, you will hear the remainder of the topics that we wanted to speak about in that original segment.
Speaker BWe have made sure to get it all covered this time.
Speaker BWe hope that you like what we have to talk about and terms of how we approach coaching with our own athletes.
Speaker BAnd there are still other things that we could bring to the fore.
Speaker BSo if you want to hear more, please do let us know.
Speaker BAnd if you want to hear these kinds of conversations, I am happy to bring on other guests who are in the coaching world just to have those kinds of conversations.
Speaker BYou heard me recently speak with the pair, the duo Jordi and Gordon Donnelly, who are the pair that run Trivelo coaching.
Speaker BI thought we had a great conversation as well.
Speaker BSo I am happy to bring on other coaches and have those kinds of conversations on this program.
Speaker BSo let me know.
Speaker BYou can reach me@tridocloud.com and of course you can join the private Facebook group.
Speaker BJust search for the Tridoc podcast on that platform.
Speaker BYou will have to answer three easy questions to gain admittance into that group, but once you're there, you can join the conversation, submit ideas for interviews that you would like to hear, and of course ask questions for the Medical Mailbag.
Speaker BAnd on the Medical Mailbag, which will be coming up right after this brief, brief soliloquy, you will hear Juliet and I discuss cold plunges.
Speaker BThat's something that has really made a resurgence of late.
Speaker BI don't know about you, but my social media advertisings have been just blown up by the variety of companies that are offering cold plunge tubs, cold plunge pumps, all variety and all manner of machinery so that you can get cold.
Speaker BIs there anything to this idea that getting cold is a good way to recover after a hard workout?
Speaker BI actually reviewed that subject pretty early on in this podcast history, but I thought it was time to bring it back because just a few short weeks ago the Washington Post had a really nice article that summarized some of the science on this.
Speaker BAnd my intern, Nina Takashima, a former D3 swimmer, she was very familiar with the concept of cold plunges, having been forced to endure them in between swimming heats.
Speaker BShe was interested in the science herself and she had a good time going into it and finding what there was so that we can present it to you in the Medical mailbag.
Speaker BAnd that's coming right up.
Speaker BBefore I get there though, I just wanted to give you a little brief update on my recent experience at the boulder 70.3 that took place when this comes out.
Speaker BIt'll be just about a couple of weeks ago.
Speaker BI had the opportunity to get back out on the course for the first time this year, and it's the first time since I have had a major overhaul in my own personal life that has affected my ability to train in the past.
Speaker BAs a clinical emergency physician, I was working in a cadence that allowed me to have quite a few days during the week where I would really be able to dedicate almost an entire day to training.
Speaker BAnd that allowed me to really balance my life in terms of how much I worked and how much I was able to train and get in a lot of hours on a regular basis every week.
Speaker BAnd that obviously contributed to my success as a triathlete, as over the past several years I have regularly been able to make it into the top five of my age group.
Speaker BAnd that has been something I've been very proud of and something that has really defined me as a triathlete and something that I've been kind of gotten used to in a lot of ways.
Speaker BNow as I've reached the upper part of my age group in the 55 to 59 year old men, that's become harder to do.
Speaker BAnd now as I've started a new job where I'M working much more regular hours.
Speaker BI'm having to be up very early in the morning and being a little more fatigued in the later parts of the day and being a lot busier with all the things I have to get done before I go to sleep early.
Speaker BIt's been a lot harder to get in the kind of volume and the kind of consistency of training that I've been used to.
Speaker BAnd so I was somewhat concerned as I got to the start line in Boulder, would I be able to perform at the level that I had before.
Speaker BAnd unsurprisingly, I didn't do quite as well as I have now.
Speaker BI should say not like I did that terribly.
Speaker BWhereas last year I finished fifth, this year I finished seventh.
Speaker BNot a huge drop off and my time wasn't all that much slower on a day when it was significantly hotter.
Speaker BSo all in all it wasn't a huge drop off.
Speaker BBut for me it felt like a big drop off.
Speaker BI hadn't missed a podium in quite a few races and my swim was.
Speaker BGosh, it was just terrible.
Speaker BHonestly, it was one of the worst swims I've had in quite a long time.
Speaker BAnd part of that has to do with training.
Speaker BI had a ski injury where I injured my shoulder and I haven't been able to swim quite as much because I've had quite a bit of shoulder discomfort, but also just the amount of time I've had available because of my new job.
Speaker BBut when I reflected back even while I was racing and started to understand that I wasn't going to have the kind of day that I've had in the past, I was able to come to a pretty sanguine kind of place.
Speaker BThere I was out on the course understanding that I wasn't going to be competitive in the way that I had before and yet I was pretty okay with it.
Speaker BI was pretty content.
Speaker BI think that our journey in multi sport, if you're like me, someone who started as a back of the packer who made their way up into the middle of the pack and while doing so padd lot of revelations about what the sport meant to them, how they had to figure out how to make the sport fit into their life in a way that didn't impact all the people around them.
Speaker BI've said many times on this program how important it is as an athlete and now as a coach who works with athletes to make training fit your life and not the other way around.
Speaker BHere I was out on the course recognizing that I was having the race that I deserved because I had worked so hard to make training fit into the life that I now had.
Speaker BAnd on balance, I was okay with it.
Speaker BBecause the reality is that since I have started my new job, my life has been really good.
Speaker BThe job that I had before was incredibly stressful, was putting me in a really deep, dark place in terms of my mental health.
Speaker BAnd ever since I started my new job at the beginning of this new year, I have been a completely changed person.
Speaker BI sleep every night, I go to bed, I hit the pillow, I'm out like a light tart Cherry juice, of course, has a good, good way of helping with that.
Speaker BBut even without that, I just not stressed anymore.
Speaker BI'm able to sleep right through until my alarm goes off in the morning.
Speaker BI get up feeling refreshed.
Speaker BI enjoy my workday, I enjoy my colleagues.
Speaker BI feel valued, something that I did not feel in my previous job and that is immeasurably beneficial.
Speaker BAnd so because my outlook is so much better, because my life is so much better, I felt like it was a pretty small thing to have to trade to go from being on the podium to being just off of it.
Speaker BAnd here I was still very much enjoying the thing that I love so much and have come to love over the last many years, that finishing in seventh and off the podium.
Speaker BYou know what, that was a pretty small thing to give up, to have so many positives in its place.
Speaker BAnd the fact that I still enjoy the training that I do, the fact that after the race I felt like I had this kind of newfound motivation to figure out ways to find the ability to be able to train better so that I could show up at my next race better prepared and potentially claw my way back up onto that top five.
Speaker BThat was a pretty nice thing, too.
Speaker BSo where are you at in your journey?
Speaker BAre you still trying to find out how to find the balance?
Speaker BAre you looking for ways to find satisfaction?
Speaker BOr are you, like me, satisfied with where you're at because you know that you're doing the best you can and getting the best from multisport while also enjoying all of the other fruits of your labor?
Speaker BLet me know.
Speaker BI would love to hear.
Speaker BI'd love to share your comments with the rest of the listeners because I know there are a lot of people out there who probably struggle with their why, with their wondering if they could do more either in their personal life or in their multisport life.
Speaker BAnd it's probably a tough, existential kind of thing that everybody goes through when they're trying to put all the pieces together.
Speaker BSo Share your comments.
Speaker BLet other people here please send me an email.
Speaker BLeave the comments in the Facebook group.
Speaker BWe would love to share them together as a community.
Speaker BLet us know.
Speaker BAll right, with that, let's get on to the medical mailbag and talk about cold plunges.
Speaker BIt's coming up right now.
Speaker BHey, Juliet.
Speaker BFresh off of the Oregon pre race clinic.
Speaker AI know.
Speaker AWhat a crazy day yesterday.
Speaker AYou're right.
Speaker BYeah, it's good times up in Salem.
Speaker AYeah.
Speaker BDown in Salem for you.
Speaker ANow you know it so well because you've raced there once.
Speaker AYou're going to race there again in four weeks time.
Speaker AYes, I run this clinic every year.
Speaker AAthletes who have never done the race or perhaps are new to 70.3 racing altogether come down.
Speaker AWe swim this extremely fast course.
Speaker AI think my time yesterday was 50 seconds per hundred.
Speaker BI wanted to ask actually, because your pictures of the water, it looked amazing.
Speaker BIt was like glass.
Speaker AYeah, it was.
Speaker BUsually when it's running super fast, it looks different that it doesn't look that smooth.
Speaker AI know.
Speaker ABut then I got one of our athletes who is a longtime life sport athlete to get in.
Speaker AHe's a very strong swimmer, Brian, and swim upstream just to demonstrate to everybody how fast it was actually going and he wasn't moving.
Speaker ASo.
Speaker BOkay.
Speaker BOkay.
Speaker AYeah.
Speaker ASo no, it was flowing about 50 seconds.
Speaker A50 to 55 seconds per hundred.
Speaker AI stopped a few times to help athletes, but it's definitely fast.
Speaker ASo it's a really fun experience to put athletes into that.
Speaker AAnd it also quells a lot of anxiety about the swimming.
Speaker AAnd everybody comes out going, oh, I can do that.
Speaker AWhereas beforehand, of course, they were really scared.
Speaker ASo, yeah, talking about pacing, nutrition, looking at the bike course, looking at the run course.
Speaker AIt's a long day, but it's a great day and I think the athletes really appreciate it.
Speaker BSo now I, like so many, desperately need that Oregon swim to restore my confidence.
Speaker BI know I was joking with a longtime listener and supporter of the show, Rebecca Adamson, last year saying how this isn't really a triathlon, it's a duathlon with a little freshener.
Speaker BA dip.
Speaker BYeah.
Speaker BAnd this year I am very happy to be signed up for it because, man, after Boulder, I need something to help with my swim.
Speaker BSo this is going to be it.
Speaker BI'm going to come out totally renewed in my invigoration for swimming.
Speaker AWell, here's the great thing about that swim.
Speaker AIf anybody pays anything to any attention to TSS and training peaks, of course, if you do that swim, it gives you this enormous swim tss because you're swimming so fast and I'm looking at this going, I should probably manually change that.
Speaker BAnd then I thought, nah, nah, take it, take it.
Speaker BYeah.
Speaker BFor all the times it's wrong and underestimates, you might as well take the boost.
Speaker BYeah.
Speaker BWe are here to kibitz, of course, but also to address a question on the Medical mailbag.
Speaker BThis one doesn't come from a listener, but rather from the two of us because we have noticed something, I don't know, flowing, shall we say, like the river.
Speaker BWhat is the river that we swim in in Salem?
Speaker AIt's the Willamette River.
Speaker BThe Willamette River.
Speaker BOh, such a mellifluous name.
Speaker BWhat is the question that we are going to be addressing today?
Speaker ASo probably people who follow triathlon have noticed that recently on social media, on Instagram, we're seeing this resurgence of top level triathletes, pro triathletes, et cetera, getting back into the cold plunge and swearing by the cold plunge and throwing themselves into buckets of icy water.
Speaker AAnd even you probably noticed around Father's Day there was all of this, the perfect Father's Day gift.
Speaker BOh my gosh, it was crazy.
Speaker BYeah.
Speaker AGet your loved one a portable cold plunge.
Speaker AAnyway, so it's coming back and this was a big thing a few years ago and I think you've talked about it before on this podcast and now all of a sudden in the Washington Post, as of a couple weeks ago, there was an article, are cold plunge is good for you?
Speaker AAnd I know certainly here in my town in the Columbia river, in the Columbia river, which gets very cold in the winter, there are people who are out there all winter doing cold plunge au natural.
Speaker AAnd so it is a thing.
Speaker AI think it's probably been out there for a long time, but now it's becoming popular and talked about again.
Speaker ASo tell us what this article said.
Speaker ATell us what the research tells us as of now.
Speaker BYeah, there's a few things about cold water plunges and I think we should probably just address it up front and break it into the different categories.
Speaker BAnd there is this idea that cold water plunges is good for your overall health.
Speaker BI am not going to go into that.
Speaker BAnd we know about, I can't remember what his name is, the guy who lives, does he live in Iceland or in Scandinavia somewhere?
Speaker BHe's very famous, very famous for doing this like really intense cold water stuff.
Speaker BHe swears by it and he's got a lot of followers.
Speaker BUnfortunately, people have come to bad.
Speaker BYeah, there's been deaths doing it and I think he actually.
Speaker BIs he a breath holder too?
Speaker BI can't remember, but.
Speaker AOh, boy.
Speaker AOkay.
Speaker BYeah, there's like a lot of stuff there.
Speaker BI don't want to get into that too much, but there is some science that does suggest that cold water actually is good in the long run for some health issues.
Speaker BAnd there's also this thing in Scandinavia where you go from a sauna into cold water.
Speaker BThere are good and bad about that, but there is evidence to suggest that on balance, that's actually a good thing.
Speaker BThere is also this notion that cold water plunges are good for you psychologically.
Speaker BAnd this is.
Speaker BThis has its roots.
Speaker BThis goes back like a long time.
Speaker BBut there is like amongst the trail running community and the ultra running community, a lot of those are done in the backcountry.
Speaker BAnd when they finish, they just happen to be next to a mountain stream.
Speaker BIt's really nice and refreshing and they feel dirty and hot.
Speaker BAnd so they go and they sit in the cold water while they're drinking their post race beverage, often a post race beer, and just.
Speaker BIt just feels great.
Speaker BAnd so this is really where the resurgence of the cold water plunge came from.
Speaker BIt's from that idea of getting into a cold stream after these really long events.
Speaker BAnd people swore by it.
Speaker BAnd this led to the idea of developing these ice baths.
Speaker BAnd you see it in a lot of sports, a lot of professional sports, football players are notorious for doing it.
Speaker BAnd Nina Takeshima, who was the intern who looked into this, she was a Division 3 college swimmer and she said her team did this all the time.
Speaker BAnd when I sent her the article to look into, she said, oh, this is really interesting.
Speaker BI'm fascinated to find out what the evidence says because we were told to do this.
Speaker BWe were told, hey, you had your heats in the morning, you've got the finals in the afternoon.
Speaker BDo your cold water plunge.
Speaker BIt's gonna help you be ready for the next set of heats that you're gonna have to do.
Speaker BAnd she said, we all did it and then we get out and we were freezing cold and we had to warm up to be ready to swim again.
Speaker BIt was like a very counterintuitive kind of thing.
Speaker AYeah, that sounds crazy, but okay.
Speaker BRight.
Speaker BBut the whole premise there, and that's really what I wanted to look into, is this notion that cold water plungers are good for recovery.
Speaker BAnd that really is what it's being promoted for.
Speaker BAnd that is how it's being advertised and very aggressively so.
Speaker BOver the Father's Day period, I was being inundated yeah, all of these different ads for the different.
Speaker BThere's inflatable.
Speaker BThere's like, there's just the little machines you can buy.
Speaker BI don't know.
Speaker BI don't know when it stopped being so basic as just fill up a thing with water and throw in some ice cubes and jump in.
Speaker BBut anyways, so yeah, it's all over the place now.
Speaker BAnd I did review this quite a long time ago, but when this article came out in the Washington Post, I was quite intrigued and I thought, you know what, let's take a look and see if there's anything new.
Speaker BAnd it turns out there's.
Speaker BThere is there.
Speaker BThere's been some review articles and some meta analyses, but the findings are pretty much the same.
Speaker BSo the article back in June 4, it was in the Washington Post on June 4, and it was written by Gretchen Reynolds.
Speaker BI'm not sure what her scientific background is, but she did a pretty good job of just summarizing and synthesizing the SC science for the layperson.
Speaker BAnd essentially what she said is, look, cold plungers have become really popular over the years.
Speaker BStudies actually suggest that rather than helping, especially when it comes to recovery, they may actually reduce the benefits of workouts.
Speaker BAnd you can understand why.
Speaker BAnd the reason is because when you get into very cold water, especially the water that is as cold as it is, when it's a lot of these cold water plunges are in the 5-10 degrees Celsius, which is really cold, some of them are even colder, you significantly vasoconstrict.
Speaker BAnd so you reduce the amount of blood flow that's going to these muscles that you've just been working really hard.
Speaker BAnd we've talked many times about how important it is after a workout to allow for blood flow in order to restore all of the muscle damage that's been done to wash away.
Speaker BI'm going to use this word, it got me into a lot of trouble on an Instagram reel recently.
Speaker BBut I'm going to use it here.
Speaker BBetween you and I.
Speaker AGo right ahead.
Speaker BHead to wash away all the toxins.
Speaker AAs we talked about before, I always think of it as the soldiers in my bloodstream, like marching to the place that is hurting and, you know, administering first aid.
Speaker BYeah.
Speaker BAnd when I say toxins, I'm not using it in the the granola pseudoscience way.
Speaker BI'm using it in a way as to explain.
Speaker BLook, when you do a hard effort, you're breaking down a lot of proteins.
Speaker BYou're breaking.
Speaker BYou're creating a lot of superoxides within those cells.
Speaker BAnd those things are toxic and they' there are inflammatory molecules and a lot of these things, they're there for a reason, but they can cause damage if they are left unchecked.
Speaker BAnd the idea behind these cold plunges has always been, oh, cold reduces inflammation, so it must be good.
Speaker BBut there is more and more study that was nicely summarized in this Washington Post article that says, you know what, if you reduce blood flow to these muscles, you're actually letting those inflammatory molecules sit there and do more damage.
Speaker BAnd it also inhibits the adaptive kind of processes that are needed in order for muscles to become larger and stronger over time.
Speaker BThis is concerning.
Speaker BAnd as a result of that, Nina found, she found, she went and dug through some of the other science that has been done and she found a meta analysis and a meta regression with a systematic review.
Speaker BLong title it's impact of cold water immersion compared with passive recovery following a single bout of strenuous exercise on athletic performance in physically active participants.
Speaker BIt's a mouthful, but I think it gets across what it was looking for.
Speaker BAnd essentially it did a systematic review and meta analysis of 52 studies and it looked at cold water immersion and found that subjectively, if you ask people to get into cold water and then you have them fill out a survey, a lot of them say, you know what felt really good.
Speaker BI feel like I'm less sore.
Speaker BI feel like, you know, that was a really enjoyable experience after the initial, not so much fun, few minutes.
Speaker BBut when you look at actual markers of cell damage, when you look at actual performance, and there are very few studies that actually look at repeat performance here, but some of them did.
Speaker BWhen you look at actual repeat performance, when you look at actual markers, it turns out either no improvements or slightly worse.
Speaker BAnd when you look over time, especially amongst resistance exercise, exercise where it's important to have muscle mass, you start to see that there are some deficits.
Speaker BSo, so Great.
Speaker BMore recent study 2025 looked at cold water immersion on health and well being.
Speaker BAnd this compared water baths of 10 to 15 degrees, which is a lot warmer than what we're seeing advertised.
Speaker BMost of the advertisements are really cold, around 5 degrees, maybe as high as 10, but this one was warmer than that 10 to 15, which is about 50 to 59 degrees Fahrenheit.
Speaker BSo kind of mountain stream ish, but not like these ice B and this looked at whether or not cold water immersion at that temperature could be useful.
Speaker BAnd again found that psychological, cognitively, people, when asked questions on surveys seem to report that you know what, they felt like it, it was helpful.
Speaker BBut again, any physiological, any kind of recovery based metrics or objective measures of performance did not bear out any of the claims that are being made by a lot of these manufacturers.
Speaker BAnd I don't know about you, but have you looked at any of these things to see how much they cost?
Speaker ANo, I haven't.
Speaker ALike you, I figured, well, if you've got a tin bucket with a bunch of ice in it, you're probably fine.
Speaker ABut I'm sure they're much more dialed in terms of the temperature of the water.
Speaker BThey're pricey.
Speaker BThey're pricey.
Speaker BThey're like.
Speaker BSome of the ones I've seen even on sale were like a thousand bucks.
Speaker BI haven't checked out the ones that have been at the Expo, but I can't imagine they're marketing such expensive things at triathlon.
Speaker BThey might be, but it just seems definitely not inexpensive.
Speaker BBenefits and risks of Cold Plunges another article from 2024.
Speaker BThey talk about different recommendations being made by different people who are in this kind of space.
Speaker BAnd they are very careful to say that, look, you really do have to watch out with some of these because you can get cold exposure and all of the issues that go along with that.
Speaker BDropping your core temperature, never a great idea.
Speaker BYou can actually get frostbite and different problems.
Speaker BEspecially because some of these things go down to 4 degrees Celsius, which is 40 degrees Fahrenheit.
Speaker BThat's not comfortable and not a really good idea.
Speaker BNow there are settings where using a cold water bath can be really helpful and that can be at the end of an event where it's been really hot and there's a lot of humidity and there's a temperature stress.
Speaker BSo that's a different situation.
Speaker BThat's not talking about recovery, but that's actually talking about, I guess it is a form of recovery, but it's a recovery from a heat stress.
Speaker BIt's not a recovery from the exertion that you just did.
Speaker BAnd in order to try and be able to perform better the next day.
Speaker BAgain, studies showing that on balance there just doesn't seem to be this enormous amount of benefit to doing this.
Speaker BAnd then finally, a study from 2024 exploring the benefits of cold exposure in health and athletic performance.
Speaker BReview of ARTICLES A lot of these articles tend to be the same.
Speaker BThey're reviewing the same papers that have been and just synthesizing the data in a different way.
Speaker BThis looked at several different cryotherapy techniques.
Speaker BThere are local application of ice or cold compresses.
Speaker BThere's cold showers, there's cold water immersion like we're talking about.
Speaker BAnd then there's whole body cryotherapy, which is these.
Speaker BI don't know.
Speaker BThey used to be a.
Speaker BThe rage for a little while.
Speaker BNo, there's these.
Speaker BYou sit in like this box and it's sealed up around your neck.
Speaker BAnd then they actually have your.
Speaker BWith your enclosed so it doesn't actually touch you.
Speaker BBut then they.
Speaker BThey use like a G.
Speaker BIt's either.
Speaker BI'm not sure if it's dry ice or if it's.
Speaker BIt's not liquid nitrogen that's too cold, but they're doing something so that it's really cold.
Speaker BLike it's super cold.
Speaker BIt's not for long, it's very brief, but it really gets you cold very quickly.
Speaker BAnd they found that cryotherapy like that can have some really significant cardiovascular effects, like increasing heart rate, increasing blood pressure.
Speaker BIt can actually reduce blood flow to the brain because we have these protective reflexes to make sure the brain doesn't get too cold.
Speaker BAnd if all of your blood is suddenly only becoming very cold, you're gonna reduce blood flow.
Speaker BThere's actually been episodes of fainting that has been seen with these kinds of dramatic cryotherapies.
Speaker BAnd there has been changes in respiration where people end up increasing their ventilation, blowing off a lot of carbon dioxide, which can also impact blood flow to the brain.
Speaker BSo a lot of different physiologic things that can happen.
Speaker BWe also know that there's some changes and hormonal things that have not been well studied.
Speaker BBut the long and the short of it is all of the studies that we looked at and everything that Nina found convinced her that what she was being told in college was not accurate and was not helpful.
Speaker BAnd her own experience was she got cold, she didn't get better, she didn't go to her next.
Speaker BAnd it's so interesting because you watch.
Speaker ADrivers, I was going to say that they get into the warm tub afterwards.
Speaker BAnd they get into a shower.
Speaker BThe first thing they do, they jump out, they get into a hot shower and then they get into a hot tub.
Speaker BAnd I had an experience.
Speaker BThis goes back a long way.
Speaker BI did Ironman Curta land way back in 2005.
Speaker BAnd when I finished that race, I had intense pain in my legs.
Speaker BI just had a lot of trouble getting up and walking around.
Speaker BAnd we were like walking out of the expo, me and my wife, and they had these hot tubs set up.
Speaker BAnd at the time that was kind of anathema.
Speaker BYou didn't do that.
Speaker BYou didn't do heat.
Speaker BBut I was like, I didn't know what to do.
Speaker BI just was having so much pain in my leg.
Speaker BSo I sat in the hot tub for 15 minutes and I felt so much incredible relief.
Speaker BI felt like after that was all I needed.
Speaker BAnd after that, I was able to walk around and I had significantly less discomfort.
Speaker BAnd there have been studies, and I actually reviewed this a few years ago now, there have been studies that have started to suggest that heat is better than cold for recovery, because it does exactly what we're saying it does the opposite.
Speaker BIt causes vasodilation, it improves blood flow, flow to your muscles that have just exerted themselves.
Speaker BIt allows for this washing out.
Speaker BIt allows for restored carbohydrate delivery, oxygen delivery, to repair that oxygen debt and everything else.
Speaker BAnd in the light of that, I find myself going like, why are we still talking about these cold plunges?
Speaker BBecause the psychological benefits clearly are there.
Speaker BAnd I wonder if that's what everybody's anchoring on now.
Speaker AYou talk about that hot tub experience.
Speaker AHow do you juxtapose that against what we all know we do?
Speaker AIf we sprain an ankle, put ice on it, or if there's visible swelling, put an ice, put ice on it.
Speaker ABecause we actually want to restrict the bad swelling to that area or at least bring it, try to bring it down.
Speaker ABut now I understand what you're talking about with the hot tubs.
Speaker AHot tubs actually can feel pretty good shortly after exercise.
Speaker ABut it is a little bit counterintuitive.
Speaker AIt is and it isn't.
Speaker AWe want that blood flow to those areas that have been broken down.
Speaker ABut there is also some.
Speaker ASometimes it's fine line where you get all this swelling that actually ice might.
Speaker AOr cold might be better for that.
Speaker ASo as a physician, how do you.
Speaker AHow would you look at that?
Speaker BSo in an acute injury, like an ankle sprain or something like that, there's no question the localized swelling is.
Speaker BIt's a response, but it is a potentially deleterious response because all of that swelling is going to be painful and it can actually prolong the injury.
Speaker BSo in that situation, you definitely want do compression, elevation, ice for the first 24 hours.
Speaker BBut after that, we do recommend heat because we do want to encourage blood flow to the area.
Speaker BWe don't only recommend ice for the first 24 hours or so.
Speaker BNow, that's a different situation, like an acute injury where you've actually torn something broken, something that is a different situation.
Speaker BAnd I do not mean to insinuate that we shouldn't use ice in those kinds of scenarios, but what I am suggesting is that just this general, general hard effort.
Speaker BYes.
Speaker BIs there swelling at a local level?
Speaker BThere is, but that swelling is not necessarily bad in this situation because you're not getting.
Speaker BIf you've ever had a sprain or a break, you know that's massive amounts of swelling, right.
Speaker BThat's a significant amount of capillary leak.
Speaker BIt's a significant amount of fluid that ends up aggregating in that area.
Speaker BAnd that can be deleterious.
Speaker BBut when we're talking about having just done a three hour bike ride or an hour and a half run at effort, you're not not getting that much noticeable swelling.
Speaker BAnd there's an argument to be made that by improving blood flow to that area, not only are you going to allow the ingress of fluid, but you may also improve the egress of fluid because you are allowing for more blood flow through the area, more healing effect and allowing.
Speaker BBecause like I said, we do want heat after 24 hours.
Speaker BWith the increasing evidence that suggests maybe heat earlier than that is actually good and maybe the cold is actually doing more harm.
Speaker BHarm, right.
Speaker BYeah.
Speaker BI don't know.
Speaker BI don't have the.
Speaker BI'm theorizing a little bit here because I don't have the best answer, but I do think that an acute injury is definitely different than the.
Speaker BFor sure.
Speaker ABut I also think there's a little bit of a gray area because all.
Speaker AA number of us have these problem spots.
Speaker ASo we know that it swells up a little bit after a hard workout.
Speaker AIt's not an acute injury, but we put ice on it because we know that's helping a little bit with the kind of crack chronic.
Speaker AAnd so that's why it was more of those cases that I'm curious about.
Speaker ADo we know which one?
Speaker ADo we.
Speaker AAre we icing or are we eating?
Speaker BAnd I will say when you have a chronic issue that just gets a little bit swollen, ice is less effective.
Speaker BIce is really most effective for an acute issue.
Speaker BRight.
Speaker BWhen it's something that's just like indolent and then it becomes a little bit more swollen.
Speaker BYeah.
Speaker BIt tends to be a little bit less effective then because that's less about an acute inflammatory reaction with sudden capillary leakage, that's more about something that's been been going on for a while and you tend to have localized edema for a while and so different kind of cellular mechanisms.
Speaker BSo.
Speaker ARight.
Speaker BYeah.
Speaker BI Think there's nuance here to be sure.
Speaker BAnd I think that if you're one of those people who enjoys and feels like they're getting psychological benefit from using cold plunges, I wouldn't say not to do it, but I would say be careful because I do think, I do believe that there is evidence that cold plunges after a hard workout can potentially inhibit the adaptations and potentially inhibit your benefits from that training.
Speaker BSo I would say if you want to use cold plunges as a psychological thing, if you want to use cold plunges as a way to cool down, I think that's great.
Speaker BI would be very careful to keep the temperature above 10 degrees.
Speaker BI would not be using these ultra cold plunges.
Speaker BI would also be careful to use it for very.
Speaker BKeep the time low.
Speaker BI don't have any.
Speaker BI'm sorry, but I don't.
Speaker BI wasn't able to find anything that talked about an optimal amount of time.
Speaker BAnd then the other thing I would say is maybe don't time this to your workouts.
Speaker BIf you finish a three hour workout or something and or whatever it is you finish a hard workout, don't use the cold plunge right away.
Speaker BMaybe use it many hours later as your psychological well being as opposed to thinking it's doing anything for recovery.
Speaker BBecause it very clearly is not.
Speaker BIt just is not interesting.
Speaker BI think that's the take home, huh?
Speaker AIt would be interesting to see a study which focused on.
Speaker AI think when we're defining cold plunge, we're defining the whole body up to your neck.
Speaker ABut all of us know that if you use your mountain stream post run as an example, if you weighed in up mid thigh, right.
Speaker ASo you get your feet, your ankles, your knees, your core quads after a hard workout like that feels amazing.
Speaker AIt's when you start getting to your waist that this.
Speaker BYou'Re very clearly, it's.
Speaker BThere's very clearly these local effects though that are important in a negative way.
Speaker BBut yes, there's no question it feels great because your muscles are warm, you're hot and you just love that.
Speaker BThat cooling effect feels great.
Speaker BBut it's the thing that feels good is also the thing that's potentially not productive.
Speaker BNot productive.
Speaker BYeah, maladaptive.
Speaker BBecause that cold is reducing blood FL to the area which is potentially having these adverse effects and not giving you what you want.
Speaker BYeah.
Speaker BBut the cold stream is very unlikely to be that cold, so probably not that bad.
Speaker BAnd I do want to point out a lot of us when we do the swims in our triathlons, we're Always like, oh, the water's cold.
Speaker BBut there's evidence here to suggest that cold water is beneficial.
Speaker BRight.
Speaker BIt gets us.
Speaker BBecause there's a lot of evidence that shows that cold water improves cognitive function and makes you much more awake.
Speaker ALake.
Speaker AAnd no doubt about that.
Speaker BRight?
Speaker BWe know.
Speaker BWe know.
Speaker BAnd so getting in that swim and having that water be 65 or so, as much as it feels, oh, my gosh, a bit of a shock right at the beginning there, it's actually probably a pretty good thing and maybe offsets that IQ drop we always talk about in T1.
Speaker AExactly.
Speaker AYeah.
Speaker BYeah, that's what I got.
Speaker BFor this episode.
Speaker BWe have had a few suggestions for questions, and I do want to mention that I had a couple people come up to me at the boulder 70.3, and I really appreciated that.
Speaker BWarmed the heart, made me feel the love for what we're doing here, Juliette.
Speaker BSo I thank you for making that call out in the episode before the race.
Speaker BSo, yes, look for us in Oregon.
Speaker BWe will be together at the Oregon 70.3.
Speaker BThat'll be fun.
Speaker BAnd if you are participating in that race, let us know.
Speaker BAnd we would love to meet up with you either on the Friday or the Saturday.
Speaker BSaturday.
Speaker BWe will both be there both days.
Speaker BAll right.
Speaker AWe will actually be.
Speaker AWe'll actually be swimming down the river on Saturday morning.
Speaker ASo hit us up if that's something you've never done before.
Speaker AAnd yeah, maybe we'll let you join the cool kids and come down swimming.
Speaker BSwimming.
Speaker BAKA floating, enjoying.
Speaker BYeah.
Speaker AAKA restoring Jeff's confidence in his.
Speaker BYeah, exactly.
Speaker BExactly.
Speaker BAll right, that's what we got for you.
Speaker BIf you have a question for the medical mailbag, we hope that you will let us know.
Speaker BYou can do so in a number of ways.
Speaker BYou can email me at tri_docloud.com you can jump on over to Facebook where you can become a member of the TriDoc podcast Facebook group if you're not already.
Speaker BI hope that you will search for it on that platform, answer the three easy questions will gain you admittance, and we'd love to have you join the conversation and submit your questions there.
Speaker BUntil we hear from you, we will look forward to chatting with you again in a couple weeks time.
Speaker BJuliet, thanks so much for being here with me as always.
Speaker BI always appreciate it.
Speaker AThank you so much, Jeff.
Speaker BAll right, if you're listening on the podcast, it's only been a few seconds since Juliet and I were here for the medical mailbag and we are back for the interview segment.
Speaker BIf you're watching on the YouTube channel, though something's amiss.
Speaker BYou'll notice we're wearing different clothes differently, and the lighting is also different.
Speaker BAnd the reason for that is because of we're recording this on a different day.
Speaker BIn fact, we're recording this a week before we actually record the medical mailbag just because of our own schedules and everything else going on in life.
Speaker BBut for you listening, you are none the wiser.
Speaker BExcept I just spilled the beans and here we are.
Speaker BAnd.
Speaker ABut you can know we're keeping it fresh for you guys.
Speaker AWe're keeping it fresh.
Speaker BExactly.
Speaker BYeah, exactly.
Speaker BJuliet, I already know you're well, but once again, how are you and thank you for joining me.
Speaker AI am very well.
Speaker AHow are you?
Speaker ABecause you are recovering from a 70.3 performance over the weekend.
Speaker BI am.
Speaker BAnd I, as I said in the top of the program and as I spoke to you after the, the race, it's a new perspective.
Speaker BIt's something I'm, I think continue to process.
Speaker BBut different experience for me with a lot going on this year in terms of my life has changed and different job, different ability to train.
Speaker BAnd as I said to you, and as I said to our listeners at the beginning of the program, the fact that I have such a better kind of overall quality of life, a better mental health state, trading that seventh place instead of a podium position for my overall better outlook and everything else is not a bad trade.
Speaker BSo I'm pretty happy about that, very content with how it went, but met with Coach Lance this morning and talked about ways that I can try and maximize the time that I have work to try and improve and see if I can't get a little bit faster.
Speaker BBecause I, I gotta say, I haven't been this sore after in a while.
Speaker BAnd it's because I know I pushed myself past my training and that's when you get sore.
Speaker BAnd so I need to be a little bit better prepared for the next one in Oregon in what, six weeks time.
Speaker BSo that's my goal, is to try and be better prepared for the next one and maybe do better as well.
Speaker BWe'll see.
Speaker ABut, but all the things I think it's an interesting possibly podcast topic and we know some podcasts upon which this could be a topic.
Speaker ATopic is navigating the different chapters of triathlon as things in life change and there is no value judgment on one being better or worse than the other.
Speaker ABut just recognizing that all age group athletes, including coaches, go through these different chapters and coming to peace with each one and sucking the marrow out of each one and whatever it gives us.
Speaker AAnd I think that because certainly we talked about this, you and I, offline, and, and I think that's, that might be a good conversation for some of our listeners to hear as well as they try to navigate those different chapters as well.
Speaker BI think so.
Speaker BAnd I think it'd be good to bring in some other voices because I know that there are other people who've gone through similar things where they maybe were very high level, elite amateurs and then they had kids or they changed transition to a job and were they still able to find fulfillment in not making be performing at the same level.
Speaker BAnd then all of a sudden something happens in their life where they're able to start performing again.
Speaker BAnd you go through this up and down.
Speaker BAnd I have to say that for me, I have this sort of added layer and this is entirely coming from within.
Speaker BThis is not coming externally at all.
Speaker BThis is for me, I have always prided myself as a coach, as somebody that my athletes can look up to, as somebody who has been very successful.
Speaker BAnd so I want to continue to be successful.
Speaker BAnd so I, I am not really struggling, but I'm looking at, oh, I wasn't on the podium this weekend.
Speaker BIs that still going to be the kind of success that athletes are going to want?
Speaker BBut I know that is inherently silly.
Speaker AThat I understand Matt, completely.
Speaker BYeah, yeah.
Speaker BMy own coach has never, as far as I know, I don't even know if Atlanta has been on a podium and yet I think the world of him.
Speaker BSo I, I anyways, it's something that I think you're right be a great conversation.
Speaker BSo, yeah, to be continued.
Speaker BWe'll have to plan on that.
Speaker BBut okay, for now we are here, Juliet and I, to bring part two of a con that we had back in March.
Speaker BIt was episode 167.
Speaker BSo it goes back several episodes now where we talked about our coaching philosophy, our personal coaching philosophy.
Speaker BAnd we asked at the end of that conversation because we weren't able to cover all of the topics that we had brought to the table.
Speaker BAnd we asked to hear from you as to whether or not you wanted to hear more.
Speaker BAnd it was pretty resounding that, yes, people really enjoyed what we had to say and they wanted to hear more.
Speaker BAnd I think that even was echoed again more recently when I talked to Jordi and Gerard Donnelly from Trivello Coaching, who also shared their own personal philosophies.
Speaker BAnd people found that also very interesting.
Speaker BJuliette and I are here to cover a few topics that we didn't get to when we talked about our coaching philosophies and we're going to dive in right away and we'll be very interested once again to hear your feedback as listeners as to whether or not you enjoy this.
Speaker BIf you want to hear more even still, and also your own thoughts.
Speaker BSo please jump over to the Try to Podcast Facebook group where you can join the conversation.
Speaker BLeave your thoughts there and we would love to have you as part of that conversation.
Speaker BSo let's start, Juliet, with your thoughts and your philosophy on how you counsel your athletes about nutrition.
Speaker BAnd I recognize when we talk about nutrition, there's day to day nutrition and then there's training and race nutrition.
Speaker BNeither one of us are dietitians, right.
Speaker BI do feel like I can as a physician give some advice about day to day nutrition and I will on occasion.
Speaker BBut I stay awake from like what Celine does as the life sport dietitian because I don't feel like that's really my role.
Speaker BBut where do you go with nutrition and how what's your, your philosophy?
Speaker ASo what I can promise as part of the coaching package and athletes often ask about this in a sort of entrance interview is the race, the training and race day nutrition.
Speaker AAnd so if an athlete is pointing towards anything from an Olympic above distance event training with the nutrition they're going to use on race day and finding a nutrition combination that works for them so they can have a successful runoff.
Speaker ARight?
Speaker AThat's what we're hoping for.
Speaker ASo, and so we I generally start with kind of the same formula which works for a lot of athletes.
Speaker AAnd then if athletes need to tweak that either because they're super salty sweaters or they just don't like the products that I'm suggesting, or they want all their calories in the the bottle or whatever it is, then we tweak from this kind of basic formula that can work for a lot of people.
Speaker ASo that's where we start.
Speaker AAnd I work with a lot of first time 70.3 athletes and first time Ironman athletes.
Speaker ASo we're starting with from no knowledge whatsoever.
Speaker AAnd so they're being introduced to these easily digestible high energy products.
Speaker AA lot of them have never used them before or I'm taking them from something that they have been using which may just not work for being able to carry that much nutrition on the bike for three hours or six hours or eight hours or whatever it is.
Speaker ASo that's how I handle.
Speaker BCan I ask what is the basics sort of that you start with?
Speaker ASo the basics that I start with assuming the athlete's coming in with no opinion, essentially is 250 to 300 calories an hour.
Speaker ANow if they're a bigger person, we might go larger than that, but starting with that and hoping that we can, can move up in terms of on bike.
Speaker AOn the bike, sorry, this is on the bike.
Speaker AAnd that is often in the form of gels or chews because those are the easiest to eat and access when you're on the bike, particularly if you've only got one hand and then at least one bottle an hour, preferably of an electrolyte, but if water or an electrolyte.
Speaker AAnd so that's where we start.
Speaker AAnd so they're getting about 300 calories an hour on the bike as a starter.
Speaker AAnd then if we can, if that works and we can creep them up into terms of however you want to measure calories per hour or carbs per hour, then we go ahead and do that.
Speaker ABut a lot of depends on what they're coming in with, the size of the athlete, the distance of the event, et cetera.
Speaker AHow about you?
Speaker AWhat do you.
Speaker AAnd then oftentimes it will pivot because athletes want everything in their bottle or it's very hot, or we need more sodium or they don't like certain products or whatever it is.
Speaker AAnd then we'll pivot from there.
Speaker ABut that's where I usually start.
Speaker BAnd I think, like you, I am very informed by my own personal experience over 20 plus years in the sport.
Speaker BAnd I have tried a lot of different things and I have, have just navigated my way to an entire strategy of everything's in the bottles.
Speaker ARight?
Speaker BI know, I do supplement.
Speaker BYeah, I do supplement with a little bit of real food in the form of waffles.
Speaker BI've tried bars, I've tried different things and in the end I've come down to waffles.
Speaker BI have one waffle for a 70.3 and two for an Ironman.
Speaker BBut everything else is in bottles.
Speaker BAnd so I counsel my athletes.
Speaker BAnd a lot of times athletes will come if they're more experienced.
Speaker BThey already have something in mind that they want to use.
Speaker BAnd I'm fine with that.
Speaker BI tell everybody whatever works for you is what I want you to do.
Speaker BBut like you, the target needs to be ideally 3 50, 400 calories per hour.
Speaker BEventually we're going to get our way to that.
Speaker BBut I'd like to start at 2:50.
Speaker BAnd like I said, for me it's all in the bottle.
Speaker BI have products that I say work for Me, I can't guarantee they're going to work for you, but this is what.
Speaker BAnd I don't get anything if you try them.
Speaker BBut there, here is a list of different things you could look into and try.
Speaker BI have just found that for me as somebody who does sweat a lot, I can get all of my sodium, all of my calories, all of my water in the bottles and I don't need to count on aid stations, I don't need to do it now.
Speaker BI have had athletes who've ejected a high bottle and then that's a problem.
Speaker BRight.
Speaker BAnd so we talk, when we talk race plans, how are you going to adapt if that happens?
Speaker BAnd we always have about backup plan but that, that's how I approach it.
Speaker BI do also talk a lot about recovery nutrition and especially for my athletes who are interested in plant based.
Speaker BWe talk about how they can get adequate protein and things like that.
Speaker AYeah.
Speaker ASo yes, I have a number of athletes who put all of their nutrition in the bottle and that works really well for them.
Speaker AAnd you're right, our own experience informs what we recommend, especially with new athletes.
Speaker AOne of the benefits I found with some like athletes in having some gel type or block type nutrition is it helps while away the time.
Speaker AAnd so if every half an hour, every 15 minutes, they've got something to do to look forward to, that's that helps break up the race a little bit.
Speaker AAnd then I also find with some athletes, and again this is informed by my own experience, I'll be the first to admit committing to getting an entire bottle or bottle and a half down every hour.
Speaker AIt's.
Speaker ASometimes it's just really hard, particularly if.
Speaker BIt'S cold or if it's hot like this weekend.
Speaker BAnd it's tough to make your body digest it all.
Speaker BSo it can be both ways.
Speaker AYeah, yeah.
Speaker ASo those are factors.
Speaker BYeah.
Speaker BI don't want to dwell too much because we have a list so I want to get on.
Speaker BBut I think that's a really a great example of how two coaches who've had a lot of successful athletes can come at this with different kind of base models of this and yet allow their athletes to navigate to whatever works for them.
Speaker BBecause that in the end we're.
Speaker BNeither one of us is particularly dogmatic about this.
Speaker ANo, not dogmatic.
Speaker AThe only thing we're dogmatic about is you have to eat on the bike.
Speaker AThere is no choice.
Speaker BThe bike is the best.
Speaker AYou gotta get the calories in.
Speaker AYeah.
Speaker BThe bike is, the bike is the buffet.
Speaker AAnd then before we move on to nutrition.
Speaker AYou know the question about sort of day to day nutrition again, I never would never pretend to be a registered dietitian or nutritionist, but a lot of times especially women will ask, how are you getting in your protein?
Speaker AHow what are you?
Speaker AEspecially women who are working full time jobs like how do you manage to get, how do you manage to fuel throughout, throughout the day?
Speaker AAnd I find this particularly true for doctors who are just crazy busy all day.
Speaker AAnd so I will go through again, this is what I do.
Speaker ABe boring, be, be, eat the same thing every day.
Speaker AIf you find something that works for breakfast and lunch, do it five days a week.
Speaker AIf you like it and it's good for you, just repeat it.
Speaker ASo I tend to go down the rabbit hole a little bit just to give some ideas because sometimes people just haven't thought, oh yeah, that's a good idea, I should try that.
Speaker AIt's easy, it's portable, you can even plan it out.
Speaker AJust for the day to day stuff.
Speaker AYeah.
Speaker BAthletes will frequently come to me and I know they come to you as well with questions, especially if they're new to the sport about gear.
Speaker BJulia, when athletes come to you with these gear choices, let's assume that they have the basics.
Speaker BThey've got their wetsuit, they've got their bike, they've got their running shoes.
Speaker BBut now they're coming to you and they say, look, I feel like I've got some money burning a hole in my pocket.
Speaker BI want to be a better triathlete.
Speaker BWhat would be the three things that you would tell.
Speaker BTell them that they should consider buying to be a better triathlete.
Speaker AIt's a great question and I know both of us come up, get faced with this all the time.
Speaker AI think that it depends a little bit.
Speaker ABut if the athlete is technologically a dwat and they're not afraid of technology and they, they feel like they can utilize it, a power meter is a great investment.
Speaker AAnd now they're less and less expensive if an AF.
Speaker ALikewise, smart trainers have now come well down to 500 bucks as opposed to a couple years ago they were over 1100.
Speaker AAnd smart trainers are a fantastic way to get an efficient workout in all throughout, throughout the week, Monday through Friday when you have limited time.
Speaker ASo if I have an athlete who comes with me with a bike, wetsuit, running shoes, I am asking about first of all, smart trainer.
Speaker AThat would be the number one thing.
Speaker AAnd then I would feel it out a little bit if not a power meter because that's too big to give an ask cadence sensor is 30 bucks.
Speaker AThat's a great tool for outdoor rides.
Speaker AHeart rate monitor is 140 bucks.
Speaker AThat's a great tool for all for both sports for run and bike.
Speaker AThose would be the things that I would go to.
Speaker AIf it was an athlete who already had a TT bike, already had a smart trainer, already had a power meter, I would probably say the next thing would be like a better helmet.
Speaker ARight.
Speaker AWe know that those, if we're beginning to get into that, those sort of margins.
Speaker ASo it depends a lot on where the athlete is.
Speaker AWhat about you?
Speaker BYeah, meeting them where they are.
Speaker BI think that's really important point for most of my beginner athletes.
Speaker BI will agree with you a hundred percent.
Speaker BTrainer, smart trainer, number one purchase.
Speaker BBecause while it does, it's a big ticket item, but in terms of bang for the buck, it's huge.
Speaker BI do advocate very strongly for power meters.
Speaker BI know, I believe that.
Speaker BI think power meter because if you're going to train with power on the trainer, it's really nice to have that feedback when you're outside riding as well.
Speaker BSo I think power meters are even less expensive than trainers.
Speaker BI think think they're great.
Speaker BAnd then I'll go for the aero helmet.
Speaker BI think that in terms of results, the aero helmet's big, but this is assuming they have a watch.
Speaker BAnd more and more I'm finding athletes come to me that are using Apple watches and I hesitate to tell them to go buy a watch.
Speaker BBut the Apple watch is fine in a lot of respects, especially the newer ones, but it's really not designed to do what we know the Garmin watches can do what the, with the Coros or whatever.
Speaker BThere are a lot of other models that will do a lot of lot better.
Speaker BI hesitate to tell them to immediately do that, but I've had many athletes who work with the Apple watches and over time I'm hinting that yeah, it's not really giving the best data.
Speaker BAnd eventually when they do make the purchase of a Garmin or whatever, they do immediately recognize that.
Speaker BOh yeah, I see the difference.
Speaker AYeah, no, it is, they do, they go, they trickle along for a while using the Apple watch.
Speaker AAnd Apple Elise does play nice now with trainee Peaks.
Speaker AIt didn't used to and, but trading after a few months they begin to see, oh yeah, I'll be able to see laps easier.
Speaker AI'll be able to see results easier.
Speaker AIt'll.
Speaker AYeah, it's.
Speaker AYeah, it's a big device, but not for triathlon.
Speaker BAnd I'm like you, I really try to make people wait on things.
Speaker BI do not want athletes to go buy a TT bike, especially in their first year of the sport.
Speaker BI don't want them to spend money on wheels for that.
Speaker BIn terms of the return on investment, it's just not worth it.
Speaker BNow, there are some athletes who come to you and they're very well off and they have the disposable income and they really want the marginal gains they're going to get with those things.
Speaker BAnd who am I to say no?
Speaker BSo in that case, sure, I, I will.
Speaker BBut I'll be very straight up and say, look, those things are not going to make you as fast as just putting in the training, but they will look great.
Speaker BAnd there's nothing like the sound of a disc wheel rolling down.
Speaker AYeah.
Speaker BAll right, let's move to the next topic, which I know is a personal favorite of yours and mine too.
Speaker BI harp on it quite a bit.
Speaker BHow do you help your athletes with transitions?
Speaker BWhat is your advice for them and what is your overall messaging for transitions?
Speaker AI know that we are 100% aligned in believing that transitions are just free money.
Speaker AIt's just a money tree waiting to be ticked.
Speaker AIt takes no special talent to do a transition.
Speaker AIt just takes practice and planning.
Speaker ASo I know you and I both had the experience where we come out of the water, whatever, 20th or 20th or whatever it is, and all of a sudden we're third getting on the bike.
Speaker ARight.
Speaker ABecause we're organized.
Speaker ASo transitions.
Speaker AI actually teach a transition clinic every year.
Speaker AI harp on this with my athletes for whom it matters.
Speaker AIf you're, if it's your first triathlon, it doesn't matter.
Speaker AHave a latte.
Speaker AIn transition, it's all good.
Speaker ABut if you're beginning to get towards the place where you care about your overall all time, yes, transitions are free money.
Speaker AIt is about being organized.
Speaker AIt is about having a plan, it is about having a process.
Speaker AIt is about keeping it simple.
Speaker AI ask athletes to practice their transitions.
Speaker AI send them videos on what good transitions look like.
Speaker AWe have a couple now and just really asking them to think through it, particularly if they are a personality which has trouble with executive functioning, because that's really what transitions are all about and putting things in order and consistent.
Speaker BI love your comment about how when you come out of the water and you're running to your transition, your IQ has dropped like 50 points.
Speaker AA hundred percent.
Speaker AYeah, yeah, we always comment on that.
Speaker BYou got to keep it simple.
Speaker BYou got to keep it simple.
Speaker AThere should be no decisions made in transition.
Speaker AEverything has already Been decided.
Speaker AYeah.
Speaker ASo transitions are so much fun when you get them right.
Speaker AYou feel like a rock star when you glide through transition quickly, it's just.
Speaker AAnd, yeah, again, this takes no genetics.
Speaker AThis is genetics.
Speaker BI have to tell you.
Speaker BI have to tell you, I owe a huge thank you to our friend and my colleague on our sister podcast, Tempo, Matt Sharp.
Speaker BI'm going to relay that to him this week when we record.
Speaker BHe gave me this great pro tip about cutting my wetsuit midway midway up the legs.
Speaker BI had never heard this before.
Speaker AReally?
Speaker BAnd, yeah, never.
Speaker BNobody had ever mentioned it to me before.
Speaker BAnd I got my wetsuit off so fast.
Speaker ASo fast.
Speaker BYeah.
Speaker BI used to always go to the wetsuit strippers because I know how much it is a mighty struggle.
Speaker BAnd now I was like, I was terrified to cut my wetsuit.
Speaker BI cut my wetsuit.
Speaker BAre you kidding?
Speaker AI know.
Speaker AThere's.
Speaker BAnyway, I cut my wetsuit and I got that thing off like butter, and it was wonderful.
Speaker BYeah.
Speaker BListen, we talked about how you mentioned how, look, if you're someone who time matters, honestly, time matters for everybody in this event.
Speaker BIf you're back of the pack, you don't want to miss the cutoffs.
Speaker BTime matters.
Speaker BSo you really.
Speaker BIt takes so much effort to make your run faster, your bike, or your swim faster.
Speaker BIt takes very little effort to make your transition faster.
Speaker BAnd I just tell my athletes all, all the time, think about what you need to do there and cut off half of it, because whatever you're doing there, that's taking you six minutes, if somebody else is having a transition of three, you're doing twice as much then does not need to be done.
Speaker BSo just figure it out.
Speaker BAnd just now we've done our race.
Speaker BAnd like, I just had some athletes that race this weekend.
Speaker BWe looked at their transition times.
Speaker BThey were great, all moved way up in transition.
Speaker BBut I think said, look, your time is still a couple minutes longer than some other people.
Speaker BSo let's think about what we did in there and let's think about how we can be faster next time.
Speaker BAnd already we're coming up with little things, and so we make it a game.
Speaker BWe try to get that.
Speaker BIt's like 100%.
Speaker BIt's totally game down to zero.
Speaker BRight?
Speaker AYeah.
Speaker AI always tell my athletes it's four and three, right.
Speaker AIn T1, you need four things, and in T2, you need three things.
Speaker AAnd even if your IQ is at half of its normal brilliance, you can remember four and three.
Speaker ARight.
Speaker ASo in T1, you need your.
Speaker AYou're assuming your bike Shoes are on the ground.
Speaker AYou need your socks, your bike sheet, your helmet, and your glasses.
Speaker AThat's all you need.
Speaker AAnything else, unless it's really cold, that's all you need.
Speaker AAnd in T2, it's three things.
Speaker AIt's running shoes, a cap if you wear one, and your race belt.
Speaker AThat's it.
Speaker ASo anything more, you don't need sunscreen, you don't need nutrition, you don't need.
Speaker AYou don't need to go to the bathroom.
Speaker AJust get through.
Speaker BYeah, yeah.
Speaker BAnd I tell everybody, I'm like, listen, if you're running in your bike shoes, that's an easy win.
Speaker BWe have to teach you how to be able to mount the bike with your shoes and the pedals because that will save you a lot of time right there.
Speaker BYeah, yeah, that's.
Speaker AThat can be a tough skill for some people.
Speaker BYeah.
Speaker BBut it's a learnable one for sure.
Speaker AYeah.
Speaker BOkay, let's move to the last of our topics.
Speaker BAnd this is combined topic of communication and goals.
Speaker BSo I know both of us feel very strongly about being very communicative with our athletes, but we're a little bit different in that your main focus is your coaching.
Speaker BMine is I have multiple other things going on.
Speaker BSo you are really on top of training peaks.
Speaker BYou are watching for all the comments you're feeding back all the time.
Speaker BI tell my athletes up front, that is just not something I'm able to do.
Speaker BI will look at their comments, but I do respond in a different way.
Speaker BWhat is your philosophy about communication?
Speaker BHow much is too much from athletes and how do you.
Speaker BYou over all like, what's your overarching sort of theme about communication when you talk to athletes in terms of how, what do you tell them what to expect?
Speaker ASo what I tell my athletes in terms of their communication with me is that I read every single thing they say on training peaks.
Speaker AI try to look at all of my athletes files every night so that I can keep up.
Speaker ASo I feel like I'm always within 24 or 36 hours of what they're doing.
Speaker ASo if something comes up, up, I can address it.
Speaker ABut as you say, I do this full time, so it's a little bit of a different rhythm.
Speaker AThe I prefer that athletes, if they have larger questions, will email me because email sits in your inbox until it is addressed, whereas texts disappear down the phone and once that blue dot is gone, it's gone.
Speaker AAnd I hate it when I miss texts and athletes feel overlooked when I miss texts, et cetera.
Speaker ASo email preferred text if it's the same day if it's a question from that same same day.
Speaker ATraining Peaks is wonderful because keeps a record of the conversation and yes, I do look at files very frequently.
Speaker AI also will have calls with my athletes, particularly before a big event like their A event or if they have a couple of 70.3s or whatever it is in a year, we'll have a a scheduled call, zoom call during that time.
Speaker AIf I haven't heard from athletes for a long time and I feel like it's been months and months, I'll say, hey, give me a life update.
Speaker AWhat's happening with work?
Speaker AWhat's happening you at home?
Speaker AIs there anything I should know about?
Speaker AHow's your body feeling?
Speaker AParticularly if they don't communicate regularly over training week.
Speaker ASo every athlete's a little bit different and I do recognize that some are over communicators.
Speaker AA couple athletes have had to say, okay, I really prefer that you move this conversation to email because this is a lot of texts and I just can't stay on top of it.
Speaker ASo I've certainly had to have that conversation a couple times.
Speaker AAnd they're very respectful.
Speaker AAnd some people just like texting more and, and then, and some athletes leave volumes on Training Peaks and some, some athletes you hear barely hear anything from training people.
Speaker ASo I like my app.
Speaker AI like to know.
Speaker AI like to feel like I'm on top of my athletes training all the time.
Speaker AAnd I like my athletes to feel like I'm very much in their corner and I am in touch with what is going on with their athletic lives.
Speaker ASo that's how I look at it.
Speaker BYeah.
Speaker BAnd I know from my own experience as an athlete with coaches over the years that I prefer a coach who is looking and who is communicating and who is accessible.
Speaker BI've had too many times where I will reach out to a coach with a question and not hear anything back for days.
Speaker BAnd that I always found not.
Speaker BOkay.
Speaker BSo I have told my athletes that I will always respond.
Speaker BIf you need something right away, text me.
Speaker BI will respond ASAP.
Speaker BIf it can wait 24 hours, send me an email.
Speaker BAnd then in lieu of looking at Training Peaks every night, I promise them all I I look, but I may not comment as often as possible.
Speaker BAnd then every weekend I send a video to every athlete telling them what I saw in the week past to let them know that I am looking and following and making sure everything looks good and then describing what's coming in the week ahead.
Speaker BSo I try and find that balance between what you're able to do and what I'm able to do and keep the athletes happy.
Speaker BAnd so far, I think that everybody has been pretty happy.
Speaker BBut I'm very interested in what the listeners think and what they.
Speaker BWhat their experiences are with their coaches and what they like.
Speaker BAnd I know that we have a range of listeners who have coaches from a wide variety of different backgrounds, and some of them are themselves coaches.
Speaker BSo please go over to the Facebook group and let's have a conversation, because I know Juliet and I are fascinated to hear how you work with your athletes and how you work with your coaches and what has been successful for all, all of you.
Speaker AI want to see now you program your athletes a week at a time.
Speaker BYeah.
Speaker AYeah.
Speaker ASo I'll do four.
Speaker AI'll do four weeks at a time because I like to have a little bit of a bigger picture.
Speaker AAnd I also like my athletes to be able to plan ahead so they know what's coming.
Speaker AAnd not all athletes look that far ahead.
Speaker AThey.
Speaker ASome athletes are day by day, but I think a lot of them do appreciate the larger block.
Speaker ASo, again, the cat.
Speaker BI have thought many times about doing it, like, two weeks at a time, and I actually don't see.
Speaker BThink that would be a big problem.
Speaker BI think actually it would probably be easier to.
Speaker BBut I just know my own life changes on a dime.
Speaker BAnd so I have just felt like my athletes frequently also come up and things have changed.
Speaker BAnd so rather than me having to go in and change something that I scheduled three weeks ago, I'd rather have the flexibility to change it as I'm doing it.
Speaker BBut either way, I think, yeah, if somebody asks me to schedule more than one week at a time, I do.
Speaker ASure.
Speaker BThe last thing I want to talk about is just goals, and this kind of dovetails on the communication.
Speaker BAnd that is when an athlete comes to us, they frequently do.
Speaker BAthletes will come to us.
Speaker BWhen we start as part of our initial conversation, what are your goals for this sport?
Speaker BWhat are your goals for this race?
Speaker BAnd sometimes those goals are not necessarily in alignment with what we, as a coach who has experience think is maybe the best idea.
Speaker BSo give us an example of something like that you've encountered and how you handle Loud Juliet.
Speaker ASo we were talking about this before the call.
Speaker AI think that often these.
Speaker AThis falls into two categories.
Speaker AOne is an athlete states a goal, and you've looked at their training experience or their racing experience, and it just may not be within their ability set, but they don't know that.
Speaker AAnd that might be because it's not in their ability set.
Speaker AAnd it may also be because they're so new to the sport that they just don't know.
Speaker AThey have no idea that they're.
Speaker ANo, they're not going to be able to run 8 minutes off the bike in their very first 70.3 if they're traditionally running 13 minutes per mile or whatever it is.
Speaker AThey just don't know.
Speaker AAnd so that's one sort of bucket.
Speaker AAnd then the other bucket is that perhaps an athlete is more experienced and they have somewhat realistic goals towards a performance at a particular A event.
Speaker ABut what they haven't figured out is the volume or the intensity that they have have to achieve during their training to reach that goal and how that's going to fit into this particular chapter of their life, whether it's professional or children or whatever it is.
Speaker AAnd that is, that's quite hard because that is only learned over a few weeks or a few months into it.
Speaker AAnd you watch an athlete be unsuccessful at training sessions, that should be successful.
Speaker AAnd then it.
Speaker AThat's just, that's really tough.
Speaker ATough because you have to have an ongoing conversation of, okay, if I understand this is still the goal and if this is the goal, let's either adjust the goal or let's look at your life and whether this is a feasible goal for this year.
Speaker AAnd then the final thing I'll say on that, cause I know you have a lot to say on this as well, is that I often immediately try to pivot, particularly newer athletes into process goals as opposed to achievement goals, because they say, oh, I want to be top five in my age group or I want to be top 20% or I want to be whatever.
Speaker AAnd that, yes, that's a lot to do with your own preparation.
Speaker ABut it also depends who shows up.
Speaker AYou can't control who shows up at an event, whether it's local or international, and you can't, you can't control what shape they show up in.
Speaker AAnd so you've got to be more focused on your own process goals.
Speaker AHow do you want to show up at that race?
Speaker AWhat kind of fitness and strength do you want to show up in?
Speaker AWhat are your times that you're hoping for rather than how that's going to be relevant to everybody else.
Speaker BThat's what it boils down to, I think when the goals aren't in sync with what we think they should be for the athlete, it's purely a reflection of experience difference.
Speaker BIt's like our level of experience versus theirs.
Speaker BAnd either an athlete will come with, oh, I my Goal for my first Ironman is to qualify for Kona or my goal for my first half Ironman is to go sub five or to be top five in my age group or whatever.
Speaker BIt's not that they are necessary necessarily.
Speaker BMaybe they're a super athlete, right?
Speaker BYeah, right.
Speaker BI think it's just that they just aren't.
Speaker BThey don't have experience in the sport like we do.
Speaker BAnd so it's just.
Speaker BAnd I always, I'm very careful to not talk them and say immediately pooh, pooh that goal, but instead say that's a wonderful goal.
Speaker BBut I think instead maybe we should focus on that as a long term or maybe a secondary goal and instead focus on some other things that we can control.
Speaker BLike sub 5 is, is really.
Speaker BThe people just have no idea how hard sub 5 is.
Speaker BAnd when I tell them something like it took me 10 years in the sport to get sub 5, they're.
Speaker BThey don't understand.
Speaker BLike they just think that, oh, because you're, you never.
Speaker BMaybe there's something to that.
Speaker BRight?
Speaker BMaybe you only need to be in the sport for two races.
Speaker BThat's very possible.
Speaker BBut the reality is that it's really hard and they don't understand what's involved with doing it.
Speaker BAnd I get it and that's totally fine.
Speaker BSo like you, I focus very much on process goals, very much on things like, hey, let's target this kind of power for a race, let's target this kind of pacing, let's target getting our nutrition, things like that.
Speaker BAnd I found, I have found that meets invariably with a positive response and people immediately pivot to being able to accept that.
Speaker BAnd we say, hey, I'm not taking away that Kona qualification.
Speaker BWe're going to keep that.
Speaker BNo, because if we do all those other things, hey, Kona qualification might just be in the the cards.
Speaker BSo we just don't want that to be the primary goal because that's something that like you said, we can't necessarily control.
Speaker BCan be really disappointing if we don't get it.
Speaker BAnd yet there might still be so many things to celebrate on that day.
Speaker AI mean there's, yeah, any, pretty much any race performance, even the worst ones.
Speaker AThere are some wins in there somewhere.
Speaker AAnd sometimes as an athlete yourself, sometimes it's really hard to find those wins when you haven't had the day that you expected.
Speaker AAnd sometimes it takes someone on the outside saying, okay, hang on, yes, this didn't go as expected or as hoped, but these things did.
Speaker AAnd there's all so much stuff happens in a 5, 6, 7, 8, 10, 12, 14 hour, 18 hour race and there's just so much learning every time.
Speaker AAnd I know that sounds trite or whatever, but it's true.
Speaker AAnd then we're just applying that to the next one.
Speaker BYeah, this has been a great conversation.
Speaker BI've enjoyed it.
Speaker BIt's been very wide ranging and I think it's been, I don't know, I think we've covered a lot of ground and I think I'm saying the same thing in multip format.
Speaker BSo I guess that's being redundant for a change.
Speaker BLook, we're of course interested in what you thought, so please do give us some feedback.
Speaker BLet us know if this is something you enjoyed.
Speaker BIf you want to hear even more on this kind of subject, we'd be happy to come back and talk even more about coaching because it's something that we both really enjoy.
Speaker BAnd like I said, we definitely want to hear from you who are coaches and from you who are athletes who have coaches about the things that you like and the things that you have found over the years that maybe rubbed you the wrong way.
Speaker BIt's all definitely fodder for future discussions.
Speaker BJuliet, I really appreciate the conversation.
Speaker BWe will record the medical mailbag next week, although for everybody else it will have come out.
Speaker BThey will have heard it before them.
Speaker AExactly.
Speaker BAnd of course, I'll see you at another segment another time soon.
Speaker BThank you so much for joining me for this talk.
Speaker AThank you.
Speaker AJeff.
Speaker CHi, my name is Justin Rayfield.
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